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Original Articles

Cardiovascular Risk Profile in Caribbean Youth with Diabetes Mellitus

Issue: 
Pages: 
219–26
Synopsis: 
In this study, there was a high prevalence of cardiovascular risk factors in the patients studied regardless of their diabetes type. While patients with Type 2 diabetes mellitus were more obese and had higher blood pressure readings when compared with those with Type1 diabetes, their overall glucose control was better. Differences in lipid profile were no longer significant after adjusting for BMI.

ABSTRACT

Objective: To assess the effect of diabetes mellitus type on conventional and novel cardiovascular risk factors in patients, diagnosed with diabetes from two major referral hospitals in Jamaica, before age 25 years and with diabetes duration < 6 years.

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e-Published: 18 Sep, 2013

Evaluation of Asthma Control using Patient Based Measures and Peak Expiratory Flow Rate

Issue: 
Pages: 
214–18
Synopsis: 
Patients over-estimate asthma control. Approximately 80% of patients attending specialist care in Trinidad have uncontrolled asthma. The Asthma Control Test and the Royal College of Physicians ‘three questions test’ evaluated disease control comparably. Formal evaluation of asthma control is recommended.

ABSTRACT

Objective: Asthma control has not been formally evaluated in the Caribbean. This study evaluated disease control on The Asthma Control Test (ACT), The Royal College of Physicians “Three questions” for Assessing Asthma Control (RCP), peak expiratory flow rate (PEFR) and patients’ self-assessment of control.

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e-Published: 18 Sep, 2013

Imipramine Induced Elevation of Prolactin Levels in Patients with HIV/AIDS Improved their Immune Status

Issue: 
Synopsis: 
Imipramine can result in immunological benefits for patients with HIV.

ABSTRACT

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e-Published: 18 Sep, 2013

Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

A Randomized Comparison of Rectal Misoprostol with Syntometrine on Blood loss in the Third Stage of Labour

Issue: 
Pages: 
201–6
Synopsis: 
Rectal misoprostol in appropriately selected patients results in comparable blood loss at delivery as compared to standard therapy and may be a reasonable alternative for the active management of the third stage of labour in patients delivered outside of a hospital setting.

ABSTRACT

Objectives: a) To compare the clinical effect of rectal misoprostol with intramuscular syntometrine in reducing blood loss in the third stage of labour, b) to determine the severity and incidence of side effects of both drugs and c) to measure blood loss, patient tolerance and acceptance of rectal misoprostol.

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e-Published: 18 Sep, 2013

High Genetic Diversity in Human Immunodeficiency Virus – Type 1 in Jamaica

Issue: 
Pages: 
195–200
Synopsis: 
Molecular analysis of 53 strains of human immunodeficiency virus type-1(HIV-1) from Jamaican patients revealed the presence of several subtypes and a high genetic diversity of the virus in Jamaica.

ABSTRACT

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e-Published: 18 Sep, 2013

Adolescent Ears: An Avenue into their Sexual and Reproductive Health Values

Issue: 
Pages: 
124–9
Synopsis: 
Key informant interviews, content analysis of Dancehall songs and focus group discussions were qualitative methods used to understand the sexual and reproductive health themes that Jamaican adolescents are learning from Dancehall music.

ABSTRACT

Objectives: This study sought to understand what sexual and reproductive health messages Jamaican adolescents get via Dancehall music and how themes in these messages can inform the development of a questionnaire for further exploration of the subject.

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e-Published: 17 Sep, 2013

Injury Surveillance in Trinidad: An Accident and Emergency Based Injury Surveillance System at the San Fernando General Hospital

Issue: 
Pages: 
118–23
Synopsis: 
This paper presents an overview of data collected in the first three years of operations from 2002 to 2004 of an injury surveillance system.

ABSTRACT

Objective: Injuries are a significant cause of morbidity and mortality worldwide. Injuries disproportionately affect people living in low and middle income countries, including the Caribbean;
however, little is known about the epidemiology of injuries in these areas. An Accident and Emergency (A&E) Department injury surveillance system was established at the San Fernando General Hospital, Trinidad and Tobago, to address this important data gap.

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e-Published: 17 Sep, 2013

Seroprevalence of Leptospira in Rattus Norvegicus in Grenada, West Indies

Issue: 
Pages: 
114–7
Synopsis: 
Analysis of seroprevelance and serovars responsible for of Leptospira exposure in Rattus norvegicus in Grenada and a comparison of prevalence rates for Rattus species from other Caribbean islands.

ABSTRACT

Objective: To determine the seroprevalence of Leptospira and the serovars responsible for Leptospira exposure in rats in Grenada in order to assess rats as a reservoir host for human infection.

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e-Published: 17 Sep, 2013

HIV Testing and Counselling for Prevention of Mother-to-Child Transmission at Labour and Delivery in Guyana

Issue: 
Pages: 
112–3
Synopsis: 
HIV testing at labour and delivery is feasible and an important safety net for women missed during antenatal care.

INTRODUCTION

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e-Published: 17 Sep, 2013

HIV Seroprevalence Among Male Prison Inmates in the Six Countries of the Organization of Eastern Caribbean States in the Caribbean (OECS)

Issue: 
Pages: 
106–111
Synopsis: 
Six unlinked, anonymous point prevalence surveys of a total of 1288 male inmates were conducted during a one year period. The overall HIV prevalence was 2.8%, three times higher than the estimated OECS population prevalence.

ABSTRACT

Objective: To determine HIV prevalence among male prison inmates in the six OECS countries in the Caribbean.

Subjects and Methods: Six unlinked, anonymous point prevalence surveys of a total of 1288 male inmates were conducted during a one-year period, August 2004 – August 2005. An oral fluid sample was collected and an interviewer-administered questionnaire and consent form was completed for each survey participant.

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e-Published: 17 Sep, 2013

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