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H Trotman

Mechanical Ventilation of Neonates at the University Hospital of the West Indies: 1987–2015

Issue: 
DOI: 
10.7727/wimj.2018.172
Pages: 
410–14
Synopsis: 
Access to mechanical ventilation by neonates has increased tremendously at the University Hospital of the West Indies. The present challenge however, is decreasing mortality in these neonates who access this technology.
Accepted: 
02 Nov, 2018
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e-Published: 19 Dec, 2018

The Spectrum of Neonatal Disorders Managed at the University Hospital of the West Indies over the Past Two Decades

Issue: 
DOI: 
10.7727/wimj.2018.174
Pages: 
404–09
Synopsis: 
It is clear that a diverse spectrum of medical disorders is managed on the neonatal unit of the UHWI and that the fledgling neonatal unit providing basic care for neonates of the 1960s has matured into the level II Newborn Special Care Nursery and Level III NICU that it is today. The time is now opportune, for Neonatology to gain independent status as a Division of Neonatology within the Department of Child Health at the UHWI.
Accepted: 
02 Nov, 2018
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e-Published: 19 Dec, 2018

Neonatal Mortality at the University Hospital of the West Indies over Six Decades: Trends and Causes

Issue: 
DOI: 
10.7727/wimj.2018.173
Pages: 
398–403
Synopsis: 
There has been a decrease in the neonatal mortality rate over the past six decades but further intervention is needed to achieve the sustainable developmental goal of less than ten neonatal deaths per thousand live births at the UHWI.
Accepted: 
02 Nov, 2018
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e-Published: 19 Dec, 2018

Outcome of Macrosomic Infants at the University Hospital of the West Indies

Issue: 
DOI: 
10.7727/wimj.2015.050
Pages: 
269–74
Synopsis: 
Fetal macrosomia remains a difficult obstetric problem with significant maternal, perinatal and neonatal consequences. There needs to be targeted, coordinated perinatal and neonatal measures if these morbidities are to be reduced.

ABSTRACT

Objective: To determine the outcome of macrosomic infants at the University Hospital of the West Indies over a three-year period.

Accepted: 
23 Mar, 2015
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e-Published: 16 Oct, 2015

Conjoined Twins: Bioethics, Medicine and the Law

Issue: 
Pages: 
123–24
Synopsis: 
Clinicians managing conjoined twins find themselves at a crossroad where bioethics, medicine and law converge.
INTRODUCTION
 
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e-Published: 06 Feb, 2014

Pattern of Pregnancy Weight Gain in Homozygous Sickle Cell Disease and effect on Birth Size

Issue: 
Pages: 
36–40
Synopsis: 
Maternal weight gain between 25–30 weeks gestation correlates positively with birthweight among AA mothers but appears delayed beyond 30 weeks in SS mothers.

ABSTRACT

Objective: To assess pregnancy weight gain and newborn anthropometry in mothers with homozygous sickle cell (SS) disease and normal controls.

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e-Published: 17 Oct, 2013

Pneumococcal Meningitis in Jamaican Children

Issue: 
Pages: 
585–8
Synopsis: 
Meningitis is a common clinical syndrome of invasive pneumococcal disease and occurs in 23% of cases resulting in mortality and high morbidity among Jamaican children. Local seroepidemiological studies are urgently needed to inform national vaccine decisions. As an interim plan, policymakers should consider a risk-based strategy to vaccine prophylaxis that will ensure that high risk groups such as children with Sickle cell disease are offered currently available conjugate pneumococcal vaccines.

ABSTRACT

Objective: To describe the clinical features and outcome of pneumococcal meningitis in Jamaican children.

Methods: All patients admitted to the Bustamante Hospital for Children, during the period 1995–1999, who had pneumococcus isolated from cerebrospinal fluid (CSF) or pleocytosis in association with a blood culture isolate of pneumococcus were selected. Demographic, clinical and laboratory data were collected.

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e-Published: 20 Sep, 2013

Review of Mortality of Very Low Birthweight Infants at the University Hospital of the West Indies over the Past Four Decades

Issue: 
Pages: 
356–60
Synopsis: 
Mortality of very low birthweight infants at the University Hospital of the West Indies has decreased over the past four decades, however, there has been no appreciable decline in mortality for those weighing ≤ 750 g. Measures to further decrease mortality must target these small infants.

ABSTRACT

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e-Published: 21 Aug, 2013

Clinical Research Informing Neonatal Care at the University Hospital of the West Indies: 50 Years Experience

Issue: 
Pages: 
351–5
Synopsis: 
Clinical research at the University Hospital of the West Indies over the past fifty years has informed local practice in neonatal care including management policies and treatment regimes.

ABSTRACT

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e-Published: 21 Aug, 2013

Epidemiology of Neonatal Jaundice at the University Hospital of the West Indies

Issue: 
Pages: 
37–42
Synopsis: 
To reduce morbidity associated with neonatal jaundice at the University Hospital of the West Indies, there should be increased screening for G6PD deficiency and current systems in place for follow-up and monitoring of infants discharged from hospital prior to 72 hours must be expanded and strengthened.


ABSTRACT

Objective: To describe the epidemiology of neonatal jaundice at the University Hospital of the West Indies (UHWI).

Methods: A retrospective review of all neonates at the UHWI with clinically significant jaundice between January 1, 2006 and June 30, 2007 was performed. Demographic, clinical and laboratory data were collected. Descriptive analyses were performed.

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e-Published: 19 Aug, 2013

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