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M Barton

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

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.


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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

The Impact of the Establishment of a Neonatal Intensive Care Unit on the Outcome of Very Low Birthweight Infants at the University Hospital of the West Indies

Issue: 
Pages: 
297–301
Synopsis: 
The establishment of a neonatal intensive care unit has resulted in improved survival of very low birthweight infants. Further improvement in survival of these infants will be dependent on increased accessibility to surfactant therapy, initiation of total parenteral nutrition and the availability of trained personnel.

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e-Published: 06 Jun, 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.
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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

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

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

Student Self-assessment in a Paediatric Objective Structured Clinical Examination

Issue: 
Pages: 
144–48
Synopsis: 
Student self-assessment is a useful method of promoting learning through recognition of strengths and weaknesses, understanding the relevance of core learning objective and encouraging responsible learning behaviour. The study examines the accuracy of medical students self-assessment of their performance in a paediatric clerkship objective structured clinical examination. Students overestimated their performance at some stations and underestimated at others.

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e-Published: 05 Jun, 2013

Hypernatraemic Dehydration in Exclusively Breastfed Infants: A Potentially Fatal Complication

Issue: 
Pages: 
282–5

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e-Published: 12 Jun, 2013
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