October - December 2017
DOI: 10.65564/pjim.119ab08143
Articles in this Issue
Medicine and Altruism
Authors: Ma. Margarita T. Cayco
DOI: 10.65564/pjim.104125d101 | Published: December 2017
Reflects on the enduring value of altruism in the medical profession and inspires physicians and trainees to uphold selfless service as a defining hallmark of exemplary medical practice.
Res Ipsa Loquitor Doctrine
Authors: Rodel V. Capule
DOI: 10.65564/pjim.94ef18015a | Published: December 2017
Clarifis the proper application, limits, and legal implications of the doctrine of *res ipsa loquitur* in medical negligence cases, emphasizing the conditions under which it may be invoked, the cautions established by jurisprudence, and the continued necessity of proving culpable negligence despite its use.
Successful Reduction in Thyroid and Nodule Volumes in Large Solitary and Multinodular Goiters with Serial 131Iodine Therapy
Authors: April Melody T. Abcede, Sjoberg A. Kho, Bien J. Matawaran, Leilani B. Mercado-Asis
DOI: 10.65564/pjim.af75b3ceea | Published: December 2017
131Iodine therapy is effective in nodular non-toxic goiter with enhanced effects using recombinant thyroid stimulating hormone (rTSH). The eventual fibrosis of the thyroid tissue and blood vessels ligates the vascular supply of the nodule. The study aims to show the successful reduction of thyroid and nodule volumes in large solitary and multinodular goiters using serial low dose 131iodine therapy (10mCi) at three to six months interval.
Development and Validation of the Filipino Version of the Coronary Artery Disease Education Questionnaire Version 2 (FILIPINO CADE-Q II)
Authors: Lucky R. Cuenza, Bernard Benjamin Albano, Joseph Michael Ramirez, Raphael Magbag, Benjamin Jose Quito, Edgardo Ebba, Leandro Bongosia
DOI: 10.65564/pjim.11152cb14f | Published: December 2017
There is currently a lack of validated tools that measure knowledge level as an outcome of the educational component of cardiac rehabilitation programs in our local setting. The researchers aim to culturally adapt and validate a questionnaire that was designed to assess patients’ knowledge about coronary artery disease and participation in cardiac rehabilitation programs, the second version of the Coronary Artery Disease Education Questionnaire (CADE-Q II).
Diagnosis of Gestational Diabetes Mellitus Using the International Association of the Diabetes and Pregnancy Study Groups Criteria and Adverse Pregnancy Outcomes Among a Cohort of Filipino Women: An Association Analysis
Authors: Kristine S. de Luna, Elaine C. Cunanan
DOI: 10.65564/pjim.15a1860553 | Published: December 2017
Locally, there is no unified set of diagnostic criteria for gestational diabetes mellitus (GDM) and this can lead to potential confusion on the part of the physician and the patient as well. Moreover, whether the adoption of the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) threshold values for GDM diagnosis among Filipino women is appropriate is still unclear. This study serves to give a clinically important insight whether utilizing the abovementioned diagnostic criteria is appropriate in the local setting or not. The study aims to determine the association of the threshold values set up by the IADPSG to diagnose GDM with adverse pregnancy outcomes among a cohort of Filipino women.
Relationship of Average Daily Glycemic Index and Glycemic Load with Body Mass Index among Filipinos in the Rural Setting
Authors: Hderbert A. Arellano, Mark Anthony S. Sandoval, Elizabeth Paz-Pacheco, Jundelle Romulo Jalique,
DOI: 10.65564/pjim.65b93f455d | Published: December 2017
While the relationship between obesity and caloric intake is widely accepted, the role of glycemic index (GI) and glycemic load (GL) to body mass index (BMI) remains equivocal. This study seeks to determine the daily glycemic index (GI) and glycemic load (GL) of usual diet of rural-dwelling Filipinos, and their relationship with body mass index (BMI).
Disease Characteristics of Behcet’s Disease Among Filipino Patients Seen in Rheumatology Clinics
Authors: Juneth Ria R. Limgenco-Hipe, Evelyn O. Salido, Ester G. Penserga
DOI: 10.65564/pjim.bcbc4e73c0 | Published: December 2017
Behcet's disease (BD) sometimes called behcet's syndrome or silk road disease is an immune-mediated systemic vasculitis. This condition remains a clinical challenge for physicians. There are many reports, mostly case series and nationwide surveys, on clinical manifestations of BD from different parts of the world. In the Philippines where BD is rare and underreported, physicians might not be familiar with the clinical manifestations of this disease. The aim of this research is to describe the disease presentation of BD among Filipinos to increase awareness and avoid delay in diagnosis which might pose a threat for the development of irreversible, sometimes fatal complications.
The Effect of a Single-Session Diabetes Education on the Knowledge, and Attitudes of Patients with Type 2 Diabetes Mellitus Seen at Out-patient Clinics in Chinese General Hospital: A Prospective Cohort Study
Authors: Michelle U. Cornel, Lora May T. Tin Hay
DOI: 10.65564/pjim.3173386e30 | Published: December 2017
With the increasing prevalence of diabetes mellitus (DM) in the Philippines, Diabetes Self-Management Education (DSME) remains to play a vital role in diabetes care. It is important in optimizing metabolic control, preventing and managing complications, and maximizing quality of life in a cost-effective manner. This study aimed to determine the effect of diabetes education on the knowledge and attitudes of type 2 DM patients. It also aimed to determine the topics that needed more emphasis during education.
The Correlation of Body Mass Index With Fasting C-peptide Levels of Newly Diagnosed Type 2 Diabetes Mellitus Filipino Patients
Authors: Patrick Y. Siy, Oliver Allan C. Dampil, Joselynna A. Quimpo
DOI: 10.65564/pjim.1256525a98 | Published: December 2017
Type 2 diabetes mellitus (DM) is one of the leading non-communicable causes of death in the Philippines with a prevalence of 5.4% and its pathogenesis includes insulin resistance correlated with excess weight and BMI. Asian-based studies have shown that serum C-peptide is strongly associated with newly diagnosed diabetes and has a linear increasing trend with BMI, hence, this study aimed to determine the correlation of body mass index (BMI) with fasting C-peptide levels in Filipino patients with newly diagnosed type 2 DM.
The Incidence of In-Hospital Hypoglycemia and its Associated Risk Factors Among Adult Filipino Patients with Diabetes Mellitus in Chong Hua Hospital
Authors: Ma. Vircel Duyongco-Tiu, Imelda Lagula-Bilocura
DOI: 10.65564/pjim.17c8975168 | Published: December 2017
Hypoglycemia is a burdensome complication in the management of diabetes mellitus (DM), and has been noted to be increasing. This study evaluated the occurrence of hypoglycemia and identified its risk factors among diabetic Filipino patients.
Accuracy of Blood Glucose Measurements Using Capillary and Arterial Line of Extracorporeal Circuit of Hemodialysis Among Diabetic Patients Undergoing Outpatient Hemodialysis at The Medical City
Authors: Genevieve F. Sia, Christy S. Yao
DOI: 10.65564/pjim.138aeec745 | Published: December 2017
Accurate and reliable glucose level measurements are essential for ensuring safe and effective glycemic control among diabetic patients undergoing hemodialysis (HD). Capillary blood glucose (CBG) monitoring is the standard of care of glycemic control assessment in patients with diabetes on maintenance HD. This study aimed to determine the accuracy of blood glucose measurements of capillary and AL of extracorporeal circuit of HD machine using point-of-care (POC) glucose meter in comparison to central laboratory venous plasma among diabetic patients undergoing outpatient HD in a private tertiary hospital in the Philippines.
Hemodialysis Patients’ Compliance and Adherence Behaviors to Renal Replacement Therapy in Two Dialysis Centers in Iloilo City
Authors: Renato C. Ong Jr., Agnes Jean M. Villaflor, Patricio P. Palmes
DOI: 10.65564/pjim.32b7fde121 | Published: December 2017
Approximately 120 per million population develop kidney failure, translating to about 10,000 Filipinos needing to replace their kidney function per year. If without the appropriate intervention, those having kidney failure will surely die. The study aims to evaluate the compliance of hemodialysis (HD) patients to renal replacement therapy (RRT) in two dialysis centers in Iloilo City, and to compare the prevalence of non-adherence in between groups.
Neurosyphilis(Ocular Syphilis) with Bilateral Temporal Lobe Atrophy in an HIV Patient: A Case Report
Authors: Vaughn Caesar L. Edulan, Jeremyjones Robles, Carmela Remotigue
DOI: 10.65564/pjim.15830624a2 | Published: December 2017
Before the advent of antibiotics, syphilis was known to be one of the most common infections affecting approximately 10% of the adult population worldwide. One of its devastating complications is neurosyphilis, which has a broad set of manifestations. Some patients may present with blurring of vision in the setting of an ongoing syphilis infection known as ocular syphilis. In the advent of increasing incidence of human immunodeficiency virus (HIV) infection, co-infection with it may further obscure its manifestations or may even cause synergistic effects. Presenting a case of a 26-year-old male patient who complained of bilateral fronto-occipital headache with progressive blurring of vision and scaly reddish to brown maculopapular lesions affecting the limbs prominently the soles and palms.