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N Kissoon

Perioperative Management of Paediatric Patients with Sickle Cell Disease

Issue: 
DOI: 
10.7727/wimj.2017.135
Pages: 
469–77
Synopsis: 
Perioperative care of children with sickle cell disease is associated with adverse outcomes. In concert with haematology consultants, surgeons, anaesthesiologists and intensivists, there are optimized perioperative outcomes with meticulous preoperative preparation, intra-operative management and postoperative care.

ABSTRACT

Accepted: 
03 Jul, 2017
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e-Published: 03 Jul, 2017

Burden of Paediatric Sepsis in a Tertiary Centre from a Developing Country

Issue: 
DOI: 
10.7727/wimj.2017.040
Pages: 
137-42
Synopsis: 
This study estimated the case fatality rate of doctor diagnosed pediatric sepsis using administrative data. There was a high (13%) overall case fatality rate from doctor diagnosed pediatric sepsis during the five-year period studied.

ABSTRACT

Background: Sepsis causes significant pediatric morbidity and mortality in developing countries. This audit describes the outcome of pediatric sepsis in the University Hospital of the West Indies (UHWI), Jamaica using administrative data from hospital records during 2010 to 2014.

Revised: 
04 Jun, 2018
Accepted: 
21 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 22 Mar, 2017

Insulin Control of Blood Glucose and GLUT4 Expression in the Skeletal Muscle of Septic Rats

Issue: 
DOI: 
10.7727/wimj.2013.181
Pages: 
62–70
Synopsis: 
Insulin increased the expression of GLUT4 mRNA and GLUT4 in the skeletal muscle of septic rats. Blood glucose concentration of 8–10 mmol/L results in more glucose utilization than 6–8 mmol/L in the skeletal muscle of septic rats during insulin therapy.

ABSTRACT

Background: Insulin resistance is common in septic patients. The level at which the serum glucose should be maintained using insulin infusions for optimal utilization by skeletal muscles is not yet established.

Accepted: 
03 Jul, 2013
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e-Published: 16 Dec, 2014

Systems for Paediatric Sepsis: A Global Survey

Issue: 
DOI: 
10.7727/wimj.2013.326
Pages: 
703–10
Synopsis: 
Even among centres with no significant resource constraints and advanced medical systems, significant deficits in sepsis care exist. Early recognition and management remain a key issue and may be addressed through improved triage, augmented support for referring centres and public awareness.

ABSTRACT

Objectives: To evaluate the resources available for early diagnosis and treatment of paediatric sepsis at hospitals in developing and developed countries.

Accepted: 
21 Jan, 2014
PDF Attachment: 
Journal Sections: 
e-Published: 03 Sep, 2014

Health Human Resource Planning in Barbados and the Eastern Caribbean States a Matter of Sustainability

Issue: 
Pages: 
542–8
Synopsis: 
A more robust health and human resources planning model has been developed to support broader planning and design of a future health and human resources model
ABSTRACT
 
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e-Published: 25 Jul, 2013

Paediatric Critical Care: Stepping Beyond the Double Doors

Issue: 
Pages: 
73–4

INTRODUCTION

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e-Published: 10 Jun, 2013

Research: Juggling Career Aspirations with Quality and Relevance to the Caribbean

Issue: 
Pages: 
77–81

*This was the keynote address delivered at the 8th Reunion of The University of the West Indies Medical Alumni Association 2003 at Nassau, Bahamas.

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e-Published: 04 Jun, 2013
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