Original Articles

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

Issue:

Vol 57, issue 2 (2008)

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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ivey_mortality_trends_and_potential_years_of_life_lost.pdf

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e-Published: 18 Jul, 2013

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

Issue:

Vol 57, issue 2 (2008)

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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flower_systemic_sclerosis_in_an_afro-caribbean_population.pdf

Journal Sections:

Original Articles

Keywords:

Systemic Sclerosis

Telangiectasia

Afro-Caribbean Population

Journal Authors:

C Flower

C Nwankwo

e-Published: 18 Jul, 2013

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

Issue:

Vol 57, issue 2 (2008)

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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hariharan_utilization_pattern_and_cost_of_sedation.pdf

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e-Published: 18 Jul, 2013

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

Issue:

Vol 57, issue 2 (2008)

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.

PDF Attachment:

hosgor-limoncu_activity_of_amikacin_ertaoenem_ciprofloxacin_and_levofloxacin.pdf

Journal Sections:

Original Articles

Keywords:

Antibiotic Combinations

Gram-negative pathogens

Journal Authors:

e-Published: 18 Jul, 2013

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

Issue:

Vol 57, issue 2 (2008)

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.

PDF Attachment:

barton_urinary_tract_infection_in_neonates_with_serious_bacterial_infections.pdf

Journal Sections:

Original Articles

Keywords:

Jamaica

Urinary tract infection

Urinary Tract Infection in Neonates

Journal Authors:

e-Published: 18 Jul, 2013

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

Issue:

Vol 57, issue 2 (2008)

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.

ABSTRACT

PDF Attachment:

martin_trends_in_the_prevalence_of_adolescent_births.pdf

Journal Sections:

Original Articles

Keywords:

Antigua and Barbuda

Adolescent Births

Pregnancy in adolescence

Journal Authors:

TC Martin

B Doyle

J Raphael

e-Published: 18 Jul, 2013

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

Issue:

Vol 57, issue 2 (2008)

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.

ABSTRACT

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

PDF Attachment:

shirley_clinicopathological_features_of_breast_disease_in_jamaica.pdf

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e-Published: 18 Jul, 2013

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

Issue:

Vol 57, issue 2 (2008)

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.

ABSTRACT

PDF Attachment:

gibson_age-specific_incidence_of_cancer_in_kingston_and_st_andrew.pdf

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e-Published: 18 Jul, 2013

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Suicide in Mie Prefecture, Japan, since 1990

Issue:

Vol 57, Issue 1 (2008)

Pages:

58–62

PDF Attachment:

inoue_suicide_in_mie_prefecture_japan_since_1990.pdf

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e-Published: 05 Jul, 2013

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The Prevalence of Mucocutaneous Disorders among HIV-positive Patients attending an Out-patient Clinic in Kingston, Jamaica

Issue:

Vol 57, Issue 1 (2008)

Pages:

54–7

Synopsis:

The skin and mucous membranes are frequently affected in HIV infection. This study investigates and documents the spectrum and frequency of these disorders.

ABSTRACT

PDF Attachment:

thompson_the_prevalence_of_mucocutaneous_disorders.pdf

Journal Sections:

Original Articles

Keywords:

Jamaica

Mucocutaneous Disorders

HIV-positive Patients

Journal Authors:

DS Thompson

B Bain

A East-Innis

e-Published: 05 Jul, 2013

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The University of the West Indies, Mona

West Indian Medical Journal
ISSN: 2309-5830