Purpose: This study aims to determine the execution of proper body mechanics (PBM) in lifting among vegetable porters. It likewise aims to determine the relationship between the average load that the porters lifted and their performance of the proper techniques involved in lifting. Methods: The study utilized an exploratory mixed approach under qualitative-quantitative design. This study utilized a researcher-made checklist with contents based on Philippine Occupational Safety and Health Standards (OSHS). There were 10 vegetable porters selected and observed through ocular and video recording while lifting during their work routine. The data was analyzed using mode analysis and spearman two-tailed coefficient. Results: Findings revealed that vegetable porters are lifting less than 20kg of load which is compliant with the OSHS guidelines. In terms of the PBM execution the porters failed to use the leg muscles and stand slowly while keeping back straight while lifting. In addition, only 30% of the respondents do not twist the trunk and keep their head up and straight with the shoulders back in line with the hips as they move. This finding suggests that PBM in lifting was not executed by the porters. The spearman twotailed coefficient was used to correlate data where results revealed that there is a negative moderate correlation between weight load and lifting techniques(T) of vegetable porters [p (28) = - 0.327, p=0.078]. Discussion: This study reveals that most of the participants did not execute proper body mechanics during lifting. Findings suggest that they are at risk for acquiring musculoskeletal disorders such as low back pain therefore they would need to be educated on PBM execution to be able to perform effective lifting to their work to prevent muscle pain, aches and injuries. Significance: Proper body mechanics in lifting execution provides a way to reduce injuries during intense labor especially in the sector of porters. It allows medical practitioners to have an overview of execution of proper body mechanics in lifting. Through the study the community will then be knowledgeable avoiding instances that can lead to accidents and porters will be more productive in their work.

The development of minimally invasive glaucoma surgeries (MIGSs) was intended to provide safe and modestly efficacious modalities for early intervention of mild-to-moderate glaucoma, with minimal trauma and rapid recovery. They were mainly ab interno procedures that reduce intraocular pressure by facilitating the aqueous outflow by bypassing the trabecular meshwork resistance, reinforcing the uveoscleral flow via the supraciliary space, and reducing aqueous production by the ciliary body. While the cumulating evidence helps shape the role of the available MIGS, the exponential new development and advancement in this field has expanded the territory of MIGS. Apart from developing subconjunctival MIGS filtration devices (Xen gel stent and PRESERFLO MicroShunt), there is a tendency to revisit the "traditional" MIGS for alternative use and to modify the procedures with consideration of the fundamental aqueous outflow physiology. Combined MIGS has also been suggested, based on the theory that their different mechanisms may provide additive or synergistic effects. The advancement of laser procedures is also promising and could supplement unmet needs along the glaucoma treatment algorithm. This review examines the broad array of MIGS, updates the recent findings, discusses their potential alternative applications, and explores future challenges.

The youth are expected to participate in nation-building and youth development programs not just in sports but also in various sectors of society enumerated in the United Nations Agenda 2030 and the Philippine Youth Development Plan. The Philippines have the Sangguniang Kabataan as a venue for the youth to participate in governance and is guided by the Sangguniang Kabataan reform act of 2015. The research focused on studying the youth governance of selected barangays of Baguio City. The study utilized a descriptive qualitative approach, using key participant interviews, focus group discussions, and document analysis in data gathering and using thematic analysis. Results show that the Sangguniang Kabataan conducts youth profiling to identify the needs of the youth. Starting from there, they create projects and programs, many under active citizenship. The Sangguniang Kabataan employ different strategies in formulating and implementing projects and programs, such as organizational partnerships, employing intrinsic and extrinsic motivation, and having adaptability, resourcefulness, and commitment to serving and empowering the youth. Despite having great strategies, there is still a problem in gaining youth participation due to more availability of other Sangguniang Kabataan leaders, inactive youth participation, challenge on budget, and lack of facilities and training. Several programs were designed by the researchers to address the challenges that transpired during the study, and these were: semestral general assembly, capacity building for Sangguniang Kabataan leaders and Katipunan ng Kabataan members, and the creation of a youth center.

Introduction/BackgroundMalignant transformation (MT) in mature cystic teratoma of the ovary (MCTO) is a rare event. This descriptive study primarily aims to determine the prevalence rate of MT in MCTO and describe clinicopathologic features, management, and prognosis of patients who developed this rare type of tumor and likewise deliver a review in the light of recent literature.MethodologyA descriptive observational study of patients with MT in MCTO. The clinical and pathological records of each patient were reviewed. Descriptive statistics were used.ResultsBetween January 2016 to December 2020, of the 369 cases of mature cystic teratoma, 22 cases with malignant transformation were reported with an incidence of 6%. The mean age of diagnosis was 52 years, of which 70% are aged 50 years old and above. Fifty-nine percent (13/22) and 32% (7/22) of the cases were squamous cell carcinoma and mucinous adenocarcinoma, respectively. Very rarely malignant transformations were carcinoid tumors (1) and follicular carcinoma (1). The most common reason for consult among patients is a palpable abdominal/pelvic mass (45.5%). Around 60% percent of cases have an elevated CA-125 value with a mean level of 180 U/ml. Seventy-two percent of cases with malignant transformation measured 10 cm or more with the largest mean diameter of 13 cm. Five patients underwent fertility-sparing surgery. Fourteen had staging procedures. Twelve patients were at Stage I. Three, 4 and 3 patients were at Stage II, III, and IV respectively. Ten patients received adjuvant platinum-based chemotherapy and 9 patients warrant no treatment after surgery. The median survival time is 14 months.ConclusionMT in MCTO is not a common occurrence but should be considered in older patients with large tumor sizes and elevated CA-125. This entity suggests an aggressive behavior but complete resection and indicated adjuvant platinum-based chemotherapy may improve survival. #257 Table 1Clinicopathologic features of patients with malignant transformation.Disclosuresnone

Plastic waste has been one of the pressing problems in Baguio City. Among the largest contributors to waste is the City's Public Market. The study's main objective is to assess the implementation of the Plastic and Styrofoam-free Policy of Baguio City in its public market to draft an action plan for its possible improvement. Specifically, it sought to determine the level of implementation of the Plastic and Styrofoam-free Policy by the technical working group from the City General Services Office; to determine the level of compliance with the Plastic and Styrofoam-free Policy among the registered stall owners in the public market; and to determine significant difference between the level of compliance among the different groups of registered stall owners in the public market according to their Line of business. The findings shall be a basis for preparing and proposing an action plan. The researchers used a quantitative research design, particularly the descriptive survey research method, and a survey questionnaire as a data collection method. The overall results showed that the ordinance must be implemented and complied with. Given this, the ordinance must be amended, allowing the use of biodegradable plastics as primary packaging for fresh and wet goods. Massive information dissemination thereof will heighten the implementation and compliance therewith.

Abstract Background To evaluate the functional outcome of pelvis fracture after fixation using Majeed functional outcome score. Methods Patients from our institution, Baguio General Hospital and Medical Center, with pelvis fractures from 2019 to 2022 were retrospectively gathered and reviewed. All available data sources were exhausted, such as charts from the hospital records, patient census, and electronic medical records. The functional outcome of the surgical intervention was assessed using Majeed's functional outcome score. Results 18 patients were included in the study (three females, 15 males; mean age of 41 years) with a range of follow-up of one to three years. We performed a functional assessment using Majeed's functional outcome score; the mean score was 72 points (range 22–100). An excellent clinical outcome was seen in 22%, a good result in 39%, a fair result in 11%, and a poor outcome in 17% treated with internal fixation. In contrast, those treated with external fixation had a fair outcome. Conclusions Surgical internal fixation for pelvic fractures may be better than external fixation. There were no noted advantages of doing early surgical procedures versus delayed surgery. Concomitant injuries such as nerve injury and multiply injured patients may contribute to a poor to fair functional outcome.

96 Background: There are huge challenges in conducting clinical research, with gross disparities in trial access for patients in the Asia-Pacific (APAC). ASCO initiated a leadership development program in 2021, and one of the projects involved understanding the barriers to conducting clinical research and trials regionally. Methods: We conducted a cross-sectional survey on barriers to clinical research using a 29-item questionnaire which covered potential barriers to establishing clinical groups to support trials, and respondents’ demographic and other information. We targeted oncology healthcare professionals (HCPs) from APAC via national societies, locoregional hospitals, and via social media channels. Data were collected through the SurveyMonkey platform. Countries were classified into high-income (HICs), upper-middle (UMICs), and lower-middle income countries (LMICs) according to the World Bank criterion. We hypothesized substantial differences in the responses of HCPs by income (HICs vs UMICs vs LMICs) due to political, cultural, ethical, and socioeconomic factors and evaluated the univariate association of each potential barrier using Chi-square test. Multivariable logistic regression models evaluated the association between the top five significant potential barriers and country grouping, adjusting for age, gender, specialty and affiliation. Results: Three-hundred responses were received from May to July 2022, representing 21 APAC countries and regions in total. Among these, 102 (34%), 57 (19%), and 137 (46%) HCPs practiced in HICs, UMICs, and LMICs, respectively, with 51% of respondents being female. Most HCPs practiced in medical oncology (35%), radiation oncology (29%), and surgical oncology (13%). Just under 70% of respondents had <= 10 years of training. Overall, the top five reported barriers included competing demands (reported by 88% of respondents), lack of financial support (86%), healthcare access issues for patients (75%), lack of research environment and infrastructure (72%), and lack of expertise of staff (68%). Adjusting for other factors, among these barriers lack of financial support, research environment and infrastructure, expertise, and healthcare access differed significantly between HICs and LMICs with respondents from LMICs more often reporting these barriers than those from HICs (p<=0.02 for all). Conclusions: This is the largest survey exploring the research and trial landscape in APAC that revealed common and specific challenges affecting different countries, thus emphasizing the importance of targeted measures when addressing these barriers. These findings will inform future potential action plans by ASCO and the APAC Regional Council such as skills training, embedding clinical research within practice and facilitating cross border interaction; to empower research in the region.

Transition in health care is a process wherein adolescents gradually prepare for and shift towards care in the adult system. An initial assessment of the readiness of these adolescents is fundamental in providing appropriate health services for them. This paper aims to determine the readiness of adolescent patients towards transitioning to adult care. This is a prospective cross-sectional study utilizing an interviewer-guided modified Transition Readiness Assessment Questionnaire (TRAQ). Sixty-three adolescents ages 15 to 18 years seen in the Pediatric Outpatient Department (OPD) of a tertiary hospital in Baguio City from July 1 to October 31, 2020 were enrolled. Frequency and percentages were used to describe the demographic data; while mean score and standard deviation determined readiness based on a Likert scale. One-way ANOVA was utilized to determine association between factors and readiness to transition. For all domains of TRAQ, the mean score was 3.64, implying that they are not yet ready to transition. 49.2% belong to General Pediatrics. 44.4% belong to the Igorot ethnic groups. Most are still in High school, and majority of their parents finished High School level. Furthermore, the P-values were more than 0.05 for all variables suggesting no association between readiness to transition and the identified factors in this study. This study showed that adolescents who had both acute and chronic illnesses, were not yet ready to transition. Provision of a platform for assisting the adolescents in their assumption of bigger roles/responsibilities for their own health care is necessary to ensure proper transitioning to adult health care.