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Dive into the research topics where S. Pooran is active.

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Featured researches published by S. Pooran.


Tropical Doctor | 2015

Complicated acute appendicitis? An unusual differential

Shamir O. Cawich; Dale Hassranah; S. Pooran; Dilip Dan; Vijay Narayansingh

Acute appendicitis is a common surgical diagnosis but several differential diagnoses exist and should be considered. Internal concealment is one such diagnosis. We present a case of a young man taken to the operating room with a preoperative diagnosis of complicated acute appendicitis. A ruptured caecum was encountered and several free-floating drug pellets were present. Attending doctors should consider this differential in the high prevalence areas and, whenever encountered, they should strongly consider early reporting.


Prehospital and Disaster Medicine | 2015

Declaration of a state of emergency in Trinidad and Tobago: effect on the trauma admissions at the national referral trauma centre

Michael J. Ramdass; Shamir O. Cawich; S. Pooran; David Milne; Earnest Ali; Vijay Naraynsingh

OBJECTIVE To determine the effect of a State of Emergency (SOE) on penetrating injuries at the main trauma center in Trinidad and Tobago. METHODS Emergency room registers were accessed in order to identify all patients treated for penetrating injuries from July 1, 2010 through December 30, 2012. This study period was chosen to include injuries one year before and one year after the SOE that spanned from August 21, 2011 to December 5, 2011. Data were analyzed using SPSS version 19 and a P value<.05 was considered statistically significant. RESULTS There were 1,067 patients treated for penetrating injuries. There were significantly more injuries from gunshots compared to stab wounds (64.7% vs 35.3%; P<.001), and this pattern was maintained during the SOE (54.7% vs 45.3%; P=.37). There was a significant fall in mean monthly admissions for penetrating trauma during the SOE when compared to the 12-month period before its imposition (17.7, SD=4.0 vs 38.9, SD=12.3; CI, 5.6-36.8; P=.0108). One year later, mean monthly admissions for penetrating trauma were similar to those during the SOE (22.7, SD=2.1 vs 17.6, SD=4.0; CI, -2.3-12.3; P=.1295). The incidence of gunshot wounds remained low and stab wounds increased. CONCLUSION This study has demonstrated that there was a reduction in the incidence of penetrating trauma at the national trauma center after the SOE, with a shift from gunshot to stab wounds.


Risk Management and Healthcare Policy | 2016

Impact of a medical university on laparoscopic surgery in a service-oriented public hospital in the Caribbean

Shamir O. Cawich; S. Pooran; Barbara Amow; Ernest Ali; Fawwaz Mohammed; Marlon Mencia; Samuel S Ramsewak; Seetharaman Hariharan; Vijay Naraynsingh

Introduction The Caribbean lags behind global trends for volume and complexity of laparoscopic operations. In an attempt to promote laparoscopy at a single facility, a partnership was formed between the University of the West Indies (UWI) and the Port of Spain General Hospital in Trinidad and Tobago. This study seeks to document the effect of this partnership on laparoscopic practice. Materials and methods In this partnership, the UWI took the bold step of volunteering to staff a surgical team if the Ministry of Health provided the necessary legislative changes. On August 1, 2013, a UWI team was introduced with a mandate to optimize teaching and promote laparoscopic surgery. The UWI team had a similar staff complement to the existing service-oriented teams. There was no immediate investment in equipment, hospital beds, ICU beds, or operating room space. Therefore, the new team was introduced with limited change in existing conditions, resources, and equipment. Results There were 252 laparoscopic operations performed over the study period. After introduction of the UWI team, there was an increase in the mean number of unselected laparoscopic operations (3.17 vs 10.83 cases per month; P<0.001; 95% confidence interval [95% CI] −8.5 to −6.84; standard error of the difference [SED] 0.408), the mean number of basic laparoscopic operations (3.17 vs 6.94 cases per month; P<0.0001; 95% CI −4.096 to −3.444; SED 0.165), the mean number of advanced laparoscopic operations (0 vs 3.89; P<0.0001), the number of teams undertaking unselected laparoscopic operations (2 vs 5), and the number of teams independently performing advanced laparoscopic operations (0 vs 4). Conclusion At this facility, we have demonstrated a significant increase in laparoscopic case volume and complexity when partnerships were formed between the UWI and this service-oriented hospital. Continued cross-fertilization and distribution of skill sets across the surgical community can reasonably be expected. We also identified maneuvers that can be used as a template to build laparoscopic services in other service-oriented hospitals in developing nations.


British Journal of Surgery | 1991

Primary repair of colon injuries in a developing country

Vijay Naraynsingh; Deneash C Ariyanayagam; S. Pooran


The Internet Journal of Internal Medicine | 2000

Disaster Preparedness In The Caribbean: A Trinidad Experience

Michael J. Ramdass; S. Pooran; Raphael El Youssef; Mohammed Ishmael; Neil Hinds; Dale Maharaj; Vijay Naraynsingh


West Indian Medical Journal | 1992

A prospective analysis of 4,041 consecutive cases in a West Indian accident and emergency department - abstract

W. K Hilwig; I Ramsingh; Deneash C Ariyanayagam; S. Pooran; P Texeira; Vijay Naraynsingh


West Indian Medical Journal | 1992

The musculo-aponeurotic repair for midline ventral abdominal wall herniae - abstract

Deneash C Ariyanayagam; S. Pooran; W. K Hilwig; Vijay Naraynsingh


West Indian Medical Journal | 1992

Wound healing in the Accident and Emergency Unit at the University Hospital of the West Indies, Jamaica - abstract

Deneash C Ariyanayagam; Vijay Naraynsingh; S. Pooran; George O. D Busby


Carib Med J | 1992

Rubber band ligation, the outpatient alternative to hemorrhoidectomy: a prospective trail of 100 patients

Deneash C Ariyanayagam; Vijay Naraynsingh; S. Pooran; W. K Hilwig


Carib Med J | 1992

Clinical assessment of haemoglobin in the coloured population

H. A Lee; I Ramsingh; S. Pooran; W. K Hilwig; Harold I Chang; Shawn P Tavares; M Rampaul; J Knight; R McShine; Deneash C Ariyanayagam; Vijay Naraynsingh

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Vijay Naraynsingh

University of the West Indies

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Shamir O. Cawich

University of the West Indies

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Michael J. Ramdass

University of the West Indies

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Dale Hassranah

University of the West Indies

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Dale Maharaj

University of the West Indies

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David Milne

University of the West Indies

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Dilip Dan

University of the West Indies

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Earnest Ali

University of the West Indies

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Fawwaz Mohammed

University of the West Indies

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