Application of this procedure at the University Hospital of the West Indies to treat patients with non-chagasic megaesophagus yields satisfactory early results and provides an option to more radical procedures.
ABSTRACT
The palliation of patients with megaesophagus secondary to achalasia of the cardia presents significant challenges to the surgeon. Experience with palliation of megaesophagus secondary to Chagas’ disease suggests that options other than cardiomyotomy or oesophagectomy can result in satisfactory outcomes. A small series of patients with non-chagasic megaesophagus who were treated with a gastroesophagoplasty procedure is discussed.
In a serological study on 123 patients with pneumonia, 39 (31.7%) and 2 (1.6%) were positive for L pneumophila IgM/G/A and IgM only respectively. Seroprevalence was not significantly (p > 0.05; χ2) affected by hospitals, gender, ethnicity and co-morbidities.
The prevalence of depression in a non-random selected group of chronic disease clinics in Southwest Trinidad was 78%. Further exploration of depression in patients with chronic illnesses is required.
The majority of 216 cases of gastric cancer seen over a ten-year period was in the elderly; they were of the intestinal variety and located in the antrum. These patients presented with epigastric pain and often did not undergo curative surgery.
The clinical features of persons newly diagnosed with HIV infection, in decreasing order of frequency, were generalized lymphadenopathy, skin rash, oral candidiasis, cough and weight loss.
We examined the plasma choline concentration of sixteen women attending the antenatal clinic of the University Hospital of the West Indies and found that their fasting choline concentrations were low to normal. This may be a reflection of low choline dietary intake.
Regional disaggregating of national statistics regarding homicide and suicide reveal geographic and ethnic variation of these mortality related behaviours. This suggests that victims of homicide and suicide have a different set of risk factors that are in part explained by where they are located geographically and prevention and analysis can only be addressed if the regional variations are understood and explained.
The authors propose that patients with severe hypertension will require four or more antihypertensives for adequate long-term control. Most are symptomatic at presentation.
ABSTRACT
Objective: To determine the characteristics of patients with severe uncontrolled hypertension, in a Jamaican specialist practice; the level of blood pressure control achieved in routine clinical practice, and the number/type of antihypertensive medications required for blood pressure control.
The increasing importance of patient-centred healthcare systems coupled with the ease of availability of health research findings necessitate continuous analyses of reported health information for credibility, accuracy, relevancy and coverage.
Health research published by the newsprint media might influence the public’s perception of the aetiologies of important diseases. Consequently, stakeholders must analyze the quality of such articles for scientific accuracy.