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  1. Article: Contraceptives Are Also Drugs.

    Jankie, Satish / Sampath, Sameera / Pinto Pereira, Lexley M

    Cureus

    2023  Volume 15, Issue 2, Page(s) e35563

    Abstract: We report a patient who stated that contraceptives are not drugs. She presented with distressing symptoms of UTI following sexual activity and denied using any medication. Her physician prescribed co-amoxiclav based on her urine culture and sensitivity ... ...

    Abstract We report a patient who stated that contraceptives are not drugs. She presented with distressing symptoms of UTI following sexual activity and denied using any medication. Her physician prescribed co-amoxiclav based on her urine culture and sensitivity report, and the patient returned three days later with complete relief of symptoms but complained of vaginal bleeding. The patient then disclosed that her gynaecologist administered a contraceptive injection one month prior for endometriosis. When asked why she did not disclose this information at her previous visit, she responded, "that's
    Language English
    Publishing date 2023-02-27
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.35563
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  2. Article ; Online: Calling on Latin America and the Caribbean countries to recognise the disability from long COVID.

    Sakhamuri, Sateesh M / Jankie, Satish / Pinto Pereira, Lexley M

    Lancet Regional Health. Americas

    2022  Volume 15, Page(s) 100362

    Language English
    Publishing date 2022-08-26
    Publishing country England
    Document type Journal Article
    ISSN 2667-193X
    ISSN (online) 2667-193X
    DOI 10.1016/j.lana.2022.100362
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  3. Article ; Online: Risk factors for poor asthma control and impaired quality of life in a Caribbean population.

    Sakhamuri, Sateesh / Rampersad, Cherisse / Ramsingh, Chelsie / Ivey, Marsha A / Pinto Pereira, Lexley M

    The Journal of asthma : official journal of the Association for the Care of Asthma

    2020  Volume 58, Issue 9, Page(s) 1261–1269

    Abstract: Objective: Asthma, a major cause of disability and reduced quality of life, has a high global prevalence and burden of death. Despite the propitious guidelines, a substantial portion of asthmatics reportedly have poorly controlled disease. In the ... ...

    Abstract Objective: Asthma, a major cause of disability and reduced quality of life, has a high global prevalence and burden of death. Despite the propitious guidelines, a substantial portion of asthmatics reportedly have poorly controlled disease. In the current study, we have examined risk factors for uncontrolled asthma in specialty clinics and its association with impaired quality of life.
    Methods: A multicentre cross-sectional survey of asthma patients, 18 years and older, was conducted in Trinidad. Asthma Control Test (ACT) and the Juniper Mini Asthma Quality of Life Questionnaire (Mini AQLQ-J) were used to assess the disease control and quality of life, respectively. Data were analyzed using the Chi-square test and multivariable logistic regression controlling for gender.
    Results: Of a total of 428 patients included, asthma was uncontrolled in 72.4% and asthma related quality of life was moderate to severely impaired in 86% of the studied population. In the multivariate regression models, poorly controlled asthma was associated with obesity (OR 2.25; 95% CI 1.30-3.39), late-onset asthma (OR 1.72; 95% CI 1.04-2.84), features of sleep apnea (OR 1.77; 95% CI 1.01-3.07) and depression (OR 2.01; 95% CI 1.04-3.86). Impaired quality of life was associated with Indo-Caribbean ethnicity (OR 3.19; 95% CI = 1.68-6.06).
    Conclusions: In this Caribbean population, uncontrolled asthma was independently associated with obesity, late-onset disease, and comorbidities of sleep apnea and depression. Poor asthma-related quality of life was independently associated with Indo-Caribbean ethnicity.
    MeSH term(s) Adolescent ; Adult ; Age of Onset ; Aged ; Asthma/epidemiology ; Asthma/ethnology ; Comorbidity ; Cross-Sectional Studies ; Depression/epidemiology ; Depression/ethnology ; Ethnic Groups ; Female ; Humans ; Male ; Middle Aged ; Obesity/epidemiology ; Obesity/ethnology ; Quality of Life ; Risk Factors ; Sleep Apnea Syndromes/epidemiology ; Sleep Apnea Syndromes/ethnology ; Surveys and Questionnaires ; Trinidad and Tobago/epidemiology ; Trinidad and Tobago/ethnology ; Young Adult
    Language English
    Publishing date 2020-06-16
    Publishing country England
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 603816-5
    ISSN 1532-4303 ; 0277-0903
    ISSN (online) 1532-4303
    ISSN 0277-0903
    DOI 10.1080/02770903.2020.1778026
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  4. Article ; Online: Prevalence of self-reported diabetes, hypertension and heart disease in individuals seeking State funding in Trinidad and Tobago, West Indies

    Derek Chadee / Terence Seemungal / Lexley M. Pinto Pereira / Mary Chadee / Rohan Maharaj / Surujpal Teelucksingh

    Journal of Epidemiology and Global Health, Vol 3, Iss

    2019  Volume 2

    Abstract: Objective: Diabetes, hypertension and heart disease inflict a heavy health burden on the Caribbean Republic of Trinidad and Tobago. This study assessed the prevalence of self- reported diabetes, hypertension and heart disease in lower socioeconomically ... ...

    Abstract Objective: Diabetes, hypertension and heart disease inflict a heavy health burden on the Caribbean Republic of Trinidad and Tobago. This study assessed the prevalence of self- reported diabetes, hypertension and heart disease in lower socioeconomically placed individuals accessing welfare grants. Method: Data collected between July 2008 and June 2009 were analyzed from 14,793 responses. The survey sought information on education, average monthly income, health, housing, and household facilities. Results: Self-reported disease prevalence was 19.5% (95% CI: 18.9–20.2) for diabetes mellitus; 30.2% (95% CI: 29.5–30.9) for hypertension; and 8.2% (95% CI: 7.7–8.6) for cardiac disease. Diabetes and cardiac disease had equivalent gender frequency; hypertension was more prevalent in women (p < .001). Disease prevalence was highest in Indo-Trinidadians, married and divorced subjects, non-Christians and increased with age. Those with primary education alone were at greatest risk. Conclusion: Trinidad and Tobago have a high prevalence of hypertension, diabetes and heart disease. Hypertension showed gender specificity in women. Prevalence was highest in Indo-Trinidadians, increased with age, and primary education alone was a risk factor. Interventions to arrest the high prevalence of chronic non-communicable diseases to promote wellness are needed in Trinidad and Tobago.
    Keywords Hypertension ; Diabetes ; Heart disease ; Gender specificity ; Age ; Education ; Public aspects of medicine ; RA1-1270
    Subject code 610
    Language English
    Publishing date 2019-04-01T00:00:00Z
    Publisher Springer
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Book ; Article ; Online: The general public's perceptions and use of antimicrobials in Trinidad and Tobago

    Parimi, Neeta / Pinto Pereira, Lexley M / Prabhakar, Parimi

    2015  

    Keywords Antibacterianos ; Uso de Medicamentos ; Educação em Saúde ; Trinidad e Tobago
    Publishing date 2015-08-25T14:54:04Z
    Document type Book ; Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Aspirin for everyone over 50? Avoid the harm.

    Pinto Pereira, Lexley M

    BMJ (Clinical research ed.)

    2005  Volume 331, Issue 7509, Page(s) 160; author reply 161

    MeSH term(s) Aged ; Aspirin/administration & dosage ; Aspirin/adverse effects ; Cardiovascular Diseases/prevention & control ; Humans ; Middle Aged ; Platelet Aggregation Inhibitors/administration & dosage ; Platelet Aggregation Inhibitors/adverse effects
    Chemical Substances Platelet Aggregation Inhibitors ; Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2005-07-16
    Publishing country England
    Document type Comment ; Letter
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.331.7509.160-b
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  7. Book ; Article ; Online: Pesticide regulation, utilization, and retailers' selling practices in Trinidad and Tobago, West Indies

    Pereira, Lexley M. Pinto / Boysielal, Kim / Siung-Chang, Avril

    current situation and needed changes

    2015  

    Keywords Agriculture ; Commerce ; Government Regulation ; Pesticides ; Poisoning ; Trinidad and Tobago ; Agricultura ; Comercio ; Regulación gubernamental ; Pesticidas ; Envenenamiento ; Trinidad y Tobago ; Comércio ; Praguicidas ; Antídotos ; Coleta de Dados ; Regulamentação Governamental ; Entrevistas como Assunto ; Centros de Controle de Intoxicações ; Trinidad e Tobago
    Publishing date 2015-08-25T14:51:55Z
    Document type Book ; Article ; Online
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  8. Article ; Online: Comorbid disease in asthma: the importance of diagnosis.

    Pinto Pereira, Lexley M / Seemungal, Terence A

    Expert review of respiratory medicine

    2010  Volume 4, Issue 3, Page(s) 271–274

    MeSH term(s) Asthma/diagnosis ; Asthma/epidemiology ; Asthma/therapy ; Comorbidity ; Diabetes Mellitus/diagnosis ; Diabetes Mellitus/epidemiology ; Humans ; Mood Disorders/diagnosis ; Mood Disorders/epidemiology ; Obesity/diagnosis ; Obesity/epidemiology ; Respiratory Tract Diseases/diagnosis ; Respiratory Tract Diseases/epidemiology ; Treatment Outcome
    Language English
    Publishing date 2010-06
    Publishing country England
    Document type Editorial ; Portraits ; Research Support, Non-U.S. Gov't
    ZDB-ID 2479146-5
    ISSN 1747-6356 ; 1747-6348
    ISSN (online) 1747-6356
    ISSN 1747-6348
    DOI 10.1586/ers.10.31
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    Zs.A 6963: Show issues Location:
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  9. Article ; Online: Fish faddism causing low-level mercury poisoning in the Caribbean: two case reports.

    Pinto Pereira, Lexley M / Teelucksingh, Surujpaul

    Cases journal

    2009  Volume 2, Page(s) 7009

    Abstract: Two otherwise healthy middle-aged males presented with persistent abdominal and lower- back pain, progressive weakness, paraesthesias, fatigue and weight loss over 8-12 months. Extensive work-up failed to localize organ pathology. Both men, strongly ... ...

    Abstract Two otherwise healthy middle-aged males presented with persistent abdominal and lower- back pain, progressive weakness, paraesthesias, fatigue and weight loss over 8-12 months. Extensive work-up failed to localize organ pathology. Both men, strongly aware of the nutritional benefits of fish had a diet dedicated of canned and fresh fish. Raised blood mercury levels confirmed clinical suspicion and serial levels declined with symptom resolution after excluding dietary fish. To gain reported health benefits of fish as a healthy food modest consumption is encouraged. Efforts to monitor fish consumption and mercury residues in fish are recommended in Trinidad and Tobago.
    Language English
    Publishing date 2009-04-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 2431132-7
    ISSN 1757-1626 ; 1757-1626
    ISSN (online) 1757-1626
    ISSN 1757-1626
    DOI 10.1186/1757-1626-2-7009
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  10. Article ; Online: Prevalence of self-reported diabetes, hypertension and heart disease in individuals seeking State funding in Trinidad and Tobago, West Indies.

    Chadee, Derek / Seemungal, Terence / Pinto Pereira, Lexley M / Chadee, Mary / Maharaj, Rohan / Teelucksingh, Surujpal

    Journal of epidemiology and global health

    2013  Volume 3, Issue 2, Page(s) 95–103

    Abstract: Objective: Diabetes, hypertension and heart disease inflict a heavy health burden on the Caribbean Republic of Trinidad and Tobago. This study assessed the prevalence of self- reported diabetes, hypertension and heart disease in lower socioeconomically ... ...

    Abstract Objective: Diabetes, hypertension and heart disease inflict a heavy health burden on the Caribbean Republic of Trinidad and Tobago. This study assessed the prevalence of self- reported diabetes, hypertension and heart disease in lower socioeconomically placed individuals accessing welfare grants.
    Method: Data collected between July 2008 and June 2009 were analyzed from 14,793 responses. The survey sought information on education, average monthly income, health, housing, and household facilities.
    Results: Self-reported disease prevalence was 19.5% (95% CI: 18.9-20.2) for diabetes mellitus; 30.2% (95% CI: 29.5-30.9) for hypertension; and 8.2% (95% CI: 7.7-8.6) for cardiac disease. Diabetes and cardiac disease had equivalent gender frequency; hypertension was more prevalent in women (p<.001). Disease prevalence was highest in Indo-Trinidadians, married and divorced subjects, non-Christians and increased with age. Those with primary education alone were at greatest risk.
    Conclusion: Trinidad and Tobago have a high prevalence of hypertension, diabetes and heart disease. Hypertension showed gender specificity in women. Prevalence was highest in Indo-Trinidadians, increased with age, and primary education alone was a risk factor. Interventions to arrest the high prevalence of chronic non-communicable diseases to promote wellness are needed in Trinidad and Tobago.
    MeSH term(s) Adolescent ; Adult ; Aged ; Diabetes Mellitus/epidemiology ; Female ; Financing, Government ; Heart Diseases/epidemiology ; Humans ; Hypertension/epidemiology ; Male ; Middle Aged ; Prevalence ; Self Report ; Trinidad and Tobago/epidemiology
    Language English
    Publishing date 2013-03-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2645324-1
    ISSN 2210-6014 ; 2210-6014
    ISSN (online) 2210-6014
    ISSN 2210-6014
    DOI 10.1016/j.jegh.2013.02.002
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