1.Clinical pathway for the recognition and management of undernutrition among community dwelling adults in family practice
Olive DG. Quizon, MD ; Marianna Ramona S. Sioson, MD ; Eliza Mei P. Francisco, MD ; Catherine S. Carlos, MD ; Ma. Lorena D. Lorenzo, MD ; Catherine Danielle R. Duque-Lee, MD ; Francisco C. Praire, MD
The Filipino Family Physician 2023;61(1):124-143
Background:
Malnutrition is a condition of imbalances in the intake of nutrients and fluids which may translate to poor health outcomes. Based on the Expanded National Nutrition Survey in 2018, eight percent of Filipino adults were found to have chronic energy deficiency (undernutrition), and is most prevalent among the elderly population, residents of the rural area and poorest quintile. Currently, there are no available local guidelines for malnutrition in Filipino adults.
Objective:
The general objective of this pathway is to improve the quality of health care of the Filipino family through proper recognition and management of malnutrition.
Method
The PAFP Nutrition Pathway Working Group reviewed published medical literature to identify, and summarize, the clinical content of clinical indicators, diagnostics, interventions, and outcomes to develop an evidence-based clinical pathway in family practice. The group developed a time-related representation of recommendations on patient-centered processes in terms of history and physical examination, laboratory tests, pharmacologic and non-pharmacologic interventions, as well as family-focused interventions and community strategies to properly recognize and treat adults with malnutrition.
2. Correlation between incidence of dengue and climatic factors in the Philippines: An ecological study
Ann Kashmer D. Yu ; Sophia Isabel E. Ytienza ; Airees Mae D. Yu ; Vincent Christopher S. Yu ; Keith Alexius K. Wangkay ; Maria Antonia R. Wong ; Marielle Alyanna B. Zamudio ; Eljine Mae T. Zhang ; Wally D. Yumul ; Zakhira Maye R. Zipagan ; Arianna Krystelle R. Yaranon ; Jake Byron C. Zapanta ; Gija B. Ysip ; Catherine Danielle Duque-Lee
Health Sciences Journal 2020;9(2):60-68
INTRODUCTION:
Dengue continues to be a major health concern in the Philippines. This study aimed to establish trends and correlations between the incidence of dengue and rainfall, humidity and temperature, respectively, in the different regions.
METHODS:
Using 2018 records obtained from DOH and PAGASA, correlations were made between monthly
measurements of climatic factors and the incidence of dengue using Pearson’s r, while maps and interpolations were generated using quantum geographical information system software.
RESULTS:
There was a significant positive but weak correlation between the incidence of dengue and rainfall
(r = 0.379, 95% CI 0.255, 0.491; p < 0.001) and humidity (r = 0.215, 95% CI 0.080, 0.342; p = 0.002).
There was a significant negative but weak correlation between the incidence of dengue and temperature (r = -0.145, 95% CI -0.277, -0.008; p = 0.039). A strong positive correlation was noted between the incidence of dengue, and rainfall and humidity, respectively, in several regions. Multiple regression indicates that rainfall, humidity and temperature are poor predictors of the incidence of dengue (R2 = 0.1436, 0.0461 and 0.0209, respectively).
CONCLUSION
This study showed overall a significant but weak correlation between an increased incidence
of dengue and heavy rainfalls and high relative humidity, and a weak negative correlation for temperature. A high positive correlation of an increased incidence of dengue and heavy rainfalls and high relative humidity was observed in several regions.
Dengue
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humidity
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temperature