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Original Articles

The Prevalence of Seat Belt Use in Kingston, Jamaica: A Follow-up Observational Study Five Years after the Introduction of Legislation

Issue: 
Pages: 
327–9
Synopsis: 
An observational cross-sectional study of seatbelt utilization conducted in Kingston, Jamaica, showed 81.2% utilization by private motor vehicle drivers and 74.0%, by front seat passengers. This was significantly improved compared to 21.1% and 13.6% respectively in 1996, before the introduction of legislation in 1999 (p < 0.001). Females were significantly more likely than males to wear seat belts, both when driving (92.5% vs 77.3%; p < 0.001) and as front seat passengers (79.9% vs 66.3%; p < 0 001).

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e-Published: 17 Jun, 2013

The Accuracy of Joint Line Tenderness in the Diagnosis of Meniscal Tears

Issue: 
Pages: 
323–6
Synopsis: 
The accuracy of joint line tenderness in the diagnosis of meniscal tears was evaluated. Arthroscopy was performed in each case to establish the diagnosis.

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e-Published: 17 Jun, 2013

Treatment of Morgagni Hernias by Transabdominal Approach

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Synopsis: 
Surgical approach - thoracal or abdominal – to Morgagni hernias is controversial. In the authors' experience, the abdominal approach was successful. Its advantages are, feasibility in reducing intra-abdominal organs, ability to operate on bilateral hernias, no chest tube placement and little or no pulmonary complications.

ABSTRACT

Background: Recently, the thoracic approach has been suggested in the surgical treatment of Morgagni hernias with some reported advantages over abdominal surgery. This manuscript reports the authors’ experience with childhood Morgagni hernias repaired via laparotomy.

Subjects and Methods: Records of five cases of Morgagni hernias were evaluated with respect to age, presentation, operative data, complications, and outcome.

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e-Published: 17 Jun, 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.

Endorectal Ultrasonography in Rectal Cancer: A Preliminary Barbadian Experience

Issue: 
Pages: 
313–8
Synopsis: 
The clinical utilization of endorectal ultrasound has shown high accuracy for the preoperative definition of tumour and nodal stage in low rectal cancer. In Barbados, preliminary experience supports this view and has been used to select those patients best treated with preoperative radiotherapy and down staging chemoradiation.

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e-Published: 17 Jun, 2013

Blood Pressure and its Correlates in Tobagonian Adolescents

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Pages: 
305–12
Synopsis: 
In this study, the authors examined the age-specific patterns and correlates of blood pressure among Tobagonian adolescents attending secondary school. The findings suggest that the higher levels of elevated blood pressure observed were primarily due to excess weight and adiposity.

ABSTRACT

Objective: To determine age-specific patterns and correlates of blood pressure (BP) in Tobagonian adolescents.

Methods: Blood pressure, weight and heights were measured using standardized procedures. Age-height and gender-specific BP levels were established and compared with those established for adolescents in the United States of America, the United Kingdom and Jamaica.

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e-Published: 17 Jun, 2013

A Review of Medicinal Plant Research at the University of the West Indies, Jamaica, 1948–2001

Issue: 
Pages: 
243–69
Synopsis: 
Medicinal plant research at The University of the West Indies, Mona (1948-2001), resulting in the award of 53 graduate degrees, has identified 334 plant species as medicinal; 193 of these were tested, and crude extracts from 80 of these were bioactive. This included 23% of the endemics; 44 plants had identified natural products of which 29 were bioactive.

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e-Published: 12 Jun, 2013

Gender Differences in Coping with Infertility among Couples Undergoing Counselling for In Vitro Fertilization Treatment

Issue: 
Pages: 
237–41
Synopsis: 
Strategies used to cope with the stress of infertility were compared between men and women undergoing in vitro fertilization treatment at The University of the West Indies, Jamaica. Gender differences in coping were used to help explain reported gender differences in psychological distress.

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e-Published: 10 Jun, 2013

Self-Care, Compliance and Glycaemic Control in Jamaican Adults with Diabetes Mellitus

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Pages: 
232–6
Synopsis: 
Glycaemic control in adults with diabetes mellitus in Jamaica is related to their self-care practices Medication compliance, exercise and weight control require greater attention.

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e-Published: 10 Jun, 2013

Bile Duct Injuries in the Laparoscopic Era: The University Hospital of the West Indies Experience

Issue: 
Pages: 
228–31
Synopsis: 
A review of all the cases of bile duct injuries seen at the University Hospital of the West Indies since the introduction of laparoscopic cholecystectomy reveals that 60% of all cases resulted from open cholecystectomy and Roux en Y hepaticojejunostomy was the most common surgery offered for major bile duct injury.

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e-Published: 10 Jun, 2013

The Prevalence of Marijuana Smoking in Young Adults with Sickle Cell Disease: A Longitudinal Study

Issue: 
Pages: 
224–7
Synopsis: 
A history of marijuana smoking was common in young adults with sickle cell disease. Usage increased between 2000 and 2004, and was seldom for medicinal purposes.

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e-Published: 10 Jun, 2013

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