Telemedicine use and satisfaction among Filipinos during the COVID-19 Pandemic

Introduction: There is limited knowledge on telemedicine use and patient satisfaction in the Philippines, especially during COVID-19. Aim: To examine visit-related characteristics of two years of video consultations conducted during the pandemic, patient satisfaction, and identified patient- and visit-related characteristics associated with video consultation satisfaction scores. Methods: A retrospective analysis was conducted of telemedicine use and satisfaction of patients aged ≥18y, who had a video consultation between 1 March 2020 to 31 March 2022, using the SeeYouDoc (SYD) platform. As part of SYD’s routine oversight, after each video consultation, SYD a 6-item feedback survey was automatically prompted which assessed the patient’s level of comfort during the encounter, their perception of the convenience of telemedicine, the acceptability of the lack of physical contact during the consult, presence of privacy-related concerns, overall satisfaction, and their intention to use teleconsultation again. Each item was evaluated on a 5-point Likert scale with 5 as the highest score. These scores were collected, and t-test and ANOVA were employed to measure the differences in mean telemedicine satisfaction scores. Results: 12,378 telemedicine visits were conducted from 1 March 2020 to 31 March 2022 and patient feedback was received from1,896 patients (15.3%). The mean age of the respondents was 34.7±12.3y. The majority were females (83.1%), new SYD telemedicine patients (69.1%), and in the 26-39y age group (57.0%). Satisfaction with telemedicine was expressed by 73.8%, 63.4% were highly satisfied while 26.2% reported dissatisfaction. Mean telemedicine satisfaction scores were significantly higher among patients who had their telemedicine visit in 2021 (x̄=4.7±0.92) compared to 2020 (x̄=3.4±1.75) and 2022 (x̄=4.3±1.32), p<0.001. Patients aged 60-79 years old had a higher mean satisfaction score compared to other age groups, p=0.014. Higher mean telemedicine satisfaction scores were observed among male patients, those with completed video consultations, and patients who paid for their consultation, p<0.001. Conclusion: We observed high patient satisfaction with telemedicine during COVID-19. Filipino patients and families consider telemedicine a viable medium to receive healthcare services

Calibration Uncertainty in Ocean Color Satellite Sensors and Trends in Long-term Environmental Records

Launched in late 2011, the Visible Infrared Imaging Radiometer Suite (VIIRS) aboard the Suomi National Polar-orbiting Partnership (NPP) spacecraft is being evaluated by NASA to determine whether this sensor can continue the ocean color data record established through the Sea-Viewing Wide Field-of-view Sensor (SeaWiFS) and the MODerate resolution Imaging Spectroradiometer (MODIS). To this end, Goddard Space Flight Center generated evaluation ocean color data products using calibration techniques and algorithms established by NASA during the SeaWiFS and MODIS missions. The calibration trending was subjected to some initial sensitivity and uncertainty analyses. Here we present an introductory assessment of how the NASA-produced time series of ocean color is influenced by uncertainty in trending instrument response over time. The results help quantify the uncertainty in measuring regional and global biospheric trends in the ocean using satellite remote sensing, which better define the roles of such records in climate research

Stimulative Work Valuation Among Real Estate Practitioners in Asia

Real estate or property production has been recognized as one of Asia's key industries. Based on this significance, the authors assessed the work centrality and working values of real estate practitioners in established Asian countries. Based on the findings, in terms of work centrality, Japan was rated high on work centrality as very important in six life aspects among the five countries, followed by Indonesia, the Philippines, Malaysia, and Myanmar. Findings on work values were all significant among the five countries, headed by Japan, Indonesia, Myanmar, Malaysia, and the Philippines. There is a substantial difference in the perception of work centrality among respondents in five countries, as revealed by Indonesia and Myanmar and Myanmar and Japan. Some countries differ in work values as manifested by Malaysia and Japan, highly significant, like Myanmar and Japan, and the Philippines. Enablers for success in the real estate profession include enterprising and conventional interests and various work values listed by experts in the field. Based on the study's findings, it can be seen that work centrality and work values among the five Asian countries differ from each other. Capability Building Index is now recommended for adoption by the real estate practitioners

Chemical and physical defense traits in two sexual forms of opuntia robusta in Central Eastern Mexico

Sexually dimorphic plants provide an excellent opportunity for examining the differences in the extent of their defense against herbivores because they exhibit sex-related differences in reproductive investment. Such differences enable comparison of the sex with high reproduction expenses with the sex that expends less. The more costly sex is usually also better defended against herbivores. Generally, females are considered more valuable than hermaphrodites in terms of fitness; however, hermaphrodites are more valuable if they can produce seed by autonomous selfing, provided that the inbreeding depression is low and pollen is limited. We studied a gynodioecious population of Opuntia robusta from Central-Eastern Mexico, which has been reported to be trioecious, dioecious, or hermaphrodite, and addressed the following questions: 1) Is the hermaphrodite's reproductive output higher than the female's, and are hermaphrodites thus better defended? 2) Are plant tissues differentially defended? 3) Do trade-offs exist among different physical defense traits? and 4) among physical and chemical defense traits? We found that 1) hermaphrodites had a higher seed output and more spines per areola than females and that their spines contained less moisture. Non-reproductive hermaphrodite cladodes contained more total phenolic compounds (TPCs) than female ones. In addition, 2) hermaphrodite reproductive cladodes bore more spines than female cladodes, and 3) and 4) we found a negative relationship between spine number per areola and areola number per cladode and a positive relationship between spine number per areola per plant and TPC concentration per plant. Non-reproductive hermaphrodite cladodes contained a higher concentration of TPCs than female cladodes, and parental cladodes contained fewer TPCs than both reproductive and empty cladodes

Methods for the study of ionic currents and Ca(2+)-signals in isolated colonic crypts

Isolated epithelial cells from intestinal mucosae are a suitable object for the study of the regulation of ion transport in the gut. This regulation possesses a great importance for human and veterinary medicine, as diarrheal diseases, which often are caused by an inadequate activation of intestinal anion secretion, are one of the major lethal diseases of children or young animals. The aim of this paper is to describe a method for the isolation of intact colonic crypts, e.g. for the subsequent investigation of the regulation of anion secretion by the intracellular second messenger, Ca(2+) using electrophysiological and imaging techniques

Periodontitis and Cardiovascular Diseases. Consensus Report

Background: In Europe cardiovascular disease (CVD) is responsible for 3.9 million deaths (45% of deaths), being ischaemic heart disease, stroke, hypertension (leading to heart failure) the major cause of these CVD related deaths. Periodontitis is also a chronic non-communicable disease (NCD) with a high prevalence, being severe periodontitis, affecting 11.2% of the world's population, the sixth most common human disease. Material and Methods: There is now a significant body of evidence to support independent associations between severe periodontitis and several NCDs, in particular CVD. In 2012 a joint workshop was held between the European Federation of Periodontology (EFP) and the American Academy of Periodontology to review the literature relating periodontitis and systemic diseases, including CVD. In the last five years important new scientific information has emerged providing important emerging evidence to support these associations. Results and Conclusions: The present review reports the proceedings of the workshop jointly organised by the EFP and the World Heart Federation (WHF), which has updated the existing epidemiological evidence for significant associations between periodontitis and CVD, the mechanistic links and the impact of periodontal therapy on cardiovascular and surrogate outcomes. This review has also focused on the potential risk and complications of periodontal therapy in patients on anti thrombotic therapy and has made recommendations for dentists, physicians and for patients visiting both the dental and medical practices

Periodontitis and Cardiovascular Diseases. Consensus Report.

Background: In Europe cardiovascular disease (CVD) is responsible for 3.9 million deaths (45% of deaths), being ischaemic heart disease, stroke, hypertension (leading to heart failure) the major cause of these CVD related deaths. Periodontitis is also a chronic non-communicable disease (NCD) with a high prevalence, being severe periodontitis, affecting 11.2% of the world's population, the sixth most common human disease. Material and Methods: There is now a significant body of evidence to support independent associations between severe periodontitis and several NCDs, in particular CVD. In 2012 a joint workshop was held between the European Federation of Periodontology (EFP) and the American Academy of Periodontology to review the literature relating periodontitis and systemic diseases, including CVD. In the last five years important new scientific information has emerged providing important emerging evidence to support these associations. Results and Conclusions: The present review reports the proceedings of the workshop jointly organised by the EFP and the World Heart Federation (WHF), which has updated the existing epidemiological evidence for significant associations between periodontitis and CVD, the mechanistic links and the impact of periodontal therapy on cardiovascular and surrogate outcomes. This review has also focused on the potential risk and complications of periodontal therapy in patients on anti thrombotic therapy and has made recommendations for dentists, physicians and for patients visiting both the dental and medical practices

Photophysical and Photochemical Studies of Tricarbonyl Rhenium(I) N-Heterocyclic Carbene Complexes Containing Azide and Triazolate Ligands

Rhenium(I) N-heterocyclic carbene (NHC) complexes of the type fac-[Re(CO)3(NHC)L] with either azide or triazolate ancillary ligands L and pyridyl or pyrimidyl substituted imidazolyl units have been prepared and structurally characterised, and their photophysical and photochemical properties studied. All of the complexes exhibit phosphorescent emission from triplet metal-to-ligand (3MCLT) excited states, typical of tricarbonyl Re(I) complexes, with the triazolate bound complexes having higher quantum yields and longer decay lifetimes compared to the azide bound complexes. The complexes containing pyridyl substituted imidazolyl units are photoreactive when dissolved in acetonitrile and undergo photochemical CO dissociation, the rate of which is significantly greater in the azide cf. triazolate complex. The photochemical mechanism of the azide/pyridyl complex was analysed and appears to give the same products, albeit with different ratios, to previously reported complexes where L is a halide. A reaction mechanism is proposed

Sex-biased parental care and sexual size dimorphism in a provisioning arthropod

The diverse selection pressures driving the evolution of sexual size dimorphism (SSD) have long been debated. While the balance between fecundity selection and sexual selection has received much attention, explanations based on sex-specific ecology have proven harder to test. In ectotherms, females are typically larger than males, and this is frequently thought to be because size constrains female fecundity more than it constrains male mating success. However, SSD could additionally reflect maternal care strategies. Under this hypothesis, females are relatively larger where reproduction requires greater maximum maternal effort – for example where mothers transport heavy provisions to nests. To test this hypothesis we focussed on digger wasps (Hymenoptera: Ammophilini), a relatively homogeneous group in which only females provision offspring. In some species, a single large prey item, up to 10 times the mother’s weight, must be carried to each burrow on foot; other species provide many small prey, each flown individually to the nest. We found more pronounced female-biased SSD in species where females carry single, heavy prey. More generally, SSD was negatively correlated with numbers of prey provided per offspring. Females provisioning multiple small items had longer wings and thoraxes, probably because smaller prey are carried in flight. Despite much theorising, few empirical studies have tested how sex-biased parental care can affect SSD. Our study reveals that such costs can be associated with the evolution of dimorphism, and this should be investigated in other clades where parental care costs differ between sexes and species