Original Articles

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

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

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.

Received:

09 Dec, 2013

Accepted:

12 Feb, 2014

PDF Attachment:

augier_et_al-management_of_painful_crisis_in_sickle_cell_patients.pdf

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e-Published: 12 Jun, 2014

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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:

Vol 63, Issue 3: Emergency Medicine (2014)

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

Received:

14 Aug, 2013

Accepted:

26 Nov, 2013

PDF Attachment:

french_et_al-sonographic_findings_for_vaginal_bleeding.pdf

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e-Published: 11 Jun, 2014

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Differences and Similarities in Explanatory Models of Hypertension in the United States of America, Tanzania and Jamaica

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.302

Pages:

238–46

Synopsis:

Health beliefs drive health behaviour, yet the health beliefs of racially similar but culturally divergent groups in regards to hypertension have yet to be explored. We examine the differences and similarities amongst racially “black” emergency department patients in the United States of America, Jamaica and Tanzania.

ABSTRACT

Background: Misperceptions detract from effective disease management in a number of conditions but the nature of underlying illness beliefs and their relative consistency in patients with chronic hypertension (cHTN) who present to the Emergency Department (ED) with poor blood pressure control is not known.

Received:

12 Nov, 2013

Accepted:

22 Apr, 2014

PDF Attachment:

purakal_et_al-explanatory_models_of_hypertension.pdf

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e-Published: 11 Jun, 2014

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Primary Care in the Emergency Department – An Untapped Resource for Public Health Research and Innovation

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.332

Pages:

234–7

Synopsis:

Emergency departments are increasingly tasked with the management of patients who have chronic medical conditions. While this does present challenges to care coordination, it also provides an opportunity to define best practices and improve processes at the system level

ABSTRACT

Received:

09 Dec, 2013

Accepted:

13 Jan, 2014

PDF Attachment:

brody_et_al-primary_care_in_the_emergency_room.pdf

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e-Published: 11 Jun, 2014

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A Clinical Audit of the Management of Acute Asthmatic Attacks in Adults and Children Presenting to an Emergency Department

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2013.146

Pages:

226–33

Synopsis:

A prospective docket audit comparing the actual acute management of asthma in the emergency department of the University Hospital of the West Indies with a universally approved written protocol for its management is presented. Failure to assess and document the severity of asthma attacks along with the under-utilization of peak expiratory flow rate was prominent. Strategies to address these should be implemented.

ABSTRACT

Objective: To compare the guidelines in the University Hospital of the West Indies (UHWI) acute asthma management protocol with actual practice in the Accident and Emergency Department.

Received:

31 Jan, 2014

Accepted:

27 Feb, 2014

PDF Attachment:

dasgupta_et_al-asthma_in_the_emergency_department.pdf

Journal Sections:

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e-Published: 11 Jun, 2014

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The Compliance of Healthcare Workers with Universal Precautions in the Emergency Room at the University Hospital of the West Indies

Issue:

Vol 63, Issue 3: Emergency Medicine (2014)

DOI:

10.7727/wimj.2014.044

Pages:

217–25

Synopsis:

Due to the nature of interventions that unstable patients require, emergency room healthcare providers are at risk of exposure to blood-borne pathogens. This study assessed compliance with universal precautions among healthcare workers in the emergency room.

ABSTRACT

Objectives: The study assessed compliance among health workers in the Emergency Room at the University Hospital of the West Indies with universal precautions. This was done by determining the knowledge, practices and perceptions of staff of universal precautions and by assessing compliance. Reported adherence with universal precautions was compared with observed practice.

Received:

17 Feb, 2014

Accepted:

24 Feb, 2014

PDF Attachment:

watson_et_al-compliance_of_healthcare_workers_in_the_emergency_room.pdf

Journal Sections:

Original Articles

Keywords:

Compliance

emergency room

universal precautions

Journal Authors:

e-Published: 11 Jun, 2014

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Normal Ranges for Acute Phase Reactants (Interleukin-6, Tumour Necrosis Factor-alpha and C-reactive Protein) in Umbilical Cord Blood of Healthy Term Neonates at the Mount Hope Women’s Hospital, Trinidad

Issue:

Vol 63, Issue 5: Sep (2014)

DOI:

10.7727/wimj.2012.133

Pages:

465–9

Synopsis:

A prospective study was conducted on 162 umbilical cord blood samples of healthy term neonates at the Mount Hope Women’s Hospital in Trinidad to determine reference values for interleukin-6, tumour necrosis factor-alpha and C-reactive protein.

ABSTRACT

Objective: To determine normal ranges for interleukin-6 (IL-6), tumour necrosis factor-alpha (TNF-α) and C-reactive protein (CRP) in umbilical cord blood from healthy term neonates at the Mount Hope Women’s Hospital (MHWH), Trinidad.

Received:

17 Apr, 2012

Accepted:

25 Mar, 2013

PDF Attachment:

khan_and_ali-normal_ranges_for_acute_phase_reactants_in_neonates.pdf

Journal Sections:

Original Articles

Keywords:

Acute phase reactants

cord blood

Journal Authors:

A Khan

Z Ali

e-Published: 11 Jun, 2014

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Level of Caregiver Burden in Jamaican Stroke Caregivers and Relationship between Selected Sociodemographic Variables

Issue:

Vol 63, Issue 6: Oct (2014)

DOI:

10.7727/wimj.2013.060

Pages:

605–9

Synopsis:

This manuscript examines caregiver burden among a small sample of primary caregivers of stroke patients in Jamaica. The Bakas Caregiving Outcomes Scale and a demographic sheet were administered to the caregivers. The stroke survivors completed the Barthel Index and the Geriatric Depression Scale. Relationships between burden and selected variables were analysed.

ABSTRACT

Objective: This study sought to determine the level of caregiver burden present in Jamaican stroke caregivers and to investigate the relationship between caregiver burden and selected sociodemographic variables.

Received:

05 Mar, 2013

Revised:

23 Jul, 2013

Accepted:

20 Aug, 2013

PDF Attachment:

roopchand-martin_and_creary-yan-caregiver_burden_in_stroke.pdf

Journal Sections:

Original Articles

Keywords:

Stroke

Bakas caregiving outcomes scale

caregiver burden

Journal Authors:

S Roopchand-Martin

S Creary-Yan

e-Published: 11 Jun, 2014

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The Evaluation of the Effects of Paternal and Maternal Silent Coeliac Disease on Birthweight and Gestational Age in Newborns

Issue:

Vol 63, Issue 5: Sep (2014)

DOI:

10.7727/wimj.2013.166

Pages:

470–3

Synopsis:

Silent coeliac disease may occur in parents especially in mothers of preterm and small gestational age infants even in the absence of apparent clinical indications.

ABSTRACT

Objective: Coeliac disease is a chronic disease and is common all over the world. It has many other associated systemic side effects. This study investigated the effect of paternal and maternal silent coeliac disease on birthweight and gestational age in newborns.

Received:

04 Jun, 2013

Accepted:

16 Oct, 2013

PDF Attachment:

kahveci_et_al-effects_of_parental_silent_coeliac_disease_on_newborns.pdf

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e-Published: 10 Jun, 2014

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Familial Clustering of Systemic Lupus Erythematosus in the Cayman Islands

Issue:

Vol 63, Issue 4: Aug (2014)

DOI:

10.7727/wimj.2013.051

Pages:

325–8

Synopsis:

Systemic lupus erythematosus is common in black females of African descent. The aetiopathogenesis may be linked to genetic, environmental and hormonal factors but racial admixture may also have a role in West Indians. The study describes an unusual clustering in the 6th to 8th generations of a family that lived in the Cayman Islands.

ABSTRACT

Objective: To describe the unusual clustering of systemic lupus erythematosus (SLE) in a family from the Cayman Islands.

Received:

26 Feb, 2013

Accepted:

30 Jul, 2013

PDF Attachment:

adedayo_et_al_familial_clustering_of_systemic_lupus_erythematosus.pdf

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e-Published: 10 Jun, 2014

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ISSN: 2309-5830