Jamaica

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:

Keywords:

Journal Authors:

e-Published: 11 Jun, 2014

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Ischaemic Heart Disease at the University Hospital of the West Indies: Trends in Hospital Admissions and Inpatient Mortality Rates 2005−2010

Issue:

Vol 63, Issue 5: Sep (2014)

DOI:

10.7727/wimj.2013.293

Pages:

424–30

Synopsis:

Ischaemic heart disease accounted for 12.1% of medical admissions at the University Hospital of the West Indies for the years 2005–2010. Inpatient mortality rate for acute myocardial infarction was 18.9%.

Objectives: This study aimed to estimate hospital admission rates and inpatient mortality rates for ischaemic heart disease (IHD) and its subtypes at The University Hospital of the West Indies (UHWI) for the years 2005─2010, and to identify factors associated with inpatient mortality.

Received:

11 Nov, 2013

Accepted:

14 Dec, 2013

PDF Attachment:

mani_et_al-ischaemic_heart_disease_at_the_university_hospital_of_the_west_indies.pdf

Journal Sections:

Original Articles

Keywords:

Jamaica

Ischaemic heart disease

developing countries

myocardial infarction

Journal Authors:

e-Published: 08 May, 2014

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Sharp Force Injuries at the University Hospital of the West Indies, Kingston, Jamaica: A Seventeen-year Autopsy Review

Issue:

Vol 63, Issue 5: Sep (2014)

DOI:

10.7727/wimj.2013.252

Pages:

431–5

Synopsis:

Fatal cases of penetrating injuries are most often stab wounds, are more common in young men and constitute a drain on scarce resources. Autopsy documentation of injuries at the University Hospital of the West Indies requires improvement and synoptic reporting may be of value.

Objectives: This study aimed to ascertain the prevalence and patterns of fatal sharp force injuries, victims’ demographics, cause of death and average survival time at the University Hospital of the West Indies (UHWI), Kingston, Jamaica.

Received:

17 Sep, 2013

Accepted:

16 Oct, 2013

PDF Attachment:

neblett_and_williams-sharp_force_injuries.pdf

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e-Published: 08 May, 2014

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A Thirty-year Review of Vulvar Cancer in Jamaica, 1978 to 2007

Issue:

Vol 63, Issue 2: Mar (2014)

DOI:

10.7727/wimj.2013.125

Pages:

134–7

Synopsis:

In Jamaica, squamous cell carcinoma is the most common vulvar cancer, affecting mainly older women. Age-standardized rates for all vulvar cancers and vulvar squamous cell carcinoma are declining.

ABSTRACT

Objective: To evaluate the trends in vulvar cancer between 1978 and 2007 in Kingston and St Andrew, Jamaica, with respect to age-standardized rates and histologic types.

Methods: All cases of vulvar cancer recorded in the Jamaica Cancer Registry from 1978 to 2007 were extracted and analysed for age distribution and histologic type.

Received:

06 May, 2013

Accepted:

30 Jul, 2013

PDF Attachment:

bromfield_et_al-vulvar_cancer.pdf

Journal Sections:

Original Articles

Keywords:

Jamaica

Female genital tract

squamous cell carcinoma

Journal Authors:

e-Published: 11 Apr, 2014

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Trends in Incidence and Age Distribution of Oral Cavity and Oropharyngeal Squamous Cell Carcinomas, Kingston and St Andrew, Jamaica, 1978–2007

Issue:

Vol 63, Issue 2: Mar (2014)

DOI:

10.7727/wimj.2013.164

Pages:

128–33

Synopsis:

The incidence rates of tongue and tonsillar cancers have been decreasing in Jamaica but continue to predominate among older men. This is unlike data reported elsewhere, where rates have been increasing in young adults, and therefore warrants further study.

ABSTRACT

Objective: Several countries have reported increasing incidence of oral cavity and oropharyngeal (OCOP) squamous cell carcinoma (SCC) over recent years, particularly among young men and primarily in tongue and tonsil subsites, attributed to human papillomavirus (HPV) infection. This study examines trends in incidence and age distribution of OCOP SCC in Jamaica over a 30-year period.

Received:

04 Jun, 2013

Accepted:

24 Jun, 2013

PDF Attachment:

nyi_nyi_et_al-oral_cavity.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 11 Apr, 2014

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A Vision for Oral and Maxillofacial Pathology in Jamaica

Issue:

Vol 62, Issue 8: Nov (2013)

DOI:

10.7727/wimj.2013.162

Synopsis:

The vision for oral and maxillofacial pathology in Jamaica, if planned properly, will lead to a bright future for training oral and maxillofacial pathologists in Jamaica.

ABSTRACT

Oral and maxillofacial pathology is an important bridging specialty between dentistry and medicine. This branch of dentistry is gaining special interest as a result of increasing number of oral cancer and microbial diseases. The advancements of medicine and basic medical sciences may help in directing the research in dentistry and oral and maxillofacial pathology. This paper highlights the new area and scope for oral and maxillofacial pathology in Jamaica.

Received:

04 Jun, 2013

Accepted:

25 Jun, 2013

PDF Attachment:

Journal Sections:

Keywords:

oral and maxillofacial pathology

oral pathology

postgraduate dental education

Journal Authors:

Arvind Babu RS

e-Published: 18 Feb, 2014

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Pre-published Manuscript

This manuscript has been assigned to a volume and issue but has not yet been published. It is either being edited, typeset or is in the proof stage of publication.
In the pre-published stage, this manuscript may contain statements, opinions, and information that have errors in facts, figures, or interpretation. Any final changes in this manuscript will be made at the time of publication and will be reflected in the final electronic version of the issue. The editors and authors and their respective employees are not responsible or liable for the use of any such inaccurate or misleading data, opinion or information contained in the articles in this section.

Prostate Cancer Incidence in Jamaica before and after the Introduction of Prostate-specific Antigen

Issue:

Vol 60, Issue 5 (2011)

Pages:

597

PDF Attachment:

dr_wd_aiken-2.qxd_.pdf

Journal Sections:

Letters to the Editor

Keywords:

Jamaica

prostate cancer

Journal Authors:

WA Aiken

e-Published: 05 Feb, 2014

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Penile Cancer in Jamaicans Managed at the University Hospital of the West Indies

Issue:

Vol 60, Issue 5 (2011)

Pages:

525–30

Synopsis:

This study represents an analysis and comparison of the clinico-pathological features and outcomes of two sets of patients with penile cancer, managed at the University Hospital of the West Indies, Kingston, Jamaica, between the periods 1952–1958 and 1998–2008.

ABSTRACT

Objectives: The aim of this study is to determine the prevalence and clinicopathological correlates of penile cancer as well as the clinical outcomes in a sample of Jamaicans managed at the University Hospital of the West Indies (UHWI).

PDF Attachment:

dr_rk_thompson.qxd_.pdf

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e-Published: 05 Feb, 2014

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Comparative Analysis of Thyroid Carcinomas in Kingston and St Andrew, Jamaica, between Two Consecutive 15-year Periods

Issue:

Vol 60, Issue 5 (2011)

Pages:

519–24

Synopsis:

In Kingston and St Andrew, papillary thyroid cancer has surpassed follicular cancer to become the commonest thyroid cancer subtype, and the rank of medullary carcinoma has increased from fifth to third, in keeping with the histological profile exhibited worldwide.

ABSTRACT

Objective: To compare the distribution of histological subtypes of thyroid cancer in Kingston and St Andrew (KSA), Jamaica, within two consecutive 15-year periods.

PDF Attachment:

dr_rk_thompson.qxd_.pdf

Journal Sections:

Keywords:

Journal Authors:

e-Published: 05 Feb, 2014

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Operative Hysteroscopy in a Jamaican Cohort

Issue:

Vol 60, Issue 6 (2011)

Pages:

641–6

Synopsis:

The main indications for operative hysteroscopy at the Hugh Wynter Fertility Management Unit were submucosal fibroids (50%), intrauterine synechiae (26%), and removal of an intrauterine contraceptive device (11%). The procedure was successful in approximately 98% of cases.

ABSTRACT

Objective: The objective of this study is to determine the indications, success, and complications of operative hysteroscopy performed at The University of the West Indies (UWI).

PDF Attachment:

dr_v_dacosta.qxd_.pdf

Journal Sections:

Original Articles

Keywords:

Jamaica

Intrauterine adhesions

operative hysteroscopy

submucosal fibroids

Journal Authors:

V DaCosta

S Wynter