Phil. Journal of Internal Medicine (Vol.47 No.4) July-August 2009 Issue Volume 47 Number 4 C O N T E N T S Letter to the Editor Diabetes and Cardiovascular Disease Alberto Daysog, Jr., M.D., FPCP Legal Prescription for Doctors Advance Health Care Directives Atty. Rodel V. Capule, M.D., FPCP Special Articles Community Involvement in Strategic Hypertension Management Ramon F. Abarquez, Jr., M.D., EFACC, FPCC, FPCP, CSPSH Policies on Healthcare of Older Persons: Implications to Internal Medicine Training and Practice Shelley F. de la Vega, M.D., MSc, FPSGM Original Articles Severity Outcome of Acute Ishemic Stroke in Corellation to Hyperglycemia Genalin A. Estandian, M.D., Carmenchu Rueda, M.D.,Clara Rivera, M.D., Melanio Grayda, M.D., and Johnny Lokin, M.D. Mini-Mental Status Examination Profile of the Elderly Filipino Hemodialysis Patient Marc Evans M. Abat, M.D., Florosita A. Reyes, M.D., and Miguel A. Ramos Jr., M.D. SGPT Check and Risk Factor Evaluation for Early Liver Disease Detection Alma Casareo, M.D., Jaime Ignacio, M.D., and Marievi Lelis Case Report Trisomy 8, 19, 21 Associated Myeloproliferative/Myedysplastic Syndrome (Case Report) Loida Cruz-Torres, M.D., and Jesus Relos, M.D. Medical Grand Rounds (St. Lukes Medical Center, Department of Medicine) A 35-year old Female, with High Grade Fever and Rashes (Medical Grandrounds) Limdawati Kwee, M.D. Drug Trial Improved Glycaemic Control and Less Hypoglycaemia with Novarapid Flexpen (Insulin Aspart) in Filipino Patients with Acute Hyperglycaemia Richard Elwyn Fernando, M.D., Gerry H. Tan, M.D., and Editha Arceo-Dalisay, M.D.