How do remittances to the Philippines affect its environmental sustainability? Evidence based on the augmented ARDL approach

2021 ◽  
Author(s):  
Alper Karasoy
Keyword(s):  
Environmental Sustainability ◽  
The Philippines ◽  
Evidence Based ◽  
Ardl Approach

scholarly journals Evidence-based intrapartum practice and its associated factors at a tertiary teaching hospital in the Philippines, a descriptive mixed-methods study.

2020 ◽  
Author(s):  
Chisato Masuda ◽  
Shirley Kristine Ferolin ◽  
Ken Masuda ◽  
Chris Smith ◽  
Mitsuaki Matsui
Keyword(s):  
Mixed Methods ◽  
Associated Factors ◽  
Healthcare Providers ◽  
The Philippines ◽  
Mixed Methods Study ◽  
Evidence Based ◽  
Factors Associated ◽  
Second Stage ◽  
Assisted Delivery ◽  
Fundal Pressure

Abstract Background Evidenced-based practice is a key component of quality care. However, studies in the Philippines have identified gaps between evidence and actual maternity practices. This study aims to describe the practice of evidence-based intrapartum care and its associated factors, as well as exploring the perceptions of healthcare providers in a tertiary hospital in the Philippines. Methods A mixed-methods study was conducted, which consisted of direct observation of intrapartum practices during the second and third stages, as well as semi-structured interviews and focus group discussions with care providers to determine their perceptions and reasoning behind decisions to perform episiotomy or fundal pressure. Univariate and multivariate logistic regression were used to analyse the relationship between observed practices and maternal, neonatal, and environmental factors. Qualitative data were parsed and categorised to identify themes related to the decision-making process. Results A total of 170 deliveries were included. Recommended care, such as prophylactic use of oxytocin and controlled cord traction in the third stage, were applied in almost all the cases. However, harmful practices were also observed, such as intramuscular or intravenous oxytocin use in the second stage (14%) and lack of foetal heart rate monitoring (57%). Of primiparae, 92% received episiotomy and 31% of all deliveries received fundal pressure. Factors associated with the implementation of episiotomy included primipara (adjusted Odds Ratio [aOR] 62.3), duration of the second stage of more than 30 minutes (aOR 4.6), and assisted vaginal delivery (aOR 15.0). Factors associated with fundal pressure were primipara (aOR 3.0), augmentation with oxytocin (aOR 3.3), and assisted delivery (aOR 4.8). Healthcare providers believe that these practices can prevent laceration. The rate of obstetric anal sphincter injuries (OASIS) was 17%. Associated with OASIS were assisted delivery (aOR 6.0), baby weights of more than 3.5 kg (aOR 7.8), episiotomy (aOR 26.4), and fundal pressure (aOR 6.2). Conclusions Our study found that potentially harmful practices are still conducted that contribute to the occurrence of OASIS. The perception of these practices is divergent with current evidence, and empirical knowledge has more influence. To improve practices the scientific evidence and its underlying basis should be understood among providers.

Understanding students' future intention to engage in sustainability accounting: the case of Malaysia and the Philippines

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Teresa Eugenio ◽  
Pedro Carreira ◽  
Nina Miettinen ◽  
Isabel Maria Estima Costa Lourenço
Keyword(s):  
Higher Education ◽  
Environmental Sustainability ◽  
Role Models ◽  
Subjective Norm ◽  
The Philippines ◽  
Behavioural Control ◽  
Content Type ◽  
Perceived Behavioural Control ◽  
Sustainability Practices ◽  
Sustainability Accounting

PurposeThe study investigates whether the level of sustainability concerns of Higher Education Institutions (HEIs) in Malaysia and the Philippines is positively associated with accounting students' intentions to engage in sustainability accounting through its effect on students' attitude, subjective norm and perceived behavioural control regarding environmental sustainability practices.Design/methodology/approachThis empirical study relies on a structural equation model computed using data collected through a questionnaire and data collected from the HEIs websites.FindingsThe findings show that the willingness to engage in sustainability accounting is determined by students' subjective norm and perceived behavioural control, but it is not determined by attitude regarding environmental sustainability practices. The authors also found that the greater the concern with sustainability of the HEI in which a student is enrolled, the greater his/her attitude, subjective norm and perceived behavioural control towards environmental sustainability, and, indirectly, the greater his/her intention to engage in sustainability accounting.Originality/valueThese findings add to the literature on higher education and sustainability accounting by high-lighting the importance of the HEIs sector in promoting sustainability policies and practices, in acting as role models regarding sustainability issues, and in preparing students for building a sustainable society.

Establishing a Blueprint for nature-based Products Development and Conservation for the Philippines

2018 ◽  
Vol 52 (4) ◽  
Author(s):  
Hilton Y. Lam ◽  
Maria Luisa D. Enriquez ◽  
Francisco M. Heralde III ◽  
Monet M. Loquias ◽  
Marco Nemesio E. Montaño ◽  
...  
Keyword(s):  
Environmental Sustainability ◽  
The Philippines ◽  
National Database ◽  
Local Health ◽  
Review Of Literature ◽  
Mortality And Morbidity ◽  
Alternative Health ◽  
Alternative Health Care ◽  
Total Investment ◽  
Causes Of Mortality

Background. Many of the leading causes of mortality and morbidity in the Philippines are controllable with naturebased products, either as agents of intervention, or prevention, as nutritional supplements, or for the control of side-effects of medications. The different R&D programs on nature-based products in the Philippines are usually conducted in isolation, or through silos. These often lead to products that are shortsighted, duplicate products, or products with minimal innovation, not readily applicable to population and environmental sustainability. Objective. The study aimed to draft an internationally benchmarked and integrated blueprint for a population health- and environmental health-led nature-based product development and conservation for the Philippines. Methods. The methodology consisted of review of literature; regional educational visits; and a series of consultative meetings with stakeholders. Results. The study resulted in a stakeholder-validated blueprint which assigns the Philippine Institute of Traditional and Alternative Health Care (PITAHC) to lead the way for Filipinos to produce more nature-based products that are of international quality and attuned with local health needs. The blueprint has identified “9 Optimizations” in the realization of this aspiration, including an expanded role for PITAHC, a national database, an ethical researchers list, and to produce at least five commercial products and 20 intellectual property rights within 5 years with an estimated total investment of approximately PhP 816 M.

Opportunities and Challenges in Socially Inclusive Innovation

Biotechnology ◽  
2019 ◽  
pp. 1541-1555
Author(s):  
Linda M. Peñalba ◽  
Dulce D. Elazegui
Keyword(s):  
Social Inclusion ◽  
Innovation System ◽  
The Philippines ◽  
Evidence Based ◽  
Promotion Policies ◽  
Inclusive Innovation ◽  
The Social ◽  
Modern Biotechnology ◽  
Socio Economic Impact ◽  
Equitable Outcomes

This chapter analyzes the opportunities and challenges for modern biotechnology, particularly Genetically Modified (GM) corn, in addressing social inclusion to ensure its equitable outcomes or impacts. It examines the policy environment in which GM corn was introduced and the related socioeconomic concerns. The study reveals that in the Philippines there is no institutionalized mechanism yet to determine if GM corn promotion policies and strategies conform to the social inclusion context of biotechnology. Governance of the GM technology and the interplay of the innovation system intermediaries hindered the full realization and application of social inclusion principles. Interventions to monitor socio-economic impact, knowledge transfer and interaction, and credit support delivery are needed for a more socially inclusive innovation. There should be a continuous interactive learning among various stakeholders to have evidence-based information on the technology.

Efficiency and Environmental Effects of Privatizing Waterworks and Sewerage (MWSS) in Metro Manila, Philippines

2013 ◽  
Vol 5 (1) ◽  
Author(s):  
ROSALINA PALANCA TAN
Keyword(s):  
Social Welfare ◽  
Water Supply ◽  
Environmental Sustainability ◽  
Environmental Science ◽  
Domestic Wastewater ◽  
The Philippines ◽  
Urban Region ◽  
Sanitation Services ◽  
Pollution Problem ◽  
Metro Manila

In 1997, the Metropolitan Waterworks and Sewerage System (MWSS) was privatized to meet the rapidly growing demand for water, and sewerage and sanitation services in Metro Manila. The purpose of the study was to determine the impacts of private sector participation in the water supply and sanitation sector in Metro Manila, the foremost urban region of the Philippines. The methodology of the study used two lenses—microeconomic efficiency and environmental sustainability. It was found that MWSS privatization resulted in improvements in efficiency that translated into greater social welfare. Social welfare increased with the expansion in the water supply service coverage, and the reductions in the costs of acquiring water for those previously not connected to MWSS and in the operational costs of MWSS. The privatization, however, had not adequately and appropriately addressed two environment-related concerns with important implications on long-term water supply sustainability. First, sanitation and sewerage facilities had not been expanded sufficiently to address the Metro Manila waterways pollution problem largely caused by domestic wastewater. Second, there were no explicit provisions and concrete programs to reduce dependence on groundwater and curb groundwater depletion.Keywords: Environmental Science, water supply, sanitation and sewerage, privatization,microeconomic efficiency, environmental sustainability, descriptive design,Philippines

scholarly journals Orthopedic Research: A golden opportunity to improve patient outcomes

2021 ◽  
Vol 55 (3) ◽  
Author(s):  
Site Administrator ◽  
Czar Louie Gaston
Keyword(s):  
Patient Care ◽  
Patient Outcomes ◽  
Fracture Liaison Service ◽  
The Philippines ◽  
Evidence Based ◽  
The Core ◽  
Fracture Liaison Services ◽  
Randomized Controlled ◽  
Fracture Liaison ◽  
Improve Patient

Research has been one of the core pillars of the Department of Orthopedics of the Philippine General Hospital over its now 50 years of existence. The department established one of the earliest resident’s research contests in the hospital in 1983 and its graduates regularly publish in peer reviewed journals and present their results in international conferences.1 Residents are required to complete 2 original studies prior to graduation and encouraged to document their clinical cases fully for future observational studies. Despite the apparent fascination, questions remain for a lot of trainees and clinicians. “Why do research? How does it  help our patients?” Skepticism abounds as even clinically sound and well-made studies oftentimes do not lead to policy and practice changes needed to improve patient care.2 Given contrarian evidence from randomized controlled trials (RCTs), practices of most established surgeons do not change.3 Hope remains however as evidence-based practice in orthopedics is growing and here to stay.4 Surgeons who accurately examine and diagnose their patient, keep medical records, analyze the medical literature for the best treatment, and explain the available options are subconsciously practicing the scientific methods of observation, documentation, analysis, and reporting conclusions which are the basis of all scientific research. Incorporating research education not just to residency training programs but also to continuing medical education (CME) courses for surgeons may help develop the skills to comprehend new studies and incorporate them into patient care. Reassuringly for the elder surgeon, even old dogs have been shown to learn new tricks for their practice, just not as fast as the younger generation.5 The challenge now presented to Philippine medical practitioners is to develop clinical research that will translate into improved care for patients. As majority of literature dictating treatment for musculoskeletal disorders come from developed countries, case series or observational cohorts reporting local data in our setting is greatly important in guiding patient care.6 The fundamental goal is to produce high quality studies or new breakthroughs that engage discussion amongst a wide audience and lead to system changes that eventually enhance patient outcomes.7 As part of the celebration of the PGH Department of Orthopedics 50th golden anniversary, this orthopedic issue of the ACTA MEDICA PHILIPPINA represents work from the different orthopedic subspecialities of the department and its graduates. Pioneering studies on brachial plexus injuries, computer navigated spine surgery, rotationplasty, artificial intelligence, pedagogy, and much more highlight the growth of orthopedics in the Philippines. A study on one of the newest fields in Philippine orthopedics, orthogeriatrics, exemplifies the importance of blazing a new trail. The publication by Reyes et al. on a multidisciplinary orthogeriatric approach to the treatment of fragility hip fractures has shown improved outcomes consistent with the positive results of other fracture liaison services in Asia and worldwide.8,9 Their work has since led to the UPM-PGH Orthogeriatric Multidisciplinary Fracture Management Model and Fracture Liaison Service being adopted by PGH as a clinical pathway and has served as a model for other hospitals in the Philippines to improve their care of patients with fragility hip fractures. With the follow-through from the initial clinical study to administrative and policy changes, this example aptly illustrates the power of research to effect significant improvements in clinical outcomes and inspires all of us to continue to strive for better care for our patients.   Czar Louie Gaston, MD, FPOA Department of Orthopedics Philippine General Hospital University of the Philippines Manila   REFERENCES College of Medicine University of the Philippines Manila. Orthopedics [Internet]. [cited 2021 May]. Available from: https://cm.upm.edu.ph/p/orthopedics/ Buchbinder R, Maher C, Harris IA. Setting the research agenda for improving health care in musculoskeletal disorders. Nat Rev Rheumatol. 2015 Oct;11(10):597-605. doi: 10.1038/nrrheum.2015.81. Epub 2015 Jun 16. PMID: 26077917. Sonntag J, Landale K, Brorson S, Harris IA. Can the results of a randomized controlled trial change the treatment preferences of orthopaedic surgeons? Bone Jt Open. 2020 Sep 11;1(9):549-555. doi: 10.1302/2633-1462.19.BJO-2020-0093.R1. PMID: 33215153; PMCID: PMC7659699. Griffin XL, Haddad FS. Evidence-based decision making at the core of orthopaedic practice. Bone Joint J. 2014 Aug;96-B(8):1000-1. doi: 10.1302/0301-620X.96B8.34614. PMID: 25086112. Niles SE, Balazs GC, Cawley C, Bosse M, Mackenzie E, Li Y, et al. Translating research into practice: is evidence-based medicine being practiced in military-relevant orthopedic trauma? Mil Med. 2015 Apr;180(4):445-53. doi: 10.7205/MILMED-D-14-00296. PMID: 25826350. Elliott IS, Sonshine DB, Akhavan S, Slade Shantz A, Caldwell A, Slade Shantz J, et al. What factors influence the production of orthopaedic research in East Africa? A qualitative analysis of interviews. Clin Orthop Relat Res. 2015 Jun;473(6):2120-30. doi: 10.1007/s11999-015-4254-5. Epub 2015 Mar 21. PMID: 25795030; PMCID:PMC4419000. Tchetchik A, Grinstein A, Manes E, Shapira D, Durst R. From research to practice: Which research strategy contributes more to clinical excellence? Comparing high-volume versus high-quality biomedical research. PLoS One. 2015 Jun 24;10(6):e0129259. doi: 10.1371/journal.pone.0129259. PMID: 26107296; PMCID: PMC4480880. Chang LY, Tsai KS, Peng JK, Chen CH, Lin GT, Lin CH, et al. The development of Taiwan Fracture Liaison Service network. Osteoporos Sarcopenia. 2018 Jun;4(2):47-52. doi: 10.1016/j.afos.2018.06.001. Epub 2018 Jun 7. PMID: 30775542; PMCID: PMC6362955. Barton DW, Piple AS, Smith CT, Moskal SA, Carmouche JJ. The clinical impact of fracture liaison services: A systematic review. Geriatr Orthop Surg Rehabil. 2021 Jan 11;12:2151459320979978. doi: 10.1177/2151459320979978. PMID: 33489430; PMCID: PMC7809296

Design of a Knowledge Management Framework for the City Government of Sorsogon

2019 ◽  
Author(s):  
Gremil Alessandro Naz
Keyword(s):  
Knowledge Management ◽  
Environmental Sustainability ◽  
The Philippines ◽  
City Government ◽  
United Nations Environment Programme ◽  
Management Framework ◽  
The Public ◽  
The City ◽  
Quality Policy ◽  
Nations Environment

<p>A previous study commissioned by the League of Cities of the Philippines and funded by the United Nations Environment Programme showed that Sorsogon, an emerging city in the Philippines, does not possess enough data to enact sound policies that balance economic growth and environmental sustainability. To help the city make quality policy decisions, the author designed a knowledge management framework that city leaders can use. The said framework was based on the classic works of Nonaka and Takeuchi (1995) and Davenport and Prusak (1998), as well as publications of the Asian Productivity Organization on knowledge management in the public sector. The author also provided examples of specific strategies that Sorsogon City can use to operationalize the framework.</p>

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