Bone pain is a chronic debilitating feature of sickle cell disease requiring opioid analgesia with a risk of addiction. Angiotensin-converting enzyme inhibition whose benefit was previously reported in the West Indies was tried in a Nigerian cohort and was found to be encouraging.
ABSTRACT
Objective: To determine if sickle cell disease (SCD) bone pain crisis is mitigated by use of an angiotensin-converting enzyme inhibitor (ACEI), following a case report of ACEIs preventing bone pain crisis.
16S rRNA methyltransferase enzymes pose an iminent threat to the availability of aminoglycosides as an emipiric therapeutic option for Gram negative bacterial infections. Their presence in the Caribbean therfore further burdens this resource limited region.
ABSTRACT
Objective: 16S rRNA methyltransferase enzymes or RMT confer pan-resistance to the aminoglycoside class of antibiotics. Multidrug-resistant Gram-negative bacilli with these methyltransferase genes have been identified from clinical settings in Europe, Asia and the Americas. This study reports their detection and characterization in Jamaican Multidrug-resistant Gram-negative bacilli.
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.
The study showed that parents were not good at assessing their child’s weight status and had a limited understanding of the present and future consequences of their child being overweight or obese. They were however motivated to implement a healthy diet and exercise to their child’s daily routine but felt more confident with the former.
ABSTRACT
Objective: To assess the extent to which parental understanding and motivation influence their efforts to manage the obese child; with special emphasis on eating habits and physical activity.
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.
This article describes the incidence of cases, demographics, clinical presentation, diagnostic methods and outcomes of cases of Tuberculosis at Princess Margaret Hospital, Nassau, The Bahamas between 2014–2016.
ABSTRACT
Objectives: To determine incidence of cases, demographics, clinical presentation, diagnostic methods and outcomes of cases of tuberculosis (TB) in The Bahamas, 2014–2016.
We studied the association between health-related quality of life and risk of malnutrition among persons on maintenance haemodialysis. Persons on receiving maintenance haemodialysis had a poorer health-related quality of life score and were more likely to be at risk of malnutrition. This may have implications for effective patient management.
ABSTRACT
Objectives: The purpose of this study was to determine health-related quality of life (HRQOL) and risk of malnutrition among persons with chronic kidney disease (CKD), on maintenance haemodialysis.
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.
This study examined the effects of a six week aquatic plyometric training program on speed, agility and anaerobic power on soccer and rugby athletes at The University of the West Indies. Outcome measures utilized included the Illinois Agility, Vertical Jump and Running Anaerobic Sprint Tests.
ABSTRACT
Objective: To determine the effects of aquatic plyometric training on lower limb power and agility of rugby and soccer players at The University of the West Indies.
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.
This study determined accuracy, quality and timing for ophthalmic referrals to the University Hospital of the West Indies. Ophthalmologist referrals were 89% accurate and general practitioners were 29% accurate. Only 20% of referrals contained all essential information for proper assessment.
ABSTRACT
Objective: To determine the accuracy, quality and timing of ophthalmic referrals.
Design: This was a prospective study. The data was collected using a pro forma. All patients gave voluntary written consent.
Setting: The Ophthalmology Division at the University Hospital of the West Indies
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.
This article looks at the detection of multidrug resistant (MDR) on clinical and non-clinical surfaces of the Intensive Care Units (ICUs) of a tertiary care hospital post detection of an outbreak or endemic strain of similar pathogens in patient samples. The aim was to highlight the potential role of the environment as a possible reservoir for organisms and underscore the importance of infection control strategies in breaking the chain of infection.
ABSTRACT
Objective: The aim of this study was to determine the presence of multidrug resistant (MDR) pathogenic bacteria in the environment of the Intensive Care Units (ICUs) a tertiary care hospital in Jamaica. This was done to find out if organisms previously associated with outbreaks are present and to make recommendations as appropriate, for infection prevention and control measures.
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.
This paper describes the range of topics covered in the delivery of Special Study Modules (SSMs) to students from the inception of the new MBBS curriculum and explores the value of SSMs in enhancing curriculum diversity. The SWOT analysis revealed a wide range of benefits to participating students and opportunities for curriculum diversification through external stakeholders were identified.
ABSTRACT
Objective: To evaluate the Special Study Modules (SSMs) that were developed with the aim that students should have learnt new skills, adopt new attitudes and acquire knowledge in areas outside the mainstream of medical education that enrich and enhance their professional development.