This study, in a small sample of Jamaican adults, found activity energy expenditure to be highly correlated with degree of adiposity yet not with weight change over six years of follow-up.

Gestational age and female gender were found to be independent predictors of mortality in extremely low birthweight infants. Obstetric measures for the prevention of preterm delivery need to be optimized in order to decrease the morbidity and mortality associated with extremely low birthweight infants.

Pre-pregnant obese women are more likely to present with serious obstetric complications (pre-eclampsia, diabetes and in utero fetal death) and to be delivered by Caesarean section when compared to paritymatched pre-pregnant normal weight women.

A cross-sectional study was conducted in Dominica to determine correlates of sexual activity and inconsistent condom use among high school girls. Sexual activity was associated with coercion, oral sex and marijuana, whereas condom use was associated with coercion and low socio-economic status.

Complex anal fistulae may be managed successfully by a specialized surgical approach consisting of preliminary seton drainage and staged delayed mucosal advancement anoplasty.