Cytopathology in the Philippines is currently practiced by board-certified anatomic pathologists who receive only a three-month rotation in the discipline during their four-year combined Anatomic and Clinical Pathology residency training. At present, the country lacks a formal fellowship program in cytopathology, and no national core curriculum has been developed for this subspecialty. Local pathologists with advanced training and extensive experience in cytopathology recognized by the Philippine Society of Pathologists, Inc. (PSP) developed the first national core curriculum for cytopathology fellowship training. This initiative marks the first locally developed guideline for cytopathology fellowship training in the Philippines, representing a significant milestone in the advancement of subspecialty pathology education in the country.

This is a case of a 55-year-old female, surgical menopause for nine years, not on hormone therapy with one year history of a progressively enlarging left vulvar mass, who sought consult and subsequently underwent excision of mass. Microscopic findings showed alternating hypo- and hypercellular areas composed of plump spindle to epithelioid cells distributed in an edematous stroma with varying amount of collagen. Tumor cells have bland chromatin, inconspicuous nucleoli, and absent mitoses. The cells surround small to medium-sized thin-walled, hyalinized vessels found in hypercellular areas. An adipocytic differentiation of more than fifty percent of tumor is observed further classifying this neoplasm as lipomatous angiomyofibroblastoma, making this an even rarer type of benign mesenchymal tumor of the vulva. Immunohistochemistry stains performed showed positive staining for vimentin, smooth muscle actin, BCL-2, ER, PR, and negative staining for desmin which supports the diagnosis. The clinical presentation, operative findings, histopathologic features and the various considerations are discussed. Literature review of vulvar angiomyofibroblastoma is also presented.

Objectives: This study aimed to examine the impact of work schedule and work position on fatigue levels among employees at a private geothermal firm in Indonesia during the COVID-19 pandemic. The company has modified its work schedule considering the COVID-19 epidemic to ensure a continuous supply of energy and meet the needs of the public. Methods: In this cross-sectional study, the dependent variable is fatigue, which is classified as a latent variable. Fatigue is assessed using the Indonesian version of the Swedish Occupational Fatigue Inventory (SOFI). Fatigue is a condition that has five dimensions: lack of energy, physical exertion, physical discomfort, sleepiness, and lack of motivation. The observed variables in this study include work schedule and work position, which serve as independent variables. Using structural equation modeling (SEM), we assessed the impact of the independent variables on each dimension of fatigue. This approach allowed for the analysis of both the measurement and structural models. Results: The investigation employed total sampling, involving 132 workers from the company who willingly participated in the study. According to the findings, workers' main fatigue dimension was lack of energy. However, the statistical analysis did not establish a significant influence of work schedule and work position on fatigue. Conclusion Based on the findings of the SEM analysis, it is evident that there is no statistically significant correlation between work schedules and job positions with various dimensions of fatigue assessed using the SOFI questionnaire. These dimensions include lack of energy, physical exertion, physical discomfort, sleepiness, and lack of motivation. While this outcome suggests that work schedules and job positions may not directly influence fatigue levels as measured in this study, it underscores the importance of implementing occupational health and safety management systems. Additionally, promoting good work practices such as offering flexible working hours may help address potential fatigue concerns among employees. However, further research is necessary to explore additional variables that could potentially impact fatigue levels in the context of the COVID-19 pandemic and beyond.
Work Schedule ; Personnel Staffing and Scheduling