Volume 57, Number 2 (2019)

Volume 57, Number 2 (April - June 2019)

April - June 2019

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DOI: 10.65564/pjim.4bfbde9258


Articles in this Issue

Editorial
Seeing the Big Picture: Research Integrity

Authors: Joven Q. Tanchuco

DOI: 10.65564/pjim.4e8af49191   |   Published: June 2019

Strengthening research integrity requires ethical review, proper mentorship, institutional support, training, and responsible data management. As the Philippines advances in clinical research, promoting awareness and accountability among stakeholders is essential to foster a culture of honesty, accuracy, efficiency, and transparency in scientific inquiry.

Legal Prescription
Read the Personal Information Sheet of your Patient

Authors: Rodel V. Capule

DOI: 10.65564/pjim.1768fd15ca   |   Published: June 2019

This article highlights the often-overlooked value of a patient’s personal information sheet as an essential clinical, legal, and ethical tool in medical care. Beyond administrative use, accurate details such as name, age, address, civil status, occupation, religion, and nationality guide physicians in decision-making, diagnosis, consent, and confidentiality.

Original Article
Predictive Value of White Blood Cell Count and Neutrophil-to-Lymphocyte Count Ratio in Classifying the Severity of Community Acquired Pneumonia in Immunocompetent Patients

Authors: Armin N. Masbang, Minette Clare O. Rosario

DOI: 10.65564/pjim.747812f9bc   |   Published: June 2019

White blood cell (WBC) count, from which neutrophil-to-lymphocyte count ratio (NLCR) can be derived, is commonly requested in the hospital setting among admitting patients with community acquired pneumonia (CAP). This study aims to establish the predictive value of WBC count and NLCR in classifying CAP which guides the clinicians in the choice of antibiotics and site-of-care. The researchers aim to evaluate the predictive value of WBC count and NLCR during consultation and admission in classifying patients with CAP based on the management-oriented risk stratification of the 2016 Philippine Clinical Practice Guidelines on CAP.

Original Article
Association of Erectile Dysfunction and Extent of Coronary Vessel Involvement by Syntax Score in Coronary Artery Disease Patients Undergoing Coronary Angiography at Perpetual Succour Hospital from October 2014 – September 2015

Authors: Brian Joseph M. Calinawagan, Alex T. Junia, Edwin K. Tiempo

DOI: 10.65564/pjim.139d50cd9e   |   Published: June 2019

Left ventricular non-compaction (LVNC) is a rare form of cardiomyopathy that may occur in isolation or with an associated cardiac anomaly. It presents with a wide array of manifestations, prompting early recognition to be imperative to prevent progression of symptoms. We report a case of a 46-year-old male complaining of palpitations for 10 years who survived sudden cardiac arrest on the same year as symptom onset.

Original Article
Early Antibiotic Therapy (EAT) Decreases In-Hospital Mortality of Patients with Sepsis at the Emergency Department ​​​​​​​

Authors: Irene Rosellen P. Tan, Myrna T. Mendoza

DOI: 10.65564/pjim.9dd9ebcbef   |   Published: June 2019

Septic shock is the most common type of shock encountered by internists and is the most common cause of death in non-coronary intensive care units. In the 2012 Surviving Sepsis Campaign, one recommendation is antibiotic administration within three hours from sepsis recognition. Several large-scale studies challenged this recommendation with contrasting results. The researchers aim to determine the impact of early antibiotic therapy (EAT) on mortality and outcome of patients and to determine institutional compliance to current sepsis recommendations.

Original Article
Cardiovascular Risk Factors in Filipinos with Rheumatoid Arthritis Included in the Rheumatoid Arthritis Database and Registry (RADAR)

Authors: Juneth Ria R. Limgenco-Hipe, Kenneth Tee, Ester G. Penserga

DOI: 10.65564/pjim.1431e8313c   |   Published: June 2019

Rheumatoid arthritis (RA) is the most common autoimmune inflammatory arthritis of unknown etiology. Cardiovascular disease (CVD) remains a major problem for these patients. This paper aims to describe the presence of cardiovascular risk factors among filipino patients with rheumatoid arthritis seen in the Philippine General Hospital Rheumatology outpatient department. This will also serve as a baseline database for patients with cardiovascular risk factors for future studies on the impact of rheumatoid arthritis on cardiovascular morbidity and mortality. Objective: to describe the presence of cardiovascular risk factors among filipino patients with rheumatoid arthritis seen in the Philippine General Hospital Rheumatology outpatient department included in the Rheumatoid Arthritis Database and Registry (RADAR)

Case Report
Left Ventricular Non-Compaction in an Adult with Patent Ductus Arteriosus

Authors: Emily Mae L. Yap, Edward Nino J. Gacrama, Ana Beatriz R. Medrano

DOI: 10.65564/pjim.17566385cb   |   Published: June 2019

Left ventricular non-compaction (LVNC) is a rare form of cardiomyopathy that may occur in isolation or with an associated cardiac anomaly. It presents with a wide array of manifestations, prompting early recognition to be imperative to prevent progression of symptoms. We report a case of a 46-year-old male complaining of palpitations for 10 years who survived sudden cardiac arrest on the same year as symptom onset.

Case Report
Metformin-induced Photocontact Dermatitis in a 67-year-old Male: A Case Report

Authors: Kris Ray A. Dumaguin, Carmela A. Remotigue

DOI: 10.65564/pjim.a17736a194   |   Published: June 2019

Photocontact dermatitis is a type IV delayed hypersensitivity response to an allergen that is activated by radiation energy. Its incidence is uncertain and only a small number of drugs causing such reaction have been studied. This is a case of a 67-year-old filipino male, diabetic, who presented with scaly, erythematous, and hyperpigmented plaques with areas of desquamation and erosions on sun-exposed areas of the skin after taking metformin.

Case Report
Typhoid Ileitis with Periappendicitis: A Case Report

Authors: Dax Ronald Librado, Joanna Rose B. Ipong

DOI: 10.65564/pjim.7eea41a40c   |   Published: June 2019

Typhoid fever usually presents with prolong fever associated with constitutional symptoms of headache and abdominal pain. Patients living in far flung areas often downplayed this condition with a viral infection causing delay in diagnosis. We present a case of a 30-year-old male diagnosed with typhoid fever who developed upper gastrointesitinal bleeding with intraoperative finding of periappendicitis.

Case Series
Acute Limb Ischemia: A Rare and Devastating Complication of Infective Endocarditis

Authors: Emily Mae L. Yap, Ana Beatriz R. Medrano, Lucky R. Cuenza, Norberto O. Tuano

DOI: 10.65564/pjim.cebc7c614d   |   Published: June 2019

In contrast to embolic events to the brain, lungs and spleen which have been comprehensively discussed in literature, acute limb ischemia (ALI) due to septic embolism (SE) from infective endocarditis (IE) are uncommonly reported. There have been no reported cases of ALI as a complication of IE among Filipinos to date making this case report the first in our country.

Meta Analysis
Balanced Crystalloids versus Normal Saline as Intravenous Fluid Therapy among Critically Ill patients: A Meta-Analysis of Randomized Controlled Trials

Authors: Jamie R. Chua, Harold Henrison C. Chiu, Jubert P. Benedicto

DOI: 10.65564/pjim.ae25821177   |   Published: June 2019

Recent studies on critically ill adults has shown that use of normal saline with its supraphysiologic chloride content has been associated with an increased incidence of hyperchloremic metabolic acidosis, acute kidney injury (AKI), renal replacement therapy (RRT), hypotension and death. The objective of this meta-analysis was to assess the clinical outcomes associated with the use of balanced crystalloids versus normal saline solution.