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Puerto Rico Health Sciences Journal

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https://www.readbyqxmd.com/read/28266702/finding-and-losing-it-beyond-research-paradigm-loyalties
#1
Gloria Nazario-Pietri, José Solís-Jordan, Greogory J Quirk
No abstract text is available yet for this article.
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28266701/fortaleciendo-enlaces-strengthening-collaborations-to-build-institutional-capacity-for-re-entry-services-for-incarcerated-people-with-hiv-in-puerto-rico
#2
Verónica Tirado-Mercado, Carlos E Rodríguez-Díaz, Carmen Cosme-Pitre, Jacqueline Cruzado-Quiñones, Alison O Jordan
No abstract text is available yet for this article.
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28266700/continued-need-for-clinical-research-in-medical-residency-from-physician-to-clinical-translational-researcher
#3
LETTER
Dagmar Hernandez-Suarez, Maria T San Martin, José A Colon-Marquez, Ivonne Z Jimenez-Velazquez, Angel Lopez-Candales
No abstract text is available yet for this article.
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28266699/rapidly-progressive-and-almost-lethal-pneumonia
#4
Juancarlo Martínez-González, Carlos Robles-Arias, William Rodríguez-Cintrón
We herein describe the case of a 65-year-old male patient who presented with Osler's triad, which is the combination of endocarditis, pneumonia, and meningitis. This report is even more unusual since the pathogen isolated was the invasive and virulent strain of Streptococcus pneumoniae serotype 3. The clinical entity described is also called Austrian syndrome. Even though rare in this antibiotic era, the syndrome remains one of high morbidity and mortality. This particular case is of paramount importance for the clinician reader...
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28266698/complications-associated-with-pediatric-supracondylar-humeral-fractures
#5
Ernesto Del Valle-Hernández, Pablo A Marrero-Barrera, David Beaton, Dalibel Bravo, Sergio Santiago, Humberto Guzmán-Pérez, Nestor Ramos-Alconini
OBJECTIVE: To measure pediatric supracondylar fracture epidemiology, fracture rate, and complications in the island's pediatric population. The study aims to compare our results to the national rates reported in the literature. METHODS: In this retrospective record review we examined 330 patients who underwent open reduction internal fixation or closed reduction percutaneous pinning in pediatric supracondylar fractures at the University Pediatric Hospital of Puerto Rico Medical Center (HOPU)...
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28266697/are-stressful-life-events-sles-associated-with-the-utilization-of-substance-use-treatment-related-services
#6
Miguel A Cruz-Feliciano, Aimee Ferraro, Angela Witt Prehn
OBJECTIVE: This study described herein explored the association of stressful life events with the utilization of substance use treatment-related services among substance users living in Puerto Rico. METHODS: A secondary data analysis was conducted using data collected by a research project entitled Puerto Rico Drug Abuse Research Development Program II (PRDARDP II). The study population consisted of 378 individuals from 18 to 35 years of age who were residents of the San Juan metropolitan area and who presented evidence of substance use in the 30 days prior to the interview...
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28266696/mortality-disparities-among-hiv-men-and-women-in-puerto-rico-data-from-the-hiv-aids-surveillance-system-2003-2014
#7
Vivian Colón-López, Sandra Miranda-De León, Mark Machin-Rivera, Edna Marrero, Yadira Rolón-Colón, Ileska M Valencia-Torres, Erick Suárez
OBJECTIVE: Describe the trend of the indirect standardized death rate of HIV for different modes of HIV transmission from 2003 to 2014 in Puerto Rico. Estimate the magnitude of the association between mode of HIV transmission and mortality at different time periods in Puerto Rico. METHODS: ISDRs by sex and mode of transmission were computed using data from the PR National HIV/AIDS Surveillance System (2003-2014). Poisson models were used to assess the annual percent change of the ISDRs and RRs by sex...
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28266695/a-pilot-study-of-the-perceptions-of-actively-practicing-obstetricians-in-puerto-rico-factors-that-influence-decision-making-in-cesarean-delivery
#8
Alberto M Carrera, Elizabeth A Sternke, Juana I Rivera-Viñas
OBJECTIVE: The reported cesarean delivery (CD) rate for 2012 in Puerto Rico was higher than that of the United States (48.5% and 32.8%, respectively). Multiple reasons for and consequences of the high rates of CD exist. The decision to perform a CD is based on multiple factors, some of which are not obstetrical. In order to better understand those factors, the pilot study described in this manuscript analyzed data collected from obstetricians themselves. METHODS: During 2011, convenience sampling was used to collect data from active obstetric practitioners attending the Caribe Gyn 2011 conference in Ponce, Puerto Rico...
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28266694/impact-of-secondary-prevention-on-mortality-after-a-first-ischemic-stroke-in-puerto-rico
#9
Maria E Rojas, Wallace Marsh, Marcos E Felici-Giovanini, Rosa J Rodríguez-Benitez, Juan C Zevallos
OBJECTIVE: The objective of this study was to evaluate the impact of the prescription of secondary prevention therapies on mortality in Puerto Rican patients hospitalized with a first ischemic stroke. METHODS: This was a retrospective secondary data analysis of the 2007 and 2009 Puerto Rico Stroke Registry electronic database. Information was obtained from the medical charts of patients discharged with ICD-9 codes 434 and 436 from 20 hospitals located in Puerto Rico...
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28266693/fine-needle-thyroid-aspiration-biopsy-clinical-experience-at-the-endocrinology-clinics-of-the-university-hospital-of-puerto-rico
#10
Milliette Alvarado-Santiago, Dalitza Alvarez-Valentin, Oscar Ruiz-Bermudez, Lorena Gonzalez-Sepulveda, Myriam Allende-Vigo, Eduardo Santiago-Rodriguez, Sona Rivas-Tumanyan
OBJECTIVE: This study aimed to establish a profile of the ultrasound-guided thyroid fine-needle aspiration biopsies (FNABs) performed at the endocrinology clinics of the University Hospital of Puerto Rico. METHODS: A retrospective study was conducted to assess all the thyroid FNABs performed from July 1, 2011, to December 31, 2013. Data on socio-demographic, FNAB cytology, surgery, and histopathology were collected from medical records. A chi-square test was used to assess associations between predictors and outcome...
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/28266692/toward-a-uniform-serving-size-and-its-interpretation
#11
EDITORIAL
Alan M Preston
No abstract text is available yet for this article.
March 2017: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27898170/peripartum-cardiomyopathy-experience-at-a-tertiary-care-center-in-puerto-rico
#12
Anthony D Osterman-Pla, Ronald López-Cepero, Luis Jiménez, Josefina Romaguera, Juan Aranda
OBJECTIVE: Peripartum cardiomyopathy is a rare type of heart failure to which only pregnant women are susceptible. In Puerto Rico there is a paucity of information regarding this condition. In this report we describe our experience with peripartum cardiomyopathy. METHODS: This was a descriptive retrospective study. We conducted a chart review of all the patients with peripartum cardiomyopathy managed at our institution from January 2006 through December 2012. A total of 12 patients qualified for our analysis...
December 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27898169/cross-sectional-analysis-of-progressive-familial-intrahepatic-cholestasis-in-puerto-rican-children
#13
Dellys M Soler, Antonio I Del Valle, David Fernandez-Lube, Benjamin L Shneider
OBJECTIVE: Specific inherited disorders may be more common in island communities. Prior case reports suggest that cholestatic liver diseases may constitute a group of these inherited disorders in Puerto Rico. A cross-sectional survey of liver diseases in children was conducted to assess this hypothesis. METHODS: A cross-sectional analysis was performed in patients with chronic cholestasis at "Hospital Pediátrico Universitario" in San Juan, Puerto Rico. Ten potential participants with high gamma-glutamyl transpeptidase (GGTP) cholestasis were identified...
December 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27898168/the-association-between-t-pa-administration-and-in-hospital-mortality-following-acute-ischemic-stroke-in-puerto-rican-patients
#14
Kevin Shah, Samuel Kohrman, Suehyb Alkhatib, Juan González, Fernando Santiago, Marcia Varella, Juan Zevallos
OBJECTIVE: Despite being the standard of care, thrombolytic therapy with tissue plasminogen activator (t-PA) is currently administered to only 5% of acute ischemic stroke (AIS) patients in the United States. Published scientific information regarding both the use of t-PA for AIS in Hispanic patients and its impact on short-term mortality is scarce. The objectives of this study are to investigate, among Puerto Rican patients hospitalized with AIS, the rate of t-PA administration, and the risk of in-hospital mortality in patients who received t-PA vs...
December 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27898167/nsaids-prescription-prevalence-after-a-cardiovascular-event-related-hospitalization-in-medicaid-beneficiaries-from-puerto-rico
#15
Suzette M Vélez, José J Hernández, Sasha M Davis, María G Almodóvar, José R Mercado
OBJECTIVE: Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed for pain and inflammation. NSAIDs are associated with serious adverse effects and cardiovascular (CV) risks that include myocardial infarction, stroke and heart failure. In the period of time immediately after a CV event, modification to the drug therapy regimen and lifestyle habits should be instituted to decrease morbidity and mortality. The objective of this study is to measure the prevalence of NSAIDs prescribing in the immediate 90 days after a CV-related hospitalization in Medicaid beneficiaries in Puerto Rico...
December 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27898166/neither-10-nor-14-day-sequential-treatment-is-better-than-standard-triple-therapy-for-helicobacter-pylori-eradication
#16
Emanuel Warrington, Orlando López-Román, Rafael Tirado Montijo, Rafael Urbina, Marcia Cruz-Correa, Doris H Toro
OBJECTIVE: Helicobacter pylori is a bacterial pathogen associated with chronic gastritis, peptic ulcer disease, gastric adenocarcinoma, and gastric mucosa associated lymphoid tissue lymphoma. Current treatment guidelines support a 7- to 14-day, triple-drug protocol consisting of a proton-pump inhibitor (PPI), clarithromycin, and either amoxicillin or an imidazole. The initial eradication rates for this regimen were 80 to 90%. Nevertheless its effectiveness has declined as the antibiotic resistance to clarithromycin and metronidazole has emerged...
December 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27898165/sinus-augmentation-and-simultaneous-implant-placement-success-pilot-study-2008-2011
#17
Melissa Tormos, Jose Morales, Natalia Guevara, Augusto R Elías, Lydia López, Omar García
OBJECTIVE: 1) To describe implant success in the posterior maxillary when a sinus augmentation procedure was performed simultaneously with implant placement and then compare differences in success when sinus augmentation was delayed in patients attending the maxillofacial surgery clinic of the University of Puerto Rico, 2008 through 2011. 2) To determine sociodemographic characteristics, ASA classification, graft material, and final restoration and, using a questionnaire, determine as well patient satisfaction...
December 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27898164/dexmedetomidine-reduces-catheter-related-bladder-discomfort-a-prospective-randomized-placebo-controlled-double-blind-study
#18
Yang Zhao Yun, Xu Jun Mei, Zhu Rong, Dai Ru Ping, Liu Lei
OBJECTIVE: To evaluate the efficacy of dexmedetomidine in preventing catheterrelated bladder discomfort (CRBD) in a postanesthesia care unit (PACU). METHODS: A total of 138 consecutive adult male patients, classified by the American Society of Anesthesiologists (ASA) as ASA class I and ASA class II, were scheduled for elective open upper-middle abdominal surgery. They were randomized into 2 groups, C and D, comprising 69 patients each. Group C was given a saline solution as placebo, and group D received dexmedetomidine...
December 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27898163/the-puerto-rico-journal-of-public-health-and-tropical-medicine-1925-1950-from-a-health-department-bulletin-to-a-upr-school-of-tropical-medicine-scientific-journal
#19
Raúl Mayo-Santana
This essay presents a history of the scientific journal of the University of Puerto Rico, School of Tropical Medicine (STM) under the auspices of Columbia University: The Puerto Rico Journal of Public Health and Tropical Medicine. This is the third article in a historical series about the STM, and includes supporting information relevant to the forthcoming articles on the school's scientific endeavors. This article is conceived as a history from the perspective of the literature of journal genre in the field of tropical medicine...
December 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27623145/transient-av-block-as-a-hemodynamic-complication-of-the-influenza-a-virus-a-case-report
#20
Norwin Rivera-Guzmán, Francisco Del Olmo-Arroyo, Carlos M Robles-Arías, William Rodríguez-Cintrón
Influenza virus causes annual epidemics of respiratory illness characterized by sudden onset of fever, malaise, myalgias, headache, cough, and other respiratory complains. Each year in the United States, it is estimated that this debilitating respiratory illness accounts for 294,000 excess hospitalizations and 36,000 attributable deaths. Epidemiological studies describe increased cardiovascular mortality during influenza seasons. Cardiovascular involvement in acute influenza infection can occur through direct effects of the virus on the myocardium or through exacerbation of existing cardiovascular disease...
September 2016: Puerto Rico Health Sciences Journal
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