Preceptorial With Dra Abong

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    PRECEPTORIAL with DRA. ABONG

    y Look into the EPIDEMIOLOGY more.o Search for the Top 10 Morbidity in the

    Philippines (or top 10 diseases in the

    Philippines)

    Comment: I think shesuggested this so that we can

    JUSTIFY WHY we chose that

    certain DISEASE. (to be

    stated in the RRL

    specifically the background of

    the topic)

    y According to her and to us, our study isCROSS-SECTIONAL because we are studying

    PREVALENCE.

    y She asked us, How many times in a schoolyear? or in general, to specify the TIME

    PERIOD to which we will be conducting the

    study. We have to DEFINE specifically the end

    points/dates, i.e. June 2011- December 2011.

    y We should also identify the CONFOUNDINGFACTORS of the disease

    o We need to take these intoconsideration because these will

    determine the FEASIBILITY of our

    study.

    y We also need to look for a TOOL (i.e. aquestionnaire or survey form) which well use

    to gather our data and to DIAGNOSE the

    disease apart from others.

    o We search for similar studies and tryto get their research tool and use that

    as our prototype.

    y If we plan on pursuing our original diseases(common colds and influenza), we need to

    examine the prevalence of these diseases in

    the GENERAL POPULATION (from all patients).

    o We confirmed that we shall get thisdata/these records from the

    MUNICIPAL HALL of Dasmarias.

    o From these we shall determine whomwe shall consider our subjects.

    y Regarding COMMON COLDS + INFLUENZA +VENTILATION

    o What are the confounding variablesthat may bring about results?

    Classroom condition (i.epresence of moulds, etc.)

    Crowding index Socio-economic status Nutrition Level *Allergy may be mistaken

    for common cold (HOW would

    you differentiate the two?

    HOW will you DIAGNOSE?)

    y She suggested that we look for STUDIES doneABROAD on prevalence of disease associated

    with ventilation system. So that we have bases

    for our RRL and for some questionnaires.

    y In our RRL, whenever we mention or statePREVALENCES, we should not say, In the yea

    2011, 1,234,609 people died from

    atherosclerosis and STDs combined.

    o Instead, we should say, In the yea2011, 1 out of every 1000 filipinos

    die of colon cancer every day.

    o OR In the year 2001, an estimate osix thousand five hundred twenty-foupeople died of pulmonary diseases.

    o *We should also search (among thedisease of choice) the AGE GROUP

    which has the HIGHEST PREVALENCE

    of that particular disease.

    y Also, in our RRL, when we cite studies, weshould always include the following:

    o Author of the study (if multiple, firsauthor then et.al.)

    o Brief summary of the study ( thesubjects of the study, time period

    procedure done, disease of interest

    conclusion, age group involved)

    o Example: A study done by Robbinset. al. states that from June 2001 to

    December 2001, terminally-il

    patients , aged 60-80 years old, o

    DLSUMC admitted for stage four colon

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    cancer showed 90% prevalence of

    depression after 2 months of

    chemotherapy treatment.

    (Sorry malabo yung example,pero gets niyo diba? Right off

    the top of my head ko lang

    yan kinuha. HAHAHA)

    Bottom line is, she want us to SPECIFY the following for our

    next output:

    o PATIENT (age group, WHY we chose them, WHY notothers, etc.)

    o OUTCOME (in measurable terms: whether thedisease we are considering in collecting the data

    from is PHYSICIAN-DIAGNOSED or PATIENT

    PERCEIVED)

    o DURATION OF EXPOSURE (consider aircon in thehouse)

    o (+) in classroom, (+) also in the houseo Take note that children spend the nigh

    longer = approximately 8 hours VS. hours

    spend at school

    o EPIDEMIOLOGY and JOURNAL ARTICLESSregarding our topic

    o Factors that increase the rate oprevalence of infection

    o She suggested ALLERGIC RHINITIS, specificallywhat EXACERBATES allergic rhinitis (aircon or non

    aircon). Its up to us if we want to pursue this