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Original Articles

Dynamics of Antibiotic Usage in the Intensive Care Unit at the University Hospital of the West Indies

Issue: 
Pages: 
159–64
Synopsis: 
A cross-sectional, analytical study of antibiotic usage patterns at the Intensive Care Unit at the University Hospital of the West Indies was conducted on consecutive admissions between July and December 2007. Areas for improvement identified included attention to appropriate prophylactic antibiotic use and duration of courses, and use of de-escalation.

ABSTRACT

Objective: To determine antibiotic usage patterns in the Intensive Care Unit (ICU) at the University Hospital of the West Indies (UHWI).

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e-Published: 02 Oct, 2013

Prevalence of Needlestick Injuries and other High Risk Exposures Among Healthcare Workers in Jamaica

Issue: 
Pages: 
153–8
Synopsis: 
Needlestick injuries (47%) and other high risk exposures (31%) among physicians and nurses were high in two hospitals in Jamaica. Reporting and post-exposure management were inadequate. A comprehensive programme to decrease these occupational hazards and regular surveillance are needed.

ABSTRACT

Objective: To assess the prevalence of needlestick injuries (NSIs) and other high risk exposures among healthcare workers at two hospitals in Jamaica.

Methods: Employing a cross-sectional study design, medical personnel (physicians, nurses) at two hospitals in Jamaica, were studied, utilizing a structured questionnaire consisting of 14 items to collect data on needle stick injuries and other injuries.

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e-Published: 02 Oct, 2013

Knowledge and Practice of Occupational Infection Control among Healthcare Workers in Jamaica

Issue: 
Pages: 
147–52
Synopsis: 
Healthcare workers at two hospitals in Jamaica were aware of the risk of transmission of infection, however compliance with universal precautions was inadequate. Guidelines are needed for compliance with universal precautions.

ABSTRACT

Objective: To assess the knowledge, compliance and practice among healthcare workers of occupational infection control at two hospitals in Jamaica.

Methods: Employing a cross-sectional study design, medical personnel (physicians and nurses) at two hospitals in Jamaica, were studied, utilizing a structured questionnaire consisting of 14 items to collect the data.

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e-Published: 02 Oct, 2013

Knowledge, Attitudes and Practices Regarding Dengue Infection in Westmoreland, Jamaica

Issue: 
Pages: 
139–46
Synopsis: 
A knowledge, attitude and practice survey of 188 women attending healthcare clinics in Westmoreland, Jamaica, revealed that most participants had good knowledge and attitudes towards dengue fever. However, these were not translated into practices that could prevent the disease.

ABSTRACT

Background: Dengue virus infection causes significant morbidity and mortality in most tropical and sub-tropical countries of the world. Dengue fever is endemic in Jamaica and continues to be a public health concern. There is a paucity of information on knowledge, attitudes and practices (KAP) of Jamaicans regarding dengue infection.

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e-Published: 02 Oct, 2013

Clinical and Laboratory Features of Youth Onset Type 2 Diabetes in Jamaica

Issue: 
Pages: 
131–8
Synopsis: 
Patients from two tertiary referral hospitals were assessed to determine whether Type 2 diabetes mellitus was present in Jamaican diabetic youth. Type 2 diabetes accounted for 22% of cases. Obesity was the most important clinical predictor of Type 2 diabetes.

ABSTRACT

Objectives: To assess the frequency of youth onset Type 2 diabetes mellitus (T2D) in Jamaica and the characteristics of youth with this form of diabetes.

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e-Published: 02 Oct, 2013

Association between Anthropometric Hormonal Measurements and Bone Mineral Density in Puberty and Constitutional Delay of Growth and Puberty

Issue: 
Pages: 
125–30
Synopsis: 
The most important finding was the determination of body composition and hormonal measurement changes in puberty in boys. Oestradiol was the most potent determinant of bone mineral density among pubertal boys.

ABSTRACT

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e-Published: 02 Oct, 2013

The Hypothesis of an Effective Safe and Novel Radioprotective Agent: Hydrogen-rich Solution

Issue: 
Pages: 
122–4
Synopsis: 
The explosive hydrogen gas could selectively reduce hydroxyl which plays an important role in irradiation-induced injury. Hydrogen-rich solution may be a novel, safe and effective radioprotector.

ABSTRACT

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e-Published: 02 Oct, 2013

Pharmacovigilance: Healthcare Professionals’ Role in Benefits versus Harm Analysis of Drugs Use

Issue: 
Pages: 
73–5
Synopsis: 
It is the responsibility of all healthcare professionals to participate in ‘pharmacovigilance’. This review aims to sensitize Caribbean healthcare professionals to what is Pharmacovigilance and how their active involvement is imperative to the benefit versus harm evaluation of drugs.

ABSTRACT

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e-Published: 01 Oct, 2013

Red Cell Transfusion Practices and the Impact of Phlebotomy in an Adult Intensive Care Unit in Trinidad: A Prospective Observational Study

Issue: 
Pages: 
66–72
Synopsis: 
Red cell transfusion in critically ill patients has long been an area of controversy. This article reports the pattern of current red cell transfusion practices in an adult intensive care unit (ICU) in Trinidad and the impact of daily phlebotomy on transfusions.

ABSTRACT

Objectives: To determine the pattern of current red cell transfusion practices in an adult intensive care unit (ICU) in Trinidad and the impact of phlebotomy on transfusions.

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e-Published: 01 Oct, 2013

Supporting Cancer Patients in Jamaica – A Needs Assessment Survey

Issue: 
Pages: 
59–66
Synopsis: 
A needs assessment study of cancer patients, their caregivers and allied health professionals was undertaken in Jamaica to identify what modifications to delivery of current formal and informal services at governmental, institutional and community levels would effectively address unmet needs.

ABSTRACT

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e-Published: 01 Oct, 2013

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