GreenPrints Institutional repository of De La Salle Medical and Health Sciences Institut
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Computer-aided detection for esophageal achalasia (with video)
No full textObjectives: Achalasia is an esophageal motility disorder that impairs quality of life and is often missed (20–50%) on endoscopy. A newly developed computer-aided detection (CAD) software has shown high accuracy for achalasia diagnosis in preclinical settings. However, its benefit in a clinical setting remains unclear. Methods: Between February and August 2023, 83 endoscopists from 27 centers assessed 50 randomized endoscopic videos (25 achalasia, 25 nonachalasia) without and with CAD. Endoscopists assessed videos without CAD, then with CAD after 2 months. The primary end-point was improvement in sensitivity for nonexperienced endoscopists (no endoscopic experience of achalasia). Sensitivity, specificity, and accuracy with and without CAD were compared using the McNemar test. Results: Sensitivity for diagnosing achalasia increased significantly with CAD, rising from 74.2% (95% confidence interval [CI] 72.2–76.0%) to 91.2% (95% CI 89.9–92.4%) for all readers, showing a difference of 17.1% (95% CI 15.1–19.0%). Specifically, sensitivity improved from 66.9% (95% CI 63.6–70.0%) to 91.9% (95% CI 89.9–93.6%) among nonexperienced endoscopists, resulting in a difference of 25.0% (95% CI 21.7–28.4%), and from 79.5% (95% CI 77.1–81.8%) to 90.8% (95% CI 89.0–92.3%) among experienced endoscopists (endoscopic experience of at least one achalasia case), with a difference of 11.3% (95% CI 8.9–13.6%). Accuracy and specificity improved significantly with CAD assistance, regardless of reader\u27s experience. Conclusion: CAD improves achalasia detection by 17%, confirming preclinical results. The benefit was higher for nonexperienced endoscopists. CAD assistance may lead to prompt and effective treatment, minimizing the risk of false-negative diagnosis in clinical practice. Trial registration: This study was registered in the University Hospital Medical Information Network Clinical Trial Registry (https://www.umin.ac.jp/ctr/) number: UMIN000053047
Assessing the efficacy of chitosan preservative coating derived from oyster (Magallana bilineata) shells for preservation of market bought tomatoes
No full textComparison on the level of motivation and self-efficacy on the academic performance of senior high school students in Cavite
No full textEfficacy of oyster mushroom (Pleurotus ostreatus) fungal fiber as mycofiltration of river water
No full textEvaluating the tensile properties of bioplastic derived from the inner layer of banana pseudostem (Musa paradisiaca L.) and cassava starch (Manihot esculenta)
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A comparative phenomenological study of Filipino medical technologists: lived experiences in the United States of America vs. the Philippines
No full textThis study explored the lived experiences of Filipino Medical Technologists practicing in the United States of America and in the Philippines through a comparative phenomenological approach. With increasing migration of Filipino healthcare professionals due to labor drain, this study aimed to understand the personal, professional, emotional, and cultural dimensions that shape the decisions of Filipino Medical Technologists to either remain in the Philippines or pursue careers abroad. The researchers gathered qualitative data through semi-structured interviews and focus group discussions with 7 U.S. based (USG) and 9 Philippine-based (PHG) Registered Medical Technologists. Thematic analysis revealed six overarching themes: Broad Spectrum of Career Growth and Development, The Gap Between Two Cultures, Technological Status, Compensation Meets Reality, Beyond the Resume, and The Dire of the Pandemic. U.S.-based respondents cited better delegation of tasks, advanced technological access, and improved compensation as major motivators, while Philippine-based participants emphasized adaptability, local familiarity, and future plans in academia or entrepreneurship. Both groups recognized the importance of skill enhancement and career opportunities. Cultural and systemic differences were significant, affecting the work environment, professional growth, and personal values. The study addressed a research gap regarding Filipino Medical Technologists’ experiences in different healthcare systems and provided insights relevant for educational institutions, policymakers, and future researchers. By presenting their lived experiences, this study contributes to understanding migration decisions, work satisfaction, and the evolving landscape of medical laboratory science
Mother and Child (Mother Nature), 177/1500
No full text1819-RPA-063https://greenprints.dlshsi.edu.ph/collections_3d/1004/thumbnail.jp
Mime Angel
No full text1819-RPA-086https://greenprints.dlshsi.edu.ph/collections_3d/1027/thumbnail.jp
Saint Joseph
No full text1819-RPA-105https://greenprints.dlshsi.edu.ph/collections_3d/1045/thumbnail.jp