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

OBJECTIVE: We describe a surgical tool that uses the distractor pin as a reference for determining proper screw length in ACDF. It is critical that screw purchase depth be as deep as possible without violating or penetrating the posterior cortical wall, which ensures strong pull out strength. METHODS: We enrolled 81 adult patients who underwent ACDF using an anterior cervical plate from 2010 to 2012. Patients were categorized into Groups A (42 patients: retractor pin used as a reference for screw length) and B (39 patients: control group). Intraoperative lateral x-rays were taken after screwing the retractor pin to confirm the approaching vertebral level. The ratio of retractor pin length to body anteroposterior (A-P) diameter was measured as a reference. Proper screw length was determined by comparison to the reference. RESULTS: The average distance from screw tip to posterior wall was 3.0+/-1.4mm in Group A and 4.1+/-2.3mm in Group B. The ratio of screw length to body sagittal diameter was 86.2+/-5.7% in Group A and 80.8+/-9.0% in Group B. Screw length to body sagittal diameter ratios higher than 4/5 occurred in 33 patients (90%) in Group A and 23 patients (59%) in Group B. No cases violated the posterior cortical wall. CONCLUSION: We introduce a useful surgical method for determining proper screw length in ACDF using the ratio of retractor pin length to body A-P diameter as a reference. This method allows for deeper screw purchase depth without violation of the posterior cortical wall.
Adult ; Humans

No abstract available.
Adult* ; Humans

No abstract available.
Adult* ; Humans