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CD McGaw

The Cannabinoids as Therapeutic Agents in the Management of Pain

Issue: 
DOI: 
10.7727/wimj.2017.192
Pages: 
576-80
Synopsis: 
This paper explored the suitability of naturally occurring and synthetic cannabinoids for pain management. The antinociceptive mechanisms identified for cannabinoids, relative to currently available analgesics, are promising in several cases, more so for chronic than for acute pain, where the potential remains hopeful but as yet unrealized.

ABSTRACT

Objective: This review focussed on the role of the endocannabinoid system in relation to pain transmission and modulation. Various facets of both naturally occurring and synthetic cannabinoids (CBs) were explored in an effort to ascertain their suitability in the treatment and management of pain.

Accepted: 
23 Oct, 2017
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e-Published: 26 Oct, 2017

Propofol Sedation in Patients Undergoing Colonoscopy in Jamaica

Issue: 
Pages: 
284–8
Synopsis: 
Propofol sedation in patients undergoing elective colonoscopy was associated with relatively quick recovery and excellent satisfaction by patients and is a suitable and safe alternative for sedation for colonoscopy in Jamaica.

ABSTRACT

Background: Propofol sedation is increasingly used for colonoscopy and may be associated with increased satisfaction and efficiency in diagnostic and therapeutic endoscopy.  However, propofol has a relatively narrow therapeutic window as it frequently produces deep sedation, and can precipitate respiratory depression.

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e-Published: 30 Jan, 2014

Knowledge and Practice of Occupational Infection Control among Healthcare Workers in Jamaica

Issue: 
Pages: 
147–52
Synopsis: 
Healthcare workers at two hospitals in Jamaica were aware of the risk of transmission of infection, however compliance with universal precautions was inadequate. Guidelines are needed for compliance with universal precautions.

ABSTRACT

Objective: To assess the knowledge, compliance and practice among healthcare workers of occupational infection control at two hospitals in Jamaica.

Methods: Employing a cross-sectional study design, medical personnel (physicians and nurses) at two hospitals in Jamaica, were studied, utilizing a structured questionnaire consisting of 14 items to collect the data.

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e-Published: 02 Oct, 2013

Coronary Artery Bypass Graft Surgery at the University Hospital of the West Indies, Jamaica: Analysis of Clinical Characteristics, Mortality and Length of Hospital Stay

DOI: 
10.7727/wimj.2016.549
Synopsis: 
This study analyzed the clinical characteristics and outcome of patients presenting for coronary artery bypass surgery at the University Hospital of the West Indies. The overall 30-day mortality rate was 8.4%, and the median intensive care and total hospital stays were 3 and 8 days, respectively.

ABSTRACT

Objectives: A detailed analysis of coronary artery bypass graft (CABG) surgical cases performed at the University Hospital of the West Indies (UHWI) has never been conducted. We present the demographic profile, clinical characteristics, and outcome of cases performed during the period March 2010 to March 2016.

Accepted: 
11 Jan, 2017
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e-Published: 03 Feb, 2017

Disclaimer

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.

Prevalence of Needlestick Injuries and other High Risk Exposures Among Healthcare Workers in Jamaica

Issue: 
Pages: 
153–8
Synopsis: 
Needlestick injuries (47%) and other high risk exposures (31%) among physicians and nurses were high in two hospitals in Jamaica. Reporting and post-exposure management were inadequate. A comprehensive programme to decrease these occupational hazards and regular surveillance are needed.

ABSTRACT

Objective: To assess the prevalence of needlestick injuries (NSIs) and other high risk exposures among healthcare workers at two hospitals in Jamaica.

Methods: Employing a cross-sectional study design, medical personnel (physicians, nurses) at two hospitals in Jamaica, were studied, utilizing a structured questionnaire consisting of 14 items to collect data on needle stick injuries and other injuries.

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e-Published: 02 Oct, 2013
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