Philhealth Renewal Advisory
Annual Business Meeting
MEMO: To All PPS Members
WHAT: Annual Business Meeting
WHERE: Philippine International Convention Center
WHEN: April 5, 2017 (Wednesday), 12:00nn 2:00pm
Note: The above information was decided upon by the PPS Board of Trustees during their BOT meeting on August 15, 2016 at PPS building.
By: JOSELYN A. EUSEBIO, M.D.
Secretary, PPS, Inc.
RFID UPDATES
The deadline for all RFID transactions was December 15, 2016 as announced in the PPS website, and the Facebook
pages of both the PPS and the Convention. This was even extended up to January 15, 2017. Henceforth,
ALL transactions on all RFID matters will be entertained onsite during the convention.
The PPS Secretariat and office staff thank you for your understanding.
If you have your PPS RFID and your 2017 convention badge, it will be easier for you. Just claim your kit and check the validity of your RFID card then you are done!
We have only 5 days to go before the 54th Annual Convention and we have prepared an RFID Checklist and Reminders for you.
The RFID card is needed for PPS-CPD unit crediting and monitoring. NO PPS-CPD units will be credited even if you attended the sessions without the RFID as you will not be able to Tap In and Tap Out at the RFID kiosks. Please Tap In once ( 1X ) upon entering the venue and Tap Out once ( 1X ) when you leave the venue when if you are done listening to the sessions of your choice being conducted in that venue.
If your RFID card is not with you during the session days, your case will be treated the same as a lost RFID card.
Please take note that the CPD units from the PRC, PMA and the PAFP are already credited and are listed in the Certificate of Attendance. ( Please see the attached Earning CPD document )
1. Are you a PPS member or a qualified Non – Member who previously received your RFID card?
Have you located and secured your RFID card?
If you are a member, that red RFID card is your permanent, lifetime card unless you happened to lose it.
In such case, you have to:
1. Proceed to the Secretariat and pay the lost RFID fee of Php 550.00;
2. Proceed to the RFID counter with the RFID fee official receipt for printing, enrolment and validation of your replacement card. Your old card will then be inactivated and all your previous PPS-CPD details will be transferred to your replacement card.If you are a non-member, that white RFID card is your card until such time you are inducted into the society. Only then will you receive your complimentary permanent and lifetime red member’s card. If you happened to lose your RFID card, then follow the same procedure mentioned above.
Before or after claiming your kit, we recommend that you check the validity of your RFID cards at the RFID checker kiosks available at the PICC lobby. Any issues with the card will be addressed by the tech team stationed beside each kiosk.
2. Are you a pre-registered PPS member who has not received your RFID card or or a pre-registered qualified Non – Member who has applied for an RFID card and has not yet received it?
For NCR based delegates, please check the PPS website if your card is now available. You have until March 30, 2017 to claim it at the PPS Head Office. If you are unable to claim it by that time or if your name is still not on the list, please proceed to the RFID counter at the PICC Lobby ( near the grand staircase ) and retrieve your card.
For non-NCR based delegates, please check the PPS website if your card is now available. You have until March 28, 2017 to claim it at your respective PPS Chapter Offices. If you are unable to claim it by that time or if your name is still not on the list, please proceed to the RFID counter at the PICC Lobby ( near the grand staircase ) and retrieve your card. Please be advised that due to time constraints, batches of RFID released from March 21, 2017 and subsequent dates prior to the convention, will no longer be sent to the Chapter offices. If your name is on the list from those dates, please proceed to the RFID counter at the PICC Lobby ( near the grand staircase ) and retrieve your card.
3. Are you a PPS member who will register onsite and previously received your RFID card?
Have you located and secured your RFID card?
After paying your annual dues and registering for the convention, you will receive your kit then:
1. Please proceed to the RFID counter with your annual dues and registration fee official receipts
2. Present your RFID card for enrolment and validation for the 2017 convention.
3. Proceed to self badge printing kiosks to print your convention badge using your RFID card.
4. Are you a PPS member who will register onsite but has NOT previously received your RFID card?
After paying your annual dues and registering for the convention, you will receive your kit then:
1. Please proceed to the RFID counter with your annual dues and registration fee official receipts
2. Present your receipts and your permanent RFID card will be printed, enrolled and validated for the 2017 convention.
3. Proceed to self badge printing kiosks to print your badge using your RFID card.
5. Are you a Non Member who will register onsite and are qualified to have an RFID card but has yet to apply for one?
After registering for the convention, you will receive your kit then:
1. Proceed to the Secretariat
2. Present the endorsement letter from the chair of your HAB accredited training institution certifying that you have completed your pediatric residency training including the date you graduated from pediatric residency.
3. Pay the RFID fee of Php 550.00;
4. Please proceed to the RFID counter with your registration fee and RFID fee official receipts
5. Present your receipts and your non-member white RFID card will be printed, enrolled and validated for the 2017 convention.
6. Proceed to self badge printing kiosks to print your badge using your RFID card.
6. Are you a PPS member or a non-member with a RFID card who registered and paid at the PPS offices after Dec. 15, 2016 but already have your 2017 convention badge on hand?
1. Proceed to the Onsite Counter, present your kit retrieval form and claim your kit
2. Proceed to the RFID checker kioks and check if your RFID has been validated for the 2017 convention.
3. If not validated at the RFID desk stationed beside each RFID checker kioks or at the RFID counter
7. Are you a member or a non-member with a RFID card who registered and paid at the PPS Offices after December 15, 2016 but have not received your 2017 convention badges?
1. You are considered as an ONSITE registrant.
2. Proceed to the ONSITE Counter, present your Registration Fee receipt and claim your kit.
3. Proceed to the RFID counter to have your RFID enrolled and validated for the 2017 Convention.
4. Proceed to the self printing badge kiosks to print your badge.
8. Are you a non-member who paid at the PPS offices after December 15, 2016?
1. You are considered as an ONSITE registrant
2. Proceed to the ONSITE Counter, present your Registration Fee receipt and claim your kit.
Did you lose your RFID card?
All members and non-members previously issued a RFID card but either failed to bring it on session days or have misplaced their cards should proceed to the secretariat, pay the RFID fee of Php 550.00 then proceed to RFID counter with your official receipt of RFID fee to have your RFID printed and validated for the 2017 convention.
Thank you for your time and patience.
Have a fruitful and enjoyable 2017 PPS Annual Convention.
Greetings!
The 55th PPS Annual Convention is slated for April 8-11, 2018 at the Philippine International Convention Center with the theme
The N.E.E.D. to Change: New Evolving Emerging Directions in Pediatrics.
Just like the 54th Annual Convention, we would be activating all the RFID cards of the pre-registered PPS Members as well as the pre-registered non-members who are qualified to have an RFID card prior to the convention date. This entails massive data encoding of all pre-registered delegates with RFID cards hence, please take note of the deadline dates:
Pre-registration and Annual Dues Deadline: December 15, 2017
RFID Payment Deadline ( For new non-member applications and Lost cards) : December 15, 2017
List of Pre-registered Delegates along with Registration Fee O.R. number, delegates full name, PRC number and email from the chapters forward to Secretariat Deadline January 15, 2018
List of RFID Availments including RFID O.R. number, delegates full name, PRC number and email from the chapters forward to Secretariat Deadline January 15, 2018
Thank you very much for your unstinting support.
Greetings!
The 55th Philippine Pediatric Society Annual Convention has been slated for April 8-11, 2018 at the Philippine International Convention Center. Just like the Annual Conventions these past 2 years, attendance to the sessions and CPD units monitoring system using the RFID cards will be in place.
A. For PPS Members with Permanent RFID Cards
Members who attended the 2016 and 2017 Annual Conventions and have their permanent red RFID cards are encouraged to pre-register for the 2018 Annual Convention and pay their annual dues on or before December 15, 2017. The RFID cards will be activated remotely for the 2018 Convention once the technical team receives confirmation of the payment from the PPS Secretariat.
B. PPS Members without RFID cards
For the members who did not attend the 2016/2017 Annual Conventions and have not received the permanent red RFID cards, please advise them to pre-register for the 2018 Convention and pay their annual dues on or before December 15, 2017. Please indicate the name of the chapter on the data to be transmitted. The RFID cards will be printed and activated once the technical team receives confirmation from the PPS Secretariat of the payment. The RFID cards will be available for pick-up at the PPS chapter office nearest them one month prior to the convention.
C. Members with the temporary blank RFID cards
Please advise the members holding the temporary blank, white cards to email the tech support at tech-support@pps.org.ph indicating their full name and PRC number and a picture of the temporary blank white cards. They will be issued the permanent red RFID cards which would then contain the PPS CPD units recorded on the blank temporary cards and will be available for pick-up at the PPS chapter office nearest them one month prior to the convention.
D. Non-members requiring RFID cards
The white, RFID card with printed name is exclusive for non-members for need the PPS CPD units prior to taking the PPS Boards. That said, this white RFID card will only be issued to pediatric residency graduates and cost five hundred fifty pesos ( Php 550.00 vat inclusive ). It would not be issued to pediatric residents still undergoing their residency training. The residency graduate should present a letter from the chair of the HAB hospital to the PPS Secretariat or the PPS Chapter Treasurer stating that graduate indeed completed or will complete the residency training anytime from December 31, 2017 April 30, 2018 before payment will be accepted and the RFID processed. They should also indicate the PPS office closest to their area. They will be issued the white non-member RFID cards which would be available for pick-up at the PPS chapter office where payment was made one month prior to the convention.
Please remind your members to bring their RFID cards during the convention days.
Thank you very much.
Technical Support:
Email: tech-support@pps.org.ph
Note: Please claim your RFID at PPS Head Office
Note: Due to time constraints, we can no longer deliver to the chapters to ensure that it will be distributed
in time to all chapter members prior to the convention. Please claim at the RFID counter at the PICC or if possible,
at the PPS head office before March 30, 2017
RFID UPDATES
|
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| Pre Registration Member RFID | Download | ||
| Pre Registration Bank Payment RFID | Download | ||
| Organizing Committee & VIP RFID | Download | ||
| Reclassified RFID | Download | ||
| Corrected RFID – Member | Download | ||
| Corrected RFID – Non Member | Download | ||
| Replacement RFID – Member | Download | ||
| Replacement RFID – Non Member | Download | ||
| New Non Member | Download | ||
| Unclaimed RFID 2016 – Member | Download | ||
| Unclaimed RFID 2016 – Non Member | Download | ||
Note: Please claim your RFID from your Chapter Office
CHAPTER RFID UPDATES
|
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| CHAPTER | RFID LIST (Download PDF File) |
||
| NORTHEASTERN LUZON | Download | ||
| NORTHERN LUZON | Download | ||
| CENTRAL LUZON | Download | ||
| SOUTHERN TAGALOG | Download | ||
| BICOL | Download | ||
| CENTRAL VISAYAS | Download | ||
| EASTERN VISAYAS | Download | ||
| NEGROS ISLAND | Download | ||
| WESTERN VISAYAS | Download | ||
| DAVAO SOUTHERN MINDANAO | Download | ||
| NORTH CENTRAL MINDANAO | Download | ||
| SOUTH WESTERN MINDANAO | Download | ||
Note: Please claim your RFID at PPS Head Office
| TYPE | MEMBERS (PDF FORMAT) | NON MEMBER (PDF FORMAT) | |
|---|---|---|---|
UPDATED RFID LIST
|
|||
| NEW NON MEMBER RFID | Download | ||
| CORRECTED RFID | Download | Download | |
| RECLASSIFIED RFID | Download | ||
| REPLACEMENT/ LOST RFID | Download | Download | |
Note: Please claim your RFID at PPS Head Office
| UNCLAIMED RFID | DOWNLOAD (PDF FORMAT) | ||
|---|---|---|---|
NATIONAL CAPITAL REGION
|
|||
| MEMBERS RFID | Download | ||
| NON MEMBERS RFID | Download | ||
| CORRECTED RFID | Download | ||
Note: Please claim your RFID from your Chapter Office
| UNCLAIMED RFID | DOWNLOAD (PDF FORMAT) | ||
|---|---|---|---|
CHAPTERS
|
|||
| Southern Tagalog | Download | ||
| Northern Luzon | Download | ||
| Central Visayas | Download | ||
| Bicol | Download | ||
| Negros Island | Download | ||
| Western Visayas | Download | ||
| Davao Southern Mindanao | Download | ||
Note: Please claim your RFID at PPS Head Office
| UNCLAIMED RFID | DOWNLOAD (PDF FORMAT) | ||
|---|---|---|---|
UPDATED RFID LIST
|
|||
| CORRECTED RFID | Download | ||
| YELLOW FORM RFID | Download | ||
ALL PPS members are required to have their own RFID. This comes free of charge to all PPS members. However, there is a FIVE HUNDRED FIFTY PESOS ( Php 550.00 vat inclusive) replacement fee for lost RFID cards. Erroneous RFID cards issued last April 2016 either name spelling, PRC number or color ) will be reprinted FREE of charge.
All non members who require an RFID card and are availing for the RFID card for the first time should submit a letter of endorsement from the chairman of their training institution stating that the applicant has graduated from the residency program including the date of graduation. RFID card fee for these non-members is Php 550.00. There is a FIVE HUNDRED FIFTY PESOS ( Php 550.00 vat inclusive) replacement fee for lost RFID cards
An advisory for RFID new non-member applicants, PPS members who lost or misplaced their RFIDs issued last April 2016, and PPS members who received erroneous RFID cards ( i.e, spelling, PRC numbers ):
For those who cannot apply in person at the PPS head office or the chapter offices, the RFID Form for New, Replacement and Correction for Erroneous RFID Card is now downloadable as a pdf file. Please check the boxes which pertain to your particular case and fill up the important data.
For New Non-Member Applications, please deposit the payment for RFID card at UCPB using code ( 0934 – PPS – Convention Registration ) amounting to Php 550.00. Kindly send the following to tech-support@pps.org.ph cc: jhunpunegal@yahoo.com :
1) filled up RFID Form;
2) scanned payment slip;
3) scanned PRC;
4) scanned endorsement letter signed by the department chair of your training institution stating that you completed residency training and the date of completion.
For Members and Non-Members who lost the RFID cards issued to them last April 2016, please deposit the payment for RFID card at UCPB using code ( 0934 – PPS – Convention Registration ) amounting to Php 550.00. Kindly send the following to tech-support@pps.org.ph cc: jhunpunegal@yahoo.com :
1) filled up RFID Form;
2) scanned payment slip;
3) scanned PRC.
For those with errors on your RFID cards released to you last April 2016, replacement is free of charge. Kindly send the following to tech-support@pps.org.ph cc: jhunpunegal@yahoo.com :
1) filled up RFID Form;
2) scanned PRC card;
3) scanned erroneous RFID card.
Please surrender your erroneous RFID card upon claiming your corrected RFID card.
RFID cards available for pick-up either at the PPS Head Office or at the Chapter Offices.
Please take note that these are the RFID cards unclaimed from the last PPS Convention held April 2016 and the RFID cards of those who were able to process their request for correction during the April 2016 convention. Please surrender the erroneous RFID when you claim your corrected one. If you have the temporary blank RFID card in your possession, please surrender it when you claim the permanent card.
The list of the corrected RFIDs is still not complete as some are still undergoing verification of data prior to printing.
If you requested for a correction in any of your details on the RFID last April 2016 and your name is not in the list, please resend the correction form, scanned PRC and scanned erroneous RFID to tech-support@pps.org.ph cc: jhunpunegal@yahoo.com just to make sure that your card will be reprinted. Correction form can be downloaded from the PPS website.
RFID fees :
PPS member – FREE
Reprinting of Erroneous RFID for both member or non member – FREE
Non-Member – Php 550.00 ( Bring endorsement letter when you apply )
Lost RFID – Php 550.00 for both member or non member
Reclassified RFID Members:
For Those who availed of the white Non-Member’s RFID card last April 2016 convention and were inducted last April 6, 2016 and December 1, 2016, you are now re-classified as PPS members. You will receive your permanent red Member’s RFID card free of charge at least 1 month before the convention PROVIDED you pre-registered for the 2017 convention or before Dec 15, 2016.
To facilitate the printing, please send an email stating your reclassification and attach a Scanned copy of your PPS diplomates certificate and your previous non-member’s RFID card to tech-support@pps.org.ph cc: jhunpunegal@yahoo.com with the SUBJECT: Reclassified member.
Thank you
For those who still have the blank temporary cards, your names will be included in the list once the permanent cards are ready for pick-up. The list will be uploaded on the PPS website. Please bring the blank cards and surrender them upon claiming your permanent cards. If your name is NOT on the list, please send an email to tech-support@pps.org.ph cc: jhunpunegal@yahoo.com.
International Pediatric Association – Research Award
Greetings from International Pediatric Association
We are pleased to inform you that a research award in honour of Prof. Dr. ?hsan Do?ramac?, one of IPA’s pioneer leaders, has been renewed for this year. US$20,000 will be made available for a research award to a pediatrician for a two-year project focussing on child health and/or child wellness.
The research project will be funded from 1 January 2017 and should be completed by 1 January 2019. The pediatrician who receives the award will be expected to present the research findings at the IPA 2019 Congress in Panama City, Panama. Expenses will be paid to attend.
Interested applicants can download the form through IPA website and should send the duly filled application at c/o IPA Foundation (office@ipaf-world.org). Applications are due by 1st December 2016
World Pneumonia Day
As we are coming close to November 12 which is observed as World Pneumonia Day, we would like to hear from you ” What you will do to Stop Pneumonia. So kindly mail us your or your society’s plan in brief and we will be posting it on IPA website and will share on social media. For more information on World Pneumonia Day log on to stoppneumonia.org
We would request you to share it widely with your members through social media and other communication sources. Below are some suggestions for the post and sample tweets. Don’t forget to tag us @IPAWorldorg
1) The countdown begins. #WorldPneumoniaDay is Nov. 12! @IPAWorldorg
2) Know the issues. #StopPneumonia. http://stoppneumonia.org/issues/ @IPAWorldorg
3) We can #StopPneumonia. Find more information on proven prevention and treatment measures http://stoppneumonia.org/issues/ #WorldPneumoniaDay @IPAWorldorg
4) Pneumonia kills more children under the age of 5 worldwide than other deadly diseases. #StopPneumonia #WorldPneumoniaDay @IPAWorldorg
5) Overcome pneumonia, with proven interventions: exclusive breastfeeding, adequate nutrition, reduced household air pollution, clean water and sanitation, vaccines, and antibiotics. #WorldPneumoniaDay @IPAWorldorg
Further for your perusal please find the link to final report on GAPPD and the Lancet series along with the attached excecutive summary of the Lancet series from 2013. Let’s together contribute to Stop Pneumonia.
Statement on the Use of the Dengue Vaccine
Advisory for Written Examination
The Qualifying Written Examination for Diplomate of the Philippine Pediatric Society, Inc. will be held on November 9, 2016 at the PPS Building under the supervision of the PPS Specialty Board. Candidates should report to the testing center at 7am for orientation and should present their updated PRC ID Card. They are also advised to bring a black ball pen.
The 150-items examination shall consist of Recall (30%), Comprehension (35%) and Analysis (35%), and will cover the following topics:
- Adolescent Medicine / Pharmacology / Environment Health Hazards
- Bacterial Infections (excluding TB)
- Bioethics / Social Pediatrics
- Cardiovascular System / Rheumatic Diseases / Connective Tissue Disorders
- Digestive System / Nutrition and Nutritional Disorders
- Emergency / Critical Care / PALS / BLS
- Fetus and Neonate / NRP
- Genetics / Metabolic and Endocrine System
- Genitourinary System / Fluids and Electrolytes
- Growth, Development and Behavior / Behavioral and Learning Disorders
- Hematopoietic System / Tumors
- Musculoskeletal system/Sport Medicine/Integumentary system
- Nervous System / Allergy / Immune System
- Preventive Pediatrics / Accidents / EENT
- Respiratory System / Asthma (excluding TB)
- Tuberculosis (Pulmonary and Extrapulmonary)
- Viral / Fungal / Parasitic Infections
August Scientific Meeting : Childhood Tuberculosis
Tuberculosis continues to be a nationwide problem in spite of the efforts by the government to subdue this disease like giving free BCG vaccines and Anti-TB meds. The Philippine Pediatric Society in cooperation with the Philippine Academy of Pediatric Pulmonologists provided us with the Childhood TB guidelines way back in 2008 and the society is currently waiting for the latest edition which will come out this year. In the interim, PPS held its 4th Scientific Meeting for the year last August to review and clarify some of the issues regarding Tuberculosis.
The video conference was held last August 25, 2016 from the PPS Auditorium and simulcast at the Asian Hospital and the PPS Central Visayas Chapter, specifically, Cebu. The Invocation was led by the PPS treasurer Dr. Florentina Ty. The welcome remarks was given by the Director of the Council on Continuing Professional Development, Dr. Francis Xavier Dimalanta, and the speaker was introduced by the Philippine Academy of Pediatric Pulmonologists president, Dr. Mary Therese Leopando. The speaker, Dr. Agnes Rico-Mendoza, gave the following learning outcomes for the session: When to expect? How to screen? How to make a diagnosis? When to request for new diagnostic tests? Review treatment and prevention of childhood tuberculosis.
In children, tuberculosis should be suspected in the presence of the following: Cough or severe pneumonia that is not improving; weight loss or failure to gain weight or severe malnutrition; prolonged fever; cervical lymphadenopathy of >1.5 cm; persistent symptoms (>2 weeks) without improvement following: 1) broad-spectrum antibiotics for pneumonia, 2) anti-malarial treatment for fever or 3) nutritional rehabilitation for malnutrition. Risk Factors for TB Infection include: contact with source case (proximity and duration), source case characteristics (smear positivity and cavities on CXR), increased exposure (high endemic communities and children of families living with HIV). While Risk Factors for TB Disease are: Immunosuppression (malnutrition, post-measles, HIV), age <5 years, and no BCG vaccine. Dr. Mendoza also reiterated the WHO symptom-based screening which stated that for symptomatic children who are in close contact with a case of sputum smear-positive TB, evaluation for TB disease is recommended. If the exposed child is >5 years old and is asymptomatic, no treatment is given. However, if the exposed, asymptomatic child is under 5 years of age, preventive therapy is already warranted. Careful attention should be given to the atypical clinical presentations of TB like acute severe pneumonia unresponsive to antibiotics; in asymmetrical, persistent wheezing not responsive to bronchodilators which may indicate an enlarged tuberculous hilar lymph nodes; and in HIV-infected children. The WHO recommends that all children with suspected TB should be tested for HIV because of the marked clinical overlap between the two and the impact that HIV infection has on PTB treatment. Contact screening is also recommended to aid in active case-finding and preventive therapy for at-risk contacts without TB. It should be remembered that children usually develop TB within 2 years after exposure, about 90% of which, happen in the first year. That is why, if no source case is identified, always look for someone in the household who is experiencing chronic cough. There is a 30-40% risk of acquiring TB from a sputum smear(+) household exposure. On the other hand, the likelihood of getting TB based on intensity of exposure and geographic proximity to smear(-) source is at 17%. It was also emphasized that close contact with source case with sputum(+) PTB has more value than the tuberculin skin test.
Extrapulmonary tuberculosis such as TB adenitis, Pleural TB, TB meningitis, Miliary TB, Abdominal TB, Spinal TB, TB of the bones and joints, and pericardial TB were also discussed. The value of the tuberculin skin test(TST) was also reiterated. TST is used as an adjunct in the diagnosis of TB infection. The target population for TST include: contacts of person with active TB, foreign born, history of travel or household visitors from a TB-prevalent country (Mexico, Philippines, Vietnam, India, China), high-risk adult contacts (homeless, incarcerated, HIV, IV drug users), and chronic illness (DM, renal failure, malnutrition, immunodeficiencies). In high risk children (exposed, <5 years old, HIV) the cut-off is >5mm . Positive result for all other children with or without BCG is a measurement of >10mm. A negative skin test, though, does not rule out PTB. Newer modalities of latent TB testing were discussed. In Vitro interferon-? Release Assays (IGRAs) is marketed as Quantiferon TB-gold(QFT-G) and enzyme-linked immunospot assay (ELISPOT). QFT-G has >70% sensitivity and >90% specificity for diagnosing latent TB while ELISPOT has a sensitivity and specificity of >90% and >93%, respectively. IGRAs compared with TST, are more specific, as they are not shared with any BCG vaccine or selected non-TB strains hence, avoids overdiagnosis of TB. Gene Expert, another alternative diagnostic, utilizes real-time PCR technology to both diagnose TB and detect rifampicin resistance with a case detection rate of 76% and specificity of 98.8% (Nicol, et.al., 2011). Other notable diagnostics mentioned were Gas Sensor Assay, In-house Nucleic Acid Amplification (NAA) Assays, Serum Adenosine Deaminase (ADA), and the Polymerase Chain Reaction (PCR). The PCR which has >90% sensitivity and specificity may be used to determine TB in the following: 1) difficult samples with negative microscopic exam, negative culture, or scarce sample; 2) differentiate M. tuberculosis from atypical mycobacteria from samples; and 3) identify genetic variations that could lead to anti-mycobacterial agent resistance. Hence, PCR may have a special role in the diagnosis of extrapulmonary and pulmonary TB especially in children where sputum smears are usually unrevealing. Although the discussed innovative diagnostics looks promising, availability and cost may be an issue for some of the patients.
Careful history (TB contact and symptoms suggestive of TB), clinical examination (including growth assessment), tuberculin skin test, bacteriological confirmation whenever possible, investigations relevant for suspected PTB or EPTB, and HIV testing remains relevant in the diagnosis of tuberculosis. Dr. Mendoza emphasized, however, that neither TST nor culture is required for making a decision to treat for TB in cases where both diagnostics are not available.
The WHO revised dosages for the anti-TB meds for children up to 25 kilograms, which, the Pediatricians are reminded to use in the treatment course, are as follows: Rifampicin(R) 15 (10-20) mkday (max: 600mg/day), Isoniazid(H) 10 (10-15) mkday (max: 300mg/day), Pyrazinamide(Z) 35 (30-40) mkday, and Ethambutol(E)) 20 (15-25) mkday. Children above 25 kg may use the adult dosages and preparation. The revisions were done to minimize the risk of drug-induced hepatotoxicity. Other revisions in the recommendation include: 1) Four drugs (HRZE) in intensive phase for all new cases in HIV endemic setting 2) No intermittent(twice-weekly or thrice-weekly doses) regimens in HIV-endemic setting 3) Streptomycin no longer recommended as first-line therapy and 4) 12- month regimens for TB meningitis and osteo-articular TB (HRZE for 2 months, HR for 10 months). For MDR-TB, Fluoroquinolone is the treatment of choice.
Many pediatricians are still wary of giving Ethambutol in the intensive phase treatment because of its many side effects. However, Dr. Mendoza reminded everybody that the risk of toxicity in children is negligible when used in recommended dosages and at a limited duration of time, which is 2 months.
Response to anti-TB treatment is usually noted by the end of the intensive phase as indicated by resolution of symptoms and weight gain. Failure to do so may indicate: poor adherence, incorrect diagnosis, drug resistance, incorrect dosages, and co-morbidities like HIV. Hence, it is recommended that HIV status should be determined in all children treated for TB. Approaches to childhood TB prevention include: Improved case-finding and management, BCG immunization for severe disseminated TB, and contact screening and management. These approaches, however, should not only be the responsibility of the pediatrician but requires team effort from the family, the physician, the LGUs, and the DOH.
Thank you to Dr. Soidemer Claire C. Grecia for contributing this article.
Leading the Future of PPS
The 1st Leadership and Management Development Executive Program for Pediatricians ( LM-DEPP) was a collaboration between the Asian Institute of Management and the Philippine Pediatric Society. This was held last October 3-5, 2016 in Makati City. . In attendance were our National Officers , members of the Board of Trustees and Chapter Presidents. The Presidents also of our different subspecialties as well as PPS Committee chairs were also invited .
The activity was a 3-day course on leadership and management. The Key topics included Health Economics, Negotiations, Competitive Advantage through Health Operations , Collaborative Strategies for Health Leaders, Health Care Finance, Business and Society . The Program included lecture – discussions, learning team discussion and workshops , learning team exercises and presentations as well as case method.
Our PPS President, Alexander Tuazon, had been crafting and working closely with the Program Director, Patricial L. Lontoc for the past few months prior to this reality. The faculty pool consisted of top management leaders such as Federico Macaranas, Rene Domingo, Emmanuel Leyco, Nieves R. Confesor , Francisco Roman and Patricia Lontoc. The Dean was also on deck to welcome the new students of the campus.
Presentation of capstone team projects culminated the course . These would definitely be beneficial to the society as a whole. Plans for a second run of this course shortly are on the way. It was a refreshing and energizing three days of being a student once more and learning about things that matter for the present-day pediatrician practicing in the Philippines. This innovative project will have its second run soon. Interested members may coordinate through the PPS office for slot reservations .
Maria Christina H. Ventura, MD, FPPS . Dr. Ventura is the Editor in Chief of the PPS Newsletter.
In Service Examination Venues
GENERAL INSTRUCTIONS
| NATIONAL CAPITAL REGION | |||
|---|---|---|---|
| AFP MEDICAL CENTER AUDITORIUM |
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| APF Medical Center | |||
| East Avenue Medical Center | |||
| National Children’s Hospital | |||
| Philippine Children’s Medical Center | |||
| St. Luke’s Medical Center | |||
| THE MEDICAL CITY |
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| Asian Hospital and Medical Center | |||
| Cardinal Santos Medical Center | |||
| Las Piñas Doctors Hospital | |||
| Makati Medical Center | |||
| Mandaluyong City Medical Center | |||
| Medical Center Parañaque | |||
| Medical Center Muntinlupa | |||
| Ospital ng Makati | |||
| Pasay City General Hospital | |||
| Pasig City General Hospital | |||
| Rizal Medical Center | |||
| San Juan Medical Center | |||
| St. Lukes Medical Center Global | |||
| The Medical City | |||
| Victor Potenciano Medical Center | |||
| PPS PALS TRAINING ROOM |
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| Metropolitan Medical Center | |||
| MCU-FDTMF | |||
| Fatima University Medical Center | |||
| Valenzuela Medical Center | |||
| PPS AUDITORIUM |
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| Adventist Medical Center Manila | |||
| Chinese General Hospital | |||
| Hospital of the Infant Jesus | |||
| Jose Fabella Memorial Hospital | |||
| Jose Reyes Memorial Medical Center | |||
| Manila Doctors Hospital | |||
| Mary Chiles Hospital | |||
| Mary Johnston Hospital | |||
| Medical Center Manila | |||
| Our Lady of Lourdes Hospital | |||
| PLM- Ospital ng Maynila Medical Center | |||
| San Juan De Dios Hospital | |||
| Tondo Medical Center | |||
| UP-Philippine General Hospital | |||
| PPS 5TH FLOOR CONFERENCE ROOM |
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| Amang Rodriguez Memorial Hospital | |||
| Capitol Medical Center | |||
| De Los Santos Medical Center | |||
| Fe del Mundo Medical Center | |||
| FEU-NRMF Hospital | |||
| Jesus Delgado General Hospital | |||
| Quezon City General Hospital | |||
| Quirino Memorial Medical Center | |||
| Veterans Memorial Medical Center | |||
| World Citi Medical Center | |||
| UST Hospital | |||
| UERM-Memorial Medical Center | |||
| NORTH EASTERN LUZON | |||
| DEVERA MEDICAL CENTER 4TH FLOOR CONFERENCE HALL, SANTIAGO CITY |
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| Cagayan Valley Medical Center | |||
| Veterans Regional Hospital | |||
| NORTHERN LUZON | |||
| ILOCOS TRAINING & REGIONAL MEDICAL CENTER DEPARTMENT OF PEDIATRICS |
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| Baguio General Hospital & Medical Center | |||
| Ilocos Training & Regional Medical Center | |||
| Mariano Marcos Memorial Hospital & Medical Center | |||
| Region 1 Medical Center | |||
| St. Louis University Hospital & Medical Center | |||
| CENTRAL LUZON | |||
| JOSE B. LINGAD REGIONAL HOSPITAL MC ARTHUR HIGHWAY, DOLORES, CITY OF SAN FERNANDO, PAMPANGA |
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| Angeles University Foundation Medical Center | |||
| Bulacan Medical Center | |||
| Central Luzon Doctor’s Hospital | |||
| Dr. Paulino J. Garcia Memorial Research & Medical Center | |||
| James Gordon Memorial Hospital | |||
| Jose B. Lingad Memorial Regional Hospital | |||
| Tarlac Provincial Hospital | |||
| SOUTHERN TAGALOG | |||
| DE LA SALLE UNIVERSITY DASMARINAS, CAVITE, AUDITORIUM 2, 1ST FLOOR COLLEGE OF MEDICINE |
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| Batangas Medical Center | |||
| De La Salle University Medical Center | |||
| Gen. Emilio Aguinaldo Memorial Hospital | |||
| Mary Mediatrix Medical Center | |||
| UPH-Dr. Jose Tamayo Medical University & Medical Center | |||
| UPH-Dalta Medical Center | |||
| BICOL | |||
| BICOL REGIONAL TRAINING & TEACHING HOSPITAL OPD CONFERENCE ROOM |
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| Bicol Medical Center | |||
| Bicol Regional Training & Teaching Hospital | |||
| CENTRAL VISAYAS | |||
| ROOM 507 CEBU DOCTOR’S UNIVERSITY, RECLAMATION AREA MANDAUE CITY | |||
| Cebu City Medical Center | |||
| Cebu Doctor’s University Hospital | |||
| Cebu Velez General Hospital | |||
| Chong Hua Hospital | |||
| Gov. Celestino Gallares Memorial Hospital | |||
| Perpetual Succour Hospital | |||
| Sacred Heart Hospital | |||
| Siliman University Medical Center | |||
| Vicente Sotto Memorial Medical Center | |||
| Visayas Community Medical Center | |||
| EASTERN VISAYAS | |||
| EASTERN VISAYAS REGIONAL MEDICAL CENTER, LIBRARY | |||
| Divine Word Hospital | |||
| Eastern Visayas Regional Medical Center | |||
| NEGROS OCCIDENTAL ISLAND | |||
| THE DOCTOR’S HOSPITAL BASEMENT FUNCTION ROOM |
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| Adventist Medical Center | |||
| Corazon Locsin Montelibano Memorial Medical Center | |||
| Dr. Pablo O. Torre Sr. Memorial Hospital | |||
| The Doctor’s Hospital | |||
| WESTERN VISAYAS | |||
| ILOILO MISSION HOSPITAL MEDICAL ARTS BLDG., CONFERENCE ROOM 4TH FLOOR. |
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| Iloilo Doctor’s Hospital | |||
| Iloilo Mission Hospital | |||
| St. Paul’s Hospital | |||
| West Visayas State University Medical Center | |||
| Western Visayas Medical Center | |||
| DAVAO SOUTHERN MINDANAO | |||
| DAVAO DOCTOR’S HOSPITAL AVR 4TH FLOOR |
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| Brokenshire Integrated Health Ministries, Inc. | |||
| Cotabato Regional & Medical Center | |||
| Davao Doctors Hospital | |||
| Davao Medical School Foundation Hospital | |||
| Davao Regional Hospital | |||
| San Pedro Hospital | |||
| Southern Phils. Medical Center | |||
| NORTH CENTRAL MINDANAO | |||
| NORTHERN MINDANAO MEDICAL CENTER | |||
| Adventist Medical Center | |||
| Ma. Reyna Hospital | |||
| Northern Mindanao Medical Center | |||
| SOUTH WESTERN MINDANAO | |||
| Zamboanga City Medical Center | |||