1.Necrotizing fasciitis in a patient with Chiari malformation Type II - A family case analysis
Ramon Jason M. Javier ; Marie Rosanna C. Villarin ; Remigio Jay-Ar IV Z. Butacan ; Leopoldo Jr P. Sison
Health Sciences Journal 2021;10(1):35-46
The biopsychosocial approach to healthcare is fundamental to Family and Community Medicine specialists. Using the patient-centered, family-focused, community-oriented (PFC) matrix, the interplay of a myriad of biomedical and psychosocial factors is assessed in order to provide a thorough medical management that is custom-made to meet the needs and inherent values of a patient and his/her family. Family assessment tools are also utilized to better understand the family dynamics of a patient that may impact on the prescribed management plan. In addition, social determinants of health are evaluated to ascertain which ones may facilitate or hamper proper utilization of community resources. This family case analysis documented the medical ordeal of a young professional who had been diagnosed with two rare medical conditions: necrotizing fasciitis and Chiari malformation Type II. Employing the PFC matrix, the Family and Community Medicine specialist was able to provide inter-disciplinary care for the patient and his family in a holistic manner by recognizing patient needs, creating an enabling family support environment, and helping the family unit navigate various community resources.
Humans
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Social Determinants of Health
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Family Health
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Social Factors
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Patient-Centered Care
2.Experiences of first year medical students from their teachers beyond the grave
Remigio Jay-Ar Z. Butacan IV ; Leopoldo P. Sison Jr. ; Jose Luisito A. Zulueta ; Ma. Cristina E. Zulueta
Health Sciences Journal 2017;6(1):1-6
Introduction:
Dissecting cadavers to study Human Anatomy is an integral part of first year medical education. The aim of this study was to describe the experiences of the first year medical students during their first day of cadaver dissection.
Methods:
This study analyzed interviews of three first year medical students, chosen via purposive
sampling, who were present during the first day of cadaver dissection in gross anatomy. Interviews
were transcribed and analyzed through a Husserlian descriptive phenomenological approach.
Results :
Five common themes were identified: 1) fear of the unknown, 2) group dynamics, 3) sense
of awe and amazement of the cadaver's body, 4) respect for the body, and 5) taming of death as a rite
of passage to being a doctor.
Conclusion
Of the five emergent themes, taming death as a rite of passage to being a doctor is the
essence of the experiences of the first year medical students during the first day of cadaver
dissection.
Cadaver
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Anatomy
3.The effect of the Elderly Development Program on the quality of life of elderly individuals
Joeric Emil P. Crescini ; Jessica Mara G. Cruz ; John Paul M. Cruz ; Kathleen Rose P. Cruz ; Isabel G. Cupino ; Darwyn Paul Y. Daguman ; Lea Monica A. Dalde ; Allan Vincent F. Datingaling ; Manuel John A. Dayao ; Kelsey C. Dayrit ; Victor L. de Castro III ; Remigio Jay-Ar Z. Butacan IV
Health Sciences Journal 2017;6(2):50-54
Introduction :
The increasing aging population of the Philippines impacts on the socioeconomic
development of the country, prompting a deeper look into their quality of life. This study sought to
determine the effect of the Elderly Development Program on the quality of life of the elderly population
of Los Baños.
Methods :
A 4-month prospective cohort study of the elderly population in Los Baños, Laguna compared
the quality of life scores of a group enrolled in the Elderly Development Program and an unexposed
control, using the World Health Organization Quality of Life Abbreviated Version for Filipino Older
Persons questionnaire.
Results :
Quality of life scores where higher for the EDP group during the four months of observation.
In Month 2, significant differences were found in all domains except for the psychological domain.
Only the physical health domain score was significant in the EDP group for Month 3 (p = 0.003) and
Month 4 (p = 0.029). Both the EDP and control groups had higher overall and domain scores in Month
4 compared with baseline.
Conclusion
The Elderly Development Program may improve the overall quality of life of elderly
persons, specifically in the physical health domain. These improvements are likely due to the focus
of the program on the physical aspect of the elderly.
Aged
;
Quality of Life
4.Effectiveness of Brassica juncea (mustard green) leaf decoction as an adjunct in the treatment of type 2 diabetes mellitus among Filipinos: a randomized clinical trial.
Samantha Pauline G. Chio ; Ma. Elaine D. Chua ; Monica B. Coralde ; Raphael Carlos P. Covar ; Mariah Sandrine M. Dating ; Janica Crissel Y. Francisco ; Kryzta Kate V. Gabay ; Bianca Marguerite DG. Gatbonton ; Jose Jonathan F. Giron ; Herald Jervy D. Go ; Clarissa Isabel B. Hernandez ; Tsung-Jen Hou ; Monaflor Abigail G. Ignacio ; Anna Victoria F. Ilagan ; Remigio Jay-Ar Z. Butacan IV
Health Sciences Journal 2018;7(2):80-85
INTRODUCTION:
This study aimed to determine the effectiveness of mustard green leaf decoction as an adjunct to drug treatment in controlling blood glucose among Filipinos with type 2 diabetes mellitus.
METHODS:
Participants were randomly assigned to receive mustard green decoction or a placebo solution for eight weeks on top of their oral anti-hyperglycemic medication. Fasting blood sugar and complete blood counts were determined at baseline, Week 4 and Week 8, and compared within and across the two groups.
RESULTS:
There was a decreasing trend in the blood sugar level in the mustard green group while the opposite was noted in the placebo group. The mean FBS levels of the mustard green group were significantly lower than that of the placebo group at the Week 8 determination (6.10 vs 8.69 mmol/ L, p = 0.004). The decrease in blood sugar level on the eighth week in the mustard green group was significant compared with the baseline level (p = 0.008).
CONCLUSION
This study has demonstrated that the intake of Brassica juncea decoction can significantly decrease blood sugar levels among type 2 diabetics compared to metformin alone.
5.Project Hawkeye: A cross-sectional study on the prevalence of undetected refractive errors in schoolage children
Gabrielle Delos H. Reyes ; Jan Erik B. Detran ; Maria Immanuelle C. Devela ; Khia Cates N. Devoma ; Miguel Enrico D. Dial ; Jurish Candice E. Diaz ; Rafael Jose A. Dimaculangan ; Alejandro S. Dizon Jr. ; Dean Marco R. Dizon ; Patricia Mae F. Domingo ; Banette Lysa F. Estacio ; Remigio Jay-Ar Z. Butacan IV ; Fay Charmaine S. Cruz
Health Sciences Journal 2017;6(2):69-75
Introduction:
In the Philippines, essential eye care services are not easily accessible especially
for those in lower income groups, putting public elementary school students at risk for underdiagnosis of problems in visual acuity. The objective of this investigation was to determine
prevalence of undetected refractive errors among public elementary students using the Welch Allyn
Spot™ Vision Screener.
Methods :
A cross-sectional design was used in this investigation to estimate the prevalence of
uncorrected refractive errors in the first grade students in San Perfecto Elementary School using
Welch Allyn Spot™ Vision Screener (Photoscreener). Eligible students who gave informed consent
and assent answered a questionnaire and underwent an eye examination. The prevalence of
undetected errors of refraction were computed for the sample population and for selected demographic
variables.
Results :
Approximately one out of four students (24.53%) had errors of refraction, with the most
common type being astigmatism (22.64%), followed by myopia (3.77%) and hyperopia (2.83%).
Conclusion
This study revealed a high prevalence of undetected refractive errors among school-age
children, higher than current published data (5%) in the Philippines.
Cross-Sectional Studies
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Refractive Errors
6.Breast cancer awareness among female non-medical college students in Quezon City
Celine Marie C. Matundan ; Philip rico P. Mejia ; Maribie R. Minor ; Mark Gabriel Anthony M. Mirabueno ; Ma. Regina Luz D. Misa ; Arem Sheikh L. Molina ; Kaludette Anne M. Morales ; Jeremiah Marin. F. Morgado ; Emerito Eliseo P. Nacpil ; Johann Rommel T. Naguiat ; Aldean Roval M. Ng ; Aniana Katherine S. Nicanor ; Georgina T. Paredes ; Remigio Jay-Ar Z. Butacan IV
Health Sciences Journal 2016;5(2):69-76
Introduction:
Breast cancer remains to be a public health problem in the Philippines. This study determined the level of breast cancer awareness among female non-medical students from selected private colleges in Quezon City.
Methods:
This was a descriptive cross-sectional survey, and data collection was done on a single occasion. The study population was chosen via convenience sampling. The survey asked about the respondents' ideas on awareness, beliefs, perceived personal risk, perceived seriousness, and knowledge of etiology, diagnosis and management of breast cancer.
Results:
Majority of the respondents associated lifestyle factors (smoking) with the development of breast cancer. Four-fifths regarded Western medicine as a mainstay of treatment, however, a significant proportion believed that breast cancer could be adequately managed and controlled with complementary and alternative treatments. Around 25% of respondents considered themselves at risk for breast cancer and 40% did not know. Close to 65% said that family history was a risk factor. Almost 50% never heard of self-breast examination; of those who knew about it, only 15% practiced it monthly. The respondents had varied answers when asked about the common symptoms and signs of breast cancer. At least two-thirds of respondents said that the treatment for breast cancer includes surgery and radiation therapy. Majority (79.8%) opined that having an education program would increase the level of awareness of the general public.
Conclusion
The students surveyed were generally aware about breast cancer, including aspects of epidemiology, diagnosis and management. The study also a revealed a number of misconceptions regarding breast cancer.
Breast Neoplasms
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Awareness
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Knowledge