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Original Articles

Altered Vascular Reactivity Induced By Malaria Parasites

Issue: 
Pages: 
13–8
Synopsis: 
The direct interaction between the parasitized erythrocytes and vascular endothelial cells altered contractile responses in aortic rings of rats.

Objective: In this study, we have examined the possibility that there is altered vascular reactivity due to the direct interaction between parasitized erythrocytes and vascular endothelial cells.

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e-Published: 17 Oct, 2013

Thirty-Year Trends in Incidence and Age-Distribution of Prostate Cancer in Kingston and St Andrew, Jamaica, 1978–2007

Issue: 
DOI: 
10.7727/wimj.2013.164
Pages: 
9–12
Synopsis: 
The incidence of prostate cancer in Kingston and St Andrew, Jamaica, is lower than that in black populations in developed Western countries, but has been increasing since 1983, and is likely to continue to increase over the next several years.

ABSTRACT

Objective: To investigate the trends in incidence and age-distribution of prostate cancer in Kingston and St Andrew (KSA), Jamaica, over the 30-year period 1978–2007.

Accepted: 
24 Jun, 2013
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e-Published: 17 Oct, 2013

Chelation Therapy with Desferrioxamine does not Normalize Ferritin Level but Attenuates Oxidative Damage and Improves Total Antioxidant Level in Malaysian Chinese β-thalassaemia Major Patients

Issue: 
Pages: 
3–8
Synopsis: 
Beta-thalassaemia major patients require monthly blood transfusions. Studies on the oxidant-antioxidant indices in patients on desferrioxamine-chelation or without chelation indicate that desferrioxamine chelation does not normalize ferritin level but attenuates oxidative damage and improves total antioxidant level in these patients.

ABSTRACT

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e-Published: 17 Oct, 2013

The Effects of Viewing Pro-Eating Disorder Websites: A Systematic Review

Issue: 
Pages: 
686–97
Synopsis: 
A systematic review of English language research on websites promoting eating disorders reveals little consensus on the websites effects. The emotive and seemingly dangerous content of these websites deserves further research and directions for this are discussed.

ABSTRACT

Objective: To determine health-related effects of viewing pro-eating disorder (Pro-ED) websites.

Methods: A systematic review was carried out addressing: 1. The effect of viewing pro-ED websites on ‘eating disorder behaviour’, 2. The effect of viewing pro-ED websites on viewers’ negative and positive affect.

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e-Published: 15 Oct, 2013

Compartment Syndrome as a Complication of the Lithotomy Position

Issue: 
Pages: 
698–701
Synopsis: 
Compartment syndrome is a serious complication of the lithotomy surgical position. Careful placement and limited elevation of patient’s legs are basic preventive measures. Postoperative vigilance and careful assessment of patient’s pain and analgesic needs are mandatory for early diagnosis of the syndrome.

ABSTRACT


Compartment syndrome is a rare but serious complication of surgical procedures performed in the lithotomy position. Preventive measures include careful placement of the patient’s legs and limited elevation. Early diagnosis is based on vigilance and close postoperative follow-up, especially after prolonged surgery. Finally, postoperative analgesia does not delay the diagnosis, if the patient’s needs are assessed carefully.

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e-Published: 15 Oct, 2013

Time Equals Myocardium: Are We in Time?

Issue: 
Pages: 
680–5
Synopsis: 
Early reperfusion is critical to salvaging infarcting myocardium. We have explored the time delay in patients receiving thrombolysis and have found there are significant delays in patients getting to a thrombolysis centre and receiving thrombolysis once they have arrived.

ABSTRACT


Objective: To determine the door to thrombolysis time of patients who presented to the Adult Priority Care Facility of the Eric Williams Medical Sciences Complex from February 1 – May 31, 2008.

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e-Published: 15 Oct, 2013

Oral Steroid Therapy for Frozen Shoulder

Issue: 
Pages: 
674–9
Synopsis: 
It was possible to obtain early symptom relief in frozen shoulder with oral steroid therapy. However, sufficient care is required in explaining the method of administration and the adverse effects such as the osteonecrosis of the femoral head osteoporosis.

ABSTRACT

Background: Since frozen shoulder is characterized by spontaneous recovery, no precise treatment strategy exists. Both conservative therapy and arthroscopic surgery is available, but the time required for recovery varies considerably. This study looks at the possible early symptom relief with oral steroid therapy.

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e-Published: 15 Oct, 2013

Exposure to Airborne Asbestos in Jamaican Hospitals

Issue: 
Pages: 
668–73
Synopsis: 
Analysis by phase contrast microscopy of personal air samples collected at two major hospitals in Jamaica revealed that some samples contained fibres resembling asbestos. However, confirmatory testing by transmission electron microscopy showed that asbestos fibres were not present in the air samples.

ABSTRACT

Objective: Asbestos is an established human carcinogen and has been identified at 16 of 26 Jamaican hospitals surveyed. We sought to determine if hospital employees are exposed and if current asbestos exposure in Jamaican hospitals differed by job category.

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e-Published: 15 Oct, 2013

Mental Illness and Public Health: Exploring the Role of General Hospital Physicians at a Teaching Hospital in Jamaica

Issue: 
Pages: 
662–7
Synopsis: 
This study examines general hospital physicians’ utilization of consultation-liaison psychiatric services and makes inferences about the extent to which their role in the detection of psychiatric illnesses is being fulfilled.

ABSTRACT


Objectives: Against the public health implications of untreated mental illness among general hospital inpatients, this study aimed firstly to examine hospital physicians’ level of referral to a psychiatric service, and secondly, to explore the extent of these doctors’ knowledge of psychiatric issues by comparing their reasons for referring patients with patients’ final psychiatric diagnoses.

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e-Published: 15 Oct, 2013

Interdisciplinary Communication in the Intensive Care Unit at the University Hospital of the West Indies

Issue: 
Pages: 
656–61
Synopsis: 
A cross-sectional survey of medical staff in the Intensive Care Unit, the University Hospital of the West Indies regarding interdisciplinary communication was conducted in January 2008. Communication between staff members was unsatisfactory, with differing perceptions between physicians and nurses. There were lower levels of openness reported by nurses (32%) compared to physicians (73%). There was an overall poor perception of leadership within the unit.

ABSTRACT

Objective: To assess the perceptions of physicians and nurses working full-time in the Intensive Care Unit (ICU) at the University Hospital of the West Indies (UHWI) regarding interdisciplinary communication.

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e-Published: 15 Oct, 2013

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