Mandaue City, Philippines
Mandaue City, Philippines

Cebu Doctors' University is a private university located in Mandaue City, Cebu, Philippines. It was founded in 1975 at Cebu City, as Cebu Doctors' College, with the opening of its College of Nursing, one of the first nursing colleges in Cebu Wikipedia.

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Isip-Tan I.T.,University of the Philippines at Manila | Madamba H.V.,Cebu Doctors' University | Balandra R.J.P.,University of the Philippines at Manila
Acta Medica Philippina | Year: 2016

Objectives: Describe health beliefs of pregnant women with diabetes using tweets. Describe how information on diabetes in pregnancy is shared on Twitter. Methods: Tweets by women with diabetes were identified from Symplur Signals. Status tweets were mapped to the Health Belief Model. Tweets by women with preexisting diabetes and gestational diabetes (GD) were analyzed separately. Links within tweets were surveyed for the Health on the Net (HON) Foundation seal. Results: Women with GD tweeted about cravings and the connection of high carbohydrate meals with big babies. Perceived barriers included food restriction, hunger, lab tests, clinic consults and blood glucose monitoring. Perceived benefits of blood glucose testing and a healthy diet were linked to healthy babies. Blood glucose monitoring, weight gain, and age of gestation were cues to action. Perceived barriers of women with preexisting diabetes were feelings of helplessness, loss of control, and anger. Nine domains (9.7%) had the HON Code seal. Women with preexisting diabetes shared blog posts. Women with GD shared links from organizations. Conclusion: Women with GD and preexisting diabetes had differing perceptions of susceptibility, severity, barriers, benefits, cues to action, and self-efficacy; and shared links to information differently on Twitter.


Baluyot M.M.P.,University of the Philippines at Manila | Cavan B.C.V.,Cebu Doctors' University | Alcausin M.M.L.B.,University of the Philippines at Manila
Acta Medica Philippina | Year: 2015

Osteogenesis imperfecta (01) type V is a distinct 01 phenotype that has recently been described. Patients with this phenotype present characteristically with interosseous membrane calcification and hyperplastic callus formation. We present the clinical and radiographic characteristics of two Filipino families diagnosed to have 01 type V. Through this review of cases, we aim to educate healthcare providers by highlighting salient clinical and radiographic features to aid in the recognition of this specific 01 phenotype, difficulties in diagnosis, current practices in management and fracture prevention, and issues in genetic counseling.


Bondoc I.P.,University of the Philippines at Manila | Mabag V.,Cebu Doctors' University | Dacanay C.A.,University of the Philippines at Manila | Macapagal N.D.,University of the Philippines at Manila
International Journal of Speech-Language Pathology | Year: 2016

Purpose: There is a need for speech-language pathology (SLP) research in the Philippines, in order to fill in knowledge gaps relevant to the local context. Information about the local SLP research status remains inadequate. This study describes local SLP research done over the almost past four decades. Method: Using a descriptive retrospective design, a search was made for all empirical research articles completed by Filipino SLPs from 1978 to 2015. Result: A total of 250 research articles were identified and described along several parameters. A predominant number were authored by the SLPs in the academe (97.20%). There was a focus on language (27.60%) and the nature of communication/swallowing disorders (20.80%). More than half utilised quantitative exploratory research designs (69.20%). Several used survey forms to generate data (38.41%). Nearly all were unpublished (93.60%) and were unfunded (94.80%). Conclusion: The current study revealed a dearth of research studies, limited diversity of research articles, limited research dissemination and funding concerns. It is suggested that the results of the current study can serve as a reference point to restructure research systems in the Philippines and in other developing countries, and offer data that can be used to develop a research agenda for the profession. © 2016 The Speech Pathology Association of Australia Limited


Tsai Y.-T.,Chang Gung University | Cala-Or Ma.A.C.,Cebu Doctors' University | Lui C.-C.,Chang Gung University | Wang T.-J.,Chang Gung University | Lai J.-P.,Chang Gung University
Cleft Palate-Craniofacial Journal | Year: 2013

We report a female infant with presentation of epignathus teratoma involving duplication of both the mandible and tongue. Epignathus with duplication of the mandible has rarely been reported in the literature thus far. The location and extent of the tumor, as well as the involvement of adjacent structures, resulted in trismus and upper airway obstruction at birth. Thus, staged operations including debulking and correction of anatomical anomaly were performed on this patient after life-saving tracheostomy. As a result, we not only prevented morbidity associated with the anomaly but also refined the patient's appearance and improved her quality of life. © Copyright 2013 American Cleft Palate-Craniofacial Association.


Tan G.H.,Cebu Doctors' University
Annals of Global Health | Year: 2015

Background Diabetes is increasing at an alarming rate in Asian countries including the Philippines. Both the prevalence and incidence of type 2 diabetes (T2D) continue to increase with a commensurate upward trend in the prevalence of prediabetes. Objectives The aim of this study was to review the prevalence of diabetes in the Philippines and to describe extensively the characteristics of diabetes care in the Philippines from availability of diagnostics tests to the procurement of medications. Methods A literature search was performed using the search words diabetes care and Philippines. Articles that were retrieved were reviewed for relevance and then synthesized to highlight key features. Findings The prevalence of diabetes in the Philippines is increasing. Rapid urbanization with increasing dependence on electronic gadgets and sedentary lifestyle contribute significantly to this epidemic. Diabetes care in the Philippines is disadvantaged and challenged with respect to resources, government support, and economics. The national insurance system does not cover comprehensive diabetes care in a preventive model and private insurance companies only offer limited diabetes coverage. Thus, most patients rely on "out-of-pocket" expenses, namely, laboratory procedures and daily medications. Consequently, poor pharmacotherapy adherence impairs prevention of complications. Moreover, behavioral modifications are difficult due to cultural preferences for a traditional diet of refined sugar, including white rice and bread. Conclusions Translating clinical data into practice in the Philippines will require fundamental and transformative changes that increase diabetes awareness, emphasize lifestyle change while respecting cultural preferences, and promote public policy especially regarding the health insurance system to improve overall diabetes care and outcomes. © 2015 The Author. Published by Elsevier Inc.


Chacra A.R.,Federal University of São Paulo | Tan G.H.,Cebu Doctors' University | Ravichandran S.,Bristol Myers Squibb | List J.,Bristol Myers Squibb | Chen R.,Bristol Myers Squibb
Diabetes and Vascular Disease Research | Year: 2011

To assess the long-term efficacy and safety of saxagliptin in patients with type 2 diabetes mellitus inadequately controlled on sulphonylurea monotherapy, 768 patients were randomised to saxagliptin 2.5 or 5 mg in combination with glyburide 7.5 mg versus placebo added to up-titrated glyburide over 76 weeks (24 weeks plus 52-week extension) in this phase 3, double-blind, placebo-controlled trial; 557 patients completed the study, 142 without being rescued. At 76 weeks, adjusted mean changes from baseline HbA 1C (repeated measures model) (95% confidence interval) for saxagliptin 2.5 mg, saxagliptin 5 mg, and up-titrated glyburide were 0.11% (-0.05, 0.27), 0.03% (-0.14, 0.19), and 0.69% (0.47, 0.92), respectively (post hoc and nominal p < 0.0001 for saxagliptin 2.5 and 5 mg vs. up-titrated glyburide). Adverse event frequency was similar in all treatment groups; reported hypoglycaemia event rates were 24.2%, 22.9%, and 20.6% with saxagliptin 2.5 mg, saxagliptin 5 mg, and up-titrated glyburide, respectively. Saxagliptin plus glyburide provided sustained incremental efficacy compared with up-titrated glyburide over 76 weeks, and was generally well tolerated. © The Author(s) 2011.


Zubiri J.S.,Cebu Doctors' University | Zubiri J.S.,Vicente Sotto Memorial Medical Center
Aesthetic Surgery Journal | Year: 2013

Increasing numbers of Asian patients of varying ethnicity are expressing preferences and expectations for a specific aesthetic appearance following double eyelid surgery. Those of Northern Mongolian ethnicity (Northern Chinese, Japanese, or Korean heritage) generally prefer a narrow crease, whereas those of Southern Mongolian ethnicity (Indonesian, Filipino, or Malaysian) prefer a wider fold. Older techniques performed until the mid-1990s resulted in a deep fold, giving the patients a more "Western" appearance. In this article, the author describes a modified technique of placing the suture in the subdermal layer, which allows for variety in the width of the fold, enabling the surgeon to retain anatomical aspects that are typical of each patient's ethnicity. With this technique, an Asian patient may now choose the width of fold that he or she prefers, resulting in a more ethnically natural look. © 2013 The American Society for Aesthetic Plastic Surgery, Inc.


Pabalan N.,Cebu Doctors' University | Trevisan C.M.,Collective Health | Peluso C.,Collective Health | Jarjanazi H.,Environment Canada | And 3 more authors.
Journal of ovarian research | Year: 2014

BACKGROUND/AIMS: Reported associations of controlled ovarian hyperstimulation response (COH) with genotypes of the Ser680Asn (N680S) polymorphism in the follicle stimulating hormone receptor (FSHR) gene have conflicting results.METHODS: PubMed and Embase databases were searched for studies that investigated the N680S polymorphism in the FSHR gene in COH. Parameters used to examine ovarian response were poor and hyper-responses to COH. Using the meta-analytic approach, we estimated ovarian response risk (odds ratio [OR] with 95% confidence intervals) according to genotype.RESULTS: Our findings showed that SS genotype carriers were most likely to be poor responders (OR 1.61, p = 0.08) compared to the NN and NS genotypes which showed no associations (OR 0.93-0.95, p = 0.75-0.78). Heterogeneity of these pooled ORs warranted examining its sources. We detected outlying studies in each of the three N680S genotypes. Omitting these outliers erased the heterogeneity of the recalculated pooled outcomes. It also materially altered the SS effects where carriers became slightly unlikely to be poor responders (OR 0.90, p = 0.52). The S allele carrier effect was modulated for poor responders (OR 1.24, p = 0.39) in the Non-Hispanic Caucasian (NHC) subgroup. The likelihood of the S allele carriers (OR 1.47, p = 0.02) and the unlikelihood of the N allele carriers (OR 0.64, p = 0.007) were significant in our hyper-response findings. Confined to NHC retained significance of the S allele effects (OR 1.57, p = 0.01) but not among the N allele carriers (OR 0.68, p = 0.18).CONCLUSIONS: In summary, this is a meta-analytical confirmation of the FSHR SS genotype role in COH response. Hyper-responder analysis strengths lie on the non-heterogeneity and robustness of its results. Non-robustness and heterogeneity of the poor-responder results compose its limitations. Thus, poor response findings probably require caution as to the interpretation as a susceptibility marker for ovarian response.


Batoctoy K.S.,Cebu Doctors' University | Tseng T.-C.,Buddhist Tzu Chi General Hospital | Kao J.-H.,Graduate Institute of Clinical Medicine | Kao J.-H.,National Taiwan University Hospital | And 3 more authors.
Hepatology International | Year: 2011

Context: Chronic Hepatitis B virus (HBV) infection causes significant morbidity and mortality with widespread global distribution. Different genotypes display variations in pathogenesis, disease behavior, and treatment response. HBV/B and HBV/C are prevalent in Asia, but minimal data come from the Philippines. Objective: This study is aimed to determine the HBV genotypes of Filipino patients with Chronic HBV infection seen in Cebu City, Philippines and describe the age, sex, viral activity, alanine aminotransferase (ALT) levels and viral load patterns by genotype. Study design: Case series with prospective mode of data collection. Study setting: Gastroenterology specialty clinics, Cebu City, Philippines. Study population: Patients with Chronic HBV infection seen in 2008. Maneuvers: Chronic HBV infection was defined as HBsAg(+) for >6 months with persistent/intermittent ALT/aspartate aminotransferase levels (AST) elevations. Hepatitis panel and biochemical tests determined disease activity. Ultrasound documented liver cirrhosis with corresponding hypoalbuminemia and prolonged Prothrombin time. Hepatitis C virus (HCV) co-infection was a reactive anti-HCV test. Hepatocellular carcinoma was diagnosed by ultrasound or computed tomography (CT) scan with alpha-feto protein (AFP) > 500 ng/L. COBAS Taqman HBV Test® determined HBV-DNA level. Polymerase chain reaction (PCR) genotyping was done using type-specific primers. Results: This study analyzed data from 50 patients, where 74% were males, and median age was 31 years (IR 25-40 years.). Chronic active hepatitis was seen in 76.6%. Only 18% had ALT levels >2 × ULN. Viral loads >20,000 IU/L were reported in 71% of HBeAg(+) patients. Viral loads >2,000 IU/L were seen in 73% of HBeAg(-) patients. Predominant genotypes identified were HBV/A (28%) and HBV/C (26%). No significant correlation between genotype and age (p= 0.92) and ALT levels (p = 0.58) was determined. Consistently high-DNA titers were reported for 83% of HBV/C patients and for all patients with >1 HBV genotypes. Hepatocelullar carcinoma was noted for one patient with HBV/A. Two patients with liver cirrhosis had HBV/C. Limitation: Possible significant associations between genotype and some patient-related parameters could not be determined due to scarcity of subjects. Conclusion: HBV/A and HBV/C genotypes are equally predominant among Filipino patients with Chronic HBV infection seen in two specialty clinics in Cebu City, Philippines. © Asian Pacific Association for the Study of the Liver 2011.


PubMed | Cebu Doctors' University
Type: Journal Article | Journal: Annals of global health | Year: 2016

Diabetes is increasing at an alarming rate in Asian countries including the Philippines. Both the prevalence and incidence of type 2 diabetes (T2D) continue to increase with a commensurate upward trend in the prevalence of prediabetes.The aim of this study was to review the prevalence of diabetes in the Philippines and to describe extensively the characteristics of diabetes care in the Philippines from availability of diagnostics tests to the procurement of medications.A literature search was performed using the search words diabetes care and Philippines. Articles that were retrieved were reviewed for relevance and then synthesized to highlight key features.The prevalence of diabetes in the Philippines is increasing. Rapid urbanization with increasing dependence on electronic gadgets and sedentary lifestyle contribute significantly to this epidemic. Diabetes care in the Philippines is disadvantaged and challenged with respect to resources, government support, and economics. The national insurance system does not cover comprehensive diabetes care in a preventive model and private insurance companies only offer limited diabetes coverage. Thus, most patients rely on out-of-pocket expenses, namely, laboratory procedures and daily medications. Consequently, poor pharmacotherapy adherence impairs prevention of complications. Moreover, behavioral modifications are difficult due to cultural preferences for a traditional diet of refined sugar, including white rice and bread.Translating clinical data into practice in the Philippines will require fundamental and transformative changes that increase diabetes awareness, emphasize lifestyle change while respecting cultural preferences, and promote public policy especially regarding the health insurance system to improve overall diabetes care and outcomes.

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