MG Lee

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.

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e-Published: 30 Jan, 2014

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Propofol Sedation in Patients Undergoing Colonoscopy in Jamaica

Issue:

Vol 60, Issue 3 (2011)

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

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Whipple's Disease in an Afro-Caribbean National

Issue:

Vol 63, Issue 1: Jan (2014)

DOI:

10.7727/wimj.2012.220

Pages:

101–4

ABSTRACT

Received:

18 Jul, 2012

Accepted:

25 Jul, 2012

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e-Published: 06 Jan, 2014

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The Prevalence of Helicobacter pylori Infection in Patients Undergoing Upper Gastrointestinal Endoscopy in the Turks and Caicos Islands

Issue:

Vol 59, issue 3 (2010)

Pages:

309–11

Synopsis:

H pylori infection was common in patients with gastrointestinal symptoms in the Turks and Caicos. However, the prevalence of infection in patients undergoing endoscopy and peptic ulcer disease is lower than in other reports from the Caribbean.

ABSTRACT

Background: Helicobacter pylori infection remains a common problem and previous studies in the Caribbean revealed infection in over 50% of patients undergoing upper endoscopy.

Objective: The present study determined the prevalence of H pylori infection in patients undergoing upper gastrointestinal endoscopy in the Turks and Caicos Islands over a two- year interval.

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e-Published: 07 Oct, 2013

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Juvenile Polyposis Syndrome

Issue:

Vol 59, issue 3 (2010)

Pages:

306–8

Synopsis:

Juvenile Polyposis Syndrome should be considered in young patients with colonic symptoms, especially rectal bleeding.

ABSTRACT

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e-Published: 07 Oct, 2013

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Febrile Neutropaenia in Cancer Patients

Issue:

Vol 59, issue 2 (2010)

Pages:

209–14

Synopsis:

Gram-negative organisms are the predominant isolates in febrile neutropaenic episodes in this cohort of patients. Non-neutropaenic patients had an increased mortality with an increase in Acinetobacter infections and multiple infections.

ABSTRACT

Backgrounds: Febrile neutropaenia is a common complication of chemotherapy in cancer patients.
Empirical antibiotic regimes are based on the epidemiological characteristics of bacterial isolates globally and locally.

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e-Published: 02 Oct, 2013

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Prevalence of Needlestick Injuries and other High Risk Exposures Among Healthcare Workers in Jamaica

Issue:

Vol 59, issue 2 (2010)

Pages:

153–8

Synopsis:

Needlestick injuries (47%) and other high risk exposures (31%) among physicians and nurses were high in two hospitals in Jamaica. Reporting and post-exposure management were inadequate. A comprehensive programme to decrease these occupational hazards and regular surveillance are needed.

ABSTRACT

Objective: To assess the prevalence of needlestick injuries (NSIs) and other high risk exposures among healthcare workers at two hospitals in Jamaica.

Methods: Employing a cross-sectional study design, medical personnel (physicians, nurses) at two hospitals in Jamaica, were studied, utilizing a structured questionnaire consisting of 14 items to collect data on needle stick injuries and other injuries.

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e-Published: 02 Oct, 2013

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Knowledge and Practice of Occupational Infection Control among Healthcare Workers in Jamaica

Issue:

Vol 59, issue 2 (2010)

Pages:

147–52

Synopsis:

Healthcare workers at two hospitals in Jamaica were aware of the risk of transmission of infection, however compliance with universal precautions was inadequate. Guidelines are needed for compliance with universal precautions.

ABSTRACT

Objective: To assess the knowledge, compliance and practice among healthcare workers of occupational infection control at two hospitals in Jamaica.

Methods: Employing a cross-sectional study design, medical personnel (physicians and nurses) at two hospitals in Jamaica, were studied, utilizing a structured questionnaire consisting of 14 items to collect the data.

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e-Published: 02 Oct, 2013

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Potential Health Problems with the Use of Energy Drinks

Issue:

Vol 61, issue 1 (2012)

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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