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D McGrowder

The Predictive Value of Urinary Vanillylmandelic Acid Testing in the Diagnosis of Phaeochromocytoma at The University Hospital of the West Indies

Issue: 
Pages: 
141–7
Synopsis: 
Vanillylmandelic acid testing at the University Hospital of the West Indies has low positive predictive value, and special care must be taken in interpreting marginally elevated results. The use of assays with higher specificity (eg plasma or urinary metanephrines) may represent a more cost-effective approach to biochemical screening for phaeochromocytoma.

ABSTRACT


Objective: To investigate the positive predictive value (PPV) of urinary vanillylmandelic acid (VMA) testing in the diagnosis of phaeochromocytoma and to describe the features associated with phaeochromocytoma at the University Hospital of the West Indies (UHWI).

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e-Published: 17 Oct, 2013

Prevalence of the Metabolic Syndrome in Patients Presenting to the University Hospital of the West Indies: A Need to Adopt Proactive Screening and Specific Management Policy

Issue: 
DOI: 
10.7727/wimj.2011.220
Pages: 
802–8
Synopsis: 
The prevalence of metabolic syndrome in a group of adult psychiatric patients at the University Hospital of the West Indies was 28.9% and could represent a pathway to the future development of Type 2 diabetes mellitus and cardiovascular disease. Screening and continuous monitoring will allow for early intervention and possibly prevention of increased morbidity and mortality in this vulnerable population.

ABSTRACT

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e-Published: 21 Jan, 2013

The Importance of Bone Biomarkers in the Diagnosis of Renal Osteodystrophy

Issue: 
Pages: 
332–7
Synopsis: 
A combination of serum biochemical markers might predict underlying renal osteodystrophy better than would individual biochemical markers. A predictive model using bone histology and biochemical markers can be developed in the future.

ABSTRACT

Objective: To evaluate the association of serum biochemical markers in patients with chronic kidney disease (CKD) in Jamaica for early detection of renal osteodystrophy (ROD).

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e-Published: 07 Oct, 2013
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