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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 ; Anatomy

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A cross-sectional study on the biopsychosocial factors influencing quality of life and adherence to treatment of people living with HIV (PLHIV) in the National Capital Region

Marie Kathleen R. Uy-Huang Chih Chang ; Ernesto Miguel M. Valdez III ; Erika R. Valeroso ; Rachel Anne T. Valiente ; Rhoumel Rizza Salvador P. Yadao ; Sabri-na S. Yang ; Christian F. Yap II ; Ruellen May S. Ymana ; Pamela Joanne C. Yu ; Tiffany Lorraine E. Yu ; Joaquin S. Zotomayor ; Marla M. Zuñ ; iga ; Ramon Jason M. Javier

Health Sciences Journal.2017;6(1):7-14.

Introduction: This study investigated the association of selected biopsychosocial factors (i.e., CD4 cell count, self-stigma, and social stigma) with the quality of life and adherence to treatment of people living with HIV in the National Capital Region. Methods: A cross-sectional study design was conducted to document the health status and behavior of respondents affiliated with a clinic in Quezon City. Participants answered an online questionnaire containing the Berger HIV Stigma Scale, WHO-QOL for HIV, and HIV Treatment Adherence SelfEfficacy Scale. Bivariate analyses and prevalence risk ratios were used to determine the association of selected biopsychosocial factors with quality of life and adherence to treatment. Results: One hundred respondents were analyzed, of which 42% had CD4 cell counts < 350 cells/mm3, 43% had high self-stigma and 36% had high social stigma while 11% had poor QOL and 7% had poor ATT. There was no significant association of CD4 cell count, self-stigma and social stigma with quality of life and with adherence to treatment. Conclusion A weak association was noted between poor QOL and low CD4 cell counts and among those who felt higher social stigma, but the relationships were not significant. The association between poor ATT and the selected biopsychosocial factors was not significant.
CD4 Lymphocyte Count ; Social Stigma ; Quality of Life

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A cross-sectional descriptive study on the earthquake preparedness of selected highly vulnerable barangays in Metro Manila

Justine Mary R. Baquiran ; April Faye P. Barbadillo ; Maria Fonseca Camille T. Baroñ ; a ; Beverly Mae C. Castillo ; Charis Easter Joy G. Castro ; Luis Lorenzo A. Chan ; Collin Clinton E. Cheng ; Mica Asher Antonie D. Ching ; Elliri Aleeja V. Chio ; Cheryl Yvan C. Chong ; Ma. Peñ ; afrancia L. Adversario ; Jose D. Quebral

Health Sciences Journal.2017;6(1):15-22.

Introduction: A 7.2 magnitude earthquake arising from the West Valley Fault will result in thousands of lives lost and severe damage to property and infrastructure. This study aimed to determine the disaster preparedness of barangays in Metro Manila along the West Valley Fault. Methods: This was a cross-sectional study of high risk barangays in six cities along the West Valley Fault using the Disaster Preparedness Audit. A total of 40 barangays were assessed on their levels of disaster preparedness in terms of percentage fulfilment of different criteria in the four thematic areas: 1) prevention and mitigation 2) preparedness 3) response and rehabilitation, and; 4) recovery. Results: None of the surveyed barangays could fulfil all the 27 criteria for disaster preparedness. Most were only able to satisfy 50-74% of the criteria. As per thematic area, no barangay met ≥75% of the criteria for prevention and mitigation whereas 87.5%, 67.5% and 80% satisfied ≥75% of the criteria for preparedness, response and recovery, respectively. In terms of overall disaster preparedness, less than half of the surveyed barangays satisfied ≥75% of the total criteria. Conclusion Most of the barangays surveyed are inadequately prepared to cope with disaster arising from a major earthquake generated by the West Valley Fault.

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The efficacy of okra (Abelmoschus esculentus) in decreasing blood sugar levels among patients with impaired fasting glucose in Antipolo City

Wilfred A. Labadnoy ; Marijoy Camille D. Lacas ; Marie Frances L. Lalican ; Danna Lauren B. Larrazabal ; Jose Alberto M. Lim ; Kim Marvee M. Lim ; Mary Ann S. Limbo ; Lorenz S. Lista ; Kristina Ida L. Liwag ; Marielle B. Llamas ; Jose Luisito A. Zulueta

Health Sciences Journal.2017;6(1):23-27.

Introduction: Previous studies have shown conflicting results on the efficacy of okra on lowering blood sugar levels. This study aimed to determine the efficacy of okra in decreasing blood sugar among patients with impaired fasting glucose. Methods : This was a randomized double-blind trial among patients with impaired fasting blood glucose from three clinics in Antipolo City. Potential subjects were identified from records of the three clinics, recruited and screened using the Finnish Diabetes Risk Score (FINDRISC) and fasting blood sugar (FBS). Eligible patients were randomly assigned to receive okra or placebo capsules twice daily for one month. The blood sugar after 30 days was compared with the baseline and the difference between the okra and placebo groups was compared. Results : There was a significant difference between the pre-treatment and post-treatment FBS levels, respectively, of both the okra and placebo groups (p-value <0.01). However, the difference between the mean difference of the okra and placebo groups was not significant (p = 0.06). Conclusion The present study showed that okra capsules are not efficacious in lowering blood sugar levels.
Abelmoschus ; Blood Glucose

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Retinal microvascular abnormalities in different stroke subtypes: A cross-sectional study

Monique Therese S. Punsalan ; Antonio Miguel C. Unabia ; Jose Luis G. De Grano ; Rene B. Punsalan

Health Sciences Journal.2017;6(1):28-34.

Introduction: This study aimed to describe retinal microvascular changes in patients diagnosed to have stroke and determine the association between retinal microvascular changes and type of stroke (lacunar and non-lacunar). Methods: This is a cross-sectional descriptive study conducted among stroke patients seen at the Neurology Ward and Neurology Out-Patient Clinic of the UERM Memorial Medical Center. The patients' demographic characteristics and risk factors were obtained through a standardized questionnaire. Retinal photographs of both eyes were taken in eligible patients who consented to join the study. Retinal vascular changes were identified and their association with the type of stroke was determined. Results : Thirty-seven patients, 64% of whom had small artery occlusion type of lacunar stroke, were enrolled in the study. The most prevalent retinal abnormalities for each type of stroke were AV nicking and focal arteriolar narrowing. The prevalence of abnormal retinal findings between patients with lacunar stroke and non-lacunar stroke were compared and showed insufficient evidence to demonstrate a statistical significance between abnormal retinal findings and lacunar stroke. Conclusion There is no significant association between abnormal retinal findings and lacunar stroke.
Stroke ; Stroke, Lacunar

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Relationship between functionality and depression among elderly patients with hip or femoral fractures

Alyssa Clarisse C. Domingo ; John Paul V. Gonzales ; Nicole Jane P. Largo ; Shaira Anne B. Quingua ; Andrae B. Capino

Health Sciences Journal.2017;6(1):35-37.

Introduction: The sudden loss of ability to perform one's role increases an elderly person's awareness of his dependency on others and creates emotional frustration. The study aimed to determine the relationship between functionality and depression among elderly persons with fracture of the hip or femur. Methods : This was a correlational study using the Geriatric Depression Scale and Barthel Index Tool to measure depression and functionality, respectively, among randomly sampled geriatric patients admitted in an orthopedic hospital. Spearman rho was used to determine the relationship between functionality and depression. Results : Majority of the 43 respondents were women and the mean age of the sample was 70 years. The respondents had a low level of functionality with a mean Barthel Index of 8.3. Around 85% had mild or severe depression. The Spearman's rho showed a moderate negative relationship between functionality and depression which was statistically significant (r = -0.51, p < 0.01). Conclusion Among geriatric patients with femoral or hip fractures, patients with low functionality tend to be depressed.
Depression

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Metastatic mammary carcinoma in a mature singleton placenta

Francia Victoria A . de los Reyes

Health Sciences Journal.2017;6(1):38-44.

Introduction: Placental metastasis from maternal malignancies is a rare occurrence with a significantly adverse prognosis on the mother with no known effect or established risk factors for the newborn. As such, characterization of these lesions is necessary to serve as a stepping stone for more exhaustive studies regarding this presentation. Case Summary : This is a case of a metastatic breast carcinoma in a mature singleton placenta in a 39 year old woman diagnosed with invasive breast carcinoma of no special type/invasive ductal carcinoma, not otherwise specified, during the second trimester of pregnancy. Also discussed are the immunohistochemistry studies done to confirm the origin of the tumor. A comparison of the ER, PR, and HER2/neu receptor status between the primary lesion and the placental metastasis was also done. Conclusion Pregnancy-associated breast cancer is a lesion that carries adverse prognosis for the mother because of the delay in diagnosis attributable to confusion of symptomatology. The pertinent problem in pregnancy-associated breast cancer with placental metastasis is the deficiency of the placenta to induce tumor metastasis away from itself.
Immunohistochemistry

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Awareness of medical students of the Patient's Bill of Rights

Sheela Mae G. Tan ; Hazael V. Tanael ; Maria Angela C. Tanjuatco ; Lyzka Camille G. Templonuevo ; Eunice Grace D. Vallada ; Yzabel N. Vergel de Dios ; Joseph Louie M. Vicencio ; Alyssa Nina T. Vilaga ; Maria Isabela C. Vilela ; Patricia Jan S. Villa ; Vielka Z. Villanueva ; Jesryph Flor A. Villegas ; Fria Franchesca P. Vitug ; Georgina T. Paredes

Health Sciences Journal.2017;6(2):45-49.

Introduction : Health care providers must develop awareness and understanding of the rights of patients in order to render quality care. The study aimed to assess the awareness of students of the College of Medicine of the Patient's Bill of Rights. Methods : Medical students selected by stratified sampling were asked to answer a questionnaire on patients' rights. Respondents with scores of at least 80% were considered "aware". The proportion of respondents who were "aware" was determined. Results : The results revealed that 84.6% of the respondents have >80% awareness level. More than 90% of the medical students sampled were aware of the right to choose a physician, followed by the rights to be shown respect, dignity, and consideration, to be provided healthcare service of best quality by skilled healthcare professionals, to be included in decisions and choices about one's care, and to religious assistance. Less than 70% were aware of the right of the unconscious or legally incompetent patient and right to access and transfer of care and continuity of care. Conclusion More than 80% of medical students exposed to patients are aware of the Patient's Bill of Rights.
Awareness ; Education, Medical

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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

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Comparison of self-perceived cultural competencies among student nurses

Lady Vi G. Binag ; Kirk Ivan L. Eseo ; Ivy Joy D. Jimenez ; John Carlo M. Samudio ; Samantha Isabelle R. Tomacruz ; Shaira Mae T. Torrocha ; Elaine Jean M. Uayan

Health Sciences Journal.2017;6(2):55-60.

Introduction: Healthcare with its rapidly changing environment dictates that future professional nurses must demonstrate clinical and cultural competencies that meet the demands of relevant and quality nursing care. This study aimed to compare the cultural competency of students in the different year levels of the College of Nursing. Methods : This comparative study identified, analyzed, and explained the differences in the cultural competency of Level 1 to Level 4 students in the UERMMMCI College of Nursing in 2016. The mean scores of the different year levels in the Clinical Cultural Competency Questionnaire were compared. Results : The mean scores for knowledge, skills and attitude were 3.2, 3.4 and 3.6, respectively. There was no significant difference across year levels in any of the three domains. Race/ethnicity and length of stay in a foreign country was significantly associated with skills (p < 0.01) in Level 3 and Level 4 nursing students. Length of stay in a foreign country was significantly associated with attitude (p = 0.02) among freshmen nursing students. Conclusion There is no significant difference in the overall cultural competence and in the knowledge, skills and attitude in cultural competence of nursing students across year levels.
Cultural Competency ; Students, Medical

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