Banwa Publications (University of the Philippines Mindanao)
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Wastewater-Based Epidemiology and Data Analytics for Community-Level Pathogen Surveillance and Genetic Tracking: Proof-of-Concept
Over 60 countries have integrated wastewater-based epidemiology (WBE) into their COVID-19 surveillance programs, focusing on wastewater treatment plants (WWTPs). In the Philippines, COVID-19 surveillance relies heavily on clinical diagnostics for symptomatic individuals and their contacts. Hence, this project aimed to establish a proof of concept for wastewater-based epidemiology as a complementary approach for COVID-19 surveillance, using Davao City—without a WWTP—as a pilot study area. From July 2021 to June 2022, wastewater from the sewer pipes at three sampling sites in a prescreened barangay was assessed. Sewershed network data were generated to estimate the wastewater-contributing population. During this period, wastewater SARS-CoV-2 genome copies and confirmed COVID-19 cases in the contributing population exhibited similar temporal patterns. Additionally, total and fecal coliform levels, along with several physico-chemical parameters such as ORP, DO, TDS, salinity, and conductivity, were significantly correlated with wastewater RNA levels, indicating a potential effect on RNA recovery. This information was considered in the development of a molecular community tracker app for SARS-CoV-2. RT-LAMP assay was developed to allow point-of-risk testing of wastewater in laboratory resource-constrained communities. This multifaceted assessment of WBE provides a contextualized framework for wastewater-based surveillance in low-resource and low-sanitation communities
The Effect of Clinical Placement on Level IV Nursing Students\u27 Professional Identity Formation
The study sought to evaluate the influence of clinical placements on the development of professional identity among the Level IV nursing students at Ateneo de Zamboanga University. It explored how clinical instructors, rotation experience, and learning environment impact the Level IV nursing students’ professional identity and readiness for practice. The study evaluated the experiences of 180 Level IV nursing students using a survey questionnaire to rate factors affecting learning experiences and the effects of clinical placements on Professional Identity Formation. The aim was to gather comprehensive feedback on respondents\u27 experiences to understand their professional identities and future intentions in nursing. The study shows that clinical placements significantly influence students\u27 professional identities, with most respondents stating they positively impact their competency, confidence, and skills. Positive factors such as supportive clinical instructors, opportunities for reflection, and exposure to different cases, in either hospital or community placements, provided invaluable opportunities to gain firsthand experience that combines academic knowledge with practical skills, thus enhancing readiness for professional practice. These experiences are crucial for preparing students for their professions and achieving career goals. This supports the theory that clinical rotations significantly influence the development of professional identities among Level IV nursing students. The study recommends enhancing nursing education through better clinical areas, healthcare facility collaborations, and experiential learning. This maximizes student training and clinical placement options. The Nursing Board should align the curriculum and professional standards, promote a healthy learning environment, and employ effective teaching methods. It also invites further research with larger samples and longitudinal data gathering to have a more full understanding of the elements that influence professional identity
BRANding: Exploring the Functional Potential of Pigmented Rice Bran in Cacao Wine
Cacao (Theobroma cacao) pulp, rich in sugar, is ideal for wine production and fermentation. Pigmented rice bran (PRB), a nutrient-rich by-product, offers fiber, vitamins, minerals, and antioxidants like anthocyanin and proanthocyanidin. This study explored the functional ingredient potential of PRB to enhance the nutritional profile of cacao wine. Cacao-PRB wine samples (Control, F1-5%, F2-10%, F3-15% PRB w/v) were fermented for 30 days. Parameters like TSS, %ABV, pH, TA, and temperature were monitored. Post-fermentation, assessments included total phenolic content, SO2 level, antioxidant activity, color, turbidity, and sensory evaluation by FGD (n=7). Throughout fermentation, pH and TSS declined while TA and %ABV steadily increased. By the end of fermentation, samples with PRB showed higher alcohol content (14.80-15.07% ABV) and lower residual sugar (0.4-0.6°Brix) compared to the control (11.92% ABV; 3.5°Brix). A plateau in %ABV and TSS in PRB samples from day 25 to 30 suggested readiness for bottling after 25 days. Free SO2 levels (0.0085-0.0139 ppm) were within safe limits. Higher PRB concentrations resulted in a deeper color and significantly elevated TPC (Control - 0.071, F1 - 0.348, F2 - 0.417, and F3 - 0.447 mg GAE/mL), attributed to anthocyanin content. The F3 sample had the highest TPC and a notably redder, more yellow hue. Sensory evaluation favored the Control and F1 samples for overall acceptability due to their good flavor profile, sweetness, and mild flavor. Overall, PRB can enhance the nutritional profile of cacao pulp wine but should be limited to 5% to maintain desirable sensory properties. The addition of PRB also accelerated fermentation, allowing for bottling after 25 days
Mung Bean Powder: A Protein and Fiber Fortificant in Fresh Egg Noodles
Many Filipinos have an inadequate intake of fiber and protein. Meanwhile, the Davao Region is a top producer of mung bean, which is high in these nutrients. With the popularity of noodles, this study was conducted to develop fresh egg noodles with increased fiber and protein using mung bean powder (MBP). Fresh egg noodles with 0%, 10%, 20%, and 30% MBP (flour basis) were produced, and the best formulation was selected based on cooking qualities. The physicochemical properties of MBP and the noodle samples were analyzed. The MBP had 3.89% crude fiber and 23.70% crude protein. Noodles became significantly darker and had more blue and red tones with increasing MBP. Among the formulations, noodles with 30% MBP were selected because of their low cooking time (1.17 min), cooking loss (2.26%), water absorption capacity (33.51%), resistance to water disintegration, and similar tensile strength and elongation values compared to other MBP-containing samples. The 30%-MBP substituted noodles had significantly higher crude ash (0.92%), crude fiber (0.40%), crude protein (6.60%), and total phenolic content (1.93 mg GAE/g sample) than the control. Their appearance, texture, flavor, and overall acceptability were comparable to the control, ranging from 6.47 (liked slightly) to 7.07 (liked moderately). The use of MBP as a fortificant improved the nutrient profile of fresh egg noodles, decreased cooking time, and caused no significant change in cooking loss or acceptability. It is recommended that other uses of MBP as a fortificant be explored, specifically in foods where a high amount of MBP can be incorporated. Further studies to analyze the dietary fiber of MBP and the fortified products are likewise recommended
The Effects of Caffeine-Based Product Consumption in the Study Routine and Quality of Rest among Nursing Students
We examined caffeine\u27s impact on study routines and sleep among nursing students, exploring whether caffeine aids academic performance at the expense of rest. With cultural insights from existing research, the study aims to inform strategies that balance caffeine use with students\u27 well-being and academic success. The study is a quantitative descriptive research investigation into caffeine\u27s effects on nursing students\u27 study habits and rest quality. Using Slovin’s formula, 175 participants were selected from 312 students. Data collected via a validated questionnaire will address caffeine intake, stress, sleep, and study strategies. Third-year nursing students perceive caffeine as beneficial for academic performance, rating its impact positively (mean=3.59) and its ability to prolong wakefulness for studies (mean=3.62). However, they view caffeine’s effects on sleep quality neutrally (mean=3.17) and report stress-related consumption as also neutral (mean=3.17). Most students (74.1%) believe caffeine aids with school tasks, while 73.6% find it boosts energy. Despite its benefits, students acknowledge potential health risks from overconsumption (mean=4.10), with headaches as the most common withdrawal symptom (36.2%). Many prefer fruit juices as an alternative to caffeine (71.3%) and show a neutral stance towards relaxation and stress management techniques (mean=3.09). Overall, caffeine positively affects study routines by enhancing performance and wakefulness but has a neutral effect on rest quality. The researchers recommend future studies on caffeine’s long-term effects on health, sleep, and academic performance, with extended inquiry duration and broader student sampling. They also suggest exploring alternatives to caffeine for cognitive enhancement
PREPARE-TID: Diagnostics for Pandemic Preparedness
It has become apparent that the ease of travelling, global warming, and changes in the environment accelerate the spread of infectious diseases of zoonotic origin. International collaboration is essential to impact on the control of disease epidemics, and as the COVID pandemic has shown rapid diagnostics are one of the main pillars. PREPARE-TID will target infectious agents of three types: an ongoing neglected epidemic, an ongoing emerging epidemic, and an ongoing elimination drive. The aim is to develop the necessary diagnostic tools for preparedness needed in case of the emergence of infectious agent X. PREPARE-TID is a multidisciplinary research consortium where biomedical laboratory researchers will work alongside epidemiologists, clinicians, veterinarians, and software engineers to implement a pipeline from a mobile suitcase sequencing laboratory with a simple bioinformatics to a fieldable rapid nucleic acid extraction procedure, a mobile smartphone linked molecular point-of-care and a multiplex PCR one-health surveillance platform, and a one health digital platform. These will provide innovative diagnostic solutions for cross-border health threats at international level. PREPARE-TID will increase the accessibility to novel diagnostics for detection of pathogens with pandemic potential. The consortium will deliver point-of-care and mobile diagnostics, which can be easily deployed and mass produced in case of an epidemic or pandemic
Knowledge and Risk on Cardiovascular Diseases among College Students
Cardiovascular diseases (CVDs) remain the leading cause of mortality both globally and locally. According to the Knowledge, Attitudes, and Practices (KAP) model, the level of individuals’ knowledge of CVDs may contribute to the persistence of these diseases and their impact on community health. This descriptive comparative study categorized 351 individuals, chosen through convenience sampling, into low, moderate, and high CVD risk by measuring their total cholesterol levels. Then, a validated questionnaire was employed to assess their level of knowledge of CVDs and compare it among the three CVD risk groups. After analyzing the gathered data, it was found that the majority of individuals (271) had low CVD risk, while 69 and 11 individuals had moderate and high CVD risks, respectively. To compare the level of knowledge of the respondents among the three risk groups on CVDs, Analysis of Variance (ANOVA) was used, and it showed an F-value of 0.824 between groups and a p-value of 0.651, indicating that their differences in terms of knowledge were statistically insignificant. Thus, individuals have the same level of knowledge, regardless of their CVD risk. Based on the findings of the study, recommendations were made to serve as a basis for future studies. Future researchers may investigate the practices of individuals that may affect their CVD risk level. They may also utilize more parameters that will determine the CVD risk of individuals, like body mass index, glucose, HDL, and LDL levels. Additionally, they may create a predictive model including other factors, and determine which factor will most likely contribute to the development of CVDs in the future
Views and Experiences on Fasting during Ramadan among Muslim Patients with Type 2 Diabetes: A Phenomenological Inquiry
This study was done to address the conflict between the health practices and religious practices of Muslims by the health professions to improve healthcare for Muslim diabetic patients who were fasting during Ramadan. Ten (10) participants underwent in-depth interviews and five (5) participants participated in the focus group discussion, as recommended by Creswell (2009). Data was collected when clearance from the Davao Medical School Foundation, Inc.\u27s Research Ethics Committee was given. Most of the participants practiced self-reliance by taking medicines and observing their diet. All participants mentioned eating the same food for Suhoor and Iftar. They experienced hypoglycemia and were aware of it during the month of Ramadan; however, they had a strong belief that Allah (SWT) would let them survive through fasting. The creation of national educational materials and guidelines for the diabetes management of diabetic Muslims fasting during Ramadan is highly recommended. Overall, proper communication and openness between healthcare practitioners, diabetic Muslim patients, and religious authorities can bridge the gap in treating diabetes among diabetic Muslims while fasting during Ramadan
Harnessing Social Capital: Empowering Barangay Health in Health Promotion Governance
Barangay Health Workers (BHWs) play a critical role in health promotion governance within local government settings. Using the Institutional Collective Action Framework, Social Capital Theory, and reflexive thematic analysis, this research examined the potential self-organizing systems of BHWs in Malabon LGU through the lens of purposively selected BHWs. The study focused on the formation and impact of bonding and bridging social capital among BHWs, the influence of these networks on health promotion efforts, and the mechanisms through which BHWs overcome collaboration risks and institutional collective action dilemmas. Results indicated that BHWs leverage bonding social capital, formed through shared experiences and values, to foster trust, commitment, and cohesion. Bridging social capital, facilitated by the BHW President and the BHW Association of Malabon, Inc., helped integrate new BHWs and supported the continuity of health promotion activities despite political and organizational challenges. These networks helped mitigate collaboration risks, enhance decision-making capacity, and ensure effective health promotion governance. Policy recommendations include formalizing support for the BHW Association, providing incentives for BHWs, and promoting stable employment to strengthen these networks and sustain health promotion efforts
Factors Affecting the Clinical Performance of Level III AdZU Nursing Students A.Y. 2023-2024
This study aimed to examine the factors affecting the clinical performance of Level III nursing students at Ateneo de Zamboanga University (ADZU) during the academic year 2023-2024 in the hospital setting. The study utilized a descriptive quantitative design, with stratified random sampling selecting 175 students from 312 Level III nursing students of ADZU. Data were collected via validated online surveys, tested for reliability, and analyzed to determine how various factors affect the students\u27 clinical performance. The findings reveal that key factors, including prior knowledge and skills, frequency of clinical training, and access to relevant technological resources, significantly affect the clinical performance of nursing students. Most respondents confirmed that these factors play an essential role in shaping their competence and ability to perform effectively in clinical environments. The study highlights the importance of addressing these areas to improve clinical training and overall student development. This study recommends that the ADZU College of Nursing enhance clinical experiences by improving access to technology, increasing clinical training, and strengthening foundational knowledge. Future research should explore factors like motivation, stress management, and instructor-student interactions, while the administration should examine both student and instructor experiences