W Indian Med J
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To determine the proportion of deaths due to confirmed myocardial infarction (CMI) and the aetiology of sudden death at the Port-of-Spain General Hospital (A&E) department for January to June 2008. ⋯ This study shows that the main cause of death in the A&E Department at the Port-of-Spain General Hospital was MI. Trauma related deaths followed. Men died from MI at an earlier age than women. Most MI patients were dead on arrival.
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Randomized Controlled Trial
Evaluation of haemodynamic changes in hypertensive patients during tooth extraction under local anaesthesia.
This study was conducted to determine the changes in blood pressure and the pulse rate of patients with controlled hypertension having dental extraction under local anaesthesia utilizing 2% lignocaine with adrenaline, and to evaluate whether these changes in blood pressure were are attributable to addition of adrenaline. ⋯ The haemodynamic changes induced by injecting 2% lignocaine with adrenaline in patients with controlled hypertension during tooth extraction is within normal range and is not different from that induced by 2% lignocaine without adrenaline. We consider it essential that all precautions to prevent inadvertent intravascular injection be undertaken by the care provider.
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To review the management of patients with Clostridium difficile-associated diarrhoea (CDAD). ⋯ The findings of this study can be used as a process improvement measure in the management of patients with CDAD.
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To investigate the trends in incidence and age-distribution of prostate cancer in Kingston and St Andrew (KSA), Jamaica, over the 30-year period 1978-2007. ⋯ The incidence of prostate cancer in KSA, Jamaica, has been progressively increasing since 1983, and there has been a concomitant increase in the proportionate contribution from younger men. Continued increase is likely over the next several years, but KSA currently appears to be a relatively low-risk region for prostate cancer, compared to black populations in developed Western countries.
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Randomized Controlled Trial Multicenter Study
Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2) A randomised, placebo-controlled trial.
Tranexamic acid can reduce bleeding in patients undergoing elective surgery. We assessed the effects of early administration of a short course of tranexamic acid on death, vascular occlusive events, and the receipt of blood transfusion in trauma patients. ⋯ Tranexamic acid safely reduced the risk of death in bleeding trauma patients in this study On the basis of these results, tranexamic acid should be considered for use in bleeding trauma patients.