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Original Articles

Antibiotic Use and Overuse for Appendicectomy in Antigua and Barbuda

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Pages: 
48-51
Synopsis: 
Antibiotic use was retrospectively examined in appendicectomy cases in Antigua. Antibiotics were given for a mean of 5.39 days in 96.7% of cases. A distinction between inflammation, contamination and infection was not clearly made. Three or more antibiotics were given in 83% of cases. Use of antibiotics does not follow guide-lines from the Surgery Infection Society regarding prophylaxis for appendicectomy.

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e-Published: 06 Jun, 2013

Knowledge, Attitudes and Practice of Medical Students at the Cave Hill Campus in Relation to Ethics and Law in Healthcare

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Pages: 
42–7
Synopsis: 
This paper presents the findings of a questionnaire distributed to all categories of healthcare staff at the Queen Elizabeth Hospital in Barbados.

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Objectives: The purpose of this study is to assess the knowledge, attitudes and practices among medical students in relation to medical ethics and law. The results of the study will be a useful guide to tutors of medical students and curricula designers.

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e-Published: 06 Jun, 2013

Open Splenectomy in Jamaican Children with Sickle Cell Disease

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Pages: 
37–41
Synopsis: 
One-hundred and ten splenectomies performed on children with sickle cell disease at the University Hospital of the West Indies are reviewed. There was low morbidity and no mortality. Open splenectomy remains the gold standard for patients with sickle cell disease requiring splenectomy.

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e-Published: 06 Jun, 2013

Partnered Care in The Bahamas: A Model of Advanced Healthcare Delivery for Developing Countries

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Pages: 
30–6
Synopsis: 
Partnered Care is a cost-effective means of making costly and advanced, state-of-the art medical services available to the general population, irrespective of their ability to pay.

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Objective: To assess the delivery of advanced specialized medical care using The Partnered Care Model as a means of providing affordable access to all, irrespective of ability to pay.

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e-Published: 06 Jun, 2013

Characteristics of Patients Requiring Prolonged Length of Stay in a Surgical Intensive Care Unit in Barbados

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Pages: 
25–9
Synopsis: 
This prospective study found that a considerable number of long-stay ICU patients required just an intermediate care unit and highlighted the need of such a unit and a protocol to transfer fit patients to this unit.

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Objective: To evaluate the clinical characteristics and costs incurred for patients who stayed for a prolonged period in a surgical intensive care unit (ICU)

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e-Published: 06 Jun, 2013

Laparoscopic Cholecystectomy for Chronic Cholecystitis in Jamaican Patients with Sickle Cell Disease: Preliminary Experience

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Pages: 
22–4
Synopsis: 
Acute chest syndrome remains a significant problem in patients with sickle cell disease subjected to laparoscopic cholecystectomy.

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e-Published: 06 Jun, 2013

Video Assisted Thoracoscopic Surgery at the Queen Elizabeth Hospital Barbados

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Pages: 
19–21
Synopsis: 
A review of the first fifty cases of Video assisted thoracoscopic surgery performed at the Queen Elizabeth Hospital in Barbados. The paper describes the technique used, its advantages versus thoracotomy, and presents the results, complications and mortality for these patients.

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e-Published: 06 Jun, 2013

Trends in Incidence and Histological Subtypes of Lung Cancer, Kingston and St Andrew, Jamaica, 1968–1997

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Pages: 
13–18
Synopsis: 
A 30-year review of lung cancers from Kingston and St Andrew, Jamaica, shows a progressive shift in the distribution of histological subtypes, mirroring similar trends that have been documented worldwide.

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e-Published: 06 Jun, 2013

In vitro Activity of Fluoroquinolones against Common Respiratory Pathogens

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Pages: 
9–12
Synopsis: 
The study compares the in vitro activity of the newest Fluoroquinolones; gatifloxacin and moxifloxacin with levofloxacin and ciprofloxacin using three major respiratory pathogens, Streptococcus pneumoniae, Haemophilus influenzae and Moraxella catarrhalis.

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e-Published: 06 Jun, 2013

Choline Supplementation Facilitates Short-term Memory Consolidation into Intermediate Long-term Memory of Young Sprague-Dawley Rats

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Pages: 
4–8
Synopsis: 
We examined the effects of choline supplementation in young Sprague-Dawley rats. Rats were place into two groups and received either choline supplementation or vehicle over a period of two weeks. We found that the two-week choline supplementation in young rats improved the consolidation of short-term memory into intermediate long-term memory.

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e-Published: 06 Jun, 2013

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