Vanillylmandelic acid testing at the University Hospital of the West
Indies has low positive predictive value, and special care must be
taken in interpreting marginally elevated results. The use of assays
with higher specificity (eg plasma or urinary metanephrines) may
represent a more cost-effective approach to biochemical screening for
phaeochromocytoma.
ABSTRACT
Objective: To investigate the positive predictive value (PPV) of urinary vanillylmandelic acid (VMA) testing in the diagnosis of phaeochromocytoma and to describe the features associated with phaeochromocytoma at the University Hospital of the West Indies (UHWI).
Ulcerated sexually transmitted diseases rates in
Jamaica are falling; this may be related to successful
measures aimed at alleviating poverty and the decrease
in HIV with high condom use.
The study was designed to investigate the effects of
infection and/or cholesterol rich diet combined with
therapeutic and preventative agents such as antibiotic,
anti-inflammatory agent and red wine on the
pulmonary vascular system.
ABSTRACT
Objective: Infection may lead to inflammation, atherosclerosis and thrombotic vascular events. The atherosclerotic effect of hypercholesterolaemia on the vascular system is well-known. However, limited studies were done on the therapeutic and preventative agents. The aim of this study was to investigate the effects of infection and cholesterol rich diet combined with an antibiotic, anti-inflammatory agent and red wine on the pulmonary vascular system.
The HLA dengue associations in Jamaicans differ from
those found in other ethnic populations. While HLA-A
*24 and – DRβ5* 01/02 were associated with having
dengue, HLA-A *23, -CW*04, -DQβ*02, DQβ*03 and
–DQβ*06 were protective.
ABSTRACT
Background: Polymorphisms in the human leukocyte antigen (HLA) genes might predispose certain individuals to dengue fever (DF) and the severe forms of the disease: dengue haemorrhagic fever/ dengue shock syndrome (DHF/DSS).
A study of dengue viruses that were in circulation in
Jamaica in 2007 identified strains of DENV-1 genotype
III, DENV-2 strains of the American, American-Asian
and Asian genotypes while DENV-4 strains segregated
into a separate clade from published reference
sequences.
A study of the dengue viruses that were in circulation
showed that all 4 serotypes were in circulation during
2003–2007 and the most prevalent were dengue
serotypes 2 and 4.
ABSTRACT
Background: Dengue virus (DENV) infection is increasing in prevalence and severity globally. The severity of dengue is influenced by several factors including the immune response, viral and host genetic factors.
Li Yang, Fang Wang, Fang He, LiYa HUANG
Interferon-α promotes the antiproliferative effect of
gefitinib on human colon cancer cell lines SW-480 and
LOVO.
ABSTRACT
Background and Aims: Interferon-α (IFN-α) treatment is associated with up-regulation of epidermal growth factor receptor (EGFR) expression and marked growth inhibition of colon cancer cell lines. We aimed to determine the effect of combining IFN-α and gefitinib in the growth of human colon cancer cell lines.
This study reports the long-term surgical outcomes of
elderly patients with humeral neck fractures who
underwent treatment using the modified Hackethal
bundle nailing method on the basis of an approximately
10-year follow-up study. This method is simple and less
invasive.
ABSTRACT
Objective: This study reports the long-term surgical outcomes of elderly patients who underwent surgery using the modified Hackethal bundle nailing method on the basis of an approximately 10-year follow-up study.
Posterior ankle impingement has not been described in
cricket but is associated with ballet and soccer. An
increase in this condition with development of os
trigonum is being seen among fast bowlers in cricket.
Treatment options are affected by bowling loads
ABSTRACT
Objective: To determine common features of posterior ankle impingement in fast bowlers in the West Indies and to compare modes of treatment with respect to return to play without pain.
Methods: Retrospective analysis of ankle impingement injuries treated in fast bowlers in the West Indies.
In this study, 18 patients who have had a perilunate
injury with dislocation or fracture were evaluated.
When the pathomechanics was estimated based on the
Mayfield’s criteria, 17 patients were classified into
state 3. However, only one case was extremely unusual
and should be classified as the subtype of state 2.
ABSTRACTS
Objective: In this study, eighteen patients who have had perilunate injury with dislocation or fracture, were evaluated and the patho-mechanics and surgical treatment were studied.