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Original Articles

Comparison of General Anaesthesia and Spinal Anaesthesia for Caesarean Section in Antigua and Barbuda

Issue: 
Pages: 
330–3
Synopsis: 
A comparison of general anaesthesia versus regional anaesthesia for Caesarean section reveals that both techniques are safe. Spinal anaesthesia is associated with significantly less blood loss, fewer transfusions, better Apgar scores and with insignificant trends toward shorter hospital stay, fewer neonatal care unit admissions, fewer perinatal deaths but more frequent postoperative infection.

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e-Published: 03 Jul, 2013

The Age-Specific Incidence of Admission to the Intensive Care Unit for Acute Myocardial Infarction in Antigua and Barbuda

Issue: 
Pages: 
326–9
Synopsis: 
Coronary artery disease is increasing in developing countries as western lifestyles are adopted. Between 1990 and 2001, 250 patients were admitted to rule out myocardial infarction in Antigua, 55% were confirmed. Based on available population figures, the incidence of hospitalization was 0.73 per year per 1000 men and 0.24 per year per 1000 women age 35 to 74 years in Antigua. This rate is less than 20% of the rate for the United States of America.

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e-Published: 03 Jul, 2013

Paediatric Day Surgery: Revisiting the University Hospital of the West Indies Experience

Issue: 
Pages: 
320–5
Synopsis: 
A wide variety of paediatric surgical procedures are being done and the complication rates are low. Expansion of the service should be explored so that the cost reduction advantages can be maximized.

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e-Published: 03 Jul, 2013

Surgical and Intensive Care needs of Head-injured Patients Transferred to the University Hospital of the West Indies

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Synopsis: 
The majority of transferred head-injured patients sustained mild injuries with a third requiring surgical procedures and 19% requiring Intensive Care Unit care. Appropriate educational, training and transfer programmes and transfer policies must be implemented to minimize inappropriate transfers.

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e-Published: 02 Jul, 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.

Unnecessary Admissions of Head-injured Patients at the University Hospital of the West Indies

Issue: 
Synopsis: 
Reduction in unnecessary admissions, cost savings and increased efficiency may result from standardization of admission criteria for head-injured patients and consistent implementation of guidelines for admission without increased risk to patients.

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e-Published: 02 Jul, 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.

The Aetiology of Head Injury in Admitted Patients in Jamaica

Issue: 
Pages: 
223–5
Synopsis: 
Head injury in admitted patients is mainly due to road traffic accidents, falls and interpersonal violence. More effective prevention strategies including education and law enforcement are urgently warranted.

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e-Published: 02 Jul, 2013

Gender, Acculturative Stress and Caribbean Immigrants’ Health in the United States of America An Exploratory Study

Issue: 
Pages: 
213–22
Synopsis: 
In an exploratory study examining the relationship between Caribbean immigrants’ acculturative stress in the United States of America and their health, various gender-related similarities (and differences) were reported. Both males and females who had higher acculturative stress (personal problems) had higher levels of depression.

 

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e-Published: 02 Jul, 2013

Ethics, Liabilities and Licensing to Practice

Issue: 
Pages: 
208–12
Synopsis: 
Medical Councils and Boards are de facto the gatekeepers of the work of medical doctors and their interaction with the public. This article examines some ethical and medico-legal issues that may arise when biomedical doctors are not licensed in a particular year to practice medicine.


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e-Published: 02 Jul, 2013

Chicken Collagen Type II Reduces Articular Cartilage Destruction in a Model of Osteoarthritis in Rats

Issue: 
Pages: 
202–7
Synopsis: 
Oral Chicken Collagen Type II may be a potent drug candidate for osteoarthritis treatment.

ABSTRACT

Aim: To evaluate the therapeutic effects of domestic chicken collagen type II (CCII) on rat osteoarthritis (OA) and analyze concomitant changes in the level of Matrix metalloproteinase (MMP)-13, MMP-9, Cathepsin K and their mRNA as well as the tissue inhibitor of matrix metalloproteinase (TIMP)-1 mRNA in articular cartilage of osteoarthritic rats.

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e-Published: 02 Jul, 2013

Changing the Research Culture at the Section of Psychiatry, The University of the West Indies, Mona

Issue: 
Pages: 
171–7
Synopsis: 
A significant increase in research output followed the implementation of research meetings as well as team building and project management strategies, all aimed at strengthening research activities in a section of a university department.

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Objective: To compare the medical research output of the Section of Psychiatry, The University of the West Indies (UWI), Mona, before and after the implementation of strategies aimed at stimulating research.

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e-Published: 01 Jul, 2013

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