Adult

A case of lymphosarcoma cell leukemia in a 52-year-old male is presented. The diagnosis was established by the presence of lymphosarcoma cells in the peripheral blood and in the bone marrow intra vitam. Anatomic and histologic findings, microphotograms of different organ sections and of the blood and bone marrow are presented. (Summary and Conclusion)
Adult

Adult

On careful analysis of the clinical history of Case IV, we find that the patient from childhood has been having frequent fevers and joints pains and that during the present illness which has lasted for one year previous to admission, aside from the symptoms of cardiac failure and those referable to the lungs due to pulmonary tuberculosis, he had pain and swelling of the joints and also fever. Such clinical history is certainly very suggestive of rheumatic infection. Blood Wassermann was negative, and the autopsy findings including the histological examination of the viscera showed no evidence of syphilitic infection. The absence of Aschoff bodies is not against rheumatic infection inasmuch as they are not always found in the organs affected by rheumatic infeciton and they are especially absent in the chronic stage of the disease. The role played by rheumatic infection in the production of lesion in the aorta and in other arteries is very well recognizedAccording to M.A. Clerc and Noel Daschamps certain infections such as malaria, scarlet fever, typhoid, pneumonia, la grippe, and above all, acute articular rheumatism especially in children are mentioned as causative factors of aneurysm of the arch of the aortaV.P. Sydenstricker speaks of arteritis as one of the complications of rheumatic infection, although he says that arteritis is seldom recognized clinically but it may be suspected when there is tenderness on pressure over superficial arteritis. Aortic lesion due to rheumatic arteritis has been observedMalcolm Goodridge, discussing the diagnosis of syphilitic aortitis, in the Textbook of Medicine by Cecil, 4th edition, 1937, p. 1146, says: the age incidence of syphilitic diseases of the aorta is somewhat helpful in differentiating it from artheroma of the aorta, which is prone to occur in the declining years of life and from rheumatic aortitis which occurs in adolescence or early adult life. (Conclusion)
Adult

Introduction: The potential efficacy of a board game in health education has been demonstrated. This study aims to develop a simple and useful diabetes education board game for adult Filipinos with T2DM that can supplement diabetes education. Methods: This study used a mixed methods design involving a multistep process to develop and evaluate the board game. The initial phase involved the generation of comprehensible illustrations. Diabetes experts including three endocrinologists, one diabetes education nurse, and one dietician and 20 patients evaluated each illustration incorporated into the game board patterned after snakes and ladders. Twenty adult patients were then recruited to play the board game. Each patient subsequently completed a survey regarding perception of the game’s acceptability in terms of usability, replay appeal, and ability to reinforce knowledge. Results: The illustrations’ comprehensibility or mean correct response of participants to the illustrations was 75%. At least 50% of patients correctly identified each of the illustrations. Eighteen (56.25%) out of the 32 illustrations had a mean correct response of 75% or higher. The illustrations were perceived to depict their intended meaning (translucency). All illustrations had a median translucency score of five and above in a scale of one to seven. The game had a high median rating for acceptability of five on a scale of one to five. All the participants agreed that they liked playing the game and would recommend the game to other patients with diabetes. Conclusion The developed adult diabetes board game – “Winning at Diabetes”, is a simple, useful and acceptable supplement to standard diabetes education.
Adult

Adult

A case of gluten-induced enteropathy documented by jejunal mucosal biopsy and postmortem examination is reported in an 18-year old Filipino. To the best of our knowledge, this is the first reported case of nontropical sprue in the Philippines in a Filipino. The clinical and diagnostic features are discussed. (Summary)
Adult, Biopsy, Adult, Gluten

This paper introduced a case of colonal duplication before operation diagnosed by X-ray. The colonal duplication is rare benign congenital abnormality. The prognosis depends on the extent of lesion and combination of other abnormality. There are many ways of the treatment: tubular colonal duplication treated by stripping the mucosa, cyst colonal duplication treated by removal of cyst
Colon ; Adult

Hypertension is increasing in the world including the Vietnam. Changes in concentrations of bood lipid, glucose are often correlated with hypertension. Changes in bood lipid concentration are major cause of cardiovascular disease. Finding and treatment of dyslipidemia in hypertensive patients will reduce cardiac complications. Objective: To detemnine serum total cholesterol, glucose, creatinine and urine protein, glucose in adults with hypertension and to find out the correlation between biochemical values and hypertension grades. Objects and method: 379 people with hypertension (grade 1: 221 people; grade 2: 134 people; grade 3: 24 people) and 86 people without hypertension served as control. This cross-sectional study was conducted from 12/2004-3/2005. Results: Biochemical values in people with hypertension were: total cholesterol: 4.75- 5.95 mmol/l; glucose: 4.83-5.11 mmol/l; creatinine: 69.22-89.02mmol/l. Urine protein test was positive in 6.3% of people with hypertesion. Values of total cholesterol, creatinine in people with grade-3 hypertension were significantly higher than these in normotensive people (p< 0.01). There were significantly regressed between diastolic blood pressure (DBP), systolic blood pressure (SBP) with creatinin (DBP: r=0.157 P< 0.01 ; Y=(0.101 X creatinin)+83.668 - SBP: r=0.113 P=0.02 Y= (0.127 X creatinin)+139.369.
Hypertension ; Adult

No abstract available.
Adult* ; Humans