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Original Articles

Relationship between Mortality and the Timing of Admission to Intensive Care Units

DOI: 
10.7727/wimj.2017.046
Synopsis: 
We report on mortality rates and ICU admission times at the Dr. Lutfi Kirdar Kartal Training and Research Hospital. It should be of interest to readers regarding precautions that can be taken to reduce ICU mortality through improved ICU care and staffing

ABSTRACT

Objectives: The objective of this study was to assess the effect of the timing of intensive care unit (ICU) admissions (“off hours” or “business hours”) on patients’ subsequent risk of death.

Accepted: 
21 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 22 Mar, 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.

Burden of Paediatric Sepsis in a Tertiary Centre from a Developing Country

Issue: 
DOI: 
10.7727/wimj.2017.040
Pages: 
137-42
Synopsis: 
This study estimated the case fatality rate of doctor diagnosed pediatric sepsis using administrative data. There was a high (13%) overall case fatality rate from doctor diagnosed pediatric sepsis during the five-year period studied.

ABSTRACT

Background: Sepsis causes significant pediatric morbidity and mortality in developing countries. This audit describes the outcome of pediatric sepsis in the University Hospital of the West Indies (UHWI), Jamaica using administrative data from hospital records during 2010 to 2014.

Revised: 
04 Jun, 2018
Accepted: 
21 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 22 Mar, 2017

Clinical Relevance of Determination of Tumour Infiltrating Lymphocytes in Breast Carcinoma

DOI: 
10.7727/wimj.2017.044
Synopsis: 
This study estimated the importance of tumor infiltrating lymphocytes (TILs) in breast carcinoma among patients of the University Hospital, Oncology Institute of Vojvodina. The results of this research indicate the correlation of TILs with numerous negative prognostic factors and shorter Disease Free Survival, which all indicates that TILs are bad prognostic factors in patients with ductal breast cancer.

ABSTRACT

Objective: The main purpose of this research was to determine the prognostic relevance of tumour infiltrating lymphocytes (TILs), CD4+ and CD8+ lymphocytes in patients with breast cancer.

Accepted: 
21 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 22 Mar, 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.

A Retrospective Analysis of Patients Presenting with Head and Neck Paragangliomas at Two Tertiary Referral Centres in Jamaica

Issue: 
DOI: 
10.7727/wimj.2017.024
Pages: 
25-30
Synopsis: 
Paragangliomas are rare, benign vascular tumours that can present in the head and neck region with a wide clinical spectrum. The clinical presentation and management approaches are examined from a Jamaican perspective.

ABSTRACT

Objective: Paragangliomas are slow-growing tumours that present with varied clinical spectra. Early recognition is paramount in achieving reduced morbidity and mortality. There is a paucity of data regarding head and neck paragangliomas (HNPGs) in the Caribbean literature. This study aimed to reflect the clinical experience in the management of HNPGs at two Jamaican tertiary referral centres: the Kingston Public Hospital (KPH) and the University Hospital of the West Indies (UHWI).

Accepted: 
21 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 22 Mar, 2017

Use of Axillary Fold, Parallel Double Incision, Minimally Invasive Surgery Combined with Ion Electrocautery for Axillary Bromhidrosis

DOI: 
10.7727/wimj.2017.017
Synopsis: 
Axillary bromhidrosis is an autosomal dominant genetic disease characterized by unpleasant odor caused by interaction between apocrine gland discharge and bacteria. Many treatments have been developed for axillary bromhidrosis. Surgical resection of the apocrine glands is the most effective and is irreversible, but the risk of postoperative complications is very high. This study aimed to evaluate the efficacy and adverse effects of a new surgical procedure.

ABSTRACT

Objective: Axillary bromhidrosis is an autosomal dominant genetic disease characterized by unpleasant odor caused by interaction between apocrine gland discharge and bacteria. Many treatments have been developed for axillary bromhidrosis. Surgical resection of the apocrine glands is the most effective and is irreversible, but the risk of postoperative complications is very high. This study aimed to evaluate the efficacy and adverse effects of a new surgical procedure.

Accepted: 
21 Mar, 2017
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 22 Mar, 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.

Antibacterial Activity of Glycyrrhiza Glabra Roots against Food-borne Bacterial Pathogens

Issue: 
DOI: 
10.7727/wimj.2016.545
Pages: 
115–20
Synopsis: 
This study evaluated the antibacterial activity of Glycyrrhiza glabra roots extract was evaluated against several food-borne bacterial pathogens. Results show that the aqueous extract was more effective than the others; while, among the tested bacteria, Staphylococcus aureus and Pseudomonas aeruginosa were the most sensitive and the most resistant, respectively.

ABSTRACT

Objective: The antibacterial activity of Glycyrrhiza glabra roots extract was evaluated against several food-borne bacterial pathogens.

Accepted: 
21 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 21 Mar, 2017

Determinants of Cervical Cancer Screening among Jamaican Women

Issue: 
DOI: 
10.7727/wimj.2017.001
Pages: 
9-17
Synopsis: 
This study examined the association of six sociodemographic factors and three lifestyle practices with Pap smear testing among Jamaican women. Women who were poor and uneducated and had small family sizes were least likely to be screened and should be targeted.

ABSTRACT

Objective: To assess the extent to which six sociodemographic variables and three lifestyle practices of women are associated with Pap smear testing, given that cervical cancer is the second leading cause of women’s cancer mortality in Jamaica and that this cancer is preventable with the use of screening methods such as the Pap smear.

Accepted: 
14 Mar, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 17 Mar, 2017

Histopathological and Immunohistochemical Study of the Effect of Sildenafil Citrate, Vitamin A, Vitamin C and Vitamin E on Wound Healing in Alloxan-induced Diabetic Rats

Issue: 
DOI: 
10.7727/wimj.2015.596
Pages: 
332-7
Synopsis: 
The aim of this study was to examine the impact of sildenafil citrate, vitamin A, vitamin C and vitamin E on wound healing in diabetics. It was decided that when it is necessary to recommend an ideal combination for the wound of a diabetic, it would be beneficial to use sildenafil citrate together with vitamin A and vitamin C.

ABSTRACT

Objective: To examine the impact of sildenafil citrate, vitamin A (Vit A), vitamin C (Vit C) and vitamin E (Vit E) on wound healing in a rat model of diabetes (n = 100).

Accepted: 
07 Jan, 2016
PDF Attachment: 
Journal Sections: 
e-Published: 16 Mar, 2017

Knockdown of ET-1 Gene Can Inhibit the Proliferation, Invasion of Human Prostate Cancer Cell

DOI: 
10.7727/wimj.2016.456
Synopsis: 
Synopsis: This study estimated the effects of knockdown the gene Endothelin-1(ET-1) to human prostate cancer cell. The results of this study can describe the characterization of ET-1in the development of primary human Prostate cancer, which can lead to a better understanding of the changes occurring at the molecular level during the development and progression of cancer.

ABSTRACT

Accepted: 
13 Feb, 2017
PDF Attachment: 
Journal Sections: 
Journal Authors: 
e-Published: 03 Mar, 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.

Knowledge, Attitudes and Practice Regarding Personal Cervical Cancer Screening among Clinical Staff Working in Obstetrics and Gynaecology at Two Tertiary Institutions in Jamaica

DOI: 
10.7727/wimj.2016.280
Synopsis: 
Clinicians in gynaecology are charged with driving cervical cancer screening but do they practice what they preach? This study looks at the knowledge, attitudes and practices of Jamaican practitioners as it relates to personal cervical cancer screening.

ABSTRACT

Objectives: The objective of the study was to evaluate knowledge, attitudes and practices with regards to cervical cancer screening among obstetric clinical staff.

Accepted: 
13 Feb, 2017
PDF Attachment: 
Journal Sections: 
e-Published: 02 Mar, 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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