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Original Articles

Wayward Effect of Polymorphism (TA)8 in the Promoter Region of UGT1A1 Gene in a Mexican Family

Issue: 
Pages: 
81–3
Synopsis: 
This is a report of the varied effects of Gilbert syndrome in a Mexican Mestizo family with a non-common (TA)8 repeat in this population.


ABSTRACT

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e-Published: 19 Aug, 2013

Epidemiology of Febrile Diseases in the Emergency Department of a Caribbean Island: The Curaçao Experience

Issue: 
Pages: 
76–80
Synopsis: 
This paper describes the aetiology and outcome of febrile patients at the emergency department of a general hospital in Curaçao. A high prevalence of bacterial infections and mortality were observed.


ABSTRACT

Objective: The aetiology of febrile diseases in tropical countries often remains poorly characterized. We aim to describe the aetiology and outcome of febrile illnesses at the Emergency Department (ED) in Curaçao.

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e-Published: 19 Aug, 2013

The Development of Anaesthetic Services in Jamaica

Issue: 
Pages: 
73–5
Synopsis: 
Formal training in the administration of anaesthesia was instituted on the recognition that dedicated physicians/ nurses offered a better morbidity/mortality profile to patients. Much progress has been made since the turn of the 20th century, in keeping with international standards.


“No nation, no race can face the future with confidence unless it knows what it is capable of. This is the function of history”. Charles Finch III.

                                                                          ABSTRACT

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e-Published: 19 Aug, 2013

Role of Routine Chest Radiographs in the Evaluation of Patients with Stable Blunt Chest Trauma – A Prospective Analysis

Issue: 
Pages: 
64–72
Synopsis: 
The study sought to assess the test performance characteristics of clinical judgement in the evaluation of stable blunt chest trauma patients compared with chest radiography in the determination of significant intra-thoracic injury. The study revealed that physicians in the local emergency department may be over-utilizing chest radiographs for patients who had stable blunt chest trauma.


ABSTRACT

Objective: The study sought to assess the test performance characteristics of clinical judgement in the evaluation of stable blunt chest trauma patients compared with chest radiography (CXR) in the determination of significant intra-thoracic injury.

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e-Published: 19 Aug, 2013

An Assessment of Knowledge, Attitudes and Behaviour Regarding the Human Papillomavirus

Issue: 
Pages: 
58–63
Synopsis: 
The rate of cervical cancer as well as poor screening practices led to the study which was conducted on the St George’s University campus in Grenada. The results showed lack of knowledge about the relationship between human papillomavirus, cervical cancer and the associated risk factors.


                                                                        ABSTRACT

Objectives: This report is based on a study conducted in February 2010 that assessed the knowledge and attitudes toward cervical cancer and human papillomavirus (HPV) in Grenada which has a high incidence of cervical cancer.

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e-Published: 19 Aug, 2013

Fetal Central Nervous System Magnetic Resonance Imaging at the University Hospital of the West Indies, Jamaica

Issue: 
Pages: 
49–57
Synopsis: 
Fetal magnetic resonance imaging improved prenatal diagnosis, was a valuable contributor to patient counselling and led to changes in perinatal management.


ABSTRACT

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e-Published: 19 Aug, 2013

Drug Prescribing for Hypertension at Primary Healthcare Facilities in Trinidad

Issue: 
Pages: 
43–8
Synopsis: 
A cross-sectional survey at primary healthcare centres in Trinidad among hypertensive patients showed an attempt to follow prescribing guidelines. Angiotensin converting enzyme inhibitors were most commonly prescribed, but thiazide diuretics were underutilized.


ABSTRACT

Objective: To describe the drug prescribing pattern for hypertension at primary healthcare facilities throughout Trinidad.

Methods: A descriptive, cross-sectional survey was conducted at 22 primary healthcare facilities across Trinidad using a de novo, pilot-tested questionnaire during June to August 2006.

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e-Published: 19 Aug, 2013

Epidemiology of Neonatal Jaundice at the University Hospital of the West Indies

Issue: 
Pages: 
37–42
Synopsis: 
To reduce morbidity associated with neonatal jaundice at the University Hospital of the West Indies, there should be increased screening for G6PD deficiency and current systems in place for follow-up and monitoring of infants discharged from hospital prior to 72 hours must be expanded and strengthened.


ABSTRACT

Objective: To describe the epidemiology of neonatal jaundice at the University Hospital of the West Indies (UHWI).

Methods: A retrospective review of all neonates at the UHWI with clinically significant jaundice between January 1, 2006 and June 30, 2007 was performed. Demographic, clinical and laboratory data were collected. Descriptive analyses were performed.

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e-Published: 19 Aug, 2013

Parent Perceptions of Paediatric Oncology Services at the Eric Williams Medical Sciences Complex, Trinidad and Tobago

Issue: 
Pages: 
32–6
Synopsis: 
Medical needs of patients were perceived to be well met, but there was need to address psychosocial, physical and educational needs of parents.

 

ABSTRACT

Objective: To assess the perceptions of parents of children with cancer and to determine level of satisfaction with the paediatric oncology services at the Eric Williams Medical Sciences Complex (EWMSC).

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e-Published: 19 Aug, 2013

Mediterranean Fever Gene Mutations in Greek Patients with Behcet’s Disease

Issue: 
Pages: 
28–31
Synopsis: 
Pyrin gene mutations in Greek patients with Behçet’s disease are not more common than the general population.

 

ABSTRACT

Objective: It is known that clinical similarities between Behcet’s disease and Familial Mediterranean Fever have led to the hypothesis of a common pathogenesis. Familial Mediterranean Fever is caused by MEFV gene mutations coding for pyrin. Therefore, we examined whether these pyrin mutations are also associated with Behcet’s disease.

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e-Published: 19 Aug, 2013

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