Even among centres with no significant resource constraints and advanced medical systems, significant deficits in sepsis care exist. Early recognition and management remain a key issue and may be addressed through improved triage, augmented support for referring centres and public awareness.
P Howell, I Tennant, R Augier, G Gordon-Strachan, H Harding-Goldson
Physician knowledge of cardiopulmonary resuscitation (CPR) protocols was suboptimal and current certification levels were low at the University Hospital of the West Indies. Increased training and recertification is necessary to improve physician knowledge, which is expected to result in improved performance of CPR.
CG Liburd, TN Gibson, B Hanchard, N Waugh, D McNaughton
In Jamaica, cutaneous malignant melanoma is commoner in females, but the incidence is low in both genders. The commonest anatomical site is the lower limb, particularly the foot. These findings are in keeping with those documented in other Black populations.
The incidence of Down's syndrome in Jamaica is similar to the reported international experience. The distribution of cardiac malformations is similar to other countries, except for the higher incidence of congenital heart disease and a higher incidence of combined lesions.
Older people receive medications for chronic diseases and therefore adherence is an important health and economic concern. Enhancing communication between the physician, the pharmacist and the patient is key in boosting the patient's ability to follow a medication regimen and thus improve adherence to medication.
İ Batmaz, M Kara, T Tiftik, M Yildiz, R Çevik, L Özçakar
In this study, the femoral cartilage thickness of patients with Behçet’s disease (BD) was evaluated and it was found that the cartilage was thinner in patients with BD and that arthritis seems to be associated with this decrease.
A Perić, N Baletić, M Milojević, J Sotirović, L Živić, AV Perić, D Vojvodić
Macrolide antibiotics are known to have anti-inflammatory and immunomodulatory effects in treatment of chronic rhinosinusitis and nasal polyposis. In this prospective study, we investigated the effects of preoperative long-term, low-dose clarithromycin use on symptoms and endoscopic findings in patients with nasal polyposis.
MD Pozo-Cano, RF Castillo, J Francisco-Guillen, J Florido, I García García
Prenatal care is a key strategy to reduce maternal mortality. Therefore, it is important to ascertain the level of satisfaction of new mothers with their pregnancy monitoring and with the medical professionals who provided prenatal care.
A Mohan, AJ Roberto, BC Whitehill, A Mohan, A Kumar
The authors address and review the literature and findings regarding the epidemiology and genetic factors involved in the pathogenesis of asthma, with an included focus on the epidemiology and prevalence of this debilitating condition in the child and adolescent Caribbean population.
H Islas-Granillo, SA Borges-Yañez, CE Medina-Solís, CA Galan-Vidal, JJ Navarrete- Hernández, M Escoffié-Ramírez, G Maupomé
Chewing-stimulated saliva (paraffin method) was collected and the salivary flow rate, pH and buffer capacity were measured in a group of Mexican elders. We found that salivary parameters varied in relation to selected socio-economic, clinical and behavioural variables.
MS Herrera, CE Medina-Solís, H Islas-Granillo, E Lara-Carrillo, RJ Scougall-Vilchis, M Escoffié-Ramírez, R De La Rosa-Santillana, L Avila-Burgos
Dental caries is a public dental health problem worldwide. In this study, factors associated with caries were older age, female gender, those from large families, mothers with positive dental attitude, presence of plaque, and whether or not schoolchildren received dental care.
Spontaneous reporting of adverse drug reactions (ADRs) is an essential component of pharmacovigilance, but the safe and appropriate use of drugs is limited by under-reporting of ADRs. Knowledge of pharmacovigilance could form the basis for interventions aimed at improving reporting rates.