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H Trotman

Routine Laboratory Investigations in Infants and Children Presenting with Fever and Seizures at the University Hospital of the West Indies

Issue: 
Pages: 
369–72
Synopsis: 
Fifty-nine children, aged 6 months to eight years, who presented with fever and seizures were reviewed. There was no laboratory abnormalities significantly associated with a bacterial infection. Routine laboratory investigations in children with seizures and fever were of limited usefulness.

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e-Published: 23 Jul, 2013

Urinary Tract Infection in Neonates with Serious Bacterial Infections Admitted to the University Hospital of the West Indies

Issue: 
Pages: 
101–05
Synopsis: 
Urinary tract infection is an important cause of serious bacterial infection in neonates affecting 1 in 3 babies with proven bacterial infection and may be the first indicator of underlying structural abnormalities. The absence of specific distinguishing clinical features makes it necessary to include urine cultures in the sepsis evaluation of neonates presenting with symptoms suggestive of sepsis.


ABSTRACT

Objective: The aim of this study was to describe the epidemiology of urinary tract infection in neonates, with serious bacterial infections, admitted to the University Hospital of the West Indies.

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e-Published: 18 Jul, 2013

Knowledge, Perception and Practices of Healthcare Professionals at Tertiary level Hospitals in Kingston, Jamaica, Regarding Neonatal Pain Management

Issue: 
Pages: 
28–32
Synopsis: 
There is an overwhelming deficiency in the knowledge, perception and practice of neonatal pain management at tertiary level institutions in Kingston, Jamaica. There is the urgent need for education of healthcare professionals on neonatal pain. This will in turn facilitate change in perception, and eventually, along with the institution of local policies and protocols, influence practice.
ABSTRACT
 
Objective: To determine knowledge, perception and practices of healthcare professionals at tertiary level hospitals in Kingston, Jamaica, regarding neonatal pain management.
 
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e-Published: 05 Jul, 2013

The Impact of Antenatal Care on Pregnancy Performance between Adolescent Girls and Older Women

Issue: 
Pages: 
414–20
Synopsis: 
Pregnancy performance and newborn outcome between adolescents and older women receiving early and similar antenatal care showed minimal differences with only an increase rate of urinary tract infection and a lower rate of Caesarean section in the adolescents.

ABSTRACT

Objective: To investigate pregnancy performance and newborn outcome between adolescents and older women receiving adequate and similar antenatal care.

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e-Published: 03 Jul, 2013

Outcome of Extremely Low Birthweight Infants at the University Hospital of the West Indies, Jamaica

Issue: 
Pages: 
409–13
Synopsis: 
Gestational age and female gender were found to be independent predictors of mortality in extremely low birthweight infants. Obstetric measures for the prevention of preterm delivery need to be optimized in order to decrease the morbidity and mortality associated with extremely low birthweight infants.

ABSTRACT

Objective: To describe the early outcome of extremely low birthweight infants delivered at the University Hospital of the West Indies.

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e-Published: 03 Jul, 2013

Obstruction of the Duodenum by a Preduodenal Portal Vein in Situs Inversus

Issue: 
Pages: 
285–7

ABSTRACT

Mirror image transposition of abdominal and thoracic viscera is termed situs inversus. Duodenal obstruction in situs inversus is rare. A preduodenal portal vein, though not uncommon in situs inversus, rarely causes duodenal obstruction. Where obstruction by a preduodenal portal vein is diagnosed, a duodeno-duodenostomy is the recommended treatment. A duodenal diaphragm and other more common causes of duodenal obstruction should also be excluded in these patients.

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e-Published: 02 Jul, 2013

Hypernatraemic Dehydration in Exclusively Breastfed Infants: A Potentially Fatal Complication

Issue: 
Pages: 
282–5

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e-Published: 12 Jun, 2013

Neonatal Sepsis in very Low Birthweight Infants at the University Hospital of the West Indies

Issue: 
Pages: 
165–9
Synopsis: 
Strategies aimed at prevention, such as limiting the excessive use of broad-spectrum empiric antibiotics and the periodic review and continuous reinforcement of infection control policies will help decrease the mortality and morbidity associated with nosocomial infection in the very low birthweight infants.

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e-Published: 10 Jun, 2013

Predictors of Poor Outcome in Neonates with Bacterial Sepsis Admitted to the University Hospital of the West Indies

Issue: 
Pages: 
80–4
Synopsis: 
Prematurity, very low birthweight and female gender are predictors of poor outcome in neonates with bacterial sepsis. Strategies aimed at decreasing morbidity and mortality in neonates with sepsis must include measures that will decrease the incidence of prematurity and low birthweight.

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e-Published: 10 Jun, 2013

The Neonatal Intensive Care Unit at the University Hospital of the West Indies: The First Few Years’ Experience

Issue: 
Pages: 
75–9
Synopsis: 
The judicious use of neonatal intensive care measures in a developing country can result in a reduction of morbidity and mortality. However, in order to maximize on benefits versus cost in an atmosphere of budgetary constraint, evidence-based management policies and protocols must be developed and implemented.

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e-Published: 10 Jun, 2013

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