E. Cetinoglu, A. Dilektaşlı, H. Melek, Funda Çoşkun, A. Ursavaş, M. Karadağ, Ercüment Ege
{"title":"Pleural Glucose and Adenosine Deaminase: Surrogate MarkersPredicting Requirement for Surgery Following Intrapleural Fibrinolysis","authors":"E. Cetinoglu, A. Dilektaşlı, H. Melek, Funda Çoşkun, A. Ursavaş, M. Karadağ, Ercüment Ege","doi":"10.7727/wimj.2017.011","DOIUrl":"https://doi.org/10.7727/wimj.2017.011","url":null,"abstract":"","PeriodicalId":49366,"journal":{"name":"West Indian Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48065108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Medical Laboratory Preparedness and Knowledge, Attitude and Practices of Lab Staffs towards Vector Borne Diseases Outbreak in Guyana","authors":"C. Boston, R. Kurup","doi":"10.7727/WIMJ.2017.116","DOIUrl":"https://doi.org/10.7727/WIMJ.2017.116","url":null,"abstract":"","PeriodicalId":49366,"journal":{"name":"West Indian Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46563921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Investigation of the Effects of Gross Motor Function Levels on the Nutrition and Growth Status of Children with Spastic Quadriparetic Cerebral Palsy","authors":"S. Taş, T. Çankaya","doi":"10.7727/wimj.2017.109","DOIUrl":"https://doi.org/10.7727/wimj.2017.109","url":null,"abstract":"","PeriodicalId":49366,"journal":{"name":"West Indian Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41906029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cannabinoid Hyperemesis Syndrome in an East Indian: The Case for Genetic Susceptibility","authors":"As Hosein, K. Ramcharan, Sl Giddings","doi":"10.7727/wimj.2017.229","DOIUrl":"https://doi.org/10.7727/wimj.2017.229","url":null,"abstract":"","PeriodicalId":49366,"journal":{"name":"West Indian Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48098372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Tınazlı, E. Becer, Nuriye Sancar, Yesim Ozgol, L. Cerit
{"title":"Prevalence of Metabolic Syndrome in Routine Check-up Program in Cyprus","authors":"M. Tınazlı, E. Becer, Nuriye Sancar, Yesim Ozgol, L. Cerit","doi":"10.7727/WIMJ.2017.111","DOIUrl":"https://doi.org/10.7727/WIMJ.2017.111","url":null,"abstract":"","PeriodicalId":49366,"journal":{"name":"West Indian Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42865167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Meade, A. Soyibo, M. Lawrence-Wright, T. Ferguson, I. Thomas
Background: Chronic kidney disease (CKD) and its associated high morbidity and mortality cause a significant economic burden and decreased quality of life in affected patients in Antigua, the rest of the Caribbean and globally. The causes of CKD in Antigua, morbidity and mortality factors affecting the sampled patients were evaluated with a view to formulating interventions to minimize the occurrence and the impact of these factors. Objective: To determine the causes of CKD over a nine-year period and the causes of morbidity and mortality among patients with CKD at the two main hospitals in Antigua. Methods: A retrospective review was done of the medical records of patients with CKD who were diagnosed between January 1, 2005 and December 1, 2013. Chronic kidney disease was defined as a glomerular filtration rate of less than 60 mL/minute/1.73 m2. The causes of CKD, the patients’ admission diagnoses, the causes of death and laboratory investigations were evaluated. Results: The documented causes of CKD in these patients were diabetes mellitus (51% of the patients), hypertension (26%), glomerulonephritis (5%) and lupus nephritis (4%). The causes of morbidity among the patients with CKD were myocardial infarction (5.1%), unstable angina (12.7%) and ischaemic stroke (12%). Contributing significantly to the patients’ morbidity were catheter-associated sepsis (8.1%, p < 0.001) and lower respiratory tract infections (5.4%). The main factors contributing to the patients’ mortality were myocardial infarction (16.7%) and catheter-associated sepsis (16.7%). Conclusion: This study documented that the most common causes of CKD among the sampled patients in Antigua were diabetes mellitus and hypertension. Ischaemic heart disease and infections were the major causes of morbidity and mortality among the patients. Early recognition and aggressive management of CKD and its risk factors and complications are important in reducing the clinical and economic burden associated with CKD.
{"title":"Chronic Kidney Disease in the Caribbean Island of Antigua: Causes, Morbidity and Mortality Factors","authors":"G. Meade, A. Soyibo, M. Lawrence-Wright, T. Ferguson, I. Thomas","doi":"10.7727/wimj.2017.238","DOIUrl":"https://doi.org/10.7727/wimj.2017.238","url":null,"abstract":"Background: Chronic kidney disease (CKD) and its associated high morbidity and mortality cause a significant economic burden and decreased quality of life in affected patients in Antigua, the rest of the Caribbean and globally. The causes of CKD in Antigua, morbidity and mortality factors affecting the sampled patients were evaluated with a view to formulating interventions to minimize the occurrence and the impact of these factors. Objective: To determine the causes of CKD over a nine-year period and the causes of morbidity and mortality among patients with CKD at the two main hospitals in Antigua. Methods: A retrospective review was done of the medical records of patients with CKD who were diagnosed between January 1, 2005 and December 1, 2013. Chronic kidney disease was defined as a glomerular filtration rate of less than 60 mL/minute/1.73 m2. The causes of CKD, the patients’ admission diagnoses, the causes of death and laboratory investigations were evaluated. Results: The documented causes of CKD in these patients were diabetes mellitus (51% of the patients), hypertension (26%), glomerulonephritis (5%) and lupus nephritis (4%). The causes of morbidity among the patients with CKD were myocardial infarction (5.1%), unstable angina (12.7%) and ischaemic stroke (12%). Contributing significantly to the patients’ morbidity were catheter-associated sepsis (8.1%, p < 0.001) and lower respiratory tract infections (5.4%). The main factors contributing to the patients’ mortality were myocardial infarction (16.7%) and catheter-associated sepsis (16.7%). Conclusion: This study documented that the most common causes of CKD among the sampled patients in Antigua were diabetes mellitus and hypertension. Ischaemic heart disease and infections were the major causes of morbidity and mortality among the patients. Early recognition and aggressive management of CKD and its risk factors and complications are important in reducing the clinical and economic burden associated with CKD.","PeriodicalId":49366,"journal":{"name":"West Indian Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47143645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Benjamin, A. Soyibo, N. Younger, R. Raymonde-Moving, E. Barton
{"title":"Assessing for Risk of Chronic Kidney Disease in the Jamaican Community of North West St. Ann","authors":"R. Benjamin, A. Soyibo, N. Younger, R. Raymonde-Moving, E. Barton","doi":"10.7727/wimj.2017.239","DOIUrl":"https://doi.org/10.7727/wimj.2017.239","url":null,"abstract":"","PeriodicalId":49366,"journal":{"name":"West Indian Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49288183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Synopsis: This article explores the historical development of medical professionalism within the Caribbean region providing insight into the factors that have shaped our community of physicians and directions for future development in this increasingly important aspect of medical training. Abstract This paper provides an historical overview of the development of perspectives on medical professionalism and the medical profession in the Caribbean. Two historical periods, colonial and postcolonial, will be explored for continuities and changes in perspectives. Recently, concern over the dilution of medicine’s humanistic qualities has caused increased interest in medical professionalism and ignited a wider movement to reform the profession. Medical education curricula are under renovation as issues of professionalism are now being openly raised among medical practitioners and students to ensure that the medical profession’s service to society is uncompromised. In this context, some scholars have felt that awareness of the history of the medical profession could play a significant role in humanizing medicine and fostering greater professionalism. Much of the emerging discussion on medical professionalism has occurred mainly in developed countries, namely Britain and the United States. The wider developing world, including the Caribbean, has fallen behind in this process. There is a lack of historical or contemporary works addressing the medical profession issues of medical professionalism in the Caribbean. This paper will begin to fill this gap.
{"title":"Historical Perspectives on Medical Professionalism in the Caribbean","authors":"D. Peters, F. Youssef","doi":"10.7727/wimj.2017.106","DOIUrl":"https://doi.org/10.7727/wimj.2017.106","url":null,"abstract":"Synopsis: This article explores the historical development of medical professionalism within the Caribbean region providing insight into the factors that have shaped our community of physicians and directions for future development in this increasingly important aspect of medical training. Abstract This paper provides an historical overview of the development of perspectives on medical professionalism and the medical profession in the Caribbean. Two historical periods, colonial and postcolonial, will be explored for continuities and changes in perspectives. Recently, concern over the dilution of medicine’s humanistic qualities has caused increased interest in medical professionalism and ignited a wider movement to reform the profession. Medical education curricula are under renovation as issues of professionalism are now being openly raised among medical practitioners and students to ensure that the medical profession’s service to society is uncompromised. In this context, some scholars have felt that awareness of the history of the medical profession could play a significant role in humanizing medicine and fostering greater professionalism. Much of the emerging discussion on medical professionalism has occurred mainly in developed countries, namely Britain and the United States. The wider developing world, including the Caribbean, has fallen behind in this process. There is a lack of historical or contemporary works addressing the medical profession issues of medical professionalism in the Caribbean. This paper will begin to fill this gap.","PeriodicalId":49366,"journal":{"name":"West Indian Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41541175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Ward, P. Singh, A. Mansingh, N. Wade, A. Facey, S. Roopchand-Martin
{"title":"Anti-Doping Knowledge in Barbadian Polyclinic Medical Staff","authors":"C. Ward, P. Singh, A. Mansingh, N. Wade, A. Facey, S. Roopchand-Martin","doi":"10.7727/WIMJ.2017.149","DOIUrl":"https://doi.org/10.7727/WIMJ.2017.149","url":null,"abstract":"","PeriodicalId":49366,"journal":{"name":"West Indian Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41413979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Price, A. Soyibo, G. Barrow, T. Clarke, E. Barton
The medical records of 983 patients diagnosed with the human immunodeficiency virus (HIV) were reviewed, 501 of whom were female and 482 were male. The mean age was 42.1 years, the mean number of years since diagnosis of HIV was 7.4, and the average duration of highly active antiretroviral therapy (HAART) was 51.7 months. The mean CD4 count at diagnosis was 268.5 cells/μL, but the most recent CD4 count was 461 cells/μL, and 85.8% of the patients were on HAART. The mean CD4 count was lower in those with a glomerular filtration rate (GFR) of < 60 ml/minute/1.73m2 compared to those patients with only proteinuria and a GFR of > 60 ml/minute/1.73m2. In the sample population, 76.9% of the patients had chronic kidney disease stage 3, 7.7% were in stage 4 and 15.4% in stage 5. There were 3.1% of patients with persistent proteinuria. Hypertension and diabetes mellitus were co-morbidities.
{"title":"Prevalence of Chronic Kidney Disease among Patients Attending an HIV Outpatient Clinic in Kingston, Jamaica","authors":"C. Price, A. Soyibo, G. Barrow, T. Clarke, E. Barton","doi":"10.7727/WIMJ.2017.240","DOIUrl":"https://doi.org/10.7727/WIMJ.2017.240","url":null,"abstract":"The medical records of 983 patients diagnosed with the human immunodeficiency virus (HIV) were reviewed, 501 of whom were female and 482 were male. The mean age was 42.1 years, the mean number of years since diagnosis of HIV was 7.4, and the average duration of highly active antiretroviral therapy (HAART) was 51.7 months. The mean CD4 count at diagnosis was 268.5 cells/μL, but the most recent CD4 count was 461 cells/μL, and 85.8% of the patients were on HAART. The mean CD4 count was lower in those with a glomerular filtration rate (GFR) of < 60 ml/minute/1.73m2 compared to those patients with only proteinuria and a GFR of > 60 ml/minute/1.73m2. In the sample population, 76.9% of the patients had chronic kidney disease stage 3, 7.7% were in stage 4 and 15.4% in stage 5. There were 3.1% of patients with persistent proteinuria. Hypertension and diabetes mellitus were co-morbidities.","PeriodicalId":49366,"journal":{"name":"West Indian Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2017-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43761922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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