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Original Articles

Best Practice Guidelines for Treatment of Hypercholesterolaemia: A Statement from the Caribbean Cardiac Society

Issue: 
Pages: 
48-53
Synopsis: 
Hypercholesterolaemia is an increasing problem in the Caribbean. The Caribbean Cardiac Society guidelines for treatment of hypercholesterolaemia serves to inform and shape best practices for lowering cholesterol in our region and eventually reducing the prevalence of cardiovascular disease.
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e-Published: 05 Jul, 2013

Extravasation Injuries

Issue: 
Pages: 
40–7
Synopsis: 
Most extravenous leaks have relatively minor sequelae but severe tissue injuries have been reported. Extravasation may be unavoidable, but if appropriate measures are implemented promptly, morbidity can be greatly reduced. All medical and nursing personnel must be familiar with the protocols for treating the extravasation of drugs which have the potential for tissue damage.
ABSTRACT
 
Objectives: To evaluate the time and type of treatment following extravasation from intravenous infusion and the sequelae of the injuries.
 
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e-Published: 05 Jul, 2013

Association Between Bone Turnover Markers and Bone Mineral Density in Puberty and Constitutional Delay of Growth and Puberty

Issue: 
Pages: 
33–9
Synopsis: 
Parathyroid hormone may be a potent stimulator of skeletal dynamics in boys. Accelerated bone mineralization is reflected by high levels of serum PTH during puberty
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e-Published: 05 Jul, 2013

Knowledge, Perception and Practices of Healthcare Professionals at Tertiary level Hospitals in Kingston, Jamaica, Regarding Neonatal Pain Management

Issue: 
Pages: 
28–32
Synopsis: 
There is an overwhelming deficiency in the knowledge, perception and practice of neonatal pain management at tertiary level institutions in Kingston, Jamaica. There is the urgent need for education of healthcare professionals on neonatal pain. This will in turn facilitate change in perception, and eventually, along with the institution of local policies and protocols, influence practice.
ABSTRACT
 
Objective: To determine knowledge, perception and practices of healthcare professionals at tertiary level hospitals in Kingston, Jamaica, regarding neonatal pain management.
 
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e-Published: 05 Jul, 2013

Evaluation of Methods and Costs for Detecting Methicillin-resistant Staphylococcus aureus isolates from Clinical Specimens at Regional Hospitals in Trinidad and Tobago

Issue: 
Pages: 
24–7
Synopsis: 
Conventional and molecular microbiology laboratory tests were evaluated to determine the most cost effective, rapid and specific method for detecting methicillin resistance in clinical isolates of S aureus.
ABSTRACT
 
Objectives: To evaluate and determine the most cost effective, rapid and specific method for detection of methicillin resistance in clinical isolates of S aureus in a setting with limited personnel and resources.
 
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e-Published: 05 Jul, 2013

Pulmonary Parenchymal Alveolar Histological Study in Experimental Tracheo-oesophageal Malformations

Issue: 
Pages: 
20–3
Synopsis: 
Pulmonary complications are among the most frequent causes of morbidity and mortality in tracheo-oesophageal malformations. Pulmonary complaints developing in patients with oesophageal atresia and persisting until adolescence may be attributed to delayed maturation of pulmonary parenchyma.
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e-Published: 05 Jul, 2013

Measuring Angles on Digitalized Radiographic Images Using Microsoft PowerPoint

Issue: 
Pages: 
14–19
Synopsis: 
This new technique allows practitioners to utilize an easily accessible computer programme to evaluate angular deformities on digitalized radiographic images accurately and hence reliably make clinical decisions based on these measurements.

ABSTRACT

Objective: To introduce the “virtual goniometer”, a method of measuring angles on digital images using Microsoft PowerPoint, a readily available and inexpensive software programme.

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e-Published: 05 Jul, 2013

Obstructive Lung Disease in Acute Medical Patients

Issue: 
Pages: 
7–13
Synopsis: 
The prevalence of chronic obstructive pulmonary disease in acute hospital admissions is 20.9% with 11.7% of admissions having chronic symptoms with normal spirometry. There was significant co-morbidity with vascular disease.

ABSTRACT

Objectives: To determine the proportion of adult medical patients who have chronic obstructive pulmonary disease (COPD), using the Global initiative for Chronic Obstructive Lung Disease guidelines (GOLD), and its relation to vascular disease.

Methods: This is a prospective cross-sectional study of adult patients admitted to acute medical wards. Interviewer administered questionnaire, anthropometric and spirometric measurements were done.

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e-Published: 05 Jul, 2013

P53 and Vascular Endothelial Growth Factor Expressions are two Important Indices for Prognosis in Gastric Carcinoma

Issue: 
Pages: 
2–6
Synopsis: 
P53 and vascular endothelial growth factor might be useful in indicating prognosis in patients with gastric carcinoma.

ABSTRACT

Aim: This study examined the correlation between P53 and vascular endothelial growth factor (VEGF) expression together with tumour vascularity and investigated their clinical significance in the prognosis of gastric carcinoma.

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e-Published: 05 Jul, 2013

Generic Substitutions: A 2005 Survey of the Acceptance and Perceptions of Physicians in Jamaica

Issue: 
Pages: 
458–63
Synopsis: 
In a survey of physicians islandwide, it was found that while the majority were comfortable with the substitution of innovators with generics, they had many concerns with whether they were bioequivalent and therapeutically equivalent.

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e-Published: 04 Jul, 2013

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