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Original Articles

The Immunomodulatory Effect of Antibiotics on the Secretion of Tumour Necrosis Factor Alpha by Peripheral Blood Mononuclear Cells in Response to Stenotrophomonas maltophilia Stimulation

Issue: 
Pages: 
138–41
Synopsis: 
Some antibiotics, in addition to their antimicrobial effects, modify the host immune response. Cotrimoxazole unIike ciprofloxacin, ceftazidime, and piperacillintazobactam suppressed TNF alpha secretion from S maltophilia stimulated cells at therapeutic concentrations.

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e-Published: 10 Jun, 2013

Congenital Adrenal Hyperplasia in The Bahamas due to 21-Hydroxylase Deficiency

Issue: 
Pages: 
110–12
Synopsis: 
The frequency of 21-hydroxylase deficiency in The Bahamas is one of the highest in the world.

ABSTRACT

Objective: To determine the frequency of 21-hydroxylase deficiency in The Bahamas and the spectrum of this disorder.

Methods: Patients referred for evaluation of virilization, precocious puberty, ambiguous genitalia and salt wasting had blood taken for 17-hydroxyprogesterone (17-OH progesterone) which was measured by Enzyme-Linked Immunosorbent Assay (ELISA).

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e-Published: 10 Jun, 2013

A Comparison of Open and Laparoscopic Cholecystectomy done by a Surgeon in Training

Issue: 
Pages: 
103–9
Synopsis: 
A comparative review of the first 52 cholecystectomies performed by surgery residents reveals that this operation is performed with acceptable complication rates, testifying to the efficacy of the training programme at the University Hospital of the West Indies. with small adjustments in hospital policies, an additional 77% of patients can enjoy the proven benefits of laparoscopic cholecystectomy.

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e-Published: 10 Jun, 2013

Ultrasound and White Blood Cell Counts in Suspected Acute Appendicitis

Issue: 
Pages: 
100–2
Synopsis: 
In this group of patients, ultrasonograplry and leucocyte counts were not adequately sensitive to be useful as discriminating diagnostic tools in patients with suspected acute appendicitis

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e-Published: 10 Jun, 2013

A Comparison of Antimicrobial Susceptibility Profile of Urinary Pathogens for the Years, 1999 and 2003

Issue: 
Pages: 
95–9
Synopsis: 
There were significant changes in antimicrobial susceptibility. More isolates were resistant to common antibiotics in 2003 than in 1999.

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e-Published: 10 Jun, 2013

Seroprevalence of Sexually Transmitted Infections among Accepted and Deferred Blood Donors in Jamaica

Issue: 
Pages: 
89–94
Synopsis: 
This study confirms higher rates of sexually transmitted infections among deferred blood donors and supports the donor deferral system in Jamaica

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e-Published: 10 Jun, 2013

The Changing Pattern of Tinea Capitis in Jamaica

Issue: 
Pages: 
85–8
Synopsis: 
Tinea Capitis infection may be rising in Jamaica with a preponderance of Trichophyton tonsurans infection.

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e-Published: 10 Jun, 2013

Predictors of Poor Outcome in Neonates with Bacterial Sepsis Admitted to the University Hospital of the West Indies

Issue: 
Pages: 
80–4
Synopsis: 
Prematurity, very low birthweight and female gender are predictors of poor outcome in neonates with bacterial sepsis. Strategies aimed at decreasing morbidity and mortality in neonates with sepsis must include measures that will decrease the incidence of prematurity and low birthweight.

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e-Published: 10 Jun, 2013

The Neonatal Intensive Care Unit at the University Hospital of the West Indies: The First Few Years’ Experience

Issue: 
Pages: 
75–9
Synopsis: 
The judicious use of neonatal intensive care measures in a developing country can result in a reduction of morbidity and mortality. However, in order to maximize on benefits versus cost in an atmosphere of budgetary constraint, evidence-based management policies and protocols must be developed and implemented.

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e-Published: 10 Jun, 2013

The Roles and Responsibilities of Physicians in Pre-Hospital Emergency Medical Services: A Caribbean Perspective

Issue: 
Pages: 
52–5
Synopsis: 
A brief review of the internationally recognized roles and responsibilities of physicians in Pre-Hospital Emergency Medical Services, with recommendations for the Caribbean.

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e-Published: 06 Jun, 2013

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