Acta Medica Philippina最新文献

{"title":"Cervical Tuberculosis Mimicking Tumor Persistence: A Case Report.","authors":"Patricia Ann A Factor, Jean Anne B Toral, Sybill Lizanne R Bravo","doi":"10.47895/amp.v58i11.8011","DOIUrl":"10.47895/amp.v58i11.8011","url":null,"abstract":"<p><p>Tuberculosis can coexist with malignancy in the same organ, but cancer with TB in the cervix is rare. This is a case of cervical tuberculosis diagnosed in a cervical cancer patient after concurrent chemoradiotherapy and brachytherapy. This is the case of a 38-year-old G2P2 (2002) diagnosed with squamous cell carcinoma, large cell non-keratinizing cervix, Stage IIIB. The patient underwent concurrent chemoradiotherapy and brachytherapy. One month after the last brachytherapy dose, the attending physician noted a nodularity on the anterior lip of the cervix. A cervical punch biopsy was done to rule out tumor persistence. The histopathology revealed chronic granulomatous inflammation with Langhan's type multinucleated giant cells consistent with tuberculous infection. She was diagnosed with cervical tuberculosis, postulated to be from latent TB reactivation, and was given Anti-Koch's medication for six months. After receiving Anti-Koch's treatment, the cervical nodularity was no longer appreciated, and the rest of the cervix was smooth on palpation. Her Pap Test was negative for any intraepithelial lesion and was declared with no evidence of carcinoma. A possible latent TB infection should always be screened in cancer patients from high-burden areas or those with close contact treated for tuberculosis because immunosuppression during cancer treatment can cause the reactivation of tuberculous disease. Cervical tuberculosis complicating cervical malignancy is treatable with Anti-Koch's therapy and has not been shown to affect the course of the carcinoma.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11239984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141615639","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":"Clinical Characteristics and Outcomes of Elective Gynecologic Cases Using Modified Medically Necessary, Time Sensitive (MeNTS) Scoring System in the Prioritization of Surgery at the Philippine General Hospital during the COVID-19 Pandemic.","authors":"Divine S Macanip, Melissa D Amosco, Ernesto S Uichanco","doi":"10.47895/amp.v58i11.8365","DOIUrl":"10.47895/amp.v58i11.8365","url":null,"abstract":"<p><strong>Objectives: </strong>The use of a scoring system that integrates various factors helps in decision-making and triage for Medically Necessary, Time Sensitive (MeNTS) surgical procedures during the COVID-19 pandemic. This study aimed to determine the clinical characteristics and outcomes of cases who were screened and underwent elective gynecologic surgery at a tertiary hospital using the MeNTS tool for prioritization.</p><p><strong>Methods: </strong>A cross-sectional study was carried out using data collected through medical chart review of all gynecologic cases screened in a 6-month period, from June 18, 2020 to December 18, 2020.</p><p><strong>Results: </strong>A total of 155 gynecologic cases were screened, with 134 (86.4%) MeNTS cases and 21 (13.5%) non-MeNTS cases. The median length of stay (5 days), the median operating room time (3 hours and 30 minutes), and median estimated blood loss (400 ml) were within the acceptable expected outcome as with the scoring system, albeit with some cases (53%) requiring blood transfusion attributed to low baseline hemoglobin levels. There were no cases with post-operative COVID-19 transmission, needing ICU care and intubation, nor mortalities reported.</p><p><strong>Conclusions: </strong>The MeNTS scoring system allowed efficient handling of the backlog of elective gynecologic cases with minimal morbidity and absence of mortality. The study supports the utility of this scoring system in addressing the need of the healthcare system not just to optimally utilize and fairly allocate hospital resources but also to ensure the safety of the patient with the best health service delivery during the pandemic.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11240004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141615656","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":"Placental Mosaicism in Multiple Gestation: Complete Hydatidiform Mole with Coexisting Twin Fetus.","authors":"Agnes L Soriano-Estrella, Victoria May H Velasco-Redondo","doi":"10.47895/amp.v58i11.8080","DOIUrl":"10.47895/amp.v58i11.8080","url":null,"abstract":"<p><p>Hydatidiform mole coexistent with a live fetus (CMCF) is a rare entity occurring in 1:20,000 to 1:100,000 pregnancies. Three mechanisms of this type are possible: (1) a singleton pregnancy consisting of partial mole with a triploid fetus, (2) a twin gestation consisting of an androgenic complete hydatidiform mole with a biparental diploid fetus, and (3) a twin gestation consisting of a biparental diploid fetus with a normal placenta and a partial hydatidiform mole (PHM) with a triploid fetus. The abnormal triploid fetus in a partial mole tends to die in the first trimester while the fetus coexisting with a complete or partial mole in the dizygotic twin pregnancy has a chance to survive. Early detection and diagnosis of a molar gestation with a viable fetus is needed to allow medical interventions, if available. Three cases of complete mole with a twin fetus (CMTF) that were diagnosed in the prenatal period by ultrasonography will be presented. This report will also discuss the indications for continuing the pregnancy, and review the literature on the recommended prenatal care, intrapartum management, and postpartum surveillance. This report aims to encourage others to document cases of CMTF in order to arrive at a consensus regarding its optimal management.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11239998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141615660","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":"Molecular Biomarkers Detected Using Fluorescence in situ Hybridization in a Filipino with Retinoblastoma.","authors":"Arnold Dominic A Barzaga, Glenmarie Angelica S Perias, Lia Angela E Reyes, Patrick Gabriel G Moreno, Patrick R Relacion, Richelle Ann M Manalo, Yasmyne C Ronquillo, Francisco M Heralde","doi":"10.47895/amp.vi0.7666","DOIUrl":"10.47895/amp.vi0.7666","url":null,"abstract":"<p><strong>Background and objective: </strong>Retinoblastoma is one of the most common intraocular cancers among children usually caused by the loss of retinoblastoma protein function. Despite being a highly heritable disease, conventional diagnostic and prognostic methods depend on clinical examination, with limited consideration of cancer genetics in the standard of care. <i>CD133, KRT19</i>, and <i>MUC1</i> are commonly explored genes for their utility in liquid biopsies of cancer including lung adenocarcinoma. To date, there are few extensive molecular studies on retinoblastoma in Filipino patients. To this end, the study aimed to describe the copy number of <i>CD133, KRT19</i>, and <i>MUC1</i> in retinoblastoma samples from a Filipino patient and quantitate the respective expression level of these genes.</p><p><strong>Methods: </strong>Hematoxylin & Eosin (H&E) staining was utilized to characterize the retinoblastoma tissue while fluorescence in situ hybridization (FISH) using probes specific to <i>CD133, KRT19</i>, and <i>MUC1</i> was performed to determine the copy number of genes in retinoblastoma samples from a Filipino patient (n = 1). The gene expression of <i>CD133, MUC1</i>, and <i>KRT19</i> was quantitated using RT-qPCR.</p><p><strong>Results: </strong>The H&E staining in the retinoblastoma tissue shows poorly differentiated cells with prominent basophilic nuclei. <i>CD133</i> was approximately 1.5-fold overexpressed in the retinoblastoma tissue with respect to the normal tissue, while MUC1 and KRT19 are only slightly expressed. Multiple intense signals of each probe were localized in the same nuclear areas throughout the retinoblastoma tissue, with high background noise.</p><p><strong>Conclusion: </strong>These findings suggest that <i>CD133</i> is a potential biomarker for the staging and diagnosis of retinoblastoma in Filipino cancer patients. However, further optimization of the hybridization procedures is recommended.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70463634","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":"Reliability and Validity of the Tagalog Version of the FACIT-Pal-14 Instrument in Measuring the Quality of Life of Filipino Cancer Patients.","authors":"Maria Fidelis C Manalo, Maria Emmylou M Nicolas-Casem","doi":"10.47895/amp.vi0.7804","DOIUrl":"10.47895/amp.vi0.7804","url":null,"abstract":"<p><strong>Background: </strong>Even though innumerable quality of life (QOL) questionnaires have been developed in palliative care, there is no gold standard assessment tool for QOL and no single questionnaire that fits all purposes and individuals. An important challenge to QOL assessments in palliative care is the highly diverse patient population with different diagnoses, disease states/prognosis, and languages. In an outpatient palliative care clinic population, FACIT-Pal-14 proved to be a valid and reliable scale in palliative care patients.</p><p><strong>Objectives: </strong>We aimed to (i) determine the psychometric properties of the Tagalog version of the Functional Assessment of Chronic Illness Therapy - Palliative Care - 14 (FACIT-Pal-14) and (ii) measure the Quality of Life (QOL) of Filipino cancer patients.</p><p><strong>Methods: </strong>This was a cross-sectional study. License for the use of the Tagalog version 4 of the FACIT-Pal-14 was requested from FACIT.org. To know the psychometric properties of the scales, Cronbach's alpha coefficient was used to assess reliability, and exploratory factor analysis, Pearson correlations, and independent samples T-test were used to determine validity.</p><p><strong>Results: </strong>The Tagalog FACIT-Pal-14 was administered to 500 Filipino cancer patients consulting at the outpatient department of a training and regional medical center. The participants were mostly female (65.5%), aged 64 years and younger (82.6%), and had breast cancer (53.2%), colorectal cancer (19.2%), and lung cancer (9.4%). The mean Tagalog FACIT-Pal-14 score was 47.35 out of 56 (SD=7.14). The Cronbach's alpha coefficient of the Tagalog version of FACIT-Pal-14 was 0.784. Significantly lower mean Tagalog FACIT-Pal-14 scores were found in patients with Karnofsky Performance Status (KPS) 70 and lower, and Eastern Cooperative Oncology Group Performance Status (ECOG-PS) 2 and above compared with patients with KPS 80 and higher and ECOG-PS 0-1. (t=3.439, p<.001). While the Tagalog FACIT-Pal-14 scores, KPS, and ECOG scores only revealed a very weak, positive correlation (r=0.095; p <0.05), this ability to distinguish between groups known to differ regarding performance status showed the construct validity of the Tagalog FACIT-Pal-14.</p><p><strong>Conclusions: </strong>In an outpatient oncology clinic population, the FACIT-Pal 14 showed evidence of reliability and construct validity for evaluating palliative care-specific QOL in Filipino cancer patients. Using this measure, Filipino cancer patients have a good QOL. Therefore, it is recommended that the Tagalog FACIT-Pal-14 be used on subsequent patient follow-ups to assess how their QOL would change over time so that the palliative care services provided will be suited to their needs.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70463179","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":"Incidental Finding of an Atypical Cartilaginous Tumor in an Adult Female with Recurrent Patellar Dislocation: Single-stage Extended Curettage using Freezing Nitrogen Ethanol Composite followed by Medial Patello-Femoral Ligament Reconstruction.","authors":"Daniela Kristina D Carolino, Abigail R Tud, Richard S Rotor","doi":"10.47895/amp.vi0.7675","DOIUrl":"10.47895/amp.vi0.7675","url":null,"abstract":"<p><p>Atypical cartilaginous tumor (ACT) refers to a low-grade cartilaginous neoplasm microscopically identical to grade 1 chondrosarcoma, affecting the appendicular skeleton. Treatment with intralesional curettage has been found to provide sufficient local control with less morbidity compared to wide resection. This is the first reported case of a simultaneous medial patello-femoral ligament (MPFL) reconstruction with extended curettage for ACT on the ipsilateral femur. A 45-year-old female presented with chronic recurrent patellar dislocation of the right knee. Magnetic resonance imaging revealed a tear of the MPFL, with an incidental epi-metaphyseal chondroid lesion. After biopsy confirmed an ACT, single-stage extended curettage using freezing nitrogen ethanol composite (FNEC) and MPFL reconstruction was performed, followed by augmentation with bone cement and a distal femoral plate. Currently, the patient is independently ambulatory, with full range of motion about the knee. Following histologic confirmation of an ACT in the setting of a concurrent MCL tear, a single-stage procedure to address both conditions is a viable option that can reduce complications associated with multiple surgeries. Extended curettage using FNEC has been shown to produce good short-term oncologic outcomes while maximizing function.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70463639","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":"Drug Utilization Review of Monitored Parenteral Antimicrobials in a Tertiary Care Private Hospital in Cebu City.","authors":"Jan Steven P So, Francis R Capule, Imelda G Peña, Shiela May J Nacabuan, Frances Lois U Ngo, Yolanda R Robles, Nelly Nonette M Ouano, Ron R Del Mar","doi":"10.47895/amp.vi0.7249","DOIUrl":"10.47895/amp.vi0.7249","url":null,"abstract":"<p><strong>Background: </strong>Based on the 2017-2020 annual report of the Department of Health-Antimicrobial Resistance Surveillance Program, significant resistance patterns have been observed for common disease-causing pathogens. In the hospital setting, antimicrobial stewardship programs have been implemented to optimize the use of antimicrobials. Drug utilization review studies provide essential feedback to improve prescribing and use of medications.</p><p><strong>Objectives: </strong>This study aimed to review drug utilization of monitored parenteral antimicrobials among patients admitted from January to December 2019.</p><p><strong>Methods: </strong>The study employed a retrospective, cross-sectional, descriptive research design. A retrospective chart review of drugs administered to patients was conducted.</p><p><strong>Results: </strong>A total of 821 patients charts met the inclusion criteria. The patients' ages ranged from 18 to 98 years old and 52% were females. General Internal Medicine practitioners (28%) were the top prescribers of monitored parenteral antimicrobials primarily for the management of moderate-risk community-acquired pneumonia (39%). They were mostly indicated for empirical treatment of infections (94%) and were given for an average of 5.73 days.Only 58% of the total cases had orders for culture and sensitivity testing. Of which, principally 47% had colony cultures. Blood (29%) and sputum (27%) were the most common specimens taken for culture and sensitivity testing. The microorganisms often isolated were <i>Escherichia coli</i> (19%), <i>Klebsiella pneumoniae</i> (18%), and <i>Staphylococcus aureus</i> (9%). In addition, extended-spectrum beta lactamase-producing gram-negative pathogens (4%) and methicillin-resistant <i>S. aureus</i> (1%) were also isolated. All the microorganisms isolated showed most resistance to ampicillin (81%) and most susceptibility to colistin (100%). There were drug therapy-related problems encountered. There was one case of an adverse drug reaction (0.1%) and two cases of contraindications (0.2%). Therapeutic duplication was also observed in 5% of the cases. Moreover, 39% had instances of drug-drug interactions.Piperacillin-tazobactam had the highest consumption (79.50 defined daily doses/1,000-patient days) among the monitored parenteral antimicrobials.Some prescriptions were deemed inappropriate upon evaluation. 12% of cases were inappropriate based on the justification indicator. As for the critical indicators, duration of therapy (78%) was the main reason. Only four components of the DUE criteria indicators have met or exceeded the established threshold level.The cost analysis indicated that the total actual cost of therapy with the monitored parenteral antimicrobials amounted to ₱17,645,601.73. Considering Department of Health National Antibiotic Guidelines recommendations, ideal total cost of treatment was ₱14,917,214.29. Potential cumulative cost savings of ₱2,728,387.44 could have bee","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70462714","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":"Measuring Quality of Life through Validated Tools","authors":"Shiela Marie S. Laviña, MD, MsCM","doi":"10.47895/amp.v58i10.10480","DOIUrl":"https://doi.org/10.47895/amp.v58i10.10480","url":null,"abstract":"Quality of life needs to be considered in every patient clinical encounter and should be a vital component of wholistic care.  Its measurement will give a context and assess the impact of physical illness on patients’ daily life. This evaluation provides a preview of what it is like to be ill based on the individual’s unique personal experience that changes through time and disease course.1 \u0000World Health Organization (WHO) has defined Quality of Life (QOL) as a “person’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.”1 Health-related QOL, on the other hand, is a multidimensional consideration of how patients are affected by their illness diagnosis and management.2   There are tools available to determine QOL and can implicitly provide the impact of diseases on an individuals’ daily activities.   \u0000Questionnaires currently available to measure quality of life can be divided into two categories: generic surveys intended for the general population and tools that are for disease-specific populations. Short form survey (SF-36) is the most widely known and used generic tool for QOL.3 Functional Assessment of Chronic Illness Therapy-Palliative (FACIT-PAL-14) Instrument for Filipino cancer patients in the article by Manalo and Nicolas-Casem is an example of a tool designed for a specific population.4 \u0000Palliative care patients are a vulnerable population with a wide range of difficulties, disabilities, and physical-mental fatigue. QOL is both an essential component of medical care and a significant outcome in cancer research. There is a need to measure QOL as it would assist health care providers to understand how the diagnosis of cancer, treatment or palliative care has affected daily life. This can lead to the recognition of the latest physical-emotional status, formulation of informed decisions, and evaluation of medical interventions.  \u0000Tools that measure constructs such as quality of life need language translation and validation in the local setting, particularly if created using another language in a different culture.  However, validation of instruments to ensure that it will measure what it needs to evaluate is both a challenging and resource-intensive task. Challenges in health-related quality of life questionnaires include varying psychometric properties, different levels of validations, and patient compliance.3 The importance of suitable validation techniques should be underscored as research not suitably conducted according to standards yields invalid results. \u0000There are several ways that will help establish validity and reliability of a tool to measure QOL.  The initial translation of an instrument into the local language should be substantiated with back-translation, engagement of several professional translators or addition of a committee tasked to compare the original to translated version.5 Construct validity can b","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141339323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies, Facilitators, and Barriers in Managing Academic Occupational Disruptions: Implications for Occupational Therapy Education.","authors":"Paolo Miguel P Bulan, Noel R San Antonio","doi":"10.47895/amp.vi0.7813","DOIUrl":"10.47895/amp.vi0.7813","url":null,"abstract":"<p><strong>Background: </strong>Higher education was gravely affected by the pandemic which caused academic occupational disruptions and affected students. Challenges in successful engagement in occupations influence the health and well-being of the individual. Consequently, it is vital for occupational therapist (OT) educators to be informed on how to manage academic occupational disruptions to minimize its occurrence, mitigate its impact, and support students' academic occupations.</p><p><strong>Objectives: </strong>This study aimed to determine the strategies, facilitators, and barriers in managing academic occupational disruptions encountered by Filipino OT educators.</p><p><strong>Methods: </strong>Respondents were ninety (90) Filipino OT educators coming from the different HEIs in the Philippines offering BSOT who completed an online cross-sectional survey. A 4-point Likert-scale was used to determine the strategies, facilitators, and barriers in managing academic occupational disruptions. Descriptive statistics was used for data analysis.</p><p><strong>Results: </strong>Respondents often (<i>M</i> = 2.95, <i>SD</i> = 0.94) utilize strategies for managing academic occupational disruptions, highlighting scheduling of synchronous and asynchronous sessions to balance online workload as the most utilized strategy. Respondents often (<i>M</i> = 3.00, <i>SD</i> = 0.70) encounter facilitators of managing academic occupational disruptions, citing flexibility of the school in adapting existing courses based on the context of delivery as the most common facilitator. Respondents sometimes (<i>M</i> = 2.19, <i>SD</i> = 0.95) encounter barriers to managing academic occupational disruptions, indicating need to work for income as the top barrier.</p><p><strong>Conclusion: </strong>Despite the utilization of strategies and presence of facilitators in managing academic occupational disruptions, Filipino OT educators still encountered barriers. Psychosocial support and needs were also highlighted across strategies, facilitators, and barriers in managing academic occupational disruptions. This prompts for further sustainable development of OT competence to inform occupational therapy educators on how to minimize academic occupational disruptions, to mitigate its impact, and to support students' academic occupations.</p>","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70463248","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":"Perceived Benefits of Engaging in Continuing Professional Development among Nurses in Bontoc, Mountain Province.","authors":"Daisy Fangkingan Faba-An, Eva Belingon Felipe-Dimog","doi":"10.47895/amp.vi0.8053","DOIUrl":"10.47895/amp.vi0.8053","url":null,"abstract":"<p><strong>Background and objective: </strong>Professionals in the Philippines must finish compulsory Continuing Professional Development (CPD) units before renewing their registration ID card with the Professional Regulation Commission (PRC). CPD has always been significant in the field of nursing. It supports nurses and other healthcare professionals, and keeps them informed about their professional development so they may provide the best care possible for patients. This study sought to engage how nurses in Bontoc, Mountain Province would benefit in continuing professional development in terms of their professional growth, increase in income, network building, and improvement of personal capabilities.</p><p><strong>Methods: </strong>This study used a quantitative descriptive study design using simple random probability sampling method. Descriptive analysis was used to characterize study participants. A modified validated survey tool was used to collect data on the nurses' perceived CPD benefits. Data collection was done among 101 nurses employed in Bontoc General Hospital, Mountain Province State Polytechnic College, Bontoc Municipal Health Office, the Department of Education (DepEd) at Bontoc, from January to February 2022 through paper and pencil method. Nurses who did not consent to participate were excluded from the study. The UNP Ethics Review Committee reviewed the protocol and did not find any ethical inappropriateness with number 22-039. An F-test and a t-test were also conducted to determine the mean differences in perceived CPD benefits according to participants' demographic characteristics. All these statistical analysis steps were performed using the IBM Statistical Package for the Social Sciences (SPSS) version 20.</p><p><strong>Results: </strong>The majority of the 101 respondents were between the ages of 30 and 39, and had 1 to 5 years of service. The overall mean of perceived CPD benefits was very high (3.40-3.58 mean rating), with career development having the highest mean rating at 3.58. This only implies that the respondents had a positive perception of CPD engagement, particularly with the favorable impact on their career development. T-test and F-test (ANOVA) were both pivotal in reaching the objectives of this study. Across the demographic characteristics of the respondents such as age, civil status, sex, highest educational attainment, length of service CPD units earned, and membership to organization, there was no significant difference found in the level of perceived benefits of engaging in continuing professional development across demographic characteristics. Each demographic factors gained a p-value greater than 0.05. Statistically, a p-value greater than 5% level of significance would result to failing to reject the null hypothesis.</p><p><strong>Conclusion: </strong>Given the foregoing results, the number of credit units obtained can be used to forecast how CPD will help nurses grow in their careers. To reap signi","PeriodicalId":6994,"journal":{"name":"Acta Medica Philippina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70463704","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}