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Introduction: The Philippines is a lower-middle-income island country with over 153 000 new cancer diagnosis each year.Despite many patients needing radiotherapy as part of disease management, there remains limitations to access. Currently, the Philippines has 50 linear accelerator facilities serving a population of 110 million. However, given the recommendation of 1 linear accelerator for every 250 thousand people, it is evident that the demand for accessible radiotherapy resources is significantly underserved in the country. This paper outlines the collaboration between GenesisCare Solutions (GCS) and Fairview Cancer Center (FCC) to address efficiency and access within the radiotherapy department at FCC. Methods: Through international collaboration between GCS and FCC, areas for improvement were identified and categorized into four domains: Dosimetry quality, Patient workflow, Data & Reporting, and Information Technology (IT) Infrastructure. Action plans were developed then implemented. A baseline measurement was obtained for each domain, and post-implementation evaluation undertaken at 3 months, 6 months, and 12 months. Data captured within the electronicmedical record system was extrapolated,and average treatment times were established for pre- and post-engagement. A paired, 2-tailed t-test was used for statistical analysis of outcome parameters using IBM SPSS version 23 for all statistics. Results: Twelve months post-initial engagement, all four domains saw positive outcomes. Improved plan quality linked to Intensity Modulated Radiotherapy (IMRT) utilization rates saw an increase from 20% to 54%. A significant reduction in patient average wait times was also observed, from 27 to 17 min (p ≤ 0.001). Prior to engagement, tracking patient demographics and diagnosis was not prioritized, post engagement an average of 92% diagnosis entry compliance was achieved. Conclusion: Through the collaboration of GCS and FCC, objectives in all action plan domains were achieved, highlighting the benefits of collaboration between low-middle-income and high-income institutions. [ABSTRACT FROM AUTHOR]

'Forgotten crises' constitute a permanent background to any present and future global humanitarian and development efforts. They represent a significant impediment to promoting lasting peace given concurrent catastrophes exacerbated by climate change. Yet, they are routinely neglected and remain unresolved. Building on critical and feminist approaches, this paper theorises them as forgotten sites of local knowledge production. It asks: what is local knowledge of and from forgotten crises? How can it be recovered and resignified, and what lessons can such knowledge provide at the global level? Drawing on examples from the intersections of conflict, disasters, and pandemics in the Philippines, the paper makes a case for valuing local knowledge arising from forgotten crises because of its potential contribution to adapting global humanitarian and development systems to address crises on multiple fronts. Such epistemic margins are generative of vantage points that can present a fuller account of how different crises interact and how best to respond to them. [ABSTRACT FROM AUTHOR]

This paper focuses on the migration pathways (MP) of individuals from a rural population in the Philippines. The succession of migrations undertaken by an individual and the role of previous migration(s) in subsequent migration have received relatively little attention in migration studies. The present paper fills this knowledge gap by identifying MP types and exploring links between migrations from a life course perspective. It develops a methodological framework based on sequence and graph analysis. Based on research conducted in Bohol (Philippines) using field data, the two methods are jointly used to reveal the diversity of MP. We focused on migrations done between the ages of 15 and 30. Typical MP were identified using hierarchical clustering. Socioeconomic data collected during surveys were used to characterise the types of MP (e.g., gender, education and age). Sequence analysis revealed six types of MP: some are common across the Philippines (e.g., the circular migration towards Mindanao until the 1970s), while others are specific to the area (e.g., permanent migration toward other places in Bohol). Graphs offer alternative representations of MP that allow to consider the shape of both individual and collective MP. The approach developed here is reproducible, easy to implement and contributes to a better understanding of the complexity of migration by looking at the migrants' histories. [ABSTRACT FROM AUTHOR]

Mangrove forest is an ecosystem‐based solution for disaster risk reduction in the Philippines, but its historical deforestation has hampered its capacity to protect coastal communities. With the increasing occurrence of storm surge in the Philippines, mangrove reforestation projects have received renewed attention, but many have failed. Community participation was deemed to be essential in those projects that did well. Hence, this paper examines successful mangrove restoration and rehabilitation projects in the Philippines to find out how community participation contributed to the accomplishments. The study found that while the transfer of science‐based ecological knowledge from project managers to the community is an important factor in ensuring successful initial planning and implementation, its integration into existing local ecological knowledge—'localisation' of science‐based ecological knowledge or hybrid ecological knowledge formation—helped to facilitate long‐term community‐based mangrove management beyond project duration by empowering community members and enabling project acceptance and ownership. Still, continuous local institutional support is a necessary anchor for community resilience. [ABSTRACT FROM AUTHOR]

Continued extensive field exploration in Zamboanga Peninsula (Philippines) revealed a new endemic Ophiorrhiza species, which is herein described from Naga‐Kabasalan Protected Landscape (NKPL) of Zamboanga Sibugay. The species is unique among Philippine Ophiorrhiza by having leaf lamina with gray to silver gray abaxial surface. The new species is morphologically similar to O. pubescens and O. erythropilosa by having hairy overall morphology, but it is easily distinguished by having a creeping to decumbent habit and inconspicuous, membranous bracts. A detailed description, color photographs, phenology, geographical distribution, habitat and IUCN conservation status are provided in this paper. [ABSTRACT FROM AUTHOR]

Adequate wastewater treatment from the dairy industry before disposal is still lacking in the Philippines, particularly in small‐scale sectors. This limitation is due to the high cost and expertise required from conventional wastewater treatment systems. One option is using constructed wetlands, a nature‐based solution with low cost, less specialized expertise and maintenance requirements and high wastewater treatment efficiency. To further evaluate the application of constructed wetlands in the Philippines, this paper studied the wastewater from the manufacturing processes of the Dairy Training Research Institute, University of the Philippines Los Baños (DTRI‐UPLB). It is a small dairy farm inside the University with economic constraints in using a conventional wastewater treatment system. The main aim of this study is to determine the effect of using vertical subsurface flow constructed wetlands (VSSFCW) planted with Vetiver grass (Chrysopogon zizanioides) in sand and gravel media to treat the DTRI‐UPLB effluent, using very low retention times (4 and 8 h), with daily and alternate days of wastewater feeding into the VSSFCW. The average removal efficiencies for total suspended solids (TSS), biological oxygen demand for (BOD5), total phosphorus (TP), and Total Kjeldahl Nitrogen (TKN) are 88.34%, 93.56%, 78.42%, and 94.63%, respectively. Moreover, alternate wastewater feeding provided a statistically significant increase in the performance of VSSFCW, while there is no statistical difference between the two retention times evaluated. Finally, it was observed that plant age significantly affects the performance of VSSFCW setup but should be explored further with longer operation times and additional nutrient uptake analysis. [ABSTRACT FROM AUTHOR]

This study investigates the impact of the Madden–Julian Oscillation (MJO) on the extreme rainfall events across 11 eastern coastal stations during the northeast monsoon season (November to March) over the Philippines from 1979 to 2019. The contribution of synoptic systems to these extreme rainfall events such as tropical cyclones (TCs), low‐pressure systems (LPS), cold surges (CS), and other disturbances as they coincide with a strong and active MJO were quantified. The results show that the probability of extreme rainfall occurrence increases first to as much as 20% in the southernmost stations in Phase 4. Then, it increases to more than 60% in central‐eastern stations in Phase 6. The extreme rainfall events were then classified into: MJO‐only, TC‐MJO, TC‐nonMJO, LPS‐MJO, LPS‐nonMJO, CS‐MJO, CS‐nonMJO, and others. The percentage contribution of MJO only, TC‐MJO, LPS‐MJO, and CS‐MJO to the total extreme rainfall events ranges from 9% to 16%, 0% to 3%, 2% to 4%, 1% to 9%, respectively. The relationship between MJO and flooding events in the Philippines was also examined. About 28 flood events or 266 flooding days were identified during the analysis period, wherein 50% of these events coincidentally occurred during strong and active phases of MJO. [ABSTRACT FROM AUTHOR]

Aims: To describe sources of health information and health‐seeking behaviours of adults (aged ≥18) living in medically underserved communities in the Philippines. Design: This is a secondary, quantitative analysis from a cross‐sectional parent study. Participants completed a 10‐item, self‐report survey on their sources of health information, healthcare providers sought for health and wellness and health‐seeking behaviours when ill. Responses were evaluated across two age groups (<60 vs. ≥60 years) and genders using generalized linear mixed models. Results: Surveys were completed by 1202 participants in rural settings (64.6% female, mean age 49.5 ± 17.6). Friends and/or family were their key source of health information (59.6%), followed by traditional media (37%) and healthcare professionals (12.2%). For health promotion, participants went to healthcare professionals (60.9%), informal healthcare providers (17.2%) or others (7.2%). When ill, they visited a healthcare professional 69.1% of the time, self‐medicated (43.9%), prayed (39.5%) or sought treatment from a rural health clinic (31.5%). We also found differences in health‐seeking behaviours based on age and gender. Conclusions: Our findings highlight the need to organize programs that explicitly deliver accurate health information and adequate care for wellness and illness. Study findings emphasize the importance of integrating family, friends, media and healthcare professionals, including public health nurses, to deliver evidence‐based health information, health promotion and sufficient treatment to medically underserved Filipinos. Implications: New knowledge provides valuable information to healthcare providers, including public health nurses, in addressing health disparities among medically underserved Filipinos. Impact: This study addresses the current knowledge gap in a medically vulnerable population. Healthcare professionals are not the primary sources of health information. Approximately one‐third of participants do not seek them for health promotion or treatment even when ill, exacerbating health inequities. More work is necessary to support initiatives in low‐ and middle‐income countries such as the Philippines to reduce health disparities. Reporting Method: We adhered to the reporting guidelines of STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) for cross‐sectional studies. Patient or Public Contribution: There was no patient or public contribution as our study design and methodology do not make this necessary. [ABSTRACT FROM AUTHOR]

We propose a novel way of measuring trust in institutions, which draws on the experimental method used to elicit time preferences. Our measure is provided in the meaningful metric of the subjective probability of trustworthiness of the trustee. In a lab‐in‐the‐field setting in the Philippines, we measure trust in two different financial institutions. Additionally, we exploit exogenous variation in the eligibility for a future payment to examine whether a promise fulfilled by the institution increases trust and changes individual financial behavior. We find that eligible individuals significantly increase savings held with the institution. [ABSTRACT FROM AUTHOR]

This article reports the first occurrence of Lasiodiplodia theobromae causing leaf blight on Coffea canephora (robusta coffee) in the Philippines. The disease was observed in a coffee plantation in the Soccsksargen region, which is a major coffee production area in the country. The symptoms included brown to black necrotic lesions on the leaf margins, with a 100% incidence rate among the trees. The fungus was isolated and identified as L. theobromae based on its morphological and genetic characteristics. This finding highlights the need for management strategies to mitigate the impact of the disease on coffee production. [Extracted from the article]