Volume 59, Number 4 (2021)

Volume 59, Number 4 (October - December 2021)

October - December 2021

-

DOI: 10.65564/pjim.d1e353b126


Articles in this Issue

Legal Prescription
Wallet Biopsy: necessary or not?

Authors: Rodel V. Capule

DOI: 10.65564/pjim.14718164a0   |   Published: December 2021

Republic Act No. 10932 is explicit in its mandate that in emergency or serious cases, it shall be unlawful for a medical practitioner of a hospital or medical clinic “to request, solicit, demand or accept any deposit or any other form of advance payment as a prerequisite for administering basic emergency care to any patient, confinement or medical treatment of a patient in such hospital or medical clinic or to refuse to administer medical treatment and support.

Original Article
Measurement of Anxiety and Depression Among Cancer Patients Seen in an Outpatient Clinic of a Tertiary Hospital Using the Validated Hospital Anxiety and Depression Scale – Pilipino Version (HADS-P)

Authors: Kenneth Samala, Paolo Dela Rosa, Dennis Sacdalan

DOI: 10.65564/pjim.11badab143   |   Published: December 2021

Anxiety and depression, two of the most common affective disorders in cancer patients can affect one’s compliance to treatment leading to poorer outcomes. Therefore, means of determining the psychological wellness of cancer patients through screening tools for anxiety and depression are an integral part of their management. The objectives of this study was to measure the prevalence of anxiety and depression among cancer patients seen in an outpatient clinic of a tertiary hospital using the HADS-P. and assess the impact of the following variables on symptoms of anxiety and depression: demographic, socio-economic, biological and health/clinical parameters.

Original Article
Glycemic Gap as a Predictor of Adverse Outcomes in Patients with Type 2 Diabetes Diagnosed with COVID-19 in a Tertiary Hospital in Metro Manila: A Retrospective Cohort Study

Authors: Mariel C. Enverga, Maria Jocelyn C. Isidro, Carolyn N. Montano

DOI: 10.65564/pjim.120e135100   |   Published: December 2021

Although elevated glucose levels are associated with adverse outcomes in the critically ill, HbA1c-based adjusted glycemic variables have not been extensively utilized as a tool to evaluate patients in the acute critical condition. This study aims to determine whether glycemic gap can predict adverse outcomes in patients with type 2 diabetes diagnosed with COVID-19.

Original Article
Effectiveness and Safety of Therapeutic Plasma Exchange as an Adjunctive Treatment for Coronavirus Disease 2019 (COVID-19) Patients: A Systematic Review

Authors: ​​​​​​​Charles Eryll S. Sy, Jomell C. Julian, Flordeluna Z. Mesina

DOI: 10.65564/pjim.6f749b6167   |   Published: December 2021

COVID-19 is a new, rapidly emerging zoonotic infectious disease. Addressing the cytokine storm and coagulopathy associated with this disease can minimize its severity and complications. Therapeutic plasma exchange (TPE) can be potentially used to remove these deleterious cytokines and procoagulant proteins. This study aims to assess the effectiveness and safety of TPE as an adjunctive treatment for COVID-19 patients.

Original Article
Factors affecting mental health outcomes of healthcare workers at Cardinal Santos Medical Center during the Coronavirus Disease (COVID-19) pandemic

Authors: Archimedes A. Apa-ap, Rosa Allyn G. Sy, Marc Conrad C. Molina

DOI: 10.65564/pjim.b8a7a7622c   |   Published: December 2021

Studies show that healthcare workers from previous pandemics have experienced high levels of stress, anxiety with negative psychological impacts. This paper aims to identify factors affecting mental health outcomes of healthcare workers during Coronavirus Disease (COVID-19) pandemic.

Original Article
Improvement in Specimen Adequacy with Ultrasound-guided Fine-Needle Aspiration Biopsy (FNAB) of Thyroid Nodules Using Rapid On-site Evaluation (ROSE): A Cross-sectional Study

Authors: Pia Pamela P. Dungca, Francis Bryant G. Chua, Elizabeth Ann S. Alcazaren

DOI: 10.65564/pjim.4768e79b20   |   Published: December 2021

Fine-needle aspiration biopsy (FNAB) is the most accurate and cost-effective method to evaluate thyroid nodule for possible malignancy. However, an adequate specimen is required for proper examination by a pathologist. Rapid on-site evaluation (ROSE), a service typically provided by pathologists, is the real-time evaluation for adequacy of FNAB smears which can help improve adequacy rates by allowing the submission of additional thyroid samples when the submitted samples are inadequate. This study aims to investigate if ROSE done by trained Endocrinologists can improve specimen adequacy in our patients.

Original Article
Correlation Between Admitting Blood Glucose Levels and Hospital Outcome in Patients who Underwent Percutaneous Coronary Intervention

Authors: Alta Gracia B. Damalerio, Imelda Lagula-Bilocura, Ma. Vircel Duyongco-Tiu

DOI: 10.65564/pjim.13d4689bdd   |   Published: December 2021

This study aimed to determine the correlation between admitting hyperglycemia and hospital outcome, on the length of hospital stay and mortality on patients who underwent PCI.

Original Article
Meta-analysis on the Role of Pregabalin in Fibromyalgia

Authors: Andri Reza Rahmadi, Guntur Darmawan, Laniyati Hamijoyo

DOI: 10.65564/pjim.10e3a93bbd   |   Published: December 2021

Fibromyalgia is a difficult-to-treat chronic musculoskeletal pain and tenderness syndrome. It is considered due to augmented pain processing in central nervous system. Interest in antiepileptic drugs, included pregabalin, for treatment of fibromyalgia is currently growing. This study aimed to investigate the effectiveness of pregabalin for fibromyalgia.

Case Report
Tuberculous Laryngitis mimicking as Fungal Laryngitis: A Case Report

Authors: Cassius Kay G. Ramos, Jeremyjones F. Robles

DOI: 10.65564/pjim.12fb36317c   |   Published: December 2021

This is a case of a diagnostic dilemma of an immunocompetent 55-year-old male presenting with odynophagia, dysphagia and hoarseness of voice that was initially managed as a case of fungal laryngitis due to history of prolonged use of dexamethasone and findings of leukoplakia in laryngoscopy.

Case Report
Metastatic Follicular Thyroid Cancer to the Scapula with Rotator Cuff Muscles Involvement: A Case Report

Authors: Sienna Ross S. Chavez, Jeremyjones F. Robles

DOI: 10.65564/pjim.10c611c101   |   Published: December 2021

Metastasis to scapula is an infrequent presentation and skeletal muscle metastasis is extremely rare. We present a case of metastatic follicular thyroid carcinoma that manifested as a large scapular mass on the right shoulder of a 65-year-old female patient.

Case Report
Guillain-Barre Syndrome after Appendectomy: A Case Report

Authors: Von Edward S. Salcedo, Marissa Ong

DOI: 10.65564/pjim.25b73cf256   |   Published: December 2021

Guillain-Barre syndrome (GBS) is an acute monophasic paralyzing illness that typically occurs after gastroenteritis and respiratory tract infection. Antecedent surgical procedures are less recognized trigger of GBS. We report a case of demyelinating variety of GBS that developed after appendectomy.

Case Report
Complete Androgen Insensitivity in Two Filipino Siblings: A Case Report

Authors: Vanessa S. Ediza, Alistair Kashmir C. De la Cruz, Mae Rhea Lim-Pacoli, Albert L. Chu

DOI: 10.65564/pjim.9800312192   |   Published: December 2021

Androgen insensitivity syndrome is an X-linked recessive condition resulting in a failure of normal masculinization of the external genitalia in a chromosomally male individual. We describe two phenotypically female siblings aged 27 and 18 years, who presented with primary amenorrhea.

Case Series
Clinical Profile and Outcomes of COVID-19 Patients with Diabetes Mellitus: A Case Series

Authors: Faith Yu Santos-Caratao, Oliver Allan Dampil

DOI: 10.65564/pjim.13e5a02d26   |   Published: December 2021

COVID 19 infection has taken millions of lives to date but knowledge regarding its occurrence is still new and evolving. Among the consistent data gathered over the past few months since it was declared as a pandemic by the WHO is that patients with underlying comorbidities, notably diabetes mellitus, hypertension, and obesity have worse clinical course and outcomes. The time frame when this study was conducted was during the period when the Philippines experienced the so-called “first wave” of the coronavirus in the local setting. This was also the time when any established drug therapy for COVID-19 infection was yet to be supported by any randomized controlled trials.