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W De La Haye

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

Emergence of Zika Virus Epidemic and the National Response in Jamaica

Issue: 
DOI: 
10.7727/wimj.2016.488
Pages: 
243–9
Synopsis: 
The Zika virus epidemic in Jamaica is evolving and includes cases of Guillain-Barré Syndrome and reports in pregnant women. Zika may become endemic in Jamaica, similar to dengue and chikungunya. Safe and effective dengue, chikungunya fever and ZIKV vaccines are needed to mitigate the devastating effects of these three diseases.

ABSTRACT

Background: Jamaica, along with the Americas, experienced major epidemics of arboviral diseases transmitted by the Aedes aegypti mosquito in recent years. These include dengue fever in 2012, chikungunya fever in 2014 and Zika virus infection (ZIKV) in 2016. We present the emergence of the ZIKV epidemic in Jamaica and outline the national response.

Accepted: 
28 Sep, 2016
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e-Published: 26 Sep, 2016

Validation of the Beck Depression Inventory II in HIV-positive Patients

Issue: 
Pages: 
374–9
Synopsis: 
The Beck Depression Inventory–ΙΙ is one of the gold standard screening tools for depression. It was validated in a sample of HIV-positive patients in Jamaica. The scale has reasonably good concurrent validity and acceptable discriminant validity.

                                                      ABSTRACT

Objective: Research on depression among HIV-positive patients has been limited by the lack of a valid and reliable measure of depression. This project addresses this problem by exploring the internal consistency reliability and the concurrent and discriminant validity of the Beck Depression Inventory-II (BDI-II) using HIV-positive patients in Jamaica.

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e-Published: 07 Oct, 2013

Patterns of Depressive Symptoms Among Patients with HIV-Infection

Issue: 
Pages: 
380–5
Synopsis: 
Identifying depression among HIV-infected patients is challenging, due to the overlapping symptoms of both illnesses. This study identified the clusters of depressive symptoms associated with HIV infection in a sample of patients.

ABSTRACT

Objective: To identify the level of depressive symptoms among patients with HIV infection and to examine the reported patterns of depressive symptoms not confounded by the physical manifestations of HIV-infection.

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e-Published: 07 Oct, 2013

Capgras Syndrome Presenting in an Adolescent Girl in the Caribbean

Issue: 
DOI: 
10.7727/wimj.2012.175
Pages: 
95–8

ABSTRACT

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e-Published: 13 Mar, 2013

The Impact of a No-user-fee Policy on the Quality of Patient Care/Service Delivery in Jamaica

Issue: 
Pages: 
168–73
Synopsis: 
The paper is derived from a submission to the Sessional Select Committee on Human Resources and Social Development by the Medical Association of Jamaica. It explores the impact of the no-user-fee policy on the quality of patient care/service delivery in Jamaica and makes recommendations for reform.


ABSTRACT

This paper is a submission to the Sessional Select Committee on Human Resources and Social Development by the Medical Association of Jamaica on September 25, 2011, and presented orally by both authors on October 20, 2011. It explores the impact of the no-user-fee policy on the quality of patient care/service delivery in Jamaica and makes recommendations for reform.

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e-Published: 19 Aug, 2013
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