Davao Doctors Hospital

This study explores the lived experiences of public senior high school teachers who have remained in the same rank for ten years, focusing on how they navigate career stagnation, maintain motivation, and preserve their professional identity. Using Colaizzi’s descriptive phenomenological method, ten teachers were interviewed through semi-structured conversations, supported by reflective notes and member checking. Five themes emerged: endurance amid professional plateauing, intrinsic motivation, emotional navigation of stagnation, reliance on social and professional support, and resilience through adaptive coping. Findings reveal that persistence stems not from resignation but from a deep sense of purpose, moral responsibility, and relational commitment. Despite systemic constraints, teachers exhibit professional growth, emotional regulation, and faith-driven resilience. The study suggests that career stagnation, when met with reflection and support, can become a space for transformation. Policy implications emphasize the need for mentorship systems, career enrichment programs, recognition frameworks, and wellness initiatives.

Aims: The study aimed to determine the counseling needs of Grade 12 Senior High School students from medical school in Davao City, and the extent to which they utilize the school's counseling services. It also examined the relationship between counseling needs and service utilization, the challenges students face in accessing services, and student suggestions for improvement. Methodology: Quantitative data was collected from 277 Grade 12 students using a survey questionnaire. Qualitative data was gathered through semi-structured focus group discussions with 15 students selected via purposive sampling. Data analysis included statistical analysis for the quantitative data and thematic analysis for the qualitative data. Study Design: The research utilized a mixed-methods approach, specifically an explanatory sequential mixed-method design. Quantitative data was collected and analyzed first, followed by qualitative data collection through semi-structured focus group discussions to explain the quantitative findings. Place and Duration of the Study: The study was conducted at a medical school in Davao City. The duration of the study spanned from February-May 2025. Results: The quantitative results showed a high overall level of counseling needs among the students, with school concerns being the highest area of need. The utilization of counseling services was moderate. A significant relationship was found between counseling needs and service utilization. Qualitative findings revealed challenges such as limited awareness of services, availability of counselors, and stigma, and included student recommendations for improvement. Conclusion: The study provides insights into the counseling needs and service utilization of senior high school students. The findings highlight the need for enhanced awareness, accessibility, and effectiveness of counseling services to better support students' academic, personal, and social well-being.

Introduction This descriptive study investigated the immediate individual effects of intensive group speech intervention on speech, health-related quality of life, and satisfaction in adolescents born with a cleft (lip and) palate (CP ± L) in the Philippines. Methods Four Filipino adolescents with a repaired CP ± L (age range = 17 to 23 years) were included. They presented with at least one cleft-related speech sound error. They received 6 h of intensive group speech intervention over 4 consecutive days (i.e. 1 h and 30 min of therapy each day). Pre- and post-intervention outcomes were collected for speech, health-related quality of life, and satisfaction with group intervention. Individual participant data were reported. Results The speech of all four participants improved to a clinically relevant degree for the percentage correctly produced consonants (PCC). Speech understandability and acceptability also improved in every participant. PCC scores of two participants were on a level with peers following the group sessions. Discussion Speech and health-related quality of life outcomes improved in all four participants after intensive group intervention. However, not everyone reached the level of peers following 6 h of intervention. Participants who presented with a combination of cleft-related speech sound errors might have benefited from a larger intervention dosage.

Study DesignA prospective web-based survey.PurposeAlthough intraoperative neurophysiological monitoring (IONM) is critical in spine surgery, its usage is largely based on the surgeon’s discretion, and studies on its usage trends in Asia–Pacific countries are lacking. This study aimed to examine current trends in IONM usage in Asia–Pacific countries.Overview of LiteratureIONM is an important tool for minimizing neurological complications and detecting spinal cord injuries after spine surgery. IONM can be performed using several modalities, such as transcranial electrical stimulation-muscle evoked potentials (Tc-MEP) and somatosensory evoked potentials (SEP).MethodsSpine surgeons of the Asia–Pacific Spine Society were asked to respond to a web-based survey on IONM. The questionnaire covered various aspects of IONM, including its common modality, Tc-MEP details, necessities for consistent use, and recommended modalities in major spine surgeries and representative surgical procedures.ResultsResponses were received from 193 of 626 spine surgeons. Among these respondents, 177 used IONM routinely. Among these 177 respondents, 17 mainly used SEP, whereas the majority favored Tc-MEPs. Although a >50% decrease is the commonly used alarm point in Tc-MEP, half of the Tc-MEP users had no protocols planned for such scenarios. Moreover, half of the Tc-MEP users experienced complications, with bite injuries being the most common. Most respondents strongly recommended IONM in deformity surgery for pediatric and adult populations and tumor resection surgery for intramedullary spinal cord tumors. Conversely, IONM was the least recommended in lumbar spinal canal stenosis surgery.ConclusionsSpine surgeons in Asia–Pacific countries favored IONM use, indicating widespread routine utilization. Tc-MEP was the predominant modality for IONM, followed by SEPs.

ABSTRACTThis article provides a knowledge base on how teacher isolation was investigated, conceptualised and reported in the literature. Using the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses, we extracted 23 relevant articles. Our analysis shows that 53 discrete elements, clustered into six dimensions, contribute to teacher isolation. In addition, two broad categories of strategies are implemented to support isolated teachers: school leader‐led and teacher‐led strategies. Furthermore, we have noted that the exploration of this construct is relatively limited in terms of research locale, aims and purpose. Our findings provide a more coherent conceptualisation of the construct. The multidimensionality of teacher isolation offers a better framework for understanding it and presents critical implications for practice and future research.

Progressive supranuclear palsy (PSP) is largely a sporadic disease with few reported familial cases. Genome-wide association studies (GWAS) in sporadic PSP in Caucasian populations have identified MAPT as the most commonly associated genetic risk locus with the strongest effect size. At present there are limited data on genetic factors associated with PSP in Asian populations. Our goal was to investigate the genetic factors associated with PSP in Southeast Asian PSP patients. Next-generation sequencing (whole-exome, whole-genome and targeted sequencing) was performed in two Asian cohorts, comprising 177 PSP patients. We identified 17 pathogenic or likely pathogenic variants in 16 PSP patients (9%), eight of which were novel. The most common relevant genetic variants identified were in MAPT, GBA1, OPTN, SYNJ1, and SQSTM1. Other variants detected were in TBK1, PRNP, and ABCA7-genes that have been implicated in other neurodegenerative diseases. Eighteen patients had a positive family history, of whom two carried pathogenic MAPT variants, and one carried a likely pathogenic GBA1 variant. None of the patients had expanded repeats in C9orf72. Furthermore, we found 16 different variants of uncertain significance in 21 PSP patients in PSEN2, ABCA7, SMPD1, MAPT, ATP13A2, OPTN, SQSTM1, CYLD, and BSN. The genetic findings in our PSP cohorts appear to be somewhat distinct from those in Western populations, and also suggest an overlap of the genetic architecture between PSP and other neurodegenerative diseases. Further functional studies and validation in independent Asian cohorts will be useful for improving our understanding of PSP genetics and guiding genetic screening strategies in these populations. © 2024 International Parkinson and Movement Disorder Society.

The objective was to validate the initial beam parameters of the Davao Doctors Hospital's 6 MV Elekta Synergy Platform linac, which performs to the specification of the commissioning data per our records using the gamma-index analysis toolkit integrated inside PRIMO software. In PRIMO, a sequence of optimization processes is performed, in which the measured and simulated percent depth dose (PDD) and lateral beam profiles at various depths are compared, using the stringent gamma-index passing rate at 1%/1 mm criteria (GPR11). Using four fields of sizes 3 cm × 3 cm, 4 cm × 4 cm, 5 cm × 5 cm, and 10 cm × 10 cm, the dose is calculated on a water phantom measuring 16.2 cm × 16.2 cm × 30.0 cm. In addition, one field of size 20 cm × 20 cm is used on a 50.0 cm × 50.0 cm × 30.0 cm water phantom with a bin size of 0.2 cm × 0.2 cm × 0.2 cm at a source-surface distance of 100.0 cm. For PDD and beam profiles comparison at the largest field size, the 6.5 MeV initial electron beam energy, 0.25 MeV full-width-half-maximum energy, 0.20 cm focal spot size, and 3° beam divergence tuned configuration yield GPR11 values of 94.0% and 97.7% (PRIMO PDD and lateral beam profile at 200 mm scan depth, respectively) with a statistical uncertainty of 2.9%. For lower field sizes, the GPR11 values are consistent at more than 90% for the PDD, whereas GPR11 values of 80.3% and 70.6% for the lateral beam profiles (at 15 mm and 200 mm scan depths) at 10 cm × 10 cm and 5 cm × 5 cm, respectively. The percentage difference between the measured and simulated PDD 20,10 ratios of not more than 2.45% is observed in all field settings. These tuned beam parameters are remarkably in agreement with the suggested beam parameters listed on the PRIMO website for the 6 MV Elekta linac which was optimized with a different set of measurements.

The fully everted endophallus in the genus Tricondyla is studied and described for the first time. Also, the following new synonymies are established: Pseudotricondyla Naviaux, 2002 syn. nov. = Stenotricondyla Naviaux, 2002; T. (T.) aptera punctipennis Chevrolat, 1841 syn. nov. = T. (T.) aptera aptera (Olivier,1790); T. (T.) aptera lumawigi Wiesner, 1989 syn. nov. = T. (T.) ovicollis Motschulsky, 1864; T. (S.) cavifrons Schaum, 1862 syn. nov. = T. (S.) cyanipes Eschscholtz, 1829; T. (S.) gracilis Naviaux, 2002 syn. nov. = T. (S.) elongata Horn, 1906; T. (T.) huloti Naviaux, 2009 syn. nov. = T. (S.) cyanipes fuscilabris Mandl, 1964 = T. (S.) conicicollis Chaudoir, 1844. Tricondyla (S.) oblita Naviaux, 2002, syn. nov. = Tricondyla brunnipes Motschulsky, 1861. New subgeneric placement is proposed: T. (S.) elongata Horn, 1906; T. (S.) planiceps Schaum, 1862; T. (S.) gracilis Naviaux, 2002. One new species T. (T.) johnsoni sp. nov. is described from Mindanao. The taxonomic status of T. (S.) genieri Naviaux, 2008 is discussed. The species T. (S.) beccarii Gestro, 1874 is transferred from nominative subgenus to Stenotricondyla and together with T. (Stenotricondyla) doriai Gestro, 1874 excluded from the list of species of the Philippines. A key to the species is provided. Color photographs of the habitus, and diagnostic characters, including the variability of all species, are presented.