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IW Crandon

Transfer of Head-injured Patients in Jamaica: Is there a Problem?

Issue: 
Pages: 
220–24
Synopsis: 
The transfer of head-injured patients, many with multiple injuries, is not being performed in a manner consistent with modern medical practice. There is urgent need for implementation of a standardized protocol for the transfer of such patients in Jamaica.

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e-Published: 05 Jun, 2013

Surgery in the Elderly: Is Age a Risk Factor?

Issue: 
Pages: 
171–75
Synopsis: 
Elderly surgical patients at the University Hospital of the West Indies, Kingston, Jamaica, had less emergency admissions, underwent more surgery, had a longer mean hospital stay, a higher mortality rate and a greater mortality amongst emergency admissions. Cancer was the commonest admission diagnosis and that amongst mortalities.

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e-Published: 05 Jun, 2013

The Aetiology of Head Injury in Admitted Patients in Jamaica

Issue: 
Pages: 
223–5
Synopsis: 
Head injury in admitted patients is mainly due to road traffic accidents, falls and interpersonal violence. More effective prevention strategies including education and law enforcement are urgently warranted.

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e-Published: 02 Jul, 2013

Unnecessary Admissions of Head-injured Patients at the University Hospital of the West Indies

Issue: 
Synopsis: 
Reduction in unnecessary admissions, cost savings and increased efficiency may result from standardization of admission criteria for head-injured patients and consistent implementation of guidelines for admission without increased risk to patients.

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e-Published: 02 Jul, 2013

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.

Surgical and Intensive Care needs of Head-injured Patients Transferred to the University Hospital of the West Indies

Issue: 
Synopsis: 
The majority of transferred head-injured patients sustained mild injuries with a third requiring surgical procedures and 19% requiring Intensive Care Unit care. Appropriate educational, training and transfer programmes and transfer policies must be implemented to minimize inappropriate transfers.

ABSTRACT

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e-Published: 02 Jul, 2013

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.

The Prevalence of Seat Belt Use in Kingston, Jamaica: A Follow-up Observational Study Five Years after the Introduction of Legislation

Issue: 
Pages: 
327–9
Synopsis: 
An observational cross-sectional study of seatbelt utilization conducted in Kingston, Jamaica, showed 81.2% utilization by private motor vehicle drivers and 74.0%, by front seat passengers. This was significantly improved compared to 21.1% and 13.6% respectively in 1996, before the introduction of legislation in 1999 (p < 0.001). Females were significantly more likely than males to wear seat belts, both when driving (92.5% vs 77.3%; p < 0.001) and as front seat passengers (79.9% vs 66.3%; p < 0 001).

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e-Published: 17 Jun, 2013

Neuroendoscopy in Jamaica

Issue: 
Pages: 
34–7
Synopsis: 
Neuroendoscopy is the treatment of choice for obstructive hydrocephalus due to aqueduct stenosis or posterior fossa tumours and has the advantage of avoiding shunt related complications. It is safe and effective for the majority of patients and has a significant role in the management of neurosurgical patients in the West Indies.

 

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e-Published: 04 Jun, 2013

Delays in Presentations of Stroke Patients at the University Hospital of the West Indies

Issue: 
Pages: 
341–6
Synopsis: 
Early diagnosis of patients with stroke is paramount in order to achieve benefits from thrombolytic therapy. Public education, improved access to pre-hospital care and healthcare personnel along with prompt neuroimaging are some means by which care can be improved.

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e-Published: 19 Sep, 2013

A Case Report of Chronic Subdural Haematomas in two Elderly Patients

Issue: 
Pages: 
547–9

ABSTRACT

The authors present two elderly patients with chronic subdural haematomas following minor trauma. The difficulty associated with making the diagnosis is discussed. A high index of suspicion and routine follow-up of such patients is recommended in order to promote early diagnosis and prompt treatment of this reversible cause of dementia.

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e-Published: 04 Jul, 2013

Maternal Hydrocephalus in Pregnancy and Delivery: A Report of Two Cases

Issue: 
Pages: 
558–9

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e-Published: 04 Jul, 2013

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