JMUST Vol 2 Issue 1

Journal for Medicine, UST

Editor: Dr. Raymond Rosales

ISSN: 2546-1621

Volume 2  Issue 1

In this second issue of JMUST, like the first issue and every issue we will publish, we have peer-reviewed (a JMUST standard) selected articles that demonstrated rigor in research.

Ostinato Rigore in Research - Message from The Editor-In Chief

In this second issue of JMUST, like the first issue and every issue we will publish, we have peer-reviewed (a JMUST standard) selected articles that demonstrated rigor in research. Integral to our effort to maintain a good balance of content from USTFMS and USTH, we have added features such as Perspectives, Educational Trends, Medical Education Management, Special and News articles. We thank our editorial team particularly our dedicated peer reviewers also known as “unsung heroes” suffused with our own ostinato rigore. Painstaking decision on which content to be considered and published rests on the Associate Editors with the Chief Editor.

Empowering the Filipino Physician through Continuing Professional Development in the Philippines: Gearing towards ASEAN Harmonization and Globalization

We stand at the threshold of change in the 21st Century. Ultimately, every physician has a personal responsibility to participate in continuing professional development as a means of self-regulation. The current and next generations should receive the best, the most inspirational and the most impactful interventions in the continuum of medical education. As we move towards ASEAN Harmonization, all Filipino physicians should be empowered and their competencies broadened while optimally supported in their learning by expertly and considerately crafted CPD activities using innovative learning and teaching approaches, underpinned by educational theory and research, and enhanced by technology.

Filipino Version of Penn Facial Pain Scale: Phase 1 Validation Study

Trigeminal neuralgia (TN) affects 4-5 people per 100,000 population. Because of its key feature - sudden intense facial pain, immediate and long-term treatment is warranted. The newly validated Penn Facial Pain Scale (PFPS) is of great value for assessment of how trigeminal pain and its treatment affect our patients’ lives. This study translated the PFPS to a Filipino version which can be used with ease in our setting.

Correlation of Glycosylated Hemoglobin And Oral Glucose Tolerance Test Results In Hyperinsulinemic Pre-Impaired Glucose Tolerance State Versus Normoinsulinemic-Normal OGTT

Prediabetes is an intermediate stage prior to development of diabetes mellitus. Pre-impaired glucose tolerance state represents an early stage in the pathogenesis of diabetes wherein the normal glucose is attained by compensated hyperinsulinemia. Glycosylated hemoglobin is used in diagnosis and monitoring of diabetes but has not been explored in pre-IGT state. The objective of this study is to compare the 2-hour blood glucose, 2-hour insulin level, and HbA1c between normoinsulinemic-normal OGTT and pre-IGT groups.

Epidemiology of severe cutaneous adverse drug reactions in a University Hospital: a Five-year review

Severe cutaneous adverse drug reactions (SCAR) is seen in =5% of all hospitalized patients.  It includes Stevens-Johnson syndrome/toxic epidermal necrolysis spectrum (SJS/TEN), drug-induced hypersensitivity syndrome/drug reaction with eosinophilia and systemic symptoms (DIHS/DRESS) and acute generalized exanthematous pustulosis (AGEP).

The main objective was to determine the epidemiological characteristics of SCAR patients at a tertiary hospital from 2011-2015. Specifically, it aimed to determine the prevalence, demographic characteristics and clinical profile of SCAR patients.


Incidence of Contrast-induced Nephropathy in Patients Undergoing Coronary Angiography: An Annual Review in A University Hospital

The rapidly growing number of percutaneous coronary interventions has led to a considerable improvement in the outcome of patients with acute coronary syndromes, yet concurrently exposing patients to enormous volumes of contrast media with the inherent risk of renal function impairment.

The objective is to determine the incidence of contrast induced nephropathy of patients admitted at University of Santo Tomas Hospital (USTH) who underwent coronary angiography with or without Percutaneous Transluminal Coronary Angioplasty (PTCA).

Comparison of SASSONE Scoring and ADNEX Model in Differentiating Benign and Malignant Ovarian Neoplasm in a University Hospital

Ovarian cancer is the second most common gynecologic cancer worldwide and are usually diagnosed in advanced stages where prognosis is very poor. Ultrasound has been widely used to screen and differentiate benign and malignant ovarian neoplasm. There are several ultrasound scoring system designed to aid in the diagnosis, however, there is still no standard method accepted for screening of ovarian cancer.

The objective of this study is to compare the accuracy of SASSONE Scoring and ADNEX Model in differentiating benign and malignant ovarian neoplasm in the University of Santo Tomas Hospital.

A Three-Year Review of the Clinical and Pathologic Profile of Patients with Colonic Polyps in a University Hospital in Metro Manila (2014-2016)

The data on the prevalence and distribution of polyps in Asians is limited with conflicting data about the most common type.

The general objective of this study is to obtain recent data about the histologic types of endoscopically labeled as polyps by colonoscopy and correlate with the clinico-pathologic profile.


Alternate Day Statin and Fibrate Given Alone or in Combination for Postprandial Dyslipidemia in Patients with Type 2 Diabetes Mellitus: A Preliminary Report

Postprandial lipemia represent an important risk factor for lifetime development of cardiovascular disease in patients with type 2 diabetes mellitus. Daily administration alone or combined statin and fibrate therapy has been shown to be an effective therapeutic approach but brings about serious logistics problem in our local setting. To address this concern, we report this observation where alternate day statin and fibrate treatment given alone or in combination in type 2 diabetes mellitus and similar effectiveness in lowering postprandial dyslipidemia has been obtained.

Acute Ischemic Stroke in a Filipino with Parkinsonian Fahr’s Disease: A Case Report

Fahr’s Disease (FD) is a rare neurodegenerative disorder of uncertain etiology characterized by abnormal intracranial calcium deposition in the basal ganglia. It initially presents in the 4th to 6th decade of life with diverse neuropsychiatric manifestations.   The correlation between vascular calcification and coronary artery disease had been studied extensively, but its correlation with cerebrovascular disease remains elusive.

‘I am who I am’: A phenomenology of strategic roles portrayed by creatively insubordinate Filipino medical academic leaders

This phenomenological study argues that medical education leaders assume strategic roles that are fit for their specific contexts. Thus it purports to answer the central question: As chief strategists, what roles do creatively insubordinate medical deans interpret and enact, in order to implement strategically effective change in their contexts?’

Rites of Passage: A University Hospital White Coat Ceremony A Century Old Garment, a Decades Old Tradition, a Lifetime Profession

Last January 17, 2018, the newly accepted batch of residents and fellows of the University of Santo Tomas Hospital underwent the traditional White Coat Ceremony at the Benavides Cancer Institute Auditorium of the UST Hospital. Seventy-four incoming first year residents and thirty-eight new fellows from the different departments took to the stage to have their white coats worn to them by their respective mentors and training officers.

Master of Public Health International: A Prime Team Up

The Pontifical and Royal University of Santo Tomas (UST) through the Faculty of Medicine and Surgery (FMS) and the United Kingdom (UK), University of Leeds (UL) through its Nuffield Institute for International Health and Development is collaborating to have a ladderised program on Master of Public Health – International (MPHI). Students enroll onto Semester 1 of UL’s Postgraduate Certificate in Public Health International Programme and then continue on Semesters 2 to 4 on UST’s MPH International. Students are taught at home campus of each institution.