The clinical presentations which led to the diagnosis of cholelithiasis were different in males compared to females. Females were more likely to be diagnosed in the setting of an acute abdomen, while males presented with non-acute symptoms unrelated to the biliary tract.
Objective: This study is a descriptive analysis of the clinical presentations in which cholelithiasis was diagnosed on imaging over a five-year period at the University Hospital of the West Indies, Jamaica and how the clinical presentation varied with age and gender.
This paper presents for the first time the incidence and mortality rates of cancer in Bermuda. Age-adjusted incidence rates were also compared to those of the United States of America. Differences existed in specific cancer sites but global rates were similar in both countries.
Objective: To describe cancer and mortality rates in Bermuda and to compare such rates to those of the United States of America (USA).
Methods: Age-adjusted race-specific cancer incidence rates for Bermuda were calculated using the Bermuda Cancer Registry. These rates were then compared to USA cancer rates published by the National Cancer Institute.
Cerebrospinal fluid leaks are a clinically important entity due to the associated risk of central nervous
system infection. The authors review the imaging management not only of patients with suspected
cerebrospinal fluid leaks, but also of those with confirmed leaks imaged in order to facilitate treatment.
Communication between patient and physician is a key clinical skill, and yet it is sadly lacking as evidenced by a multitude of studies. Effective communication, however, can markedly improve patient outcomes.
Microbicides may emerge to be potent agents in the prevention of HIV and other sexually transmitted diseases
Poverty, cultural belief and refusal to use condoms are some of the factors that contribute to the spread of HIV infection among African communities. There is a dire need to pursue research into the development, provision and the use of microbicides for African women. This review paper provides information and recommendations on the possible use of microbicides to prevent HIV infection among African women.
This paper represents information obtained from a recent
conference on vaccination safety and policy and the
author’s viewpoint on the same.
This paper represents information obtained from a recent conference on vaccination safety and policy: Vaccine Safety: Evaluating the Science Conference, Tryall Club, Jamaica, January 3–7, 2011 and the author’s viewpoint on the same. The first section represents a synopsis of recorded information and the second the author’s view of Caribbean concerns related to the recorded information.
The paper is derived from a submission to the Sessional
Select Committee on Human Resources and Social
Development by the Medical Association of Jamaica. It
explores the impact of the no-user-fee policy on the quality
of patient care/service delivery in Jamaica and makes
recommendations for reform.
This paper is a submission to the Sessional Select Committee on Human Resources and Social Development by the Medical Association of Jamaica on September 25, 2011, and presented orally by both authors on October 20, 2011. It explores the impact of the no-user-fee policy on the quality of patient care/service delivery in Jamaica and makes recommendations for reform.
This review focusses on the effects of a tropical environment
on human exercise performance through studies
performed in the Caribbean, with a special emphasis on
prolonged aerobic exercises such as swimming, cycling
This paper examines the role of screening and argues for
increased screening in the population.
Prostate cancer (PCa) is the second most frequently diagnosed cancer in the world (1) and the leading cancer affecting men in Jamaica (2). If PCa is identified early in its natural history, it is eminently treatable with great potential for cure. The Caribbean has the highest age standardized PCa-specific mortality rates in the world (1). Why is this so and what can be done to reduce the morbidity and mortality associated with PCa in the Caribbean?