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RB Pierre

Trends of Microcephaly and Severe Arthrogryposis in Three Urban Hospitals following the Zika, Chikungunya and Dengue Fever Epidemics of 2016 in Jamaica

Issue: 
DOI: 
10.7727/wimj.2017.124
Pages: 
10–9
Synopsis: 
Newborns with the characteristics of congenital syndrome associated with Zika virus (CSAZ) are being born in urban hospitals after the 2016 Zika virus epidemic in Jamaica. Phenotypic features include microcephaly, craniofacial disproportion, neuro-imaging and neuro-pathological findings and arthrogryposis. A trend towards babies being delivered with small head circumferences, but not yet in the range of microcephaly and others with normal head sizes who were born to women who were symptomatic in pregnancy is also being observed. While, most babies with probable CSAZ are being born to asymptomatic women who did not report any symptoms related to arbovirus illness in pregnancy. Diagnosis is challenged by serological cross-reactivity between circulating flaviviruses. Team management is multidisciplinary to maximize the neuro-developmental potential of this vulnerable patient population.
ABSTRACT
 
Introduction: Jamaica experienced its maiden Zika virus (ZIKV) epidemic in 2016, while dengue (serotypes 3 and 4) and chikungunya were also circulating.
 
Aim: We describe initial trends in microcephaly and arthrogryposis observed by the clinicians from three urban birthing facilities during late 2016 to early 2017.
Accepted: 
12 Jun, 2017
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e-Published: 12 Jun, 2017

Students’ Perception of the ‘Educational Climate’ at the Faculty of Medical Sciences, The University of the West Indies, Jamaica

Issue: 
Pages: 
45–9
Synopsis: 
The Dundee Education Environment Measure was self-administered in 2004 to undergraduate medical students in the Faculty of Medical Sciences, Mona, Jamaica. The students-centredness and friendliness of the educational environment needs to be optimized.

ABSTRACT

Background: In 2001, the Faculty of Medical Sciences at the Mona Campus of The University of the West Indies (UWI) introduced a restructured curriculum in keeping with advances in the philosophy of medical education.

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e-Published: 01 Oct, 2013

Paediatric Critical Care: Beyond the Walls

Issue: 
Pages: 
217–19
Synopsis: 
The delivery of optimal paediatric critical care requires healthcare providers to think outside the confines of the intensive care unit. Public health strategies, training and recertification in basic and advanced paediatric life support and optimized transport of patients are key issues for consideration.

INTRODUCTION

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e-Published: 05 Jun, 2013

Eliminating Vertically-transmitted HIV/AIDS while Improving Access to Treatment and Care for Women, Children and Adolescents in Jamaica

Issue: 
Pages: 
396–404
Synopsis: 
Over the past nine years, Jamaica has made excellent strides to eliminate vertically transmitted HIV/AIDS, while reducing the HIV-attributable morbidity and mortality in pregnant women and in HIV-infected children. Continued successful transition of HIV-infected children through adolescence into adulthood will require a strong multidisciplinary team approach.

ABSTRACT

Background and Methods: To celebrate Jamaica’s 50th birthday after receiving independence from Great Britain, we summarize our collaborative published research in the prevention, treatment and care of paediatric, perinatal and adolescent HIV/AIDS in Jamaica.

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e-Published: 21 Aug, 2013

Effectiveness of Antiretroviral Therapy in Treating Paediatric HIV/AIDS in Jamaica

Issue: 
Pages: 
223–30

ABSTRACT

Background and Purpose: Paediatric HIV/AIDS remains a significant challenge in developing countries. We describe the effectiveness of interventions in HIV-infected children attending Paediatric Infectious Diseases Clinics in Jamaica.

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e-Published: 18 Jul, 2013

Adherence to Antiretroviral Drug Therapy in Children with HIV/AIDS in Jamaica

Issue: 
Pages: 
231–7

ABSTRACT

Objective: We aimed to describe the adherence patterns to antiretroviral therapy (ART) in a cohort of HIV-infected children.

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e-Published: 18 Jul, 2013

Antibiotic Resistance among Pathogens Causing Disease in Jamaican Children with HIV/AIDS

Issue: 
Pages: 
386–92
Synopsis: 
The prevalence and antibiotic susceptibility patterns of pathogens causing urinary tract infections (UTIs) and sepsis in a cohort of HIV positive Jamaican children was determined. Cotrimoxazole is a poor choice for empiric treatment of sepsis and UTIs in this cohort.

ABSTRACT

Objective: There are limited data regarding the antimicrobial resistance patterns of pathogens in children with HIV/AIDS from developing countries. We aimed to determine the prevalence and antibiotic susceptibility patterns of bacterial pathogens causing urinary tract infections (UTIs) and sepsis in a cohort of 219 HIV-infected Jamaican children.

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e-Published: 07 Oct, 2013

Safety of Antiretroviral Drug Therapy in Jamaican Children with HIV/AIDS

Renal Manifestations in HIV-infected Jamaican Children

Medical Paediatric Admission Patterns at the University Hospital of the West Indies: Issues for Future Planning

Issue: 
Pages: 
340–5
Synopsis: 
Epidemiological trends and treatment costs for paediatric hospital admissions at the University Hospital of the West Indies, Jamaica, are presented. Recommendations to improve efficiency of service provision are suggested.

ABSTRACT

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e-Published: 17 Jun, 2013

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