Original Articles

An Exploratory Analysis of the Epidemiology and Surgical Management of Perforated Diverticular Disease over a Two-Year Period at a Referral Centre in the Caribbean

Issue:

Vol 58, issue 6 (2009)

Pages:

561–5

Synopsis:

We present an exploratory analysis of perforated diverticular disease in Barbados. There seems to be a relatively high incidence of perforated right-sided diverticulitis in an Afro-Caribbean population. More research is needed to determine the exact etiology of this disease.

ABSTRACT

Objective: We present an exploratory analysis of data collected on perforated diverticular disease (PDD) in Barbados and suggest possible areas for further study.

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Perforated diverticular Disease

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e-Published: 20 Sep, 2013

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Angiomyolipoma of the Kidney: The Experience at the University Hospital of the West Indies

Issue:

Vol 58, issue 6 (2009)

Pages:

556–60

Synopsis:

An analysis of angiomyolipoma of the kidney at the University Hospital of the West Indies over a 27-year period confirmed its uncommon occurrence and overwhelming female preponderance.

ABSTRACT

Objective: Angiomyolipoma (AML) of the kidney is an uncommon tumour that, until recently, was often misdiagnosed preoperatively as renal cell carcinoma (RCC). Newer radiological techniques have allowed more accurate preoperative diagnosis which can facilitate preoperative counselling and planning for conservative therapy. This study reviews the experience with these uncommon tumours at the University Hospital of the West Indies.

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C-reactive Protein: Adjunct to Cardiovascular Risk Assessment

Issue:

Vol 58, issue 6 (2009)

Pages:

551–5

Synopsis:

Prevention of cardiovascular disease is well-described. However, a significant gap lies in the detection of at-risk persons who should be targeted for intervention. Can C-reactive protein be an effective adjunct to cardiovascular risk assessment.

ABSTRACT

Objectives: The study aimed to investigate whether elevated plasma high sensitivity C-reactive protein (hs-CRP) levels are independently associated with an increased risk of cardiovascular disease (CVD) and to then assess the effectiveness of the addition of hs-CRP testing to cardiovascular risk assessment by standard lipid screening.

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Acute Myocardial Infarction in the West Indies Early Observations, Current Issues and Future Concerns

Issue:

Vol 58, issue 6 (2009)

Pages:

546–50

Synopsis:

Chronic non-communicable diseases are emerging as a significant medical issue in the Caribbean. Although not traditionally felt to be a problem, ischaemic heart disease does occur in Afro-Caribbean patients. The current information on ischaemic heart disease in the region is reviewed. It is anticipated that ischaemic heart disease will become a greater problem in the years to come.

ABSTRACT

In the epidemiological transition from infectious diseases in the Caribbean, chronic non-communicable diseases, including cardiovascular disease, have emerged as important public health interest. Although hypertensive heart disease predominates in Afro-Caribbean populations, ischaemic heart disease and acute myocardial infarction have also been present, but the prevalence has been somewhat under-appreciated.

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Keywords:

Acute myocardial infarction in the West Indies

Journal Authors:

TC Martin

e-Published: 20 Sep, 2013

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Health Status and Health Maintenance Practices among Doctors and Nurses at Two Hospitals in Jamaica

Issue:

Vol 58, issue 6 (2009)

Pages:

539–45

Synopsis:

More than 50% of 212 doctors and nurses studied reported signs and symptoms of stress but were generally physically healthy. Barriers to seeking healthcare included confidentially issues and the need to appear healthy to colleagues and patients.

ABSTRACT

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Jamaican Youth Health Status 2005

Issue:

Vol 58, issue 6 (2009)

Pages:

533–8

Synopsis:

This study of adolescents (10–15 years old) attending schools in Jamaica found that most were not involved in risky behaviour. However, it pointed to some critical areas of concern regarding their nutritional status, physical activity of emotional well-being, drug use and sexual activity.

ABSTRACT

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Jamaican Youth Health Status 2005

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Small Victories, New Challenges Two Decades of Maternal Mortality Surveillance in Jamaica

Issue:

Vol 58, issue 6 (2009)

Pages:

518–32

Synopsis:

The paper reviews Jamaica’s experience with maternal mortality surveillance, how this has informed policy and new efforts to ensure that Jamaica can achieve the Millennium Development Goal of a 75% reduction in maternal mortality between 1990 and 2015.

ABSTRACT

Objectives: The paper summarizes the changing epidemiology of maternal mortality and the new challenges as Jamaica seeks to contribute to the international goal to reduce maternal mortality by 75% worldwide between 1990 and 2015.

Methods: This is a review of Jamaica’s two decades of maternal mortality surveillance experience.

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Keywords:

Maternal mortality surveillance

Journal Authors:

A McCaw-Binns

K Lewis-Bell

e-Published: 20 Sep, 2013

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Haematological, Biochemical and Bone Density Parameters in Vegetarians and Non-vegetarians

Issue:

Vol 58, issue 6 (2009)

Pages:

512–17

Synopsis:

The objective was to establish possible differences between haematological and biochemical parameters and bone mineral density in vegetarians and non-vegetarians. We can conclude that well planned and balanced vegetarian diet with avoidance of risk factors does not result in laboratory and bone status disturbances.

ABSTRACT

Objective: The objective is to determine any possible differences between haematological, biochemical and bone mineral density in vegetarians (vegans and lacto-ovovegetarians) and non-vegeterians.

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Early Electron Transfer in Cytochrome c oxidase Occurs by a Chymotrypsin Type Relay

Issue:

Vol 58, issue 6 (2009)

Pages:

499–505

Synopsis:

This computer based study leads to the conclusion that electrons arriving at the surface of cytochrome c oxidase migrate to the enzyme’s first active centre by a hydride ion relay system similar to that seen at the active site of chymotrypsin.

ABSTRACT

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Assessment of Limited Joint Mobility of the Hand in Black Africans with Diabetes Mellitus and in Non-diabetics

Issue:

Vol 58, issue 6 (2009)

Pages:

506–11

Synopsis:

Limited Joint Mobility (LJM) variant of diabetic hand syndrome is assessed in black Africans with Type 2 diabetes mellitus (DM) to characterize and determine its prevalence and severity. Black Africans with Type 2 DM have moderately severe LJM with a prevalence of 26.3%.

ABSTRACT

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