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C Nathaniel

Worse Chronic Obstructive Pulmonary Disease Outcomes in Patients Who Smoke Both Tobacco and Marijuana

We compared the clinical course and outcomes for the patients admitted for Chronic Obstructive Pulmonary Disease (COPD) who smoked tobacco and marijuana versus tobacco only. The results showed earlier onset of advanced COPD with more frequent progression to cor pulmonale and death in tobacco and marijuana smokers.


Objective: To compare clinical course and outcomes in patients admitted for Chronic Obstructive Pulmonary Disease (COPD) who smoke tobacco plus marijuana versus tobacco only.

31 Mar, 2017
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e-Published: 31 May, 2017


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.

Motorcycle Trauma in a St Lucian Hospital

Motorcycle trauma in a St Lucian hospital revealed that more than fifty per cent of crashes occurred during the weekends and more than fifty per cent of the motorcyclists were not wearing crash helmets.


Objective: A motorcycle is a single-track, two-wheeled motor vehicle that is used worldwide for transportation. The use of the motorcycle has resulted in trauma that is associated with significant morbidity and mortality. The aim of this study is to document the pattern of motorcycle accidents and the demographics of the cyclists in St Lucia.

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e-Published: 05 Feb, 2014
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