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G Wharfe

Colorectal Cancer: Guidelines to Management

Issue: 
DOI: 
10.7727/wimj.2018.195
Pages: 
27–38

ABSTRACT

Colon cancer is the third leading cause of cancer deaths in Jamaica. Unique features may exist in this predominantly black population that impact management. Additionally, there is rationalization of some resources that may impose restrictions on the widespread applicability of some international guidelines. We have developed here guidelines that are consistent with the best available evidence and which are appropriate to use in our local context.

Accepted: 
09 Dec, 2018
PDF Attachment: 
Journal Sections: 
e-Published: 25 Mar, 2019

An Audit of Haematology/Oncology Clinic Services at an Urban Academic Hospital in Jamaica

Issue: 
DOI: 
10.7727/wimj.2013.329
Pages: 
511-14
Synopsis: 
The Haematology/oncology Clinic is a clinical training unit of the University Hospital of the West Indies, and serves patients with a wide range of disorders. In this study, the types of disorders seen were explored, and recommendations put forward for expansion of cancer care and supportive services.

ABSTRACT

Objective: To determine the range of disorders seen at the Haematology/oncology Clinic of the University Hospital of the West Indies (UHWI), and the proportion of Oncology referrals to the clinic.

Revised: 
28 Apr, 2015
Accepted: 
30 Apr, 2015
PDF Attachment: 
Journal Sections: 
e-Published: 11 Mar, 2016

Blood Use in Neurosurgical Cases at the University Hospital of the West Indies

Issue: 
DOI: 
10.7727/wimj.2013.233
Pages: 
54–8
Synopsis: 
The neurosurgical population had a low transfusion rate. Higher American Society of Anesthesiologists physical status, low preoperative haemoglobin, a resident lead surgeon, and blood loss were significant predictors of perioperative transfusions. The Cross-match to Transfusion Ratio was high, suggesting that blood products can be better allocated.

ABSTRACT

Objective: Many neurosurgical cases are done without the need for blood transfusion, yet blood is unnecessarily cross-matched, resulting in wasted resources.  This study was undertaken to document and compare the number of units of blood components requested, cross-matched and transfused in neurosurgical cases at the University Hospital of the West Indies (UHWI). 

Revised: 
20 Jan, 2014
Accepted: 
22 Jan, 2014
PDF Attachment: 
Journal Sections: 
e-Published: 14 Mar, 2014

Extravasation Injuries

Issue: 
Pages: 
40–7
Synopsis: 
Most extravenous leaks have relatively minor sequelae but severe tissue injuries have been reported. Extravasation may be unavoidable, but if appropriate measures are implemented promptly, morbidity can be greatly reduced. All medical and nursing personnel must be familiar with the protocols for treating the extravasation of drugs which have the potential for tissue damage.
ABSTRACT
 
Objectives: To evaluate the time and type of treatment following extravasation from intravenous infusion and the sequelae of the injuries.
 
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Journal Sections: 
e-Published: 05 Jul, 2013

Febrile Neutropaenia in Cancer Patients

Issue: 
Pages: 
209–14
Synopsis: 
Gram-negative organisms are the predominant isolates in febrile neutropaenic episodes in this cohort of patients. Non-neutropaenic patients had an increased mortality with an increase in Acinetobacter infections and multiple infections.

ABSTRACT

Backgrounds: Febrile neutropaenia is a common complication of chemotherapy in cancer patients.
Empirical antibiotic regimes are based on the epidemiological characteristics of bacterial isolates globally and locally.

PDF Attachment: 
Journal Sections: 
e-Published: 02 Oct, 2013

Venous Thromboembolism in Jamaican Women: Experience in a University Hospital in Kingston

Issue: 
Pages: 
243–9
Synopsis: 
Venous thromboembolism is a serious complication of many conditions in women. It is more common in older hospitalized women, but should also be suspected in younger women who recently had surgery, hormonal therapy or pregnancy.

ABSTRACT

Objective: To review cases of venous thromboembolism (VTE) at UHWI from 1999–2004, to identify methods of diagnosis, risk factors and to evaluate differences between survivors and fatalities.

PDF Attachment: 
Journal Sections: 
e-Published: 18 Sep, 2013

White Blood Cell Counts in Healthy Jamaican Adults

Issue: 
Pages: 
146–151
Synopsis: 
The normal range of white blood cell count in Jamaican and Afro-Caribbean adults is lower that that for Caucasian adults.

 

ABSTRACT

PDF Attachment: 
Journal Sections: 
e-Published: 18 Jul, 2013

A Case of Pseudotumour in a Haemophiliac

Issue: 
DOI: 
10.7727/wimj.2012.077
Pages: 
561–4
INTRODUCTION
 
Accepted: 
23 Mar, 2012
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 14 Nov, 2013

ATTL-Clinical and Laboratory Features and Treatment

Issue: 
Pages: 
458–63
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 20 Jun, 2013
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