Catalogue Search | MBRL
Are you sure you want to remove the book from the shelf?
{{itemTitle}}
45,201
result(s) for
"Mae, T."
Sort by:
Sociodemographic and Clinical Predictors of Tuberculosis and Unsuccessful Treatment Outcomes in Davao City, Philippines: A Retrospective Cohort Study
Background/Objectives: Tuberculosis (TB) remains a major public health challenge in Davao City, Philippines, with persistent issues in both disease burden and treatment outcomes. Understanding the risk factors for TB and its unsuccessful treatment is essential for guiding effective interventions. This study aimed to evaluate the association of sociodemographic and clinical factors with TB occurrence and to identify predictors of unsuccessful TB treatment outcomes among patients in Davao City. Methods: A retrospective cohort study was conducted using data from 521 patients diagnosed with drug-susceptible TB at Davao Chest Center between January 2021 and May 2024. The sociodemographic and clinical profiles of the patients were described using descriptive statistics. Chi-square tests were used to assess the associations between sociodemographic and clinical variables with TB risk and treatment outcomes. Results: The patient cohort was predominantly aged 31–50 years (n = 201, 38.58%), male (n = 284, 54.51%), and married (n = 285, 54.70%), with most residing in Districts I and II (n = 98, 38% each), and had no previous TB treatment (n = 344, 66.03%). Among the 456 patients assessed for comorbidities, 56.14% (n = 256) had at least one comorbidity. Evaluation of the risk factors for TB occurrence among the study population revealed that comorbidity status was not significantly associated with an increased risk of TB diagnosis (p = 0.682). However, among patients diagnosed with TB, the presence of comorbidities was significantly associated with unsuccessful treatment outcomes (p = 0.003). Conclusions: Although sociodemographic factors did not significantly influence TB risk or treatment outcomes, the presence of comorbidities was a significant predictor of unsuccessful TB treatment. These findings highlight the importance of integrating comorbidity management with TB care to improve treatment success in high-burden urban settings.
Journal Article
Household survey on owned dog population and rabies knowledge in selected municipalities in Bulacan, Philippines: A cross-sectional study
Despite the effort to eradicate rabies in the Philippines, human rabies cases have not decreased in the past decade. Rabid dogs pose the most significant hazard in the countries with the highest burden of rabies, and 70% rabies vaccine coverage is recommended for dogs in high-risk areas. Ascertaining the owned dog population and community knowledge on rabies can help improve vaccine coverage and information campaigns.
We conducted a cross-sectional survey in six randomly selected communities (five urban, one rural) in Central Luzon, Philippines. We first conducted the complete mapping of 9,173 households and then randomly selected 727 households. More than half (54.1%) of the households owned dogs (1.21 dogs/household). In the 727 households, we identified 878 owned dogs and 3256 humans. According to these results, the dog-to-human ratio was approximately 1:3.7. Only 8.8% of households reported a history of dog bite in 2019. Among dog-owning households, 31% reported that they allow their dogs to roam freely. Of the recorded dogs, 35.9% have never been vaccinated, and only 3.5% were spayed or castrated. Factors associated with lower rabies knowledge include (1) no education aOR: 0.30 (0.16-0.59), and (2) only primary school education aOR: 0.33 (0.22-0.49). In contrast, factors associated with higher knowledge include (1) owning a dog and not allowing them to roam freely aOR: 2.01 (1.41-2.87) and (2) owning a dog and allowing them to roam freely aOR: 1.84 (1.17-2.92), when compared to those with no dogs.
We identified a larger dog population in the community than the usual estimates (1:10), suggesting that annual vaccine needs in the Philippines must be reassessed. Our survey shows a relatively good understanding of rabies; however, awareness of the concept of rabies as a disease, and how animals and humans can acquire it, is lacking.
Journal Article
Factors associated with the willingness of primary caregivers to avail of a dengue vaccine for their 9 to 14-year-olds in an urban community in the Philippines
To help address the need for preventive measures against dengue fever, a leading cause of child mortality in the Philippines, vaccine trials are ongoing and a tetravalent vaccine (Dengvaxia™, Sanofi Pasteur) has been developed. It is hypothesized that while acceptability would be high among primary caregivers (i.e., parents/guardians), the willingness to have one's child immunized against dengue would be associated with socio-demographic variables, attitudes and knowledge regarding dengue and vaccination, and past experience with dengue. This study aimed to assess the aforementioned factors’ association with primary caregivers’ willingness to avail of a dengue vaccine for their 9 to 14-year-old children in an urban community in the Philippines.
A cross-sectional study utilizing interviews was conducted to determine which factors were associated with willingness-to-avail assuming a free vaccine, and a case study utilizing a focus group discussion was employed to capture some underlying reasons for their willingness. Data were analyzed using multiple logistic regression and thematic analysis.
Among the 202 study participants, 193 (95.54%) were willing to avail of the vaccine. There was a high probability of vaccine acceptance by primary caregivers (95.54%), with good attitude towards vaccination (≥12/15 points) [aOR 10.62, 90% CI (1.73–26.28)] and large household size (>5) [aOR 9.63, 90% CI (2.04–45.58)] being positively associated with willingness-to-avail, and good knowledge regarding dengue fever [aOR 0.10, 90% CI (0.03–0.74)] and older age (>44 years) [aOR 0.14, 90% CI (0.03–0.61)] being negatively associated.
Crude analysis showed that household size, knowledge regarding dengue, and attitude towards vaccination were significantly associated with willingness. Multivariate analysis revealed that these factors and the primary caregiver’s age were associated with willingness. Thematic analysis showed various perceptions regarding dengue and vaccination. Knowing these factors are associated with willingness-to-avail of the vaccine may help in understanding the audience of health promotion projects aimed at increasing immunization coverage.
Journal Article
Geriatric nutritional risk index as the prognostic factor in older patients with fragility hip fractures
Summary
This study investigated the long-term survival and incidence of secondary fractures after fragility hip fractures. The 5-year survival rate was 62%, and the mortality risk was seen in patients with GNRI < 92. The 5-year incidence of secondary fracture was 22%, which was significantly higher in patients with a BMI < 20.
Background
Malnutrition negatively influences the postoperative survival of patients with fragility hip fractures (FHFs); however, little is known about their association over the long term.
Objective
This study evaluated the ability of the geriatric nutritional risk index (GNRI) as a risk factor for long-term mortality after FHFs.
Methods
This study included 623 Japanese patients with FHFs over the age of 60 years. We prospectively collected data on admission and during hospitalization and assessed the patients’ conditions after discharge through a questionnaire. We examined the long-term mortality and the incidence of secondary FHFs and assessed the prognostic factors.
Results
The mean observation period was 4.0 years (range 0–7 years). The average age at the time of admission was 82 years (range 60–101 years). The overall survival after FHFs (1 year, 91%; 5 years, 62%) and the incidence of secondary FHFs were high (1 year, 4%; 5 years, 22%). The multivariate Cox proportional hazard analysis revealed the risk factors for mortality as older age (hazard ratio [HR] 1.04), male sex (HR 1.96), lower GNRI score (HR 0.96), comorbidities (malignancy, HR 2.51; ischemic heart disease, HR 2.24; revised Hasegawa dementia scale ≤ 20, HR 1.64), no use of active vitamin D3 on admission (HR 0.46), and a lower Barthel index (BI) (on admission, HR 1.00; at discharge, HR 0.99). The GNRI scores were divided into four risk categories: major risk (GNRI, < 82), moderate risk (82–91), low risk (92–98), and no risk (> 98). Patients at major and moderate risks of GNRI had a significantly lower overall survival rate (
p
< 0.001). Lower body mass index (BMI) was also identified as a prognostic factor for secondary FHFs (HR 0.88 [
p
= 0.004]).
Conclusions
We showed that older age, male sex, a lower GNRI score, comorbidities, and a lower BI are risk factors for mortality following FHFs. GNRI is a novel and simple predictor of long-term survival after FHFs.
Journal Article
In-store customer traffic and path monitoring in small-scale supermarket using UWB-based localization and SSD-based detection
Nowadays, retailers are embracing the Internet of Things as the latest technology to drive superior customer experience. Leverage data sources from sensors, beacons and mobile devices to identify and analyze in-store customer shopping behavior. With this motivation, this study implemented an in-store customer traffic and path monitoring system for supermarket using image processing and object detection. the system utilized the ultra-wideband indoor positioning technique to monitor the customer shopping path and the single shot multibox detection technique to monitor the real-time customer traffic. The customer monitoring system was implemented and evaluated in an actual small-scale supermarket. Results showed that the detection model prediction score and the traffic counting both obtained an accuracy score of 99%. In addition, the localization system achieved the minimum error difference of 9.73% for x coordinate and 3.86% for y coordinate between pre-determined positions and the actual anchor position readings. Furthermore, the system successfully generated the most frequent path and the total customer traffic of the day. In the future, this work can aid retail owners make better choices, run businesses more efficiently, and deliver improved customer service.
Journal Article
Implications of the Progression to Sustainable Public Transportation: An Insight into Modern Jeepney Shift from the Philippines
Modern jeepneys represent a notable step forward in the Philippines’ modernization efforts. However, there is a need for further study since this has caused a lot of criticism in the country, and no studies have established its service quality and the behavioral intentions among passengers. This study assessed the factors influencing passengers’ intention to use modern jeepneys, employing a higher-order reflective construct using partial least square structural equation modeling. An online questionnaire gathered data from 502 commuters using modern jeepneys, employing convenience sampling for a diverse sample. Significant relationships (p-value < 0.05) were found between service quality (β: 0.559), attitude (β: 0.169), perceived behavioral control (β: 0.183), and behavioral intentions (β: 0.160), with assurance emerging as the most influential factor for higher-ordered constructs (β: 0.869). Meanwhile, satisfaction’s significant influence on behavioral intention was highest for lower-ordered constructs (β: 0.673). The study underscored the importance of building trust with passengers, prioritizing safety and security, and integrating modern jeepneys with traditional designs to enhance commuter experiences and promote modernized and sustainable transportation alternatives. It highlights the critical role of providing high-quality service in fostering positive intentions toward using modern jeepneys and its utilization. Despite the backlash of the majority on the redevelopment of traditional jeepneys, results presented that passengers are more inclined to use public transportation based on travel experiences rather than societal approval. The study offers theoretical and practical implications for future works and government organizations, transportation management, and modern jeepney manufacturers, emphasizing the importance of improving service quality.
Journal Article
Lateral flow devices for samples collected by straw sampling method for postmortem canine rabies diagnosis
The direct fluorescent antibody test (dFAT) using brain sample after opening the skull is the standard rabies diagnostic test in animal rabies. However, it is not feasible in many resource-limited settings. Lateral flow devices (LFD) combined with a simple sampling methodology is quicker, simpler, and less hazardous than the standard test and can be a useful tool. We conducted a prospective on-site study to evaluate the diagnostic accuracy of the LFD with the straw sampling method compared with that of the dFAT with the skull opening procedure for post-mortem canine rabies diagnosis. We collected 97 rabies-suspected animals between December 1, 2020 and March 31, 2021. Among the 97 samples, 53 and 50 cases were positive tests for dFAT and LFD, respectively. The sensitivity and specificity of LFD with straw sampling method were 94.3% (95% confidence interval [CI], 84.3–98.8%) and 100% (95% CI, 92.0–100%), respectively. The performance of LFD by the straw sampling method showed relatively high sensitivity and 100% specificity compared with that of dFAT performed on samples collected after opening the skull. This methodology can be beneficial and is a strong tool to overcome limited animal surveillance in remote areas. However, because of our limited sample size, more data using fresh samples on-site and the optimizations are urgently needed for the further implementation in endemic areas.
Journal Article
Perceived Health Impacts of Surface Mining: Local Perspectives from the Mining Communities in Libjo, Dinagat Islands, Philippines
This study examines the perceived health impacts of a mining company on residents of Libjo, Dinagat Islands, Philippines, addressing a critical research gap in understanding the perceived health impacts of mining activities in underrepresented regions. The perceived health impacts of mining operations were examined using a qualitative research approach, employing semi-structured interviews. The interview instrument was developed to investigate how mining company activities impact key health determinants, such as water quality, sanitation, income, employment, infrastructure, education, and women’s empowerment. The study was conducted across multiple sites at different distances from the mining area to further investigate the possible distance-based variations. The findings indicate that the mining company has positively impacted several areas, particularly income, employment, infrastructure, education, and women’s empowerment. However, there were mixed perceptions regarding water quality and sanitation. The majority of respondents, particularly those who are near the mining sites, perceived a significant positive impact on health service delivery, attributing it to the company’s support initiatives. Despite these positive impacts, the community expressed concerns about potential negative environmental consequences, such as air and water pollution, deforestation, land degradation, and noise pollution. This study reveals the complex relationship between mining operations and community health, emphasizing the importance of balancing economic benefits and environmental safety. The study further contributes to a deeper understanding of how mining operations affect the community’s health and well-being and their potential distance-based variations.
Journal Article