184 results match your criteria: "University Hospital Of the West Indies[Affiliation]"
Ann Med Surg (Lond)
August 2017
Department of Medicine, The University Hospital of the West Indies, Mona, Jamaica.
World J Emerg Surg
August 2017
Department of Emergency Surgery, Maggiore Hospital, Parma, Italy.
[This corrects the article DOI: 10.1186/s13017-017-0141-6.].
View Article and Find Full Text PDFWorld J Emerg Surg
August 2017
Infectious Diseases Unit, Department of Medical and Surgical Sciences, Sant' Orsola Hospital, University of Bologna, Bologna, Italy.
[This corrects the article DOI: 10.1186/s13017-016-0089-y.].
View Article and Find Full Text PDFWorld J Emerg Surg
September 2018
Department of General Surgery, Maggiore Hospital, Parma, Italy.
Background: Antimicrobial Stewardship Programs (ASPs) have been promoted to optimize antimicrobial usage and patient outcomes, and to reduce the emergence of antimicrobial-resistant organisms. However, the best strategies for an ASP are not definitively established and are likely to vary based on local culture, policy, and routine clinical practice, and probably limited resources in middle-income countries. The aim of this study is to evaluate structures and resources of antimicrobial stewardship teams (ASTs) in surgical departments from different regions of the world.
View Article and Find Full Text PDFWorld J Emerg Surg
September 2018
Department of Emergency Surgery, Maggiore Hospital, Parma, Italy.
Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide. The cornerstones of effective treatment of IAIs are early recognition, adequate source control, and appropriate antimicrobial therapy. Prompt resuscitation of patients with ongoing sepsis is of utmost important.
View Article and Find Full Text PDFSex Transm Infect
November 2017
Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Background: There is limited information on rates of STIs in Jamaica due to syndromic management and limited aetiological surveillance. We examined the prevalence of (CT), (NG) and (TV) and characteristics associated with STIs among sexually active women who participated in a randomised trial of a progestin implant initiation in Jamaica (the Sino-Implant Study (SIS)).
Methods: SIS was a randomised trial conducted in Kingston, Jamaica, from 2012 to 2014 to evaluate whether initiation of the Sino-Implant (II) led to more unprotected sex among women ages 18-44 years.
J Pediatr Surg
April 2017
Department of Pediatric Surgery, Bustamante Hospital for Children, Arthur Wint Drive, Kingston 5, Jamaica, West Indies.
Objective: To determine the mortality rate of patients treated with gastroschisis at a Jamaican pediatric hospital, and to identify factors that contribute significantly to mortality.
Methods: Eighty-five patients were treated with gastroschisis between November 1, 2006 and November 30, 2015. Of these, 80 records were recovered and reviewed retrospectively.
World J Emerg Surg
August 2016
Department of Surgery, University of Colorado, Denver Health Medical Center, Denver, CO USA.
Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of Emergency Surgery (WSES) Consensus Conference on acute diverticulitis was held during the 3rd World Congress of the WSES in Jerusalem, Israel, on July 7th, 2015. During this consensus conference the guidelines for the management of acute left sided colonic diverticulitis in the emergency setting were presented and discussed.
View Article and Find Full Text PDFWorld J Emerg Surg
May 2018
Infectious Diseases Unit, Department of Medical and Surgical Sciences, Sant' Orsola Hospital, University of Bologna, Bologna, Italy.
Intra-abdominal infections (IAI) are an important cause of morbidity and are frequently associated with poor prognosis, particularly in high-risk patients. The cornerstones in the management of complicated IAIs are timely effective source control with appropriate antimicrobial therapy. Empiric antimicrobial therapy is important in the management of intra-abdominal infections and must be broad enough to cover all likely organisms because inappropriate initial antimicrobial therapy is associated with poor patient outcomes and the development of bacterial resistance.
View Article and Find Full Text PDFObstet Gynecol
March 2016
Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio; the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia; the Comprehensive Health Centre/Epidemiology Research and Training Unit and the University Hospital of the West Indies, the Ministry of Health, Kingston, Jamaica; and the Contraceptive Technology Innovation Division, FHI 360, Durham, North Carolina.
Objective: To evaluate initiation of a two-rod, 150-mg levonorgestrel contraceptive implant on women's perceived and observed body weight.
Methods: We conducted a secondary analysis of data from an open, randomized controlled trial of adult, nonpregnant, human immunodeficiency virus-negative women attending a public clinic in Kingston, Jamaica, who were assigned to initiate implant use either immediately or after a 3-month delay. The primary objective of the parent study was to assess the effect of initiation of the implant on the frequency of condom use.
J Community Health
June 2016
Office of the Dean, Faculty of Medical Sciences, University of the West Indies, Mona, Jamaica, West Indies.
To determine the knowledge, beliefs and practices of patients with diabetic retinopathy attending the Retina Eye Clinic at the University Hospital of the West Indies. A prospective study was done using a questionnaire with a sample population of 150 patients. The questions included their knowledge about the frequency of their eye examination, the relevance of exercise and a healthy diet, the role of the ophthalmologist and their views on the importance of compliance with medications for diabetes and hypertension.
View Article and Find Full Text PDFWorld J Emerg Surg
December 2015
General and Emergency Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy.
World J Emerg Surg
August 2015
Department of Surgery, University of Colorado, Denver Health Medical Center, Denver, USA.
The open abdomen (OA) procedure is a significant surgical advance, as part of damage control techniques in severe abdominal trauma. Its application can be adapted to the advantage of patients with severe abdominal sepsis, however its precise role in these patients is still not clear. In severe abdominal sepsis the OA may allow early identification and draining of any residual infection, control any persistent source of infection, and remove more effectively infected or cytokine-loaded peritoneal fluid, preventing abdominal compartment syndrome and deferring definitive intervention and anastomosis until the patient is appropriately resuscitated and hemodynamically stable and thus better able to heal.
View Article and Find Full Text PDFContraception
December 2015
Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address:
Objective: To evaluate whether initiation of a contraceptive implant, a method of long-acting reversible contraception, reduces condom use, as measured by a biomarker of recent semen exposure [prostate-specific antigen (PSA)].
Study Design: We conducted a randomized controlled clinical trial in which 414 Jamaican women at high risk for sexually transmitted infections (STIs) attending family planning clinics received the contraceptive implant at baseline ("immediate" insertion arm, N=208) or at the end ("delayed" insertion arm, N=206) of a 3-month study period. Participants were tested for PSA at baseline and two follow-up study visits and were asked about their sexual activity and condom use.
Stud Health Technol Inform
October 2016
Centre for Global Child Health, The Hospital for Sick Children, Toronto, Canada.
Over the past 50 years, survival for children in high-income countries has increased from 30% to over 80%, compared to 10-30% in low and middle income countries (LMIC). Given this gap in survival, established paediatric cancer treatment centres, such as The Hospital for Sick Children (SickKids) are well positioned to share clinical expertise. Through the SickKids Centre for Global Child Health, the SickKids-Caribbean Initiative (SCI) was launched in March 2013 to improve the outcomes and quality of life for children with cancer and blood disorders in the Caribbean.
View Article and Find Full Text PDFWorld J Emerg Surg
May 2015
Emergency Department, Maggiore University Hospital, Parma, Italy.
Computed tomography (CT) imaging is the most appropriate diagnostic tool to confirm suspected left colonic diverticulitis. However, the utility of CT imaging goes beyond accurate diagnosis of diverticulitis; the grade of severity on CT imaging may drive treatment planning of patients presenting with acute diverticulitis. The appropriate management of left colon acute diverticulitis remains still debated because of the vast spectrum of clinical presentations and different approaches to treatment proposed.
View Article and Find Full Text PDFInt J Surg Case Rep
May 2015
Doctors Hospital, Nassau, Bahamas. Electronic address:
Background: Scarless/single-incision laparoscopic cholecystectomy (SILC) is a new procedure. It affords a superior cosmetic outcome when compared to conventional laparoscopic cholecystectomy. We examine the application of this technique using LigaSure via a clipless method.
View Article and Find Full Text PDFDent Clin North Am
April 2015
Department of Surgery, Faculty of Medical Sciences, University of the West Indies - Mona, Kingston, Jamaica.
The deficient alveolar ridge has been an impediment to the placement of dental implants in the past. A greater comprehension of bone biophysiology and biotechnology has greatly increased the surgical options available to rehabilitate these patients. Technology and regenerative science has also allowed clinicians to simplify some of the approaches to these patients.
View Article and Find Full Text PDFWest Indian Med J
September 2014
Department of Surgery, Anaesthesia and Intensive Care, University Hospital of the West Indies, Kingston 7, Jamaica.
West Indian Med J
September 2014
Tropical Medicine Research Institute (Epidemiology Research Unit), The University of the West Indies, Kingston 7, Jamaica.
Objectives: This study aimed to estimate hospital admission rates and inpatient mortality rates for ischaemic heart disease (IHD) and its subtypes at the University Hospital of the West Indies (UHWI) for the years 2005─2010, and to identify factors associated with inpatient mortality.
Methods: Data from electronic discharge summaries for patients diagnosed with acute myocardial infarction (A-MI), unstable angina (UA) or other IHD were obtained from the Patient Information Management Systems database of the Medical Records Department of the UHWI. Data were entered into an electronic database and analysed using Stata 10.
Med Mycol Case Rep
March 2015
Depatrtment of Microbiology, University of the West Indies, Mona, Kingston7, Jamaica.
We report a case of persistent Candida orthopsilosis associated septic arthritis. Repeated isolation of C. orthopsilosis from tissue and joint fluid was confirmed by identification of the ITS region of the rRNA gene using a Candida-Specific Luminex based assay and gene sequencing of the D1/D2 regions.
View Article and Find Full Text PDFCan J Surg
February 2015
The Georgetown Public Hospital Corporation, Institute for Health Science Education, Georgetown, Guyana.
The pioneering surgical training partnership between the Canadian Association of General Surgeons (CAGS) and the University of Guyana has successfully graduated 14 surgeons since 2006. The association has recruited 29 surgeons who have made 75 teaching visits to Guyana, and CAGS involvement has been critical to providing local credibility to the program, organizing the curriculum structure and developing rigorous examinations. The program is now locally sustained, with graduates leading a number of clinical hospital programs.
View Article and Find Full Text PDFBMJ Case Rep
December 2014
Department of Medicine, University Hospital of the West Indies, Kingston, Jamaica.
A previously healthy 27-year-old Jamaican man presented to the University Hospital of the West Indies with recurrent joint pain, remitting and relapsing fever, and shortness of breath. He was subsequently found to have Abiotrophia defectiva endocarditis. This was the first time this organism had been isolated at our institution.
View Article and Find Full Text PDFWest Indian Med J
June 2014
Emergency Medicine Division, Department of Surgery, University Hospital of the West Indies, Kingston 7, Jamaica, West Indies.
West Indian Med J
June 2014
Emergency Medicine Division, Department of Surgery, University Hospital of the West Indies, Kingston 7, Jamaica.
Tumours of the superior sulcus of the lung, commonly referred to as Pancoast tumours, present with characteristic clinical symptoms and signs. An interesting case of a patient who presented with such a tumour is presented. The pathophysiology, clinical features and approach to management are reviewed.
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