A5054195297- Appendicitis Diagnosis and Management
- Gastrointestinal disorders and treatments
- Diverticular Disease and Complications
- Antibiotic Use and Resistance
- Anesthesia and Pain Management
- Hernia repair and management
- Gallbladder and Bile Duct Disorders
- Abdominal Surgery and Complications
- Colorectal Cancer Screening and Detection
- Breast Cancer Treatment Studies
- Genetic factors in colorectal cancer
- Abdominal Trauma and Injuries
- Colorectal and Anal Carcinomas
- Colorectal Cancer Surgical Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Pancreatic and Hepatic Oncology Research
- Trauma Management and Diagnosis
- Esophageal and GI Pathology
- Sepsis Diagnosis and Treatment
- Cancer and Skin Lesions
- Congenital Anomalies and Fetal Surgery
- Pneumothorax, Barotrauma, Emphysema
- Anorectal Disease Treatments and Outcomes
- Trauma and Emergency Care Studies
- Breast Lesions and Carcinomas
University of the West Indies System
2001-2021
University of the West Indies
2007-2020
University Hospital of the West Indies
2015-2020
West Midlands Police
2018
University of Technology, Jamaica
1990-2001
Office of Education
1996
Atrium Health Wake Forest Baptist
1996
Wake Forest University
1996
Acute appendicitis (AA) is the most common surgical disease, and appendectomy treatment of choice in majority cases. A correct diagnosis key for decreasing negative rate. The management can become difficult case complicated appendicitis. aim this study to describe worldwide clinical diagnostic work-up AA departments. This prospective multicenter observational was performed 116 departments from 44 countries over a 6-month period (April 1, 2016–September 30, 2016). All consecutive patients...
To validate a new practical Sepsis Severity Score for patients with complicated intra-abdominal infections (cIAIs) including the clinical conditions at admission (severe sepsis/septic shock), origin of cIAIs, delay in source control, setting acquisition and any risk factors such as age immunosuppression. The WISS study (WSES cIAIs Study) is multicenter observational underwent 132 medical institutions worldwide during four-month period (October 2014-February 2015). Four thousand five hundred...
PURPOSE. To compare clinical performances in a third-year medicine clerkship between studies from problem-based learning (PBL) curriculum and students traditional, lecture-based (LBL) curriculum. METHOD. The study participants were 88 PBL 364 LBL rotating through common internal at the Bowman Gray School of Medicine Wake Forest University, classes 1991-1995. Faculty housestaff assessed students' using four rating scales. student also completed ("shelf") test National Board Medical Examiners...
Background Endoscopy within 24 h of admission (early endoscopy) is a quality standard in acute upper gastrointestinal bleeding (AUGIB). We aimed to audit time endoscopy outcomes and identify factors affecting delayed (>24 admission). Methods This prospective multicentre enrolled patients admitted with AUGIB who underwent inpatient between November December 2017. Analyses were performed associated endoscopy, compare patient outcomes, including length stay mortality rates, early groups....
Despite the fact mucocoele of appendix is a rare entity it has been subject much interest in literature. The term refers to cystic dilatation filled with mucin resulting from proximal obstruction lumen.We report two patients presenting mucinous cystadenoma elevation serum carcinoembryonic antigen (CEA), which rarely reported. Both had mild symptoms and normal colonoscopy preoperatively. diagnosis was not suspected one patient prior surgery. elevated CEA prompted additional diagnostic...
Dengue fever is an acute viral disease, which usually presents as a mild febrile illness. Patients with severe disease present dengue haemorrhagic or toxic shock syndrome. Rarely, it abdominal symptoms mimicking appendicitis. We case of male patient presenting right iliac fossa pain and suspected appendicitis that was later diagnosed following negative appendicectomy.A 13-year old presented fever, localized right-sided vomiting. Abdominal ultrasound not helpful appendicectomy performed due...
Despite evidence supporting the effectiveness of best practices infection prevention and management, many surgeons worldwide fail to implement them. Evidence-based tend be underused in routine practice. Surgeons with knowledge surgical infections should provide feedback prescribers integrate among changes within their team. Identifying a local opinion leader serve as champion department may important. The "surgeon champion" can clinical drive behavior change colleagues, interact both control...
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...
Actinomycosis is an uncommon chronic suppurative infectious disease that caused by Actinomycetes organisms, which are gram-positive, microaerophilic, anaerobic bacteria. The most common type causing in humans Actinomyces israelii. This organism a commensal of the human mouth and seldom pathogenic. When it does cause disease, however, three main clinical types involvement recognized including cervico-facial, thoracic abdominal actinomycosis.Herein, we present case 79-year-old male patient who...
The presence of a large bulky pancreatic tumour in young female should raise suspicions the diagnosis solid-pseduopapillary pancreas.This rare has characteristics low-grade malignancy with indolent behaviour. Most patients present vague non-specific abdominal pain resulting delayed diagnosis. light microscopic features show solid areas alternating pseudopapillary formations. Metastases are frequently amenable to resection.Favourable prognosis long-term survival been shown even metastatic...
To determine the quality of surgical management offered to patients with colorectal cancer (CRC) as measured by adequacy nodal resections and compare variations across major hospitals in Jamaica.Data was obtained from CRC Registry diagnosed treated surgically for during 3-year period commencing January 1, 2011. Variables analyzed included tumor site, stage number lymph nodes resected hospitals.During under review 60% (349) 586 had formed basis this study. Of these 49% were at UHWI, 27% KPH...
The diagnosis and effective treatment of benign breast disease still remains a clinical challenge the need for surgical intervention has not been clearly defined.To determine patterns in an Afro-Caribbean population order to define encountered review approach treatment.A all biopsy operations performed at Kingston Public Hospital, Jamaica was made by examining total 333 patient records over two year period.Of cases reviewed this study showed that majority lesions were due fibrocystic (41%)...
The objective of this prospective study was to evaluate the role intraoperative cholangiography (IOC) for patients undergoing laparoscopic cholecystectomy (LC) determine whether it could be safely omitted all who fit standard criteria, namely normal liver function tests, no history gallstone pancreatitis, common bile duct (CBD) diameter less than 10 mm or previous jaundice. Data were collected prospectively from 194 consecutive had LC symptomatic gall bladder disease. IOC not performed in...