RESUMO
AIM: To determine the incidence, prevalence of type-1 diabetes mellitus (DM) and the presence of islet-cell antibodies (ICAs) in people of African ancestry in the Bahamas. METHOD: Hospital records of type-1 DM were reviewed. Seventeen consecutive patients had postmeal C-peptide and ICA determined. RESULTS: The incidence and prevalence of type-1 DM in the Bahamas were: incidence--10.1/100,000, age 0-14 years; and prevalence--31/100,000 age 0-24 years. Only two out of 17 (11.8%) patients had ICAs. CONCLUSION: Type-1 DM is common in children of African ancestry in the Bahamas. ICAs were absent in the majority of the patients.
Assuntos
Autoanticorpos/sangue , População Negra/estatística & dados numéricos , Diabetes Mellitus Tipo 1/etnologia , Adolescente , Adulto , Autoimunidade , Bahamas/epidemiologia , Criança , Pré-Escolar , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/epidemiologia , Feminino , Humanos , Incidência , Masculino , Prevalência , Distribuição por SexoRESUMO
AIM: To determine the incidence, prevalence of type-1 diabetes mellitus (DM) and the presence of islet-cell antibodies (ICAs) in people of African ancestry in the Bahamas. METHOD: Hospital records of type-1 DM were reviewed. Seventeen consecutive patients had postmeal C-peptide and ICA determined. RESULTS: The incidence and prevalence of type-1 DM in the Bahamas were: incidence:- 10.1/100 000, age 0-14 years; and prevalence- 31/100 000, age 0-24 years. Only two out of 17 (11.8 per cent) patients had ICAs. CONCLUSION: Type -1 DM is common in children of African ancestry in the Bahamas. ICAs were absent in the majority of patients.
Assuntos
Humanos , Diabetes Mellitus Tipo 1/diagnóstico , Diabetes Mellitus Tipo 1/epidemiologia , Diabetes Mellitus Tipo 1/patologia , Ilhotas Pancreáticas/imunologiaRESUMO
The medical records of 100 children (mean age 1.8 years) consecutively admitted to the ward with a diagnosis of bronchopneumonia, are reviewed. All the patients had a full blood work-up and chest x-rays on admission. All patients were commenced and continued on antibiotics - 95 percent interavenously, 55 percent of the total leukocyte counts and 56 percent of the chest x-rays were normal while 91 percent of the blood cultures were sterile. The management of respiratory infections needs review. Blood cultures and chest x-rays are imporant diagnostic tools which should be used judiciously. (AU)
