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Original Articles

Urinary Angiotensinogen as a Potential Biomarker of Intrarenal Renin-angiotensin System Activity in Chinese Patients with Chronic Kidney Disease

Issue: 
DOI: 
10.7727/wimj.2013.279
Pages: 
436–42
Synopsis: 
Urinary angiotensinogen might be a potential biomarker of intrarenal angiotensin II activity in patients with chronic kidney disease.

 ABSTRACT

Accepted: 
24 Feb, 2014
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e-Published: 03 Jul, 2014

A Comparative In Vitro Study on the Antioxidant and Anti-acetylcholinesterase Properties of Aerial Parts of Strophanthus preusii Engl & Pax

Issue: 
DOI: 
10.7727/wimj.2013.287
Pages: 
408–15
Synopsis: 
The leaves and root of Strophanthus preusii have proven to be potent natural antioxidants which could justify their traditional use in the management of stress-related diseases.

 ABSTRACT

Objective: To evaluate and compare the antioxidant and acetylcholinesterase (AChE)-inhibitory properties of aerial parts of Strophanthus preussii (leaves, stem and root named as SPL, SPS and SPR, respectively) while catechin served as standard. 

Accepted: 
21 Jan, 2014
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e-Published: 03 Jul, 2014

Development and Validation of a Measure of Attitudes toward Fluffy Women

Issue: 
DOI: 
10.7727/wimj.2013.321
Pages: 
626–33
Synopsis: 
A scale to assess attitudes toward fluffy women is developed and validated in a university student population in Jamaica. The scale has reasonably good concurrent validity and acceptable discriminant validity.

ABSTRACT

Background: There is an absence of research on the newly evolved term “fluffy” which describes body image and personality features among women. Research on “fluffiness” among Caribbean peoples has been limited by the lack of valid and reliable measures of the concept.

Accepted: 
22 Apr, 2014
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e-Published: 02 Jul, 2014

Cervical Smears at Public Health Centres in Eastern Trinidad: Coverage and Follow-up, 2009–2010

Issue: 
DOI: 
10.7727/wimj.2013.295
Pages: 
575–81
Synopsis: 
The cervical screening services in the Eastern Regional Health Authority in Trinidad and Tobago did not provide adequate coverage to the target population or adequate follow-up care for women with abnormal smears in 2009 and 2010.

ABSTRACT

Background: The objective was to examine the cervical screening programme at selected health centres in the Eastern Regional Health Authority (ERHA), Trinidad and Tobago, specifically regarding Pap smear coverage, frequency distribution of abnormal smears and the adequacy of follow-up of abnormal smears, according to the Caribbean Frameworks for Developing National Screening and Clinical Guidelines for Cervical Cancer Prevention and Control. 

Accepted: 
26 Nov, 2013
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e-Published: 26 Jun, 2014

Monitoring of International Diabetes Federation-recommended Clinical Diabetes Indicators in a Public Health Centre in Southwest Trinidad

Issue: 
DOI: 
10.7727/wimj.2014.026
Pages: 
566–70
Synopsis: 
A medical record audit was conducted within a public regional health centre to quantify availability of diabetes clinical indicators and to provide rates of disease control according to regional guidelines. Reporting patterns are improving but remain a limitation for patient management.

ABSTRACT

Objectives: To examine availability of International Diabetes Federation (IDF)-recommended diabetes indicators in the medical charts of patients in active care at a public health centre in southwest Trinidad and Tobago, and to determine clinical status of the patient population according to Caribbean Health Research Council/Pan American Health Organization (CHRC/PAHO) guidelines for disease control.

Accepted: 
24 Feb, 2014
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e-Published: 20 Jun, 2014

Evaluation of Water Sanitation Health Education Programme: Working with the Knowledge of the Basic Sanitation Services in a Developing Community in Rural Haiti after the 2010 Earthquake

Issue: 
DOI: 
10.7727/wimj.2013.258
Pages: 
616–9
Synopsis: 
After a two-year intervention programme, residents of a rural community in Haiti had an adequate knowledge of the new sanitation system, especially those who had access to the system, those 40–49 years old and those with households of less than seven members.

ABSTRACT

Objective: The aim of this study is to measure the knowledge regarding the new sanitation water system being implemented in Dessources, a rural community in the municipality of Croix-des-Bouquets in Haiti after a two-year intervention programme.

Accepted: 
12 Dec, 2013
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e-Published: 20 Jun, 2014

A Radiographic Correlation between Renal and Pulp Stones

Issue: 
DOI: 
10.7727/wimj.2013.077
Pages: 
620–5
Synopsis: 
No correlation was found between the presence of pulp stones and kidney stones in the investigated group. The presence of pulp stones does not seem to be correlated with that of kidney stones.

ABSTRACT

Aim: The purpose of this study was to determine the correlation between pulp stones and renal stones. This study also aimed to report associations between the presence of pulp stone and gender, age, tooth type, dental arches and sides.

Accepted: 
22 Apr, 2013
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e-Published: 17 Jun, 2014

Stress, Burnout and Coping among Emergency Physicians at a Major Hospital in Kingston, Jamaica

Issue: 
DOI: 
10.7727/wimj.2013.330
Pages: 
262–6
Synopsis: 
Emergency physicians at a major hospital in Kingston, Jamaica, scored high on stress and components of burnout. Interventions aimed at reducing the occupational contributors to stress and improving levels of coping will reduce the risk of burnout and enhance their psychological well-being.

ABSTRACT

Objectives: The study examined the prevalence of stress, burnout, and coping, and the relationship between these variables among emergency physicians at a teaching hospital in Kingston, Jamaica.

Methods: Thirty out of 41 physicians in the Emergency Department completed the Maslach Burnout Inventory, Perceived Stress Scale, Ways of Coping Questionnaire, and a background questionnaire. Descriptive statistical analyses were conducted.

Accepted: 
29 May, 2014
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e-Published: 12 Jun, 2014

A Survey of the Pain Management of Acute Painful Crisis among Patients with Sickle Cell Disease at Two Centres in Jamaica

Issue: 
DOI: 
10.7727/wimj.2013.333
Pages: 
252–7
Synopsis: 
Evidence suggests that acute painful crisis (APC) can be managed safely and effectively in the outpatient setting. This survey reviewed the management of APC at two outpatient centres on the Mona campus of the University of the West Indies.
 

ABSTRACT

Objectives: The aim of this survey was to establish the pain management approaches to acute painful crisis (APC) in sickle cell patients at two healthcare facilities and to compare with available guidelines.

Accepted: 
12 Feb, 2014
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Journal Sections: 
e-Published: 12 Jun, 2014

Evaluation of Waiting Times and Sonographic Findings in Patients with First Trimester Vaginal Bleeding at the University Hospital of the West Indies. Can Emergency Department Ultrasound Make a Difference?

Issue: 
DOI: 
10.7727/wimj.2013.230
Pages: 
247–51
Synopsis: 
This retrospective study was conducted to evaluate how long pregnant female patients with vaginal bleeding in the first trimester wait for a pelvic ultrasound. The majority of patients had sonographic findings that would have allowed safe and timely discharge from the emergency department had ultrasound been available at the point of care.
 

ABSTRACT

Accepted: 
26 Nov, 2013
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e-Published: 11 Jun, 2014

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