THE EARLY HISTORY OF HAND SURGERY IN THE PHILIPPINES AND HIGHLIGHTS IN MY EXPERIENCE AT THE NATIONAL ORTHOPAEDIC HOSPITAL MANDALUYONG AND THE OUR LADY OF LOURDES HOSPITAL, MANILA

Hand Surgery ◽  
2006 ◽  
Vol 11 (03) ◽  
pp. 109-133
Author(s):  
Eugenio M. Inocentes
Keyword(s):  
Medical Center ◽  
Hand Function ◽  
Hand Surgery ◽  
Armed Forces ◽  
The Philippines ◽  
Sunday Morning ◽  
Hand Surgeon ◽  
Orthopaedic Hospital ◽  
Foreign Guest ◽  
History Of

Several years ago, while attending a Philippines Orthopaedic Association (PDA) Annual Convention, held at the Westin Philippine Plaza Hotel, Manila in December, I had the opportunity to meet with Professor Yoshikazu Ikuta, a well-known microsurgery and hand surgeon from Japan and one of the foreign guest speakers. I had been invited to work with him at the Armed Forces of the Philippines (AFP) Medical Center on the case of a high ranking general of the AFP, with a hand contracture disability problem. The case was referred to him by Dr. Evaristo Sanchez, Chief of Orthopaedics and the Commanding General of the AFP Medical Center. He had been pre-scheduled for surgery the next day, a Sunday morning, the day before Prof. Ikuta was due to return to Japan. After a brief examination and evaluation of the generals affected hand, in the operating room with Prof. Ikuta, just before he was placed under general anaesthesia, we performed the operation together. The operation did not involve microsurgery. The procedures done were multiple combined Bunnell-Zancolli pulley advancements and MP-joint volar capsulorraphies plus flexor tendon releases in the volar forearm, which although quite extensive, were only palliative, to minimise and improve on the contracture deformities, in preparation for a final re-evaluation for possible later, more definitive tendon transfers for hand function. However, I never received any further information regarding the results of our surgery. Recently, I have been honoured and invited again by Prof. Ikuta, presently the Editor-in-Chief of the Hand Surgery Journal (Asian Volume), this time to write the history of hand surgery in the Philippines and add to it, "Highlights in my experience at the National Orthopaedic Hospital, Mandaluyong, and the Our Lady of Lourdes Hospital, Manila", the last portion of which is on paralytic disabilities of the Hand. I am deeply grateful to Prof. Ikuta for giving me this honour and opportunity to present the total experience, favourable and unfavourable, of a hand surgeon from a developing country, like the Philippines. Furthermore, this would afford me also, the chance to be able to make known to readers of this now prestigious journal, the philosophical thoughts which led me to unwittingly originate or come up with and develop a few of my own "Long Tendon Rerouting Procedures" which may possibly and hopefully merit as this author's title contribution to surgery of the hands.

Philippine shooting hits progress on maritime defences

2015 ◽  
Keyword(s):  
Armed Forces ◽  
The Philippines ◽  
Political Involvement ◽  
Content Type ◽  
External Threats ◽  
Popular Movement ◽  
History Of ◽  
Maritime Disputes ◽  
National Police

Subject The strategic implications of the Mamasapano shooting for the Philippine armed forces. Significance February 25 marked the anniversary of 'EDSA I', the popular movement that ousted President Ferdinand Marcos in 1986. This year the anniversary fell in the shadow of the January 25 Mamasapano police-rebel fighting and its divisive fallout. Some 300 Philippines National Police (PNP) and 300 Armed Forces of the Philippines (AFP) officers paraded together to symbolise 'unity'. The fallout is exacerbating three problems bedevilling the AFP: operational command level rivalry with the PNP, a history of political involvement and the army's dominance of the AFP. Impacts Without reorientation to external threats, the Philippines army will retain dominance in the armed forces. This will hamper the navy's development, weakening the national position in maritime disputes. Police-army frictions will take time to resolve.

America’s Legacies in Southeast Asia

2020 ◽  
pp. 19-61
Author(s):  
David Shambaugh
Keyword(s):  
United States ◽  
World War Ii ◽  
Southeast Asia ◽  
Korean War ◽  
Armed Forces ◽  
The United States ◽  
The Philippines ◽  
History Of ◽  
The Cold War ◽  
North Vietnam

This chapter traces the history of American presence in Southeast Asia. The American legacy in the region began with traders and missionaries during the first half of the nineteenth century, then progressed to diplomats and official relations during the second half, and then to the arrival of American armed forces at the turn of the twentieth century. Meanwhile, America’s commercial interests and footprint continually broadened and deepened; educational and religious ties also blossomed. Except in the Philippines, America was largely seen as a benevolent partner—but not yet a power. That would change in the wake of World War II and the Cold War. With the advent of communist regimes in China, North Vietnam, and North Korea, and the ensuing Korean War, Southeast Asia took on a completely different cast in Washington. It became one of two major global theaters of conflict against communism. Thus began America’s long and draining involvement in Vietnam and Indochina (1958–1975). But with the end of the long and exhausting Indochina conflict, which tore the United States itself apart, American attention naturally began to wane and dissipate. Yet, the United States continued to engage and build its relations with the region from the Carter through the Bush 43 administrations.

Considerations for Hand Surgery in Patients With Scleroderma

Hand ◽  
2021 ◽  
pp. 155894472110172
Author(s):  
Chelsea R. Brown ◽  
Nisha J. Crouser ◽  
Amy L. Speeckaert
Keyword(s):  
Systemic Sclerosis ◽  
Hand Function ◽  
Treatment Strategies ◽  
Hand Surgery ◽  
Multiple Organ ◽  
Surgical Patients ◽  
Raynaud Phenomenon ◽  
Joint Contractures ◽  
Hand Surgeon ◽  
Organ Systems

Systemic sclerosis (scleroderma, SSc) is an autoimmune disease that causes significant dysfunction to multiple organ systems, including the musculoskeletal system. It poses significant challenges to the hand surgeon, including calcinosis, ischemic changes, Raynaud phenomenon, tendinopathies, synovitis, and joint contractures. Patients with SSc also suffer from multiorgan dysfunction, which makes them high-risk surgical patients. The hand surgeon must understand the pathophysiology, treatment strategies, and special operative considerations required in this population to avoid complications and help maintain or improve hand function.

A Dirty, Half-Hidden War

2020 ◽  
pp. 159-184
Author(s):  
Colleen Woods
Keyword(s):  
United States ◽  
Armed Forces ◽  
The United States ◽  
The Philippines ◽  
Central Intelligence Agency ◽  
The Political ◽  
Intelligence Agency ◽  
Western Imperialism ◽  
History Of ◽  
The U.S

This chapter assesses the formation of a private paramilitary organization in the 1950s by Central Intelligence Agency (CIA) agents who were associated with Edward Lansdale, as well as by a group of veterans from the Armed Forces of the Philippines (AFP). This “Freedom Company” was meant to transport the “lessons of the Huk campaign” to sites elsewhere in Asia and Latin America. As an organizing principle, the Freedom Company and its U.S.-based supporters assumed that U.S. colonialism had imparted “modern political knowledge” to Filipinos; as the most “politically modern” Asians, therefore, they were best equipped to “export democracy” throughout the region. The Freedom Company Philippines (FCP), staffed entirely by Filipinos in an effort to distance contemporary U.S. interventions from a history of Western imperialism, actively promoted the idea that the U.S. colonial project in the Philippines had succeeded, while European imperial practices had failed to develop Asian societies properly. Though steeped in racialized perceptions regarding the political capacities of colonized or formerly colonized peoples, anticommunists contended that U.S. colonialism in the Philippines and contemporary U.S. interventions demonstrated the United States' interests in liberating Asians from colonialism across the region.

Prophylactic Antibiotics Prior to Hand Surgery in Patients with Prosthetic Joints

Hand ◽  
2020 ◽  
pp. 155894472091836
Author(s):  
Eugene Warnick ◽  
Asif M. Ilyas
Keyword(s):  
Antibiotic Prophylaxis ◽  
Medical Center ◽  
Academic Medical Center ◽  
Previous History ◽  
Hand Surgery ◽  
Prophylactic Antibiotics ◽  
Inclusion Criteria ◽  
Joint Infections ◽  
Prosthetic Joint Infections ◽  
History Of

Background: To determine the prevalence of prosthetic joint infections (PJIs) after elective clean hand surgery in order to determine whether prophylactic antibiotics are warranted in patients who have previously undergone total joint arthroplasty (TJA). Methods: All patients undergoing elective clean hand surgery between 2012 and 2018 were retrospectively cross-referenced with patients who had previously undergone a TJA at the same urban academic medical center. Inclusion criteria were any patients who underwent clean hand surgery during the study period who were an adult between the ages of 30 and 90, had a previous TJA, and did not have a previous history of a PJI. All charts were reviewed to collect data on patient demographics, co-morbidities, the type of TJA and hand surgery performed, whether prophylactic antibiotics were used prior to the hand surgery, and whether a PJI occurred within 3 months of the hand surgery. Results: Total of 331 patients (181 females and 150 males) were identified over the 6-year period that met inclusion criteria. In total, 13% of the patients received prophylactic antibiotics prior to their hand surgery and 87% had not. Only 1 case of a PJI occurred within 3 months of a hand surgery. No relationship was identified between the PJI and the hand surgery, nor the need for preoperative antibiotic prophylaxis. Conclusions: Incidence of PJI after clean hand surgery is very low. We do not recommend the routine use of antibiotic prophylaxis in patients undergoing clean elective hand surgery with a history of prior TJA in order to prophylax against a PJI.

scholarly journals Performance of a Rapid Diagnostic Test for Influenza in a Tertiary Military Hospital, Philippines

2021 ◽  
Author(s):  
John Mark Velasco ◽  
Maria Theresa Valderama ◽  
Paula Corazon Diones ◽  
Fatima Claire Navarro ◽  
Maribel Develos ◽  
...  
Keyword(s):  
Predictive Value ◽  
Influenza A ◽  
Clinical Symptoms ◽  
Medical Center ◽  
Age Groups ◽  
Armed Forces ◽  
The Philippines ◽  
Military Hospital ◽  
Ct Value ◽  
Significant Difference

ABSTRACT Introduction It is important to evaluate the performance of existing rapid influenza diagnostic tests (RIDTs) and the factors that can affect performance especially when the circulation dynamics of influenza strains change such as the displacement and replacement of the circulating seasonal influenza strains. Materials and Methods Nasal swabs were collected from patients presenting at V Luna Medical Center, Armed Forces of the Philippines Health Service Command, with influenza-like illness (ILI) with one swab tested using Quickvue (QV) influenza A+B RIDT (Quidel) and the other swab tested using the ABI 7500 (Applied Biosystems) real-time reverse transcriptase-polymerase chain reaction. Sensitivity, specificity, positive predictive value, and negative predictive value were estimated. We identified clinical symptoms predictive of influenza subtype and evaluated the independence of QV sensitivity on (1) Cycle threshold (Ct) value, controlling for timing of collection; (2) timing of collection, controlling for Ct value; and (3) Ct value and timing of collection taken together. Results Between August 2011 and October 2016, patients presenting with ILI (n = 2333) underwent testing. Quickvue sensitivity across all subtypes was significantly correlated with lower Ct values (higher virus titers) (P <.001) and, except for flu A/H3 (P = .974), was also significantly associated with timing of specimen collection (P <.05). No statistically significant difference was noted in QV sensitivity for Flu A/H3 (P = .130), pandemic H1/N1 (P = .207), Flu A/H3 + pandemic H1/N1 (P = .341), and Flu B (P = .103) across different age groups but sensitivity of QV significantly differed (P <.001) across the different influenza subtypes. Conclusion Overall specificity of QV was high across all flu subtypes, but overall sensitivity was low (Flu A/pdm H1) to moderate (Flu A/H3 and Flu B). The findings highlight the need to develop more sensitive influenza RDTs to detect circulating influenza strains and the use of the quadrivalent flu vaccine during the annual influenza vaccination.

scholarly journals Assessment of Rapid SARS-CoV-2 Testing with Lateral Flow Immunoassay among Asymptomatic Healthcare Workers in Makati Medical Center

2020 ◽  
pp. 54-62
Author(s):  
Cherry Lois M. Benjamin ◽  
Jan Patrick O. Ng ◽  
Elija Haziel B. Sunga ◽  
Darleen M. Sy ◽  
Saturnino P. Javier ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Virus Disease ◽  
Medical Center ◽  
Tertiary Hospital ◽  
The Philippines ◽  
Lateral Flow ◽  
Lateral Flow Immunoassay ◽  
Antibody Testing ◽  
Global Pandemic ◽  
History Of

Aims: Corona Virus Disease-19 (COVID-19) is a global pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). While the gold standard for diagnosis is still reverse transcription Polymerase Chain Reaction (RT-PCR), it is not readily available. Serologic testing is considered to be a faster method of identifying individuals who may have been exposed and developed antibodies against SARS-CoV-2. Methodology: This was an ambirectional observational study aimed to determine the prevalence of exposure to COVID-19 infection among asymptomatic healthcare workers in Makati Medical Center, a tertiary hospital in the Philippines, using rapid antibody testing (lateral flow immunoassay) in May 2020. Results: A total of 1557 asymptomatic healthcare workers were included in the study. Majority belonged to the paramedical group (52%). Twenty (1.3%) healthcare workers were IgM positive while 17 (1.1%) tested positive for IgG. Three healthcare workers (0.2%) tested positive for both antibodies. Participants with history of being quarantined who tested positive for either IgM or IgG were significantly higher compared to those who tested negative for both antibodies (55%, 33.3%, 41.2% vs 28.5%, p = 0.036). Those with diabetes had 6.8 times higher risk of being IgM positive and IgG negative (p=0.001). In addition, those with diabetes were more likely (13.6 times) to be positive in both tests (p=0.034). Conclusion: There was a low prevalence (2.6%) of COVID-19 infection among healthcare workers of Makati Medical Center. Among those with positive serologic test, diabetes mellitus, history of exposure and history of quarantine were risk factors associated with COVID-19 infection.

Award documents of the CheKa functionary E. G. Evdokimov as a source on the history of All-Ukrainian Extraordinary Commission and Red Terror in Crimea in 1920–1921

2018 ◽  
pp. 201-214
Author(s):  
Andrei Ganin
Keyword(s):  
Armed Forces ◽  
History Of ◽  
Commander In Chief

The article analyzes the award documents of the head of the Special Department of all-Ukrainian CheKa E. G. Evdokimov as a source on the history of Red Terror in Crimea in 1920–1921 and in relation to the activities of Ukrainian CheKa officers. To date, these materials are the only known departmental evidence of the scale of the Crimean executions. In addition, of interest is the perception of these events by the commander-in-chief of all armed forces of Ukraine and Crimea M.V. Frunze, who left two resolutions on the documents.

Sign in / Sign up

Export Citation Format

Share Document