1,385 results match your criteria Puerto Rico Health Sciences Journal [Journal]


Hypoxemic Respiratory Failure Secondary to Zika Virus Infection.

P R Health Sci J 2018 Dec;37(Special Issue):S99-S101

VA Caribbean Healthcare System, San Juan, PR.

An 80-year-old man experienced general weakness, myalgias, arthralgias, fever, chills, and diarrhea for one week. He had hypotension and tachycardia. He also had leukocytosis, thrombocytopenia, increased creatinine levels, elevated liver enzymes, elevated creatine phosphokinase (CPK) levels, and metabolic acidosis with hypoxemia, for which he was admitted to the Intensive Care Unit (ICU). Read More

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December 2018
3 Reads

Detection of Zika Virus and Human Papilloma Virus in Cervical Cytology Samples using Two Real Time PCR Based Techniques in Ecuadorian Women diagnosed with ASCUS.

P R Health Sci J 2018 Dec;37(Special Issue):S96-S98

Luis Vernaza Hospital, Molecular Biology Department Medical Director, International Centre of Reproductive Health U Gent, Belgium.

Objective: Atypical Squamous Cells of Undetermined Significance(ASCUS) is the most reported result on pap smears. It is most commonly related to Human Papillomavirus (HPV) infections. However, other pathogens (EBV, Chlamydia) have been reported on cervical samples with abnormal results. Read More

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December 2018
7 Reads

The Zika Virus: An Association to Guillain-Barré Syndrome in the United States - A Case Report.

P R Health Sci J 2018 Dec;37(Special Issue):S93-S95

Department of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Case of a 37 year-old Puerto Rican male with no past medical history who was admitted to the hospital after developing paresthesia in the upper and lower extremities with associated skin rash, weakness, and dysautonomia. After rigorous analysis of the clinical patterns, neurologic manifestations, laboratory workups, CSF analysis, and nerve conduction studies we conclude the existence of a strong relationship between the Zika virus and the Guillain-Barré syndrome. The patient recovered promptly and his response to treatment was excellent. Read More

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December 2018
8 Reads

Implementation and Evaluation of Guillain-Barré Syndrome Surveillance in Puerto Rico during the 2016 Zika Virus Epidemic.

P R Health Sci J 2018 Dec;37(Special Issue):S85-S92

Office of Epidemiology and Research, Puerto Rico Department of Health (PRDH).

Objective: Guillain-Barré syndrome (GBS) is an uncommon autoimmune disorder that follows infection or vaccination, and increased incidence has been reported during Zika virus (ZIKV) transmission. During the 2016 ZIKV epidemic, the Puerto Rico Department of Health (PRDH) implemented the Enhanced GBS Surveillance System (EGBSSS). Here, we describe EGBSSS implementation and evaluate completeness, validity, and timeliness. Read More

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December 2018
4 Reads

First Autopsy of a Newborn with Congenital Zika Syndrome in Puerto Rico.

P R Health Sci J 2018 Dec;37(Special Issue):S81-S84

Professor, Neonatology Section, Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

We report on the first autopsy performed on a neonate with congenital Zika syndrome in Puerto Rico. A term male was born to a mother with confirmed Zika virus infection; he had a prenatal diagnosis of microcephaly and multiple cerebral calcifications, among other anomalies, and a normal male karyotype (determined by amniocentesis). He required neonatal resuscitation at birth and died at 2 days ofage. Read More

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December 2018
3 Reads

Association of Zika Virus Exposure in Utero with Ocular Phenotypes in a Group of Newborns in Puerto Rico Exposure with ocular phenotypes in newborns in Puerto Rico.

P R Health Sci J 2018 Dec;37(Special Issue):S77-S80

Professor, Neonatology Section, Department of Pediatrics, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: After the outbreak in January 2016, researchers in Brazil reported the first cases of ophthalmic abnormalities in infants with microcephaly and presumed Zika virus (ZIKV) intrauterine infection. Screening for ocular lesions in all newborns exposed to ZIKV prenatally has been emphasized because of a chorioretinal macular scar found in a number normocephalic patient exposed to ZIKV.

Methods: A retrospective review of the medical records of infants born to mothers found to be ZIKV-positive during their pregnancies (January 2016-July 2017) was performed. Read More

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December 2018
5 Reads

Congenital Zika Syndrome in Puerto Rico, Beyond Microcephaly, A Multiorgan Approach.

P R Health Sci J 2018 Dec;37(Special Issue):S73-S76

Professor, Department of Obstetrics and Gynecology, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: Zika virus (ZIKV) infection was identified in Puerto Rico on December 2015, and the outbreak encouraged us to characterize clinical manifestations and laboratory findings of intrauterine exposed infants.

Methods: Retrospective medical record review of infants born to mothers with confirmed ZIKV infection during pregnancy was performed from January 2016-June 2017. We included patients admitted to UPH Neonatal Intensive Care Unit or referred for follow-up at UPH High Risk Clinics. Read More

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December 2018
1 Read

The Zika Virus Infection in Pregnancy: Review and Implications for Research and Care of Women and Infants in Affected Areas.

P R Health Sci J 2018 Dec;37(Special Issue):S66-S72

Maternal-Infant Studies Center (CEMI).

The world has encountered a new and serious epidemic which has disproportionately affected fetuses and infants. What makes the Zika virus (ZIKV) epidemic such a threat in our times, is that a whole generation can be affected by birth defects caused by a seemingly innocuous maternal infection, which in most cases go unnoticed and undiagnosed. Spreading to over 80 countries and affecting millions, it is associated with severe birth defects known as congenital Zika syndrome (CZS), which include fetal brain development abnormalities (microcephaly and brain calcifications), retinal abnormalities, and contractures and hypertonia of the extremities. Read More

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December 2018
12 Reads

A Cross-Sectional Survey of the Zika Virus and its Prevention: The Knowledge, Thoughts, and Beliefs of a Community of Residents in Caguas, Puerto Rico.

P R Health Sci J 2018 Dec;37(Special Issue):S57-S65

Chair Mentor, Department of Health Services Administration, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: The objective of this study was to explore the knowledge, thoughts, and beliefs regarding the Zika virus and its prevention in a community of residents in the municipality of Caguas, Puerto Rico, and elicit their concerns and perceptions of risk.

Methods: A quantitative, non experimental, descriptive, cross-sectional correlational study was conducted in a community in Caguas, Puerto Rico. A structured questionnaire was administered to a sample of 158 residents, aged 21 and older, who participated voluntarily. Read More

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December 2018
1 Read

Zika-prevention Knowledge among Hispanic Women Living in Puerto Rico: A Cross-sectional Study.

P R Health Sci J 2018 Dec;37(Special Issue):S51-S56

Department of Obstetrics and Gynecology, San Juan City Hospital; Department of Obstetrics and Gynecology, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: To describe the level of knowledge about Zika virus exposure, symptoms, complications, and transmission prevention in Hispanic women living in Puerto Rico.

Methods: A sample of 168 women aged 21 to 64 at the general community, consented to complete a self-administered questionnaire of 112 questions from October 2016 to July 2017.

Results: A univariate analysis showed that the participating women recognized that the Zika virus was transmitted through mosquito bites (95. Read More

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December 2018
9 Reads

Pregnancy and Zika: The Quest for Quality Care and Reproductive Justice.

P R Health Sci J 2018 Dec;37(Special Issue):S45-S50

Nova Southeastern University College of Pharmacy.

On February 1, 2016, the World Health Organization (WHO) declared the ZIKV virus outbreak a Public Health Emergency of International Concern (PHEIC). Pregnant women and their infants, are vulnerable to the impact of this vector-borne illness (mosquito) and sexually transmitted viral infection. The uncertainty surrounding the possibility of congenital anomalies due to ZIKV infection during pregnancy bring a renewed debate about the rights of women to control their reproductive decisions. Read More

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December 2018
3 Reads

Ethical Issues during Zika Epidemic in Puerto Rico and the Americas.

P R Health Sci J 2018 Dec;37(Special Issue):S41-S44

Professor, Department of Ophthalmology, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

The Zika virus epidemic and the possible devastating teratogenic effects of the virus represent a challenge. Health authorities have the responsibility to create programs that provide adequate preventive, medical and psychological services to the affected population. The estimated risk of microcephaly in infants of mothers infected with Zika virus is 1 to 13% when the infection occurs in the first trimester of pregnancy. Read More

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December 2018
1 Read

The Role of Research in Policy and Practice: The Zika Phenomena in Puerto Rico.

P R Health Sci J 2018 Dec;37(Special Issue):S33-S40

Department of Biostatistics and Epidemiology, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

On April 19, 2017, the 37th Medical Sciences Campus Annual Research and Education Forum opened with the discussion panel The role of research in policy and practice: The Zika phenomena in Puerto Rico, with Dr. Cruz M. Nazario Delgado, Dr. Read More

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December 2018
7 Reads

Zika in Puerto Rico, 2016-2017: II Perspectives on Epidemic Surveillance and Control, Health Communication, Outcomes and Lessons.

P R Health Sci J 2018 Dec;37(Special Issue):S24-S32

Academia Puertorriqueña de la Historia, San Juan, PR; Assistant Professor, ad honorem, University of Puerto Rico Schools of Public Health and Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

The social reaction to the Zika epidemic in Puerto Rico reached a confrontational climax regarding aerial fumigation with an organophosphate insecticide. The public drama has obscured multiple simultaneous controversies. This and a companion paper, based mostly on print and digital news reports, provide a context and description of the major controversies and examine the outcomes and their lessons for the protection of the public's health. Read More

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December 2018
1 Read

Zika in Puerto Rico, 2016-2017: I Perspectives on the Social Crisis and Health Care Concerns.

P R Health Sci J 2018 Dec;37(Special Issue):S15-S23

Academia Puertorriqueña de la Historia, San Juan, PR; Assistant Professor, ad honorem, University of Puerto Rico Schools of Public Health and Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

The social reaction to the Zika epidemic in Puerto Rico reached a confrontational climax regarding aerial fumigation with an organophosphate insecticide. The public drama has obscured multiple simultaneous controversies. This and a companion paper, based mostly on print and digital news reports, provide a context and description of the major controversies and examine the outcomes and their lessons for the protection of the public's health. Read More

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December 2018
1 Read

Zika Virus in the Americas: An Environmental Health Perspective.

P R Health Sci J 2018 Dec;37(Special Issue):S5-S14

Department of Environmental Health, Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Phylogenetic studies suggest that ZIKV may have been introduced to Brazil, and therefore to the Americas, in 2014 during the World Spring Canoe Championship held in the city of Rio de Janeiro. Since then the virus has spread across Latin America, Caribbean, and North America. It seems clear that Aedes aegypti and, to a lesser extent, Aedes albopictus are the main vectors of the pathogen. Read More

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December 2018
10 Reads

ZIKA VIRUS - The Puerto Rican Experience.

Authors:
Valerie Wojna

P R Health Sci J 2018 Dec;37(Special Issue):S3-S4

Editor-in-Chief, Professor of Neurology, PI NeuroAIDS Program, University of Puerto Rico Medical Sciences Campus.

Zika has been one of the most devastating new emerging viruses epidemic due to its effects on the nervous system mostly newborns. It was an unexpected epidemic that jeopardized our population and those with the appropriate environment for the virus to replicate, the tropics. It took us by surprise and challenged our health system. Read More

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December 2018
1 Read

Hindfoot Fusion Nail with Adjuvant Hybrid External Fixation used as Limb-Salvage Procedure after Failed Open Reduction Internal Fixation of Ankle Fracture in a Charcot Joint: A Case Report.

P R Health Sci J 2018 Dec;37(4):235-238

Department of Orthopedic Surgery, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

The failure of the internal fixation of an ankle fracture due to Charcot joint/ neuroarthropathy is rare; such occurred in the case of a 52-year-old woman with uncontrolled diabetes who sustained a right ankle fracture after falling from standing height. The patient was treated with the internal fixation of both malleoli, which procedure failed as the patient progressed, until she eventually was diagnosed with Charcot arthropathy. The post operative images were reviewed and showed a catastrophic fixation failure with a diagnosis of Charcot neuroarthropathy. Read More

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December 2018
2 Reads

Breast Asymmetry in Women Requesting Plastic Surgery of the Breast.

Authors:
Norma I Cruz

P R Health Sci J 2018 Dec;37(4):230-238

Department of Surgery, Div. of Plastic Surgery, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: Breast asymmetries have a high prevalence among women requesting breast augmentation. However, the prevalence of breast asymmetries in women undergoing other types of breast surgeries is not known.

Methods: The breast measurements of consecutively women evaluated for plastic surgery of the breast, but without prior breast surgery, were prospectively recorded in a plastic surgery database. Read More

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December 2018
1 Read

Circumferential Stabilization of the Thoracolumbar Junction Via Posterior-Only Approach for the Management of Burst Fractures.

P R Health Sci J 2018 Dec;37(4):224-229

Department of Surgery, Neurosurgery Section, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.

Objective: The management of thoracolumbar burst fractures often includes combined anterior/posterior approaches with prolonged operative time and complications. The transpedicular approach offers a posterior only approach with circumferential reconstruction and decompression. We aim to present the experience of a single center in the management of thoracolumbar burst fractures using a posterior-only approach for circumferential stabilization and report on this technique's effectiveness in restoring the alignment of the thoracolumbar junction. Read More

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December 2018
1 Read

Traumatic Vascular Injury and its Management with Temporary Intravascular Shunts: A Puerto Rico Trauma Hospital's Experience.

P R Health Sci J 2018 Dec;37(4):220-223

Department of Surgery, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR; Puerto Rico Trauma Hospital, Puerto Rico Medical Center, San Juan, PR.

Objective: Temporary intravascular shunts (TIVSs) are commonly used as a damagecontrol procedure in trauma settings. Currently, there is scarce literature in the civilian field, and what there is is limited to large trauma centers with multiple resources. Therefore, we aimed to describe TIVS usage, and the outcomes of that usage, at Puerto Rico Trauma Hospital. Read More

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December 2018
1 Read

A Comparative Analysis of the Injury Patterns and In-Hospital Mortality Rates of Belted and Unbelted Motor-Vehicle Occupants - Puerto Rico, January 2000 to December 2014.

P R Health Sci J 2018 Diciembre;37(4):213-219

Puerto Rico Trauma Hospital, Puerto Rico Medical Center, San Juan, PR; Department of Surgery, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: Motor vehicle collisions (MVCs) constitute a leading source of morbidity and mortality worldwide. Seatbelt use has been associated with reduced mortality in MVCs. In Puerto Rico, the impact of seatbelt use on MVC deaths has not been evaluated, although they represent a major public health threat. Read More

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December 2018
7 Reads

Experiences of Obese Adolescents trying to Reach a Healthy Weight: Considerations for the Development of a Curriculum Guide.

P R Health Sci J 2018 Dec;37(4):208-212

School of Education, Interamerican University of Puerto Rico, Metro Campus, San Juan, PR.

Objective: Obesity, almost all around the world, has been described by the medical authorities as the most common pediatric illness in children and youngsters. The purpose of this study is to explore, describe, and analyze the experiences of obese adolescents on being obese and trying to reach a healthy weight.

Design And Methods: A convenience sample of eight obese adolescents from 15 to 17 years old of both genders from three high schools of the educational region of San Juan, Puerto Rico was obtained. Read More

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December 2018
1 Read

Family Environment Scale Parental Ratings of Conflict among Latino Families of Depressed Adolescents with Type 1 Diabetes.

P R Health Sci J 2018 Dec;37(4):200-207

Institute for Psychological Research, University of Puerto Rico Río Piedras Campus, San Juan, PR.

Objective: Family conflict is related to depression, difficulties with treatment adherence and glycemic control, in adolescents with type 1 diabetes (T1D). We examined the psychometric properties of a parent-rated family conflict measure and the most frequent behaviors endorsed by caregivers of these youths.

Methods: Participants were 51 caregivers (86. Read More

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December 2018
1 Read

Visceral Adiposity Index is not Superior over Anthropometric Parameters with regards to Inflammation in Healthy Adolescent Girls.

P R Health Sci J 2018 Dec;37(4):195-199

Department of Medical Biochemistry, Faculty of Pharmacy, University of Belgrade, Belgrade, Serbia.

Objective: Better than simple anthropometric parameters, the visceral adiposity index (VAI) has recently been proposed as a predictor of cardiometabolic risk in adults. However, there are conflicting results on the associations of these parameters in children and adolescents. Therefore, we aimed to estimate this potential relationship between VAI, anthropometric parameters (i. Read More

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December 2018
7 Reads

Chikungunya Virus: History, Geographic Distribution, Clinical Picture, and Treatment.

P R Health Sci J 2018 Dec;37(4):187-194

Third-year medical student, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Chikungunya fever (CHIKF) is a re-emerging mosquito-borne disease caused by a virus endemic to Africa and Asia. Due to the ease with which its vectors propagate, the virus has spread to India and Europe, and more recently it arrived to the Caribbean, eventually extending into North, Central, and South America. According to the World Health Organization (WHO), the most common clinical manifestations are abrupt fever, polyarthralgia, headache, maculopapular rash, myalgia, and nausea/vomiting. Read More

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December 2018
1 Read

Anesthesia's Role in Cancer Recurrence.

P R Health Sci J 2018 09;37(3):177-178

Director of Clinical Research, Department of Anesthesiology, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

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September 2018
1 Read

Chordoid Glioma with Psychosis: Case Report.

P R Health Sci J 2018 09;37(3):174-176

Neurosurgery Section, Department of Surgery, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: A rare, low-grade tumor found in the hypothalamus and anterior third ventricle, a chordoid glioma presents a challenge to neurosurgeons: Its successful resection is complicated by its inconvenient location.

Case Description: A 42-year-old male patient presented with a 1-year history of major depressive disorder, with psychotic features associated with generalized tonic-clonic seizures. Brain magnetic resonance imaging (MRI) with contrast revealed a suprasellar mass extending into the third ventricle To resect the lesion, an interhemispheric transcallosal transventricular subfornical approach was used. Read More

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September 2018
12 Reads

Minimally Invasive Complete Mouth Reconstruction using Full-Contour Ceramic Veneers: A Clinical Report.

P R Health Sci J 2018 09;37(3):170-173

Assistant Professor, Division of Restorative Dentistry, School of Dentistry, University of Alberta, Edmonton, Alberta, Canada.

This case report illustrates a full-mouth rehabilitation for a patient that presented with severe non-carious tooth surface loss. The patient was restored following a minimally invasive tooth preparation, with 28 full-contour veneers. The patient was evaluated at baseline and at 2, 9, and 13 months following cementation to assess the integrity of the restorations, the proximal and occlusal contacts, pulp vitality, and tooth mobility. Read More

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September 2018
5 Reads

Body Mass Index and Surgical Outcome in a Puerto Rican Population.

P R Health Sci J 2018 09;37(3):165-169

Department of Surgery, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: To determine the impact of body mass index (BMI) on postoperative morbidity and 30-day mortality in the population served by the University of Puerto Rico (UPR)-affiliated hospitals.

Methods: We reviewed the surgical data entered into the UPR General Surgery Department database from January 1, 2014, through June 30, 2016. This database collects patient and procedural information from the UPR-affiliated hospitals. Read More

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September 2018
2 Reads

The Factors Significantly affecting the Quality of Life of Patients Who undergo Radical Cystectomy due to Bladder Cancer.

P R Health Sci J 2018 09;37(3):160-164

Division of Nursing in Surgical Procedures, Dept. of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, 5 Bartla Street, 51-618 Wroclaw, Poland; Dept. of Surgery, 4th Military Teaching Hospital, 5 Weigla Street, 50-981 Wroclaw, Poland.

Objective: Bladder cancer is, in Poland, the fourth most common malignancy in men and the eighth most common in women. Radical cystectomy often seems to be the only method of treatment. This mutilating procedure may affect the quality of life of the patient. Read More

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September 2018
1 Read

In Vitro Blood-Brain Barrier Modeling adapted for Peripheral Blood Mononuclear Cell Transmigration from HIV-Positive Patients for Clinical Research on Therapeutic Drug Intervention.

P R Health Sci J 2018 09;37(3):155-159

Department of Medicine, Neurology Division, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: HIV-associated cognitive impairment (HACI) continues to persist for HIV-seropositive individuals who are on antiretroviral therapy (ART). HACI develops in part when HIV-infected monocytes (MOs) transmigrate through the blood-brain barrier (BBB) and secrete pro-inflammatory cytokines and chemokines, which leads to neuronal damage. In vitro BBB models are important tools that can elucidate mechanisms of MO transmigration. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129984PMC
September 2018
20 Reads

Knowledge and Perceptions of E-cigarettes and the Motivations for their Use: Talking to Smokers (E-cigarettes and/or Conventional Cigarettes) and Non-smokers in Puerto Rico.

P R Health Sci J 2018 09;37(3):148-154

Department of Pharmaceutical Sciences, College of Pharmacy, Texas A&M University, College Station, Texas.

Objective: The awareness and use of e-cigarettes have been increasing in recent years. The World Health Organization recently reported that regulations are needed to impede the promotion of e-cigarettes to young people, prohibit unproven health claims about them (including those regarding smoking-cessation efficacy), minimize potential health risks to e-cigarette users and non-users, and protect existing tobacco controls. The study described herein explored e-cigarette knowledge, perceptions, and usage motivations among a group of adults in Puerto Rico. Read More

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September 2018
17 Reads

Effect of Season on 25-OH Vitamin D in Serum of Rhesus Monkeys Housed in Puerto Rico.

P R Health Sci J 2018 09;37(3):143-147

Department of Biochemistry, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR; Department of Marine Sciences, University of Puerto Rico Mayagüez Campus, Mayagüez, PR.

Objective: Vitamin D blood levels have been shown to be partially dependent upon season in temperate climates, however, this same evaluation has not yet been reported in fully tropical climates. Herein, we assessed the vitamin D levels in the blood of Rhesus monkeys housed at the Puerto Rico Caribbean Primate Research Center collected in the island's "summer"(May-October) and "winter" (November-April) months.

Materials And Methods: In 2006 through 2014, repeated measurements of blood samples were collected from 5 Rhesus monkeys (IACUC-approved) during "summer" and "winter" months to assess 25-OH vitamin D, determined via HPLC. Read More

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September 2018
2 Reads

Fundamental Concepts of Azole Compounds and Triazole Antifungals: A Beginner's Review.

P R Health Sci J 2018 09;37(3):135-142

Department of Biochemistry, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Azoles are the most widely used drugs in antifungal therapy. They have a wide spectrum of activity against pathogenic fungi that are clinically relevant. However, they have been associated with adverse reactions and toxicity, both of which can be significant in patients. Read More

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September 2018
2 Reads

Ceftazidime/Avibactam for Refractory Bacteremia, Vertebral Diskitis/Osteomyelitis with Pre-Vertebral Abscess and Bilateral Psoas Pyomyositis Secondary to Klebsiella Pneumoniae Carbapenemase-Producing Bacteria (KPC).

P R Health Sci J 2018 Jun;37(2):128-131

Division of Infectious Diseases, Department of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR; Department of Microbiology and Medical Zoology, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

A 36-year-old man was admitted to the intensive care unit due to diabetic ketoacidosis and pneumonia requiring mechanical ventilation. Three weeks after admission, he developed a refractory bacteremia with Klebsiella pneumoniae carbapenemase-producing bacteria (KPC). He remained febrile and with bacteremia for six weeks despite therapy with polymyxin B, carbapenems, and amikacin. Read More

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June 2018
19 Reads

Effect of Housing Type on 25 OH Vitamin D in Serum of Rhesus Monkeys.

P R Health Sci J 2018 Jun;37(2):124-127

Caribbean Primate Research Center, San Juan, PR.

Objective: Vitamin D status is primarily dependent upon sun exposure and dietary sources, however genetic, cultural, and environmental factors can have a modulating role in the measured amount. One under-reported factor is the effect of regular living quarters on the degree of sun exposure. Herein, we assess vitamin D status in the blood of Rhesus monkeys (Macaca mulatta) housed in high amounts of sunlight (corn-cribs), medium sunlight (corrals with shaded areas), and minimal sunlight (quarantine cages). Read More

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June 2018
15 Reads

Prevalence, Severity, and Risk Factors of Gingival Inflammation in Caribbean Adults: A Multi-City, Cross-Sectional Study.

P R Health Sci J 2018 Jun;37(2):115-123

Santo Tomás de Aquino Campus, Pontificia Universidad Católica Madre y Maestra, Santo Domingo, Dominican Republic.

Objective: To estimate the prevalence, severity, and associated risk factors of gingival inflammation in a group of adults from Kingston, Jamaica; Santo Domingo, Dominican Republic; and San Juan, Puerto Rico.

Methods: In this representative cross-sectional study, participants completed medical and oral health questionnaires and received an oral clinical examination by trained and calibrated examiners. Clinical assessments included: gingival health (modified Löe-Silness index), visible plaque and presence of calculus. Read More

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June 2018
23 Reads
0.670 Impact Factor

Health and Ecological Aspects of Stray Cats in Old San Juan, Puerto Rico: Baseline Information to Develop an Effective Control Program.

P R Health Sci J 2018 Jun;37(2):110-114

Department of Environmental Science, University of Puerto Rico Rio Piedras Campus, San Juan, PR.

The overpopulation of stray cats in urban areas represents a potential risk for humans, as stray cats may carry diseases, such as toxoplasmosis, and virus such as rabies, the feline immunodeficiency, and the feline leukemia. In Old San Juan, a historic neighborhood and one of the most touristic places in Puerto Rico, there is an overpopulation of stray cats. In this study, we generated baseline information fundamental to developing a successful control program by estimating the stray cat population size, density, and spatial distribution. Read More

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June 2018
16 Reads

Pediatric Inpatient and Emergency Dermatology Consultations: A 5-Year Retrospective Analysis.

P R Health Sci J 2018 Jun;37(2):105-109

Department of Dermatology, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: To characterize and analyze the inpatient and emergency pediatric dermatology consults in our academic hospital center.

Methods: We reviewed 485 consultations that were done by the University of Puerto Rico Department of Dermatology from July 2007 to June 2012. The date, patient age and gender, consulting service, presumptive diagnosis, final diagnosis, and diagnostic procedures performed were documented for each consult. Read More

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June 2018
12 Reads

Breast Cancer Risk Evaluation by Utilizing Gail Model and Association between Breast Cancer Risk Perception with Early Diagnosis Applications among Midwives and Nurses Working in Primary Health Services.

P R Health Sci J 2018 Jun;37(2):98-104

Specialist Public Health. Bornava Community Health Center, Izmir, Turkey.

Objective: The present study was performed to detect cancer risk of the midwifes and nurses playing central role in raising awareness in the society using Gail's model.

Materials And Methods: Sample of the present cross sectional study consists of 750 volunteer midwifes and nurses in 2016. Breast cancer risk was calculated using the Gail Risk Assessment Tool. Read More

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June 2018
9 Reads

Sexual Behaviors, Experiences of Sexual Violence, and Substance Use among Women Who inject Drugs: Accessing Health and Prevention Services in Puerto Rico.

P R Health Sci J 2018 Jun;37(2):88-97

Graduate School of Public Health, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: People who inject drugs (PWID) face numerous gender-specific health risks, which increase their susceptibility to adverse outcomes, including violence. There is a need for research on female PWID to capture their unique experiences and understand behavioral and gender-based differences. This study aimed to understand which drug use and sexual behaviors are the most prevalent among female PWID accessing health services in Puerto Rico and to gather preliminary information on those individuals' experiences of sexual violence. Read More

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June 2018
12 Reads

Ocular Symptoms and Signs of Chikungunya Fever in Puerto Rico.

P R Health Sci J 2018 Jun;37(2):83-87

Department of Internal Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: To determine what ocular symptoms and signs are most common and if there are any associations with comorbid conditions in patients with Chikungunya fever.

Methods: A retrospective data review and analysis of the ocular symptomatology of 139 patients with Chikungunya fever who visited a local emergency room from August through September 2014. Frequencies were calculated, and Pearson's chisquare test employed. Read More

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June 2018
23 Reads

Characterization of HbA1c Levels in a Subsample of Hispanic Adults Living in the San Juan Metropolitan Area.

P R Health Sci J 2018 Jun;37(2):78-82

Department of Biostatistics and Epidemiology, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: To determine the mean levels of glycated hemoglobin (HbA1c) in a subsample of non-diabetic Hispanic Puerto Ricans living in the San Juan metropolitan area (SJMA) and to assess the sensitivity and specificity of HbA1c as a diagnostic test for prediabetes.

Research Design And Methods: This was a secondary data analysis of the parent study, Burden of Diabetes and Hypertension in the Adult Population of the San Juan Metropolitan Area of Puerto Rico. Based on their HbA1c and fasting plasma glucose (FPG) values, 370 adults (147 males; 223 females) were classified as non-diabetics. Read More

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June 2018
6 Reads

Epidemiological Trends of Traumatic Brain and Spinal Cord Injury in Puerto Rico from November 10th, 2006, through May 24th, 2011.

P R Health Sci J 2018 Jun;37(2):67-77

Auxiliary Researcher III, Department of Surgery, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

Objective: According to the Centers for Disease Control and Prevention (CDC), injury to the central nervous system (CNS) continues to be a leading cause of injury-related morbidity and mortality in the US today.

Methods: A prospective cohort study was performed to determine the incidence of all traumatic CNS injuries. Descriptive variables were presented as frequencies and percentages. Read More

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June 2018
21 Reads

Big Data Analytic, Big Step for Patient Management and Care in Puerto Rico.

P R Health Sci J 2018 Marzo;37(1):62-63

Neurology Training Program, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

This letter provides an overview of the application of big data in health care system to improve quality of care, including predictive modelling for risk and resource use, precision medicine and clinical decision support, quality of care and performance measurement, public health and research applications, among others. The author delineates the tremendous potential for big data analytics and discuss how it can be successfully implemented in clinical practice, as an important component of a learning health-care system. Read More

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March 2018
19 Reads

Bilateral Tibial Fibrous Dysplasia in a Pediatric Patient treated with Intramedullary Nailing.

P R Health Sci J 2018 Mar;37(1):58-61

Department of Orthopedic Surgery, School of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, PR.

Fibrous dysplasia is a benign developmental disorder of bone in which fibrous connective tissue containing abnormal bone with irregular trabeculae replaces normal cancellous bone. It may affect 1 (monostotic) or multiple bones (polyostotic). Polyostotic disease is the less common of the 2, occurring in only 20 to 25% of fibrous dysplasia patients and tending to affect those who are younger than 10 years of age; patients having this form tend to experience bone enlargement beyond normal skeletal maturation, which can cause pain, progressive damage, and increased risk of pathological fracture. Read More

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March 2018
17 Reads

Extraskeletal presentation of Ewing's Sarcoma.

P R Health Sci J 2018 Mar;37(1):55-57

Department of Pathology and Laboratory Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, PR.

The case of a 27-year-old Hispanic female who presented with an occipito-parietal tumor after suffering trauma to the area. A physical examination revealed no tenderness to palpation and with evidence of healing ulcerations. The biopsy was consistent with a synovial sarcoma. Read More

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March 2018
15 Reads

Adaptation and Validation of the Rapid Estimate of Adult Literacy in Dentistry for Chilean Population.

P R Health Sci J 2018 Mar;37(1):52-54

Assistant Professor, Universidad de Concepción School of Dentistry, Roosevelt 1550, Concepción, Chile, CL4070369.

Objective: To adapt and validate the Rapid Estimate of Adult Literacy in Dentistry (REALD-30) for the Chilean population.

Methods: REALD-30 was translated to Spanish, piloted, and revised by experts. Demographics, oral health status, oral health-related quality of life, and health literacy were analyzed. Read More

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March 2018
8 Reads

The Health related Quality of Life of Puerto Ricans during Cancer Treatments; A Pilot Study.

P R Health Sci J 2018 03;37(1):46-51

Tenure-Track Investigator, Chief, Symptoms Biology Unit, NINR/NIH.

Objective: To examine the health related quality of life (HRQOL) experienced by 79 Puerto Rican adults during cancer treatments.

Methods: This study used a descriptive, cross-sectional design. Participants completed a demographics form and the Functional Assessment of Cancer Therapy-General QOL questionnaire (FACT-G). Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5863575PMC
March 2018
4 Reads