Last January 1, 2018, I made a resolution to start 4 new projects for the next 5 years (up to 75 years old – my second count-down in life). I have completed all my formulated projects up to age 70 (my first count-down in life) except for one (staying alive and not crippled up to age 70 – have to wait till January 31, 2019 yet – high likelihood I will achieve this – thus planning for the next 5 years already up to age 75).
– 100-Bed Level 2, Private General Hospital Design and Operations Manual
– Medical Curriculum Enhancement
– Options for Medical Management – Diagnostic and Treatment Procedures
– Clinical Research
I have laid down the preparatory groundwork for the 100-Bed Level 2, Private General Hospital Design and Operations Manual. See: https://rojosonwritingsonhospitaladministration.wordpress.com/2018/01/25/an-introductory-to-rojhmc-hospital-design-and-operations-manual
I am going to start laying down the preparatory groundwork for the Project Clinical Research.
I have been doing clinical research since 1976 when I started my general surgery residency program in the Philippine General Hospital. My last publication of a clinical research paper was in 2009. See table below.
There were a lot of unpublished action research papers that I did with the residents of the Department of Surgery of Ospital ng Maynila Medical Center from 2001 to 2009 when I was Chairperson of the said Department.
In 2014, upon reaching age 65, a mandatory age of retirement for those in government services, I retired from the Department of Surgery of the Philippine General Hospital and Ospital ng Maynila Medical Center.
Thus, from 2009 up to present, December 2017, that’s a total of 8 years, I have stopped doing clinical research.
I plan to pick up clinical research again starting 2018.
I will focus on research that will accomplish the following objectives:
- Formulation of health-process-evidence-based practice guidelines for the common types of patients that I treat in my clinic.
- Formulation of health-process-evidence-based clinical practice guidelines to be used for my other projects (to be inputted and integrated into Options for Medical Management – Diagnostic and Treatment Procedures; Medical Curriculum Enhancement; and Hospital Design and Operations Manual)
For the above, I will doing the following types of research:
- Small scale case-series clinical researches
- Small scale randomized controlled clinical trials
- Literature review and analysis for the formulation of health-process-evidence-based clinical practice guidelines
As a starter for the small scale case series clinical researches, I will have 2 case series studies: one on thyroid and another on breast.
- Morphology of Goiter and Pulse Rate as Predictors of Thyroid Functional Status
- Infection Rate of Postmastectomy Patients Without Antibiotics (Clean Operations)
- Seroma Rate in Postmastectomy Patients Using a Standardized Procedure of Tube Drainage
- Seroma Rate in Postmastectomy Patients as Influenced by Patient’s Build
- Frequency of Medical Adhesive Complications in Postmastectomy Patients after Removal of Dressing 12 Hours Postop
I will start the above case series in January 2018.
|Tumors of the parotid gland: a clinicopathological study of 139 cases. Joson RO; Licad JV; Eufemio GG; Dalmacio-Cruz AE. Philipp J Surg Spec 1978; 33(1):10-30.||
|Carcinoid tumors of the gastrointestinal tract. Joson RO, Gutierrez RR, Billote JB. Philipp J Surg Spec 1978; 33(3):199-210.||1978|
|Management of external gastrointestinal fistulas. Joson RO. Philipp J Surg 1979; 34(4):259-270.||1979|
|Early surgery for appendiceal abscess. Joson RO, Flor HBT, Gutierrez RR. Acta Med Philipp 1980; 16(3):105-110.||1980|
|Early surgery for appendiceal abscess. Joson RO, Gutierrez RR. Philipp J Surg Spec 1981; 36(4):255-262.||1981|
|Problems of rehabilitation of Filipino stoma patients. Joson RO; Gutierrez RR. J Enterostomal Ther 1983; 10(5):161-165.||1983|
|Estrogen-receptor assay among Filipino breast cancer patients. Eufemio GG, Liquete MJ, Joson RO, Romero M. Philipp J Surg Spec 1983; 38(3):125-129.||1983|
|Pectoralis major myocutaneous flap in the reconstruction of defects of the head and neck. Cueto JY; Ramos L; Joson RO. Philipp J Surg Spec 1984; 39(2):94-99.||1984|
|Problems of rehabilitation of Filipino stoma patients. Joson RO; Gutierrez RR. J Philipp Med Assoc 1985; 6(1):13-17.||1985|
|Blindness after bilateral neck dissection. Joson RO. MJEAC 1985; 1:174.||1985|
|Management of facial injuries. Joson RO, Manalo P. MJEAC 1985; 1(1);1-12.||1985|
|Experience in Neck Dissections. Joson RO. MJEAC 1986; 2(1): 29-39.||1986|
|Frey Syndrome. Joson RO. MJEAC 1986; 2(2): 141 –145.||1986|
|Complications of intestinal stomas: prevention and treatment. ROJoson. Philipp J Surg Spec 1986; 41(4):144-148.||1986|
|Complications of neck dissection. Mijares MP; De La Pena AS; Joson RO. Philipp J Surg Spec 1987; 42(3):76-78.||1987|
|Barium peritonitis after barium enema examination. Joson RO; Pelayo Jr. FB. Philipp J Surg Spec 1988; 43(3): 106-110.||1988|
|Myocutaneous flap reconstruction after cancer extirpative surgery. Joson RO. Acta Med Philipp 1989; 25(1):13-16.||1989|
|Thyroid nodule aspiration: diagnostic usefulness and limitations. Joson RO; Manalang LR; Ramirez CB; Ick JJA; Avila JM; Abelardo AD. Philipp J Surg Spec 1989;44(2):45-57.||1989|
|Tube drainage with a plastic aseptosyringe after total mastectomy and axillary dissection. Albana, Jr. NA, Joson RO. Philipp J Surg Spec 1989; 44(1):30-35.||1989|
|Factors affecting outcome in pancreatic injuries. Joson RO. Philipp J Surg Spec 1989; 44(1); 24-29.||1989|
|Gross pathological diagnosis of the thyroid gland. Joson RO.Philipp J Surg Spec 1990; 45(4):138-141.||1990|
|Experience with 83 pectoralis major myocutaneous flaps in head and neck defect reconstruction. Joson, RO. Asian Journal of Surgery 1990; 13(2)_84-87.||1990|
|Intraoperative gross examination of the thyroid gland. Joson RO. Acta Med Philipp 1990; # (#):17-20.||1990|
|Active observation in the evaluation of patients with possible acute appendicitis. Joson RO. Philipp J Surg Spec 1990; 45(3):108-111.||1990|
|Active observation in the evaluation of patients with possible acute appendicitis. Joson RO. Acta Med Philipp 1990; 26(3):160-166.||1990|
|Active observation in the evaluation of patients with possible acute appendicitis. Joson RO. J Manila Med Soc 1991; 17(1-2):35-38.||1991|
|Gross identification of the parathyroid glands. Joson RO. Philipp J Surg Spec 1991; 46(3):120-122.||1991|
|Spontaneous ileostomy associated with inguinal hernia. A case report. Jajurie BH, Joson RO. Philipp J Surg Spec 1994; 49(2):95-96.||1994|
|Teleconferencing as a teaching and learning mode for surgical trainees based in Zamboanga City. Joson RO. UPM Journal 1995; 1:22-25.||1995|
|Formative evaluation of an innovative medical curriculum. Joson RO. Education for Health 1996; 9(2):201-208.||1996|
|Evaluating operative skills of trainees under a distance education course in general surgery in Zamboanga City, Philippines. Joson RO, Cerrillo AL, Cristobal SL. UPM Journal 1996; 2(2):47-51.||1996|
|Teleconferences for assessment of cognitive skills in general surgery. ROJoson. Education for Health 1996; 9(3):359-366.||1996|
|Response of well-differentiated thyroid carcinoma to external beam radiotherapy. Blanco RGF, Repigue G, Dulay R, Cabaluna NS, De la Pena AS, Joson RO. Philipp J Surg Spec 1996; 51(2):71-72.||1996|
|Response of metastatic well-differentiated thyroid carcinoma to radioactive iodine. Blanco RGF, Racho V, Obaldo J, Cabaluna NS, De la Pena AS, Joson RO. Philipp J Surg Spec 1996; 51(3):77-81.||1996|
|Radial forearm free flap for reconstruction in head and neck. Blanco RGF; Cabaluna ND; Caro D; Dela Pena AS; Joson RO Philipp J Surg Spec 1996; 51(1):23-24.||1996|
|A prospective randomized trial comparing three multimodality regimens for locally advanced breast cancer: an initial report of results of treatment. de la Pena AS; Joson RO; Cabaluna ND; Dofitas R; Lavalle AM Jr; Matsuda MLDL. Philipp J Surg Spec 1997; 52(1):7-10||1997|
|Clinical response of nodular colloid adenomatous goiters. Joson RO. Philipp J Surg Spec 1998; 53(1):31-34.||1998|
|Swallowed barbeque stick causing surgical abdomen. Leyson MCT, Go H, Joson RO. Philipp J Surg Spec 2003; 58(1):36-38.||2003|
|Tetanus in a Necrotic Soft Tissue Sarcoma of the Lower Extremity. Llado AMA, Bartolome RT Joson RO. Philipp J Surg Spec 2003; 58(2): 79-81, April-June, 2003.||2003|
|Reducing the Discrepancy Between the Clinical versus the Pathological Tumor and Node Evaluation in Patients with Breast Cancer. Raquel NJT, Galvez M, Chan RNC, Leyson O, Bastan M, Alinsug JS, Kangleon RG, Paguio SP, Joson RO. Philipp J Surg Spec 2003; 58(3): 99-105||2003|
|Effect of Needle Gauge on Yield and Accuracy of Aspiration Biopsy in Palpable Breast Masses. Estanislao JA, Deveza AD, Turingan HZ, Leyson MCT, Go HL, Yu AAC, Penserga E, Joson, RO. Philipp J Surg Spec 2003; 58(3):106-109.||2003|
|From Mandatory to Selective Preoperative Screening Evaluation in Patients for Thyroidectomy. A Model of Change Strategy Towards Cost-Effective Preoperative Screening. Joson RO, Enriquez V, de Guzman R, Cruz RM, So AO, Padolina CS. Philipp J Surg Spec 2003; 58(4): 129-135.||2003|
|Selective versus Mandatory Preoperative Work Up of Patients for Thyroidectomy. Enriquez VP, De Guzman RV, Roque RP, De Guzman JM, Go HL, Yu AAC, Penserga EP, Joson RO. Philipp J Surg Spec 2004; 59(1):13-14.||2004|
|A quality study on operations performed for fibrocystic breast changes in a city government hospital setting. Chan RAC, Joson, RO. Philipp J Surg Spec 2004; 59(3):122-126.||2004|
|A look at utilization and cancer detection yield of mammography. Co CS, Joson RO. Philipp J Surg Spec 2004; 59(4):141-145.||2004|
|Post traumatic Retained Hemothorax – Frequency, Prevention and Management with Intrapleural Suctioning. Turingan H, Hernanadez D, Joson RO. Philipp J Surg Spec 2005; 60(3):91-94||2005|
|Use of External Oblique Musculocutaneous Flap in the Closure of Large Defect After Mastectomy. Leyson OS, Guevarra, M, Joson RO. Philipp J Surg Spec 2006; 61(1): 29-32.||2006|
|Chua D, Joson R. Pioneering Biotherapy (Maggot Debridement Therapy) in the Philippines Using Materials Sustainable in a Government Hospital.
Philippine Surgery 2007; 1(1):30-38.
|Mujer RS, Penserga EP, Joson RO. Sonographically-guided percutaneous needle aspiration of breast abscesses. Philipp J Surg Spec 2008; 63(4):143-146 (Oct-Dec 2008)||2008|
|Velasquez EZ, Penserga EP, Joson RO. Angiosarcoma of the breast: A Case Report. Philipp J Surg Spec 2009 64(2):90-92 (Apr-Jun 2009)||2009|
|Total – 50 [4 – international; 47 – local] as of December, 2017
29 – with ROJOSON as primary author