ROJoson’s Clinical Research Project Starting 2018

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).

These 4 projects are (as published in https://rojoson.wordpress.com/2017/12/31/2018-life-plan):

– 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There were a lot of unpublished action research papers that I did with the residents of the Department of Surgery of Ospital ng Maynila Medical Center from 2001 to 2009 when I was Chairperson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:

  1. Small scale case-series clinical researches
  2. Small scale randomized controlled clinical trials
  3. 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.

Tentative titles:

  • 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.

Article Year
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.  

1978

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.
2007
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


ROJ@18jan26

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