Surujpal Teelucksingh

Terence Seemungal2
Priya Gopie1
Vijay Naraynsingh1
Dilip Dan1
2Terence Seemungal
1Priya Gopie
1Vijay Naraynsingh
1Dilip Dan
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BACKGROUND This study aimed to evaluate the role of acanthosis nigricans (AN) as a marker of Type 2 Diabetes Mellitus (T2DM) by studying its prevalence and relationship with age, ethnicity, anthropometry and other risk factors for T2DM in the Trinidadian population. METHODS 311 successive adult patients with T2DM were recruited at diabetic clinics and(More)
BACKGROUND The metabolic syndrome is associated with increased risk for both diabetes and coronary artery disease, which insulin resistance alone does not satisfactorily explain. We propose an additional and complementary underlying mechanism of glucocorticoid resistance. RESULTS Using acanthosis nigricans (AN) and skin vasoconstrictor (SVC) response to(More)
Bariatric surgery is a well-recognized modality of management of obesity. In addition to obesity, it effectively controls diabetes mellitus, and hypertension. It has been recommended that bariatric surgery should be done in "designated centers" of excellence where there is a high volume of case turnover. Caribbean nations are not spared from the global(More)
Similar urgent needs for improvement of health care systems exist in the developed and developing world. The culture and the organization of an emergency department in developing countries can best be described as a professional complex adaptive system, where each agent (employee) are ignorant of the behavior of the system as a whole; no one understands the(More)
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