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Original Articles

Worse Chronic Obstructive Pulmonary Disease Outcomes in Patients Who Smoke Both Tobacco and Marijuana

DOI: 
10.7727/wimj.2017.080
Synopsis: 
We compared the clinical course and outcomes for the patients admitted for Chronic Obstructive Pulmonary Disease (COPD) who smoked tobacco and marijuana versus tobacco only. The results showed earlier onset of advanced COPD with more frequent progression to cor pulmonale and death in tobacco and marijuana smokers.

ABSTRACT

Objective: To compare clinical course and outcomes in patients admitted for Chronic Obstructive Pulmonary Disease (COPD) who smoke tobacco plus marijuana versus tobacco only.

Received: 
14 Mar, 2017
Accepted: 
31 Mar, 2017
PDF Attachment: 
PDF icon charles_et_al-clinical_outcomes_in_tobacco_and_marijuana_smokers_with_copd.pdf
Journal Sections: 
Original Articles
Keywords: 
COPD
chronic obstructive pulmonary disease
cor pulmonale
tobacco and marijuana smoking
Journal Authors: 
LM Charles
MS Ambrose
M Didier
C Nathaniel
e-Published: 31 May, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Aerobic and Resistance Exercises Modulate Fibroblast Growth Factor-21 Level in Menopause Women with Type II Diabetes

Issue: 
Vol 69, Issue 7: 2022
DOI: 
10.7727/wimj.2016.551
Pages: 
471-7
Synopsis: 
In this study, aerobic and resistance exercises lead to increase of serum FGF21 levels in menopausal women with type II diabetes mellitus. Increased FGF21 level mediates beneficial effects of aerobic and resistance exercises on glucose and lipid metabolism in these patients.

ABSTRACT

Objectives: To determine the relationship between exercises with the serum fibroblast growth factor 21 (FGF21) levels and glucose and lipid profile in menopausal type II diabetic women.

Received: 
08 Nov, 2016
Accepted: 
30 Mar, 2017
Published: 
02 May, 2022
PDF Attachment: 
PDF icon wimj-iss7-2022_471_477.pdf
Journal Sections: 
Original Articles
Keywords: 
exercise
fibroblast growth factor 21
glucose
lipids
menopausal women
Journal Authors: 
P Farzanegi
e-Published: 31 May, 2017

Transitioning Lumbar Fusions to Outpatient Using Midline Less Exposure Surgery Techniques with Transfacet and Mediolateral Cortical Bone Pedicle Screws

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.031
Pages: 
428–33
Synopsis: 
The combined approach of unilateral pedicle screws plus contralateral facet screw has equivalent outcomes to bilateral traditional pedicle screw. This study demonstrates the feasibility of an alternative of posterior fixation.

ABSTRACT

Objective: Posterior decompression and fusion have been the standard of treatment for degenerative disc disease as well as disc herniation. Recent advances in medicine and healthcare have shown a trend to move surgeries to the outpatient setting. The authors aim to assess the outcomes of unilateral cortical pedicle screw-rod construct combined with a contralateral transfacet pedicle screw (TFPS) in the outpatient setting.

Received: 
27 Jan, 2017
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_428_433.pdf
Journal Sections: 
Original Articles
Keywords: 
Combined fixation
cortical bone trajectory pedicle screws
eligibility
facet screws
less exposure surgery
L5–S1
outpatient
posterior fixation
Journal Authors: 
KR Chin
FJR Pencle
RM Harris II
JA Seale
e-Published: 24 May, 2017

Avoiding Transfusion in 700 consecutive Outpatient Spine Surgery Patients Using Less Exposure Surgery Techniques

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.030
Pages: 
424–7
Synopsis: 
Blood loss requiring the need for transfusion is a major potential in spine surgery. There is a need to decrease the risk of transfusion to transition to outpatient surgery. This study demonstrated that no patients required transfusion using several tips and techniques.

ABSTRACT

Objective: Spine surgery is transitioning using minimally invasive and less exposure surgery (LES) techniques. Blood loss requiring transfusions remains a distinct complication. The authors aim to demonstrate the use of tips and techniques in decreasing the risk of transfusion in the outpatient setting.

Received: 
27 Jan, 2017
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_424_427.pdf
Journal Sections: 
Original Articles
Keywords: 
Blood Loss
inpatient
less exposure surgery
outpatient
risk reduction
transfusion
Journal Authors: 
FJR Pencle
NT Britton
CF Packer
JA Seale
KR Chin
e-Published: 24 May, 2017

Biomechanical Comparison of Same Size Transfacet Screws Versus Pedicle Screws Across the L5-S1 Native Disc

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.029
Pages: 
416–23
Synopsis: 
The use of transfacet pedicle screws is a method for posterior fixation. Bilateral transfacet screws provided better immediate stability than equivalent-sized unilateral or a bilateral standard pedicle screws at L5-S1.

ABSTRACT 

Objective: There is a resurgence in facet screw use; however, there is a paucity of data comparing the stability of transfacet pedicle screws (TFPS) to standard pedicle screw-rod constructs at L5-S1. The authors aim to compare the stabilizing potential of TFPS compared to pedicle screws of the same length and diameter at L5-S1 with an intact native disc.

Received: 
27 Jan, 2017
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_416_423.pdf
Journal Sections: 
Original Articles
Keywords: 
Diameter screws
equivalent length
L5-S1 intact native disc
pedicle screw-rods Biomechanics
posterior fixation
transfacet pedicle screws
Journal Authors: 
KR Chin
FJR Pencle
AGU Newcomb
MT Reis
PM Reyes
D Malhotra
WD Yu
CA Bruce
NR Crawford
e-Published: 24 May, 2017

Body Mass Index and Smoking Status as Predictors of Progression to Surgery and Complications and Postoperative Pain in Non-traumatic Back Pain Patients

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.028
Pages: 
409–15
Synopsis: 
Positive smoking history leads to an increased risk of patients with non-traumatic back pain progressing to surgery. Surgical patients also have a higher postoperative complication rate. Higher body mass index leads to an increased risk of complication and postoperative pain.

ABSTRACT

Received: 
27 Jan, 2016
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_409_415.pdf
Journal Sections: 
Original Articles
Keywords: 
body mass index
Complications
non-traumatic back pain
predictors of progression to surgery
postoperative pain
Smoking
Journal Authors: 
KR Chin
AY Jorgensen
JR Eiszner
FJR Pencle
e-Published: 24 May, 2017

Trends in Inpatient versus Outpatient Anterior Cervical Discectomy and Fusion in the United States of America: An Epidemiologic and Economic Analysis

Issue: 
Vol 66, Issue 3: 2017- Less Exposure Surgery (LES) Focus
DOI: 
10.7727/wimj.2017.026
Pages: 
399-403
Synopsis: 
Review of national trend in outpatient anterior cervical fusion showed an increase over four years. There was no correlation to reimbursements in database sample.

ABSTRACT

Received: 
27 Jan, 2017
Accepted: 
12 May, 2017
Published: 
23 Oct, 2017
PDF Attachment: 
PDF icon wimj-iss3-2017_399-403.pdf
Journal Sections: 
Original Articles
Keywords: 
Anterior cervical discectomy and fusion
cervical
economic analysis
epidemiology
national sample
neck pain
Journal Authors: 
FJR Pencle
S Rosas
NT Britton
EA Hothem
KR Chin
A Simela
e-Published: 24 May, 2017

Initial Experience and Outcomes with Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for the Management of Peritoneal Carcinomatosis in the Bahamas

DOI: 
10.7727/wimj.2015.522
Synopsis: 
Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy is an aggressive treatment option for patients with peritoneal carcinomatosis. The procedure is complex but has been proven to be safe and offer survival benefit worldwide and in the Caribbean.

ABSTRACT

Background: Cytoreductive Surgery (CRS) with heated intraperitoneal chemotherapy (HIPEC) is a treatment option with curative intent for selected patients with peritoneal carcinomatosis (PC). The aim of our study was to report our initial experience with CRS and HIPEC performed by a specialized team in a low volume setting. We set out to determine the safety and efficacy of this treatment and also look at our outcomes with respect to perioperative complications and survival.

Received: 
13 Oct, 2015
Accepted: 
26 Oct, 2015
PDF Attachment: 
PDF icon humes_et_al-crs_and_hipec_in_the_treatment_of_peritoneal_carcinomatosis.pdf
Journal Sections: 
Original Articles
Keywords: 
Cytoreductive surgery
HIPEC
peritoneal carcinomatosis
Journal Authors: 
T Humes
D Major
A Frankson
M Weech
WP Francis
e-Published: 18 May, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Clinicopathological Features of Colorectal Cancer at the Extremes of Age

DOI: 
10.7727/wimj.2016.443
Pages: 
Synopsis: 
CRC in the young and elderly patients is not uncommon. Patients present with locally advanced disease and similar clinicopathological features to patients of a screenable age, emphasizing the importance of clinical vigilance if we are going to diagnose and treat these patients in a timely manner.

ABSTRACT

Objective: To determine the clinicopathological features of patients with colorectal cancer (CRC) at the extremes of age and compare differences across the younger and older age groups.

Received: 
28 Feb, 2017
Accepted: 
24 Mar, 2017
PDF Attachment: 
PDF icon plummer_et_al-crc_at_extremes_of_age.pdf
Journal Sections: 
Original Articles
Keywords: 
colorectal cancer
elderly
young
locally advanced
Journal Authors: 
JM Plummer
D Ferron-Boothe
PA Leake
S Hamilton
L Powell
N Meeks-Aitken
e-Published: 18 May, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

The HIV Care Continuum in Curaçao

DOI: 
10.7727/wimj.2017.086
Synopsis: 
The continuum of HIV care in Curaçao was studied between 2000 and 2010. Overall, 551 individuals were newly diagnosed with HIV-1 infection, of which 367 were linked to care, 267 started cART and 166 achieved viral suppression, representing 30% of all newly diagnosed. To improve the effect of cART, the health care authorities of Curaçao should focus on scaling up HIV testing as well as improving linkage and adherence to care.

ABSTRACT

Objective: To determine the continuum of HIV care and factors associated with delayed entry and start of cART in Curaçao.

Methods: We analysed linkage to care, starting cART and viral suppression after cART for all 551 individuals who were newly diagnosed with HIV-1 infection in Curaçao between 2000 and 2010.

Received: 
04 Apr, 2017
Accepted: 
01 May, 2017
PDF Attachment: 
PDF icon hermanides_et_al-hiv_care_continuum.pdf
Journal Sections: 
Original Articles
Keywords: 
Caribbean
Continuum of care
engagement
HIV
linkage
Journal Authors: 
HS Hermanides
AI van Sighem
I Gerstenbluth
AJ Duits
e-Published: 18 May, 2017

Disclaimer

Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

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West Indian Medical Journal

Faculty of Medical Sciences,
The University of the West Indies,
Mona, Kingston 7
Tel: (876) 927-1214
Fax: (876) 927-1846
wimj@uwimona.edu.jm
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