1.National Baseline Study on Violence against Children and Youth (NBS-VAC) in the Philippines
Laurie S. Ramiro ; Bernadette J. Madrid ; Patricia B. Luna
Acta Medica Philippina 2022;56(15):19-31
Objectives:
This study aimed to estimate the national prevalence of violence against Filipino children and youth as experienced in various forms and settings.
Methods:
About 3,866 young people aged 13-24 years from 172 randomly selected barangays (villages) nationwide participated in the survey. The questionnaire was self-administered, interviewer-administered, or interviewer-assisted, depending on the capability and preference of the respondent. Female respondents were interviewed or assisted by a female field assistant, while male field assistants guided the male respondents. The questionnaire was translated into seven local dialects and administered in the most comprehensible language to the respondent.
Results:
Overall, 80 percent of the 3,866 respondents experienced any one form of violence in the home, school, workplace, and community. More than 3 in five suffered from physical, psychological, and peer violence, while 22.4 percent were victims of sexual abuse. Ten percent were physically neglected, while a fourth felt psychologically neglected by their caregivers. More boys claimed to have been sexually abused and physically neglected, while more girls were bullied and witnessed psychological violence in the home. VAC prevalence was, however, found to be highest among LGBTQ+s compared to heterosexual males and females. Despite the high prevalence, less than 10 percent of respondents disclosed their experiences of abuse, primarily to friends and parents. About one in 10 ever sought help from a professional.
Conclusion
There is a need to improve the implementation of child protection programs at the local level, where violence issues of heterosexual boys and girls and LGBTs are addressed.
Violence
;
Child
;
Adolescent
2.Correlation of structure and function in glaucoma
Maria Joanna Rodriguez-Chan ; Patricia M. Khu ; Ma. Margarita L. Luna ; Manuel B. Agulto
Philippine Journal of Ophthalmology 2009;34(1):15-18
Objective:
This study assessed the relationship of two structural tests, optic-disc
photography and optical coherence tomography (OCT), and a functional
test, standard achromatic perimetry (SAP), in the diagnosis of glaucoma.
Methods:
A retrospective review of charts from the database of a private glaucoma
specialist and the glaucoma clinic of a tertiary hospital was done. The participants were longitudinally evaluated and had comprehensive eye examination,
imaging, and functional testing. Optic-disc photographs, OCTs, and SAPs were
interpreted and evaluated separately, and then correlated with each other by
two glaucoma experts working individually. Sensitivities, specificities, and
predictive values were obtained for each diagnostic test and in combination.
Kappa statistics were used for interobserver agreement.
Results:
Three hundred sixty-seven eyes of 188 patients were included in the study.
Fifty-eight patients were diagnosed as normal, 130 had glaucoma. OCT had
the highest sensitivity and specificity at 70.7% and 76.6%, followed by SAP at
72.4% and 53.5% respectively. Optic-disc photos had the lowest sensitivity and
specificity at 55.8% and 54.4% respectively, and the lowest interobserver
agreement (kappa = 0.50-0.61). The predictive values of the 3 tests increased
to 82% with good interobserver agreement (kappa = 0.68-0.78) when
correlated with each other.
Conclusion
The correlation of structural and functional tests increased the accuracy of
diagnosing glaucoma. These examinations offered complementary
information and, when used in conjunction with comprehensive clinical
evaluation, guided the clinician in the proper management of patients with
glaucoma.
Glaucoma Optic Disk Tomography
;
Optical Coherence Visual Fields