J Williams-Johnson

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Idiopathic Avascular Necrosis of the Right Hip Masquerading as a Painful Right Knee in an Adult

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.154

Pages:

281–2

Received:

28 Jun, 2013

Accepted:

24 Jul, 2013

PDF Attachment:

williams_et_al-letter.pdf

Journal Sections:

Letters to the Editor

Journal Authors:

e-Published: 12 Jun, 2014

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A Case for a Holistic Approach to the Improvement of Compliance among Hypertensive Patients: A Hospital Review

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.156

Pages:

271–3

Synopsis:

A recent survey of hypertensive patients at the Emergency Department of the University of the West Indies revealed that more than a third were non-compliant with their prescribed medications and more than half had poorly controlled blood pressure. Providing access to drug is inadequate and a more holistic approach is required to reduce blood pressure on the population level.

ABSTRACT

Received:

09 May, 2013

Accepted:

16 May, 2014

PDF Attachment:

gossell-williams_et_al-compliance_among_hypertensive_patients.pdf

Journal Sections:

Viewpoint

Keywords:

Hypertension

Antihypertensive medications

Journal Authors:

e-Published: 12 Jun, 2014

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A Survey of the Pain Management of Acute Painful Crisis among Patients with Sickle Cell Disease at Two Centres in Jamaica

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.333

Pages:

252–7

Synopsis:

Evidence suggests that acute painful crisis (APC) can be managed safely and effectively in the outpatient setting. This survey reviewed the management of APC at two outpatient centres on the Mona campus of the University of the West Indies.

ABSTRACT

Objectives: The aim of this survey was to establish the pain management approaches to acute painful crisis (APC) in sickle cell patients at two healthcare facilities and to compare with available guidelines.

Received:

09 Dec, 2013

Accepted:

12 Feb, 2014

PDF Attachment:

augier_et_al-management_of_painful_crisis_in_sickle_cell_patients.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 12 Jun, 2014

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Differences and Similarities in Explanatory Models of Hypertension in the United States of America, Tanzania and Jamaica

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.302

Pages:

238–46

Synopsis:

Health beliefs drive health behaviour, yet the health beliefs of racially similar but culturally divergent groups in regards to hypertension have yet to be explored. We examine the differences and similarities amongst racially “black” emergency department patients in the United States of America, Jamaica and Tanzania.

ABSTRACT

Background: Misperceptions detract from effective disease management in a number of conditions but the nature of underlying illness beliefs and their relative consistency in patients with chronic hypertension (cHTN) who present to the Emergency Department (ED) with poor blood pressure control is not known.

Received:

12 Nov, 2013

Accepted:

22 Apr, 2014

PDF Attachment:

purakal_et_al-explanatory_models_of_hypertension.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 11 Jun, 2014

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A Clinical Audit of the Management of Acute Asthmatic Attacks in Adults and Children Presenting to an Emergency Department

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.146

Pages:

226–33

Synopsis:

A prospective docket audit comparing the actual acute management of asthma in the emergency department of the University Hospital of the West Indies with a universally approved written protocol for its management is presented. Failure to assess and document the severity of asthma attacks along with the under-utilization of peak expiratory flow rate was prominent. Strategies to address these should be implemented.

ABSTRACT

Objective: To compare the guidelines in the University Hospital of the West Indies (UHWI) acute asthma management protocol with actual practice in the Accident and Emergency Department.

Received:

31 Jan, 2014

Accepted:

27 Feb, 2014

PDF Attachment:

dasgupta_et_al-asthma_in_the_emergency_department.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 11 Jun, 2014

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The Compliance of Healthcare Workers with Universal Precautions in the Emergency Room at the University Hospital of the West Indies

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2014.044

Pages:

217–25

Synopsis:

Due to the nature of interventions that unstable patients require, emergency room healthcare providers are at risk of exposure to blood-borne pathogens. This study assessed compliance with universal precautions among healthcare workers in the emergency room.

ABSTRACT

Objectives: The study assessed compliance among health workers in the Emergency Room at the University Hospital of the West Indies with universal precautions. This was done by determining the knowledge, practices and perceptions of staff of universal precautions and by assessing compliance. Reported adherence with universal precautions was compared with observed practice.

Received:

17 Feb, 2014

Accepted:

24 Feb, 2014

PDF Attachment:

watson_et_al-compliance_of_healthcare_workers_in_the_emergency_room.pdf

Journal Sections:

Original Articles

Keywords:

Compliance

emergency room

universal precautions

Journal Authors:

e-Published: 11 Jun, 2014

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Suicide Attempt by Self-poisoning: Characteristics of Suicide Attempters Seen at the Emergency Room at the University Hospital of the West Indies

Issue:

Vol 61, Issue 5 (2012) - Special Issue on Mental Health

Pages:

526–31

Synopsis:

Of the sample of 127 patients seen for attempted suicide by self-poisoning, 75.6% were females. The age cohort 16–30 years represented the largest number of cases (70.8%).

ABSTRACT

Objective: To document the characteristics of self-poisoning suicide attempters who were brought to the University Hospital of the West Indies (UHWI) Emergency Room and to outline the type of drug used in the attempt.

PDF Attachment:

dr_j_williams-johnson.qxd_.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 24 Oct, 2013

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Hypoglycaemic Complications of Diabetes Mellitus Management: The Predominant Adverse Drug Reaction Presenting to the Accident and Emergency Department of The University Hospital of The West Indies

Issue:

Vol 59, issue 5 (2010)

Pages:

555–60

Synopsis:

Drug-induced hypoglycaemia among patients with diabetes mellitus accounted for 56.3% of the adverse drug reactions cases and most of the patients had comorbidities and were on multi-drug therapy.

ABSTRACT

PDF Attachment:

dr_gossell-williams.qxd_.pdf

Journal Sections:

Original Articles

Keywords:

diabetes mellitus

adverse drug reactions

drug-induced hypoglycaemia

Journal Authors:

M Gossell-Williams

J Williams-Johnson