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Original Articles

Evaluation of the Validity of the Quality of Well-being Scale in Trinidad and Tobago

Issue: 
Pages: 
135–40
Synopsis: 
A generic health-related quality of life measure, the Quality of Well-being Scale (QWB), demonstrated validity in Trinidad and Tobago. Local decision-makers may use the QWB to compare health effects of different conditions, interventions and policies.


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e-Published: 18 Jul, 2013

Acetaminophen Overdose in Jamaica

Issue: 
Pages: 
132–4
Synopsis: 
Forty-nine cases of parasuicide attempts involving acetaminophen in Jamaica were analyzed. The mean age was 23 years and 84% were women. Acetaminophen only was ingested in 71% of cases and 29% involved an additional drug. Patients presented an average of 6.5 hours after ingestion. Serum transaminases were elevated in 18% and mean duration of hospitalization was three days. One patient developed liver failure and there were no deaths.

 

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e-Published: 18 Jul, 2013

Mortality Trends and Potential Years of Life Lost in the English and Dutchspeaking Caribbean, 1985–2000

Issue: 
Pages: 
122–31
Synopsis: 
During the period 1985–2000, while there was an overall 5% decrease in age-adjusted mortality rates in the English and Dutchspeaking Caribbean islands, there was an increase in mortality due to non-communicable diseases, AIDS and assaults (homicides).


ABSTRACT

Objective: To describe mortality trends and potential years of life lost (PYLL) due to leading causes of death in 21 Caribbean countries during 1985, 1990, 1995 and 2000.

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e-Published: 18 Jul, 2013

Systemic Sclerosis in an Afro-Caribbean Population: A Review of Demographic and Clinical Features

Issue: 
Pages: 
118–21
Synopsis: 
A review of 27 Afro-Caribbean patients with systemic sclerosis illustrates a female preponderance and a younger age of onset than that described for Caucasians, Hispanics and Afro-Americans. There was a tendency to develop diffuse disease and telangiectasia occurred more frequently than is thought typical in black patients.


ABSTRACT

Objective: To assess the clinical and selected demographic features of patients with systemic sclerosis (SS) seen over a 10-year period at the Rheumatology service of the Queen Elizabeth Hospital, Barbados. To compare these data with what is known to obtain in other ethnic populations.

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e-Published: 18 Jul, 2013

Utilization Pattern and Cost of Sedation, Analgesia and Neuromuscular Blockade in a Multidisciplinary Intensive Care Unit

Issue: 
Pages: 
112–17
Synopsis: 
This prospective study highlights the utilization pattern and financial burden of the paradigm of sedation, analgesia and neuromuscular blockade in an intensive care unit. Cost for this treatment alone accounts for more than 50% of the total drug cost in the intensive care unit.


ABSTRACT

Objectives: To study the utilization pattern and the cost of sedatives, analgesics and neuromuscular blocking agents in a multidisciplinary intensive care unit (ICU).

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e-Published: 18 Jul, 2013

Activity of Amikacin, Ertapenem, Ciprofloxacin and Levofloxacin alone and in Combination against Resistant Nosocomial Pathogens by Time-Kill

Issue: 
Pages: 
106–11
Synopsis: 
The purpose of this study was to determine the synergistic activity of amikacin, ertapenem and fluoroquinolones combinations against resistant nosocomial pathogens. The antibiotic combinations showed additive or synergistic activity against many of the Gramnegative pathogens.

 

ABSTRACT

Objective: The purpose of this study was to determine the synergistic activity of amikacin/ertapenem, fluoroquinolones (ciprofloxacin and levofloxacin)/ertapenem and amikacin/fluoroquinolones combinations against resistant nosocomial pathogens.

Methods: Time-kill studies were performed over 24 hours using an inoculum of 5 x 106 – 1 x 107 cfu/mL. Antibiotics were tested at the 1 x MIC and 4 x MIC concentrations.

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e-Published: 18 Jul, 2013

Urinary Tract Infection in Neonates with Serious Bacterial Infections Admitted to the University Hospital of the West Indies

Issue: 
Pages: 
101–05
Synopsis: 
Urinary tract infection is an important cause of serious bacterial infection in neonates affecting 1 in 3 babies with proven bacterial infection and may be the first indicator of underlying structural abnormalities. The absence of specific distinguishing clinical features makes it necessary to include urine cultures in the sepsis evaluation of neonates presenting with symptoms suggestive of sepsis.


ABSTRACT

Objective: The aim of this study was to describe the epidemiology of urinary tract infection in neonates, with serious bacterial infections, admitted to the University Hospital of the West Indies.

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e-Published: 18 Jul, 2013

Trends in the Prevalence of Adolescent Births in Antigua and Barbuda over 35 Years

Issue: 
Pages: 
95–100
Synopsis: 
Over 35 years in Antigua and Barbuda, there has been a 42% fall in births to teenage mothers and a 53% fall in births to school-aged teens. The decrease has been sustained over 15 years. Economic, educational, social and medical changes may all have played a role.


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e-Published: 18 Jul, 2013

Clinicopathologic Features of Breast Disease in Jamaica: Findings of The Jamaican Breast Disease Study, 2000–2002

Issue: 
Pages: 
90–4
Synopsis: 
The majority of patients presenting with breast disease at the University Hospital of the West Indies are young women with clinically benign disease. A low prevalence of clinically significant premalignant disease supports the need for improved breast cancer screening in the population.

 

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Objective: To describe the clinicopathologic profile of breast disease in Jamaica.

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e-Published: 18 Jul, 2013

Age-Specific Incidence of Cancer in Kingston and St Andrew, Jamaica, 1998 – 2002

Issue: 
Pages: 
81–9
Synopsis: 
Cancer registrations in Kingston and St Andrew (1998–2002) have revealed that the leading cancers in males and females are prostate and breast, respectively. Colon cancer exhibits a high incidence in both genders, underscoring the need for local screening programmes.


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e-Published: 18 Jul, 2013

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