Examines the evolution of the physician-patient relationship into a fiduciary bond and identify the core ethical and legal duties that arise from this relationship, highlighting the physician’s responsibilities of trust, disclosure, confidentiality, competence, and patient-centered decision-making within the scope of fiduciary obligations.
 

The Clinical Practice Guideline (CPG) for the Diagnosis and Management of Hepatocellular Carcinoma (HCC) provides 12 recommendations for ten prioritized interventions in diagnosing and managing hepatocellular carcinoma in the Philippines. It is the first CPG for HCC developed de novo in the country. It is not an adaptation of existing practice guidelines developed by international organizations.

Triple-negative breast cancer (TNBC) comprises 15-20% of all breast cancers and is marked by early relapse and poor overall survival. Adjuvant chemotherapy has become the standard of care for these patients albeit to this time there is no consensus on its optimal chemotherapy regimen. This study determined the disease-free-survival (DFS) and overall survival (OS) of patients with stage I-III triple-negative breast cancer given adjuvant chemotherapy in Makati Medical Center from 2000 to 2015.

The Coronavirus disease 2019 (COVID-19) is a major health crisis that affected 32 million people to date and caused death to 990,000 individuals. The impact of this pandemic on the healthcare system took its toll especially to the healthcare workers and its effect on their physical and mental health. We aim to assess severity of generalized anxiety, depression and subjective distress among medical, allied and ancillary healthcare workers (HCWs) who handled COVID-19 patients.

Primary aldosteronism (PA) was previously thought to be uncommon. With the utilization of plasma aldosterone concentration and plasma renin activity ratio (PAC/PRA) as a mode of screening, the frequency of its detection increased significantly. Among the population with an indication for PA screening, resistant hypertension has the highest prevalence. Detection of PA in this group is essential since it is associated with increased cardiovascular and cerebrovascular complications. The objective of this study was to determine the prevalence of PA among adult Filipinos at Capitol University Medical Center, Cagayan de Oro City, Misamis Oriental.

Though the role of inflammation is reputedly associated with contrast induced nephropathy (CIN), especially in the setting of Acute Coronary Syndrome (ACS), current risk scoring systems do not address inflammatory factors. Neutrophil lymphocyte ratio (NLR), a proportion of two inflammatory markers, is reflective of the balance between innate and adaptive immune responses, and therefore has a strong predictive value.

Polycystic ovarian syndrome (PCOS) has been recognized as a risk factor for metabolic dysfunction. The objective of this study was to determine the association of each PCOS phenotype with the risk for prediabetes and diabetes mellitus (DM)

To determine if adding convalescent plasma to standard of care is associated with better clinical outcomes than giving standard of care alone to severe and critical COVID-19 patients admitted in a tertiary hospital in Cebu City.

This meta-analysis aimed to assess the efficacy of corticosteroids in improving outcomes in COVID-19 patients.

Patients admitted due to severe COVID-19 pneumonia are at high risk for malnutrition and worsening of their clinical condition. Patients with type 2 diabetes admitted for COVID-19 pneumonia have an increased risk for poor clinical outcomes. Adequate nutrition is recommended to augment a strong immune response. The American Society of Parenteral and Enteral Nutrition (ASPEN), Philippine Society of Parenteral and Enteral Nutrition (PHILSPEN), European Society of Parenteral and Enteral Nutrition (ESPEN) recommend an energy intake goal of 15-20 kcal/kg actual body weight (ABW) per day or 70-80% of caloric requirements after the acute phase of critical illness, with recommended protein intake of 1.2-2.0 g/kg ABW per day. This study aims to provide an association between calorie and protein intake with negative clinical outcomes.

Dioctophyma renale, also known as the “giant kidney” worm is the largest nematode that infects mammals. Most commonly, it infects dogs and only a few cases of human infestation have been reported. In this case, we present a 71-year-old male with a history of right flank pain, painless hematuria, obstructive urinary symptoms and occasional passage of a long red meat-like structure via urethra.