Volume 57, Number 1 (2019)

Volume 57, Number 1 (January - March 2019)

January - March 2019

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DOI: 10.65564/pjim.12d99e0144


Articles in this Issue

Editorial
 A Filipino Doctor’s Entanglement with the Pharmaceutical Industry

Authors: Francisco P. Tranquilino

DOI: 10.65564/pjim.174e22d161   |   Published: March 2019

Evidence shows that even small industry-sponsored benefits may influence clinical decisions. Upholding integrity, minimizing industry dependence, and maintaining transparency are essential to protecting professional judgment and preserving public trust in medical practice.
 

Legal Prescription
The “Good Samaritan” Rule ​​​​​​​

Authors: Rodel V. Capule

DOI: 10.65564/pjim.310436a4a8   |   Published: March 2019

While physicians possess the skills to provide immediate care, they are not inherently obligated to intervene unless specific legal or ethical conditions exist. However, refusal to render assistance during life-threatening emergencies—when no danger to the physician is present—may constitute a breach of ethical and legal duty, reinforcing the delicate balance between moral responsibility and professional liability.

Special Article
Lupus among Filipinos: Unmet needs

Authors: Sandra V. Navarra, Robelle Mae D.V. Tanangunan, Ma. Imee Lynne C. Esquibel

DOI: 10.65564/pjim.6108a5011f   |   Published: March 2019

The University of Santo Tomas (UST) lupus database established in 2008 and supported by Lupus Inspired Advocacy (LUISA), aims to bring recognition of Systemic lupus erythematosus (SLE) as an important disease among Filipinos, serving as the impetus to drive policy makers to include SLE in the national health agenda.

Original Article
The Appropriate Use of Proton Pump Inhibitors in Adult Patients Admitted in the Intensive Care Unit of a Tertiary Hospital

Authors: Jacklyn M. So-Cabahug, Leticia Ibañez-Guzman

DOI: 10.65564/pjim.17c85b93a8   |   Published: March 2019

Proton pump inhibitors (PPI) have been used as stress ulcer prophylaxis (SUP) in intensive care unit (ICU) patients due to their high risk for stress-related upper gastrointestinal (GI) bleeding. With its dramatic increase in prescription, studies have noted its misuse and associated complications. This study aimed to determine the appropriateness of the use of PPIs in adult patients in the ICU of Medical Center Manila (ManilaMed).

Original Article
Assessment of Compliance to 2016 Surviving Sepsis Campaign Bundles among Adult Patients Admitted at ManilaMed–Medical Center Manila Diagnosed with Sepsis

Authors: Cherry Lois M. Benjamin, Evalyn Roxas

DOI: 10.65564/pjim.132a32a13b   |   Published: March 2019

Sepsis is an emerging problem that needs to be recognized early and addressed promptly with hydration and appropriate antibiotics. This study aims to assess the adherence to surviving sepsis campaign (SSC) bundle within three hours and six hours, length of hospital stay and mortality among adult patients admitted at ManilaMed–Medical Center Manila diagnosed with sepsis.

Original Article
The Development and Acceptability of a Board Game to Supplement Standard Diabetes Education at the University of Santo Tomas Hospital

Authors: Cecilia Angela Y. Paraiso-Galang, Maria Honolina S. Gomez

DOI: 10.65564/pjim.660754e163   |   Published: March 2019

The potential efficacy of a board game in health education has been demonstrated. This study aims to develop a simple and useful diabetes education board game for adult Filipinos with T2DM that can supplement diabetes education.

Original Article
Functional Disability of Filipino Patients with Hand Osteoarthritis seen at a Rheumatology Outpatient Clinic of a Tertiary Government Hospital ​​​​​​​

Authors: Bernadette Heizel Manapat-Reyes, Ivy Elline S. Afos, Ester G. Penserga

DOI: 10.65564/pjim.18f0e7017d   |   Published: March 2019

Osteoarthritis (OA) is a common joint disease which may cause functional limitation in daily activities. The aim of this study is to determine disability of patients with hand osteoarthritis (HOA) using the Disability of Arm, Shoulder and Hand (DASH) questionnaire and to determine association of risk factors to the development of HOA.

Case Report
Bumps of Blood Cells: Blastic Plasmacytoid Dendritic Cell Neoplasm in an Elderly Filipino

Authors: Christian Bernard T. Cheng, Ellen M. Gatchalian, Flordeluna Z. Mesina, Alejandro Arevalo

DOI: 10.65564/pjim.8769c00654   |   Published: March 2019

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare and aggressive hematologic malignancy derived from the precursors of plasmacytoid dendritic cells. This malignancy presents with various noticeable cutaneous lesions and usually occurs in elderly males. Cutaneous manifestations usually precede leukemic dissemination to the lymph nodes, bone marrow, and peripheral blood which is associated with poor prognosis. We present a case of a 60-year-old Filipino male with a four-month history of multiple hyperpigmented, reddish brown, firm, fixed, non-tender cutaneous nodules on the extremities, trunk, chest, and face.

Case Report
Metastatic Klebsiella Infection: A Case Report ​​​​​​​

Authors: Jacklyn So-Cabahug, Jennifer Justice Manzano

DOI: 10.65564/pjim.15c844225e   |   Published: March 2019

A new hypervirulent (hypermucoviscous) variant of Klebsiella pneumoniae (K. pnuemoniae) had emerged. It has shown ability to cause serious infection in healthy ambulatory hosts as well as infect unusual sites. Though there have been numerous studies on severe infection by K. pneumoniae, little data has been documented on such infections involving Klebsiella oxytoca. (K. oxytoca). It is capable of causing metastatic spread of the infection even in healthy young individuals. This report was written to describe the clinical spectrum of a case of metastatic Klebsiella infection.

Case Report
Pulmonary Arterial Aneurysm with Thrombus Formation and Atrial Septal Defect with Pulmonary Hypertension

Authors: Sime Raymond B. Fernandez, Jessie F. Orcasitas

DOI: 10.65564/pjim.29aec019e4   |   Published: March 2019

Pulmonary arterial aneurysm (PAA) is a rare condition with varying symptomatology. Patients are often referred due to incidental finding of intrathoracic mass on chest radiograph. Common causes include structural cardiac and vascular abnormality, pulmonary hypertension, infection, vasculitis, connective tissue disease, and trauma. This is the case of a 37-year-old female that came in due to shortness of breath associated with easy fatigability, exertional dyspnea, orthopnea, and occasional palpitations.

Case Report
Gastrointestinal Vasculitis in Systemic Lupus Erythematosus: A Successful Treatment with Belimumab

Authors: Elaine T. Veñegas, Joenavin D. Ngo, Sandra V. Navarra

DOI: 10.65564/pjim.afcf18be30   |   Published: March 2019

Gastrointestinal (GI) vasculitis among systemic lupus erythematosus (SLE) patients is a rare manifestation confounded with non-specific clinical symptoms and laboratory parameters which delay diagnosis leading to increase morbidity and mortality. This is a case report of a patient with of GI vasculitis who was successfully treated with belimumab

Case Report
Liver Abscess Harbors Melioidosis: A Case Report on this Rare Finding in A Potentially Endemic Community ​​​​​​​

Authors: Emily Mae L. Yap, Minette Claire SG Ocampo-Rosario, Ira Inductivo-Yu

DOI: 10.65564/pjim.bba3a7f426   |   Published: March 2019

Melioidosis among Filipinos may be underreported. The causative agent, Burkholderia pseudomallei, thrives in soil and water in tropical regions. Because our country thrives on agriculture as a source of livelihood, occupational exposure through farming needs to be recognized. We report a case of a 40-year-old male complaining of intermittent fever, progressive weight loss and jaundice for three weeks prompting consult.

Clinical Trials
Effectiveness and Safety of Vildagliptin Monotherapy or in Combination with Other Antihyperglycemic Agents in Patients with T2DM: A Real-world Observational Study in the Philippines

Authors: Reynaldo Rosales, Cyril Joseph Tolosa

DOI: 10.65564/pjim.ebaabd6180   |   Published: March 2019

There is an ever-increasing prevalence of type 2 diabetes mellitus (T2DM) in the Philippines. This observational study aimed to evaluate the effectiveness and safety of vildagliptin as monotherapy or combination therapy in patients with T2DM in a real-life setting from the Philippines.