Healthcare workers at two hospitals in Jamaica were aware of the risk of transmission of infection, however compliance with universal precautions was inadequate. Guidelines are needed for compliance with universal precautions.
Needlestick injuries (47%) and other high risk exposures (31%) among physicians and nurses were
high in two hospitals in Jamaica. Reporting and post-exposure management were inadequate. A comprehensive programme to decrease these occupational hazards and regular surveillance are
V Chin, HE Harding, I Tennant, D Soogrim, GM Gordon-Strachan, MA Frankson
A cross-sectional, analytical study of antibiotic usage patterns at the Intensive Care Unit at the University Hospital of the West Indies was conducted on consecutive admissions between July and December 2007. Areas for improvement identified included attention to appropriate prophylactic antibiotic use and duration of courses, and use of de-escalation.
I Tennant, A Nicholson, GM Gordon-Strachan, C Thoms, V Chin, MA Didier
Most physicians considered antibiotic resistance an extremely important problem globally, but less so nationally. Contributory factors were correctly identified, but antibiotic prescribing practice did not incorporate measures to reduce resistance. Hand-washing was not considered to be important in reducing resistance and de-escalation to narrow spectrum antibiotics when appropriate was not a regular practice.
SE Shirley, PA Sinclair, MA Stennett, G Codrington, R Bhatt, CT Escoffery
The pathologic features of breast cancer documented at the National Public Health Laboratory in Jamaica are consistent with patient presentation at relatively advanced stages of disease, and highlight the need for urgent public health intervention, particularly the development of a national screening programme.
This manuscript examines the effect of a plyometric training programme on power and agility in a sample of Jamaica’s National Netball Team. The outcomes utilized were the Vertical Jump Test, Standing Broad Jump Test and Illinois Agility Test.
Paranasal osteomas may present as rhinosinusitis and occasionally cause complications depending on anatomical location. Ethmoidal and fronto-ethmoidal osteomas are readily diagnosed using computed tomography and are increasingly being resected endoscopically. Bilateral ethmoidal osteomas are rare. An evidence-based management plan is presented.
Degenerative Disc Disease of the lumbar spine occurred in older and heavier patients. Gender did
not affect the presence or the extent of the disease. However, compared to females, males showed a marginally increased tendency to have degenerative disc disease at L1/2 and L5/S1.
Despite students meeting the basic entry requirements for the physiotherapy (Diploma) programme, some students did not complete the programme or took more than the minimum time to complete it. Factors contributing to academic performance of these students were therefore explored.
M Walwyn, A Nicholson, MG Lee, G Wharfe, MA Frankson
Gram-negative organisms are the predominant isolates in febrile neutropaenic episodes in this cohort of patients. Non-neutropaenic patients had an increased mortality with an increase in Acinetobacter infections and multiple infections.
The most important finding was the determination of body composition and hormonal measurement changes in puberty in boys. Oestradiol was the most potent determinant of bone mineral density among pubertal boys.
MK Tulloch-Reid, MS Boyne, MF Smikle, EG Choo- Kang, RH Parkes, RAWright-Pascoe, EN Barton, RJ Wilks, DE Williams
Patients from two tertiary referral hospitals were assessed to determine whether Type 2 diabetes mellitus was present in Jamaican diabetic youth. Type 2 diabetes accounted for 22% of cases. Obesity was the most important clinical predictor of Type 2 diabetes.
F Shuaib, D Todd, D Campbell-Stennett, J Ehiri, PE Jolly
A knowledge, attitude and practice survey of 188 women attending healthcare clinics in Westmoreland, Jamaica, revealed that most participants had good knowledge and attitudes towards dengue fever. However, these were not translated into practices that could prevent the disease.
There exists an important relationship between resin-bonded fixed partial dentures and papillary blood flow. Although there were no correlations between Laser Doppler Flometry (LDF) values and clinical parameters, study, that LDF readings have limited diagnostic value, at least when it comes to clinical performance of fixed prosthesis.