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MG Lee

Acute Pancreatitis – Guidelines to Management

Issue: 
DOI: 
10.7727/wimj.2018.193
Pages: 
10–7

ABSTRACT

Accepted: 
08 Dec, 2018
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e-Published: 25 Mar, 2019

Tracking Medical Graduates in Jamaica and The Bahamas

Issue: 
DOI: 
10.7727/wimj.2018.029
Pages: 
47-52
Synopsis: 
In Jamaica and The Bahamas, there were 1079 medical graduates between 2012 and 2016; 69% of them were female. All graduates obtained internship posts, mainly in public hospitals. Of the 2259 applicants, 664 were accepted to postgraduate programmes. Seventy per cent of all graduates were working in the English-speaking Caribbean.

ABSTRACT

Objective: To determine the availability of employment and retention for the increased number of medical graduates in Jamaica and The Bahamas.

Methods: The availability of internships and junior medical posts for graduates of The University of the West Indies in Jamaica and The Bahamas over the five-year period of 2012 to 2016 was reviewed.

Accepted: 
11 Apr, 2018
PDF Attachment: 
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e-Published: 26 Feb, 2019

Acute Lower Gastrointestinal Bleed: Review of Clinical Course and Outcome in Hospitalized Patients

Issue: 
DOI: 
10.7727/wimj.2016.188
Pages: 
679–83
Synopsis: 
Acute lower GI bleed (ALGIB) in 189 hospitalized patients were reviewed. The mean age was 67 years with 55% female and 80 % of patients had comorbid illnesses. Aspirin and non-steroidal anti-inflammatory (NSAIDs) use was present in 24% and 16%, respectively. The leading causes of ALGIB were diverticular disease 56%, colorectal cancer and haemorrhoidal disease 11% each and colonic polyps 8.5%. Recurrent bleeding occurred in 3.7%; 19% of patients required emergency surgery and blood transfusion was given in 43%. The average hospitalization stay was seven days. Overall mortality was 2.6%.

ABSTRACT

Accepted: 
11 Jul, 2016
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e-Published: 19 Jul, 2016

Non-alcoholic Fatty Liver Disease in a Jamaican Patient Population

Issue: 
DOI: 
10.7727/wimj.2015.349
Pages: 
557-60
Synopsis: 
Prevalence of NAFLD on abdominal ultrasound was 2.4%. Increased BMI was present in 85.5%. Risk factors identified were age, obesity, diabetes, and dyslipidaemia. Hepatomegaly was present in 10.7% of patients, elevated serum AST in 21.2% of patients tested and elevated ALT in 3.7%.

ABSTRACT

Objectives: This study determined the prevalence and clinical features of non-alcoholic fatty liver disease over a 6 year period in a patient population.

Methods: Patients diagnosed with fatty liver disease by ultrasound and/or liver biopsy between June 2006 to June 2012 at the University Hospital of the West Indies, Jamaica were reviewed.

Accepted: 
21 Aug, 2015
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e-Published: 28 Dec, 2015

Exercise Behaviour in Patients with Chronic Diseases

Issue: 
DOI: 
10.7727/wimj.2015.232
Pages: 
340–5
Synopsis: 
Exercise behaviour changes in patients with chronic illnesses and exercise self-efficacy were studied. Fifty-one per cent were in the contemplation stage and 29% in maintenance. Sixty-one per cent of the patients were non-adopters and 39% were adopters. Self-efficacy scores in stages four and five were significantly higher than in stage two. In patients with one chronic condition 55% were non-adopters compared to 71% with more than one condition.

ABSTRACT

Objective: This study was aimed at identifying the stages of exercise behaviour changes experienced by patients with chronic illnesses and the relationship with their exercise self-efficacy.

Method: The patients attending the Medical clinics at the University Hospital of the West Indies (UHWI), Jamaica, with chronic illnesses were studied. The data were collected using three questionnaires.

Accepted: 
18 May, 2015
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Journal Authors: 
e-Published: 11 Nov, 2015

Clinical Factors Associated With Morbidity and Mortality in Patients Admitted with Sickle Cell Disease

Issue: 
DOI: 
10.7727/wimj.2014.012
Pages: 
711–6
Synopsis: 
Sickle cell disease still carries a high morbidity and mortality in patients admitted to hospital. Recurrent admissions are a concern, as this impact on patient’s morbidity and quality of life.

ABSTRACT

Objective: To determine the clinical factors associated with the length of hospitalization and mortality in patients with sickle cell disease (SCD).

Accepted: 
28 Feb, 2014
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Journal Sections: 
e-Published: 05 Mar, 2015

The Use of Analgesic Drugs in Patients with Sickle Cell Painful Crisis

Issue: 
DOI: 
10.7727/wimj.2012.272
Pages: 
479–83
Synopsis: 
Painful crisis in patients with sickle cell anaemia is associated with severe pain in 75% and most will require second line therapy for adequate resolution. Physicians need to provide adequate pain relief to decrease morbidity in these patients.

ABSTRACT

Objective: To determine the drug options used for pain in patients with acute sickle cell painful crisis at the University Hospital of the West Indies (UHWI), Jamaica.

Method: This retrospective study assessed all patients admitted to the UHWI between January 1, 2006 and December 31, 2010 with acute sickle cell anaemia painful crisis and the data obtained regarding site, severity, outcome and drug options selected for pain.

Revised: 
24 Feb, 2013
Accepted: 
12 Mar, 2013
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e-Published: 30 Apr, 2014

Propofol Sedation in Patients Undergoing Colonoscopy in Jamaica

Issue: 
Pages: 
284–8
Synopsis: 
Propofol sedation in patients undergoing elective colonoscopy was associated with relatively quick recovery and excellent satisfaction by patients and is a suitable and safe alternative for sedation for colonoscopy in Jamaica.

ABSTRACT

Background: Propofol sedation is increasingly used for colonoscopy and may be associated with increased satisfaction and efficiency in diagnostic and therapeutic endoscopy.  However, propofol has a relatively narrow therapeutic window as it frequently produces deep sedation, and can precipitate respiratory depression.

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e-Published: 30 Jan, 2014

Upper Gastrointestinal Bleeding: A Jamaican Perspective

Issue: 
Pages: 
289–92
Synopsis: 
In patients admitted with upper GI bleed, the majority were males of middle age. The leading causes were duodenal ulcer (28%), erosive gastritis (20%) and gastric ulcer (13%). The overall mortality was 5.7%, rebleeding occurred in 4.8% of patients and 5% underwent surgery. The average duration of hospital stay was 6.6 days.

 ABSTRACT

Background: Upper gastrointestinal bleeding (UGIB) remains one of the most common clinical life-threatening emergencies which is associated with a high morbidity, mortality and medical care costs.

 Objectives: This study reviews the clinical features, management and outcomes of patients with UGIB seen at the University Hospital of the West Indies (UHWI), Jamaica, between January 2006 and December 2008.

PDF Attachment: 
Journal Sections: 
e-Published: 30 Jan, 2014

Potential Health Problems with the Use of Energy Drinks

Issue: 
Pages: 
1–2

INTRODUCTION

The use of energy drinks has significantly increased in the Caribbean and worldwide as aggressive marketing campaigns target adolescents and young adults. More than 30% of adolescents reported using energy drinks and surveys have revealed that energy drinks are consumed by 30% to 50% of adolescents and young adults (1, 2). In a study in college students, 51% of participants reported consuming greater than one energy drink each month (3).

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e-Published: 19 Aug, 2013

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