In this study, the authors examined the age-specific patterns and correlates of blood pressure among Tobagonian adolescents attending secondary school. The findings suggest that the higher levels of elevated blood pressure observed were primarily due to excess weight and adiposity.
The clinical utilization of endorectal ultrasound has shown high accuracy for the preoperative definition of tumour and nodal stage in low rectal cancer. In Barbados, preliminary experience supports this view and has been used to select those patients best treated with preoperative radiotherapy and down staging chemoradiation.
K Sönmez, R Karabulut, Z Türkyýlmaz, B Demiroðullari, O Özen, Ç Afsarlar, C Basaklar
Surgical approach - thoracal or abdominal – to Morgagni hernias is controversial. In the authors'
experience, the abdominal approach was successful. Its advantages are, feasibility in reducing intra-abdominal organs, ability to operate on bilateral hernias, no chest tube placement and little or no pulmonary complications.
IW Crandon, HE Harding, JM Branday, DT Simeon, A Rhoden, R Carpenter
An observational cross-sectional study of seatbelt utilization conducted in Kingston, Jamaica, showed 81.2% utilization by private motor vehicle drivers and 74.0%, by front seat passengers. This was significantly improved compared to 21.1% and 13.6% respectively in 1996, before the introduction of legislation in 1999 (p < 0.001). Females were significantly more likely than males to wear seat belts, both when driving (92.5% vs 77.3%; p < 0.001) and as front seat passengers (79.9% vs 66.3%; p < 0 001).
YB Wint, EM Duff, N McFarlane-Anderson, A O’Connor, EY Bailey, RA Wright-Pascoe
This study suggested that inadequate knowledge, lack of perceived risk and lack of self-monitoring skills are barriers to glycaemic control. There is need for a collaborative team approach and the incorporation of diabetes education as an indispensable service.
Epidemiological trends and treatment costs for paediatric hospital admissions at the University Hospital of the West Indies, Jamaica, are presented. Recommendations to improve efficiency of service provision are suggested.