A one-year prevalence baseline study of chest x-ray positive college adolescents in the school setting : (Record no. 4121)

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fixed length control field 03045nam a22001817a 4500
003 - CONTROL NUMBER IDENTIFIER
control field DOH
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20210420123325.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
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100 1# - MAIN ENTRY--PERSONAL NAME
Personal name Balita-Pumanes, Ma.Consuelo
245 02 - TITLE STATEMENT
Title A one-year prevalence baseline study of chest x-ray positive college adolescents in the school setting :
Remainder of title Incidence and outcomes of diagnostic and therapeutic intervention /
Statement of responsibility, etc. Ma.Consuelo Balita-Pumanes
520 3# - SUMMARY, ETC.
Summary, etc. OBJECTIVE: To conduct a baseline study on the prevalence, diagnosis and management of chest X-ray (CXR) positives among adolescents in a school setting<br/><br/>DESIGN: Descriptive, population-based prevalence study.<br/><br/>SETTING: St Pauls College Manila.<br/><br/>SUBJECTS: All college students enrolled for the school year 1997-1998 who have been found to have chest X-ray findings of pulmonary tuberculosis (PTB) using purposive sampling.<br/><br/>MAIN OUTCOME MEASURES: 1) Baseline prevalence of PTB in the population studied, 2) description of the medical interventions performed in terms of diagnostic modality used and of treatment. 3) compliance rate to the intervention performed, 4) description of the outcomes in terms of treatment completion and follow-up chest X-ray findings, and 5) identification of health resources utilized for medical diagnosis and treatment.<br/><br/>RESULTS: There were 3,041 students enrolled and 94 percent had chest X-ray. Thirty-one X-ray films were interpreted as (+) for PTB. The prevalence is 31/3, 041 or 1 percent which is lower than the national prevalence of 4.7 percent of CXR positives among asymptomatic patients. Twenty-two students were followed up for one year. Only six of the students complied with the recommendation for sick leave. Majority of the students were not able to comply with the recommended sputum culture, although roughly half were able to comply with sputum AFB smear. Sputum AFB smear positive was similar to the national prevalence of 0.3/1,000. Majority of the students were treated by specialists who were mainly hospital-based. Eighteen students were able to complete at least six months of treatment with 15 undergoing follow-up CXR. Thirteen of these chest films showed improvement during or after treatment.<br/><br/>CONCLUSION: The prevalence of PTB among the participants was lower than the national figure. However, incidence of sputum AFB smear positive was similar to national prevalence. Chest X-ray while not diagnostic of PTB is still useful. The PPD (purified protein derivative) as a screening tool should be made more readily available. Good compliance can be achieved through follow-up monitoring strategies.<br/><br/>Objectives<br/>To conduct a baseline study on the prevalence, diagnosis and management of chest X-ray (CXR) positives among adolescents in a school setting
580 ## - LINKING ENTRY COMPLEXITY NOTE
Linking entry complexity note The Filipino Family Physician, 1999 37 ( 4) pages 115-125
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Tuberculosis, Pulmonary
General subdivision diagnosis
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Tuberculosis, Pulmonary
General subdivision therapy
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Early Medical Intervention
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Treatment Adherence and Compliance
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
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-- 4121
Holdings
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    National Library of Medicine     DOH Central Library DOH Central Library Electronic Resource Section 04/20/2021   J000485 D0001J000485 04/20/2021 04/20/2021 Journal Article