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Original Articles

The Impact of the Establishment of a Neonatal Intensive Care Unit on the Outcome of Very Low Birthweight Infants at the University Hospital of the West Indies

Issue: 
Pages: 
297–301
Synopsis: 
The establishment of a neonatal intensive care unit has resulted in improved survival of very low birthweight infants. Further improvement in survival of these infants will be dependent on increased accessibility to surfactant therapy, initiation of total parenteral nutrition and the availability of trained personnel.

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e-Published: 06 Jun, 2013

Iron Deficiency Anaemia in Jamaican Children, Aged 1–5 Years, with Sickle Cell Disease

Issue: 
Pages: 
292–6
Synopsis: 
Iron deficiency anaemia (IDA) occurs in children with sickle cell disease (SCD) in Jamaica. Further studies are needed to determine whether treatment of IDA in children with SCD reduces morbidity and is associated with clinical benefits such as improvement in neurocognitive function.

ABSTRACT

Objective: The aim of this study was to determine, using a combination of measures, the prevalence of iron deficiency anaemia (IDA) in children under five years-of-age who have sickle cell disease (SCD) and attend the Sickle Cell Clinic (SCU) of the Tropical Medicine Research Institute.

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e-Published: 06 Jun, 2013

Field Trial to Test and Evaluate Primary Tobacco Prevention Methods in Clusters of Elementary Schools in Barbados

Issue: 
Pages: 
283–91
Synopsis: 
Tobacco control efforts presently focus on late adolescence and adulthood. The intervention in children aged 9 – 11 years reduced experimental smoking by 87% at US$2 per child, cost-effectiveness akin to immunization.

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e-Published: 06 Jun, 2013

Human Immunodeficiency Virus Type-1 (HIV-1) Subtypes in Jamaica

Issue: 
Pages: 
279–82
Synopsis: 
The majority of strains of HIV-1 isolated from HIV-1 infected individuals in Jamaica were found to be HIV- 1 subtype B. The less frequently found HIV-1 subtypes were C, D and E and some strains were untypable by the methods used.

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e-Published: 06 Jun, 2013

The Effect of Hurricane Ivan on Emergency Department Operations at the University Hospital of the West Indies

Issue: 
Pages: 
232–5
Synopsis: 
The authors conducted a descriptive retrospective record-based incidence study of all admissions to the Emergency Department (ED) during a hurricane. Injuries that took place during the hurricane period represented 40% of the total patients seen. Overall, the coping mechanism of the ED was adequate for this magnitude of disaster.

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e-Published: 05 Jun, 2013

Microbial Isolates from Patients in an Intensive Care Unit, and Associated Risk Factors

Issue: 
Pages: 
225–31
Synopsis: 
Sputum, blood and urine cultures done in ICU patients at the UHWI showed a predominance of gram-negative organisms. Risk factors for positive cultures included mechanical ventilation > 5 days, CVP line insertion > 7 days, pre-admission infection, prior use of antibiotics, increasing APACHE II score and increasing age.

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e-Published: 05 Jun, 2013

Transfer of Head-injured Patients in Jamaica: Is there a Problem?

Issue: 
Pages: 
220–24
Synopsis: 
The transfer of head-injured patients, many with multiple injuries, is not being performed in a manner consistent with modern medical practice. There is urgent need for implementation of a standardized protocol for the transfer of such patients in Jamaica.

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e-Published: 05 Jun, 2013

Student Self-assessment in a Paediatric Objective Structured Clinical Examination

Issue: 
Pages: 
144–48
Synopsis: 
Student self-assessment is a useful method of promoting learning through recognition of strengths and weaknesses, understanding the relevance of core learning objective and encouraging responsible learning behaviour. The study examines the accuracy of medical students self-assessment of their performance in a paediatric clerkship objective structured clinical examination. Students overestimated their performance at some stations and underestimated at others.

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e-Published: 05 Jun, 2013

A Comparison of the Objective Structured Clinical Examination Results across Campuses of The University of the West Indies (2001 and 2002)

Issue: 
Pages: 
139–143
Synopsis: 
This study assesses the performance of medical students in the objective structured clinical examination (OSCE) of the final MBBS examination across the four campuses of The University of the West Indies, (2001 and 2002). The OSCE scores in the medicine and therapeutics examination are generally uniform across all campuses of the University.

ABSTRACT

Objective: To compare the performance of medical students in the Objective Structured Clinical Examination (OSCE) of the final MBBS Examination across the four campuses of The University of the West Indies, over a two-year period.

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e-Published: 05 Jun, 2013

Which Anaesthesia should be Recommended for Prostate Biopsy?

Issue: 
Pages: 
135–38
Synopsis: 
Transrectal ultrasound guided prostate biopsies are routinely performed by most urologists. In this trial, the efficacy of the administration of lidocaine gel intrarectally and the lidocaine periprostatic infiltration are compared for this procedure. Rectal administration of lidocaine gel is safe, simple and effective.

ABSTRACT

Objective: Although transrectal ultrasound-guided prostatic biopsies are associated with significant discomfort and pain, most urologists do not use any kind of anaesthesia. We therefore compared the efficacy of two local anaesthetics, namely, the rectal administration of lidocaine gel and lidocaine periprostatic infiltration prior to biopsies.

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e-Published: 05 Jun, 2013

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