Volume 60, Number 1 (2022)

Volume 60, Number 1 (January - March 2022)

January - March 2022

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DOI: 10.65564/pjim.17c1c51c20


Articles in this Issue

Legal Prescription
The Disruptive Patient

Authors: Rodel V. Capule

DOI: 10.65564/pjim.14a5fdd13f   |   Published: March 2022

Disruptive patient behavior, including verbal abuse, physical aggression, and extreme violence, poses significant challenges to physicians, nurses, and healthcare institutions, especially in emergency settings where risk is highest. Such behavior may stem from limited understanding, lack of motivation, psychological issues, or distress among patients and families.

Original Article
The Creation and Maintenance of a Hospital-Based Cancer Registry System

Authors: Beatrice J. Tiangco, Ethel Dominique E. Viray, Ric Parma

DOI: 10.65564/pjim.b9db37c640   |   Published: March 2022

Cancer registries contain information essential to any rational program of evidence-based cancer control, including cancer epidemiology and outcomes, and can be site-specific, hospital-based, or population-based. The creation of a national population-based cancer registry and hospital-based cancer registries was mandated in the National Cancer Control Act of 2019. This paper reports on the creation and maintenance of the Cancer CARE Registry and Research Philippines (CARE PH) app, the country's first hospital-based cancer registry system, and its future directions in registry and research.

Guidelines
Philippine Society of Medical Oncology (PSMO) and Philippine Society for Microbiology and Infectious Diseases (PSMID) Joint Position Statement on Updated COVID-19 Guidelines for Patients with Cancer

Authors: Frederic Ivan Ting, Katrina Gaelic Bebero, Danielle Benedict Sacdalan, Crizel Denise Uy, Honey Sarita Abarquez, Grace Nilo, Buenaventura Ramos Jr., Dennis Lee Sacdalan, Arnold John Uson, Philippine Society of Medical Oncology, Vegloure Maguinsay, Janice Caoili, Arthur Dessi Roman, Regina Berba, Karl Evans Henson, Marissa Alejandria, Mark Kristoffer Pasayan, Joseph Adrian Buensalido, Annabel Laranjo, Aileen Mae Lee, Kathyrn Roa, Dolores Rommela Ruiz, Philippine Society for Microbiology and Infectious Diseases

DOI: 10.65564/pjim.1213624a30   |   Published: March 2022

The PSMO and PSMID acknowledge the importance of continuing cancer treatment during the COVID-19 pandemic. With the advent of new variants that are more transmissible, these recommendations are set to augment the care of patients with solid tumors / non-hematologic cancer without compromising their safety.

Original Article
Pre-operative Glycosylated Hemoglobin Level and Fasting Blood Sugar as Markers for Risk of Acute Kidney Injury in the Immediate Post-Operative Period Among Type 2 Diabetic Patients After Elective Abdominal Surgery

Authors: Lisa Angelica V. Evangelista, Maria Jocelyn C. Isidro, Andrea Marie M. Oliva, Mary Rose Y. Bisquera

DOI: 10.65564/pjim.323c43f18a   |   Published: March 2022

The study aimed to identify whether pre-operative glycosylated hemoglobin level (HbA1c) and fasting blood sugar (FBS) can be used as markers for the development of acute kidney injury (AKI) in the immediate post-operative period of type 2 diabetic patients after elective abdominal surgery.

Original Article
Diabetes Knowledge Among Patients with Type 2 Diabetes at the University of Santo Tomas Hospital Using the Filipino Version of Michigan Diabetes Knowledge Test (Filipino-DKT)

Authors: Ma. Felisse Carmen S. Gomez, Maria Honolina S. Gomez

DOI: 10.65564/pjim.5e6d06c197   |   Published: March 2022

A well-informed patient with Type 2 diabetes may be more compliant with treatment. This study aims to evaluate the diabetes-related knowledge and socio-demographic determinants of patients seen at University of Santo Tomas Hospital through a translated and validated Filipino–DKT questionnaire.

Original Article
Time to Blood Culture Positivity as a Predictor of Clinical Outcome among Septic Patients

Authors: Alrik Earle T. Escudero, Janice C. Caoili

DOI: 10.65564/pjim.247593b871   |   Published: March 2022

In the setting of Sepsis, Blood Culture is one of the important diagnostic tools in aiding a clinician to determine the offending pathogen. Following the Sepsis Bundle, Blood Culture is obtained at two sites before initiation of antibiotics. However, blood Cultures are one of the expensive tests wherein some clinicians find it unnecessary and costly. This study would provide more information regarding positive blood cultures among septic patients as a prognostic tool regarding the time to positivity. Reporting Time to Positivity would aid clinicians in the severity of the infection and could be used as a clinical predictor of mortality. This study investigated the optimal cutoff point of the time to positivity to predict mortality and the association between time to positivity of blood cultures with mortality among septic patients.

Case Report
The Diagnosis, Treatment, and Outcomes of Filipinos with Marfan Syndrome

Authors: Bryan Rene F. Toledano, Reynaldo C. Lazo, Ralph Laurence A. Carandang, Ramil Y. Macapagal

DOI: 10.65564/pjim.5146ede30d   |   Published: March 2022

We report 4 cases of Marfan Syndrome from May to October 2019, which were seen at our institution. They presented with either recently diagnosed aortic aneurysm, dissection, or severe heart failure. We used the Revised Ghent Nosology for diagnosis and treated them with the standard of care. However, outcomes were different across patients.

Case Report
Anaplastic Cerebellar Ependymoma in an Adult Female presenting with Tonsillar Herniation successfully treated with Chemotherapy: A Case Report

Authors: Victor J. Guerrero, Mary Ondinee Manalo-Igot

DOI: 10.65564/pjim.108c9711f8   |   Published: March 2022

Ependymomas are slow-growing neuroectodermal tumors that may arise from various parts of the central nervous system. Anaplastic ependymoma represents 3-5% of ependymomas, and it is rarely found in adults and the infratentorial area, particularly the cerebellum. This paper discusses the first reported case of an adult female with anaplastic cerebellar ependymoma who underwent surgery and was treated with chemotherapy for tonsillar herniation.

Case Report
Complete Reversal of Severe Pulmonary Artery Hypertension After Antiretroviral Treatment in a 43-year-old Newly Diagnosed HIV-infected Male: A Case Report

Authors: Christmae Maxine P. Solon, Jeremyjones F. Robles, Gwendolyn Pepito, Chatie Olasiman

DOI: 10.65564/pjim.14370d8762   |   Published: March 2022

Human Immunodeficiency Virus (HIV) infection can be complicated by pulmonary arterial hypertension (PAH-HIV) wherein it can occur in approximately 0.5% of HIV patients. The benefit of ART in treating PAH-HIV is unclear in this population. Data on its safety, efficacy, and effect on the progression of PAH are conflicting and limited. In this case report, improvement in PAH was noted after ART was started.