Comparison of Atmospheric Fungal Spore Concentrations between Two Main Cities in the Caribbean Basin.
CONCLUSION: Our study provides additional evidence to help design allergy interventions. PMID: 33031690 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - October 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Sexual Dysfunction in Puerto Rican Women with Inflammatory Bowel Disease.
In this study, we aimed to describe sexual function in Puerto Rican women with IBD. METHODS: We conducted a cross-sectional study of women with IBD at the University of Puerto Rico Center for IBD. Patients were invited to anonymously complete the validated Spanish version of the Female Sexual Function Index (FSFI) questionnaire. On this 36-point scale, a score of 26.55 or less is defined as sexual dysfunction. Data were analyzed by diagnosis, presence of an ostomy, and age, using descriptive statistics, ANOVA, Student's t test, and logistic regression. RESULTS: One hundred women completed the FSFI questionnaire, wi...
Source: Puerto Rico Health Sciences Journal - October 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Characteristics, Upon Presentation, of a Cohort of Hispanic Patients with Birdshot Retinochoroidopathy.
CONCLUSION: Birdshot retinochoroidopathy can be found in Hispanic patients. Our study suggests that the characteristics upon presentation in Hispanics may be similar to those of Caucasian cohorts. PMID: 33031692 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - October 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

The Effect of Total Hip Arthroplasty on the Sciatic Nerve: an Electrodiagnostic Evidence Study.
CONCLUSION: According to our subclinical electrophysiological findings, surgeons that use the posterolateral approach in THA procedures must be conscious of the sciatic nerve's vulnerability to reduce possible clinical complications. PMID: 33031693 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - October 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Characterization of Pathogens Isolated from Cutaneous Abscesses in Patients Evaluated by the Dermatology Service at an Emergency Department.
CONCLUSION: There is a high prevalence of MRSA causing abscesses in the Hispanic population evaluated in an ED in Puerto Rico. Systemic antibiotic use for the treatment of skin abscesses after incision and drainage remains high despite published guidelines arguing against their widespread use. Clindamycin resistance in our patient population appears to be more frequent than previously reported. PMID: 33031694 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - October 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

A Study Investigating the Role of 2 Candidate SNPs in Bax and Bcl-2 Genes in Alzheimer's Disease.
CONCLUSION: Our data suggest that these two polymorphisms do not contribute to AD in the population from the Mersin region of the Eastern Mediterranean. Further studies with larger sample sizes must be conducted to ascertain the association between the 2 polymorphisms. PMID: 33031695 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - October 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Insurance Type and Surgical-Patient Characteristics in the UPR-Affiliated Hospitals.
CONCLUSION: There were significant differences (P
Source: Puerto Rico Health Sciences Journal - October 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Gastric MALT Lymphoma with Biclonal Gammopathy and Bone Marrow Involvement Mimicking Multiple Myeloma.
Authors: Cáceres-Perkins W, Cabanillas F, San Vicente G, Rivera-Franceschini C, Sobrino-Najul E, Vega-Vázquez LI, Conde-Sterling D Abstract Mucosa-associated lymphoid tissue (MALT) lymphomas are B-cell neoplasms that commonly affect the gastrointestinal (GI) tract, usually the stomach. In most cases, extranodal marginal zone lymphoma (ENMZL) is an indolent disease. Bone marrow involvement is common with MALT lymphoma accompanied by paraproteinemia; such involvement impels disease progression. Here, we present the case of an 82-year-old Hispanic patient with long-standing ENMZL in whom the gastric site...
Source: Puerto Rico Health Sciences Journal - October 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Use of Sublingual Nitrates for Management of Limb Ischemia Secondary to Inadvertent Intra-Arterial Buprenorphine/Naloxone (Suboxone ®) Film Injection.
We present the case of limb ischemia secondary to accidental intra-arterial buprenorphine/naloxone film injection successfully treated with sublingual nitroglycerin. A 39-year-old man with history of intravenous drug use presented sudden severe left hand pain since three days prior to evaluation. Pain was preceded by self-injection of dissolved buprenorphine/naloxone sublingual film onto the affected arm. An arteriogram suggested severe vasoconstriction in the absence of frank thrombosis. Patient was initially treated with continuous heparin infusion and nifedipine. Forty-eight hours later, due to poor response, sublingual...
Source: Puerto Rico Health Sciences Journal - October 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Scientific Representations at the UPR School of Tropical Medicine. IV: Special Technical Studies.
This article on the STM's scientific endeavors is the fourth in a historical serial collection about the images and evolution of sciences at the institution and it portrays the diagrammatic representations of special technical research aspects and studies (i.e., personnel, epidemiology, methodology, animal studies, biology, field studies, treatment and immunology, and chemotherapy agents). The essay focuses on the emerged scientific representations and on the nature and evolution of sciences at the School, and has been divided into four sections: a) images of science, b) evolution during the first two eras, c) the third an...
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Knowledge among Puerto Rican Women about Risk of Infertility Associated with Overweight and Obesity.
Authors: González-Sepúlveda L, Vera-Arroyo V, Carro M, Ramos-Tollinchi LM, Romaguera J, Umpierre SA Abstract OBJECTIVE: Our study sought to evaluate how aware the women attending gynecology clinics at the University of Puerto Rico Medical Sciences Campus (UPRMSC) were of the association between infertility and excess body weight (i.e., overweight and obesity). METHODS: Women 21 years old and older attending gynecology clinics at UPR-MSC were invited to participate in this study (n = 234). A self-administered survey was provided to all the women. Logistic regression models were performed to determi...
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Physicochemical Evaluation of Compounded Oral Preparations for Respiratory Illnesses, also known as Mezclitas.
CONCLUSION: In spite of the absence of protocols for compounding oral solutions for respiratory illnesses, our study suggests that the stability of such solutions is not heavily compromised. However further chemical and physical testing is needed and the findings of such testing used to develop standardized protocols for the compounding of oral solutions for respiratory illnesses. PMID: 32663916 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

The Effect of Hurricane Maria on the Surgical Workload of the UPR-affiliated Hospitals.
Authors: Cruz NI, Santiago E, Rodríguez K Abstract OBJECTIVE: The Caribbean islands are regularly affected by hurricanes in a seasonal manner, but major (category 4 and 5) hurricanes are infrequent, and what happens in their aftermath is important for future planning. METHODS: We reviewed the surgical cases entered into the University of Puerto Rico (UPR) General Surgery Department database from January 1, 2016, through December 31, 2017. This database collects patient and procedural information from the surgical services of the UPR-affiliated hospitals. To analyze the impact that Hurricane Maria had on ...
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Negative Cultures for Cerebrospinal Fluid Samples taken from the Myelomeningocele Sac on the Day of Repair.
CONCLUSION: Upon CSF analysis, we found increased levels of CSF protein and other abnormal values in this population; however, none of the cultures grew any pathogens. This finding is an important tool in the evaluation of the possible etiologies of and therapeutic approaches for future shunt problems in this group of patients. PMID: 32663918 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Factors associated with the use of Dental Health Services by Mexican Schoolchildren to receive Professionally Applied Topical Fluoride.
CONCLUSION: The receipt of PATF was low in this sample of Mexican schoolchildren and is associated with socioeconomic and behavioral factors. This gives us a guideline to create or improve topical fluoride application strategies in the public and private Mexican health systems. PMID: 32663919 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Prevalence of Dental Caries in 12-Year-Olds in San Pedro de Macor ís, DR.
CONCLUSION: The WHO's goal of all 12-year-olds having a DMFT less than or equal to 3 was met by all the participants in our study. Girls and public-school attendees carry the burden of the disease. The high D component of the index suggests that there are unmet dental-caries needs. This information will assist in the design and implementation of future primary and secondary prevention programs. PMID: 32663920 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

The Use of the Slipping Slipper Sign to Explore the Connection between the Feet and the Mouth in Patients with Diabetes Mellitus.
CONCLUSION: In diabetic patients, oral health-related risk factors, such as not having a dentist, wearing a denture or dentures, and visiting a dentist once a year or more, may be associated with systemic complications, including peripheral neuropathy. Early collaboration between dentists and doctors on the care of patients with diabetes is recommended. PMID: 32663921 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Benign Multicystic Peritoneal Mesothelioma in a Male Teen: Case Report and Review of the Literature.
Authors: Luna-Abanto J, Mendoza-Tisoc G, Huanca-Amesquita L, Berrospi-Espinoza F Abstract The case of a Peruvian 15-year-old male with a left-flank abdominal mass suspected to be a peritoneal pseudomyxoma is presented. The patient underwent a R0 surgery, and the pathology review showed a benign multicystic peritoneal mesothelioma. Characterized by recurrent mesothelial peritoneal cysts originating in the epithelial and mesenchymal elements of mesothelial tissue, this benign tumor is unusual among young males. PMID: 32663922 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

A Rare Case of Congenital Adrenal Hyperplasia with Giant Adrenal Myelolipoma.
Authors: Longoria-Dubocq T, Torres-Aguiar R, Ruiz-Vega K, De Ayala-Hillmann R, Lopez-Enriquez R Abstract Adrenal incidentalomas are tumors located in the adrenal glands and found on imaging done for purposes not related to adrenal disease. In other cases adrenal mases can be radiologically found when an adrenal hormone secreting tumor is suspected, such as a pheochromocytoma or Cushing's diseases. Adrenal incidentalomas may be classified as functional or non-functional based on whether they produce hormones, such as aldosterone, cortisol, and androgens, or catecholamines. Studies indicate that around 8% of adrenal ...
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Aortic Aneurysm as a Cause of Dysphonia in a Patient Who Smokes.
Authors: Bayones M, Ruiz-Rodríguez J, Sierra C Abstract Vocal cord paralysis secondary to a cardiovascular disease is known as Cardiovocal or Ortner's syndrome. The most common cause of Ortner's syndrome is atrial dilation due to mitral valvulopathy. Other causes include aneurysms of the thoracic aorta, patent ductus arteriosus, aneurysm of the ductus arteriosus, defects of the interatrial or interventricular septum, among others. Hoarseness might be the only symptom that leads a given individual to consult with a physician. Here we present the case of a 77-year-old male patient with history of diabetes mell...
Source: Puerto Rico Health Sciences Journal - July 16, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Toward a Better Understanding of Diabetes Risk.
Authors: Preston AM PMID: 32383561 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Scientific Representations at the UPR School of Tropical Medicine. III: The Evolution of Science, the Last Era (1941-1949).
This article on the STM's scientific endeavors is the third in this historical serial collection about the images and evolution of sciences at the institution, and portrays the events and processes of the last scientific era. It analyzes the faculty's principal investigations, development of research programs, and concomitant scientific productivity and research outcomes. The scientific representations have been brought forth through the analyses of different sources: academic and research reports, and publications in external and local venues. The analysis of the STM's scientific evolution has been organized in three dist...
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Measles, Malnutrition and Mortality: Puerto Rico, 1917-1918.
CONCLUSION: Studies that examine the impact of reemerging diseases in a time and place-specific context look at disease severity together with the socioeconomic conditions of patients and health care systems. This type of investigation also suggests avenues into the history of pediatrics, the use of epidemiologic methods, the utility of historical statistics, nutritional history, and the history of disaster response. Historical and recent outbreaks show the need for health care professionals and public health systems to be prepared to confront measles epidemics. PMID: 32383563 [PubMed - as supplied by publisher] (Sourc...
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Chlamydia Trachomatis and Human Papillomavirus Serostatus in Puerto Rican Women.
Authors: Castañeda-Avila MA, Suárez-Pérez E, Bernabe-Dones R, Unger ER, Panicker G, Ortiz AP Abstract OBJECTIVE: There is a high prevalence of human papillomavirus (HPV) infection in Puerto Rico, but little is known about the prevalence of Chlamydia trachomatis (CT) infection in healthy Puerto Rican women. Thus we aimed to evaluate the seroprevalence and association and the association between HPV and CT. METHODS: This was a secondary data analysis from a cross-sectional, populationbased, study of HPV infection in women aged 16-64 years in Puerto Rico (2010-2013). Enzyme-linked immunosorben...
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Characteristics Upon Presentation of Ocular Mucous Membrane Pemphigoid Patients in Puerto Rico.
CONCLUSION: Our results suggest that in Puerto Rico ocular MMP most commonly presents in the seventh decade of life. The presence of symblepharon, trichiasis or oropharyngeal mucosal disease should prompt further evaluation and consideration for immunopathological tissue analysis and an IIF assay. PMID: 32383565 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Sarcomatoid Type of Paratesticular Malignant Mesothelioma in a Dry-Cleaning Worker Exposed to Asbestos and Diagnostic Value of WT-1.
This report also emphasizes the significance of an immunohistochemical examination, focusing especially on the diagnostic role of WT-1. PMID: 32383566 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Adherence to Antiepileptic Drugs and the Health Literacy of Caregivers in Childhood Epilepsy.
CONCLUSION: Age and caregivers' health literacy knowledge were found to be significantly associated with adherence. To better define the factors associated with drug adherence in children with epilepsy, additional research (using objective, validated tools) aimed at determining caregivers' health literacy is needed. PMID: 32383567 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

A Descriptive Study on the Population of Patients with Inflammatory Bowel Disease at the Veterans Affairs Caribbean Healthcare System in San Juan.
CONCLUSION: This is the first study to describe the prevalence of IBD and to describe additional characteristics of patients with IBD receiving care at the VACHS. PMID: 32383568 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Risk Factors for Developing Hydrocephalus in Neonatal Intraventricular Hemorrhage.
CONCLUSION: The incidence of PPHH secondary to IVH was slightly lower in our population compared to such incidence in other populations reported in the literature; however, the overall mortality rate was similar. The only statistically significant associated risk factor for PPHH was the severity of the IVH. PMID: 32383569 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Head and Neck Microvascular Reconstruction in Puerto Rico: Developing a Two-team approach to Microvascular Reconstructive Surgery.
We present the case of a 69-year-old male patient with T4aN3M0 hypopharyngeal carcinoma treated in Puerto Rico utilizing a two-team approach for removal of the primary tumor as well as harvesting of the free-flap for reconstruction. This approach allows for decreased operative time by having two surgical teams operating at the same time. The benefits of free flap reconstruction include: larger resection margins, better functional outcomes in terms of swallowing, and decreased post-operative morbidity in irradiated patients. PMID: 32383570 [PubMed - as supplied by publisher] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Complete Cognitive Recovery and Survival From Massive Pulmonary Embolism During General Anesthesia after Administration of Alteplase: A Case Report.
Authors: Torres H, Rivera M, Garcia L, Altieri G Abstract Presented herein is the case of a 37-year-old male who was scheduled for an anterior decompressive laminectomy after suffering trauma to the cervical area (C6-C7). An intraoperative acute pulmonary embolism (APE) was suspected after persistent hypoxemia and a decreased end-tidal CO2 that was refractory to proper management. After 6 intraoperative episodes of cardiac arrest that followed, intravenous alteplase (thrombolytic therapy) was administered, and the patient was stabilized without major complications. Eventually, APE was successfully diagnosed and tre...
Source: Puerto Rico Health Sciences Journal - May 10, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Scientific Representations at the UPR School of Tropical Medicine. II: The Evolution of Science, the First Two Eras (1926-31, 1932-1940).
This article on the STM's scientific endeavors is the second in this historical serial collection about the images and evolution of sciences at the institution, and portrays the events and processes of the first two scientific eras. It reviews the faculty's principal investigations, development of research programs, and concomitant scientific productivity and research outcomes. The following historical sources were considered: academic and research reports, and publications in external and local venues. On findings, bacteriological investigations and studies on mycology and dermatological fungal infections characterized re...
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Level of Physical Activity and Knowledge about the Physical Activity Guidelines in a Group of Medical Residents from Puerto Rico.
CONCLUSION: Most of the medical residents in this group from Puerto Rico did not know about the PAG and many of them did not engage in PA. As a means of improving patient care, medical residents from Puerto Rico might benefit if their programs implemented educational activities aimed at increasing knowledge of both PA and the PAG. PMID: 31935307 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Association between Marital Status and In-Hospital Death in Acute Myocardial Infarction Patients in Puerto Rico.
This study was a secondary data analysis of information retrieved from the Puerto Rican Cardiovascular Surveillance System obtained from the University of Puerto Rico for the residents of Puerto Rico during the study years. The sample included individuals aged 18 or older who presented with an incidental AMI. Univariate and multivariate logistic regression models were used to assess the association between marital status and in hospital mortality after an AMI. Covariates included age, sex, social history, and comorbidities. RESULTS: Among the study participants, 414 were single, 1,811 were married, 153 were separated/d...
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Cytotoxicity, Cell Adhesion, and Apoptotic Gene Expression in Periodontal Ligament Fibroblasts treated with Endodontic Sealers.
CONCLUSION: Both sealers showed a certain level of cytotoxicity. The gene expression of NF-κB and P53 in PLF treated with the sealers showed significant changes compared to that of the control group, and MTA inhibited Apaf-1. PMID: 31935309 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Efficacy of Hydromer-Coated and Antibiotic- Impregnated Shunt Systems in Reducing Early Shunt Infections in the Pediatric Population.
CONCLUSION: Hydromer-coated shunt systems and antibiotic-impregnated shunt system represent a superior alternative to standard shunt systems for the reduction of shunt infection in the early post operative period. PMID: 31935310 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Hereditary Angioedema: An Updated Experience with Patients with Angioedema in Puerto Rico.
CONCLUSION: HAE patients showed improved treatment responses as documented by decreased diagnostic delay, attack rates, ER visits and hospitalizations and improved QOL in treated patients. PMID: 31935311 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Vitamin D Status in a Population of Well Children: Amasya Sample.
CONCLUSION: The high frequency of poor vitamin D status in otherwise healthy children indicates a necessity for supplementation and for implementing lifelong strategies that increase and maintain adequate levels of sun exposure. PMID: 31935312 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Analysis of Serum Anti-Mullerian Hormone Values for Puerto Rican Women Presenting to a Fertility Center.
CONCLUSION: The results demonstrate AMH levels among Puerto Rican women presenting to a fertility clinic supporting a decline of AMH with advancing age. PMID: 31935313 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Treatment Failure with Direct Antiviral Agents in Patients with Hepatitis C Virus Genotype 1 Infection at the Veteran Affairs Caribbean Healthcare System in San Juan, Puerto Rico.
CONCLUSION: Despite DAA effectiveness, phase III clinical trials with new IFN-free DAA-based therapies have a 5-7% treatment failure rates. Real-life data has showed that
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Evaluation and Management of the Undescended Testis in Puerto Rico: A Single Surgeon's 10 Years of Experience.
CONCLUSION: Our data reveal that, despite its lack of usefulness, radiologic imaging continues to be included in the diagnostic workups of children newly identified with cryptorchidism in Puerto Rico. In addition, and contrary to the guidelines, there tends to be a significant delay in treatment with surgical intervention. It is important to continue to educate our referring physicians on the AUA and EUA guidelines in order to create awareness and encourage the proper diagnostic and treatment approach for cryptorchidism. PMID: 31935315 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Posterior Reversible Encephalopathy Syndrome in a Normotensive Child after Allogeneic Hematopoietic Stem Cell Transplantation.
Authors: Kartal Ö, Gürsel O, Ünay B, Arda KN, Ata E Abstract Posterior reversible encephalopathy syndrome (PRES) is an uncommon clinicoradiological syndrome that is characterized by acute neurological symptoms such as headache, convulsion, visual disturbance, and altered consciousness. The characteristic magnetic resonance (MR) finding is vasogenic edema, predominantly in the subcortical areas of the posterior parietal and occipital lobes on T2-weighted and fluid-attenuated inversion recovery (FLAIR) sequences. Herein, we described a rare case of PRES induced by cyclosporine (CsA) after an allogeneic...
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Hypercalcemia of Malignancy in a Patient with Hypoparathyroidism: A Complicated but Treatable Condition.
Authors: Sierra M, Alvarado M, Ramírez M, González L, Bueno S Abstract Hypercalcemia in hypoparathyroidism has rarely been described. A 55 year-old male patient with primary hypoparathyroidism, left eye melanoma, and Noonan's syndrome, was referred to the endocrinology clinics due to hypoparathyroidism. Laboratories showed serum calcium of 7.8 mg/d, and phosphate 4.8 mg/dl, while using calcium carbonate 1200 mg and vitamin D3 600 IU daily. Calcitriol 0.25 mcg daily was started and calcium carbonate discontinued. Abdominopelvic CT scan and thoracolumbar MRI, showed metastasis to liver, pancreas, and os...
Source: Puerto Rico Health Sciences Journal - January 15, 2020 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Scientific Representations at the UPR School of Tropical Medicine. I: Images of Science.
This article on the STM's scientific endeavors is the first in a historical serial collection about the images and evolution of sciences at the institution. It reviews faculty's principal investigations (by disciplines and research problems), development of research programs, and concomitant scientific productivity and research outcomes. The essay focuses on the emerged scientific representations and the nature of sciences, and has been divided into four sections: 1) images of science, 2) the evolution of science in the first two eras (1926-40), 3) the third and last era unfolding (1941-49), and 4) special studies. This fi...
Source: Puerto Rico Health Sciences Journal - September 20, 2019 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Historical Migration revealed through a Case of Autosomal Dominant Alzheimer's Disease.
We report a case that illustrates a migration pattern seen a century ago that is currently in the process of repeating itself. Using information from a neuropathological examination, genetic analyses, and historical sources, we linked a patient with autosomal dominant Alzheimer's disease in Hawai'i with her ancestors in Puerto Rico. In this patient we identified the G206A PSEN1 mutation, previously identified as being linked to a founder effect from Puerto Rico. At the turn of the twentieth century, due to devastating hurricanes in Puerto Rico and the island's new status as a possession of the United States, over 5,000 Pue...
Source: Puerto Rico Health Sciences Journal - September 20, 2019 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Pancreatic Cancer Incidence, Mortality, and Survival in Puerto Rico, 2001-2015.
Authors: Castañeda-Avila M, Torres-Cintrón CR, Cruz-Benítez A, Fuentes-Payán W, Maldonado-Albertorio A, Nieves-Ferrer L, Padró-Juarbe P, Soto-Abreu R, Perez-Ríos N, Ortiz-Ortiz KJ, Magno P, Ortiz AP Abstract OBJECTIVE: To perform an epidemiologic profile of pancreatic cancer (PC) in Puerto Rico (PR) with data gathered from 2001 to 2015. METHODS: Using data from the PR Central Cancer Registry we estimated incidence and mortality rates and trends of PC in PR, and performed survival analyses. We also compared the age-standardized incidence and mortality rates of PC in peop...
Source: Puerto Rico Health Sciences Journal - September 20, 2019 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Occurrence and Practices for Pain, Agitation, and Delirium in Intensive Care Unit Patients.
CONCLUSION: Although pain, agitation, and delirium occurrence were similar to other studies, patients continue to suffer. A gap exists between clinical practices in these ICUs and current guidelines. Strategies that contribute to integrating guidelines into these ICUs should be developed, studied, and implemented. PMID: 31536628 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - September 20, 2019 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Relationship between Caregiver Health Literacy and Caregiver Burden.
CONCLUSION: It is important for individuals who are caring for chronic patients and need assistance in this tough process to stay healthy in terms of decreasing the care burden. Caregivers must be adequately health literate so that they will be able to understand basic health information and develop the proper self-care behavior that will enable them to maintain and even improve their own health status. PMID: 31536629 [PubMed - in process] (Source: Puerto Rico Health Sciences Journal)
Source: Puerto Rico Health Sciences Journal - September 20, 2019 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Comparison of Skin Biomechanics and Skin Color in Puerto Rican and Non-Puerto Rican Women.
Authors: Regueira Y, Fargo JD, Tiller D, Brown K, Clements C, Beachman B, Brignone E, Sommers MS Abstract OBJECTIVE: Skin biomechanics are physical properties that protect the body from injury. Little is known about differences in skin biomechanics in racial/ethnic groups and the role of skin color in these differences. The purpose of this study was to determine the relationship between skin biomechanics (viscoelasticity, hydration) and skin color, when controlling for demographic and health-related variables in a sample of Puerto Rican and non-Puerto Rican women. METHODS: We performed a secondary analysis of d...
Source: Puerto Rico Health Sciences Journal - September 20, 2019 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research

Improvement in Hispanics' CRC Knowledge and Awareness using the Inflatable Caribe Colon.
This study evaluated the effectiveness of the Caribe Colon inflatable colon model in two community events as an educational tool to increase CRC knowledge, awareness, and intention to undergo CRC screening. METHODS: Participants (aged ≥ 40 years and with no previous CRC history) completed a pre- and post- questionnaire, and took the tour of the Caribe Colon. RESULTS: After completing the tour, survey responses (n=154) revealed a significant increase in CRC knowledge and awareness (p
Source: Puerto Rico Health Sciences Journal - September 20, 2019 Category: International Medicine & Public Health Tags: P R Health Sci J Source Type: research