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Original Articles

An Assessment of Clinical Predictors of Intracranial Head Injury Identified by Computed Tomography Scan

Issue: 
Pages: 
149–52
Synopsis: 
A prospective study, using CT scans, has determined that the absence of amnesia, loss of consciousness, vomiting and ENT bleed in the history and a Glasgow Coma Score of 15 on examination alone or in combination cannot exclude the presence of intra-cranial injury.

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e-Published: 18 Sep, 2013

Distribution of Nosocomial Organisms and their Resistance Patterns in the Intensive Care Unit of the University Hospital of the West Indies, Kingston, Jamaica

Issue: 
Pages: 
142–8
Synopsis: 
This information would guide empiric therapy as well as infection control measures.

ABSTRACT

Objectives: To determine the distribution and antibiotic susceptibility patterns of nosocomial pathogens in the Intensive Care Unit (ICU) at the University Hospital of the West Indies (UHWI).

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e-Published: 18 Sep, 2013

A Review of Granular Cell Tumours at the University Hospital of the West Indies: 1965–2006

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Pages: 
138–41
Synopsis: 
An analysis of granular cell tumours confirmed their uncommon occurrence. However, many more lesions than expected, developed in the breast and vulva compared to the tongue which is the most commonly reported location.

ABSTRACT

Objective: Granular cell tumours are uncommon lesions that occur in a wide variety of sites. They are usually benign, but as they are infrequently diagnosed preoperatively, they may be confused clinically with malignant lesions. The objective of this study was to assess the relative frequency and the clinicopathologic characteristics of granular cell tumours identified at the University Hospital of the West Indies (UHWI) over a 41-year period.

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e-Published: 18 Sep, 2013

Postoperative Nausea and Vomiting in Laparoscopic Versus Open Cholecystectomy at two Major Hospitals in Jamaica

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Pages: 
130–7
Synopsis: 
The risk of postoperative nausea and vomiting was determined retrospectively and compared for 180 and 175 patients having elective laparoscopic and open cholecystectomy respectively at two major hospitals in Jamaica.

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e-Published: 18 Sep, 2013

Renal Histological Findings in Adults in Jamaica

Issue: 
Pages: 
265–9
Synopsis: 
For primary glomerular disease, focal and segmental glomerulosclerosis, minimal and membranous glomerulonephritis were the most frequent histological types.

ABSTRACT

Background: In 2006, it was reported that Focal and Segmental Glomerulosclerosis (FSGS), Minimal Change Disease (MCD) and Membranous Glomerulonephritis (MGN) were the commonest primary glomerular diseases identified from percutaneous kidney biopsies done in Jamaica for that year (n = 76). The sample size was thought to be small and might have affected the reported findings. So a threeyear review of percutaneous kidney biopsies in Jamaica was carried out.

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e-Published: 18 Sep, 2013

Stroke Subtypes on Imaging in a Jamaican Population: A Hospital-based Study

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Pages: 
261–4
Synopsis: 
A retrospective review was done of stroke subtypes seen on CT and MRI at the University Hospital of the West Indies during a three-year period. The most common stroketype was ischaemic infarct followed by intracerebral bleed.

ABSTRACT

Objective: To examine the pattern of stroke subtypes found on Computed Tomography (CT), Magnetic Resonance Imaging (MRI) at the University Hospital of the West Indies (UHWI), Kingston, Jamaica.

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e-Published: 18 Sep, 2013

Descriptive Epidemiology of Cases of Acute Myocardial Infarction in Tobago

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Pages: 
257–60
Synopsis: 
The most common co-morbidities associated with acute myocardial infarction in Tobago are dyslipidaemia, hypertension and diabetes mellitus. End Stage Renal Failure, smoking and cocaine use follow closely behind.

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Objectives: The goal of this study is to identify co-morbidities associated with acute myocardial infarction in Tobago.

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e-Published: 18 Sep, 2013

Quality of Life in Caribbean Youth with Diabetes

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Pages: 
250–6
Synopsis: 
This report presenst results from the first study in the Caribbean to assess health- related quality of life in a young diabetic population using a diabetes specific quality of life scale (Diabetes-39).

ABSTRACT

Background: As the prevalence of youth onset diabetes in Jamaica increases, the impact of this disease on Health Related Quality of life (QOL) needs to be evaluated.

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e-Published: 18 Sep, 2013

Venous Thromboembolism in Jamaican Women: Experience in a University Hospital in Kingston

Issue: 
Pages: 
243–9
Synopsis: 
Venous thromboembolism is a serious complication of many conditions in women. It is more common in older hospitalized women, but should also be suspected in younger women who recently had surgery, hormonal therapy or pregnancy.

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Objective: To review cases of venous thromboembolism (VTE) at UHWI from 1999–2004, to identify methods of diagnosis, risk factors and to evaluate differences between survivors and fatalities.

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e-Published: 18 Sep, 2013

Quality of Life in End Stage Renal Disease: A Multicentre Comparative Study

Issue: 
Pages: 
235–242
Synopsis: 
Overall quality of life in patients with end stage renal disease is good. Domain of highest concern were burden of kidney disease and patient satisfaction.

ABSTRACT

Background: Quality of Life (QOL) in patients with End Stage Renal Disease (ESRD) is an important measure of dialysis adequacy. Health related QOL is an independent risk factor for mortality in ESRD. The Kidney Disease QOL questionnaire is a highly validated disease targeted instrument with global application. We sought to document QOL and the predictive factors in a cohort of patients with ESRD in Jamaica and Panama.

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e-Published: 18 Sep, 2013

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