Acta Medica Philippina最新文献

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Understanding Adoption of Electronic Medical Records (EMRs) during a Health Emergency: An Analysis of EMR Usage Logs from Rural Health Facilities in the Philippines. 了解在卫生紧急情况下电子医疗记录(EMR)的采用:对菲律宾农村卫生机构EMR使用日志的分析
Acta Medica Philippina Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.47895/amp.vi0.8911
Paulyn Jean Acacio-Claro, Maria Regina Justina E Estuar, Dennis Andrew R Villamor, Maria Cristina G Bautista, Christian E Pulmano, Quirino M Sugon
{"title":"Understanding Adoption of Electronic Medical Records (EMRs) during a Health Emergency: An Analysis of EMR Usage Logs from Rural Health Facilities in the Philippines.","authors":"Paulyn Jean Acacio-Claro, Maria Regina Justina E Estuar, Dennis Andrew R Villamor, Maria Cristina G Bautista, Christian E Pulmano, Quirino M Sugon","doi":"10.47895/amp.vi0.8911","DOIUrl":"https://doi.org/10.47895/amp.vi0.8911","url":null,"abstract":"<p><strong>Background and objective: </strong>The adoption of electronic medical records (EMRs) in the Philippines has been initiated and adjusted since the last decade through the Philippine eHealth Agenda framework. EMRs are known to improve clinical management and have been widely adopted in advanced economies. However, empirical research on EMR implementation remains limited. This study aims to determine how public primary health care facilities in the country interacted with EMRs before and during the COVID-19 pandemic to understand EMR adoption.</p><p><strong>Methods: </strong>More than 270,000 records generated from EMR usage logs in six rural primary health facilities in Western Visayas were analyzed. Average time of EMR use during work hours was estimated and compared before and during the pandemic. EMR adoption based on specific EMR features used was also determined.</p><p><strong>Results: </strong>In 2020, EMR use ranged from less than one hour to more than eight hours in selected rural health units (RHUs). There was a statistical increase and decrease in use of features during the pandemic. Some EMR users had efficient use indicated by complete adoption of EMR features although such features were not as frequently used as those pertaining to basic adoption.</p><p><strong>Conclusion: </strong>This study demonstrates that for EMR use in rural settings, progressive use from basic to complete may vary among users. Public health emergencies such as a pandemic may also affect EMR use. Future research directions should explore other mechanisms which affect user behavior and encourage full adoption of technology such as use of games or non-monetary incentives.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 22","pages":"7-13"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social Media Content Analysis of Public and Private Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency Facebook Groups. 公共和私人葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症Facebook群组的社交媒体内容分析。
Acta Medica Philippina Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.47895/amp.vi0.8737
Ebner Bon G Maceda, Michelle E Abadingo, Bubbles Beverly N Asor, Rizza Kaye C Cases, Renchillina Joy G Supan, Kia S Anarna, Patricia Carla A Libo-On, Theodore Delfin C Vesagas, Ma-Am Joy R Tumulak
{"title":"Social Media Content Analysis of Public and Private Glucose-6-Phosphate Dehydrogenase (G6PD) Deficiency Facebook Groups.","authors":"Ebner Bon G Maceda, Michelle E Abadingo, Bubbles Beverly N Asor, Rizza Kaye C Cases, Renchillina Joy G Supan, Kia S Anarna, Patricia Carla A Libo-On, Theodore Delfin C Vesagas, Ma-Am Joy R Tumulak","doi":"10.47895/amp.vi0.8737","DOIUrl":"https://doi.org/10.47895/amp.vi0.8737","url":null,"abstract":"<p><strong>Background: </strong>As social media continue to grow as popular and convenient tools for acquiring and disseminating health information, the need to investigate its utilization by laypersons encountering common medical issues becomes increasingly essential.</p><p><strong>Objectives: </strong>This study aimed to analyze the content posted in Facebook groups for Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency and how these engage the members of the group.</p><p><strong>Methods: </strong>This study employed an inductive content analysis of user-posted content in both public and private Facebook groups catering specifically to G6PD deficiency. The G6PD Facebook groups with 10 or more posts within the past 12 months were selected for this study. Data were harvested from posts and comments using ExportComment.</p><p><strong>Results: </strong>A total of 46 G6PD-related Facebook groups were identified. Of which, 19 were public and 27 were private groups, with an average membership of 5000-6000 accounts. After eligibility based on criteria and authorization for private groups, 3 public and 3 private groups were included, with the majority of these groups focused on sharing information. Five main themes of posted content were identified: diagnosis, management, beliefs, psychosocial factors, and medical requirements. \"Diagnosis\"-related posts referred to conversations about the causes and symptoms of G6PD, \"management\" referred to medication or diet, \"beliefs\" involved traditional or lay perceptions, \"psychosocial factors\" referred to posts that disclosed how psychosocial factors influenced G6PD deficiency practices, and \"medical requirements\" referred to documentation regarding the condition. The bulk of these posts used three strategies for communication: information-requesting, self-disclosure, and promotion of products/services. Information requests were the most common.</p><p><strong>Conclusion: </strong>The results of the study showed opportunities and challenges in health education on G6PD, especially in evaluating the credibility and accuracy of the information given and received. Looking at the content and manner of communicating information noted, the newborn screening program may improve its advocacy and education campaign, and may develop targeted educational materials and effective dissemination strategies that could clarify, explain, or refute information and beliefs mostly shared on these platforms.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 22","pages":"65-76"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antibacterial Activity of Crude Momordica charantia, Cassia alata, and Allium sativum Methanolic Extracts on Leptospira interrogans serovar Manilae. 苦瓜、决明子和葱醇提取物对马尼拉钩端螺旋体的抑菌活性。
Acta Medica Philippina Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.47895/amp.vi0.8362
Fatima Ericka S Vista, Bryan Paul D De Galicia
{"title":"Antibacterial Activity of Crude <i>Momordica charantia</i>, <i>Cassia alata</i>, and <i>Allium sativum</i> Methanolic Extracts on <i>Leptospira interrogans</i> serovar Manilae.","authors":"Fatima Ericka S Vista, Bryan Paul D De Galicia","doi":"10.47895/amp.vi0.8362","DOIUrl":"https://doi.org/10.47895/amp.vi0.8362","url":null,"abstract":"<p><strong>Background and objective: </strong>Leptospirosis is a disease caused by pathogenic <i>Leptospira</i> prevalent in tropical countries like the Philippines. Some studies have shown that the role of currently used antibiotics for leptospirosis is unclear since trials have found no significant benefit to patient outcomes compared to placebo. This signals the need for alternative therapies, such as herbal medicines, which may provide effective therapeutic regimens in treating this infection. In this study, we characterized the antibacterial potential of three Philippine herbal medicines against <i>Leptospira interrogans</i>.</p><p><strong>Methods: </strong>Crude methanolic extracts of <i>Momordica charantia</i>, <i>Cassia alata</i>, and <i>Allium sativum</i> were subjected to an optimized broth microdilution assay against <i>L. interrogans</i>, utilizing the resazurin-resorufin reaction as a cell proliferation and viability indicator.</p><p><strong>Results: </strong>The respective minimum inhibitory concentrations of the plants were found to be as follows: 1.25 mg/mL (<i>M. charantia</i>), 2.5 mg/mL (<i>C. alata</i>), and >5 mg/mL (<i>A. sativum</i>).</p><p><strong>Conclusions: </strong>Among the three herbal medicines, <i>M. charantia</i> and <i>C. alata</i> proved to have antibacterial activity against <i>L. interrogans</i>. Given the promising potential of two of these plant extracts, exploring the use of other solvents to extract natural compounds from these plants, and discovering possible synergistic effects between these plants and conventional antibiotics may be worthwhile.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 22","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Qualitative Exploration on the Role of Occupational Therapy in Mental Health and Psychosocial Support for Students in the University Setting in the Philippines. 菲律宾大学生职业治疗在心理健康和社会心理支持中的作用的质性探索。
Acta Medica Philippina Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.47895/amp.vi0.8731
Paolo Miguel P Bulan, Maria Menierva G Lagria, Nikki Y Pestaño, John Ray O Suerte, Jamie Francine S Trinidad, Noel R San Antonio
{"title":"A Qualitative Exploration on the Role of Occupational Therapy in Mental Health and Psychosocial Support for Students in the University Setting in the Philippines.","authors":"Paolo Miguel P Bulan, Maria Menierva G Lagria, Nikki Y Pestaño, John Ray O Suerte, Jamie Francine S Trinidad, Noel R San Antonio","doi":"10.47895/amp.vi0.8731","DOIUrl":"10.47895/amp.vi0.8731","url":null,"abstract":"<p><strong>Background: </strong>Occupational therapy (OT) can be part of mental health and psychosocial support (MHPSS) in the university setting. Numerous studies worldwide have highlighted the negative impact of COVID-19 on mental health due to isolation and restrictions. In the Philippines, these issues were exacerbated among students, whose abrupt shift to remote learning negatively affected their mental well-being. As universities reopened, there is an opportunity for OT to support students' mental health.</p><p><strong>Objectives: </strong>This study presents the findings of an online group discussion and an online forum that explored the role of OT in MHPSS in the Philippine university setting. Moreover, this study aimed to (1) describe the perceptions of Filipino OT practitioners (OTPs) on their role in the university setting, and (2) describe thoughts of Filipino OTPs on being part of MHPSS services.</p><p><strong>Method: </strong>Using a qualitative exploratory design, data was gathered through an online discussion and an online forum. Thirty-five Filipino OTPs with a background in mental health practice served as the participants. Data was analysed using constant comparison.</p><p><strong>Results: </strong>Analyses of data generated four themes: (1) awareness of the importance of MHPSS as student support, (2) mental health and occupation-focused support in the education setting, (3) role of OT in MHPSS, and (4) potential for interprofessional services.</p><p><strong>Conclusion: </strong>Need for OT in MHPSS is justified by rising issues in anxiety, depression, trauma, and stress that can be addressed using an occupation-focused approach. OTPs can provide non-specialized services like PFA, or specialized individual or group-based interventions. However, OTPs think that they need to know more about MHPSS to contribute across all levels of MHPSS.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 22","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Systematic Review of Epidemiologic Studies on Scabies in the Philippines. 菲律宾疥疮流行病学研究的系统综述。
Acta Medica Philippina Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.47895/amp.vi0.8719
Rowena F Genuino, Emilio Q Villanueva, Maria Christina Filomena R Batac, Maria Emilia Ruth V Eusebio, Ysabel Regina H Ortiz, Vincent Ryan C Ang, Miguel Q Ordonez, Hannah May R Ona, Maria Stephanie Fay S Cagayan
{"title":"A Systematic Review of Epidemiologic Studies on Scabies in the Philippines.","authors":"Rowena F Genuino, Emilio Q Villanueva, Maria Christina Filomena R Batac, Maria Emilia Ruth V Eusebio, Ysabel Regina H Ortiz, Vincent Ryan C Ang, Miguel Q Ordonez, Hannah May R Ona, Maria Stephanie Fay S Cagayan","doi":"10.47895/amp.vi0.8719","DOIUrl":"10.47895/amp.vi0.8719","url":null,"abstract":"<p><strong>Background and objective: </strong>Scabies is the second most common cause of disability due to skin disease in the Philippines. However, there were no cited studies in Global Burden of Disease 2019 and the disability-adjusted life years (DALY) computations were most likely based on statistical modelling. The Philippine Department of Health has embarked on a program to estimate the disease burden of priority diseases in the country, which include scabies. The last nationwide prevalence survey was 23 years ago. This systematic review aimed to estimate the prevalence or incidence of scabies in the Philippines.</p><p><strong>Methods: </strong>We searched PubMed, Scopus, Herdin, and Philippine Health Research Registry (search date October 2022) for studies on prevalence/incidence (including systematic reviews, cross-sectional studies, cohort studies, case series, registry or census studies) of patients diagnosed with scabies in the Philippines. We excluded narrative reviews, commentaries, and conference proceedings or abstracts. Two reviewers independently screened titles and abstracts, assessed full text reports for eligibility, appraised the quality of included studies, and collected data using a pretested data extraction form. We did not pool studies due to clinical heterogeneity but plotted the individual studies in a forest plot with prevalence estimates and confidence intervals. We reported the median and interquartile range for entire group or relevant subgroups (age, setting) of studies. We used the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to assess the certainty of evidence.</p><p><strong>Results: </strong>We included nine studies (N=79,065). Most were clinic-based prevalence studies, retrospective chart reviews, conducted in dermatology outpatient clinics, Metro Manila area, and on pediatric populations. Prevalence of scabies was moderate (i.e., between 2 and 10%), ranging from 2.75% (national prevalence survey) to 6.8% (community-based review), to high (> 10%) among pediatric patients in clinic-based retrospective chart reviews (29 to 36%) and institution-based surveys (39.0% to 45%), and a tertiary government university training hospital dermatology clinic (22.9%). The most affected age group was from 0 to 14 y/o, while males tended to have a higher prevalence than females. The cooler month of January had higher prevalence than the hotter month of June in one study.</p><p><strong>Conclusion: </strong>Scabies is common in the Philippines, especially among children and elderly in institutional settings, and during the month of January. There is a need to do a national prevalence survey to identify high-risk areas and to monitor the prevalence of scabies, especially in crowded settings and vulnerable populations. This information can be used for estimating the burden of disease for scabies and guide appropriate health resource allocation.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 22","pages":"92-105"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of Mortality among End-Stage Renal Disease Patients with COVID-19 Admitted in a Philippine Tertiary Government Hospital: A Retrospective Cohort Study. 菲律宾三级政府医院收治的COVID-19终末期肾病患者死亡率预测因素:一项回顾性队列研究
Acta Medica Philippina Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.47895/amp.vi0.8374
Saul B Suaybaguio, Jade D Jamias, Marla Vina A Briones
{"title":"Predictors of Mortality among End-Stage Renal Disease Patients with COVID-19 Admitted in a Philippine Tertiary Government Hospital: A Retrospective Cohort Study.","authors":"Saul B Suaybaguio, Jade D Jamias, Marla Vina A Briones","doi":"10.47895/amp.vi0.8374","DOIUrl":"https://doi.org/10.47895/amp.vi0.8374","url":null,"abstract":"<p><strong>Background and objective: </strong>Several studies have examined the predictors of mortality among COVID-19-infected patients; however, to date, few published studies focused on end-stage renal disease patients. The present study, therefore, aims to determine the predictors of in-hospital mortality among end-stage renal disease patients with COVID-19 admitted to a Philippine tertiary hospital.</p><p><strong>Methods: </strong>The researcher utilized a retrospective cohort design. A total of 449 adult end-stage renal disease patients on renal replacement therapy diagnosed with moderate-to-severe COVID-19 and were admitted at the National Kidney and Transplant Institute from June 2020 to 2021 were included. Logistic regression analysis was used to determine the factors associated with in-hospital mortality.</p><p><strong>Results: </strong>In-hospital mortality among end-stage renal disease patients with COVID-19 was 31.18% (95% CI: 26.92-35.69%). Older age (OR=1.03), male sex (OR=0.56), diabetes mellitus (OR=1.80), coronary artery disease (OR=1.71), encephalopathy (OR=7.58), and intubation (OR=30.78) were associated with in-hospital mortality.</p><p><strong>Conclusion: </strong>Patients with ESRD and COVID-19 showed a high in-hospital mortality rate. Older age, diabetes mellitus, coronary artery disease, encephalopathy, and intubation increased the odds of mortality. Meanwhile, males had lower odds of mortality than females.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 22","pages":"44-51"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Comparison of Lactobacillus acidophilus Adhesion to Metal and Ceramic Brackets with Coated and Uncoated Nickel Titanium Orthodontic Archwires: An In Vitro Study. 涂覆与未涂覆镍钛正畸弓线对嗜酸乳杆菌粘附在金属和陶瓷托槽上的比较研究。
Acta Medica Philippina Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.47895/amp.vi0.7945
Ardiansyah S Pawinru, Nasyrah Hidayati, Eka Erwansyah, Eddy Heriyanto Habar, Baharuddin M Ranggang, Suhesti Suronoto
{"title":"A Comparison of <i>Lactobacillus acidophilus</i> Adhesion to Metal and Ceramic Brackets with Coated and Uncoated Nickel Titanium Orthodontic Archwires: An In Vitro Study.","authors":"Ardiansyah S Pawinru, Nasyrah Hidayati, Eka Erwansyah, Eddy Heriyanto Habar, Baharuddin M Ranggang, Suhesti Suronoto","doi":"10.47895/amp.vi0.7945","DOIUrl":"https://doi.org/10.47895/amp.vi0.7945","url":null,"abstract":"<p><strong>Background and objective: </strong>According to microbiological investigations, microorganisms, especially Lactobacillus strains, considerably increase after using fixed orthodontic appliances. One of the Lactobacilli bacteria found in the oral cavity is <i>Lactobacillus acidophilus</i>. The purpose of this study was to compare the adhesion of <i>Lactobacillus acidophilus</i> to metal and ceramic brackets with coated and uncoated nickel titanium (NiTi) orthodontic archwires.</p><p><strong>Methods: </strong>Forty () samples were divided into four groups for this in vitro study: 10 metal brackets with coated NiTi archwire, 10 metal brackets with uncoated NiTi archwire, 10 ceramic brackets with coated NiTi archwire, and 10 ceramic brackets with uncoated NiTi archwire. Elisa Reader was used to count the number of <i>Lactobacillus acidophilus</i> attachments, and the one-way ANOVA and Tukey HSD tests were used to analyze all results.</p><p><strong>Results: </strong>The results showed significant differences in the attachment of <i>Lactobacillus Acidophilus</i> between the ceramic bracket and coated NiTi archwire sample groups and the metal bracket and uncoated NiTi archwire sample groups (P= 0.01). The adherence of <i>Lactobacillus acidophilus</i> to the ceramic bracket and uncoated NiTi archwire group was higher than the metal bracket and coated NiTi archwire group, and the metal bracket and uncoated NiTi archwire group. The attachment of <i>Lactobacillus acidophilus</i> to the metal bracket and uncoated NiTi archwire groups was the lowest of all sample groups in this study.</p><p><strong>Conclusion: </strong>The highest <i>Lactobacillus acidophilus</i> adherence was in the ceramic bracket with coated NiTi archwire group compared to the other three groups.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 22","pages":"106-110"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge, Attitudes, and Practices in Colorectal Cancer Screening in the Philippines. 菲律宾结直肠癌筛查的知识、态度和实践。
Acta Medica Philippina Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.47895/amp.vi0.8608
Joseff Karl U Fernandez, Martin Augustine B Borlongan, Michael Anthony A Baliton, Dennis L Sacdalan, Florge Francis A Sy, Analigaya R Agoncillo, Carl Lawrence C Arenos, Vincent F Tatoy, Timothy Joseph S Uy, Isabela Andrea L Reveldez, Steven Johnson L Lim
{"title":"Knowledge, Attitudes, and Practices in Colorectal Cancer Screening in the Philippines.","authors":"Joseff Karl U Fernandez, Martin Augustine B Borlongan, Michael Anthony A Baliton, Dennis L Sacdalan, Florge Francis A Sy, Analigaya R Agoncillo, Carl Lawrence C Arenos, Vincent F Tatoy, Timothy Joseph S Uy, Isabela Andrea L Reveldez, Steven Johnson L Lim","doi":"10.47895/amp.vi0.8608","DOIUrl":"https://doi.org/10.47895/amp.vi0.8608","url":null,"abstract":"<p><strong>Background and objective: </strong>Colorectal cancer (CRC) has the third highest incidence in the Philippines. Currently, there is a paucity in literature that is focused on the knowledge, attitudes, and perceptions of Filipinos regarding CRC screening. This is the first study in the Philippines that describes this.</p><p><strong>Methods: </strong>This is a cross-sectional study that validated a 52-item Filipino questionnaire on the knowledge on colorectal cancer, willingness to undergo CRC screening, and perceived benefits and barriers to fecal occult blood test (FOBT) and colonoscopy. The study enrolled household heads more than 20 years of age residing in both urban and rural communities in the Philippines.</p><p><strong>Results: </strong>The UP-PGH CRC KAP (University of the Philippines - Philippine General Hospital Colorectal Cancer Knowledge, Attitudes, and Practices) and Rawl Questionnaire's validity and internal consistency were established in a pilot study of 30 respondents. A total of 288 respondents were then enrolled to the main study group with a median age of 54.0. Knowledge scores for prognosis and utility of CRC screening were modest (6.3/12 and 8.4/20, respectively). Perceived benefit scores to FOBT and colonoscopy were high (9.9/12 and 13.9/16, respectively). Median scores to barriers to FOBT and colonoscopy were intermediate (22.5/36 and 35.8/60, respectively). Notably, a vast majority (86.1%) were willing to participate in CRC screening programs initiated by the government, and 46.9% agreed to undergo screening tests even as out-of-pocket expense.</p><p><strong>Conclusion: </strong>The UP-PGH CRC KAP Questionnaire as well as the Filipino translation of the Rawl Questionnaire are reliable and valid tools in extensively assessing the knowledge of Filipinos on CRC and willingness to undergo screening, as well as the benefits of and barriers to FOBT and colonoscopy. Knowledge scores were modest suggesting that directed educational campaigns and awareness programs can aid in increasing awareness about CRC and its screening. Household income and highest educational attainment were significantly positively correlated with knowledge scores, and perceived benefits of and barriers to CRC screening. Scores were generally comparable between urban and rural communities.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 22","pages":"77-91"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postoperative Pulmonary Complications following Adenotonsillectomy in Pediatric Patients with Obstructive Sleep Apnea in a Tertiary Government Hospital. 某三级政府医院小儿阻塞性睡眠呼吸暂停患者腺扁桃体切除术后肺部并发症
Acta Medica Philippina Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.47895/amp.vi0.7231
Jerilee E Cledera, Maria Cristina H Lozada, Kevin L Bautista
{"title":"Postoperative Pulmonary Complications following Adenotonsillectomy in Pediatric Patients with Obstructive Sleep Apnea in a Tertiary Government Hospital.","authors":"Jerilee E Cledera, Maria Cristina H Lozada, Kevin L Bautista","doi":"10.47895/amp.vi0.7231","DOIUrl":"10.47895/amp.vi0.7231","url":null,"abstract":"<p><strong>Objective: </strong>Our study aimed to identify and describe pulmonary complications and its associated risk factors in children with suspected or confirmed obstructive sleep apnea (OSA) who underwent tonsillectomy or adenotonsillectomy in a tertiary government hospital.</p><p><strong>Methods: </strong>We conducted a retrospective cohort study. Medical charts of pediatric patients with suspected or confirmed OSA who were admitted for tonsillectomy or adenotonsillectomy from January 1, 2016 to December 31, 2020 were retrieved and reviewed. Information of the individual patients including the demographic data, clinical profile, polysomnography results, and presence of postoperative pulmonary complications were recorded. Descriptive statistics was utilized to present continuous data while frequency and percentage for categorical data. Fisher exact test was used to compare the demographic profile of patients with postoperative pulmonary complications from those without.</p><p><strong>Results: </strong>A total of 90 patient records were analyzed. The mean age of the patient population was 7.87 years, 55.6% were male, 17.8% of patients were classified as obese. Thirty-four children had preoperative polysomnography and of these, 47.1% were classified as severe. Only two (2.2%) patients had postoperative pulmonary complications, which were bronchospasm and desaturation, respectively. There were no statistically significant differences noted in comparing the clinicodemographic profile of patients with postoperative pulmonary complications from those without complications.</p><p><strong>Conclusion: </strong>Our results showed that most pediatric patients with suspected or confirmed OSA who underwent adenotonsillectomy did not have pulmonary complications.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 22","pages":"23-28"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Promises and Realities of Electronic Health Information System in the Philippines. 菲律宾电子卫生信息系统的承诺与现实。
Acta Medica Philippina Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.47895/amp.v58i22.12364
Arturo M Ongkeko
{"title":"Promises and Realities of Electronic Health Information System in the Philippines.","authors":"Arturo M Ongkeko","doi":"10.47895/amp.v58i22.12364","DOIUrl":"10.47895/amp.v58i22.12364","url":null,"abstract":"","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"58 22","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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