The West Indian medical journal最新文献_第7页

Substance Use and Abuse and Its Effects on Mental Disorders in Trinidad and Tobago - The Available Prevention and Management Strategies. 特立尼达和多巴哥的物质使用和滥用及其对精神障碍的影响-现有的预防和管理战略。

The West Indian medical journal Pub Date : 2015-09-01 DOI: 10.7727/wimj.2013.229

J. Jainarinesingh

引用次数: 1

Analysis of the Clinical Characteristics of Patients with Acute Coronary Syndrome in Different States of Renal Function. 急性冠脉综合征患者不同肾功能状态的临床特点分析。

The West Indian medical journal Pub Date : 2015-09-01 DOI: 10.7727/wimj.2014.392

Lehmann Hu, L-J Zhang, Z. Jin, W. Yang, L-N Zhang, C-Y Lu

{"title":"Analysis of the Clinical Characteristics of Patients with Acute Coronary Syndrome in Different States of Renal Function.","authors":"Lehmann Hu, L-J Zhang, Z. Jin, W. Yang, L-N Zhang, C-Y Lu","doi":"10.7727/wimj.2014.392","DOIUrl":"https://doi.org/10.7727/wimj.2014.392","url":null,"abstract":"This study aimed to investigate the effect of chronic kidney dysfunction (CKD) on the clinical characteristics of patients with acute coronary syndrome (ACS) and the degree of coronary arterial stenosis. The study enrolled 368 patients with ACS who underwent coronary angiography. Blood glucose, glycated haemoglobin (HbA1c), total cholesterol, triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), uric acid (UA), and serum creatinine were examined randomly, and the severity of coronary artery lesions was assessed using the Gensini score. Patients were divided into three groups according to estimated glomerular filtration rate: normal renal function (n = 102), mild renal insufficiency (n = 198), and moderate to severe renal dysfunction (n = 68). The characteristics of patients with coronary artery lesions in the three groups were analysed. Of all patients, 27.7% had normal renal function. In the moderate to severe renal dysfunction group, the majority of patients were women whose average age was older. The ratio of patients with history of hypertension and diabetes mellitus was higher, random blood glucose, HbA1c, TG, UA and Gensini score were obviously increased, while HDL-C was significantly decreased; all differences had statistical significance (p < 0.05). Different degrees of CKD occur in patients with ACS. In patients with ACS and CKD, metabolism of glucose and fat are significantly abnormal, and coronary arterial lesions are more serious.","PeriodicalId":104133,"journal":{"name":"The West Indian medical journal","volume":"133 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122430995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Non-communicable Diseases Risk Factors Survey 2014 among University of the West Indies Staff, Trinidad and Tobago. 特立尼达和多巴哥西印度群岛大学工作人员2014年非传染性疾病风险因素调查。

The West Indian medical journal Pub Date : 2015-08-20 DOI: 10.7727/wimj.2015.051

T. Samuels, T. Branche, S. Hariharan

{"title":"Non-communicable Diseases Risk Factors Survey 2014 among University of the West Indies Staff, Trinidad and Tobago.","authors":"T. Samuels, T. Branche, S. Hariharan","doi":"10.7727/wimj.2015.051","DOIUrl":"https://doi.org/10.7727/wimj.2015.051","url":null,"abstract":"Objective\u0000The study investigated the prevalence of non-communicable disease risk factors among University of the West Indies staff in Trinidad and Tobago and compared these results with the national population-based 2011 STEPS NCD risk factor survey for Trinidad and Tobago.\u0000\u0000\u0000Methods\u0000A self-administered questionnaire was conducted during April-May 2014, the target population being all staff members. Standardized measurements of cardiovascular fitness, weight, height and blood pressure were taken. Data was analyzed and results were compared to the national Trinidad and Tobago 2011 STEPS NCD survey.\u0000\u0000\u0000Results\u0000The participation rate was 24.9% (522/2100), 32.4% males (n=169) and 67.6% females (n=353). Among participants, 65.7% of males and 64.8% of females were either overweight or obese, 86.9% ate <5 fruits and vegetables/day. Low cardiovascular fitness was found in 36% males and 31.0% females; 13.1% of males and 2.8% of females were smokers while 39.1% and 7.6% were binge drinkers. One fifth of the participants had blood pressures >140/90, while 6.4% had blood pressures >160/100. The results were similar to the 2011 risk factor profile of Trinidad and Tobago, although the UWI staff smoked less but drank alcohol more frequently, but binge drinking rates were similar. UWI males were more obese and UWI women had higher blood pressure and higher cholesterol compared to the general Trinidad and Tobago population.\u0000\u0000\u0000Conclusion\u0000The results confirm a high prevalence of NCD risk factors among these staff as among the Trinidad and Tobago population. The study reveals opportunities to inform policy on strategies to positively impact the risk factors.","PeriodicalId":104133,"journal":{"name":"The West Indian medical journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128972350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Carriage of Class 1 and Class 2 Integron in Multidrug Resistant Pseudomonas aeruginosa Isolated from Burn Patients in Tehran Hospitals, Iran. 伊朗德黑兰医院烧伤患者多药耐药铜绿假单胞菌中1类和2类整合子的携带

The West Indian medical journal Pub Date : 2015-07-16 DOI: 10.7727/wimj.2014.315

M. Goudarzi, M. Fazeli, M. Azad, S. Seyedjavadi, R. Mousavi, M. Rashidan, E. Azargashb

{"title":"Carriage of Class 1 and Class 2 Integron in Multidrug Resistant Pseudomonas aeruginosa Isolated from Burn Patients in Tehran Hospitals, Iran.","authors":"M. Goudarzi, M. Fazeli, M. Azad, S. Seyedjavadi, R. Mousavi, M. Rashidan, E. Azargashb","doi":"10.7727/wimj.2014.315","DOIUrl":"https://doi.org/10.7727/wimj.2014.315","url":null,"abstract":"Objective\u0000To investigate the antimicrobial susceptibility patterns of Pseudomonas aeruginosa clinical isolates and their associations with the existence of integrons.\u0000\u0000\u0000Methods\u0000During a 12-month study, 140 clinically significant Pseudomonas aeruginosa isolates were collected from patients hospitalized in the burn ward of different hospitals in Tehran. Pseudomonas aeruginosa isolates were identified using standard laboratory procedures. Antimicrobial susceptibility testing was performed for 13 antimicrobial agents according to the standard Kirby-Bauer disk diffusion method and Clinical and Laboratory Standards Institute (CLSI) guidelines. The frequency of Class 1, 2 and 3 integrons was detected using a polymerase chain reaction (PCR) method.\u0000\u0000\u0000Results\u0000The resistance rates of Pseudomonas aeruginosa isolates to 13 antimicrobial agents were between 34.7% and 90.8%. Ceftriaxone and imipenem had good activity against the isolates. Of 140 tested isolates, 91 (65%) were multidrug resistant. The most predominant resistance profile among the isolates included resistance to 10 (12.14%), 9 (12.14%) and 8 (12.14%) antibiotics. Class 1 and 2 integrons were detected in 57.2% (56/98) and 30.6% (30/98) of tested Pseudomonas aeruginosa isolates, respectively. Of 98 (70%) integron positive isolates, only 12 (12.2%) isolates were positive for both classes of integrons. Resistance of the isolates to cefotaxime, aztreonam, imipenem, tobramycin, ticarcillin, ciprofloxacin and cloxacillin was observed to be significantly associated with the existence of integrons.\u0000\u0000\u0000Conclusion\u0000These data confirmed high prevalence of Class 1 integrons among Pseudomonas aeruginosa isolates from burn patients in this study. Based on these results, integrons may play an important role in the possible transmission of resistance genes to the clinical Pseudomonas aeruginosa isolates.","PeriodicalId":104133,"journal":{"name":"The West Indian medical journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122303110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Treatment of Attention Deficit Hyperactivity Disorder Accompanied by Epilepsy in a Child. 儿童注意缺陷多动障碍伴癫痫的治疗。

The West Indian medical journal Pub Date : 2015-06-30 DOI: 10.7727/wimj.2014.222

N. Yucel, A. Yucel, H. Ozcan

引用次数: 0

The Impact of Turmeric Cream on Healing of Caesarean Scar. 姜黄乳膏对剖宫产瘢痕愈合的影响。

The West Indian medical journal Pub Date : 2015-06-30 DOI: 10.7727/wimj.2014.196

G. Mahmudi, M. Nikpour, M. Azadbackt, R. Zanjani, M. Jahani, A. Aghamohammadi, Y. Jannati

{"title":"The Impact of Turmeric Cream on Healing of Caesarean Scar.","authors":"G. Mahmudi, M. Nikpour, M. Azadbackt, R. Zanjani, M. Jahani, A. Aghamohammadi, Y. Jannati","doi":"10.7727/wimj.2014.196","DOIUrl":"https://doi.org/10.7727/wimj.2014.196","url":null,"abstract":"OBJECTIVE\u0000The aim of this study was to assess the impact of turmeric cream on the healing of Caesarean wound.\u0000\u0000\u0000METHODS\u0000This study was done as a randomized double blind trial in three groups on women who had a Caesarean operation. The redness, oedema, ecchymosis, drainage, approximation (REEDA) scale was used to evaluate the wound healing process. The χ², analysis of variance (ANOVA) and Tukey tests were used for statistical analysis.\u0000\u0000\u0000RESULTS\u0000Seven days after the surgery, the averages of REEDA score in the intervention, placebo and control groups were respectively, 0.46, 0.88, and 1.17 (p < 0.001), while on day 14, it was 0.03, 0.22 and 0.36 (p < 0.001), showing a significant statistical difference. Similarly, there was a difference between the intervention and placebo groups in the amount of oedema on the 7th and 14th days after the surgery (respectively, p = 0.066 and p < 0.001). The observed difference between the intervention and control groups in the amount of oedema was statistically significant on the 7th and 14th days after the surgery (p < 0.001).\u0000\u0000\u0000CONCLUSION\u0000Turmeric was effective in faster healing of wounds of Caesarean operation. The use of turmeric is suggested to reduce the complications of the wounds from Caesarean section.","PeriodicalId":104133,"journal":{"name":"The West Indian medical journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128998206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Report on Hyperbaric Oxygen Therapy: An Overlooked Therapeutic Option in Stroke Recovery and a Potential Source of Health Sector Revenue and Health Tourism. 高压氧治疗:中风恢复中被忽视的治疗选择和卫生部门收入和健康旅游的潜在来源。

The West Indian medical journal Pub Date : 2015-06-30 DOI: 10.7727/wimj.2014.225

S. Lowe, DR Le Mercier du Quesnay, P. Gayle, F. Henry-Pinnock, T. Wedderburn-Buddo, Le Mercier du Quesnay

引用次数: 0

Cleft Lip and Palate and Alveolar Bone Grafting in the United Kingdom: A Brief Overview for Non-specialists. 在英国唇腭裂和牙槽骨移植:对非专业人员的简要概述。

The West Indian medical journal Pub Date : 2015-06-29 DOI: 10.7727/wimj.2015.191

A. Shafi, E. Ah-kee, A. Khan

引用次数: 1

Preseptal Cellulitis Or Orbital Cellulitis? 隔膜前蜂窝织炎还是眶蜂窝织炎?

The West Indian medical journal Pub Date : 2015-06-29 DOI: 10.7727/wimj.2015.179

L. T. Lim, D. Miller, E. Ah-kee, A. Ferguson

引用次数: 6

Human Evolution: The Real Cause for Birth Palsy. 人类进化:出生麻痹的真正原因。

The West Indian medical journal Pub Date : 2015-06-26 DOI: 10.7727/wimj.2014.083

R. Sreekanth, B. Thomas

{"title":"Human Evolution: The Real Cause for Birth Palsy.","authors":"R. Sreekanth, B. Thomas","doi":"10.7727/wimj.2014.083","DOIUrl":"https://doi.org/10.7727/wimj.2014.083","url":null,"abstract":"OBJECTIVE\u0000Birth palsy, otherwise known as obstetric brachial plexus paralysis (OBPP), is a closed stretch injury to the brachial plexus of nerves during the birth process resulting in varying degree of paralysis and contractures of the upper limb. The study aimed to find out the susceptibility of humans and small-bodied primates to birth palsy.\u0000\u0000\u0000METHOD\u0000A comparative study on parturition in modern humans, hominoids, hominids, small-bodied primates and great apes was done to determine if the changes in female pelvis and neonatal head and shoulder during human evolution is the real cause for OBPP.\u0000\u0000\u0000RESULTS\u0000During evolution, the morphology of the female pelvis and birth canal changed into a narrow and twisted one and also the size of the fetal head increased. Thus, the narrow and twisted pelvis of the mother, and the relatively large head and broad shoulders of the newborn has made the birthing process of modern human and small bodied primates a precarious fine-tuned act with a very narrow margin for error. This has necessitated proper obstetric care to reduce or even at times obviate the incidence of birth injuries like OBPP.\u0000\u0000\u0000CONCLUSION\u0000Human evolution has made human babies susceptible to birth palsy and thus is the real cause of birth palsy.","PeriodicalId":104133,"journal":{"name":"The West Indian medical journal","volume":"600 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132481258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3