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IR Hambleton

Anaesthetic Morbidity at the University Hospital of the West Indies

Issue: 
Pages: 
452–7
Synopsis: 
Prospective analysis of 3185 anaesthetic procedures revealed a complication rate of 201 per 1000 intraoperatively and 93 per 1000 during recovery. Cardiovascular complications were most frequent intra-operatively, whilst hyperglycaemia, nausea and vomiting were most common during recovery. Risk factors included ASA status, age, co-morbid conditions, prolonged anaesthesia, high surgical risk and intubation.

ABSTRACT

Objective: There is little information on adverse anaesthetic outcomes from the Caribbean. The aim of this study was to investigate the occurrence of anaesthetic morbidity and mortality at the University Hospital of the West Indies (UHWI) and to identify possible risk factors.

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e-Published: 20 Sep, 2013

Voices of the Women: Feedback from Women of Child-bearing Age who are Living with HIV can help Improve Efficacy of Psychosocial Interventions

Issue: 
Pages: 
274–81

ABSTRACT

Background: We hypothesized that voluntary counselling and testing during pregnancy are necessary but not sufficient to provide the holistic psychosocial support needed by Jamaican women living with HIV and/or AIDS. Based on this hypothesis, we investigated a range of coping methods and support systems used by HIV-infected women and a group of their HIV-negative counterparts before, during and immediately after their pregnancies.

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e-Published: 19 Jul, 2013

Growth Curves for Normal Jamaican Neonates

Issue: 
Pages: 
368–74
Synopsis: 
This study provides ethnic- and gender-specific growth curves for the Jamaican newborn and is based on the most extensive data-set currently available in Jamaica for babies of West African descent.

ABSTRACT

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e-Published: 17 Jun, 2013

Medical Paediatric Admission Patterns at the University Hospital of the West Indies: Issues for Future Planning

Issue: 
Pages: 
340–5
Synopsis: 
Epidemiological trends and treatment costs for paediatric hospital admissions at the University Hospital of the West Indies, Jamaica, are presented. Recommendations to improve efficiency of service provision are suggested.

ABSTRACT

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e-Published: 17 Jun, 2013

The Prevalence of Marijuana Smoking in Young Adults with Sickle Cell Disease: A Longitudinal Study

Issue: 
Pages: 
224–7
Synopsis: 
A history of marijuana smoking was common in young adults with sickle cell disease. Usage increased between 2000 and 2004, and was seldom for medicinal purposes.

ABSTRACT

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e-Published: 10 Jun, 2013

Skin Test Reactivity to Aeroallergens in Jamaicans: Relationship to Asthma

Issue: 
Pages: 
142–7
Synopsis: 
Although skin prick test reactivity to house dust mite is more common in Jamaican adults and children, it is reactivity to cockroach which is significantly associated with asthma in adults.

ABSTRACT

Background: Asthma causes significant morbidity and mortality in the developing world. It is thus important to identify modifiable risk factors.

Objectives: To undertake a cross-sectional study to determine the prevalence of skin test reactivity to aeroallergens in Jamaican children and adults and the relationship of the diagnosis of asthma to the pattern of skin test positivity.

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e-Published: 10 Jun, 2013

Anaesthesia for Operative Deliveries at the University Hospital of the West Indies: A Change of Practice

Issue: 
Pages: 
187–191
Synopsis: 
In 1996, more than 90% of the Caesarean sections at the University Hospital of the West Indies, Kingston, Jamaica, were being done under general anaesthesia. By 2001, more than 80% of the Caesarean sections were done under spinal anaesthesia.

ABSTRACT

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e-Published: 05 Jun, 2013

Triage Decisions and Outcome among the Critically Ill at the University Hospital of the West Indies

Issue: 
Pages: 
181–86
Synopsis: 
The triage and outcome of patients referred for admission to the ICU at the University Hospital of the West Indies, Kingston, Jamaica, was investigated. The authors found that disease severity was the main determinant of admission to the ICU, and that a shortage of ICU beds is adversely affecting outcome.

ABSTRACT

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e-Published: 05 Jun, 2013
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