Institution
University of the Philippines Manila
Education•Manila, Philippines•
About: University of the Philippines Manila is a education organization based out in Manila, Philippines. It is known for research contribution in the topics: Population & Medicine. The organization has 2218 authors who have published 2357 publications receiving 88781 citations. The organization is also known as: UPM.
Topics: Population, Medicine, Health care, Public health, Poison control
Papers published on a yearly basis
Papers
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TL;DR: Health screening is defined as the use of a test or a series of tests to detect unrecognized health risks or preclinical disease in apparently healthy populations to permit prevention and timely intervention.
29 citations
TL;DR: In a Perspective, Jacqueline Deeen discusses challenges in balancing the individual and population risks and benefits for CYD-TDV (Dengvaxia), the first available dengue vaccine.
Abstract: In a Perspective, Jacqueline Deeen discusses challenges in balancing the individual and population risks and benefits for CYD-TDV (Dengvaxia), the first available dengue vaccine.
29 citations
TL;DR: There are determined pockets of activity in Latin America, Sub-Saharan Africa, and the Asia Pacific region, where partnerships among government, non-governmental organizations, academia, the private sector and civil society are developing novel NBS programs that are both saving lives and preventing disability in those who survive.
29 citations
TL;DR: High VIA coverage targeting women aged 35–45 years old at five-year intervals is the most efficient and cost-saving strategy in reducing cervical cancer burden in the Philippines.
Abstract: Cervical cancer is the second leading cause of cancer cases and deaths among Filipino women because of inadequate access to screening and treatment services. This study aims to evaluate the health and economic benefits of HPV vaccination and its combination with different screening strategies to find the most optimal preventive strategy in the Philippines. A cost-utility analysis was conducted using an existing semi-Markov model to evaluate different screening (i.e., Pap smear, visual inspection with acetic acid) and vaccination strategies against HPV infection implemented alone or as part of a combination strategy at different coverage scenarios. The model was run using country-specific epidemiologic, cost and clinical parameters from a health system perspective. Sensitivity analysis was performed for vaccine efficacy, duration of protection and costs of vaccination, screening and treatment. Across all coverage scenarios, VIA has been shown to be a dominant and cost-saving screening strategy with incremental cost-effectiveness ratio (ICER) ranging from dominant to Php 61,059 (1443 USD) per QALY gained. VIA can reduce cervical cancer cases and deaths by 25 %. Pap smear screening was found to be not cost-effective due to its high cost in the Philippines. Adding HPV vaccination at a cost of 54 USD per vaccinated girl on top of VIA screening was found to be potentially cost-effective using a threshold of 1 GDP per capita (i.e., Php 120,000 or 2835 USD/ QALY) with the most favorable assumption of providing lifelong immunity against high-risk oncogenic HPV types 16/18. The highest incremental QALY gain was achieved with 80 % coverage of the combined strategy of VIA at 35 to 45 years old done every five years following vaccination at 11 years of age with an ICER of Php 33,126 (783 USD). This strategy may result in a two-thirds reduction in cervical cancer burden. HPV vaccination is not cost-effective when vaccine protection lasts for less than 20 years. High VIA coverage targeting women aged 35–45 years old at five-year intervals is the most efficient and cost-saving strategy in reducing cervical cancer burden in the Philippines. Adding a vaccination program at high coverage among 11-year-old girls is potentially cost-effective in the Philippines assuming a life-long duration of vaccine efficacy.
29 citations
TL;DR: Findings showed that for the in-hospital phase, patients in the group given pre-operative instructions performed at a significantly higher level compared to the uninstructed group, and both the instructed post-mastectomy and post-hysterectomy groups performed self-care activities at home significantly better than and more frequently than the uninstruct groups.
29 citations
Authors
Showing all 2239 results
| Name | H-index | Papers | Citations |
|---|---|---|---|
| Mitchel S. Berger | 120 | 641 | 53335 |
| Baldomero M. Olivera | 92 | 503 | 32064 |
| Adrian G. Barnett | 69 | 477 | 16536 |
| Martin L. Hibberd | 69 | 247 | 17482 |
| Peter Proksch | 69 | 693 | 20980 |
| A. Douglas Kinghorn | 64 | 405 | 23180 |
| Carl Abelardo T. Antonio | 60 | 106 | 66867 |
| Carlos A Castañeda-Orjuela | 58 | 137 | 74960 |
| Johannes J. Rasker | 53 | 281 | 9870 |
| Paiboon Sithithaworn | 48 | 240 | 8225 |
| Antonio L. Dans | 46 | 114 | 15661 |
| David R. Hillyard | 46 | 130 | 8296 |
| Lorraine S. Evangelista | 44 | 159 | 6001 |
| Lourdes J. Cruz | 43 | 58 | 8079 |
| Prashant Kapoor | 41 | 415 | 7578 |