Informed consent in medical research. Doctors are arrogant to think they need to debate issue of patient consent.
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Biomedical subjects
Publications and source records attributed to D E Bratt.
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A rare case of snake bite poisoning presenting as disseminated intravascular coagulation is presented. It is important to consider this entity in the differential diagnosis of children presenting with acute bleeding disorders in the West Indian islands where Bothrops atrox is present, namely, in Trinidad, St. Lucia and Martinique.
The occurrence of the first seven cases of visceral larva migrans in Trinidad and Tobago is described. All cases occurred in children of the same family. The ELISA test was used to confirm the clinical diagnosis.
Coconut water was evaluated as a home glucose electrolyte solution for well-nourished children with mild diarrhoea. We describe the chemical composition of coconut water by type and age of coconut (Cocos nucifera). Our results suggest that young coconut water can be used, together with early refeeding, as a home glucose electrolyte oral rehydration solution in the early stages of mild diarrhoeal disease, despite not having a balanced electrolyte composition. However, it should not be used in patients with severe cholera, or in patients who are dehydrated and/or in whom renal function is impaired.
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The first twenty-one cases of Paediatric Acquired Immunodeficiency Syndrome (PAIDS) in Trinidad and Tobago were studied. An overwhelming majority of patients were of African descent. Most of the children presented within the first year of life, the average time between presentation and death was 4 1/2 months, and the majority presented with either diarrhoea or pneumonia or failure to thrive, common conditions in the West Indies. Fever lasting longer than two weeks as well as hepatomegaly were clues which led to a definitive diagnosis.
Two apparently healthy children from the same family were found to have moderate to heavy Blastocystis hominis in their stool samples whilst being investigated for intestinal symptoms: sporadic, painless, rectal bleeding in one and persistent diarrhoea in the other. After treatment with metronidazole, they had no further signs, and stool samples became negative. Eighteen months later, both were asymptomatic, and stool samples continued to be negative for the parasite.
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