Vol 63, Issue 5: Sep (2014)

Content

Contents

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Editorial

Ethical Issues Surrounding Body Integrity and Research

D Aarons

Original Articles

Antihistamine Effect of a Pure Bioactive Compound Isolated from Slug (Diplosolenodes occidentalis) Material

AS Jacob, OR Simon, D Wheatle, P Ruddock, K McCook

In Jamaica, the slug, (Diplosolenodes occidentalis) is used in folklore practice to alleviate the symptoms of an asthmatic attack. A pure bioactive compound, glyceryl trilinolenate (GT) was isolated from the crude slug extract. Glyceryl trilinolenate is a non-toxic and specific H1 antagonist acting non-competitively to produce relaxation of tracheal smooth muscle. It also reduces cutaneous wheal formation and inflammation. This is the first scientific documentation of the actions of GT.
A Comparative In Vitro Study on the Antioxidant and Anti-acetylcholinesterase Properties of Aerial Parts of Strophanthus preusii Engl & Pax

OA Adaramoye, A Olajuyin

The leaves and root of Strophanthus preusii have proven to be potent natural antioxidants which could justify their traditional use in the management of stress-related diseases.
Hypertension and Diabetes Prevalence in Older Persons in Jamaica, 2012

K Mitchell-Fearon, N Waldron, K James, H Laws, D Holder-Nevins, D Eldemire-Shearer

The prevalence of non-communicable diseases (NCDs) including diabetes and hypertension in the older Jamaican population has significantly increased over the last 20 years. Immediate, short-term activities that target the individual are necessary if NCDs are to be prevented and/or be properly controlled.
Ischaemic Heart Disease at the University Hospital of the West Indies: Trends in Hospital Admissions and Inpatient Mortality Rates 2005−2010

KA Mani, M Hoo Sang, NO Younger-Coleman, TS Ferguson

Ischaemic heart disease accounted for 12.1% of medical admissions at the University Hospital of the West Indies for the years 2005–2010. Inpatient mortality rate for acute myocardial infarction was 18.9%.
Sharp Force Injuries at the University Hospital of the West Indies, Kingston, Jamaica: A Seventeen-year Autopsy Review

A Neblett, NP Williams

Fatal cases of penetrating injuries are most often stab wounds, are more common in young men and constitute a drain on scarce resources. Autopsy documentation of injuries at the University Hospital of the West Indies requires improvement and synoptic reporting may be of value.
Urinary Angiotensinogen as a Potential Biomarker of Intrarenal Renin-angiotensin System Activity in Chinese Patients with Chronic Kidney Disease

Z Xu, B Xu, C Xu

Urinary angiotensinogen might be a potential biomarker of intrarenal angiotensin II activity in patients with chronic kidney disease.
The Prevalence of Asthma in an Adult Population in Khorramabad, Iran

A Amiri, S Asadi, V Almasi, A Ghobadi

This study has aimed to evaluate the prevalence of asthma in Khorramabad. The prevalence of asthma in Khorramabad in our study was more than in other similar studies in Iran and other countries. Doing analytical studies on the prevalence of asthma and its risk factors is recommended.
Outcomes and Health-related Quality of Life following Intensive Care Unit Stay in Barbados

TT Semei-Spencer, S Kinthala, M Fakoory, P Gaskin, H Seetharaman, YK Areti

There is an inverse correlation between Short Form 36 scores and acute physiology and chronic health evaluation (APACHE) IV score. The health-related quality of life, 90 days after the patients were discharged from the intensive care unit, is average or above average in the majority of the patients.
The Economic Burden of Femoral Neck Fractures in Jamaica

KD Vaughan, C Gordon, G Ducasse, SKP Williams

As the world’s population ages, the incidence of femoral neck fractures will rise. The cost of treating such fractures poses a significant challenge to most countries. Jamaica’s cost is similar to that of other developing countries.
Total Lymphocyte Count and Haemoglobin Concentration Combined as a Surrogate Marker for Initiating Highly Active Antiretroviral Therapy in a Resource-limited Setting as against CD4 Cell Count

AC Dhamangaonkar, A Mathew, AR Pazare

Adding haemoglobin to total lymphocyte count improves the sensitivity of the marker to predict CD4 count <200/mm3, thus ensuring initiation of highly active antiretroviral therapy and thereby reducing investigational costs.
Normal Ranges for Acute Phase Reactants (Interleukin-6, Tumour Necrosis Factor-alpha and C-reactive Protein) in Umbilical Cord Blood of Healthy Term Neonates at the Mount Hope Women’s Hospital, Trinidad

A Khan, Z Ali

A prospective study was conducted on 162 umbilical cord blood samples of healthy term neonates at the Mount Hope Women’s Hospital in Trinidad to determine reference values for interleukin-6, tumour necrosis factor-alpha and C-reactive protein.
The Evaluation of the Effects of Paternal and Maternal Silent Coeliac Disease on Birthweight and Gestational Age in Newborns

H Kahveci, MI Turan, A Çayir, F Laloglu, V Ertekin, Z Orbak

Silent coeliac disease may occur in parents especially in mothers of preterm and small gestational age infants even in the absence of apparent clinical indications.
A Comparative Survey of Pacemaker Implantation in Trinidad and Tobago in 2005 and 2009

R Henry, T Dookie, E Primus

This study compares the cardiac pacemaker implantation rates in Trinidad and Tobago in 2005 and 2009 and examines the rate of implantation compared to the gross domestic product (GDP) of Trinidad and Tobago and other countries.
The Use of Analgesic Drugs in Patients with Sickle Cell Painful Crisis

I Boyd, M Gossell-Williams, MG Lee

Painful crisis in patients with sickle cell anaemia is associated with severe pain in 75% and most will require second line therapy for adequate resolution. Physicians need to provide adequate pain relief to decrease morbidity in these patients.
About the Foreskin: Parents’ Perceptions and Misconceptions

AS Cooblal, B Rampersad

The results of this study highlight that there is a lot of misunderstanding and ignorance of the facts relating to the function of the foreskin in children. There is an obvious need for better parent education.

Dental Forum

A Cross-sectional Study of Patients’ Satisfaction with Dental Care Facilities: A Survey of Adult Treatment at the University of the West Indies, School of Dentistry

RL Balkaran, T Osoba, R Rafeek

The levels of satisfaction with the dental care at The University of the West Indies School of Dentistry were measured using the dental satisfaction questionnaire developed by Davies and Ware (1982). High levels of overall satisfaction with dental care were found at this facility.
Dental Erosion and Medical Conditions: An Overview of Aetiology, Diagnosis and Management

A Paryag, R Rafeek

The levels of satisfaction with the dental care at the University of the West Indies School of Dentistry were measured using the dental satisfaction questionnaire developed by Davies and Ware (1982). High levels of overall satisfaction with dental care were found at this facility.
Measurement of the Interantral Bone in Implant Dentistry Using Panoramic Radiography and Cone Beam Computed Tomography: A Human Radiographic Study

D Kopecka, A Simunek, J Streblov, R Slezak, L Capek

Panoramic radiography is a sufficiently accurate method for interantral bone height imaging at the incisor but not in the canine area.

Viewpoint

Issues with Consent in Stroke Patients

JP Mamo

Consent in stroke management may be required for treatment, intervention or for research reasons. Stroke patients may be prone to impulsive decision-making in real life and this may negatively impact on consent decisions made by the patient.

Case Reports

Metastatic Lung Cancer Presenting as Thoracic Empyema in an Old Patient

Y-M Tsai, Yu-C Lin, T-W Huang, H Chang
Percutaneous Antegrade Removal of Encrusted Broken Double J Ureteric Stent Using a Snare

G Alshumrani
Clinical and Radiological Evaluation of Cleidocranial Dysplasia in Two Trinidadian Siblings

AK Bissoon, K Moze
Intra-articular Pulsed Mode Radiofrequency for Hip Pain: Inoperable Coxarthrosis Case

O Akyol, T Sitilci, E Ozyuvaci, A Açıkgöz, H Leblebici, G Yılmaz
Budd-Chiari Syndrome in a Patient with JAK-2 V617F and Factor V G1691A Mutations

JS Velarde-Félix, J Sanchez-Zazueta, FP Gonzalez-Ibarra, JA González-Valdez, B Salcido-Gómez, E Gallardo-Angulo, J Murillo-Llanes
Spontaneous Early Recanalization after Acute Innominate Artery Thromboembolic Occlusion Secondary to Abrupt Aspirin and Statin Discontinuation: A Case Report

C-K Tsai, J-T Lee, Y-C Wu, G-S Peng
Immune Thrombocytopenic Purpura Associated with Hepatitis A Infection in a Five-year Old Boy: A Case Report

N Urganci, O Kilicaslan, D Kalyoncu, S Yilmaz
Small Bowel Obstruction and Enterocolic Fistula from a Gossypiboma after Caesarean Section

M Faghani, AR Fazel, G Roshandel
Penoplasty--Not Circumcision--for Buried Penis

MV Vincent, SE Dundas Byles, ND Duncan
Anaesthetic Management of Anaphylactic Shock Caused by Nonruptured Hydatid Cyst of the Liver

I Davarci, K Tuzcu, M Karcioglu, I Yetim, A Aydogan, S Turhanoğlu
Cutaneous Metastases from Urothelial Carcinoma of the Bladder: A Rare Presentation and Literature Review

I Agarwal, GF Bruney, C Sands, G Shirodkar, M Recine

Letters to the Editor

Keratosis Follicularis Spinulosa Decalvans Associated wıth Leukonychia

H Azakli, S Agirgol, S Takmaz, E Dervis
Safety Audit for Internal Emergencies and Theatre Disasters (SAFE-T): From Barbados

K Hinkson-LaCorbiniere, KT Johnny, S Kinthala
Fatal End Stage Renal Failure Aggravated by Recurrent Uterine Fibroids

H Fletcher, J Dawkins, M Allison-Vaughan
Isotretinoin and Psychotic Mania

H Erensoy, ME Ceylan, HZ Ceylan
Dangerous Ulcerative Lesion in the Inguinal Area?

JC Cardoso, G Tchernev

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West Indian Medical JournalISSN: 2309-5830

Content

Editorial

Original Articles

Dental Forum

Viewpoint

Case Reports

Letters to the Editor

West Indian Medical Journal

West Indian Medical Journal
ISSN: 2309-5830