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Puerto Rico Health Sciences Journal

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https://www.readbyqxmd.com/read/27898170/peripartum-cardiomyopathy-experience-at-a-tertiary-care-center-in-puerto-rico
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
https://www.readbyqxmd.com/read/27623144/impact-of-single-photon-emission-computed-tomography-computed-tomography-spect-ct-and-positron-emission-tomography-computed-tomography-pet-ct-in-the-diagnosis-of-traumatic-brain-injury-tbi-case-report
#10
Irma L Molina-Vicenty, Michelaldemar Santiago-Sánchez, Iván Vélez-Miró, Keryl Motta-Valencia
Traumatic brain injury (TBI) is defined as damage to the brain resulting from an external force. TBI, a global leading cause of death and disability, is associated with serious social, economic, and health problems. In cases of mild-to-moderate brain damage, conventional anatomical imaging modalities may or may not detect the cascade of metabolic changes that have occurred or are occurring at the intracellular level. Functional nuclear medicine imaging and neurophysiological parameters can be used to characterize brain damage, as the former provides direct visualization of brain function, even in the absence of overt behavioral manifestations or anatomical findings...
September 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27623143/trends-in-the-distribution-of-opioids-in-puerto-rico-1999-2013
#11
Sausan El Burai Félix, Karin A Mack, Christopher M Jones
OBJECTIVE: Limited information has been published about opioid prescribing practices in Puerto Rico. The objective of this study was to create baseline trends of opioids distributed over a period of fourteen years in Puerto Rico. METHODS: We examined data from the U.S. Drug Enforcement Administration's Automation of Reports and Consolidated Orders System (ARCOS) for the period 1999-2013. ARCOS data reflects the amount of controlled substances legally dispensed. Analyses include the distribution of opioids (in morphine milligram equivalent kg per 10,000 persons) by year and entity (pharmacy, hospital, practitioner)...
September 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27623142/prevalence-of-diabetes-mellitus-in-the-surgical-population-of-the-university-of-puerto-rico-affiliated-hospitals-a-study-using-the-surgery-database
#12
Norma I Cruz, Elvis Santiago, Anwar Abdul-Hadi
OBJECTIVE: To evaluate the prevalence of diabetes mellitus in the surgical population of the University of Puerto Rico (UPR)-affiliated hospitals. METHODS: We examined all the surgical cases that were entered into the Surgical Database from April 1, 2014 through September 30, 2014. This database collects patient and procedural information from different surgical services of various UPR-affiliated hospitals (the University District Hospital, the University Pediatric Hospital, the UPR Carolina Hospital, the Dr...
September 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27623141/discrimination-and-health-among-lesbian-gay-bisexual-and-trans-people-in-puerto-rico
#13
Carlos E Rodríguez-Díaz, Gerardo G Jovet-Toledo, Carmen M Vélez-Vega, Edgardo J Ortiz-Sánchez, Edda I Santiago-Rodríguez, Ricardo L Vargas-Molina, Sheilla L Rodríguez Madera, José J Mulinelli-Rodríguez
OBJECTIVE: To identify the experiences of discrimination among and the perceived priorities for the health of lesbian, gay, bisexual, and trans (LGBT) people in Puerto Rico (PR). METHODS: Data were collected during the 2013 LGBT Pride Parade in San Juan, using a brief self-administered survey that included questions on sociodemographic characteristics, the disclosure of sexual orientation/gender identity, experiences of discrimination, experiences while receiving social and health services, and perceived healthcare priorities and needs...
September 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27623140/measuring-knowledge-of-cancer-screening-and-prevention-strategies-in-hiv-healthcare-professionals
#14
Vivian Colón-López, Ana P Ortiz, Naydi Pérez, Eliseo Acevedo, Vivian Tamayo, Carmen D Zorrilla
OBJECTIVE: Due to advances in the care of people living with HIV/AIDS (PLWHA), life expectancy significantly increased, putting this group vulnerable to age-related comorbidities, such as cancer. The objective of this study was to describe the knowledge of cancer screening (cervical, breast, anal, colon, prostate) and other cancer prevention strategies (HPV vaccination, HPV testing) among HIV care professionals in Puerto Rico (PR). METHODS: Cross-sectional study using a sample of 104 HIV healthcare professionals in PR...
September 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27623139/variability-of-serum-thyroglobulin-levels-in-post-thyroidectomy-patients-with-well-differentiated-thyroid-cancer-the-ata-guidelines
#15
Frieda Silva, Ralph J Martin, Jannette Figueroa, Fernando Rincón, Diego Román
OBJECTIVE: Evaluate the variability of stimulated serum thyroglobulin (Tg) levels in post-thyroidectomy patients with well-differentiated thyroid cancer (WDTC) and determine the frequency of undetectable Tg in patients with evidence of functional thyroid tissue after a 131-I whole-body scan (WBS). METHODS: A retrospective record review of patients with WDTC referred to our clinic from 1990 to 2010. Demographic data, histology, staging, imaging studies, stimulated Tg values, and the presence if applicable of Tg antibodies (TgAb) were documented...
September 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27623138/dimensional-assessment-of-anxiety-in-puerto-rican-patients-evaluating-applicability-of-psychological-questionnaires
#16
Polaris González-Barrios, Carlos M Morales-Rodríguez, Kritzianel Merced-Morales, Anabelle Lampón, Rafael González, Karen Martínez
OBJECTIVE: A dimensional assessment model as a supplement to the diagnosis process could overcome the current pitfalls in classifying psychopathology in ethnic minorities. The aim of the study described herein was to examine a sample of Puerto Rican patients diagnosed with anxiety disorder in order to evaluate the psychometric properties of the specific scales that assess the following 3 domains: clinical symptoms, personality/trait, and affective style. METHODS: 80 subjects were recruited and interviewed using the Structured Clinical Interview for DSM-IV to identify the presence of anxiety disorders...
September 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27623137/the-educational-legacy-of-the-upr-school-of-tropical-medicine-curricula-faculty-students-1926-1949
#17
Silvia Esther Rabionet
This essay discusses the educational evolution of the University of Puerto Rico-School of Tropical Medicine (UPR-STM) under the auspices of Columbia University. It takes a closer look to what was taught, who taught it and who were the students benefitting from the educational, learning and advanced research activities. It highlights some characteristics of the educational environment that aimed to harvest a well-trained group of scientists, academicians, and practitioners. It examines the characteristics of the faculty and graduates and their role in the teaching and dissemination of knowledge in tropical medicine and closely related fields...
September 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27232873/unlicensed-to-prescribe-herbs-a-chinese-healer-m%C3%A3-dico-chino-in-puerto-rico-1851-1853
#18
José G Rigau-Pérez
In Puerto Rico and Cuba, the phrase "can't be saved even by the Chinese physician" ("no lo salva ni el médico chino") indicates a person with an incurable disease. The documents at the Archivo General de Puerto Rico include three requests for a medical license from a Chinese immigrant, Juan de Dios Sian (Lin Hua Cheng). Despite lacking legal credentials, he used herbal therapies to treat chronically ill persons in Ponce, San Juan and Mayaguez from 1851 to 1853. Before arriving in Ponce he had spent four years in Cuba, where he is again found by 1865...
June 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27232872/multiple-simultaneous-gastrointestinal-parasitic-infections-in-a-patient-with-human-immunodeficiency-virus
#19
Esteban A Del Pilar-Morales, Zaydalee Cardona-Rodríguez, Jorge Bertrán-Pasarell, Ruth Soto-Malave, Rafeal De León-Borras
Patients with the human immunodeficiency virus (HIV) infection are at high risk for gastrointestinal infections causing diarrhea, particularly when those infections are parasitic in nature. This propensity is more pronounced in AIDS, where opportunistic parasitic infections may cause severe diarrhea, marked absorptive dysfunction, and significant risk of mortality. There are scant data regarding parasitic infections among HIV patients in the developed world; most studies and research come from povertystricken areas of South Africa, India, Iran, and the South Pacific...
June 2016: Puerto Rico Health Sciences Journal
https://www.readbyqxmd.com/read/27232871/diagnostic-yield-of-video-capsule-endoscopy-for-small-bowel-bleeding-eight-consecutive-years-of-experience-at-the-va-caribbean-healthcare-system
#20
Nicole Grigg-Gutierrez, Carlos Laboy, Liliana Ramos, Karla Amaral, Doris H Toro
OBJECTIVE: To evaluate the diagnostic yield of video capsule endoscopy (VCE) in patients with small bowel gastrointestinal bleeding and examine the impact of this diagnostic technology on the clinical management of this complaint. METHODS: This was a retrospective study in which all patients who underwent VCE (May 7, 2003 - December 31, 2011) were included. Records were reviewed for the type of bleeding (overt vs. occult; when present), demographic data, lab results, and capsule endoscopy findings...
June 2016: Puerto Rico Health Sciences Journal
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