Database : MedCarib
Search on : E05.318.308.985.550.325 [DeCS Category]
References found : 24 [refine]
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Id: biblio-906540
Author: Zonneveld, Rens; Roosblad, Jimmy; Wilschut, Jan C; Vreden, Stephen G S; Codrington, John.
Title: Three atypical lethal cases associated with acute Zika virus infection in Suriname
Source: IDCases;5:49-53, July 19, 2016. ilus, tab.
Language: en.
Abstract: Acute Zika virus infection usually presents with a self-limiting triad of fever, rash and arthritis. There is limited information on severe or lethal cases. We report three cases of lethal acute Zika infection, confirmed with polymerase chain reaction, in adult patients with some co-morbidities. The patients showed rapid clinical deterioration with hemorrhagic and septic shock, and exaggerated acute and innate inflammatory responses with pronounced coagulopathy, and died soon after admission to the hospital. It remains unclear whether the fatal outcomes were due to acute Zika virus infection alone or to the combination with exacerbated underlying prior disease or co-infection. Nonetheless, the severity of these cases implies that increased awareness for atypical presentations of Zika virus infection, and careful clinical assessment of patients with symptoms of Zika, is warranted during current and future outbreaks...(AU)
Responsable: TT5 - Médical Sciences Library


  2 / 24 MedCarib  
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Id: biblio-906532
Author: Vroon, Pieter; Roosblad, Jimmy; Poese, Fauzia; Wilschut, Jan; Codrington, John; Vreden, Stephen; Zonneveld, Rens.
Title: Severity of acute Zika virus infection: A prospective emergency room surveillance study during the 2015¡2016 outbreak in Suriname
Source: IDCases;10:117-121, October 16, 2017. tab.
Language: en.
Abstract: Acute Zika virus (ZIKV) infection is usually mild and self-limiting. Earlier, we reported three cases of fatal acute ZIKV infection in patients without typical signs of ZIKV, but rather with criteria of systemic inflammation response syndrome (SIRS). To follow up these observations, we prospectively included patients at the emergency room with temperature instability and suspected to have acute ZIKV infection, SIRS, or both. A total of 102 patients were included of whom N =21 (21%) were suspected of acute ZIKV infection, N =56 (55%) of acute ZIKV infection with SIRS criteria, and N =25 (24%) of SIRS alone. ZIKV-PCR was positive in N =21 (20%) patients. Eight (38%) ZIKV-positive patients needed admission to the hospital of whom four (50%) presented with SIRS alone. One ZIKV-positive patient had vascular co-morbidity and died following shock and severe coagulopathy. We confirm the hypothesis that acute ZIKV infection can present atypical and severely with systemic inflammation and have lethal course particularly amongst patients with significant prior disease...(AU)
Responsable: TT5 - Médical Sciences Library


  3 / 24 MedCarib  
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Id: 17945
Author: Evans, A(aut).
Title: The economic impact of road traffic fatalities in Jamaica
Source: In: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Language: en.
Abstract: OBJECTIVE: To estimate the economic cost of road traffic fatalities in Jamaica. DESIGN AND METHODS: This study used the Gross Output Approach to estimate the economic cost of road traffic fatalities in Jamaica for 2012 and 2013. It entailed estimating the cost of loss of output, cost of medical treatment, cost of damage to vehicles and other property and administrative cost. RESULTS: The fatalities per accident for 2012 and 2013 were 2.24 and 1.56 respectively. The average age of fatal accident victim is 39. With an average retirement age of 64, the average productive years lost is 26 years. Using an annual average wage of $1,021,488 in 2012 and $1,060,852 in 2013, the discounted loss of output per fatal crash in 2012 and 2013 is $42,131,733.1 and $30,472,454 respectively. CONCLUSION: Estimates from 2012 and 2013 suggested that loss of output alone from road traffic crashes accounted for $42,131,733.1 and $30,472,454 respectively.
Responsable: TT2.1 - Library


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Id: 16260
Author: Phillips, Daphne Ethlyn.
Title: Fatalism and health in the Brazilian state of Sao Paulo.
Source: St. Augustine; Faculty of Medical Sciences, The University of the West Indies; 1994. 363-75 p. tab. , 3
Language: En.
Abstract: The literature portrays fatalism as a behavior, expressed through inaction, based on the perceived inability of the individual or group to overcome social and economic deprivation. The attitude of fatalism was found to affect the poor in some industrial countries, and to be widely characteristic of populations in developing countries. Research on fatalism among mothers of infants in Northeastern Brazil, where infant mortality rates are very high, produced conflicting results, with some researchers reporting high levels of fatalistic attitudes, and others identifying the absence of fatalistic behaviors, due to strong socio-cultural networks of support among the poor. In this paper, using multiple regression analysis, I argue that fatalism among the adult population in Sao Paulo is relatively low due to extensive social support, and further that social support acts to prevent and/or reduce fatalistic attitudes (AU)
Responsable: TT5 - Médical Sciences Library
TT5; WA 900 DB8 P558f 1994


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Id: 7758
Author: Venugopal, Sivarajan; Char, Gurendra; Duncan, Newton D; Carpenter, Reginald A.
Title: Prognosis of neuroblastic tumours in children
Source: West Indian med. J;43(3):89-92, Sept. 1994.
Language: En.
Abstract: A retrospective analysis of 26 children with neuroblastic tumours treated at the University Hospital of the West Indies (UHWI) between 1970 and 1991 was undertaken to evaluate factors affecting prognosis. The peak incidence was between 48 months and 60 months of age, and 75 percent of the deaths occurred in children older than 3 years. The abdomen was the most common site of the tumours 79 percent of which were from the adrenal gland and carried a dismal outcome. Other sites were thoracic, pelvic and cervical. Extra-adrenal tumours have a good outcome even when the histology is unfavourable; 92 percent of the tumours were in Stages III or IV at the time of initial presentation. Stage IV disease accounted for all but one of the deaths. Of the 8 children with favourable histology (ganglioneuroma or well-differentiated ganglioneuroblastoma), only one (12.5 percent) died, whereas of the remaining 18 cases with unfavourable histology (neuroblastoma and undifferentiated ganglioneuroblastoma), eleven (61 percent) died. When managed by surgery alone or with adjuvant chemo- and/or radio-therapy, only 36.4 percent succumbed while all 4 children with chemotherapy only died. Ten children are alive without disease for more than three years post-therapy. A scoring system was designed which takes into account the factors influencing the outcome in neuroblastic tumours, namely, age, location, stage and histological types of the tumours and therapy. All the children with a score of 21 or less survived, whereas all those with scores of 22 or above succumbed. This underlines the multifactorial influences on the final outcome of neuroblastic tumours (AU)
Responsable: JM3.1 - Médical Library
JM3.1; R18.W4


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Id: 5887
Author: Barton, Everard N; Williams, Winston W; Shah, Dipak J; Miller, Maolynne.
Title: Idiopathic foca and segmental glomerulosclerosis in Jamaica: a 10 year review
Source: West Indian med. j;44(3):85-7, Sept. 1995.
Language: En.
Abstract: Idiopathic focal and segmental glomerulosclerosis (IFSGS) in a predominantly black population does not appear to behave any differently than in Caucasian patients. Response to steroid therapy and cyclophosphamide had favourable prognostic significance. There may be a subgroup of IFSGS which responds more slowly to steroids. The duration of steroid therapy should extend beyond four months (AU)
Responsable: JM3.1 - Médical Library
JM3.1; R18.W4


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Id: 4790
Author: Crandon, Ivor W; Char, Gurendra; Reynolds, C; Wellington, Peter; Williams, Elaine E.
Title: Malignant triton tumour of the spine
Source: West Indian med. j;44(4):143-5, Dec. 1995.
Language: En.
Abstract: A malignant triton tumour is a malignant schwannoma with rhabdomyoblastic differentiation, and is a very rare occurrence. We describe the case of a 33-year-old man with neurofibromatosis type 1 who presented with paraplegia. Pathological examination of an intradural, extramedullary tumour excised at lumbar laminectomy demonstrated a malignant schwannoma with rhabdomyoblastic differentiation. We believe this is the first documented case of a malignant triton tumour of the spine (AU)
Responsable: JM3.1 - Médical Library
JM3.1; R18.W4


  8 / 24 MedCarib  
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Id: 4684
Author: Browne, D; Barton, Everard N; Barrow, K. Orrin; Williams, Nadia P; Hanchard, Barrie.
Title: Multicentric angiofollicular lymph node hyperplasia in ulcerative colitis: a case report
Source: WEST INDIAN MED. J;45(1):34-6, Mar. 1996.
Language: En.
Abstract: Multicentric angiofollicular lymph node hyperplasia (MAFH) is a rare disorder which has been associated with various disease entities. This is the first report of its association with ulcerative colitis. details of lymph node histology and views on pathogenesis (AU)
Responsable: JM3.1 - Médical Library
JM3.1; R18.W4


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Id: 3597
Author: Bansal, A. S; Venkatesh, S; Jones, Stephen R; Williams, W.
Title: Acute aphasia complicating typhoid fever in an adult
Source: J Trop Med Hyg;98(6):392-4, Dec. 1995.
Language: En.
Abstract: Motor aphasia complicating bacteriologically confirmed typhoid fever in a 20-year old adult female is presented. Neither the cause of death nor the aetiology of this isolated neurological deficit could be determined from detailed post-mortem examination. An immune related mechanism is suggested based on the temporal characteristics of this complication and CSF abnormalities.(AU)
Responsable: JM3.1 - Médical Library
JM3.1; RC960.J6


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Id: 3498
Author: Wierenga, Klaas J. J; Moosdeen, Faridah; Thomas, S; Serjeant, Graham R.
Title: Penicillin resistant streptococcus pneumoniae in a Jamaican patient with homozygous sickle cell disease
Source: WEST INDIAN MED. J;45(3):95-6, Sept. 1996.
Language: En.
Abstract: Penicillin prophylaxis against infection by Streptococcus pneumoniae is now routine in young children with homozygous sickle-cell (SS) disease and the emergence of penicillin-resistant strains is a serious clinical concern. The first death associated with such resistance in a Jamaican child with SS disease is reported (AU)
Responsable: JM3.1 - Médical Library
JM3.1; R18.W4



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