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1. The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action

Author

Romanello, Marina, Walawender, Maria, Hsu, Shih-Che, Moskeland, Annalyse, Palmeiro-Silva, Yasna, Scamman, Daniel, Ali, Zakari, Ameli, Nadia, Angelova, Denitsa, Ayeb-Karlsson, Sonja, Basart, Sara, Beagley, Jessica, Beggs, Paul J, Blanco-Villafuerte, Luciana, Cai, Wenjia, Callaghan, Max, Campbell-Lendrum, Diarmid, Chambers, Jonathan D, Chicmana-Zapata, Victoria, Chu, Lingzhi, Cross, Troy J, van Daalen, Kim R, Dalin, Carole, Dasandi, Niheer, Dasgupta, Shouro, Davies, Michael, Dubrow, Robert, Eckelman, Matthew J, Ford, James D, Freyberg, Chris, Gasparyan, Olga, Gordon-Strachan, Georgiana, Grubb, Michael, Gunther, Samuel H, Hamilton, Ian, Hang, Yun, Hänninen, Risto, Hartinger, Stella, He, Kehan, Heidecke, Julian, Hess, Jeremy J, Jamart, Louis, Jankin, Slava, Jatkar, Harshavardhan, Jay, Ollie, Kelman, Ilan, Kennard, Harry, Kiesewetter, Gregor, Kinney, Patrick, Kniveton, Dominic, Kouznetsov, Rostislav, Lampard, Pete, Lee, Jason K W, Lemke, Bruno, Li, Bo, Liu, Yang, Liu, Zhao, Llabrés-Brustenga, Alba, Lott, Melissa, Lowe, Rachel, Martinez-Urtaza, Jaime, Maslin, Mark, McAllister, Lucy, McMichael, Celia, Mi, Zhifu, Milner, James, Minor, Kelton, Minx, Jan, Mohajeri, Nahid, Momen, Natalie C, Moradi-Lakeh, Maziar, Morrisey, Karyn, Munzert, Simon, Murray, Kris A, Obradovich, Nick, O'Hare, Megan B, Oliveira, Camile, Oreszczyn, Tadj, Otto, Matthias, Owfi, Fereidoon, Pearman, Olivia L, Pega, Frank, Perishing, Andrew J, Pinho-Gomes, Ana-Catarina, Ponmattam, Jamie, Rabbaniha, Mahnaz, Rickman, Jamie, Robinson, Elizabeth, Rocklöv, Joacim, Rojas-Rueda, David, Salas, Renee N, Semenza, Jan C, Sherman, Jodi D, Shumake-Guillemot, Joy, Singh, Pratik, Sjödin, Henrik, Slater, Jessica, Sofiev, Mikhail, Sorensen, Cecilia, Springmann, Marco, Stalhandske, Zélie, Stowell, Jennifer D, Tabatabaei, Meisam, Taylor, Jonathon, Tong, Daniel, Tonne, Cathryn, Treskova, Marina, Trinanes, Joaquin A, Uppstu, Andreas, Wagner, Fabian, Warnecke, Laura, Whitcombe, Hannah, Xian, Peng, Zavaleta-Cortijo, Carol, Zhang, Chi, Zhang, Ran, Zhang, Shihui, Zhang, Ying, Zhu, Qiao, Gong, Peng, Montgomery, Hugh, and Costello, Anthony

Published
2024
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2. Tracking health system performance in times of crisis using routine health data: lessons learned from a multicountry consortium

Author

Turcotte-Tremblay, Anne-Marie, Leerapan, Borwornsom, Akweongo, Patricia, Amponsah, Freddie, Aryal, Amit, Asai, Daisuke, Awoonor-Williams, John Koku, Ayele, Wondimu, Bauhoff, Sebastian, Doubova, Svetlana V., Gadeka, Dominic Dormenyo, Dulal, Mahesh, Gage, Anna, Gordon-Strachan, Georgiana, Haile-Mariam, Damen, Joseph, Jean Paul, Kaewkamjornchai, Phanuwich, Kapoor, Neena R., Gelaw, Solomon Kassahun, Kim, Min Kyung, Kruk, Margaret E., Kubota, Shogo, Margozzini, Paula, Mehata, Suresh, Mthethwa, Londiwe, Nega, Adiam, Oh, Juhwan, Park, Soo Kyung, Passi-Solar, Alvaro, Perez Cuevas, Ricardo Enrique, Reddy, Tarylee, Rittiphairoj, Thanitsara, Sapag, Jaime C., Thermidor, Roody, Tlou, Boikhutso, and Arsenault, Catherine

Published
2023
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3. Associations between the stringency of COVID-19 containment policies and health service disruptions in 10 countries

Author

Reddy, Tarylee, Kapoor, Neena R., Kubota, Shogo, Doubova, Svetlana V, Asai, Daisuke, Mariam, Damen Haile, Ayele, Wondimu, Mebratie, Anagaw Derseh, Thermidor, Roody, Sapag, Jaime C., Bedregal, Paula, Passi-Solar, Álvaro, Gordon-Strachan, Georgiana, Dulal, Mahesh, Gadeka, Dominic Dormenyo, Mehata, Suresh, Margozzini, Paula, Leerapan, Borwornsom, Rittiphairoj, Thanitsara, Kaewkamjornchai, Phanuwich, Nega, Adiam, Awoonor-Williams, John Koku, Kruk, Margaret E., and Arsenault, Catherine

Published
2023
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4. The 2023 report of the Lancet Countdown on health and climate change: the imperative for a health-centred response in a world facing irreversible harms

Author

Romanello, Marina, Napoli, Claudia di, Green, Carole, Kennard, Harry, Lampard, Pete, Scamman, Daniel, Walawender, Maria, Ali, Zakari, Ameli, Nadia, Ayeb-Karlsson, Sonja, Beggs, Paul J, Belesova, Kristine, Berrang Ford, Lea, Bowen, Kathryn, Cai, Wenjia, Callaghan, Max, Campbell-Lendrum, Diarmid, Chambers, Jonathan, Cross, Troy J, van Daalen, Kim R, Dalin, Carole, Dasandi, Niheer, Dasgupta, Shouro, Davies, Michael, Dominguez-Salas, Paula, Dubrow, Robert, Ebi, Kristie L, Eckelman, Matthew, Ekins, Paul, Freyberg, Chris, Gasparyan, Olga, Gordon-Strachan, Georgiana, Graham, Hilary, Gunther, Samuel H, Hamilton, Ian, Hang, Yun, Hänninen, Risto, Hartinger, Stella, He, Kehan, Heidecke, Julian, Hess, Jeremy J, Hsu, Shih-Che, Jamart, Louis, Jankin, Slava, Jay, Ollie, Kelman, Ilan, Kiesewetter, Gregor, Kinney, Patrick, Kniveton, Dominic, Kouznetsov, Rostislav, Larosa, Francesca, Lee, Jason K W, Lemke, Bruno, Liu, Yang, Liu, Zhao, Lott, Melissa, Lotto Batista, Martín, Lowe, Rachel, Odhiambo Sewe, Maquins, Martinez-Urtaza, Jaime, Maslin, Mark, McAllister, Lucy, McMichael, Celia, Mi, Zhifu, Milner, James, Minor, Kelton, Minx, Jan C, Mohajeri, Nahid, Momen, Natalie C, Moradi-Lakeh, Maziar, Morrissey, Karyn, Munzert, Simon, Murray, Kris A, Neville, Tara, Nilsson, Maria, Obradovich, Nick, O'Hare, Megan B, Oliveira, Camile, Oreszczyn, Tadj, Otto, Matthias, Owfi, Fereidoon, Pearman, Olivia, Pega, Frank, Pershing, Andrew, Rabbaniha, Mahnaz, Rickman, Jamie, Robinson, Elizabeth J Z, Rocklöv, Joacim, Salas, Renee N, Semenza, Jan C, Sherman, Jodi D, Shumake-Guillemot, Joy, Silbert, Grant, Sofiev, Mikhail, Springmann, Marco, Stowell, Jennifer D, Tabatabaei, Meisam, Taylor, Jonathon, Thompson, Ross, Tonne, Cathryn, Treskova, Marina, Trinanes, Joaquin A, Wagner, Fabian, Warnecke, Laura, Whitcombe, Hannah, Winning, Matthew, Wyns, Arthur, Yglesias-González, Marisol, Zhang, Shihui, Zhang, Ying, Zhu, Qiao, Gong, Peng, Montgomery, Hugh, and Costello, Anthony

Published
2023
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5. COVID-19 and resilience of healthcare systems in ten countries

Author

Arsenault, Catherine, Gage, Anna, Kim, Min Kyung, Kapoor, Neena R., Akweongo, Patricia, Amponsah, Freddie, Aryal, Amit, Asai, Daisuke, Awoonor-Williams, John Koku, Ayele, Wondimu, Bedregal, Paula, Doubova, Svetlana V., Dulal, Mahesh, Gadeka, Dominic Dormenyo, Gordon-Strachan, Georgiana, Mariam, Damen Haile, Hensman, Dilipkumar, Joseph, Jean Paul, Kaewkamjornchai, Phanuwich, Eshetu, Munir Kassa, Gelaw, Solomon Kassahun, Kubota, Shogo, Leerapan, Borwornsom, Margozzini, Paula, Mebratie, Anagaw Derseh, Mehata, Suresh, Moshabela, Mosa, Mthethwa, Londiwe, Nega, Adiam, Oh, Juhwan, Park, Sookyung, Passi-Solar, Álvaro, Pérez-Cuevas, Ricardo, Phengsavanh, Alongkhone, Reddy, Tarylee, Rittiphairoj, Thanitsara, Sapag, Jaime C., Thermidor, Roody, Tlou, Boikhutso, Valenzuela Guiñez, Francisco, Bauhoff, Sebastian, and Kruk, Margaret E.

Published
2022
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8. The 2024 report of the LancetCountdown on health and climate change: facing record-breaking threats from delayed action

Author

Romanello, Marina, Walawender, Maria, Hsu, Shih-Che, Moskeland, Annalyse, Palmeiro-Silva, Yasna, Scamman, Daniel, Ali, Zakari, Ameli, Nadia, Angelova, Denitsa, Ayeb-Karlsson, Sonja, Basart, Sara, Beagley, Jessica, Beggs, Paul J, Blanco-Villafuerte, Luciana, Cai, Wenjia, Callaghan, Max, Campbell-Lendrum, Diarmid, Chambers, Jonathan D, Chicmana-Zapata, Victoria, Chu, Lingzhi, Cross, Troy J, van Daalen, Kim R, Dalin, Carole, Dasandi, Niheer, Dasgupta, Shouro, Davies, Michael, Dubrow, Robert, Eckelman, Matthew J, Ford, James D, Freyberg, Chris, Gasparyan, Olga, Gordon-Strachan, Georgiana, Grubb, Michael, Gunther, Samuel H, Hamilton, Ian, Hang, Yun, Hänninen, Risto, Hartinger, Stella, He, Kehan, Heidecke, Julian, Hess, Jeremy J, Jamart, Louis, Jankin, Slava, Jatkar, Harshavardhan, Jay, Ollie, Kelman, Ilan, Kennard, Harry, Kiesewetter, Gregor, Kinney, Patrick, Kniveton, Dominic, Kouznetsov, Rostislav, Lampard, Pete, Lee, Jason K W, Lemke, Bruno, Li, Bo, Liu, Yang, Liu, Zhao, Llabrés-Brustenga, Alba, Lott, Melissa, Lowe, Rachel, Martinez-Urtaza, Jaime, Maslin, Mark, McAllister, Lucy, McMichael, Celia, Mi, Zhifu, Milner, James, Minor, Kelton, Minx, Jan, Mohajeri, Nahid, Momen, Natalie C, Moradi-Lakeh, Maziar, Morrisey, Karyn, Munzert, Simon, Murray, Kris A, Obradovich, Nick, O'Hare, Megan B, Oliveira, Camile, Oreszczyn, Tadj, Otto, Matthias, Owfi, Fereidoon, Pearman, Olivia L, Pega, Frank, Perishing, Andrew J, Pinho-Gomes, Ana-Catarina, Ponmattam, Jamie, Rabbaniha, Mahnaz, Rickman, Jamie, Robinson, Elizabeth, Rocklöv, Joacim, Rojas-Rueda, David, Salas, Renee N, Semenza, Jan C, Sherman, Jodi D, Shumake-Guillemot, Joy, Singh, Pratik, Sjödin, Henrik, Slater, Jessica, Sofiev, Mikhail, Sorensen, Cecilia, Springmann, Marco, Stalhandske, Zélie, Stowell, Jennifer D, Tabatabaei, Meisam, Taylor, Jonathon, Tong, Daniel, Tonne, Cathryn, Treskova, Marina, Trinanes, Joaquin A, Uppstu, Andreas, Wagner, Fabian, Warnecke, Laura, Whitcombe, Hannah, Xian, Peng, Zavaleta-Cortijo, Carol, Zhang, Chi, Zhang, Ran, Zhang, Shihui, Zhang, Ying, Zhu, Qiao, Gong, Peng, Montgomery, Hugh, and Costello, Anthony

Published
2024
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10. ECD - Pregnancy outcomes of a birth cohort. Are adolescent mothers really at more risk?

Author

Harrison, Abigail, Gordon-Strachan, Georgiana, James Bateman, Caryl, Trotman, Helen, Olugbuyi, Oluwayomi, Lambert, Michael, Ashley, Deanna, Griffith, Anona, and Samms-Vaughan, Maureen

Subjects
*RISK assessment, *MATERNAL age, *REPRODUCTIVE health, *DELIVERY (Obstetrics), *MATERNAL health services, *MENTAL health services, *RESEARCH funding, *TEENAGE mothers, *TEENAGE pregnancy, *INTERVIEWING, *QUESTIONNAIRES, *PREMATURE infants, *PREGNANT women, *PREGNANCY outcomes, *DESCRIPTIVE statistics, *ANXIETY, *HOSPITALS, *DISEASE prevalence, *AGE distribution, *LONGITUDINAL method, *LOW birth weight, *PRENATAL care, *COMPARATIVE studies, *PSYCHOSOCIAL factors, *SEXUAL health, *MENTAL depression, *ADULTS
Abstract

This sub-study within the JAKIDS longitudinal cohort study compares medical and psychosocial outcomes of pregnancy in younger adolescent mothers (<16 years), older adolescent mothers (16–19 years) and adult mothers (>19 years) in Jamaica. Participants were recruited from July to September 2011 and included 9521 mother–infant dyads; mean maternal age 26.0 years (SD 6.8). Adolescent mothers represented 19.1% (n = 1822) of the sample – 1704 older adolescent mothers (17.9%) and 118 younger adolescent mothers (1.2%). Participants completed interviewer-administered questionnaires regarding their sexual and reproductive health history, feelings about the current pregnancy, and presence of anxious and depressive symptoms. Data on delivery and perinatal and neonatal outcomes were extracted from hospital charts. Younger adolescent mothers were more likely to deliver preterm (p < 0.001) and low birth weight infants (p < 0.001) than older adolescent and adult mothers. Younger adolescent mothers had lower levels of antenatal anxiety regarding the pregnancy and its outcome (p < 0.001) while prevalence of elevated depressive symptoms antenatally (EPDS ≥11) was similar across age groups. Older adolescent mothers with significant depressive symptoms had increased odds of preterm delivery. These findings call for close antenatal monitoring of younger adolescent mothers and highlight the need for psychological services for all mothers. [ABSTRACT FROM AUTHOR]

Published
2024
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19. Challenges in tracking climate, health, and justice over time and large geographical areas

Author

van Daalen, Kim R., Romanello, Marina, Gordon-Strachan, Georgiana, Hartinger Peña, Stella Maria, Cai, Wenjia, Tonne, Cathryn, and Lowe, Rachel

Subjects
Environment, Social Justice, Public Health, Environmental and Occupational Health, Humans
Abstract

In their Comment in the Lancet Public Health, Panagiota Kotsila and Isabelle Anguelovski1 highlighted the importance of historical injustice and inequity relating to the health impacts of climate change, stressing the need to go beyond analysing susceptible populations as so-called monoliths and treating climate change as an equalising threat. We fully agree...

Published
2023

20. Additional file 1 of Associations between the stringency of COVID-19 containment policies and health service disruptions in 10 countries

Author

Reddy, Tarylee, Kapoor, Neena R., Kubota, Shogo, Doubova, Svetlana V, Asai, Daisuke, Mariam, Damen Haile, Ayele, Wondimu, Mebratie, Anagaw Derseh, Thermidor, Roody, Sapag, Jaime C., Bedregal, Paula, Passi-Solar, Álvaro, Gordon-Strachan, Georgiana, Dulal, Mahesh, Gadeka, Dominic Dormenyo, Mehata, Suresh, Margozzini, Paula, Leerapan, Borwornsom, Rittiphairoj, Thanitsara, Kaewkamjornchai, Phanuwich, Nega, Adiam, Awoonor-Williams, John Koku, Kruk, Margaret E., and Arsenault, Catherine

Abstract

Additional file 1: Supplemental Table 1. Health services by service type category in 10 countries. Supplemental Table 2. Definition of containment policies and dichotomous recoding. Supplemental Table 3. Results from multi-level linear regression model for the association between the OxCGRT stringency index and relative service volumes (median stringency index). Supplemental Table 4. Results from multi-level linear regression model for the association between the OxCGRT stringency index and relative service volumes (max stringency index).

Published
2023
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25. The 2023 report of the LancetCountdown on health and climate change: the imperative for a health-centred response in a world facing irreversible harms

Author

Romanello, Marina, Napoli, Claudia di, Green, Carole, Kennard, Harry, Lampard, Pete, Scamman, Daniel, Walawender, Maria, Ali, Zakari, Ameli, Nadia, Ayeb-Karlsson, Sonja, Beggs, Paul J, Belesova, Kristine, Berrang Ford, Lea, Bowen, Kathryn, Cai, Wenjia, Callaghan, Max, Campbell-Lendrum, Diarmid, Chambers, Jonathan, Cross, Troy J, van Daalen, Kim R, Dalin, Carole, Dasandi, Niheer, Dasgupta, Shouro, Davies, Michael, Dominguez-Salas, Paula, Dubrow, Robert, Ebi, Kristie L, Eckelman, Matthew, Ekins, Paul, Freyberg, Chris, Gasparyan, Olga, Gordon-Strachan, Georgiana, Graham, Hilary, Gunther, Samuel H, Hamilton, Ian, Hang, Yun, Hänninen, Risto, Hartinger, Stella, He, Kehan, Heidecke, Julian, Hess, Jeremy J, Hsu, Shih-Che, Jamart, Louis, Jankin, Slava, Jay, Ollie, Kelman, Ilan, Kiesewetter, Gregor, Kinney, Patrick, Kniveton, Dominic, Kouznetsov, Rostislav, Larosa, Francesca, Lee, Jason K W, Lemke, Bruno, Liu, Yang, Liu, Zhao, Lott, Melissa, Lotto Batista, Martín, Lowe, Rachel, Odhiambo Sewe, Maquins, Martinez-Urtaza, Jaime, Maslin, Mark, McAllister, Lucy, McMichael, Celia, Mi, Zhifu, Milner, James, Minor, Kelton, Minx, Jan C, Mohajeri, Nahid, Momen, Natalie C, Moradi-Lakeh, Maziar, Morrissey, Karyn, Munzert, Simon, Murray, Kris A, Neville, Tara, Nilsson, Maria, Obradovich, Nick, O'Hare, Megan B, Oliveira, Camile, Oreszczyn, Tadj, Otto, Matthias, Owfi, Fereidoon, Pearman, Olivia, Pega, Frank, Pershing, Andrew, Rabbaniha, Mahnaz, Rickman, Jamie, Robinson, Elizabeth J Z, Rocklöv, Joacim, Salas, Renee N, Semenza, Jan C, Sherman, Jodi D, Shumake-Guillemot, Joy, Silbert, Grant, Sofiev, Mikhail, Springmann, Marco, Stowell, Jennifer D, Tabatabaei, Meisam, Taylor, Jonathon, Thompson, Ross, Tonne, Cathryn, Treskova, Marina, Trinanes, Joaquin A, Wagner, Fabian, Warnecke, Laura, Whitcombe, Hannah, Winning, Matthew, Wyns, Arthur, Yglesias-González, Marisol, Zhang, Shihui, Zhang, Ying, Zhu, Qiao, Gong, Peng, Montgomery, Hugh, and Costello, Anthony

Published
2023
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27. Severity and Outcomes of Dengue in Hospitalized Jamaican Children in 2018–2019 During an Epidemic Surge in the Americas

Author

Lue, Aileen May, primary, Richards-Dawson, Michelle-Ann Elizabeth Hue, additional, Gordon-Strachan, Georgiana Marie, additional, Kodilinye, Syed Matthew, additional, Dunkley-Thompson, Jacqueline Anne Theresa, additional, James-Powell, Tracia Dahlia, additional, Pryce, Curtis Alphonso, additional, Mears, Chadwic De'sean, additional, Anzinger, Joshua James, additional, Webster-Kerr, Karen, additional, and Christie, Celia Dana Claire, additional

Published
2022
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39. Sickle Cell Disease and Pain

Author

Ramsay, Zachary, primary, Bartlett, Rachel, additional, Ali, Amza, additional, Grant, Justin, additional, Gordon-Strachan, Georgiana, additional, and Asnani, Monika, additional

Published
2021
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44. Household food insecurity and childhood overweight in Jamaica and Québec: a gender-based analysis

Author

Gordon-Strachan Georgiana, Girard Manon, Tatone-Tokuda Fabiola, Burnier Daniel, Francis Damion, Dubois Lise, Fox Kristin, and Wilks Rainford

Subjects
Public aspects of medicine, RA1-1270
Abstract

Abstract Background Childhood overweight is not restricted to developed countries: a number of lower- and middle-income countries are struggling with the double burden of underweight and overweight. Another public health problem that concerns both developing and, to a lesser extent, developed countries is food insecurity. This study presents a comparative gender-based analysis of the association between household food insecurity and overweight among 10-to-11-year-old children living in the Canadian province of Québec and in the country of Jamaica. Methods Analyses were performed using data from the 2008 round of the Québec Longitudinal Study of Child Development and the Jamaica Youth Risk and Resiliency Behaviour Survey of 2007. Cross-sectional data were obtained from 1190 10-year old children in Québec and 1674 10-11-year-old children in Jamaica. Body mass index was derived using anthropometric measurements and overweight was defined using Cole's age- and sex-specific criteria. Questionnaires were used to collect data on food insecurity. The associations were examined using chi-square tests and multivariate regression models were used to estimate odds ratios (OR) and 95% confidence intervals. Results The prevalence of overweight was 26% and 11% (p < 0.001) in the Québec and Jamaican samples, respectively. In Québec, the adjusted odds ratio for being overweight was 3.03 (95% CI: 1.8-5.0) among children living in food-insecure households, in comparison to children living in food-secure households. Furthermore, girls who lived in food-insecure households had odds of 4.99 (95% CI: 2.4-10.5) for being overweight in comparison to girls who lived in food-secure households; no such differences were observed among boys. In Jamaica, children who lived in food-insecure households had significantly lower odds (OR 0.65, 95% CI: 0.4-0.9) for being overweight in comparison to children living in food-secure households. No gender differences were observed in the relationship between food-insecurity and overweight/obesity among Jamaican children. Conclusions Public health interventions which aim to stem the epidemic of overweight/obesity should consider gender differences and other family factors associated with overweight/obesity in both developed and developing countries.

Published
2011
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45. Informed consent from patients participating in medical education: a survey from a university hospital in Jamaica

Author

Robinson Diaqa, Gordon-Strachan Georgiana, Lindo John F, Crandon Ivor W, Cawich Shamir O, Barnett Alan T, and Ranglin Deonne

Subjects
Medicine, Biology (General), QH301-705.5, Science (General), Q1-390
Abstract

Abstract Background Medical students at the University of the West Indies receive clinical training by passing through a series of hospital rotations at the University Hospital of the West Indies (UHWI). Many of these patients are unaware that medical students may be involved in their care. We performed this study to determine patient awareness and their willingness to participate in research and teaching activities. Findings All consecutive patients admitted to the UHWI between May 1, 2006 and May 29, 2006 who required elective or emergency surgical procedures were prospectively identified These patients were interviewed using a standardised pre-tested questionnaire about their knowledge and willingness to have medical students participate in the delivery of their hospital care. Data was analyzed using SPSS Version 12.0. There were 83 (39.5%) males and 127 (60.5%) females interviewed. The patients were unaware of the grade of the medical professional performing their interview/examination at admission in 157 (74.8%) cases or the grade of medical professional performing their operations in 101 (48.1%) cases. Only 14 (6.7%) patients were specifically asked to allow medical students to be present during their clinical evaluation and care. When specifically asked, 1 patient declined. Had they been asked, 196 (93.3%) patients would have voluntarily allowed medical student involvement. Only 90 (42.9%) patients were made aware that they were admitted to an academic centre with research interests. Only 6 (6.7%) patients declined. Had they been asked, 84 (93.3%) patients would be willing to participate in teaching or research projects. Conclusions As medical educators, we are responsible to adhere to ethical and legal guidelines when we interact with patients. It is apparent that there is urgent need for policy development at the UWI to guide clinicians and students on their interactions with patients.

Published
2009
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46. The impact of helmets on motorcycle head trauma at a tertiary hospital in Jamaica

Author

Meeks-Aitken Nicole, Fearon-Boothe Doreen, McDonald Archibald H, McLennon Noel, Gordon-Strachan Georgiana, Frankson Morton AC, Cawich Shamir O, Harding Hyacinth E, Crandon Ivor W, Watson-Jones Karen, and James Kenneth C

Subjects
Medicine, Biology (General), QH301-705.5, Science (General), Q1-390
Abstract

Abstract Background Although the Jamaica road traffic act mandates motorcycle riders to wear approved helmets, opponents suggest that the local road conditions obviate any benefits from helmet use that have been proven in Developed countries. They suggest that the narrow, winding, poorly surfaced, congested local highways do not allow motorcyclists to sustain high velocity travel. The accidents then tend to occur at lower speeds and are accompanied by less severe injuries. This study was carried out to determine the impact of helmet use on traumatic brain injuries from motorcycle collisions in patients admitted to a tertiary referral hospital in Jamaica. Methods A prospectively collected trauma registry maintained by the Department of Surgery at the University Hospital of the West Indies in Jamaica was accessed to identify all motorcycle collision victims from January 2000 to January 2007. The therapeutic outcomes of traumatic brain injuries were compared between helmeted and un-helmeted riders. The data was analyzed using SPSS Version 12. Results Of 293 motorcycle collision victims, 143 sustained brain injuries. There were 9 females (6.3%) with an average age of 23 +/- 7.3 years and 134 males (93.7%) at an average age of 33.4 +/- 11.2 years (mean +/- SD). Only 49 (34.3%) patients wore a helmet at the time of a collision. Helmet use at the time of a collision significantly reduced the severity of head injuries (28.6% vs 46.8%, P = 0.028) and the likelihood of sustaining intra-cranial lesions (26.5% vs 44.7%, P = 0.03) from head injuries. Conclusion Wearing a helmet at the time of a motorcycle collision reduces the severity of head injuries. However, the prevalence of helmet use at the time of a collision is unacceptably low.

Published
2009
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47. Neighbourhood characteristics and cumulative biological risk: evidence from the Jamaica Health and Lifestyle Survey 2008: a cross-sectional study

Author

Cunningham-Myrie, Colette Andrea, primary, Mabile, Emily, additional, Govia, Ishtar, additional, Younger, Novie O, additional, Tulloch-Reid, Marshall Kerr, additional, McFarlane, Shelly, additional, Francis, Damian, additional, Gordon-Strachan, Georgiana, additional, Wilks, Rainford, additional, Greene, Lisa-Gaye, additional, Lyew-Ayee, Parris, additional, and Theall, Katherine P, additional

Published
2018
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50. Linking researchers and policy-makers: some challenges and approaches

Author

Gordon-Strachan, Georgiana, Bailey, Wilma, Lalta, Stanley, Ward, Elizabeth, Henry-Lee, Aldrie, and LeFranc, Elsie

Subjects
Consultation, Honorários Médicos, Medical Fees, Consulta, Research Personnel, Pesquisadores
Abstract

In developing a proposal for the study of the effect of user fees on access to preventive care, a team, comprising researchers and policy-makers, initiated interaction with key policy implementers in the Jamaica's Ministry of Health to ensure that their perspectives were considered at the preliminary stage. There were many pressing events occupying the minds and energies of the implementers, but the team was able to capitalize on existing good relationships to capture attention. In the interviews that followed, agreement was reached on the necessity for the study, its focus and methodology. The process of consultation achieved notable successes and can be regarded as a model for successful research and policy interaction. Diante da proposta de cobrança aos usuários de atendimentos preventivos (defendida pelos implementadores de políticas-chave do Ministério da Saúde da Jamaica), uma equipe de pesquisadores e formuladores de políticas apresentou um projeto de pesquisa visando a estudar os efeitos dessa cobrança de honorários pagos diretamente, e solicitaram ainda que os achados do estudo fossem considerados nesta fase preliminar. Embora a agenda do Ministério da Saúde fosse permeada de muitas questões prementes, a equipe de pesquisa conseguiu potencializar as relações produtivas preexistentes e garantir espaço na agenda do Ministério da Saúde. As negociações levaram a um consenso sobre a necessidade do estudo, seu enfoque e metodologia. O processo de consulta alcançou sucessos notáveis e pode ser considerado um modelo para a interação bem-sucedida entre pesquisa e política.

Published
2006

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