Acta Medica Philippina最新文献

{"title":"Patient Safety Events and Additional Hospital Stay and Direct Cost among Pediatric Patients in a Philippine Tertiary Government Hospital.","authors":"Edilberto B Garcia, Princess Jeanne R Gairanod, Maria Wilma R Turalde-Mapili, Gienah F Evangelista-Anislag, Ana Liza O Huet","doi":"10.47895/amp.v60i13.14077","DOIUrl":"10.47895/amp.v60i13.14077","url":null,"abstract":"<p><strong>Background: </strong>Patient safety events (PSEs) in hospitalized children can lead to increased hospital stays, costs, and mortality. Knowledge of the types and prevalence of PSEs can inform targeted interventions to improve pediatric patient safety.</p><p><strong>Objectives: </strong>This study aims to (1) determine the prevalence and types of PSEs among hospitalized pediatric patients in a tertiary government training medical center, (2) determine additional hospital days associated with each PSE type, (3) determine additional direct costs incurred due to each PSE type, (4) compare the additional hospital stay and direct costs, and (5) describe corrective and preventative actions for different PSE types.</p><p><strong>Methods: </strong>This is a review of reports of PSEs from five inpatient service areas of the pediatric department of the hospital from April 1, 2022, to June 30, 2024. Data included additional hospital stay and direct costs sourced from the hospital's electronic health records. The number of admissions was obtained from the Department's census. Reported findings include the prevalence of PSEs, mean, median, standard deviation, and interquartile range for additional hospital stay and direct costs. Common corrective actions identified were reinforced staff training, process improvements (double-checking medications, IV site monitoring protocols), and enhanced communication.</p><p><strong>Results: </strong>A total of 55 PSEs were identified. Medication errors were the most frequent (61.8%). Corrective and preventative actions included reinforced staff training and double-check procedures. Extravasation injuries had the highest mean additional hospital stay (6.79 days) and the highest mean direct cost (₱1,069.49). Corrective actions and preventive actions focused on improved vascular access management.</p><p><strong>Conclusion: </strong>Medication errors, extravasation injuries, and falls are common PSEs requiring targeted interventions within the Department of Pediatrics. Targeted initiatives emphasizing staff training, enhanced protocols, and improved communication are critical to reducing these events and improving pediatric patient safety.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 13","pages":"100-105"},"PeriodicalIF":0.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Cost of Inpatient Scabies Treatment in the Philippines: Secondary Data Analysis from the Philippine Health Insurance Corporation Database.","authors":"Rowena F Genuino, Emilio Q Villanueva","doi":"10.47895/amp.v60i13.13356","DOIUrl":"10.47895/amp.v60i13.13356","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;While outpatient management for classic scabies is the standard, severe cases, such as infected scabies or crusted scabies in immunocompromised individuals, may require inpatient care, increasing the financial burden on healthcare systems.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This retrospective study of the cost of scabies inpatient cases from the Philippine Health Insurance Corporation (PhilHealth) database was undertaken to provide valuable insights for policy-making and resource allocation.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This retrospective secondary data analysis used the PhilHealth claims database for inpatient scabies treatment. We included inpatient claims for scabies (ICD-10: B86) from the inception of the database to 2021. Inclusion criteria were hospitalized patients with scabies as a primary or secondary diagnosis. Exclusion criteria included claims with missing cost data and unpaid claims. The primary outcome was the total claim amount. Other extracted variables included demographics, facility name, province, month and year of admission, hospital stay length, and total amount paid by PhilHealth. Descriptive statistics, comparative analysis, time trend analysis, and regression analysis were used to assess cost differences, trends, and predictors of higher hospitalization costs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;There were 877 patients with scabies who filed for claims in the PhilHealth database from 2002 to 2013, which was the last year that scabies was covered. The bulk of the patients were pediatric age (n = 699, 68.7%), most of which belong to the 1- to 5-year-old age group (n = 323, 36.8%). A little more than half of the patients were males (n = 491, 56.0%). The region with the highest number of patients with scabies who filed for claims was Region X (n = 107, 12.2%). The median length of hospital stay was 3 days (IQR = 2, Range = 1 to 353). The median amount for actual claims for scabies was 4992 PhP (IQR, 6335.90) (range, 743.00 PhP to 222,175 Php), with PHIC paying a median percentage of 75.24% (IQR, 50.09, range 2.44 to 169.98) of the actual claim. Increasing length of hospital stay has a corresponding increase in actual cost of treatment, while regions outside NCR have lower costs, after controlling for all other factors. Similarly, increasing length of hospital stay had a corresponding decrease in percentage paid by PhilHealth, while regions outside NCR had higher PhilHealth reimbursements, after controlling for all other factors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study highlights the epidemiological and economic burden of inpatient scabies treatment in the Philippines based on insurance claims data. The majority of affected individuals were children aged 1-5 years, with a slightly higher prevalence among males. Region X had the highest number of claims, suggesting a regional disparity in disease burden or healthcare access. These findings emphasize the need for targeted interventions to impro","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 13","pages":"66-75"},"PeriodicalIF":0.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profile and Outcomes of Neurofibromatosis Type 1 (NF1) Patients in a Tertiary Government Hospital in the Philippines: A Retrospective Descriptive Study.","authors":"Maria Melanie Liberty B Alcausin, Christine Mae S Avila, Ebner Bon G Maceda, Jose Mari Gerald O Arpilleda, Gracia Cielo E Balce","doi":"10.47895/amp.v60i13.13515","DOIUrl":"10.47895/amp.v60i13.13515","url":null,"abstract":"<p><strong>Background: </strong>Neurofibromatosis Type 1 (NF1) is a genetic disorder with a wide range of clinical manifestations, including skin changes, behavioral issues, and skeletal deformities. Despite being relatively common, there is a lack of local studies in the Philippines.</p><p><strong>Objective: </strong>This study aimed to investigate profiles of individuals with NF1 seen at the Philippine General Hospital and their outcomes following various interventions.</p><p><strong>Methods: </strong>A review of medical records of all patients with confirmed NF1, identified through databases from the Institute of Human Genetics and the Philippine General Hospital from 1999 to 2022, was done. Demographic, clinical, treatment, and outcome data were reviewed and evaluated. Data gathered included clinical profile, interventions, and survival. Additionally, for patients with congenital pseudarthrosis and NF1, radiologic findings, treatments, and functional outcomes such as union maintenance and refracture were evaluated.</p><p><strong>Results: </strong>The mean age of 50 patients with NF1 at initial evaluation was 10.8 ± 5.5 years, with an average symptom onset at 1.9 ± 3.7 years. Common features included café-au-lait spots (100%), axillary and inguinal freckling (17%), and cutaneous (15%) or plexiform (11%) neurofibromas. Interventions noted included surgery for intracranial tumors and multiple surgeries for congenital pseudarthrosis of the tibia. Six patients with congenital pseudarthrosis of the tibia had a median age of presentation at 0.5 years, with most requiring repeated surgical interventions and receiving bisphosphonate treatment for better bone union outcomes.</p><p><strong>Conclusion: </strong>A multidisciplinary approach is necessary to address the varied clinical manifestations of NF1, including biological, biomechanical, psychological, and developmental issues. Standardization and adherence to established multidisciplinary protocols are necessary to achieve optimal outcomes.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 13","pages":"58-65"},"PeriodicalIF":0.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urban Household Coping Strategies for Food Security in Pateros, Philippines: A Cross-sectional Study.","authors":"Lauren Rose P Tamondong, Kim Leonard G Dela Luna, Francesca Lauren F Vivas","doi":"10.47895/amp.v60i13.13537","DOIUrl":"10.47895/amp.v60i13.13537","url":null,"abstract":"<p><strong>Background: </strong>Globally, approximately 9.8% of the population faces varying levels of food insecurity. The existence of food insecurity within households significantly impacts food consumption, leading to difficulty in meeting dietary requirements to maintain optimum health. Moreover, urban areas in particular are vulnerable to the harmful effects of food insecurity; discovering coping strategies towards food security must be done.</p><p><strong>Objective: </strong>This study aimed to determine the different coping strategies of households in Pateros to achieve food security.</p><p><strong>Methods: </strong>A cross-sectional study design was used among 690 primary caregivers of households in Pateros. Demographic information, data on their food security status, and coping strategies were all gathered at one point in time. An association between coping strategies and household food security was done by multinomial logistic regression using Stata 16.</p><p><strong>Results: </strong>The study revealed that 6 out of 10 households in Pateros were food insecure, at varying levels. Specifically, 22% were mildly food insecure, 32% were moderately food insecure, and 7% were experiencing severe food insecurity. Moreover, the most common coping strategies used by food-insecure households were found to be relying on less preferred foods as they are less expensive, as well as purchasing food on credit. Having a household head aged 41-59 years old was associated with a higher risk of mild insecurity (RRR = 1.54, <i>p =</i> 0.051). While household income was found to be strongly protective, suggesting that incomes of PhP 25,001-35,000 (RRR = 0.23, <i>p <</i>0.001) and above PhP 35,000 (RRR = 0.11, <i>p <</i>0.001) were significantly associated with decreased risks of mild, moderate, and severe food insecurity.</p><p><strong>Conclusion: </strong>Collaborative efforts between the local government units and local communities to improve the food environment and tailor effective strategies must be done to sustainably improve the state of food insecurity in the area.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 13","pages":"48-57"},"PeriodicalIF":0.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Pattern and Distribution of Ventilatory Defects after Extracorporeal Membrane Oxygenation in Survivors of Leptospirosis with Acute Respiratory Distress Syndrome: A Single-center Cross-sectional Study.","authors":"Bryan Leonard M Quizon, Joann Kathleen Ginete-Garcia","doi":"10.47895/amp.v60i13.13636","DOIUrl":"10.47895/amp.v60i13.13636","url":null,"abstract":"<p><strong>Background and objective: </strong>Pulmonary hemorrhage and acute respiratory distress syndrome (ARDS) are complications of severe leptospirosis with higher mortality rates. These are indications for initiating extracorporeal membrane oxygenation (ECMO). Given the improved survival of leptospirosis patients undergoing ECMO, little is known about the expected pulmonary function, including the presence and severity of possible ventilatory defects following these complications and intervention. This study aimed to determine the pattern and distribution of ventilatory defects in patients who underwent ECMO for severe leptospirosis with ARDS and survived.</p><p><strong>Methods: </strong>This is a cross-sectional study that reviewed all patients who underwent ECMO for severe leptospirosis and ARDS at the National Kidney and Transplant Institute from its initiation in 2018 up to December 2021. The primary outcomes measured were the presence and severity of ventilatory defects by spirometry. Secondary outcomes included the clinical profile, laboratory findings, radiologic features, duration on mechanical ventilation, and duration on ECMO. Stata17 was used for data analysis.</p><p><strong>Results: </strong>Among 14 patients meeting the inclusion criteria, 11 were male with a mean age of 30 years (SD, 6.2). Using spirometry, 13 had a restrictive ventilatory defect, while only 1 had a normal result. Of the 13 patients, 9 had mild disease, 2 each had moderate, and moderately severe disease. A lower platelet count, lower PaO₂/FiO₂ ratio (PFR), higher SOFA score, and longer duration of days on ECMO were noted in the group with ventilatory defect. Meanwhile, longer duration of days on mechanical ventilation (MV) and ECMO, higher procalcitonin, and higher APACHE-II scores were noted in patients with moderately severe restrictive ventilatory defect.</p><p><strong>Conclusions: </strong>This study suggests that restrictive ventilatory defect may be seen among patients who survived severe leptospirosis and ARDS after undergoing ECMO.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 13","pages":"42-47"},"PeriodicalIF":0.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electrocardiographic Findings and Incidence of New-onset Atrial Arrhythmia among Patients with Severe Leptospirosis who Underwent Veno-venous Extracorporeal Membrane Oxygenation: A Single Center Cross-sectional Study.","authors":"Bryan Leonard M Quizon, Areefah A Adiong, Manuel John A Dayao, Emil Mari C Folloso","doi":"10.47895/amp.v60i13.13637","DOIUrl":"10.47895/amp.v60i13.13637","url":null,"abstract":"<p><strong>Background: </strong>Leptospirosis is a zoonotic disease caused by Leptospira species that remains endemic in the Philippines. In severe cases, patients present with multiple organ system failure such as acute renal failure and acute respiratory distress syndrome (ARDS) requiring renal replacement therapy, mechanical ventilation, and novel treatment modalities such as extracorporeal membrane oxygenation (ECMO). Cardiac complications such as atrial arrhythmia also occur in cases of severe leptospirosis leading to worse outcomes. There is limited data on the electrocardiographic findings in patients with severe leptospirosis undergoing ECMO along with the incidence of new-onset atrial arrhythmia while managed on this intervention with unique hemodynamic system.</p><p><strong>Objective: </strong>This study aims to determine the baseline electrocardiographic (ECG) findings and incidence of new-onset atrial arrhythmia among patients with severe leptospirosis during veno-venous (V-V) ECMO.</p><p><strong>Methods: </strong>A cross-sectional study among patients with severe leptospirosis and ARDS who underwent V-V ECMO was conducted at the National Kidney and Transplant Institute. Primary outcome was defined as the presence of new-onset atrial arrhythmia during ECMO. Secondary outcomes included in-hospital mortality, length of hospital stay, duration of mechanical ventilation, duration of ECMO, and development of thrombotic events.</p><p><strong>Results: </strong>Among 31 patients included, 90.3% (n = 28) were male and median age was 33.48 ± 10.0 years. The most common ECG finding was atrial fibrillation with an incidence of 32.3% (n = 10), half of which occurred before ECMO, while the other half were noted after cannulation. During ECMO, the incidence of new-onset atrial arrhythmia was found to be at 19.4% (n = 6). Patients with new-onset atrial arrhythmia had higher white blood cell, total bilirubin, BUN, creatinine, APACHE-II scores, use of dopamine, lower platelet count and lower PaO₂/FiO₂ ratio. Two patients (33.33%) died among those with new-onset atrial arrhythmia, while five patients (20%) died in the other group. There was no noted thrombotic events such as stroke among the groups and no difference on the duration on mechanical ventilator, ECMO and hospital stay.</p><p><strong>Conclusion: </strong>New-onset atrial arrhythmias are the most common ECG findings during V-V ECMO among patients with severe leptospirosis with an earlier occurrence in this population post-cannulation. Atrial fibrillation is noted as the most common electrocardiographic finding in this population. This study demonstrated a higher mortality among patients with new-onset atrial arrhythmia during ECMO for severe leptospirosis, with no statistical difference.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 13","pages":"28-34"},"PeriodicalIF":0.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13519156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148838478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Nutrition-related Knowledge and Attitudes Impact Food Handlers' Practices in the COVID-19 Pandemic? A Case Study in Banyumas, Indonesia.","authors":"Teguh Jati Prasetyo, Izzati Nur Khoiriani, Pramesthi Widya Hapsari, Afina Rachma Sulistyaning, Aviani Harfika, Muhammad Nur Hasan Syah","doi":"10.47895/amp.v60i12.4558","DOIUrl":"10.47895/amp.v60i12.4558","url":null,"abstract":"<p><strong>Objective: </strong>Knowledge, attitudes, and practices about nutrition and hygiene sanitation in food handlers are important to provide good quality snacks for school children. The objectives of this study were to analyze the relationship between knowledge and attitudes toward nutrition with hygiene sanitation practices of food handlers around elementary schools in Banyumas, Indonesia.</p><p><strong>Methods: </strong>This cross-sectional study was conducted among 150 food handlers representing urban and rural areas. The sampling method used was multistage sampling. Data on demographics, knowledge, attitudes, and practices were collected by a structured questionnaire and thorough interview with the subject.</p><p><strong>Results: </strong>The study showed that out of the 150 subjects, 50.7% reported good nutritional knowledge, 82.7% reported good nutritional attitudes, and 75.3% reported good hygiene practices. The results showed that there was a relationship between knowledge, and attitudes, and attitudes and practices of food handlers (<i>p</i> <0.05) using the Spearman correlation test. There was no relationship between knowledge and practice of the subject (<i>p</i> >0.05).</p><p><strong>Conclusion: </strong>There was a relationship between knowledge and attitude and between attitude and practice among food handlers. Continuous nutrition education and training should be organized to strengthen food handlers' knowledge, attitudes, and practices in areas that seem to be lacking.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 12","pages":"20-27"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of Perceived Social Support on Bonding Attachment in Mothers Giving Birth during the COVID-19 Pandemic.","authors":"Dora Samaria, Lina Ayu Marecelina, Lima Florensia","doi":"10.47895/amp.v60i12.4597","DOIUrl":"10.47895/amp.v60i12.4597","url":null,"abstract":"<p><strong>Objective: </strong>Postpartum mothers need social support to promote maternal-infant bonding attachment, influencing their child's growth and development. However, the COVID-19 pandemic has introduced changes in perceived social support and bonding attachment due to physical distancing measures and community activities restrictions. This study aims to determine the effect of perceived social support on the bonding attachment in mothers who gave birth during the COVID-19 pandemic.</p><p><strong>Methods: </strong>This was a cross-sectional study on 118 consecutively sampled mothers who gave birth from June to July 2021 in Bekasi, Indonesia. This study collected data using the Postpartum Bonding Questionnaire and Multidimensional Scale of Perceived Social Support. Stratified analysis, based on demographic factors, was done to adjust the identified associations. We used chi-square test, lambda correlation test and Cochran's and Mantel-Haenszel's test to analyze the data.</p><p><strong>Results: </strong>Most respondents perceived low social support (57.6%) and had low bonding attachment (65.3%) during the pandemic. Nevertheless, mothers with high perceived social support tend to have 32 times higher bonding attachment than those with low social support (OR 32.4; 95% CI 10.78, 97.35; <i>p</i> <0.001). There was moderate positive correlation between social support and bonding attachment (<i>r</i> = 0.537; <i>p</i> = 0.001). The association was still found between perceived social support and bonding attachment after controlling for parity (AOR: 23.63; 95% CI 7.88, 70.87) and working status (AOR: 28.90; 95% CI 9.52, 87.76).</p><p><strong>Conclusion: </strong>Perceived social support plays a significant role on bonding attachment; thus, providing sufficient support for mothers is recommended. Health promotion, counselling and psychological assistance are needed to assist mothers in adapting during the pandemic to obtain support and achieve optimal bonding attachments.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 12","pages":"98-104"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Telehealth in Improving Physical Activity Level in Individuals with Overweight or Obesity: A Narrative Review.","authors":"Aditya Denny Pratama, Triana Karnadipa, Tiara Melvi Nabilla","doi":"10.47895/amp.v60i12.4555","DOIUrl":"10.47895/amp.v60i12.4555","url":null,"abstract":"<p><strong>Background and objective: </strong>The COVID-19 pandemic drastically changed lifestyles and reduced opportunities to exercise, leading to physical inactivity in all populations, especially the obese cohort. Luckily, telehealth may positively help people engage in physical activity. This study aimed to determine the efficacy of telehealth in increasing physical activity among people with obesity.</p><p><strong>Methods: </strong>This study is a literature review. Articles were sought from the CiNAHL, Proquest, MEDLINE, and PUBMED databases from August to September 2021 following predetermined strategies, inclusion, and exclusion criteria. The quality of the studies was appraised using the JBI Critical Appraisal Checklist Tools. Data Extraction was conducted using the JBI Data Extraction From for Observational/Experimental Studies.</p><p><strong>Results: </strong>Five studies were included in this literature review. Due to the heterogeneity of study designs and outcome measures, a narrative synthesis was conducted. Most of the studies used mobile apps to deliver health programs to adults with obesity. Overall, studies reported the medium to large positive effects of telehealth in improving physical activity outcomes favoring the telehealth group (Fitbit <i>d</i> = 0.509, 95% CI= -0.36-0.427; Pedometer <i>d</i> = 0.918, 95% CI= 1.467-2.464), while one study found small positive effects on energy expenditure (SenseWear <i>d</i> = 0.446).</p><p><strong>Conclusion: </strong>This study supports the use of mobile applications to bring a significant increase in physical activity levels in adults with obesity. Further studies evaluating telehealth with video conferences and hybrid formats are needed.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 12","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148652973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anxiety and Maternal Self-efficacy among Postpartum Mothers during the COVID-19 Pandemic.","authors":"Lina Ayu Marcelina, Desiana Rachmawati","doi":"10.47895/amp.v60i12.4576","DOIUrl":"10.47895/amp.v60i12.4576","url":null,"abstract":"<p><strong>Background: </strong>Postpartum mothers are vulnerable to maternal mental health problems during the COVID-19 pandemic. Research relating anxiety to maternal self-efficacy (MSE) in postpartum mothers in Indonesia is limited.</p><p><strong>Objective: </strong>This study aims to identify the relationship between anxiety and demographic characteristics with MSE among postpartum mothers in Indonesia.</p><p><strong>Methods: </strong>This was a cross-sectional study conducted among 116 postpartum mothers in the Bekasi area, West Java using accidental sampling method. We used the Postpartum Specific Anxiety Scale - Research Short-Form - For use in global Crises (PSAS-RSF-C) and MSE questionnaires. We compared maternal self-efficacy and parity using the chi-squared test. Odds ratio and 95% CI were computed to determine parity, educational level, and anxiety.</p><p><strong>Results: </strong>Most respondents were aged between 20-35 years (60.3%), had higher education (54.3%), did not work (65.5%), multiparous (69%), experienced anxiety (50.9%), and had good MSE (84.5%). There was a significant relationship between low educational level, primiparous, and high anxiety with poor MSE (p value <0.05, 95% CI). Meanwhile, age and work status did not have a significant relationship with MSE.</p><p><strong>Conclusion: </strong>High level of anxiety was strongly associated with poor MSE. Health workers are expected to screen and intervene to prevent anxiety and to improve MSE.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":"60 12","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148653012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}