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Puerto Rico Health Sciences Journal

Manuel Torres-Grajales, Myrna Morales-Franqui, Hector Torres-Perez
No abstract text is available yet for this article.
September 2018: Puerto Rico Health Sciences Journal
Samuel Estronza, Fanor M Saavedra, Orlando De Jesus, Emil A Pastrana
OBJECTIVE: A rare, low-grade tumor found in the hypothalamus and anterior third ventricle, a chordoid glioma presents a challenge to neurosurgeons: Its successful resection is complicated by its inconvenient location. CASE DESCRIPTION: A 42-year-old male patient presented with a 1-year history of major depressive disorder, with psychotic features associated with generalized tonic-clonic seizures. Brain magnetic resonance imaging (MRI) with contrast revealed a suprasellar mass extending into the third ventricle To resect the lesion, an interhemispheric transcallosal transventricular subfornical approach was used...
September 2018: Puerto Rico Health Sciences Journal
Sheila Butler, Ysidora Torrealba
This case report illustrates a full-mouth rehabilitation for a patient that presented with severe non-carious tooth surface loss. The patient was restored following a minimally invasive tooth preparation, with 28 full-contour veneers. The patient was evaluated at baseline and at 2, 9, and 13 months following cementation to assess the integrity of the restorations, the proximal and occlusal contacts, pulp vitality, and tooth mobility. After 13 months, no postoperative sensitivity was reported. In addition, no secondary caries, loss of tooth vitality, or chipping or fractures of the veneers were detected...
September 2018: Puerto Rico Health Sciences Journal
Norma I Cruz, Luis A Lopez, Elvis Santiago
OBJECTIVE: To determine the impact of body mass index (BMI) on postoperative morbidity and 30-day mortality in the population served by the University of Puerto Rico (UPR)-affiliated hospitals. METHODS: We reviewed the surgical data entered into the UPR General Surgery Department database from January 1, 2014, through June 30, 2016. This database collects patient and procedural information from the UPR-affiliated hospitals. We compared the postoperative morbidity and 30-day mortality rates of 5 different BMI groups: underweight (<18...
September 2018: Puerto Rico Health Sciences Journal
Mariusz Chabowski, Jan Juzwiszyn, Kamila Malinowska, Anna Kostka, Edyta Osmialowska, Magdalena Milan, Maciej Malinowski, Dariusz Janczak
OBJECTIVE: Bladder cancer is, in Poland, the fourth most common malignancy in men and the eighth most common in women. Radical cystectomy often seems to be the only method of treatment. This mutilating procedure may affect the quality of life of the patient. The aim of our study was to analyze the impact of factors influencing quality of life in patients after a cystectomy. METHODS: From January to August 2015, 50 consecutive patients treated in the Department of Urology of the Wroclaw Medical University in Wroclaw were enrolled into the study...
September 2018: Puerto Rico Health Sciences Journal
Robert Oda, Bruce Shiramizu, Melissa Agsalda-Garcia, Joanna Kettlewell, Valerie Wojna
OBJECTIVE: HIV-associated cognitive impairment (HACI) continues to persist for HIV-seropositive individuals who are on antiretroviral therapy (ART). HACI develops in part when HIV-infected monocytes (MOs) transmigrate through the blood-brain barrier (BBB) and secrete pro-inflammatory cytokines and chemokines, which leads to neuronal damage. In vitro BBB models are important tools that can elucidate mechanisms of MO transmigration. Previously described in vitro BBB models relied on pathology specimens, resulting in potentially variable and inconsistent results...
September 2018: Puerto Rico Health Sciences Journal
Kyle Melin, Nelly Conte-Schmidt, Karol Martínez-Arroyo, Kellymar Rosa-Pérez, Adriana E Soto-Avilés, José J Hernández-Muñoz
OBJECTIVE: The awareness and use of e-cigarettes have been increasing in recent years. The World Health Organization recently reported that regulations are needed to impede the promotion of e-cigarettes to young people, prohibit unproven health claims about them (including those regarding smoking-cessation efficacy), minimize potential health risks to e-cigarette users and non-users, and protect existing tobacco controls. The study described herein explored e-cigarette knowledge, perceptions, and usage motivations among a group of adults in Puerto Rico...
September 2018: Puerto Rico Health Sciences Journal
Alan M Preston, Jose Rodriguez-Orengo, Roy Armstrong, Lorena Gonzalez-Sepulveda, Elizabeth Maldonado-Maldonado, Idia V Rodriguez
OBJECTIVE: Vitamin D blood levels have been shown to be partially dependent upon season in temperate climates, however, this same evaluation has not yet been reported in fully tropical climates. Herein, we assessed the vitamin D levels in the blood of Rhesus monkeys housed at the Puerto Rico Caribbean Primate Research Center collected in the island's "summer"(May-October) and "winter" (November-April) months. MATERIALS AND METHODS: In 2006 through 2014, repeated measurements of blood samples were collected from 5 Rhesus monkeys (IACUC-approved) during "summer" and "winter" months to assess 25-OH vitamin D, determined via HPLC...
September 2018: Puerto Rico Health Sciences Journal
Nelson Martínez-Matías, José R Rodríguez-Medina
Azoles are the most widely used drugs in antifungal therapy. They have a wide spectrum of activity against pathogenic fungi that are clinically relevant. However, they have been associated with adverse reactions and toxicity, both of which can be significant in patients. Compared to diazoles, triazoles discriminate better between their intended molecular target, the fungal CYP51 enzyme, and several enzymes of the human CYP450 system. Over the years, this superior discrimination has led to the favoring of triazoles over diazoles in the treatment of systemic mycoses...
September 2018: Puerto Rico Health Sciences Journal
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
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
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
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
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
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
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
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
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
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
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
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