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Original Articles

Competition for Adolescents’ Sexual and Reproductive Health Values Is the Media Winning?

Issue: 
Pages: 
326–30
Synopsis: 
Television, radio and guidance counsellors are common sources of formal sexual and reproductive health information among adolescents in Jamaica. However, Dancehall music provides a wider variety of gender specific sexual health messages, many of which contradict some formal messages.

ABSTRACT

Objective: This study aimed to understand the sources and content of sexual and reproductive health (SRH) information among Jamaican adolescents.

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e-Published: 19 Sep, 2013

Prevention for Better Health among Older Persons Are Primary Healthcare Clinics in Jamaica Meeting the Challenge?

Issue: 
Pages: 
319–25
Synopsis: 
This article focusses on the importance of prevention (including secondary prevention) as a component of healthcare of older persons. The research findings show relatively inadequate levels of prevention-care practices, as well as barriers to prevention-related activities for older persons in the primary healthcare system. Training in age-related prevention activities for health centre staff is advocated.

ABSTRACT

Objectives: The study sought to determine the level and type of preventive care offered to older persons (persons 50 years and over) in the primary healthcare system and to identify the barriers to preventionrelated activities.

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e-Published: 19 Sep, 2013

Cancer Screening and Cancer Mortality in Nevis, West Indies

Issue: 
Pages: 
311–8
Synopsis: 
Cancer screening is one approach that improves outcomes through early detection of cancer, however universal screening in Nevis is not practised. Cancer screening, prevalence and cancer mortality in Nevis are characterized.

ABSTRACT

Objective: Cancer screening is one approach that can reduce morbidity and mortality through early detection of pre-cancers; however anxiety, fear, and lack of information are important barriers to universal cancer screening in the Caribbean. Nevis is a small island located in the Eastern Caribbean. We report available data on screening prevalence and cancer mortality for four common cancers: cervical, breast, colon and prostate.

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e-Published: 19 Sep, 2013

Energy Expenditure and Dietary Intake in Overweight versus Non-overweight Guadeloupian Adults

Issue: 
Pages: 
305–10
Synopsis: 
Using a basic and accepted method to investigate dietary intake and energy expenditure in Guadeloupian adults, this study shows that energy intake and expenditure are higher in more corpulent persons, who were consequently not identified as less active.

ABSTRACT

Objective: Obesity is the source of many health problems in Guadeloupe. The aim of this study was to describe the relationships between daily energy intake and expenditure, and weight status.

Methods: Three consecutive daily recalls for activities and food intake were used to assess energy expenditure and energy intake in 20- to 60-year old Guadeloupian men and women.

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e-Published: 19 Sep, 2013

Estimated Incidence of Sickle-Cell Disease in Aruba and St Maarten suggests Cost-effectiveness of a Universal Screening Programme for St Maarten

Issue: 
Pages: 
301–4
Synopsis: 
Universal Screening for Sickle-Cell Disease seems effective for St Maarten.

ABSTRACT

Objective: To estimate the incidence of Sickle-Cell Disease (SCD) in Aruba and St Maarten and to determine whether universal screening would be cost-effective according to United Kingdom criteria.

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e-Published: 19 Sep, 2013

Six-shogaol inhibits Production of Tumour Necrosis Factor Alpha, Interleukin-1 beta and Nitric Oxide from Lipopolysaccharide-stimulated RAW 264.7 Macrophages

Issue: 
Pages: 
295–300
Synopsis: 
Six-shogaol is a major constituent of the rhizome from the ginger plant. In this study, evidence that 6-shogaol significantly inhibited production of pro-inflammatory cytokines TNF-alpha, IL-1 beta and nitric oxide from lipopolysaccharide stimulated RAW 264.7 macrophages was obtained. Such inhibition might explain the anti-inflammatory mechanisms and the therapeutic potential of this ginger compound.

ABSTRACT

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e-Published: 19 Sep, 2013

Outcome Evaluation of Patients Requiring Tracheostomy in an Intensive Care Unit in Trinidad

Issue: 
Pages: 
173–8
Synopsis: 
This article shows that tracheostomy should ideally be done within ten days following ICU admission when there is a clear need an indication for the procedure. Further delay may contribute adversely towards the ICU morbidity and mortality.

ABSTRACT

Objective: To evaluate the outcome of patients who have undergone a tracheostomy in a multidisciplinary intensive care unit (ICU) and to determine the difference between an early and late tracheostomy.

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e-Published: 18 Sep, 2013

Co-morbidity of Alcohol Dependence and Select Affective and Anxiety Disorders among Individuals of East Indian and African Ancestry in Trinidad and Tobago

Issue: 
Pages: 
164–72
Synopsis: 
Co-morbidity of major depressive disorder with alcohol dependence is common in the two major ethnic groups in Trinidad and Tobago. Other anxiety and affective disorders occurred in three per cent or less of patients and controls.

ABSTRACT

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e-Published: 18 Sep, 2013

Factors Influencing the Virulence of Candida Spp

Issue: 
Pages: 
160–3
Synopsis: 
Knowledge on factors that promote candidiasis is essential to combat this infection and the risks associated with it, hence making the government health system more equipped against this problem.

ABSTRACT

Background: Diseases produced for Candida species (spp) are called candidiasis and this includes settling, superficial infection, deep tissue invasion and haematogenic dissemination (eyes, the skin, the kidneys and the brain). The species that more usually cause candidiasis are C albicans, C tropicalis and C glabrata. These species usually are found in the normal microbial populations of the mucosae and can be pathogenic due the vulnerability of the host.

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e-Published: 18 Sep, 2013

Pulmonary Hypertension: A Review of the Aetiology, Pathophysiology and Management

Issue: 
Pages: 
153–9
Synopsis: 
This paper gives an update on pulmonary hypertensive diseases which are a challenge to treat.

ABSTRACT

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e-Published: 18 Sep, 2013

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