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I was born at the Victoria Jubilee Hospital in Kingston, where I was registered and my mother given a pink slip. She later applied for my birth certificate but when she went to ...
I recall wanting to become a medical doctor since I was a child. My father (of blessed memory) used to remind me that, when I was six years old, I did not want any toys, but chose the Visible Man science project kit instead. It was a model of the...
MINUTES AFTER the 5.6-magnitude earthquake that shook Jamaica on Monday, people beset by panic and asthmatic attacks fled to Kingston Public Hospital (KPH) located in downtown Kingston. According to media reports, the situation was overwhelming for...
Objective To document the prevalence, clinical features, haematology and outcome of acute splenic sequestration (ASS) in homozygous sickle cell disease (HbSS).
Study design A cohort study from birth.
Setting The Medical Research Council Laboratories at the University of the West Indies, Kingston, Jamaica.
Patients 311 cases of HbSS detected during the screening of 100 000 deliveries at the main government maternity hospital between 1973 and 1981.
Interventions Long-term follow-up and free patient care focusing on ASS.
Main outcome measure Acute splenic sequestration.
Results There were 183 episodes of ASS in 105 patients representing 35% of the cohort. The median age for first event was 1.07 years. During ASS, median values for haemoglobin fell by 32 g/dL, reticulocytes increased by 8% and total nucleated cells increased by 10.5%. ASS recurred in 47 (45%) patients. Conservative therapy in 133 episodes of 85 patients was associated with five deaths and splenectomy in 20 patients with 50 episodes had no deaths. Symptoms were generally non-specific but acute chest syndrome occurred in 17, and blood cultures revealed coagulase negative staphylococci in 5. The ASS case fatality rate was 3.6% and may be higher if autopsy evidence of ASS is included. There was no seasonal pattern but higher levels of fetal haemoglobin predicted patients less prone to ASS and its later occurrence.
Conclusions ASS remains an important cause of morbidity and mortality in HbSS in developing societies. ASS appears to be a non-specific response to many possible risk factors including coagulase negative staphylococci.
MORE than 30 children showed up at hospitals in St Catherine and St Andrew suffering from episodes of anxiety and traumatic injuries following the 5.6-magnitude earthquake which jolted the country...
After nine stressful years of trying, Diandra ‘Chichibella’ Francis has finally received a copy of her birth certificate in hand. Speaking with THE STAR yesterday, Francis said that when she went to collect the document from the Montego Bay...
President of the Issa Trust Foundation, Diane Pollard, has welcomed the collaboration with local health partners which recently saw the visit of a team of doctors, nurses and biomedical engineers to facilities across the island. The group arrived...
Issa Trust Foundation Medical Team Conducts Week Long Hospital Visits sflcn.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from sflcn.com Daily Mail and Mail on Sunday newspapers.
“I am Catholic but I have to legislate for everyone,” proclaimed then-candidate Alberto Fernandez in his campaign promise to reintroduce a bill to legalise abortion in Argentina. After winning the presidency, he fulfilled his commitment and...