Research ; Hemorrhagic Fevers, Viral

INTRODUCTION: Gadget use with its diverse range of functions from communication to navigation and
entertainment, has brought increasing concerns about its effects on psychological health. Despite
growing evidence on its effect among children, its effect on the adolescent age group, particularly on
the socio-emotional dimension remains uncertain.

METHOD: An analytical cross-sectional study was done to identify a possible association between duration
of gadget use and socio-emotional difficulties of an adolescent. A cluster sample of junior high school
students aged 13-17 years old from four selected private schools were invited to answer the Strengths
and Difficulties Questionnaire (SDQ) to measure socio-emotional difficulties and provide information on
the type and duration of gadget use. Scores derived from the SDQ were classified as normal, borderline
and abnormal based on the questionnaire's scoring guide. Association between duration of gadget use
and strengths and difficulties was tested using chi-square, controlling for sex and age groups.

RESULTS: Majority of the 315 respondents had normal scores on the strengths and difficulties sub-scales.
Regardless of the duration of gadget use, majority of the respondents had normal prosocial behavior
and likewise scored normal on all dimensions of the Difficulties subscale. There was no significant
association between duration of gadget use and Strength (p = 0.47) and Difficulties scores (p = 0.35).
Stratifying by sex and age groups likewise resulted in insignificant associations (p > 0.05). Those with
prolonged gadget use were 1.68 times more likely to have abnormal scores on the Difficulties subscale
compared with those with normal gadget use but the association was not significant (95% CI 0.82, 3.34).

CONCLUSION: There was no significant association between duration of gadget use and socio-emotional
difficulties of adolescents in selected private schools, controlling for sex and age groups.

Human

Most medical complications following acute stroke are preventable (such as cardiac events, pneumonia, bed sores and venous thrombosis). This was a study on the frequency of medical complications and their association with key performance indicators. Methods: The study used a cross-sectional baseline audit of stroke care practices. The audit captured details on the nature of the stroke, patient demographics, characteristics of hospital care, and compliance with six key quality indicators in Philippine Academy of Rehabilitation Medicine Clinical Practice Guideline on Stroke Rehabilitation. Patient records were retrospectively consecutively sampled. Results: A total of 1,683 patients were included in the audit which came from 49 hospitals. Medical complications were seen in 182 patients (11.2%). Pneumonia contributed to half the medical complications (50%), followed by respiratory failure (7.7%) and gastrointestinal bleeding (3.8%). Presence of medical complications were associated with in-patient mortality (OR 3.3 (95% CI 2.1-5.3)) and prolonged hospital stay (16.1 ± 20.7 days vs 9.6 + 10.9 days). The best predictor model for pneumonia included variables of not having a swallow screen within the first 24 hours, having a nasogastric tube inserted, not achieving medical stability, not having a stroke unit in the admitting hospital, having suffered a previous stroke and being older. Conclusion: Non-adherence to evidence-based stroke care rehabilitation guidelines contributed significantly to medical complications in an audit of Filipino stroke patients

Bullous pemphigoid (BP) is the most common autoimmune blistering disease primarily characterized by tense blisters and occasionally with urticarial plaques, affecting the skin and mucous membranes. These are caused by autoantibodies against BP180 and BP230 which target antigens on the basement membrane zone. The diagnosis relies on the integration of clinical, histopathological, immunopathological, and serological findings. The management depends on the clinical extent and severity. We present in this article a literature review and the clinical consensus guidelines of the Immunodermatology Subspecialty Core Group of the Philippine Dermatological Society in the management of BP.
Pemphigoid, Bullous

The Volunteer Youth Leaders for Health-Philippine(VYLH- Philippines) is a national youth network established in 2009 as an model on how to organized young women and men into a national force that promotes self-learnings, independence,personal growth and sustained public health change from the grassroots level to up.Formed under the aegis of the University of the Philippines Manila and the department of health,the VYLH- Philippines has focused its activities in the past eight years on helping reduce mortality and disability from congenital disorder through awareness program and support for policy development.This paper describes in details the organization and extraordinary accomplishment of the VYLH- Philippines to date.

Human ; Male ; Female ; Philippines ; Public Health ; Organizations ; Policy Making ; Awareness ; Volunteers