INTRODUCTION: This study measured the impact and outcome of an inter-professional community nutrition
program labeled as "NUTRI-CHIKA: Usapan Tungkol at para sa Nutrisyon." The program was a multidisciplinary
approach towards the attainment of proper nutrition for identified malnourished preschool
age children in Barangay San Isidro, Rodriguez, Rizal.

METHODS: This was a mixed quantitative-qualitative program evaluation. The quantitative part consisted
of a longitudinal observational study design, which reviewed the data of the children who received the
nutritional intervention. The qualitative study was done with a phenomenological approach, using a
thematic analysis for the process and impact evaluation by means of a focus group discussion and key
informant interview processes.

RESULTS There was a statistically significant increase in weight (2.32 kg) and height (3.04 cm) in terms of
Z-scores. A total of 29 out of 30 malnourished children graduated with 1 to 3 degrees of improvement in
their Z-scores. The program impact showed 1) overall improvement of the state of health of the children;
2) inculcation of family values, which emphasized the giving of more quality time of parents to their
children, and teaching them to socialize and be courteous; and 3) better orientation of the children
towards more nutritious food choices. The process evaluation focused on the positive disposition of the
inter-professional collaboration and brought out transference of this attitude to the children and parents.

CONCLUSION "NUTRI-CHIKA: Usapan Tungkol at Para sa Nutrisyon" achieved its program objectives and
impacted on the family and community, improving the overall state of health of the children and providing
positive disposition and family values to the participants.

INTRODUCTION: There is limited data regarding the knowledge, attitudes and practices (KAP) of nurses
towards psychiatric disorders in the Philippines. Hence, this study aimed to assess the KAP of nursing
staff in a tertiary hospital on depressive disorders and determine differences in their KAP in relation to
sociodemographic variables.

METHODS: The study, which involved 116 Filipino nurses, was divided into two phases. Phase 1 was the
creation and validation of a KAP questionnaire, and Phase 2 was a descriptive cross-sectional study to
determine the KAP of the nurses using the validated questionnaire. Frequencies and differences in KAP
scores in relation to sociodemographic variables were analyzed using independent t-test, ANOVA and
chi-square via SPSS v.24. Ethics approval was secured for both phases of the study.

RESULTS: The questionnaire was validated after two rounds of expert validation. Phase 2 results revealed
that the mean knowledge of nurses was lower than expected. They had overall good attitudes, with nurses
without previous mental health work experience having higher attitude scores towards functioning and
prognosis. However, specific negative attitudes were noted. Overall, good practices were also noted, with
42.2% of the sample having had encountered a depressed patient at work and male nurses having higher
practice scores compared to females.

CONCLUSION: The nurses had overall good attitude and practices, but still had inadequate knowledge and
some negative attitudes towards depressive disorders. This signifies the need for continuing mental health
education among nursing staff in the Philippines.

INTRODUCTION Early onset sepsis is difficult to diagnose due to nonspecific symptoms and a lack of
reliable tests. It can progress quickly, and lead to neurodevelopmental consequences or be fatal if not
treated. However, approximately 10-fold more newborns are treated with antibiotics empirically and often
unnecessarily. This study aimed to compare the management recommendations of the Neonatal Early
Onset Sepsis Calculator with those of the Centers for Disease Control/American Academy of Pediatrics
guidelines.

METHODS Neonatal Early Onset Sepsis Calculator was applied to the data set to examine how an alternative
model would perform compared to current guidelines published by the CDC and compared to current
practice within the institution. Chi square and kappa value agreement was used to determine the difference
between treatment recommendations of NEOS calculator and AAP guideline.

RESULTS Of the 330 patients who received therapy, only 14.2% were recommended empiric antibiotics by
the EOS calculator, compared to the 39% recommended by the CDC guidelines (p < 0.001, ? = 0.372).
Eleven patients were identified to have culture-positive sepsis.

CONCLUSION The number of infants suspected with EOS and subsequently require antibiotic use at birth
may be dramatically reduced with the use of the neonatal EOS calculator.

INTRODUCTION: Amputation is often associated with depression, isolation and anxiety, resulting in changes
in the functioning and quality of life of an individual. This study aimed to compare the quality of life of
amputees before and after prosthetic rehabilitation and to determine the level of satisfaction with the
services provided by the rehabilitation team.

METHODS: This was a longitudinal study conducted at the Philippine School of Prosthetics and Orthotics
from 2016 to 2017. Quality of life was measured at baseline and at the end of prosthetic rehabilitation
using the Short Form-36 version 2 Philippines (Tagalog) and compared. Patient satisfaction was determined
using the UERMMMCI Out-Patient Satisfaction Survey. Statistical analysis was done using paired t-test
and stratified analysis.

RESULTS: Twelve participants were included; majority were adult males and all were unemployed. There
were no statistically significant changes in the quality of life of amputees after prosthetic rehabilitation.
Stratification analysis revealed significant decreases in scores in bodily pain and general health scales for
females. On the other hand, males had statistically significant increases in vitality scores. Participants
were generally satisfied with the services they received.

CONCLUSION: While no significant changes were observed for overall quality of life, certain aspects may be
related to factors such as sex, comorbidities, and type of caregiver. Recommendations include further studies
to explore other factors affecting quality of life among Filipino amputees after prosthetic rehabilitation.

INTRODUCTION: The Philippines continues to see an increasing trend in diagnosed cases of HIV. The
predominant population of males having sex with men (MSM) is the 25-34 years age group, but trends
show an increasing incidence in younger populations. This study aimed to determine the participants'
HIV/AIDS related knowledge, attitudes and practices and its relationships with the sociodemographic
factors of youth MSM in Metro Manila.

METHODS: The researchers used an analytic, cross-sectional design using a self-administered questionnaire.
The survey tool consisted on 24 items on knowledge and 12 on attitudes. Respondents were classified
into "inadequate" and "adequate" knowledge, and "poor" and "good" attitudes for the analysis. Purposive
sampling was used to recruit 251 respondents.

RESULTS: The mean age of the respondents was 22 ± 1.7 years. Most of the respondents had high HIV
knowledge and good attitudes towards PLHIV but still engaged in risky sexual practices. Those who had
undergone HIV testing were significantly more likely to have good knowledge regarding HIV/AIDS. With
regards to attitudes, those not in a relationship were significantly more likely to have positive attitudes
towards PLHIV and HIV/AIDS.

CONCLUSION: HIV testing status positively influences HIV/AIDS-related knowledge while being single
positively influences attitudes towards PLHIV and HIV/AIDS. No significant findings were found between
age, educational attainment and religious affiliation with knowledge and attitudes.

INTRODUCTION: Gadget use with its diverse range of functions from communication to navigation and
entertainment, has brought increasing concerns about its effects on psychological health. Despite
growing evidence on its effect among children, its effect on the adolescent age group, particularly on
the socio-emotional dimension remains uncertain.

METHOD: An analytical cross-sectional study was done to identify a possible association between duration
of gadget use and socio-emotional difficulties of an adolescent. A cluster sample of junior high school
students aged 13-17 years old from four selected private schools were invited to answer the Strengths
and Difficulties Questionnaire (SDQ) to measure socio-emotional difficulties and provide information on
the type and duration of gadget use. Scores derived from the SDQ were classified as normal, borderline
and abnormal based on the questionnaire's scoring guide. Association between duration of gadget use
and strengths and difficulties was tested using chi-square, controlling for sex and age groups.

RESULTS: Majority of the 315 respondents had normal scores on the strengths and difficulties sub-scales.
Regardless of the duration of gadget use, majority of the respondents had normal prosocial behavior
and likewise scored normal on all dimensions of the Difficulties subscale. There was no significant
association between duration of gadget use and Strength (p = 0.47) and Difficulties scores (p = 0.35).
Stratifying by sex and age groups likewise resulted in insignificant associations (p > 0.05). Those with
prolonged gadget use were 1.68 times more likely to have abnormal scores on the Difficulties subscale
compared with those with normal gadget use but the association was not significant (95% CI 0.82, 3.34).

CONCLUSION: There was no significant association between duration of gadget use and socio-emotional
difficulties of adolescents in selected private schools, controlling for sex and age groups.

INTRODUCTION: The objective of this focus group discussion was to explore the experiences and perceptions
of former medical students with the undergraduate neurology curriculum.

METHODS: Perceptual patterns were derived from transcriptions of the discussion of the participants in a
focus group discussion involving faculty, residents and postgraduate interns. Data were analyzed using
latent content analysis and constant comparison techniques.

RESULTS: Shared experiences in clinical clerkship were mostly negative. The difficult initial patient encounters
were suggested to be minimized through hierarchal modeling, modification of the subject contents and
early clinical exposures. An environment created to be conducive to learning and neuroscience subjects
suited for the primary physician will equip the medical graduates better. The perceived pressures forced
the participants to find ways to cope. Neuroanatomy helped much in the clinics. The group suggested
more clinical correlates and the use of drawings to aid the graduates attain the competency in neurology
for a primary physician.

CONCLUSION: The participants' experiences were largely negative and were brought about by a varied form
of pressures. Contributing factors were identified and suggestions to improve learning and retention
were given.

INTRODUCTION: A statistical extrapolation reported 126,826 cases of post partum depression in the
Philippines in 2004, prompting the proposal of the Postpartum Depression Research Act of 2007. This
quasi-experimental research tested the Mental Health Promotion Program for Postpartum Women.
The study elaborated the link between identified high-risk mothers for postnatal mood disturbances
and effect of the intervention two weeks postpartum.

METHODS: This was conducted using Postnatal Depression Predictor Inventory Scale-Revised,
administration of a two-week Mental Health Promotion Program for Postpartum Women consisting
of self-mastery, social support and sleep; and evaluation of postnatal depression scores of mothers
through Edinburg's Postnatal Depression Scale two weeks after g iving birth.

RESULTS Mothers who are at risk of developing postpartum mood disorders were predominant. It also
discovered that majority of high-risk mothers reported depressive symptoms. There was no significant
difference in the postpartum mood between the study and control groups after the Mental Health
Promotion Program for Postpartum Women. The intervention was able to address three factors:
blaming oneself, fear and panic without reason, and difficulty s leeping due to sadness.

CONCLUSION: There is no significant difference in the postpartum mood between the control and study
group after the intervention, however, the Mental Health Promotion Program for Postpartum Women
was able to successfully target three factors: blaming oneself, fear and panic without reason, and
difficulty sleeping due to sadness.

INTRODUCTION: There is a consistent increase in the interest and demand for non-invasive modalities to
improve facial skin laxity and rhytides. Monopolar radiofrequency is one of such non-invasive modalities.
This systematic review aimed to determine the efficacy and safety of monopolar radiofrequency in
improving facial rhytides and skin laxity.

METHODS: Clinical studies that assessed the efficacy of monopolar radiofrequency to address clinically
observable facial rhytides and skin laxity were included. Outcome measures included improvement
in rhytides and skin laxity as documented by patient satisfaction scores, and investigator and third-person
observer ratings based on clinical photographs and clinical scales.

RESULTS: Three studies involving 29 participants were included in this review. All studies reported 25-
50% improvement in facial rhytides and skin laxity. Participants from the three studies were satisfied
with the results. Transient erythema was reported in several patients.

CONCLUSION: Monopolar radiofrequency appears to be beneficial and safe for patients with facial
rhytides and skin laxity. However, the evidence is inconclusive due to problems in the methodological
quality of each trial and the heterogeneity of the studies included in this review.

Carcinosarcoma ex pleomorphic adenoma of the salivary gland is an extremely rare tumor of the
major and minor salivary glands that is composed of a mixture of both carcinomatous and sarcomatous
elements with an identifiable benign epithelial and mesenchymal tumor counterpart.

This report describes a rare case of carcinosarcoma ex pleomorphic adenoma involving the left parotid
gland in a 61-year-old female with no history of a long-standing pleomorphic adenoma, nor a recurrent
pleomorphic adenoma, and describes its morphology and important immunohistochemistry findings.
Carcinosarcoma ex pleomorphic adenoma contains features of the two tumors under malignant mixed
tumors, which are carcinosarcoma and carcinoma ex pleomorphic adenoma. Immunohistochemistry
studies were done to document the epithelial and mesenchymal areas from both the malignant and
benign sections of the tumor and to classify the carcinoma and sarcoma component, consisting of
adenocarcinoma, not otherwise specified for the carcinoma component, and myxoid chondrosarcoma
and mesenchymal chondrosarcoma for the sarcoma component.

The paucity of documented cases of carcinosarcoma ex pleomorphic adenoma in prior scientific
publications requires reporting cases such as this. Furthermore, the report provides an insight into
the more complex molecular and structural changes that manifest as cancer behavior in the tumors
of the salivary gland. The case contributes to the fund of knowledge for diagnosis and improvement
of quality of care.