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Original Articles

Evaluation of a Hypertension Screening Programme in Independence, Belize

Issue: 
Pages: 
130–34
Synopsis: 
A hypertension-screening programme in Independence, Belize, successfully directed 85.7% of hypertensive patients to appropriate medical care. Women, elderly patients and patients with a previous history of hypertension were more likely than their counterparts to seek follow-up medical care.

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e-Published: 05 Jun, 2013

The Oral Contraceptive Pill Effectively Permits Cycle Batching for an Intermittent In Vitro Fertilization Programme in Trinidad and Tobago

Issue: 
Pages: 
127–29
Synopsis: 
The use of the oral contraceptive pill (OCP) to batch 74 women’s cycles in an intermittent in vitro fertilization (IVF) programme was compared with 121 cycles without the OCP. The method was effective, simple and cheap and is therefore recommended for other small IVF centres which perform intermittent, batched treatment.

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e-Published: 05 Jun, 2013

How Well does Fetal Ultrasound Predict the Date of Birth in Antigua and Barbuda?

Issue: 
Pages: 
123–26
Synopsis: 
A retrospective analysis of fetal ultrasound prediction of date of birth shows that ultrasound is significantly better than date of birth based on menstrual history in a primarily Afro-Caribbean population.

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e-Published: 05 Jun, 2013

Estimating the Cost of Hospital Services in a Small Island State: A Case Study of the Milton Cato Memorial Hospital in St Vincent and the Grenadines

Issue: 
Pages: 
116–22
Synopsis: 
The step-down accounting methodology is employed to estimate and compare cost components of selected services at the Milton Cato Memorial Hospital in St Vincent and the Grenadines. The levels of subsidization for inpatient services remain relatively high. Ancillary services had lower levels of subsidization and laboratory services are not subsidized.

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e-Published: 05 Jun, 2013

An Economic Evaluation of Laparoscopic Cholecystectomy for Public Hospitals in Trinidad and Tobago

Issue: 
Pages: 
110–15
Synopsis: 
Laparoscopic cholecystectomy is compared to the Open and Minilap approaches in a cost minimization analysis for public hospitals in Trinidad and Tobago. There is a reduced recovery period for patients and this translates into savings to other sectors of the economy.

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e-Published: 05 Jun, 2013

In Vitro Activity of Sodium-Benzoate against Isolates of Methicillin-resistant Staphylococcus aureus

Issue: 
Pages: 
107–9
Synopsis: 
In this study, the aim was to determine the in vitro activity of sodium benzoate against methicillinresistant staphylococcus aureus and methicillin-sensitive staphylococcus aureus clinical isolates. The minimum inhibitory concentration at which all of the methicillin-resistant staphylococcus aureus and methicillin-sensitive staphylococcus aureus strains were inhibited was 32 μg/ml and higher concentrations.

ABSTRACT

Background: Worldwide, methicillin-resistant Staphylococcus aureus (MRSA) rates have increased dramatically during the last decades. Sodium benzoate (SB) is a chemical substance that is used for preparing food and drinks and in the treatment of some metabolic (urea cycle disorders and hepatic coma) diseases. No studies were found which focussed on the effects of SB in MRSA infections. The aim was to determine in vitro activity of sodium benzoate against MRSA clinical isolates.

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e-Published: 05 Jun, 2013

The Effect of Phytic Acid on the Levels of Blood Glucose and Some Enzymes of Carbohydrate and Lipid Metabolism

Issue: 
Pages: 
102–6
Synopsis: 
The changes in some of the hepatic metabolic enzymes in rats fed phytic acid extract from sweet potato are geared towards compensating for the decreased glycolytic responses.

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e-Published: 05 Jun, 2013

Changes in Some Liver Enzymes in Streptozotocin-induced Diabetic Rats fed Sapogenin Extract from Bitter Yam (Dioscorea polygonoides) or Commercial Diosgenin

Issue: 
Pages: 
97–101
Synopsis: 
The consumption of sapogenin extract from bitter yam by diabetic rats results in changes in the metabolism of glucose with subsequent reduction in plasma glucose concentration.

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e-Published: 05 Jun, 2013

A Comparison of Patients Relapsing to Addictive Drug Use with Non-relapsing Patients Following Residential Addiction Treatment in Antigua

Issue: 
Pages: 
196–201
Synopsis: 
The status of addictive drug use in 100 persons from Antigua with addiction admitted for residential treatment was assessed at an average of 21 months following treatment. Abstinence was achieved in 46% of those entering treatment, in 51% completing treatment, in 60% in those whose families participated and in 92% of those accepting halfway house placement.

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e-Published: 05 Jun, 2013

The Epidemiology of Mycotic Vulvovaginitis and the use of Antifungal Agents in Suspected Mycotic Vulvovaginitis and its Implications for Clinical Practice

Issue: 
Pages: 
192–95
Synopsis: 
Inappropriate empirical treatment of suspected mycotic vulvovaginitis predisposes to the development of antifungal resistance and the emergence of non-albicans Candida species. These findings have significant implications for clinical practice.

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