1 VOL. 46 NO. 4 2012 - VOL. 47 NO. 1 2013Vol. 43 N0. 4 2009 ACTA MEDICA PHILIPPINAACTA MEDICA PHIlIPPINA 13 Heart Failure and Short Stature in a 43 year-old male
transferred to the intensive care unit (ICU) for ventilatory support and closer monitoring. on bedside cardiac ultrasound, there was a finding of eccentric left ventricular hypertrophy, global hypokinesia with depressed overall systolic function with concomitant spontaneous echo contrast on left ventricular (lV) cavity suggestive of rheologic stasis, the ejection fraction was 25%, with moderate mitral regurgitation, moderate aortic regurgitation with aortic sclerosis, severe tricuspid regurgitation with mild pulmonary hypertension, pulmonary regurgitation, and minimal pericardial effusion or pericardial
fat pad. Cardiac enzymes were not consistent with an acute coronary event (Table 3), however, intravenous (IV) heparin (overlapping with oral warfarin) was still given to cover for the presence of a possible lV thrombus as demonstrated by rheologic stasis on cardiac ultrasound. Medications were shifted to IV diuretics and inotropes; oral digoxin was started. IV antibiotics were given for possible pulmonary infection. The patient later on showed improvement, and was eventually weaned off from ventilatory support, extubated, Table 1. Initial laboratory Results
WBCRBC HGBHCT MCVMCH MCHCRDW PlTRETIC SEGlYMPH MoNoEo BASoBlAST
CBC Reference Value 5-104-6 120-150 0.38-0.48 80-100 Fl 27-31 PG 320-360 G/l 11.5-15.5%
200-400 0.005-0.015 50-70%
20-44%
2-9%0-4%
0-2%0%
Result 4.5 900.27
Inc 4850 20 00
RBSHGBA1C BUNCREA AlBTAG HDllDl ToTAl CHol ASTAlT Alk po4 NAK ClCA++
PMG++
Reference Value 3.9-6.1 4.27-6.07 2.6-6.4 53-115 34-50 0.34-1.7 0.91-1.56 1.1-3.8 4.2-5.2 15-37 30-65 140-148 3.6-5.2 100-108 2.12-2.52 0.74-1
Result 6.36.4 5.0123 320.82 0.674.21 5.2595 91184 136.9 3.3586 2.372.27 0.83 Blood chem.
Color Transp Sp Gravity
SugarpH Protein
WBCRBC Epith cellCast
Bacteria Mucus th
Crystals Am urates
straw Clear 1.010 NEG8.0 NEG0-1 0-2 occ’lRare RareRare Urinalysis
pH pCo2po2 HCo3o2 sat TempFio2
7.408 49.170 31.393.6 21%36.9 ABG
PBS Slight poikilocytosis, acanthocytes, ovalocytes, slight toxic granulation, slight anisocytosis
Table 2. Thyroid Function Tests Free T4
TSH (0.8-2.0)
(0.4-6.0) 0.02 ng/dl 24.75 Uiu/ml Reference Value Result
Figure 1. Electrocardiogram upon admission
Table 3. Cardiac Enzymes Qualitative
Troponin I CK-MB
CK-ToTAl 0-6.0
21-232
PoSITIVE 1.14543 Reference Range (mmoL) Result
Figure 2. Chest radiograph on admission
Thoughts on Plagiarism
The first time I encountered the word “plagiarism” was when I was a grade school student. I was in 6th grade, I recall, when we started getting assignments which required long answers from multiple sources. Many of us submitted kilometric lines on sheets of paper – at that time, the longer your answer was, the more impressive you were, at least in the eyes of your classmates. As expected, many of these paper works were just copied “verbatim” from the textbooks assigned to us. Nobody thought it was a wrong thing to do and everybody practically did it – in fact, most of us had similar or exactly the same answers. The next day, the teacher gave a long castigating lecture on “plagiarism” as if it were an evil that had to be exorcised from the class.
I realize now that we were a lucky class to have been given such a talk on the topic of plagiarism. In the realm of the university, where researches and theses are given left and right, everyone assumes that students understand what this is and that it should not be practiced. The reality is probably the opposite and many will agree with me on this. In this world of pressures, deadlines, fast-tracking, and doing things the easiest way – students, researchers, and writers never had it so good. The internet has largely replaced the library as the source of information to be “trusted.” Information written by any Tom, Dick and Harry is copied, pasted, and incorporated as rock solid truth into research work, nary a footnote. And overworked faculty, who have to labor through hundreds of such papers, probably don’t even bother to go over these in detail, and gloss over these inconsistencies in tone and style, sentence after sentence, just to finish checking all these papers on their desks.
Plagiarism is like an illness that cannot be totally eradicated but can be controlled. But Prevalence of Tuberculosis among Filipino Juvenile
Idiopathic Arthritis Patients in a Tertiary Care Cherica A. Tee, Leonila F. Dans and Michael L. Tee 42 The Use of Intravenous Immunoglobulin in Subacute
Sclerosing Panencephalitis: A Retrospective Cohort Study Marissa B. Lukban, Bernadette C. Chua-Macrohon and Aida M. Salonga 46
A Single-Blind Randomized Controlled Trial Comparing the Efficacy of Two Doses of Oral Ibuprofen with Intravenous Indomethacin in Terms of Ductus Arteriosus Closure among Premature Infants with Patent Ductus Arteriosus:
A Phase 2A Clinical Trial
Dexter D. Cheng, Edgardo E. Ortiz and James L. Angtuaco 51 Comparison of the Prevalence of Metabolic Syndrome in
Overweight and Obese Filipino Adolescents Based on Two Definitions
Sioksoan Chan-Cua 56
Adolescent Pediatric Kidney Patients Transitioned to Adult Health Care Services through the Philippine General Hospital (PGH) Transition Program (Lipat Kalinga)
Carmelo A. Alfiler, Emma A. Llanto, Francisco E. Anacleto, Jr., Carmencita D. Padilla, Dolores D. Bonzon, Elizabeth S.
Montemayorand the UPM-PGH Multidisciplinary Group 64 Effect of Nutrition Education and Counseling Training on
Pediatric Residents’ Knowledge and Counseling Practices and on Caregivers’ Knowledge and Complementary Feeding Practices
Edilberto B. Garcia, Jr. 72
Child Maltreatment Prevention in the Philippines : A Situationer
Bernadette J. Madrid, Laurie S. Ramiro, Sandra S. Hernandez, John J. Go and Juanita A. Basilio 79
Peer Reviewers 89 Instructions to Authors 90 Editorial Staff 2
Dedication Page 3 A Special Tribute 4
National Scientist Perla D. Santos Ocampo Editorial 5
Guest Editorial 6 Feature Article
Silahis ng Kalusugan School for the Chronically-Ill:
A Living Legacy Emma Alesna-Llanto 8 Original Articles
Identification, Management and Ten-Year Follow Up of Chronic Hepatitis B Virus Infection among Filipino Children
Germana V. Gregorio, Elizabeth G. Martinez and Jossie M. Rogacion 9
Early Detection of the Universal Bacterial and Fungal DNA in Late Neonatal Sepsis
Ma. Esterlita Villanueva Uy, Carmen R. Briones and Herbert G. Uy 13
A Randomized, Controlled Trial of Topical Application of Virgin Coconut Oil in the Prevention of Nosocomial Infections in Neonates Born 34 Weeks Gestational Age Resti Ma. M. Bautista, Jacinto Blas V. Mantaring, III and Anna Lisa Ong-Lim 18
Enhancing Case Detection of Selected Inherited Disorders through Expanded Newborn Screening in the Philippines Carmencita D. Padilla 24
Diagnostic Yield of Screening for Inborn Errors of
Metabolism among Children Presenting with Neurologic Symptoms using Urine Amino and Organic Acid Analyses Mary Anne D. Chiong, Esphie Grace D. Fodra,
Judy S. Manliguis and Vanessa O. Lanot 31
Results of Clinical Evaluations of Filipino Patients with Mucopolysaccharidosis Type II (Hunter Syndrome) in a One Stop Multidisciplinary Clinic at the
Philippine General Hospital: a 3-Year Experience Mary Anne D. Chiong, April Grace D. Berboso, Melissa Mae P. Baluyot and Mary Ann R. Abacan 34
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