July - September 2019
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DOI: 10.65564/pjim.1076f7d524
Articles in this Issue
Evolving Medical Literature
Authors: Pelagio L. Esmaquel Jr.
DOI: 10.65564/pjim.1e5c378e27 | Published: September 2019
Scientific writing and publication have evolved far beyond traditional research articles and case reports, expanding into diverse formats such as reviews, commentaries, letters, technical notes, clinical images, and multimedia.
Mature Minor Doctrine
Authors: Rodel V. Capule
DOI: 10.65564/pjim.34c6e8bea7 | Published: September 2019
Examines the legal framework governing parental consent for medical treatment of minors in the Philippines, with emphasis on the emergence and application of the mature minor doctrine under the Philippine HIV and AIDS Policy Act of 2018, and highlights the need for healthcare practitioners to prioritize the best interests of the child when determining capacity for consent.
National Health and Nutrition Education Survey on Chronic Venous Insufficiency
Authors: Lilibeth Maravilla, David Raymund Salvador, Maria Teresa Abola
DOI: 10.65564/pjim.f867c9ac24 | Published: September 2019
Chronic venous disease is an under-recognized condition which may result in significant morbidities with considerable costs. There is scarce data on chronic venous disease in the Philippines. The National Nutrition and Health Survey II was conducted to determine the national prevalence of different risk factors and clinical conditions. The primary objective of this study is to determine the prevalence of chronic venous disease in adults aged 20 years and older using the Southern Tagalog Venous Insufficiency Questionnaire (STVIQ).
Second-day Sequential Organ Failure Assessment (SOFA) Score as Predictor in 30–Day Hospital Mortality among Filipino Adult Patients who Presented with Sepsis at the Emergency Department
Authors: Christoper John N. Tibayan, Ferdinand G. Alcala
DOI: 10.65564/pjim.10280d4101 | Published: September 2019
The Third International Consensus Definitions for Sepsis and Septic Shock in 2016 promoted the new definition and prognostication scheme among patients with sepsis using the Sequential Organ Failure Assessment (SOFA) scoring system. This study determined the discriminative power of the second-day SOFA scoring system in predicting 30-day hospital mortality among adult Filipino patients who presented with sepsis in a tertiary government hospital in the urban setting in the Philippines.
Ten-Year Survival Analysis of Filipino Patients with Systemic Lupus Erythematosus at the National Kidney and Transplant Institute
Authors: Emily Mae L. Yap, Charito Cruz-Bermudez
DOI: 10.65564/pjim.114e89316c | Published: September 2019
Systemic lupus erythematosus (SLE) is increasingly being diagnosed in our country. This study aims to describe the clinical features, management strategies and outcome of patients with SLE during a ten-year period.
Outcome of Diabetic and Non-Diabetic Patients who Underwent Coronary Artery Bypass Graft Surgery (CABG) at Chinese General Hospital and Medical Center from January 2010 to December 2016
Authors: Lenor P. Fusin-Herrera, Rebecca Lim-Alba
DOI: 10.65564/pjim.c82b8a310a | Published: September 2019
Several studies have shown that diabetes mellitus increases the risk of having adverse events after CABG. This study was conducted to compare outcome of diabetic and non-diabetic patients after CABG and to test if diabetes mellitus is the strongest predictor of adverse outcomes.
Clinical Profile and Outcomes of Filipino Lupus Patients with Myocarditis in a Tertiary Hospital
Authors: Patricia Pauline M. Remalante, Marc Denver A. Tiongson, Geraldine T. Zamora, Jose Donato A. Magno
DOI: 10.65564/pjim.122fdea377 | Published: September 2019
Myocarditis is a rare but serious complication of systemic lupus erythematosus (SLE). Existing literature on adult Filipino SLE patients with myocarditis is limited. This study aims to determine clinical characteristics and outcomes of myocarditis in Filipino patients with lupus.
Comparison of the Prevalence of Hypertension using Three Proposed Classifications in a Single Center Primary Prevention Setting
Authors: Emily Mae L. Yap, Rhalp Jaylord L. Valenzuela, Gerald C. Vilela
DOI: 10.65564/pjim.9994611aaa | Published: September 2019
The American College of Cardiology/American Heart Association (ACC/AHA) revised the thresholds for the definition and treatment of hypertension that was recommended by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) while the 2018 European Society of Cardiology/European Society of Hypertension (ESC/ESH) Guidelines for the Prevention, Detection, Evaluation, and Management of High Blood Pressure retained their previous classification but revised the recommendations for diagnosis and treatment. The impact of these changes in our setting is uncertain. This study aims to compare the prevalence of hypertension using the three proposed criteria in a primary preventive setting.
Pleural Effusion as an Initial Presentation of Dermatomyositis: A Case Report
Authors: Yves Jean Y. Liong, Ivy Catherine T. Rivera-Go
DOI: 10.65564/pjim.15646b42ee | Published: September 2019
Dermatomyositis is an autoimmune inflammatory process typically presenting with symmetric proximal muscle weakness preceded by skin lesions. We report a case of dermatomyositis initially presenting with pleural effusion before developing rashes and proximal muscle weakness.
Primary Spinal Epidural Non-Hodgkin’s Lymphoma: A Case Report
Authors: Kristianne A. Payad, Dax Ronald Librado
DOI: 10.65564/pjim.b70d18a19a | Published: September 2019
Non-Hodgkin’s lymphomas (NHLs) are a varied group of malignancy originating in the lymphatic system. As a subset of lymphomas, primary spinal epidural lymphomas are diagnosed when there are no other recognizable sites of lymphomas at the time of diagnosis. It mimics other spinal diseases making the diagnosis difficult to establish as well as in obtaining tissue diagnosis. It mimics other spinal diseases making the diagnosis difficult to establish as well as in obtaining tissue diagnosis. We present an atypical case of a 45-year-old female who presented initially with back pain then eventual loss of sensory and motor function of the lower extremities, further work up showed primary spinal epidural NHL.
Acute Coronary Syndrome Non-ST Elevation in a Young Lady
Authors: Bryan Rene Toledano, Emily Mae Yap, James Ho
DOI: 10.65564/pjim.e0a36b5447 | Published: September 2019
Acute coronary syndrome (ACS) presenting as non-ST-elevation myocardial infarction (NSTEMI) in a very young Filipina female with a maternal history of premature coronary artery disease and no comorbidities is a rare occurrence and seldom suspected. An integral approach using clinical presentation, information derived from ECG, cardiac troponin and risk assessment criteria should be used in order to arrive at the proper diagnosis and management. The other challenges encountered were angioedema secondary to clopidogrel hypersensitivity and financial constraints. These factors should be taken into consideration when deciding the short and long-term treatment especially after percutaneous coronary intervention and stenting.
Mutations and Other Biomarkers in Advanced Non-small Cell Lung Carcinoma with Implications in the Philippine Setting
Authors: Joven Q. Tanchuco
DOI: 10.65564/pjim.18f38ab167 | Published: September 2019
Lung cancer remains a top cause of new cases and deaths from malignancies globally and locally. The development of targeted therapy for advanced non-small cell lung cancer (NSCLC), particularly adenocarcinoma, promises to improve survival significantly among suitable patients as compared to chemotherapy. About 50% of NSCLC patients have some driver mutations that can be treated by targeted therapy.