DOCSLIB.ORG

ROCJ Newsletter Bulletin 5 Brachytherapy Training

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
ROCJ Newsletter Bulletin 5 Brachytherapy Training Radiation Oncology Centre of Jamaica Newsletter Bulletin 5, May 2010 ROCJ HOSTS FIRST BRACHYTHERAPY TRAINING COURSE A section of the audience at the ROCJ Seminar on Brachytherapy from left to right: Dr. Reaud Gafoor Resident in Urology the The UHWI, and Urologists Dr. Richard Mayhew, Dr. Mark Cadogan, Dr. William “Bill” Aiken, and Dr. Michael Brooks. In the background is Dr. Collie MIller, Physicist and Managing Director at ROCJ. Eleven (11) doctors participated in the first competent in this procedure and I was able to Brachytherapy Training Programme at the learn from one of the best,” said Dr. William Radiation Oncology Centre of Jamaica, ROCJ, Aiken, Urologist from Island Medical Centre. on March 18-19, 2010. The group included Dr. Collie Miller, Medical Physicist and Urologists, Oncologists and residents in both Managing Director at ROCJ, says “The two day fields from University Hospital of the West training was a success. Indies (UHWI) and Kingston Public Hospital I was very happy with (KPH). the number of doctors The main presenter, Dr. Thomas Shanahan, participating and the Clinical Professor in Urology and Radiation enthusiasm displayed Oncology at the in learning about this S o u t h e r n I l l i n o i s procedure.” University School of Medicine in Springfield, Photos: Illinois freely shared his Dr. Thomas Shanahan knowledge and imparted valuable lessons experience with the to participants during the group during the brachytherapy training lectures as well as lectures. during the live Across: Dr. Shanahan (at demonstrations. right) looks at the “ T h i s w a s a v e r y ultrasound monitor during worthwhile seminar I the live demonstration, wanted to get hands on while Dr. Bill Aiken, urologist training and become keenly observes the procedure. The medical physicist at ROCJ, using Eclipse Planning for Brachytherapy!"#$%#&'() Computer *+,#-technology.%#+'/0&+ plans the needle and seed 1& 2"0+'3'#placements within 4##- the 567(3&'prostate. Planning8 enables Before the procedure to implant seeds into the the pre-determination of the optimum dose prostate to treat prostate cancer takes place, several 9"3:;)';#"37)distribution in the prostate. planning steps must be undertaken. The radiation oncologist, urologist and physicist plan and map the !"#$ %& '()&$#$* +**, < /#-$:,%&%)#- 9)%0 &- &-&'$3 placement-./0#1$ of the seeds to ensure they%0'$)#,#5)$% are correctly )$ &,$# &""&-5'( 7 placed. 80' (&1 .'2#"' %0' )*+,&-% %0' +&%)'-% )$ &,$# "'D:)"'( %# (# .#9', What!"#$%&%' studies $''( are )*+,&-%&%)#-done in preparation #" +"'+&"&%)#- for &-( *:$% -#% '&% #" Brachytherapy."&/01%0'"&+1 ? )$ & *'%0#( #2 ('3 (")-? &-1%0)-5 &2%'" *)(-)50% %0' ,)4'")-5 4'"1 ,#/&,)6'( "&()&%)#- %# '4'-)-5 .'2#"' %0' )*+,&-%7 About%0' 2-3 +"#$%&%' weeks 5,&-(7 before 80)$ )-4#,4'$the implant procedure, a volume%0' )-$'"%)#-study is #2 performed -''(,'$ +"'3 2),,'(using a !"#$BK Ultrasound (% '+,) '&*(,3 $") 456 9)%0 "&()#&/%)4' $''($ )-%# %0' System to acquire cross-sectional -7#,$images 8*+0)'&*) of the 2 :$)-5 & /1$%#$/#+' %# ('%'"*)-' )2 +"#$%&%' 5,&-(7 80' $''($ &"' ,'2% %0'"' &"' &-1 $''($ )- %0' .,&(('"77 prostate. The patient is given specific bowel A series of tests are also required in preparation for )- +,&/' +'"*&-'-%,1 90),' %0' 80)$ )$ /&,,'( /1$%#$/#+17 80' :,%"&$#:-( +"#.' )$the +,&/'( implant— including blood work, possibly a chest preparation-''(,'$ &"' instructions "'*#4'(7 80)$ prior *'%0#( to the procedure. This 80' +&%)'-% #4'"-)50%$ &% & -'&".1 )-%# %0' "'/%:* %# 4)$:&,)6'x-ray %0'and/or EKG. is to9),, aid (',)4'" in the 0)50 visualization (#$'$ #2 "&()&%)#- of the prostate gland. +")4&%' 0#$+)%&, &-( )$ ()$/0&"5'( +"#$%&%' 5,&-(7 < /&%0'%'" )$ %'*3 The %#images %0' +"#$%&%' obtained 90),' are *)-)*)6)-5 used to determine the size .1 %0' :"#,#5)$% %0' 2#,,#9)-5 +#"&"),1 +,&/' )-%# %0' .,&(('" 2#" %0' &*#:-% #2 "&()&%)#- %# $:"3 A consultation*#"-)-57 with an anaesthesiologist is also of the prostate and for treatment planning.%0)$ +"#/'(:"'7 After"#:-()-5 reviewing %)$$:'$; images $:/0 &$of %0'the .,&(3 prostate the oncologist arranged . The day before the implant the patient is ('" &-( "'/%:*7 80' "&()#&/%)4)%1 L0'- %0' +"#.' )$ )- +"#+'" !"#$ 2#&*& #(* 3*&$ prescribes the amount of radiation needed+#$)%)#- and )% 9),, .' $'/:"'(also )-required & to do bowel preparation and must not #2 %0' $''($ ()*)-)$0'$ #4'" %)*'7 eat or drink&4%$*, anything 5)(after midnight '()&$#$* the evening passes this to the physicist. $%'++'" %0&% /&- .' &22)H'( %# %0' 6(#2"7$"*(#/7 !"#$ %$&'()% #*) '+,) #+'"&%)-5 %&.,'7 80'before C%'++'" the implant. (, -*)-#*#$(+, .+* '-&.,'$ %0' (#/%#" %# &(4&-/' %0' /*#0"1$")*#-1 2 +"#.' )-/"'*'-%&,,17 T&()#&/%)4' )*+,&-%$ #22'" *'- &- '22'/%)4' %"'&%*'-% #+%)#- 2#" '&",1 +"#$%&%' /&-/'" %0&% )$ ,'$$ ()$":+3 Brachytherapy<.#:% =3> 9''?$ .'2#"' in %0' %)4' %# %0')" ,)4'$ %0&- $%&-(&"( )*+,&-% +"#/'(:"'; & 4#,:*' $%:(1 %"'&%*'-%7 )$ +'"2#"*'(7Jamaica 80)$ )$ :$'( %# ('%'"3 !"#$%&%' ."&/01%0'"&+1 9#"?$ .'$% #- +"'4)#:$,1 :-%"'&%'(; '&",1 *)-' %0' $)6' #2 %0' +"#$%&%' &-( Below: 2#" %"'&%*'-% +,&--)-57 $%&5' %:*#"$ /#-2)-'( %# %0' +"#$3 Dr. Wan & Dr. Venslow Greaves, 80' +&%)'-% )$ 5)4'- $+'/)2)/ %&%'77 U:' %# 0')50%'-'( $:"4'),3 Radiation Oncologist,ROCJ, take Dr. .#9',Robert +"'+&"&%)#- Wan, Urologist, )-$%":/%)#-$ ,&-/' 9)%0 $/"''-)-5 %'$%$ ,)?' %0' presented+")#" %# %0'on +"#/'(:"'7Brachytherapy 80)$ )$ in %# !C< M+"#$%&%'a look at $+'/)2)/the Agenda &-%)5'-Q for the JUS Jamaica&)( )- at %0' the 4)$:&,)6&%)#- February #2 28, %0' &-( :,%"&$#:-( )*&5)-5;Conference *&-1. !""#$%&'%()* )+ %,- .)$(%()* )+ %,- 2010+"#$%&%' Jamaica 5,&-(7 Urological *#"' *'- &"' .')-5 ()&5-#$'( .&)/- (* %,- &-0%#12 %,- *--3"-$ 9)%0 +"#$%&%' /&-/'" 90),' )% )$ $%),, Society(JUS)< @A B,%"&$#:-( Conference C1$%'* )$held :$'( '*3 $--3$ (* %,- .&)$%'%- ,#/&,)6'(; #" /#-2)-'( %# %0' +"#$3 at Jamaica%# &/D:)"' Conference /"#$$3$'/%)#-&, Centre )*&5'$ 80' :"#,#5)$% +,&/'$ %0' -''(,'$ %&%'7 #2 %0' +"#$%&%'7 80' *'()/&, MNO3=P -''(,'$Q )-%# %0' +"#$%&%' in Kingston. Up to now Dr. Wan @"&/01%0'"&+1 )$-V% &++"#+")&%' 2#" +01$)/)$%; :$)-5 E&")$''( 5,&-(7 F#-2)"*)-5 %0' +"#+'" is the only urologist in Jamaica '4'"1 *&-; .:% $0#:,( .' /&"'2:,,1 F#*+:%'" %'/0-#,#51 +,&-$ %0' ,#/&%)#-Dr. Robert #2 '&/0Wan -''(,'Urologist,speaking .1 :,%"&3 who performs brachytherapy as /#-$)('"'( &,#-5$)(' $:"5)/&, "'3 -''(,' &-( $''( +,&/'*'-%$ 9)%0)- $#:-(7at recently 80' held "&()&%)#- Jamaica #-/#,#5)$% Urological *#4&, #2 %0' +"#$%&%' &-( 'H%'"-&, part%0' of +"#$%&%'7 the team !,&--)-5 at Radiation '-&.,'$ %0' :$)-5Society & R)/? Conference <++,)/&%#" ()$+'-$'$ .'&* "&()&%)#- %0'"&+17 J&/0 Oncology+"'3('%'"*)-&%)#- Centre of #2 Jamaica. %0' #+%)*:* %0' $''( %0"#:50 %0' -''(,'$7 %"'&%*'-% &++"#&/0 0&$ )%$ +#%'-3 Dr. (#$'Wan ()$%").:%)#- reviewed )- %0'thirty-seven +"#$%&%'7 S,:#"#$/#+1He concluded &-( Hthat3"&1 9),,based &,$# on .' the %)&, &(4&-%&5'$ &-( ()$&(4&-%&5'$ cases< $'")'$ of the #2 fifty %'$%$ cases &"' &,$# done "'D:)"'( at :$'(Jamaican %# $'' %0' ,#/&%)#-experience #2 %0' &-( +&%)'-%$ &-( +01$)/)&-$ $0#:,( the )-Centre +"'+&"&%)#- since 2#" %0'2004. )*+,&-% HeG $''($7brachytherapy was an accepted )-/,:()-5 .,##( 9#"?; +#$$).,1 & /&"'2:,,1 /#-$)('" &,, #+%)#-$ detailed the successes and <2%'"alternative %0' $''($ to prostatectomy. &"' )- +,&/'; %0' /0'$% H3"&1 &-(I#" JAK7 &4&),&.,' %# %0'*7 complications. :"#,#5)$% 'H&*)-'$ %0' .,&(('" Radiation Oncology Centre of Jamaica, 1Ripon Road, Kingston 5 Tel: 920-1823, 920-8404 Fax: 960-1359 Email: [email protected] Website: rocjamaica.com (Copies of ROCJ Newsletters are available on our website).
Load more

Recommended publications
  • Leading the Fight Against Kidney Disease”
    “Leading the fight against Kidney Disease” Caribbean Institute of Nephrology in collaboration with The University of the West Indies, department of medicine, Mona and University of Michigan, faculty of medical sciences, department of nephrology, Ann Arbor and the international society of nephrology Presents the 12thAnnual International Conference On Nephrology and Hypertension January 24 & 25, 2020 at the pegasus hotel, kingston, jamaica AN ISN/CME MEETING. “Targeting Caribbean Kidney Issues Together” MEDICAL COUNCIL OF JAMAICA - 16 CME CREDITS www.caribbeaninstituteofnephrology.net Friday, January 24, 2020 7:00 - 9:00 am Registration MODERATOR E. N. BARTON 9:00 – 9:15 am Opening Address - E. Barton 9:15 – 9:25 am Welcome from Dean, Faculty of Medical Sciences, Mona – T. Paul 9:25 – 9:35 am Greetings from University of Michigan, Ann Arbor – R. Saran 9:35 – 9:45 am Benefits of ISN Membership – G. Garcia 9:45 – 9:55 am Greetings from CHASE FUND 9:55– 10:15 am Address from Minister of Health, Jamaica – The Honorable C. Tufton 10:15– 10:45 am Coffee Break/ Viewing of Exhibits MODERATOR L. Fisher/ R. Lowe-Jones 10:45 – 11:05 am The Political will in the fight against kidney and cardiovascular diseases – P. Glegg 11:05 – 11:25 am Coronary Artery Disease and CKD: An Update - H. Mohammed 11:25 am – 11:45am Data from the Jamaica Lifestyle Study on prevalence of kidney disease - T. Ferguson 11:45 am - 12:05 pm Obesity data in the Caribbean: How can it impact kidney disease? – M. Boyne 12:05 – 12:25 pm Data to Action: Lessons from Kidney Surveillance Systems – R.
    [Show full text]
  • Jamaica: Medical and Healthcare Issues
    Country Policy and Information Note Jamaica: Medical and healthcare issues Version 1.0 March 2020 Preface Purpose This note provides country of origin information (COI) for decision makers handling cases where a person claims that to remove them from the UK would be a breach Articles 3 and / or 8 of the European Convention on Human Rights (ECHR) because of an ongoing health condition. It is not intended to be an exhaustive survey of healthcare in Jamaica. Country of origin information The country information in this note has been carefully selected in accordance with the general principles of COI research as set out in the Common EU [European Union] Guidelines for Processing Country of Origin Information (COI), dated April 2008, and the Austrian Centre for Country of Origin and Asylum Research and Documentation’s (ACCORD), Researching Country Origin Information – Training Manual, 2013. Namely, taking into account the COI’s relevance, reliability, accuracy, balance, currency, transparency and traceability. The structure and content of the country information section follows a terms of reference which sets out the general and specific topics relevant to this note. All information included in the note was published or made publicly available on or before the ‘cut-off’ date(s) in the country information section. Any event taking place or report/article published after these date(s) is not included. All information is publicly accessible or can be made publicly available, and is from generally reliable sources. Sources and the information they provide are carefully considered before inclusion. Factors relevant to the assessment of the reliability of sources and information include: • the motivation, purpose, knowledge and experience of the source • how the information was obtained, including specific methodologies used • the currency and detail of information, and • whether the COI is consistent with and/or corroborated by other sources.
    [Show full text]
  • Bustamante Children's Hospital Kingston, Jamaica
    Background-justification for WFPI imaging support project November 2014 Bustamante children’s hospital Kingston, Jamaica Information provided by: Dr. Hedwig Goede Short-term Health System and Services Advisor PAHO/WHO Jamaica Representation UWI, Mona Campus 8 Gibraltar Hall Road Kingston 7 Ms. Andrea Dyer Coordinator Medical Imaging Department of HealtH Service Planning and Integration Ministry of HealtH Jamaica 1. BACKGROUND BUSTAMANTE’S CHILDREN’S HOSPITAL 1.1 Place in the national health system Bustamante’s Children’s Hospital is a public hospital in Kingston, Jamaica, establisHed in 1963 when the paediatric ward at the Kingston Public Hospital was transferred to tHis location. The facility was formerly tHe BritisH Military Hospital and was Handed over to tHe Jamaican government after tHe country gained independence in 1962. Bustamante Hospital for CHildren is tHe only specialist children’s hospital in the English speaking Caribbean and serves patients from birth to 12 years of age. Bustamante’s hospital, as a specialist hospital for paediatric care, serves the entire country. In addition it serves occasionally patients from nearby small islands; tHe Cayman Islands and Turk and Caicos. The HealtH service delivery system in Jamaica is a decentralized system witH four Regional HealtH Authorities responsible for service provision and management of the facilities in the public system. Due to its geograpHic location Bustamante is run by the South East Regional HealtH AutHority (SRHA). The SRHA is a statutory body of tHe Ministry of HealtH regulated by tHe 1997 National HealtH Services Act. 1 1.2 Hospital Capacity, services and patient load The hospital has 283 beds, including 5 ICU beds.
    [Show full text]
  • W D. RALPH MILLARD, JR., MD, FACS
    The Incidence of Cleft Lip and Palate in Jamaica ' w D. RALPH MILLARD, JR., M.D., F.A.C.S. KENNETH A. McNEILL, M.D., B.S., FR.C.S., FA.C.S ' Miami, Florida The low incidence of clefts of the lip and palate in the Negro race has been noted often. In 1924, John Staige Davis (1) reported an incidence of 1:1170 births in Baltimore where there was a large number of Negroes and found the incidence of these anomalies to be lower in the Negro than in the Caucasian. Similar findings were suggested by Douglas (1950 and 1954) from the vital statistics of the State of Tennessee where the inci- dence was 1:1694 (6). In 1956, Peer (4) found that in New Jersey the proportion of white to Negro lip and palate clefts was 97 to 3. Sesgin and Stark (6) found in the Woman's Hospital Division of St. Luke's Hospital in New York the incidence of 1:1289 and explained this low incidence to be due to the relatively high percentage of Negro citizens. This was re- confirmed by Ivy (3) when he cited the incidence in Pennsylvania at 1:906 births but in Philadelphia County, with a 36% Negro population, the incidence was 1:1184. These findings again were substantiated by Robinson (5) in the multiracial society of Trinidad where the two major ethnic groups composing 90% of the population were divided into 54% Negro-mixed and 36% East Indian. The total incidence of cleft lip and palate in Trinidad was 1:857 but in the East Indian it was 1:500 and only 1:1888 in the Negro-mixed.
    [Show full text]
  • University Diabetes Outreach Programme (Udop)
    UNIVERSITY DIABETES OUTREACH PROGRAMME (UDOP) The University of the West Indies (UWI) University of Technology, Jamaica (UTech) Diabetes Association of Jamaica (DAJ) In collaboration with The Caribbean Obesity Society presents The 26th Annual International Diabetes Conference Theme: DIABETES: What’s trending? April 23-25, 2020 At AC Marriott Hotel, Jamaica 38-42 Lady Musgrave Road, Kingston 5 1 PROGRAMME Thursday, April 23, 2020 Registration 1:00 p.m. Sponsor: Massy Distributors 2:00 p.m. – 3:00 p.m. Wound care Workshop First Scientific Session The Most Hon. Hugh Lawson Shearer Memorial Lecture Chair: Prof. The Most Hon. Denise Eldemire Shearer, MBBS, PhD, CD Director, Mona Ageing and Wellness Centre The University of the West Indies, Mona 4:30 p.m. – 5:30 p.m. NAFLD/NASH Michael Mills Physician and Gastroenterologist Phoenix Gastroenterology, Jamaica Second Scientific Session The Sir Alister McIntyre Distinguished Award Chair: Donna Braham, DM, MSc (Derm) Consultant Physician The University of the West Indies, Mona Campus 5:30 p.m. – 6:10 p.m. Can Diabetes be prevented? Michael Boyne, MD, FRCPC, FRCP, FRCP Edin Professor of Endocrinology & Metabolism Head, Department of Medicine The University of the West Indies, Mona Campus Presentation of Plaque 6:10 p.m. – 6:50 p.m. Diabetic Triopathy Rayaz Malik, MBChB, PhD Professor of Medicine Weill Cornell Medicine Qatar 6:50 p.m. – 7:30 p.m. COCKTAILS 2 Friday, April 24, 2020 Third Scientific Session The Hon. Errol Morrison Distinguished Lecture Chair: Victor Elliott BSc, MBBS, DM, Cardiology (UoT), FSCAI Interventional Cardiologist Director, Partners Interventional Centre of Jamaica 9:00 a.m.
    [Show full text]
  • Psychiatric Induced Births in Jamaica: Homicide and Death Effects On
    rensic An o th F f ro o p l Bourne and Hudson-Davis, J Forensic Anthropol 2016, 1:1 o a l n o r g Journal of Forensic u y o J Anthropology Research Article Open Access Psychiatric Induced Births in Jamaica: Homicide and Death Effects on Pregnancy Paul Andrew Bourne1* and Angela Hudson-Davis2 1Director, Socio-Medical Research Institute, Kingston, Jamaica 2Angela Hudson-Davis, Capella University, USA Abstract For this paper, the researchers have narrowed the gap in the health literature by addressing the following objectives: 1) evaluate the role of homicide on admissions to a maternity hospital (or on pregnancy); 2) assess whether or not deaths can induce pregnancy or birth; 3) determine the responsivity of hospitalization at a mental health facility among pregnant women; and 4) calculated the responsivity of hospitalization to a maternity institution based on changes in homicide or deaths. The data for this study were taken from a Jamaica Government Publication. Data were also obtained from the Ministry of Health (2005-2015) on admissions to a national mental health public hospital in Jamaica, which is the Bellevue Hospital. The period for this work is from 2005 through to 2015. Homicide has an effect on admissions to Victoria Jubilee hospital, using the positive elasticities, especially those greater than one. Keywords: Induced birth; Postpartum psychosis engines did not turn up a single research on the aforementioned issues. Another rationale for this study is based on the comments of Valenca Introduction and de Moraes “There is a scarcity of studies in the literature that Jamaica is the largest English-Speaking Caribbean nation and deal with the relationship between mental disorders and homicide in the third largest Caribbean island with an estimated population of developing countries” (S67) [13].
    [Show full text]
  • EN Provision of Mortuary Services for SERHA Facilities for Three (3) Years
    1/ 3 16/10/2020 - EN Provision of Mortuary Services for SERHA Facilities for Three (3) Years Competition Notice SECTION I: CONTRACTING AUTHORITY NAME, ADDRESSES AND CONTACT POINT(S) Official name: South East Regional Health Authority Postal address: 25 Dominica Drive Contact information: Telephone: (876) 754-3439-42 SECTION II: OBJECT OF THE CONTRACT DESCRIPTION Tender Reference Number: 1027001 Scope (narration of procurement): Provision of Mortuary Services for SERHA Facilities for Three (3) Years Nature Quantity Type of contract and location of works, place of delivery or of performance (Choose one category only - works, supplies or services - which corresponds most to the specific object of your contract or purchase(s)) (a) Works (b) Supplies (c) Services Main site or location of works Main place of delivery Main place of performance A summary of the principal required terms and conditions of the procurement contract or the framework agreement: Contractor shall provide satisfactory Mortuary Services for South East Regional Health Authority Facilities for a period of Three (3) years. Facilities are: Lot 1 - Kingston Public Hospital/Victoria Jubilee Hospital Lot 2 - Bustamante Hospital for Children Lot 3 - Spanish Town Hospital and Linstead Hospital, St. Catherine Lot 4 - Princess Margaret Hospital, St. Thomas PPC Category Code and Titles S0280-Funeral Services Expected delivery time: Date: 16/03/2021 (dd/mm/yyyy) 2/ 3 16/10/2020 - EN Provision of Mortuary Services for SERHA Facilities for Three (3) Years SECTION III: PROCEDURE Type of
    [Show full text]
  • Department of Medicine
    DEPARTMENT OF MEDICINE Professor Rosemarie Wright-Pascoe DM, FACP, FACE, FRCP ( UK ) Professor of Medicine and Endocrinology Head of Department PROFESSORS IN THE DEPARTMENT OF MEDICINE • Professor Michael Lee • Professor Everard Barton on contract with the University Hospital of the West Indies (UHWI) DIVISIONS IN THE DEPARTMENT OF MEDICINE IN ASSOCIATION WITH THE UNIVERSITY HOSPITAL OF THE WEST INDIES (UHWI) MONA Cardiology – Cardiac Unit and Cardiac Catheterization Suite Gastroenterology – Minor Operations – Endoscopy Suite Nephrology – Dialysis Unit – 266 – Department of Medicine CHARES – Centre for HIV/AIDS Research, Educationa and Service e Tony waites – Private in-hospital consultations Wing e Mona Institute of Medical Sciences – Private Out-patient Consultations Dermatology Unit – Dermatology Ward and Dermatology Clinics Critical Care Unit – Medical Intensive Care Unit on Ward 3 OTHER SUB-SPECIALTY SERVICES OFFERED TO INPATIENTS AT THE HOSPITAL • Pulmonology • Neurology • Endocrinology • Rheumatology • Infectious Diseases IN-HOSPI TAL BEDS ese are located on Wards 3, 4, 7, 8, 20 Annex and on other wards as the need arises such as Ward 18 of the University Hospital of the West Indies and number approximately one hundred and twelve beds (n = 112) FACULTY University tenured and non-tenured n = 13 University Hospital of the West Indies n = 23 Associate Lecturers at the Kingston Public Hospital, the Spanish Town Hospital, the May Pen Hospital, the Mandeville Regional Hospital, – 267 – FACULTY OF MEDICAL SCIENCES the St. Ann’s Bay Hospital
    [Show full text]
  • HEALTH SYSTEM and SERVICES PROFILE of JAMAICA (1 Edition, March, 15, 1999)
    HEALTH SYSTEM AND SERVICES PROFILE OF JAMAICA (1st edition, March, 15, 1999) (Revised, August, 30, 1999) (2nd edition, December 5, 2001)* ORGANIZATION AND MANAGEMENT OF HEALTH SYSTEMS AND SERVICES PROGRAM DIVISION OF HEALTH SYSTEMS AND SERVICES PAN AMERICAN HEALTH ORGANIZATION EXECUTIVE SUMMARY An independent state in the Commonwealth Caribbean since 1962, Jamaica is governed by a constitutional parliamentary democracy based on the Westminster/Whitehall model from England. Overall, there was little or no growth in the Jamaican economy during the decade of the 1990s. A major factor was the collapse of the financial sector (banks and insurance companies) in 1996, which had an impact on the entire economy. Despite the lack of growth in the formal economy, there have been significant improvements, e.g. a dramatic drop in the inflation rate and poverty rate. According to the International Monetary Fund (IMF) the worst is past and the economy will be making a slow recovery towards growth in the foreseeable future. Like many small and developing nations, the economy is fragile and highly vulnerable to a number of external and internal factors. The pressures of the global economy, remittances from abroad and natural disasters are prime examples. Tourism, especially the North American market, is the major earner of foreign exchange. A significant internal factor is the informal economy. Over the past two decades, debt servicing has claimed about one-half of the government operating budgets. Multilateral institutions are the largest providers of funds to the country, usually as loans. Life expectancy at birth is 75.3 years. Life expectancy by gender is 73.3 years for males and 77.3 for females.
    [Show full text]
  • Surgery in Jamaica
    SPECIAL ARTICLE Surgery in Jamaica Peter Fletcher, FRCSEd; Archibald McDonald, DM(Surg), FRCSEd; Trevor McCartney, DM(Surg), FRCSEd; Reginald Carpenter, MA, MB BChir, FRCS amaica, at 4244 square miles (6830 km2) and with some 2.6 million inhabitants, is the larg- est and most populous country in the English-speaking Caribbean (Figure). The island is best known for its tourism industry, excellent rums, jerked pork, and, of course, reggae music. J HOSPITAL FACILITIES cated cardiothoracic and neurosurgery intensive care unit. Tertiary health care in Jamaica is pro- All the surgical specialties are repre- vided largely by the government. There are sented, and most surgical procedures are of- 23 government (public) hospitals and 10 fered. These include major bowel resec- private hospitals. Some of the public hos- tions, laparoscopic cholecystectomy, aortic pitals have small private wings attached. aneurysmectomy, radical cancer surgery, re- The government hospitals are clas- nal transplantation (mainly at the KPH sified as types A, B, C, and specialist. There now), joint replacement, liver resection, and are 3 type A hospitals: the University Hos- image-guided neurosurgery. It is the only pital of the West Indies (UHWI) and King- hospital in which open heart surgery is per- ston Public Hospital (KPH), located in formed and is 1 of 2 referral centers for neu- Kingston, and Cornwall Regional Hospi- rosurgery, the other being the KPH. tal, which is in Montego Bay. These are At the UHWI, there are some 4500 multidisciplinary hospitals that provide elective admissions each year to the vari- services for all medical specialties. They ous surgical specialties and 1100 trauma are fully supported by laboratory and ra- admissions.
    [Show full text]
  • Davy, Shawn V the Attorney General of Jamaica; Kingston Public Hospital
    [2015] JMSC Civ 126 IN THE SUPREME COURT OF JUDICATURE OF JAMAICA IN CIVIL DIVISION CLAIM NO 2009HCV02904 BETWEEN SHAWN DAVY CLAIMANT AND THE ATTORNEY GENERAL OF JAMAICA 1ST DEFENDANT AND KINGSTON PUBLIC HOSPITAL (substituted by SOUTH EAST REGIONAL HEALTH AUTHORITY) 2ND DEFENDANT IN OPEN COURT Mr. Kevin Page instructed by Page & Haisley, Attorneys-at-law for the Claimant Mrs. Gail Mitchell instructed by the Director of State Proceedings for the Defendants. Negligence – Professional Negligence – Claimant undergoing surgery after injury to left side of eye – subsequent illness of claimant - whether any nexus between surgery and subsequent illness – whether surgery negligently performed Heard: April 13, 14 and 15, 2015 and June 26, 2015 LINDO J. (Ag.) [1] This action is brought by Shawn Davy who was taken to the Kingston Public Hospital (KPH) on December 9, 2005 after having sustained a stab wound to his left eyebrow. At the time of the incident he was a student. [2] The claimant bases his claim for damages for negligence by the defendants on the grounds that he underwent a left internal carotid artery ligation surgical procedure when the servants and/or agents of the 2nd defendant acting as servants or agents of the Crown so negligently performed their duties that they caused him to suffer serious injury during the medical procedure. He claims that the defendants owed him a duty of care in relation to his treatment and operation performed on December 9, 2005. [3] The particulars of negligence are stated as follows: a) In all circumstances
    [Show full text]
  • Psychiatry in the Commonwealth Caribbean a Brief Historical
    434 Bulletin of the Royal College of Psychiatrists Psychiatry in the Commonwealth Caribbean A brief historical overview FREDERICKW. HICKLING,Psychotherapy Associates, 23 Connolley Avenue, Kingston, Jamaica Treatment of the mentally ill by the Aboriginal such mental illness were virtually non-existent in that Awaraks of Jamaica and the other Caribbean islands period. The rudimentary hospitals or 'hothouses' on was first described by a Spanish monk in 1540': some slave plantations were used for solitary con 'Lunatics' who were called 'mind riven' were treated finement. The high numbers of 'weakly' or invalid in the community with salvent herbs, which were slaves were an indication of the cruel treatment and blended with food and left to hang on fruit trees for extremely severe labour to which the Africans were those who wandered, and by the administration of subjected. unguents and lavings while singing. This record Mental health facilities provided by the British at indicates that the mentally ill were treated by the this time simply continued the tradition of violence indigenous Indians without restraints, and with and restraint which had started with the Spanish rudimentary attempts at pharmacology and cultural colonialists. Certainly, any form of violent behaviour therapies. But this enlightened but primitive mental (psychiatric or otherwise) was treated with the legal health system was destroyed with the advent of the penalty of death, usually in a barbarous manner such Spanish conquerors who, according to Las Casas, as slow burning. "in about eight to forty years have unjustly put Not that there was a shortage of trained doctors to death about twelve million Indians without during that period; there were 300 in Jamaica in distinction of quality, sex or age".
    [Show full text]