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S Hariharan

Surgery in the Elderly, Counting the Cost and Rising to the Challenge: A review

Issue: 
DOI: 
10.7727/wimj.2018.186
Pages: 
488–92
Synopsis: 
A short review on the perioperative management and the challenges faced by the elderly patient undergoing surgery in a Caribbean setting.
Accepted: 
03 Aug, 2018
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e-Published: 19 Dec, 2018

Non-communicable Diseases Risk Factors Survey 2014 among University of the West Indies staff, Trinidad and Tobago

DOI: 
10.7727/wimj.2015.051
Synopsis: 
High prevalence of non-communicable diseases risk factors (physical inactivity, unhealthy diets, obesity, alcohol use and hypertension) was demonstrated among University of the West Indies staff in Trinidad and Tobago, with 30% having ≥ 3 risk factors, compared to 51% among the general Trinidad and Tobago population.

ABSTRACT

Objective: To determine the prevalence of NCD risk factors among University of the West Indies staff in Trinidad and Tobago. To compare these results with the national population-based 2011 STEPS NCD risk factor survey for Trinidad & Tobago.

Accepted: 
23 Mar, 2015
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e-Published: 20 Aug, 2015

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Red Cell Transfusion Practices and the Impact of Phlebotomy in an Adult Intensive Care Unit in Trinidad: A Prospective Observational Study

Issue: 
Pages: 
66–72
Synopsis: 
Red cell transfusion in critically ill patients has long been an area of controversy. This article reports the pattern of current red cell transfusion practices in an adult intensive care unit (ICU) in Trinidad and the impact of daily phlebotomy on transfusions.

ABSTRACT

Objectives: To determine the pattern of current red cell transfusion practices in an adult intensive care unit (ICU) in Trinidad and the impact of phlebotomy on transfusions.

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e-Published: 01 Oct, 2013

Outcome Evaluation of Patients Requiring Tracheostomy in an Intensive Care Unit in Trinidad

Issue: 
Pages: 
173–8
Synopsis: 
This article shows that tracheostomy should ideally be done within ten days following ICU admission when there is a clear need an indication for the procedure. Further delay may contribute adversely towards the ICU morbidity and mortality.

ABSTRACT

Objective: To evaluate the outcome of patients who have undergone a tracheostomy in a multidisciplinary intensive care unit (ICU) and to determine the difference between an early and late tracheostomy.

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e-Published: 18 Sep, 2013

Reliability of the Evaluation of Students’ Answers to Essay-type Questions

Issue: 
Pages: 
13–16
Synopsis: 
Marks awarded to 1864 answers to essay questions reflected an agreement of 46.3% between markers, increasing to 90.7% within a range of ± 5%. The test reliability was 0.78. This method of assessment must be supplemented by other methods.

ABSTRACT

Introduction: This paper seeks to quantify the reliability of the assessment of students’ answers to essay-type questions, in an attempt to define the role of such questions in University examinations.

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e-Published: 17 Sep, 2013

Utilization Pattern and Cost of Sedation, Analgesia and Neuromuscular Blockade in a Multidisciplinary Intensive Care Unit

Issue: 
Pages: 
112–17
Synopsis: 
This prospective study highlights the utilization pattern and financial burden of the paradigm of sedation, analgesia and neuromuscular blockade in an intensive care unit. Cost for this treatment alone accounts for more than 50% of the total drug cost in the intensive care unit.


ABSTRACT

Objectives: To study the utilization pattern and the cost of sedatives, analgesics and neuromuscular blocking agents in a multidisciplinary intensive care unit (ICU).

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e-Published: 18 Jul, 2013

Measuring Angles on Digitalized Radiographic Images Using Microsoft PowerPoint

Issue: 
Pages: 
14–19
Synopsis: 
This new technique allows practitioners to utilize an easily accessible computer programme to evaluate angular deformities on digitalized radiographic images accurately and hence reliably make clinical decisions based on these measurements.

ABSTRACT

Objective: To introduce the “virtual goniometer”, a method of measuring angles on digital images using Microsoft PowerPoint, a readily available and inexpensive software programme.

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e-Published: 05 Jul, 2013

Prognostication of Critically Ill Patients – the ‘Science’, the ‘Art’ and the Creeping Commercialism

Issue: 
Pages: 
474–6
Synopsis: 
This article comments on the evolution of the prognostic models, their prognosticating ability and other claimed utilities, the probable influence of commercialism in their development and the importance of the clinical judgment of a physician in medical practice.
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e-Published: 03 Jul, 2013

Risk-Adjusted Outcome Evaluation in a Multidisciplinary Intensive Care Unit

Issue: 
Pages: 
240–5
Synopsis: 
This prospective study evaluated the risk-adjusted outcome of a multidisciplinary Intensive Care Unit of a tertiary care hospital in Trinidad and Tobago applying and validating different prognostic scoring systems for adult and paediatric patients.


ABSTRACT

Objective: To evaluate the outcome of a multidisciplinary Intensive Care Unit (ICU) by applying the Acute Physiology and Chronic Health Evaluation (APACHE II) and Paediatric Index of Mortality (PIM) – version-2 scoring systems.

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e-Published: 02 Jul, 2013

An Evaluation of the Intensive Care Unit Resources and Utilization in Trinidad

Issue: 
Pages: 
144–51
Synopsis: 
This prospective observational study evaluated the Intensive Care Units of three public and two private hospitals in Trinidad and Tobago with respect to their infrastructure, process of care and patient outcome.

ABSTRACT

Objectives: To evaluate resources and utilization of Intensive Care Units in Trinidad and Tobago.

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e-Published: 01 Jul, 2013

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