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TC Martin

Small Babies on a Small Island: Survival of Very Low Birthweight Infants in Antigua and Barbuda 1986 to 2006

Issue: 
Pages: 
29–34
Synopsis: 
Review of survival of all very low birthweight babies (VLBW, birthweight < 1500 g) admitted to the Special Care Nursery in Antigua between January 1986 and December 2006 was performed. Survival to discharge of all VLBW infants improved from 45% to 60%, with survival of those 1000 to 1499g improving from 60 to 83% and those < 1000g from 10 to 28%, comparing 1986–1992 to 2000–2006.

ABSTRACT

Introduction: Recent attention has been focussed on pregnancy outcomes in developing countries, with the publication of the World Health Organization Report 2005, Make Every Mother and Child Count and the Neonatal Survival Series from the Lancet in 2005. Scant outcome data from the smaller islands of the Caribbean exist for very low birthweight (VLBW) babies (birthweight < 1500 g).

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e-Published: 01 Oct, 2013

Client Characteristics Associated with Failure to Complete Residential Treatment at a Multicultural Drug and Alcohol Treatment Facility in Antigua, West Indies

Issue: 
Pages: 
50–4
Synopsis: 
The clients (17%) who left early had a trend toward being female, not being from the Caribbean, and were significantly less likely to use alcohol, more likely to use opioids and more likely to use prescribed mental health medications. The Caribbean subset of clients leaving early had a trend toward being younger and having prior treatment. They were significantly more likely to be female, with fewer years of drug use, and were more likely to be taking prescribed mental health medications.

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e-Published: 01 Oct, 2013

Effect of a Government Funded Medication Programme on Paediatric Asthma Hospital Admissions in Antigua And Barbuda

Issue: 
Pages: 
3–7
Synopsis: 
Asthma admissions to Holberton Hospital were tabulated for the six years prior to and for the six years following institution of a government funded programme to provide asthma medication to children in Antigua and Barbuda at no out-of-pocket cost. There was a drop in annual admissions, multiple admissions and number of children with multiple admissions after the programme was instituted.

ABSTRACT

Objective: To assess the effect of a government funded asthma medication programme on paediatric (age # 12 years) asthma hospital admissions in Antigua and Barbuda.

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e-Published: 17 Sep, 2013

Echocardiographic Findings in a Contemporary Afro-Caribbean Population Referred for Evaluation of Unexplained Syncope

Issue: 
Pages: 
342–5
Synopsis: 
The echocardiogram was abnormal in 34% of patients referred for evaluation of syncope in Antigua and Barbuda. Abnormalities which may have contributed to unexplained syncope were seen in 11% of patients, all over 35 years old.

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e-Published: 23 Jul, 2013

Clinical Determinants of Increased Left Ventricular Mass on Echocardiogram in Medically Treated Afro-Caribbean Hypertensive Patients

Issue: 
Pages: 
337–41
Synopsis: 
Echocardiograms were performed in 100 Afro-Caribbean patients with hypertension. Increased left ventricular mass index was seen in 55%. Poorly controlled hypertension was the greatest contributing factor to the finding, with hypertrophy increasing with increasing systolic and diastolic blood pressure. Obesity may also have played a role.

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e-Published: 23 Jul, 2013

Trends in the Prevalence of Adolescent Births in Antigua and Barbuda over 35 Years

Issue: 
Pages: 
95–100
Synopsis: 
Over 35 years in Antigua and Barbuda, there has been a 42% fall in births to teenage mothers and a 53% fall in births to school-aged teens. The decrease has been sustained over 15 years. Economic, educational, social and medical changes may all have played a role.


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e-Published: 18 Jul, 2013

The Age-Specific Incidence of Admission to the Intensive Care Unit for Acute Myocardial Infarction in Antigua and Barbuda

Issue: 
Pages: 
326–9
Synopsis: 
Coronary artery disease is increasing in developing countries as western lifestyles are adopted. Between 1990 and 2001, 250 patients were admitted to rule out myocardial infarction in Antigua, 55% were confirmed. Based on available population figures, the incidence of hospitalization was 0.73 per year per 1000 men and 0.24 per year per 1000 women age 35 to 74 years in Antigua. This rate is less than 20% of the rate for the United States of America.

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e-Published: 03 Jul, 2013

Acute Myocardial Infarction in the West Indies Early Observations, Current Issues and Future Concerns

Issue: 
Pages: 
546–50
Synopsis: 
Chronic non-communicable diseases are emerging as a significant medical issue in the Caribbean. Although not traditionally felt to be a problem, ischaemic heart disease does occur in Afro-Caribbean patients. The current information on ischaemic heart disease in the region is reviewed. It is anticipated that ischaemic heart disease will become a greater problem in the years to come.

ABSTRACT

In the epidemiological transition from infectious diseases in the Caribbean, chronic non-communicable diseases, including cardiovascular disease, have emerged as important public health interest. Although hypertensive heart disease predominates in Afro-Caribbean populations, ischaemic heart disease and acute myocardial infarction have also been present, but the prevalence has been somewhat under-appreciated.

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e-Published: 20 Sep, 2013

Comparison of General Anaesthesia and Spinal Anaesthesia for Caesarean Section in Antigua and Barbuda

Issue: 
Pages: 
330–3
Synopsis: 
A comparison of general anaesthesia versus regional anaesthesia for Caesarean section reveals that both techniques are safe. Spinal anaesthesia is associated with significantly less blood loss, fewer transfusions, better Apgar scores and with insignificant trends toward shorter hospital stay, fewer neonatal care unit admissions, fewer perinatal deaths but more frequent postoperative infection.

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e-Published: 03 Jul, 2013

Does Group B Streptococcal Infection Contribute Significantly to Neonatal Sepsis in Antigua and Barbuda?

Issue: 
Pages: 
498–501
Synopsis: 
Universal screening of all pregnant women for Group B streptococcal infection has been recommended in the United States of America because of high neonatal infection rates (1.7 to 4 per 1000) and vaginal carriage rates (15 to 40%). Such screening may not be necessary in Antigua and Barbuda with a neonatal infection rate of 0.4/1000 and vaginal carriage rate of 2–9%.

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e-Published: 04 Jul, 2013

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