KS Myint, S French, J Williams-Johnson, E Williams, P Johnson, MO Reid, G Gordon-Strachan
The study sought to assess the test performance characteristics of clinical
judgement in the evaluation of stable blunt chest trauma patients
compared with chest radiography in the determination of significant
intra-thoracic injury. The study revealed that physicians in the local emergency department may be over-utilizing chest radiographs
for patients who had stable blunt chest trauma.
Formal training in the administration of anaesthesia was
instituted on the recognition that dedicated physicians/
nurses offered a better morbidity/mortality profile to
patients. Much progress has been made since the turn of
the 20th century, in keeping with international standards.
Moderate ethanol administration did not affect fasting
blood glugose and HbA1c, but altered the lipid profile
of streptozotocin-diabetic rats. Moderate ethanol
intake may further increase the risk of complications in
Ki-67 expression both in the crypt-surface epithelium
and cyclin D1, c-erb B2, bcl-2 over-expression may be
a clue of dysplastic epithelium. If the role of human
papillomavirus is elucidated in colonic carcinogenesis,
vaccination might prevent carcinogenesis from the
This is a review of the medicinal plants used as folklore
remedies in Barbados. It attempts to outline the various
families of the medicinal plants showing similarities in
the phytochemical profiles of the plants and their indications.
It also attempts to validate, in a preliminary
way, the folklore practices by comparing the phytochemical
profiles with established approved drug
agents and other phytochemicals.
To reduce morbidity associated with neonatal jaundice
at the University Hospital of the West Indies, there should be increased screening for G6PD deficiency and current systems
in place for follow-up and monitoring of infants discharged from
hospital prior to 72 hours must be expanded and strengthened.
YN Clement, S Ali, S Harripaulsingh, K Lacaille, O Mohammed, S Mohammed, T Ragbir, E Ramirez, K Tshiamo
A cross-sectional survey at primary healthcare centres in Trinidad
among hypertensive patients showed an attempt to follow prescribing
guidelines. Angiotensin converting enzyme inhibitors were most commonly
prescribed, but thiazide diuretics were underutilized.
The rate of cervical cancer as well as poor screening practices led to
the study which was conducted on the St George’s University campus
in Grenada. The results showed lack of knowledge about the relationship
between human papillomavirus, cervical cancer and the associated
A regional mass gathering surveillance system in support
of the 2007 Cricket World Cup was developed as an adaptation
of the routine communicable disease surveillance
system. It was used to strengthen and test already existing
national and regional surveillance systems.
This review focusses on the effects of a tropical environment
on human exercise performance through studies
performed in the Caribbean, with a special emphasis on
prolonged aerobic exercises such as swimming, cycling