In this study, the effects of anxiety and depression on quality of life were measured in 154 patients suffering from rheumatoid arthritis, knee osteoarthritis and fibromyalgia syndrome. Quality of life was observed to decrease in patients whose depression and/or anxiety scores were high. The necessity of a multidisciplinary approach including psychiatric support is emphasized for these patients.

In an Afro-Caribbean population of 111 treated hypertensive patients, electrocardiographic left ventricular hypertrophy by any criterion was seen in 42% of patients and increased left ventricular mass index on echocardiogram was seen in 50% of patients. The sensitivity of various left ventricular scoring systems of the electrocardiogram for predicting increased left ventricular mass index was 3 to 31%, the specificity 80 to 96%. The echocardiogram may be the tool of choice for predicting cardiovascular risk in the hypertensive Afro-Caribbean patient.

This prospective observational study evaluated the Intensive Care Units of three public and two private hospitals in Trinidad and Tobago with respect to their infrastructure, process of care and patient outcome.

Mammographic screening has been shown to reduce death rates from breast cancer, the leading cause of cancer deaths in Jamaican women. This paper explores differences in screening referral patterns in a rural versus urban setting in Jamaica.

Serological evidence of congenital toxoplasmosis was demonstrated in the cord blood of newborns in Trinidad. The health risk to these children cannot be ignored.