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H Fletcher

Impacts of Maternal Fish Consumption and Natural Environment on Placental Mercury Levels in Jamaica

Issue: 
DOI: 
10.7727/wimj.2015.239
Pages: 
346–51
Synopsis: 
Maternal fish consumption, as well as, residence can influence placental mercury concentration. The highest placental mercury was found in areas within bauxitic soil.

ABSTRACT

Objective: Mercury is a neurotoxin that is introduced to pregnant women from the soil, air pollutants and fish intake. Mercury in the placenta can be a biomarker for both maternal and fetal exposure. The objective of this study was to investigate how dietary patterns and environmental conditions can affect mercury concentration levels in the human placenta.

Accepted: 
01 Jun, 2015
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e-Published: 17 Nov, 2015

Poverty, Folate Deficiency, Human Immunodeficiency Virus and Ulcerated Vulval Sexually Transmitted Diseases in Jamaica

Issue: 
Pages: 
137–40
Synopsis: 
Ulcerated sexually transmitted diseases rates in Jamaica are falling; this may be related to successful measures aimed at alleviating poverty and the decrease in HIV with high condom use.

ABSTRACT

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e-Published: 17 Oct, 2013

Elements in Human Placentae in Jamaica

Issue: 
Pages: 
479–85
Synopsis: 
Fifty-two placentae of Jamaican mothers, with a mean age of 29 years, at term were collected. Samples were analysed using Instrumental Neutron Activation Analysis for mercury and 9 other elements. Data were correlated with several parameters collected at delivery and by questionnaire data.

ABSTRACT

Aim: To investigate the relationships, if any, between elemental content of the placenta with age of mother, birthweight and the Apgar scores of a neonate.

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e-Published: 15 Oct, 2013

Closing Session

Issue: 
Pages: 
62–4
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e-Published: 01 Jul, 2015

Dietary Intake of Choline and Plasma Choline Concentrations in Pregnant Women in Jamaica

Issue: 
Pages: 
355–9
Synopsis: 
We examined the plasma choline concentration of sixteen women attending the antenatal clinic of the University Hospital of the West Indies and found that their fasting choline concentrations were low to normal. This may be a reflection of low choline dietary intake.

ABSTRACT

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e-Published: 06 Jun, 2013

A Randomized Comparison of Rectal Misoprostol with Syntometrine on Blood loss in the Third Stage of Labour

Issue: 
Pages: 
201–6
Synopsis: 
Rectal misoprostol in appropriately selected patients results in comparable blood loss at delivery as compared to standard therapy and may be a reasonable alternative for the active management of the third stage of labour in patients delivered outside of a hospital setting.

ABSTRACT

Objectives: a) To compare the clinical effect of rectal misoprostol with intramuscular syntometrine in reducing blood loss in the third stage of labour, b) to determine the severity and incidence of side effects of both drugs and c) to measure blood loss, patient tolerance and acceptance of rectal misoprostol.

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e-Published: 18 Sep, 2013

Cervical Intraepithelial Neoplasia in a Cohort of HIV-positive Women at the University Hospital of the West Indies: Management and Outcome

Issue: 
DOI: 
10.7727/wimj.2013.223
Pages: 
313–7
Synopsis: 
This article identifies the risk of recurrence of cervical dysplasia in HIV-positive women. Results indicate that HIV increases the risk of recurrence but once women who are HIV positive maintain their antiretroviral agents and have good CD4 counts then their risk would be similar to that of HIV-negative women.

ABSTRACT


Objective: To determine the rate of recurrence of cervical intraepithelial neoplasia (CIN) in HIVpositive women evaluated at the University Hospital of the West Indies (UHWI).

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e-Published: 14 Aug, 2013

Comparison of Ultrasonographic Estimated Fetal Weight and Actual Birthweight Performed by Residents in Training at the University Hospital of the West Indies

Issue: 
DOI: 
10.7727/wimj.2012.265
Synopsis: 
There is good correlation between residents’ ultrasonographic estimation and actual birthweight at the University Hospital of the West Indies. The difference in correlation between senior and junior residents was insignificant.

ABSTRACT

Objective: To determine the correlation of ultrasonographic estimation of fetal weight and actual birthweight and the impact of the level of resident’s training on the results.

Accepted: 
12 Feb, 2013
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e-Published: 18 Feb, 2014

Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

Bilateral Psoas Abscess in a Case of Granuloma Inguinale

Issue: 
Pages: 
343–5

ABSTRACT

The authors present a case of disseminated granuloma inguinale with bilateral psoas abscesses. Infection with calymmatobacterium granulomatis is usually localized to the genital organs but rarely may be disseminated. A search of the literature revealed that only two cases of psoas abscesses due to calymmatobacterium granulomatis were previously reported.

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e-Published: 06 Jun, 2013

Fatal End Stage Renal Failure Aggravated by Recurrent Uterine Fibroids

Issue: 
DOI: 
10.7727/wimj.2014.043
Pages: 
554

The Editor,

Sir,

The patient was a 51-year old lady para 2+0 who had a long history of diabetes and hypertension from 1993 at age 33 years. She underwent myomectomy for menorrhagia in 2000. By 2010, the fibroids had regrown to 18 weeks size. 

Revised: 
27 Mar, 2014
Accepted: 
22 Apr, 2014
Journal Sections: 
e-Published: 08 May, 2014

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