A5066634724- HIV/AIDS Research and Interventions
- Museums and Cultural Heritage
- HIV, Drug Use, Sexual Risk
- Liver Disease Diagnosis and Treatment
- Hernia repair and management
- Anesthesia and Pain Management
- Art Education and Development
- Organ Transplantation Techniques and Outcomes
- Colorectal Cancer Screening and Detection
- Genetic factors in colorectal cancer
- Gastrointestinal disorders and treatments
- Sex work and related issues
- Global Health and Surgery
- Cultural Industries and Urban Development
- Gastric Cancer Management and Outcomes
- Educator Training and Historical Pedagogy
- HIV Research and Treatment
- Liver Disease and Transplantation
- Vascular Procedures and Complications
- Hepatitis B Virus Studies
- Gastrointestinal Tumor Research and Treatment
- Aortic aneurysm repair treatments
- Gastrointestinal Bleeding Diagnosis and Treatment
- Diabetes Management and Research
- Construction Engineering and Safety
University of the West Indies System
2007-2025
Northern Illinois University
2021
Chelsea and Westminster Hospital NHS Foundation Trust
2012-2018
University of the West Indies
2009-2017
University of the West Indies
2013
Chelsea and Westminster Hospital
2011-2012
Queensland Rail
1949
Background UK guidelines recommend routine HIV testing in healthcare settings if the local diagnosed prevalence >2/1000 persons. This prospective study assessed feasibility and acceptability, to patients staff, of routinely offering tests four settings: Emergency Department, Acute Care Unit, Dermatology Outpatients Primary Care. Modelling suggested estimated undiagnosed infection attendees would exceed 1/1000 The identified prospectively was not a primary outcome. Methods Permanent staff...
Abstract Breast cancer (BCa) is the most common among Jamaican women, with 60-70% presenting at advanced stages (III or IV). Incidence rates are slightly lower (43.1 per 100, 000) than global (47.8 and mortality notably higher (18.1 000 versus 13.6 000). This study investigated germline testing in women BCa to examine clinicopathologic associations compare utility of two genetic panels within this population. A retrospective, cross-sectional was conducted on 178 pathologically confirmed 8...
Objectives To explore staff attitudes towards and experiences of the implementation routine HIV testing in four healthcare settings areas high diagnosed prevalence. Methods As part HINTS (HIV Testing Non-traditional Settings) Study, offer an test to all 16–65-year-old patients was conducted for 3 months emergency department, acute admissions unit, a dermatology outpatients department primary care practice. The authors focus groups with at these sites before after testing. Transcriptions were...
Objectives Routine HIV testing in nonspecialist settings has been shown to be acceptable patients and staff pilot studies. The question of how embed routine testing, make it sustainable, remains answered. Methods We established a service an emergency department ( ED ) London, delivered by as part clinical care. All aged 16 65 years were offered test (latterly the upper age limit was removed). Meetings held weekly two outcome measures examined: offer rate (coverage) uptake. Sustainability...
Objectives The aims of this study were to assess the feasibility simultaneous testing for blood‐borne viruses ( BBV ), HIV , hepatitis C HCV ) and B HBV in Emergency Department ED ascertain seroprevalence these three setting. Methods A pilot program was undertaken as part routine clinical care . All attendees aged between 16 65 years old who able consent tested over a 55 week period on an opt out basis. Patients with positive test results linked services. Interventions aimed at improving...
By providing a structured forum to exchange information and ideas, multidisciplinary team meetings improve working relationships, expedite investigations, promote evidence-based treatment, ultimately clinical outcomes.This discursive paper reports the introduction of approach manage hepatobiliary diseases in Jamaica, focusing on challenges encountered methods used overcome these obstacles.Despite multiple resource-limited environments, can be incorporated into practice developing nations....
To determine the intermediate and long-term survival of patients diagnosed with colorectal cancer (CRC) to factors that affect survival.Patients were identified from a prospectively maintained colonoscopy database. All who underwent during period January 2008 December 2012 had histologically confirmed invasive carcinoma included. These contacted at end 2013 their status. In addition demographics, variables analyzed included presenting complaint tumor site stage presentation.Of 1757 being...
Focused on the role of curriculum theory in museum education, this essay considers William Pinar's suggestion that be understood as a "complicated conversation." An examination The Price Freedom: Americans at War, an exhibit Smithsonian's National Museum American History, Behring Center, offers example how museums might viewed authentic sites "subjective and social reconstruction." author draws Elizabeth Ellsworth's concept "pedagogical address" well work field rhetoric order to explore...
In the classic description of hepatic arterial supply, common artery originates from coeliac trunk. However, there are numerous variations to this pattern. We report a rare variant pattern supply and discuss clinical significance variation.
Objectives UK guidelines recommend routine HIV testing in general clinical settings when the local prevalence is > 0.2%. During pilot programmes evaluating guidelines, we used laboratory‐based of oral fluid from patients accepting tests. Samples ( n = 3721) were tested manually using B io‐ R ad G enscreen U ltra A g‐ b test L aboratories td, H emel empstead, ). This was a methodologically robust method, but handling samples labour intensive. We performed validation study to ascertain...
To investigate pathological factors related to long term patient survival post surgical management of gastric adenocarcinoma in a Caribbean population.This is retrospective, observational study all patients treated surgically for from January 1(st) 2000 December 31(st) 2010 at The University Hospital the West Indies, an urban Jamaican hospital. Pathological reports gastrectomy specimens cancer resection during specified interval were accessed. Patients with final diagnosis other than...
Background: Conscious sedation is regularly used in ambulatory surgery to improve patient outcomes, particular satisfaction. Reports suggest that the addition of conscious local anesthesia for inguinal hernioplasty safe and effective improving No previous randomized controlled trial has assessed benefit this regard.
(2012). Museum Education in Times of Radical Social Change. Journal Education: Vol. 37, No. 3, pp. 9-13.