JMUST Vol 3 Issue 1

Journal for Medicine, UST

Editor: Dr. Raymond Rosales

ISSN: 2546-1621

Volume 3  Issue 1

In this third issue of JMUST, we have fully implemented our digital authoring platform and by using a dedicated electronic, publicly-accessible platform, we have joined the ranks of many established international scientific and medical journals. 
We welcome all our readers to JMUST’s 10 articles: 5 of them are clinical or observational studies, 2 are case reports, 1 meta-analysis, 1 qualitative research on medical students, 1 on medical education, and this editorial. 

Life on a Tightrope: An Interpretive Phenomenological Analysis of Narratives of Coping with Academic Stress among Filipino Medical Students

A vast majority of research on academic stress is centered on its contributing factors and how they affect other aspects of students’ lives. Coping mechanisms and effective ways in dealing with stress have also been delved into, but none have dwelt on a study of the medical students' lived experience of academic stress. There was no study found in literature which examined and collectively characterized the different phases that medical students go through in coping with academic stress, hence the impetus to undertake this study. Anchored on the Transactional Model of coping with stress, this study was undertaken to answer the central question: How do Filipino medical students collectively characterize the phases they undergo in coping with the stresses in medical school?

A Prospective, Randomized, Open Label, Single-Centre Study for Assessment of Safety and Effectiveness of Recombinant Human Insulin 30/70 + Insulin Glulisine compared to Recombinant Human Insulin NPH + Regular in the Management of Type 2 Diabetes Mellitus Patients in the Philippines.

The high prevalence of type 2 diabetes mellitus (T2DM) in Philippines has burdened the health care system. Therefore, we compared standard of care, Insulin30/70+ Insulin Glulisine (Arm B) to a traditional insulin regimen NPH Insulin+Regular Insulin (Arm A) to test the concept that both provide comparable efficacy and safety in real world practice.

The Functional Outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction in Patients Using Different Graft Tension During Tibial Fixation

Anterior Cruciate Ligament (ACL) reconstruction is commonly performed to restore knee kinematics and halt the progression of osteoarthritis. A primary variable that could influence the outcome of ACL reconstruction is the tension applied to the graft at the time of fixation. If the tension is too great, an abnormal compressive force could potentially develop across the tibiofemoral joint, hindering knee motion, and subjecting the articular surfaces to increased stress. If the tension in the graft is too low, the graft will not be effective in restoring normal kinematics. The Tegner Lysholm Knee Scale is a functional scoring for patients with ligamentous injuries. It is a patient-reported measure of knee function and is important for comprehensive assessment conditions in both the clinical and research context. Our objective was to compare which tension technique (15 lbs graft tension using a Mitek Tensioner™ vs maximal sustained two-hand technique) would yield better functional outcome at 6 months and 12 months postoperatively using the Tegner Lysholm Knee Scale.

Status of Vitamin D-25 Hydroxy Vitamin D {25 (OH)} in Patients with Multiple Myeloma

Multiple myeloma (MM) causes generalized bone loss leading to lytic bone lesions and pathologic fractures. The increased osteoclast activity and reduced osteoblast function favors bone resorption and decrease bone formation. Vitamin D is vital in regulating calcium homeostasis and osteoclast-mediated bone resorption. Deficiency of Vitamin D among MM patients may complicate bone mineralization problems and fractures.

Infusion Reaction to Monoclonal Antibodies in Outpatient Infusion Units of a University Hospital – A Two-year Retrospective Study

Monoclonal antibodies have revolutionized the treatment of immune-mediated inflammatory diseases (eg, rheumatoid arthritis [RA], Crohn's disease [CD], and psoriasis) as well as malignant diseases. Currently, there are about 100 monoclonal antibodies and even more are expected in the coming years. Knowledge of not only their mechanism of action but also their adverse event profile is tantamount. One of the distinctive side effects of these drugs is the potential for non-allergic and allergic infusion reactions caused by cytokine release. These adverse reactions should be monitored and managed immediately for patient welfare and safety.

A Retrospective Cohort Study in a University Hospital Evaluating the Effect of Maternal Glucose-Containing Intravenous Fluid in Neonatal Glycemia

Maternal hyperglycemia during the peripartum period is highly correlated with fetal hyperinsulinemia and consequent neonatal hypoglycemia. Liberal use of intravenous glucose therapy prior to delivery can potentially cause maternal hyperglycemia, therefore, it is prudent to implement all preventive measures.

This study aims to determine the occurrence of neonatal hypoglycemia with intravenous glucose therapy prior to delivery in maternal diabetes mellitus.

Platelet Rich Plasma in Arthroscopically Repaired Rotator Cuff Muscle: A Meta-analysis of Randomized Controlled Trials

PRP has been used as a biologic augmenter in arthroscopically repaired rotator cuff muscle. The objective of this metaanalysis is to compare the clinical and structural outcomes of patients with and without PRP supplementation in arthroscopic rotator cuff repair.

Systemic Hormonal Unloading in Unilateral Adrenalectomy in a Patient with Bilateral Adrenal Hyperplasia: A Case Report

Unilateral adrenalectomy has not been recommended in the guidelines as a treatment for primary hyperaldosteronism secondary to bilateral adrenal hyperplasia (BAH). Interestingly, recent studies have shown that increased circulation of aldosterone increased oxidative stress, cardiovascular (CV) complications such as atrial fibrillation, myocardial infarction and heart failure; and that unilateral adrenalectomy led to improved CV function. Therefore, recognizing the role of unilateral adrenalectomy in BAH, specifically for improved quality of life is important.

Introducing TOCSE: A Tool to Bridge Didactic Learning to Clinical Application (Part 2)

Part 2 of TOCSE is geared towards 3rd year medical students preparing to be in the 4th year. It has the following important elements as follows:

  • Identifying clinical problems as targets to resolve.
  • Writing daily progress notes through S-O-A-P.
  • Writing the Assessment.
  • Formulating Plans according to assessment.
  • Constructing the TOCSE table.
  • Writing the Discharge Summary.