Emphasizes the health impacts of global warming and air pollution, highlight the urgent need for collective action to mitigate environmental risks, and encourage physicians to engage in advocacy, awareness, and policy support to promote healthier, sustainable communities in the Philippines.
 

This legal prescription underscores the physician’s duty to prioritize social responsibility, professional dignity, and patient-centered care over financial incentives.

The evolution of cardiac pacing is expected to decrease the cardiovascular morbidity and mortality but this type of intervention might affect the health-related quality of life (HRQOL) and eventually the overall prognosis of the patient. This study assessed the HRQOL in patients with permanent pacemaker using Philippines (Tagalog) Short Form (SF)-36v2 health survey.

Hormone-producing adrenal tumors, adrenal carcinomas and other adrenal diseases can be potentially cured with adrenalectomy. In the local setting, studies are often limited by a small sample size and inadequate patient data. This study aimed to determine the clinical and histopathologic characteristics and perioperative outcomes of patients who underwent adrenalectomy.

Thyroid carcinoma remains the most common endocrine malignancy and incidence has increased due to improved diagnosis. Most Differentiated Thyroid Cancers (DTC) are indolent and easily cured with surgery, radioactive iodine (RAI) therapy and TSH suppression. However, persistent and recurrent disease is not uncommon among Filipinos. RAI therapy is being used more frequently even for low risk patients due to this observed aggressiveness of DTC in our population. This study sought to identify factors that are associated with failure of initial RAI for DTC, leading to repeat doses.

Diabetes mellitus (DM) has been associated with increase in incidence of fracture irrespective of bone mineral density (BMD). There is a paucity of local studies on the relationship of DM, osteoporosis, and fracture. This study aims to compare the osteoporosis risk factors of patients with and without DM admitted for fragility fracture.

There are a significant number of diabetic patients who remain uncontrolled despite basal insulin therapy due to lack of intensification of treatment. Different insulin titration algorithms are recommended by different treatment guidelines. This study compared two basal insulin titration algorithms in terms of time to achieve target glucose, adherence, hypoglycemia episodes, and HbA1c reduction.

Insulin delivered by multiple daily injection (MDI), for a time, has been considered to be the most physiologic among the different insulin regimen. Among patients on MDI, there is still a significant proportion who remains uncontrolled. Continuous subcutaneous insulin infusion (CSII) or insulin pump has been shown to benefit some patients who are still uncontrolled despite intensive insulin therapy with MDI. Currently, there is little information on the use of insulin pump in the Philippines. The researchers aim to determine the change in HbA1c and the proportion of patients with HbA1c of <8% after shifting from MDI to CSII. To correlate the change in HbA1c with age and baseline HbA1c. To compare the change in HbA1c between gender, type of diabetes and type of bolus regimen.

Given the increasing burden of diabetes worldwide as well as in the Philippines, understanding factors affecting diabetes management is crucial. We investigated the factors leading to poor adherence to titration of long-acting, once a day, basal insulin among patients with type 2 diabetes mellitus (DM) seen at the outpatient department (OPD) clinics of St. Luke’s Medical Center, Quezon City.

Takayasu’s arteritis (TA), a large vessel vasculitis has various initial presenting manifestations; making it difficult to diagnose. Hence, the number of those with the disease in the population is underestimated. The study intends to update local data and to describe different presentations of the disease to enhance awareness for TA.

Low-risk papillary thyroid microcarcinomas (PTMC) have an indolent course and favorable prognosis. In the Philippines, radioactive iodine (RAI) remnant ablation is frequently given to patients with low-risk PTMC because of studies showing that Filipinos have more aggressive thyroid cancers. This study aims to determine if RAI remnant ablation prevents thyroid cancer recurrence among Filipino patients with low-risk PTMC who underwent thyroidectomy at a tertiary hospital in the Philippines.

Sodium glucose transporter 2 (SGLT2) inhibitors are a new class of anti-diabetic agents that not only lower down blood sugar but can potentially cause weight loss and decrease in blood pressure. The aim of this meta-analysis is to evaluate the magnitude of changes in blood pressure and safety parameters with the use of SGLT2 inhibitors among adult patients with type 2 diabetes mellitus (DM).

Right atrial thrombus is very rare. Prognosis is poor regardless of intervention in those with severe pulmonary embolism. We present an unusual case of right atrial thrombus in a patient who was initially admitted for intracranial hemorrhage.