TN Gibson, G Blake, B Hanchard, N Waugh, D McNaughton
Cancer registrations in Kingston and St Andrew
(1998–2002) have revealed that the leading cancers in
males and females are prostate and breast, respectively.
Colon cancer exhibits a high incidence in both
genders, underscoring the need for local screening
SE Shirley, DIG Mitchell, DP Soares, M James, CT Escoffery, AM Rhoden, C Wolff, L Choy, RJ Wilks
The majority of patients presenting with breast disease
at the University Hospital of the West Indies are young
women with clinically benign disease. A low prevalence
of clinically significant premalignant disease
supports the need for improved breast cancer screening
in the population.
Over 35 years in Antigua and Barbuda, there has been
a 42% fall in births to teenage mothers and a 53% fall
in births to school-aged teens. The decrease has been
sustained over 15 years. Economic, educational, social
and medical changes may all have played a role.
Urinary tract infection is an important cause of serious
bacterial infection in neonates affecting 1 in 3 babies
with proven bacterial infection and may be the first
indicator of underlying structural abnormalities. The
absence of specific distinguishing clinical features
makes it necessary to include urine cultures in the sepsis
evaluation of neonates presenting with symptoms
suggestive of sepsis.
M Hosgor-Limoncu, S Ermertcan, H Tasli, AN Yurtman
The purpose of this study was to determine the synergistic
activity of amikacin, ertapenem and fluoroquinolones
combinations against resistant nosocomial
pathogens. The antibiotic combinations showed additive
or synergistic activity against many of the Gramnegative
S Hariharan, G Pillai, D Chen, S Soogrim, J Nelson, R Tsoi-a-Fatt, K Mohan, V Boodhai
This prospective study highlights the utilization pattern and financial
burden of the paradigm of sedation, analgesia and neuromuscular
blockade in an intensive care unit. Cost for this treatment alone
accounts for more than 50% of the total drug cost in the intensive
A review of 27 Afro-Caribbean patients with systemic sclerosis illustrates
a female preponderance and a younger age of onset than that
described for Caucasians, Hispanics and Afro-Americans. There was
a tendency to develop diffuse disease and telangiectasia occurred
more frequently than is thought typical in black patients.
During the period 1985–2000, while there was an overall 5%
decrease in age-adjusted mortality rates in the English and Dutchspeaking
Caribbean islands, there was an increase in mortality due to
non-communicable diseases, AIDS and assaults (homicides).
Forty-nine cases of parasuicide attempts involving acetaminophen in
Jamaica were analyzed. The mean age was 23 years and 84% were
women. Acetaminophen only was ingested in 71% of cases and 29%
involved an additional drug. Patients presented an average of 6.5
hours after ingestion. Serum transaminases were elevated in 18%
and mean duration of hospitalization was three days. One patient developed
liver failure and there were no deaths.
RD Hector, JP Anderson, RCP Paul, N Ponce, RD Hays, RE Weiss, RM Kaplan
A generic health-related quality of life measure, the
Quality of Well-being Scale (QWB), demonstrated validity
in Trinidad and Tobago. Local decision-makers
may use the QWB to compare health effects of different
conditions, interventions and policies.
This is a cross-sectional study on 1062 students from
eight high schools to determine the influence of
smoking habits, education of family, parents, the type
of school and gender on smoking in adolescents.
CA Ibidapo, B Akinsanya, GO Adeoye, AO Otubanjo, P Okeke, J Okwuzu, EO Adejai, E Braide
Prevalence of loiasis was assessed in some village
markets in Ondo State, South West Nigeria, using the
rapid procedure for loiasis technique. Among 480
respondents, 80 (16.7%) had a history of loiasis, 11
(2.3%) had recent occurrence of the disease and 04
(0.83%) experienced adverse reactions to ivermectin