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Puerto Rico Health Sciences Journal

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https://www.readbyqxmd.com/read/29905925/ceftazidime-avibactam-for-refractory-bacteremia-vertebral-diskitis-osteomyelitis-with-pre-vertebral-abscess-and-bilateral-psoas-pyomyositis-secondary-to-klebsiella-pneumoniae-carbapenemase-producing-bacteria-kpc
#1
Rafael De León-Borrás, Julio Álvarez-Cardona, Jorge A Vidal, Humberto M Guiot
A 36-year-old man was admitted to the intensive care unit due to diabetic ketoacidosis and pneumonia requiring mechanical ventilation. Three weeks after admission, he developed a refractory bacteremia with Klebsiella pneumoniae carbapenemase-producing bacteria (KPC). He remained febrile and with bacteremia for six weeks despite therapy with polymyxin B, carbapenems, and amikacin. Imaging studies looking for deep-seated infection revealed vertebral L1-L2 diskitis and osteomyelitis with pre-vertebral abscess and bilateral psoas pyomyositis that were not amenable for drainage...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905924/effect-of-housing-type-on-25-oh-vitamin-d-in-serum-of-rhesus-monkeys
#2
Alan M Preston, José Rodríguez-Orengo, Lorena González-Sepúlveda, Sylvette Ayala-Peña, Elizabeth Maldonado-Maldonado
OBJECTIVE: Vitamin D status is primarily dependent upon sun exposure and dietary sources, however genetic, cultural, and environmental factors can have a modulating role in the measured amount. One under-reported factor is the effect of regular living quarters on the degree of sun exposure. Herein, we assess vitamin D status in the blood of Rhesus monkeys (Macaca mulatta) housed in high amounts of sunlight (corn-cribs), medium sunlight (corrals with shaded areas), and minimal sunlight (quarantine cages)...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905923/prevalence-severity-and-risk-factors-of-gingival-inflammation-in-caribbean-adults-a-multi-city-cross-sectional-study
#3
Augusto R Elías-Boneta, Milagros J Toro, Sona Rivas-Tumanyan, Arvind Babu Rajendra-Santosh, Michael Brache, James R Collins C
OBJECTIVE: To estimate the prevalence, severity, and associated risk factors of gingival inflammation in a group of adults from Kingston, Jamaica; Santo Domingo, Dominican Republic; and San Juan, Puerto Rico. METHODS: In this representative cross-sectional study, participants completed medical and oral health questionnaires and received an oral clinical examination by trained and calibrated examiners. Clinical assessments included: gingival health (modified Löe-Silness index), visible plaque and presence of calculus...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905922/health-and-ecological-aspects-of-stray-cats-in-old-san-juan-puerto-rico-baseline-information-to-develop-an-effective-control-program
#4
Jessica Castro-Prieto, Maria José Andrade-Núñez
The overpopulation of stray cats in urban areas represents a potential risk for humans, as stray cats may carry diseases, such as toxoplasmosis, and virus such as rabies, the feline immunodeficiency, and the feline leukemia. In Old San Juan, a historic neighborhood and one of the most touristic places in Puerto Rico, there is an overpopulation of stray cats. In this study, we generated baseline information fundamental to developing a successful control program by estimating the stray cat population size, density, and spatial distribution...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905921/pediatric-inpatient-and-emergency-dermatology-consultations-a-5-year-retrospective-analysis
#5
Mariana Cruz-Manzano, Cristina N Brau-Javier, Sheila Valentín-Nogueras, Luz D Figueroa-Guzmán
OBJECTIVE: To characterize and analyze the inpatient and emergency pediatric dermatology consults in our academic hospital center. METHODS: We reviewed 485 consultations that were done by the University of Puerto Rico Department of Dermatology from July 2007 to June 2012. The date, patient age and gender, consulting service, presumptive diagnosis, final diagnosis, and diagnostic procedures performed were documented for each consult. RESULTS: The patients' ages ranged from newborn to 18 years; the 13 to 18 years age group was the most common (29%)...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905920/breast-cancer-risk-evaluation-by-utilizing-gail-model-and-association-between-breast-cancer-risk-perception-with-early-diagnosis-applications-among-midwives-and-nurses-working-in-primary-health-services
#6
Ebru Turhan, Gokben Yasli
OBJECTIVE: The present study was performed to detect cancer risk of the midwifes and nurses playing central role in raising awareness in the society using Gail's model. MATERIALS AND METHODS: Sample of the present cross sectional study consists of 750 volunteer midwifes and nurses in 2016. Breast cancer risk was calculated using the Gail Risk Assessment Tool. Perceived and calculated risk levels were compared. Descriptive statistics and Chi-Square analysis, t-test, Multivariate Linear Regression Analysis, the Logistic Regression Analysis were conducted...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905919/sexual-behaviors-experiences-of-sexual-violence-and-substance-use-among-women-who-inject-drugs-accessing-health-and-prevention-services-in-puerto-rico
#7
Erika M Collazo-Vargas, Brian Dodge, Debby Herbenick, Lucia Guerra-Reyes, Rasul Mowatt, Ilia M Otero-Cruz, Carlos Rodríguez-Díaz
OBJECTIVE: People who inject drugs (PWID) face numerous gender-specific health risks, which increase their susceptibility to adverse outcomes, including violence. There is a need for research on female PWID to capture their unique experiences and understand behavioral and gender-based differences. This study aimed to understand which drug use and sexual behaviors are the most prevalent among female PWID accessing health services in Puerto Rico and to gather preliminary information on those individuals' experiences of sexual violence...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905918/ocular-symptoms-and-signs-of-chikungunya-fever-in-puerto-rico
#8
Jan P Ulloa-Padilla, Pedro J Dávila, Natalio J Izquierdo, Omar García-Rodríguez, Ivonne Z Jiménez
OBJECTIVE: To determine what ocular symptoms and signs are most common and if there are any associations with comorbid conditions in patients with Chikungunya fever. METHODS: A retrospective data review and analysis of the ocular symptomatology of 139 patients with Chikungunya fever who visited a local emergency room from August through September 2014. Frequencies were calculated, and Pearson's chisquare test employed. All the patients were confirmed as having Chikungunya with IgM (ELISA) before admittance into the study...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905917/characterization-of-hba1c-levels-in-a-subsample-of-hispanic-adults-living-in-the-san-juan-metropolitan-area
#9
Myriam Z Allende-Vigo, Alex N González-Bóssolo, Santiago Coste-Sibilia, Erick Suárez, Cynthia M Pérez
OBJECTIVE: To determine the mean levels of glycated hemoglobin (HbA1c) in a subsample of non-diabetic Hispanic Puerto Ricans living in the San Juan metropolitan area (SJMA) and to assess the sensitivity and specificity of HbA1c as a diagnostic test for prediabetes. RESEARCH DESIGN AND METHODS: This was a secondary data analysis of the parent study, Burden of Diabetes and Hypertension in the Adult Population of the San Juan Metropolitan Area of Puerto Rico. Based on their HbA1c and fasting plasma glucose (FPG) values, 370 adults (147 males; 223 females) were classified as non-diabetics...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29905916/epidemiological-trends-of-traumatic-brain-and-spinal-cord-injury-in-puerto-rico-from-november-10th-2006-through-may-24th-2011
#10
Ricardo H Brau, Yaritza Acevedo-Salas, Katya Giovannetti
OBJECTIVE: According to the Centers for Disease Control and Prevention (CDC), injury to the central nervous system (CNS) continues to be a leading cause of injury-related morbidity and mortality in the US today. METHODS: A prospective cohort study was performed to determine the incidence of all traumatic CNS injuries. Descriptive variables were presented as frequencies and percentages. Quantitative variables were expressed as means and averages (plus/minus standard deviation); bivariate cross-tabulation and multiple regression analyses were employed to identify risk factors and compare epidemiological patterns of injury related variables...
June 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29547687/bilateral-tibial-fibrous-dysplasia-in-a-pediatric-patient-treated-with-intramedullary-nailing
#11
Emanuel Rivera-Rosado, David Beaton-Comulada, Eric Hernandez-Ortiz, Pablo V Marrero-Ortiz
Fibrous dysplasia is a benign developmental disorder of bone in which fibrous connective tissue containing abnormal bone with irregular trabeculae replaces normal cancellous bone. It may affect 1 (monostotic) or multiple bones (polyostotic). Polyostotic disease is the less common of the 2, occurring in only 20 to 25% of fibrous dysplasia patients and tending to affect those who are younger than 10 years of age; patients having this form tend to experience bone enlargement beyond normal skeletal maturation, which can cause pain, progressive damage, and increased risk of pathological fracture...
March 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29547686/extraskeletal-presentation-of-ewing-s-sarcoma
#12
Danny Mangual, Luis A Bisbal-Matos, Ricardo Jiménez-Lee, Román Vélez, Miguel Noy
The case of a 27-year-old Hispanic female who presented with an occipito-parietal tumor after suffering trauma to the area. A physical examination revealed no tenderness to palpation and with evidence of healing ulcerations. The biopsy was consistent with a synovial sarcoma. A wide excision of the mass (15cm x 14cm x 6cm) followed by a pericranial flap was performed. A follow-up CT showed recurrence involving the parietal sagittal sinus. After a second biopsy the mass was determined to be a small-cell sarcoma, consistent with Ewing's sarcoma...
March 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29547685/adaptation-and-validation-of-the-rapid-estimate-of-adult-literacy-in-dentistry-for-chilean-population
#13
Ricardo Cartes-Velásquez, Luis Luengo-Machucaa
OBJECTIVE: To adapt and validate the Rapid Estimate of Adult Literacy in Dentistry (REALD-30) for the Chilean population. METHODS: REALD-30 was translated to Spanish, piloted, and revised by experts. Demographics, oral health status, oral health-related quality of life, and health literacy were analyzed. Summary measures, internal consistency, reliability, and convergent and predictive validity were calculated. RESULTS: Cronbach's alpha was 0...
March 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29547684/the-health-related-quality-of-life-of-puerto-ricans-during-cancer-treatments-a-pilot-study
#14
Velda J Gonzalez, Susan McMillan, Elsa Pedro, Maribel Tirado-Gomez, Leorey N Saligan
OBJECTIVE: To examine the health related quality of life (HRQOL) experienced by 79 Puerto Rican adults during cancer treatments. METHODS: This study used a descriptive, cross-sectional design. Participants completed a demographics form and the Functional Assessment of Cancer Therapy-General QOL questionnaire (FACT-G). Descriptive statistics were generated. RESULTS: Participants were ages 28-78; most of the participants had breast (38.0%), prostate (14...
March 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29547682/lifetime-traumatic-experiences-and-leisure-physical-inactivity-among-adolescent-boys
#15
Romualdas Malinauskas, Vilija Malinauskiene, Mindaugas Malinauskas
OBJECTIVE: The aim of this study was to examine the associations between lifetime traumatic experiences and leisure physical inactivity among adolescent boys and to determine to what extent those associations are mediated by posttraumatic stress symptoms, unhealthy behaviors (smoking, alcohol use), the daily consumption of fresh fruit, and sense of coherence. METHODS: A self-administered questionnaire combining 3 instruments measured leisure physical activity level (Godin and Shephard), symptoms of posttraumatic stress (IES-revised), lifetime traumatic experiences, sense of coherence (SOC-13, from Antonovsky), and behavioral and dietary patterns in a representative sample of eighth grade boys from a number of Kaunas, Lithuania, secondary schools (N = 885; response rate 88...
March 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29547681/seroprevalence-of-human-papillomavirus-hpv-type-6-11-16-18-by-anatomic-site-of-hpv-infection-in-women-aged-16-64-years-living-in-the-metropolitan-area-of-san-juan-puerto-rico
#16
Aixa M Pérez-Caraballo, Erick Suarez, Elizabeth R Unger, Joel M Palefsky, Gitika Panicker, Ana Patricia Ortiz
OBJECTIVE: It is unknown if human papillomavirus (HPV) serum antibody responses vary by anatomic site of infection. We aimed to assess the seroprevalence for HPV 6, 11, 16 and 18 in association with HPV DNA detection in different anatomic sites among women. METHODS: This cross sectional population-based study analyzed data from 524 women aged 16-64 years living in the San Juan metropolitan area of Puerto Rico (PR). Questionnaires were used to assess demographic and lifestyle variables, while anogenital and blood samples were collected for HPV analysis...
March 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29547680/factors-associated-with-suicidal-ideation-and-quality-of-life-in-adolescents-from-puerto-rico-with-type-1-diabetes
#17
Grace Guerrero-Ramírez, Eduardo Cumba-Avilés
OBJECTIVE: People with type 1 diabetes (T1D) may experience significant changes in their daily routines due to this condition, which frequently results in depressive symptoms and the deterioration of their quality of life. We examined the factors associated with suicidal ideation (SI) and diabetes-related quality of life (DRQOL) in adolescents (aged 12 to 17) with T1D. METHODS: The sample consisted of 51 youths (29 girls) recruited during a treatment study for depression...
March 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29547679/natural-bioenhancers-in-drug-delivery-an-overview
#18
REVIEW
Manoj Kumar-Sarangi, Bhuwan Chandra-Joshi, Bob Ritchie
When the bioavailability of a drug increases, a corresponding increase in the levels of that drug in the bloodstream occurs. With this, drug efficacy is augmented and the dosage required to yield a specific therapeutic effect diminishes comparably. Until recently, only a few methods have proven effective in enhancing drug bioavailability, among which are the disaggregation of micronized molecules, the use of timedrelease and topical preparations, mechanization, polymorph and crystal form selection, drug solubilisation, and the use of nanotechnology...
March 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29547678/characterization-of-patients-with-amyotrophic-lateral-sclerosis-attending-the-muscular-dystrophy-association-supported-clinics-in-puerto-rico
#19
Brenda Deliz, Kathya Ramos, Cynthia M Pérez
OBJECTIVE: To evaluate the sociodemographic characteristics and clinical and functional profile of amyotrophic lateral sclerosis (ALS) patients evaluated at Puerto Rico's Muscular Dystrophy Association-supported (MDA) clinics. METHODS: A retrospective review of 76 medical records of ALS patients evaluated at any of four MDA-sponsored clinics in Puerto Rico. RESULTS: The mean age of diagnosis was 57.4 ± 11.1 yrs. Most of the patients (52.3%) were women...
March 2018: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/29547677/adapt-and-evolve-how-our-internal-medicine-residency-changed-in-hurricane-maria
#20
EDITORIAL
Dagmar F Hernandez-Suarez, Christina Rodriguez-Ruiz, Melanie Malavé-Sánchez, Javier E Mirabal-Arroyo, José A Colón-Márquez, Ivonne Z Jiménez-Velázquez, Nicole Rassi-Stella, Arelis Febles-Negrón, Angel Lopez-Candales
No abstract text is available yet for this article.
March 2018: Puerto Rico Health Sciences Journal
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