Anna Shirley

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Mast cells are key components of the immune system, where they help orchestrate the inflammatory response. Aberrant mast cell activation is linked to a variety of allergic diseases, including asthma, eczema, rhinitis, and nasal polyposis, which in combination affect up to 20% of the population in industrialized countries. On activation, mast cells release a(More)
The University of the West Indies (UWI) comprises three campuses located on three different islands. Two of the Campuses, Mona in Jamaica and St Augustine in Trinidad & Tobago offer full medical programmes, i.e. both basic sciences and clinical training. At Cave Hill, where basic sciences courses are not offered, students are drawn from the traditional(More)
The rapidly changing environment in the health care industry offers great challenges, especially to those providers who traditionally have cared for vulnerable and underserved populations. These populations have special health care needs resulting from various factors, including race, geography, environment, and lack of access. Some promising existing(More)
Digital rectal examination is an important skill for medical students and doctors. This article presents a comprehensive, concise and evidence-based approach to examination of the rectum which is consistent with The Principles of Clinical Examination [1]. We describe the signs of common and important diseases of the rectum and, based on a review of the(More)
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