Globally, overweight and obesity prevalence have been steadily rising over the years and reaching epidemic proportions due to urbanization,globalization,changes in dietary habits and a decrease in physical activity brought about byeasy access to basic needs. Ketongenic Diet (KD) and Intermittent Fasting (IF) diets are common topics in public fora and much confusion centers on different versions offered, raising concerns for safety. The aim of this group is to release a community based expression of consensus statements regarding KD and IF based on available clinical trial evidence.

Various methods and equations are available to predict the basal metabolic rate (BMR). A published study comparing the Harris-Benedict Equation, Bioelectrical Impedance Analysis, and Indirect Calorimetry (IC), was done among Filipinos, and was able to obtain a novel formula for BMR. The purpose of this study is to validate this novel formula.

Practice guidelines on diabetes in the Philippines have recommendations for screening using risk factors with thresholds based on international data. This paper investigated whether there is a basis to support these screening recommendations using data from the 8th Philippine National Nutrition Survey (NNS).

Percutaneous coronary intervention (PCI) for left main (LMCA) coronary artery disease (CAD) was found to be non-inferior and had similar major adverse cardiovascular events (MACE) to coronary artery bypass grafting (CABG). In the local setting, the clinical profile and MACE of patients who underwent either revascularization are, however, unknown. This study aims to determine the clinical profile and in-hospital MACE of patients who underwent revascularization (PCI or CABG) for LMCA and left main equivalent CAD.

Empathy is important because it has been speculated to have a positive effect on patient outcomes; it is a skill that can be learned and developed. This study obtained quantitative measurements of patient-perceived and self-assessed physician empathy. Empathy levels between public and private tertiary hospitals were compared.

Septic shock causes life threatening organ dysfunction needing vasopressor despite adequate fluid resuscitation. Numerous studies and meta-analysis have proven norepinephrine as the initial vasopressor of choice in septic shock with vasopressin as add-on. Although guidelines have established the goal monitoring response in septic shock, optimal approach in discontinuation of the vasopressors in the recovery phase of septic shock remains limited.

The worldwide incidence of osteomyelitis is approximately 21.8 cases per 100,000 person-years. The cornerstone of treatment is prolonged (4-6 weeks) intravenous antibiotic administration. This entails additional cost, inconvenience, and added manpower from the healthcare system. Thus, studies have explored the possible use of oral antibiotics as alternatives to improve patient compliance and reduce costs. Our meta-analysis aimed to compare the efficacy of oral versus intravenous antibiotics in treating adult patients with osteomyelitis.

Adult-Onset Still’s Disease is an uncommon inflammatory disorder that confers high morbidity and disability. It commonly presents with shared clinical features among other inflammatory disorders; thus, recognition of the existence of this disease entity could pose a diagnostic dilemma. A high clinical suspicion along with negative studies and fulfillment of the diagnostic criteria avoids unnecessary workup and inappropriate management. This is a case of an 18-year-old female who presented with recurrent fever, rash, and polyarthritis.

Adult-onset Still’s Disease (AOSD) is a systemic inflammatory disorder of unknown etiology characterized by quotidian fever, evanescent rash, and arthritis/arthralgia. The pro-inflammatory cytokine interleukin (IL) – 6 has been implicated in its pathogenesis. We present three cases of AOSD who were initially refractory to corticosteroid therapy but were successfully treated with an IL-6 inhibitor, tocilizumab (TCZ).

This report aims to raise physician clinical awareness of radial artery pseudoaneurysm (RAP) and promote early recognition of this potentially serious complication. The article highlights various proposed treatment strategies in the management of this condition.

Hepatic or liver tuberculosis is an uncommon form of extra-pulmonary tuberculosis which accounts for less than 1% of all tuberculous infections. Furthermore, tuberculous liver abscess (TLA), a subset of hepatic tuberculosis is extremely rare with a prevalence of 0.34% and is usually associated with foci of infection either in the lung, gastrointestinal tract, or an immunocompromised state. We present a case of a 63-year-old immunocompetent male, with no history of prior pulmonary tuberculosis, was initially diagnosed with pyogenic liver abscess and treated with empiric two-week therapy of Metronidazole 500mg/tab 1 tablet TID and Ciprofloxacin 500mg/tab 1 tablet BID.

Coronary artery fistula (CAF) is a connection between one or more of the coronary arteries and a cardiac chamber or great vessel. This is a rare defect and occurs in only 0.2% of the population. Most of the cases are congenital but acquired causes are also reported. A CAF may occur as an isolated cardiac defect or with other cardiac diseases such as rheumatic heart disease (RHD). Only a few cases of coexisting CAF and RHD have been reported. Local data reports only 0.69% CAFs associated with congenital malformations of the heart. Only 61 patients among all patients who underwent coronary arteriography in 34 years were reported to have a CAFs. We report a case of severe mitral stenosis (MS) with a double CAF from the left circumflex (LCx) artery draining into the left atrium.