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SO Cawich

Delays in Presentations of Stroke Patients at the University Hospital of the West Indies

Issue: 
Pages: 
341–6
Synopsis: 
Early diagnosis of patients with stroke is paramount in order to achieve benefits from thrombolytic therapy. Public education, improved access to pre-hospital care and healthcare personnel along with prompt neuroimaging are some means by which care can be improved.

ABSTRACT

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e-Published: 19 Sep, 2013

Management of Breast Abscesses in Jamaican Women Is There Need for a Paradigm Shift?

Issue: 
Pages: 
245–8
Synopsis: 
The traditional management of breast abscesses results in significant patient morbidity, prolonged hospital stay, increased expense and loss of productive work hours. Non-operative management has not traditionally been undertaken in our institution and prospective protocolbased trials are necessary to identify the patients most suitable for this line of management in a setting with limited resources.

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e-Published: 21 Aug, 2013

Management of Obstetric Anal Sphincter Injuries at the University Hospital of the West Indies

Penetrating Neck Trauma and the Aberrant Subclavian Artery

Issue: 
Pages: 
288–93

ABSTRACT

Vascular injuries from penetrating trauma to the base of the neck are accompanied by significant morbidity and potential mortality. These injuries require several diagnostic adjuncts in order to facilitate early diagnosis and appropriate treatment. Herein reported is the case of a patient who sustained penetrating injury to the thoracic inlet but had a fortuitous anomaly that prevented vascular injury and its attendant complications.

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e-Published: 02 Jul, 2013

A Comparison of Open and Laparoscopic Cholecystectomy done by a Surgeon in Training

Issue: 
Pages: 
103–9
Synopsis: 
A comparative review of the first 52 cholecystectomies performed by surgery residents reveals that this operation is performed with acceptable complication rates, testifying to the efficacy of the training programme at the University Hospital of the West Indies. with small adjustments in hospital policies, an additional 77% of patients can enjoy the proven benefits of laparoscopic cholecystectomy.

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e-Published: 10 Jun, 2013
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