Home' Trinidad and Tobago Guardian : June 10th 2013 Contents A36
body & soul
Guardian www.guardian.co.tt Monday, June 10, 2013
COMMUNITY HOSPITAL OF SEVENTH-DAY ADVENTISTS
Western Main Road, Cocorite
Qualified, experienced and service-oriented individuals are invited to apply for the following positions:
Must possess a Bachelor's degree in Physiotherapy or any related qualifications. Must be registered with the Physiotherapists' Board of
T &T and have at least 5 years experience in this field. Specialization in management of stroke and brain-injured patients or cardiac reha-
bilitation preferred. Must be prepared to work on weekends.
Must possess a Bachelor's degree in radiological imaging and technology and/or a Diploma in radiography. Must be registered with the
Radiography Board of T &T and have at least 5 years experience in performing CT scans and MRI. This position would require working
on a roster that would include on-call sessions.
Candidate must possess a Bachelor's degree in Pharmacy from an accredited institution and have at least 5 years experience in this field.
Must be registered with the Pharmacy Board of T&T and have at least 5 years experience in this field.
NURSING STAFF (Full Time only)
Caring and qualified RNs and ENAs are needed in the following fields: Medical/Surgical, Midwifery, Dialysis, ICU, Emergency Room, and
Operating Theatre. Nurses must have a Bachelor of Science Degree or an Associate Degree in Nursing. Applicants must also be registered
with the Nursing Council of Trinidad and Tobago.
ENGINEERING & MAINTENANCE MANAGER
Applicants must have at least 5 years experience in a similar position. Must possess a degree or associate degree in Biomedical or Electrical
Engineering. This position would include on-call sessions.
ENGINEERING & MAINTENANCE TECHNICIANS
Must have working experience in a maintenance department. Applicants with certification and/or 5 years experience in bio-medicals, elec-
trical, air conditioning, plumbing, welding and carpentry are invited. This position would include on-call sessions.
Must be a Certified Technician with at least 2 years experience in this field.
Full time and part time qualified Medical Doctors with clinic and on call responsibilities in the following disciplines are also required:
Emergency room/ Family practice
Rehabilitation Medicine/Physical Therapy
Medical Doctors with qualification in other disciplines are also welcome to apply. Candidates must be registered with the Medical Board of T&T.
Your cover letter along with one copy of your current resume, 2 passport size photos, copies of certificates, references and other relevant
information should be sent to:
Human Resource Manager
Community Hospital of SDA
P.O. Box 767
Port of Spain, Trinidad
Or e-mail resume to email@example.com
Applicants are also required to submit a copy of their application to:
Chief Manpower Officer
Ministry of Labour & Small and Micro Enterprise Development
Levels 1 - 6, Duke Place,
#50 -54 Duke Street, Port of Spain.
CLOSING DATE FOR APPLICATIONS IS JUNE 10th 2013
UNSUITABLE APPLICATIONS WILL NOT BE ACKNOWLEDGED
YOUR DAILY HEALTH
News and advice
A more accurate test for Down s syndrome which
can also be given earlier in pregnancy than current
checks has been developed, say experts.
A study of 1,000 pregnancies found the test of
foetal DNA in maternal blood can show a baby is
"almost certainly" affected or unaffected by Down s.
The King s College London team behind it said it
could help women decide if they needed further, inva-
The Down s Syndrome Association said the new
test was not "imminent".
Around 750 babies are born with Down s syndrome
each year in the UK.
The condition is caused by the presence of an extra
copy of chromosome 21, which occurs by chance.
Women are currently tested between weeks 11 and
13 of pregnancy. They have an ultrasound, during
which a pocket of fluid at the back of a baby s neck---
the nuchal translucency---is measured. Babies with
Down s syndrome tend to have more fluid than nor-
Women also have a blood test to check for abnormal
levels of certain proteins and hormones.
They are then given an estimation of the chances
of their child having Down s---which also takes their
age into account---such as one in 150 or one in 700.
Each of the three elements is only an indication.
But based on the result, those with a higher estimated
risk can have one of two invasive and potentially risky
Chorionic villus sampling (CVS) involves testing a
small sample of the placenta, while an amniocentesis
tests the amniotic fluid around the baby.
Both tests carry a one in 100 risk of miscarriage.
Prof Kypros Nicolaides, who is leading the research
and also developed the nuchal fold test, says the foetal
DNA (cfDNA) test is much more definitive.
The test shows there is either more than a 99 per
cent chance, or less than one in 10,000 that their
baby has Down s syndrome.
The research showing it is more sensitive, and less
likely to offer a false-positive result, is published in
Ultrasound in Obstetrics and Gynaecology.
Prof Nicolaides said: "This test is nearly diagnostic.
It tells you almost certainly your baby has Down s or
almost certainly it does not.
"From a woman s perspective, that is a much more
clear message about what to do next."
Between three per cent and five per cent of pregnant
women currently undergo invasive testing.
The foetal DNA test has seen a rate of less than 0.5
Next month, the professor and his team are to begin
a two-year prospective study of 20,000 women in
NHS hospitals to further assess the test.
However it currently costs around £400, so Prof
Nicolaides says - if the cost does not fall - it may be
that the NHS could use the conventional test (which
costs £180) for all pregnant women, then the foetal
DNA test for those at a higher risk---perhaps 10-15
per cent of all pregnancies.
He said his aim was to offer women clearer infor-
mation to allow them to make choices about how
they should proceed.
"It has been trendy to say we must involve patients
in the decision-making process, but it has often been
something we only pay lip-service to.
"If the risk is say one in 250, how do they decide?
When they have much more clarity, a clearer result,
it is made easier."
Carol Boys, chief executive of the Down s Syndrome
Association (DSA) said: "The latest results from Prof
Nicolaides and his team at King s College show that
the use of an early non-invasive blood test that could
be used throughout the national screening programme
is still a fair way off.
"The DSA considers it far more important at this
point to focus on providing relevant, accurate and
up-to-date information about Down s syndrome,
delivered by midwives and associated health profes-
sionals, who have received our targeted training prior
to any screening test.
"We are currently seeking full funding to ensure
that our Tell it Right, Start it Right training can be
rolled out nationally in readiness for the time when
the non-invasive diagnostic test in early pregnancy
is a reality in the UK.
"We do not believe that this is imminent." (BBC)
Early Down's test 'more sensitive'
which can also
be given earlier
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