One-hundred and ten splenectomies performed on children with sickle
cell disease at the University Hospital of the West Indies are reviewed.
There was low morbidity and no mortality. Open splenectomy remains
the gold standard for patients with sickle cell disease requiring
splenectomy.
A 30-year review of lung cancers from Kingston and St Andrew, Jamaica, shows a progressive shift in the distribution of histological subtypes, mirroring similar trends that have been documented worldwide.
The majority of 216 cases of gastric cancer seen over a ten-year period was in the elderly; they were of the intestinal variety and located in the antrum. These patients presented with epigastric pain and often did not undergo curative surgery.
The clinical features of persons newly diagnosed with HIV infection, in decreasing order of frequency, were generalized lymphadenopathy, skin rash, oral candidiasis, cough and weight loss.
We examined the plasma choline concentration of sixteen women attending the antenatal clinic of the University Hospital of the West Indies and found that their fasting choline concentrations were low to normal. This may be a reflection of low choline dietary intake.
The authors propose that patients with severe hypertension will require four or more antihypertensives for adequate long-term control. Most are symptomatic at presentation.
ABSTRACT
Objective: To determine the characteristics of patients with severe uncontrolled hypertension, in a Jamaican specialist practice; the level of blood pressure control achieved in routine clinical practice, and the number/type of antihypertensive medications required for blood pressure control.
Iron deficiency anaemia (IDA) occurs in children with sickle cell disease (SCD) in Jamaica. Further studies are needed to determine whether treatment of IDA in children with SCD reduces morbidity and is associated with clinical benefits such as improvement in neurocognitive function.
ABSTRACT
Objective: The aim of this study was to determine, using a combination of measures, the prevalence of iron deficiency anaemia (IDA) in children under five years-of-age who have sickle cell disease (SCD) and attend the Sickle Cell Clinic (SCU) of the Tropical Medicine Research Institute.
The majority of strains of HIV-1 isolated from HIV-1 infected individuals in Jamaica were found to be HIV- 1 subtype B. The less frequently found HIV-1 subtypes were C, D and E and some strains were untypable by the methods used.