1.Results of initial screening for retinopathy of prematurity at a tertiary hospital
Herma Grace S. Cerdana ; Chona S Liao ; Emilio L. Macias III ; Ma. Lourdes R. Nañ ; agas
Philippine Journal of Ophthalmology 2010;35(2):56-60
Objective:
To determine the prevalence and severity of retinopathy of prematurity
(ROP) and its associated factors on initial examination of infants screened at
a tertiary hospital.
Methods:
A descriptive retrospective study was done using clinical charts of infants
screened for ROP at a tertiary hospital from January 2007 to August 2009.
Results of the initial examination were collated and analyzed.
Results:
A total of 112 eyes of 56 infants were screened. Upon initial examination,
21(18.75%) eyes of 11 infants were positive for ROP. Of these, 14 (12.5%)
eyes of 8 infants had severe ROP warranting laser or surgical intervention.
Sixty-nine (61.6%) eyes of 35 infants had immature retina, while 22 (19.64%)
eyes of 11 infants had mature retina. Three (2.68%) eyes had stage 5 ROP.
The infants with stage 5 ROP had mean gestational age of 28 6/7 weeks by
LMP and mean birth weight of 1,282 grams. The positive cases were most
commonly associated with oxygen exposure (100%), sepsis (85.71%), and
blood transfusion (80.95%).
Conclusion
The finding of more than half of the positive cases warranting laser or
surgical interventions on initial examination merits re-evaluation of screening
recommendations and their timing.
Retinopathy of Prematurity
;
Gestational Age
;
Sepsis
;
Birth Weight
2.The antimicrobial efficacy of multipurpose contact lens solutions on standard strains of common ocular pathogens
Eleonore B. Iguban ; Juan Pablo R. Nañ ; agas ; Roslyn F. De Mesa-Rodriguez
Philippine Journal of Ophthalmology 2013;38(1):35-42
Objective:
To compare the antimicrobial effects of locally available multipurpose contact lens solutions (MPS) on
the growth of standard strains of contact lens-related ocular pathogens and to establish the recommended duration
of exposure to these solutions to achieve maximal antimicrobial efficacy.
Methods:
This study, a single-blind controlled experiment, evaluated five locally available MPS in terms of their
antimicrobial efficacy towards common contact lens-related ocular pathogens, such as P. aeroginosa, S. aureus,
E. coli, F. solani, and C. albicans, using the stand alone criteria. Microbial viability counts were obtained at serial
durations: after 1 hour, 3 hours, 6 hours, and 12 hours of exposure.
Results:
MPS containing polyquaternium-1 and myristamidopropyl dimethylamine (MAPD) and polyhexamide
reduced the bacterial concentrations by 3 log and fungal concentrations by 1 log, enabling them to fulfill the stand
alone criteria for disinfecting solutions as mandated by ISO/CD 14729. This antimicrobial efficacy was most
evident at 6 hours of exposure to the challenge organisms. MPS containing polyquaternium-1 and MAPD also have
the broadest spectrum of effectivity against gram-negative and gram-positive bacteria, and C. albicans. All MPS
tested have poor microbial activity against F. solani.
Conclusion
Multipurpose contact lens solutions demonstrated variability in their antimicrobial activity. MPS with
broad spectrum efficacy and effectivity, such as those containing polyquaternum and MAPD, are preferred to
prevent contact lens-related ocular infections.
Contact Lenses
3.Color-vision abnormalities among patients undergoing tuberculosis treatment
Emerson M. Cruz ; Frances G. Puentespina ; Karlo Paolo L. Alejo ; Evelyn T. Santos-Morabe ; Ma. Lourdes R. Nañ ; agas
Philippine Journal of Ophthalmology 2010;35(1):3-9
Objective:
This study determined the incidence of and risk factors for color-vision
abnormalities among Filipino patients undergoing directly observed treatment
short-course (DOTS) for tuberculosis.
Methods:
A prospective single-cohort study involving newly diagnosed patients with
category-1 tuberculosis, recruited from DOTS health centers in Manila, was
conducted. All patients were given a fixed-dose combination of rifampicin,
isoniazid, ethambutol, and pyrazinamide for 60 days, after which treatment
was continued with rifampicin and isoniazid for 4 more months. The
participants underwent complete eye evaluation including color-vision testing
and were followed up every month up to the conclusion of treatment.
Results:
Out of 93 patients initially enrolled, 64 completed the prescribed follow-up
and constituted the study group. Baseline color vision was normal. After 1 month
of therapy, color vision tested with the Ishihara plates remained normal in all
patients, but one failed the Farnsworth Panel D 15 and was classified as tritan
while 30 (47.88%) failed the Lanthony Desaturated test. The type of abnormality
was unclassified in 20 (66.67 %)patients and tritan in 10 (33.3%). Visual acuity
remained unchanged from baseline. Repeat testing after ethambutol and
pyrazinamide were stopped showed that color vision was normal using the
Ishihara plates and the Farnsworth test, while 5 failed the Lanthony test. Of
these, 3 were unclassified and 2 were tritan. In the 3rd to 6th months follow-up,
no color-vision abnormalities were noted in the 3 tests. The only risk factor
identified was age (p = 0.01) with older patients having a higher risk.
Conclusion
The incidence of color-vision abnormalities among patients undergoing
DOTS was 47.88% using the Lanthony Desaturated test after an average of
39.66 days on quadruple anti-TB therapy. Age was the only significant risk
factor observed. The color-vision abnormalities returned to normal within an
average of 37.85 days after discontinuing ethambutol and pyrazinamide.
Ethambutol
;
Tuberculosis
;
Color Vision
4.Extent of self-regulated learning among Allied Health Students in an online environment
Ralph Kevin M. Genoguin ; Rozelle Francesca K. Bentulan ; Maria Lucia L. Nañ ; agas ; Jackielyn D. Ruiz ; Maria Eliza R. Aguila ; Maria Concepcion DC. Cabatan
Philippine Journal of Health Research and Development 2021;25(Online):1-12
Background:
The shift to online learning during the COVID-19 pandemic has caused students to experience several challenges in their academic lives. A strategy that may assist in mitigating these challenges and facilitating students' positive adaptation to online learning is the promotion of self-regulated learning (SRL). However, SRL is underexplored in the context of health sciences students.
Objectives:
This study aimed to describe the extent and examine the nature of SRL of allied health students in a fully remote learning environment.
Methodology:
This is a cross-sectional online survey study. Data were collected online using Qualtrics. Descriptive statistics and confirmatory factor analysis were used to determine the extent and nature of SRL, respectively.
Results:
Responses from 241 participants show that students had a mean self-regulated learning score of 82.80 out of 120 (SD=12.68). Of the dimensions of SRL, students had higher scores in environmental structuring, time management, and self-evaluation than the other dimensions. A six-factor second-order model of self-regulation showed adequate model-data fit (χ2=673.88, CFI=0.95, TLI=0.95, SRMR=0.09, RMSEA=0.09 [90% CI=0.08-0.09]).
Conclusion
Health science students showed a high level of SRL; SRL for these students is adequately measured using the six dimensions of goal setting, environmental structuring, tasks strategies, time management, help seeking, and self-evaluation. The results indicate the value of understanding the extent and nature of SRL as a first step in planning strategies to support learning and student success in remote environments.
Surveys and Questionnaires
5.Extent of self-regulated learning among allied health students in an online environment
Ralph Kevin M. Genoguin ; Rozelle Francesca K. Bentulan ; Maria Lucia L. Nañ ; agas ; Jackielyn D. Ruiz ; Maria Eliza R. Aguila ; Maria Concepcion DC. Cabatan
Philippine Journal of Health Research and Development 2023;27(3):9-20
Background:
The shift to online learning during the COVID-19 pandemic has caused students to experience several challenges in their academic lives. A strategy that may assist in mitigating these challenges and facilitating students' positive adaptation to online learning is the promotion of self-regulated learning (SRL). However, SRL is underexplored in the context of health sciences students.
Objectives:
This study aimed to describe the extent and examine the nature of SRL of allied health students in a fully remote learning environment.
Methodology:
This is a cross-sectional online survey study. Data were collected online using Qualtrics. Descriptive statistics and confirmatory factor analysis were used to determine the extent and nature of SRL, respectively.
Results:
Responses from 241 participants show that students had a mean self-regulated learning score of 82.80 out of 120 (SD=12.68). Of the dimensions of SRL, students had higher scores in environmental structuring, time management, and self-evaluation than the other dimensions. A six-factor second-order model of self-regulation showed adequate model-data fit (χ2=673.88, CFI=0.95, TLI=0.95, SRMR=0.09, RMSEA=0.09 [90% CI=0.08-0.09]).
Conclusion
Health science students showed a high level of SRL; SRL for these students is adequately measured using the six dimensions of goal setting, environmental structuring, tasks strategies, time management, help seeking, and self-evaluation. The results indicate the value of understanding the extent and nature of SRL as a first step in planning strategies to support learning and student success in remote environments.
6.Prevalence of color-vision deficiency among male high-school students
Emerson M. Cruz ; Herma Grace S. Cerdana ; Ann Margaret B. Cabrera ; Chanda B. Garcia ; Evelyn T. Santos-Morabe ; Ma. Lourdes R. Nañ ; agas
Philippine Journal of Ophthalmology 2010;35(1):20-24
Objective This study determined the prevalence of color-vision deficiency among male high-school students in a public school. Methods Male high-school students were screened for color-vision deficiency using 6 plates of the Ishihara pseudoisochromatic plates. All students with one or more errors were reexamined at a later date with the full 15 Ishihara plates and the Farnsworth D15 (FD15) test. A detailed history was taken and an ocular examination was conducted. Students who identified less than 10 plates correctly on the FD15 were classified as color-deficient and underwent the Farnsworth Munsell 100 hue (FM 100) test. The results were statistically analyzed. Results A total of 1,258 male high-school students, aged 12 to 16 years, were included in the study, 122 of whom failed the screening test. Of these, 106 completed the 15 Ishihara plates. Sixty-five failed and were classified as color-visiondeficient, of which 64 (98%) were deutans. Deutan was also the most common deficiency determined using the FD15 (78.95%) and FM100 (44.19 %) hue tests. Conclusion The prevalence of color-vision deficiency among male students in a public high school was 5.17% (65/1,258). The most common deficiency was the deutan type.
Color Vision Defects
7.A comparative evaluation of visual, refractive, and patient-reported outcomes of three diffractive trifocal intraocular lenses
Robert Edward T. Ang ; Janice Marie N. Jordan-Yu ; Mark Sylvester F. Agas ; Ryan S. Torres ; Emerson M. Cruz
Philippine Journal of Ophthalmology 2020;45(1):28-40
OBJECTIVE: To compare the visual, refractive, and patient-reported outcomes of eyes implanted with one of 3 trifocal intraocular lenses (IOLs).
METHODS: This is a cross-sectional, comparative, non-interventional study wherein subjects implanted with FineVision Micro F, AT LISA tri 839MP or AcrySof IQ PanOptix trifocal IOL after phacoemulsification were recruited. Manifest refraction, uncorrected and corrected visual acuity (VA) at distance, intermediate and near vision, contrast sensitivity, modulated transfer function (MTF) values and questionnaire answers were compared among the 3 groups using analysis of variance (ANOVA).
RESULTS: Fifty-seven (57) eyes were included in the study: 21 eyes with FineVision (group A), 21 eyes with LISA tri (group B), and 15 eyes with PanOptix IOL (group C). The post-operative mean manifest spherical equivalent was -0.01D, -0.07D, and 0.05D, respectively (p=0.083). Uncorrected distance VA and best-corrected distance VA were similar among the groups. Groups A and C had better uncorrected and corrected intermediate VA at 80 cm and at 60 cm compared to group B. Group A had significantly better uncorrected near visual acuity than groups B and C (p=0.032). Mesopic contrast sensitivity testing showed group C had higher contrast sensitivities without glare in at the spatial frequency of 6 CPD (p=0.038) and with glare at 3 CPD (p=0.039) and at 12 CPD (p=0.009). MTF average height analysis showed that the group A had significantly superior resolution in far targets compared to groups B and C (p=0.001). At near targets, groups A and C had better resolutions compared to group B (p=0.017). There was no significant difference in patient satisfaction for far, intermediate and near VA among the groups.
CONCLUSION: Eyes implanted with any of the 3 trifocal IOL designs achieved excellent uncorrected and bestcorrected distance, intermediate and near vision. FineVision and PanOptix provided significantly better intermediate vision than LISA tri at both 80 cm and 60 cm testing distance. FineVision had better near visual outcomes than PanOptix and LISA tri. Patient satisfaction was high in all 3 trifocal IOLS
Lenses, Intraocular
;
Vision, Ocular
8.A dosimetric analysis of incidental radiation to the internal mammary nodes with a three-field chest wall technique.
Ryan Anthony F. AGAS ; Lester Bryan A. CO ; Maureen R. BOJADOR ; Mario B. SARMIENTO ; Luisa E. JACOMINA ; Kathleen H. BALDIVIA
Journal of Medicine University of Santo Tomas 2021;5(2):774-782
Objectives: The authors' aim was to conduct a dosimetric analysis of the incidental radiation dose to the internal mammary node (IMN) region using a three-field chest wall technique (TFCWT).
Methods: This retrospective study utilized 3D-conformal radiotherapy plans of 50 postmastectomy patients (25 left-sided and 25 rightsided). All plans used the TFCWT, composed of narrowed tangents matched medially to an AP electron field, and prescribed a total dose of 50 Gy in 28 fractions. The IMNs were not intentionally treated in all included plans.
Results: The mean dose to the IMN-planning target volume (IMN-PTV) was 45.1 Gy (26.4 - 55.6, SD 6.5). Minimum doses received by 95% and 90% of the IMN-PTV were 29.3 Gy (8 - 49, SD 10.0) and 34.0 Gy (10.0 - 52.0, SD 8.6), respectively. The percent volume of IMN-PTV receiving 100%, 95%, 90%, and 80% were 47.4% (3 - 94, SD 21.6), 55.6% (6 - 97, SD 22.4), 61.92% (7 - 98, SD 22.2), and 72.61% (18-100, SD 20.2), respectively. The average ipsilateral lung V20 Gy (with supraclavicular fields) was 25.0% (16 - 29, SD 3.4), and the average heart mean dose was 2.5 Gy (0.5 - 7.9, SD 1.58).
Conclusion: Although the results suggest increased IMN radiation doses with the TFCWT when compared historically to standard tangents, the incidental doses are comparatively less than that traditionally prescribed to the IMNs in high-risk patients. It is unknown whether this incidental IMN dose confers any clinical benefit.
Breast Neoplasms
9.The Joint Philippine Society of Gastroenterology (PSG) and Philippine Society of Digestive Endoscopy (PSDE) consensus guidelines on the management of colorectal carcinoma.
Jose D SOLLANO ; Marie Antoinette DC LONTOK ; Mark Anthony A. DE LUSONG ; Rommel P. ROMANO ; Therese C. MACATULA ; Diana A. PAYAWAL ; Joseph C. BOCOBO ; Frederick T. DY ; Edgardo M. BONDOC ; Ernesto G. OLYMPIA ; Jaime G. IGNACIO ; Felicisimo C. AGAS ; Marichona C. NAVAL ; Evan G. ONG ; Arsenio L. CO ; Bernadette A. MOSCOSO ; John Arnel N. PANGILINAN ; Marie Michelle S. CLOA ; Jose Augusto G. GALANG ; Albert E. ISMAEL ; Ma. Lourdes O. DAEZ ; Peter P. SY ; Yvonne L. MINA
Philippine Journal of Internal Medicine 2017;55(1):1-16