Vol. 7 Issue 2 Official publicatiOn Of the tan Yan Kee fOundatiOn, inc. July-December 2013

Chua King Ha Educational Centers Open

THE Tan Yan Kee Foun-dation, Inc. (TYKFI) continued to address the lack of classrooms

and facilities in areas difficult to reach for both students and educators. The inauguration, held at the start of 2014, was warmly welcomed by stake-holders in the Province of Nue-va Vizcaya. Named after the late ma-triarch of the Tan Family, Chua King Ha, the Educational Cen-ters’ vision is for the schools to be exemplary education centers that provide focus and opportu-nity for teachers, students, and the community. Considering the distance between schools and the difficult terrain of the mountainous region, the Chua King Ha Educational Centers

also provide dormitories for educators that efficiently facili-tate inter-school activities and sharing of teachers as well as promote psychological and so-cial aspects of the educational experience. The Tan Yan Kee Elemen-

tary School (TYKES)—the pi-lot project of TYKFI—is already emerging in the area as a well-equipped center of learning complete with buildings, li-brary, and computers. Macdu Elementary School’s dilapidated classrooms are now addressed

by the new one. Baracbac El-ementary School was using the Barangay Hall as classroom, but students now in a permanent facility. The most urgent need was in Canarem Elementary School where the classroom was already certified for demo-lition by municipal engineers. With partners Department of Education (DepEd) and the Local Government of Nueva Vizcaya, the Chua King Ha Edu-cational Centers currently serve 143 students in TYKES, 224 in Macdu Elementary School, and 199 in Canarem Elementary School. The schools are in remote locations at high mountain ar-eas and are accessibility is usu-ally hampered by impassable roads and streams. Building

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editorial boardn Cynthia J. Gruetcorrespondentn Jonathan Anuma

board of advisersn Jaime J. Bautistan Ma. Cecilia Pesaycon Juanita Tan Leen Wilson T. Young

7F Allied Bank Center, 6754 Ayala Ave., Makati City, Philippineswww.tanyankee.org | secretariat@tanyankee.org | (632) 816-5520/22

of the facilities were done in the shortest possible time but had to work around inclement weather that make building dif-ficult because of rain and/or humidity. Lending support and wel-coming the Chua King Ha Edu-cational Centers were: Nueva Vizcaya Provincial Governor Ruth R. Padilla, TYK-FI Trustee Shirley Chua, TYKFI’s Valerie Tan, Flora Lim, Jonathan Anuma, DepEd-R2 Director Sebastian G. Tayaban, DepEd Nueva Vizcaya Schools Divi-sion Superintendent, DepEd R2 Senior Education Program

Specialist & Planning Unit OIC Ma. Theresa F. Tamayao, Aritao District Supervisor Aurafina Galindez, Kayapa East District-Supervisor Jonathan Fronda, Sta. Fe District Supevisor Do-lores Catanauan, Sta Fe Vice Mayor Tidong Benito, barangay officials, PTA officers of Balete, Pinayag, Canarem, and Barac-bac. Heartwarming responses from stakeholders share the vi-sion of The Tan Yan Kee Founda-tion, Inc. in bringing quality edu-cation by providing both human and physical resources closer to where they are most needed.

n Principal 1 Allan Paclit: Chua King Ha Educational Center is a great blessing for the pupils and teachers of TYKES. First, there is an additional classroom for the school brought about by the transfer of office of the principal to the Chua King Ha building. Second, there is an activity area where pupils can hold activities during rainy days. The teachers can also stay during the weekdays because the building is designed as a school dormitory saving them from hiking daily going to and from school. Consequently, the teachers can concentrate more on their teaching task, benefitting the pupils. There are more benefits the Chua King Ha Educational Center can give.

n Barangay Kagawad Samuel S. Baranachea: Malaking pa-bor (ito) sa teachers at students. They will be fresh for a new school day at matututo ng maayos ang mga students at napakaganda na ang pinapasukan ng mga bata at gaganahin din ang mga parents (nila).

n Parent Grades 6 and 4 stu-dents Crispin Agmallo, Jr: Maayos (ito) dahil maasikaso ang mga bata ng maaga. Class-room ay maganda sa aming pan-ingin.

n Student Anyali P. Baluyan: Maganda at sigurado marami ka-ming matutunan kasi maganda ang aming classroom.

n Canarem ES Principal Delpilar Pascua: Para sa amin po, lubhang napakahalaga ang proyektong gal-ing sa Tan Yan Kee Foundation, Inc. Lubos na nakapag-aaral ang mga bata sa maaliwalas na ka-paligiran sa bob ng magandang silid-aralan. Maraming salamat po sa mga tulong nyo sa amin. Mabu-hay po kayo!

n Grade 4 Teacher Glory L. Dapig: Chua King Ha Educa-tional Center ay isang malaking tulong para sa aming mga teach-ers lalo na sa mga bata. Malaking tulong ito dahil magkakaroon na kami (ng) classroom para Grade

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1 at Kinder. Thank you Tan Yan Kee and more blessings to come.

n Nueva Vizcaya Provincial Governor Ruth R. Padilla: This is what you call effective part-nership between the Tan Yan Kee Foundation, the DepEd and your provincial government. We thank TYKFI for providing us this beau-tiful TYKES and today Fr. Jerome will bless the new building which will house the Administration Office, Dormitory for teachers and pupils during activities of the school. Later TYKFI will provide you toys and footwear, imagine they came from Manila to be with you. Let’s include them in our prayers to bless them.

n DepEd Region 2 Regional Director: Sebastian Tayaban: We are very happy today because TYKFI will provide us with a new building and also this new school- the TYKES and again they have promised to give us a new building in the near future. This morning

we are at Macdu ES to inaugurate a new 2-classroom school build-ing and the governor is with us there and until now she’s with us and this really shows her strong commitment on education as one of her priority projects. For the parents and pupils, what will you offer in return?For pupils, you have to come to school every day and study hard. For teachers, this is a challenge to you to serve and teach very well. For the parents, you have to send your children to school every day also.

n DepEd Nueva Vizcaya Schools Division Superintendent CESO V Benjamin D. Paragas: We are deeply pleased and grateful for what TYKFI offered to TYKES and to the whole province of Nueva Vizcaya—Promotion of good edu-cation and leaving a legacy in Balete, Sta. Fe. Accept with full gratitude these beautiful struc-tures; rest assured that TYKES and the other recipient schools will take good care and utilize these structures with utmost care and maintenance. This will im-

prove a lot of people here in the province of Nueva Vizcaya.

n Welcome Remarks at Cana-rem Elementary School: We are thankful God created us to live on this earth. God supplies us with everything we need. God gave us people who are with us in every-day life. God uses as instrument people who inspire us to move on in our life despite all odds. We are thankful God sends generous people like Tan Yan Kee Founda-tion, Inc who share their bless-ings to build up something (for) free, who inspire us to soar high; supporting our school in trans-forming our youth (to) become potential leaders someday. Indeed, our beloved generous group of people, you’ve touched our hearts so much; you’re a big star in our hearts that till we exist here on earth, no words can measure how we would express our deepest gratitude to all of you. Thank you so much Tan Yan Kee Foundation, Inc in everything. Thanks to God.

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THE Tan Yan Kee Foun-dation, Inc. covered North and South of the country for its Adopt-

A-School Program together with the Department of Edu-cation and Local Government Units in the areas, during the first semester.

NUEVA VIZCAYASelected indigenous student populations in elementary schools in Nueva Vizcaya last June received school supplies for one school year. The pack-age included pad paper, pencils, notebook for the curriculum needs, especially as a support for students as they begin com-plying with the K to 12 pro-gram. The terrain in Sta. Fe, Ari-tao, and Kayapa is mountain-ous and students need to walk one to three kilometers under such condition. Rain makes it even harder for them to get to school. To help prevent ab-sences because of terrain and weather conditions, TYKFI also

provided raincoats, slippers, water bottles, and school bags. The families, majority of whom have four or more school-aged children that ben-efit from the program, mostly belong to indigenous moun-tain tribes involved in farming or gardening. Some are out of work or livelihood. In accor-dance with DepED’s Millen-nium Development Goal - Ed-ucation For All (EFA) and the K to 12 program’s goal of attain-ing skilled, employable, and college-prepared self-learners through spiral (continuous) progression, TYKFI seeks out indigenous families with indis-pensible needs where, without the timely provisions of such needs, their children cannot keep up with class learning activities and may be discour-aged to go to school, and likely than not drop out of the K to 12 education curriculum. In addition, almost all of the re-cipient-schools have lower than passing average NAT scores for grade 6. A total of 1,977 students

ADOPT-A-SCHOOL COVERS FIRST SEMESTERIn Nueva Vizcaya, Ilocos, Leyte

SchoolNo. of Student Recipients

Munici-pality

Legisla-tive District

Income Class(NSCB)

Tan Yan Kee E/S 146 Sta. Fe Lone 3rd

Buyasyas E/S 146 Sta. Fe Lone 3rd

Bacneng E/S 225 Sta. Fe Lone 3rd

Baliling E/S 168 Sta. Fe Lone 3rd

Imugan E/S 133 Sta. Fe Lone 3rd

Canarem E/S 199 Aritao Lone 2nd

Lawed P/S 54 Sta. Fe Lone 3rd

Beti E/S 374 Aritao Lone 2nd

Yaway E/S 138 Aritao Lone 2nd

Macdu E/S 224 Kayapa Lone 3rd

Tabueng E/S 114 Aritao Lone 2nd

Latar P/S 56 Aritao Lone 2nd

Total: 1,977

received the packages as shown in the following table: The educational commu-nity was one in gratitude for the assistance that the TYKFI provide. Some comments from members reflect the sentiment of both educators and benefi-ciaries:

“I can say that you are the brains and dreamers for us and you’ve helped us to reach what we are now. We began from zero and eventually became a complete el-ementary school with facilities. It is not only on material things that we owe you, you have also heightened the awareness of the pupils, parents, and community

as a whole, that education is the only way for a better future.”—Allan Paclit, Principal I, Tan Yan Kee and Buyasyas E/S

“...sa katunayan nakikita nam-ing mga guro na lahat na po ay pumapasok pag may mga gamit sila…Masasabi din po namin na umaangat din ang grado at par-ticipation nila sa klase.”—Cesar Anuma, Buyasyas E/S Teacher

“According to the teacher, the school supplies help her to im-part her curriculum to the stu-dents.”—Sharon Mangaccat, Bacneng E/S Head Teacher

“The Project is a great help (on)

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our part as teacher(s) and to our pupils…”—Norma M. Anuma, Baliling E/S Master Teacher I “We have been hearing this Tan Yan Kee Foundation, Inc. helping other schools in many ways…These things would be of great help to our pupils especially the parents who could not afford to provide the needs of their chil-dren.”—Alicia P. Zamora, Imu-gan E/S Master Teacher-I “It gives inspiration to ev-eryone, especially the pupils and parents.”—Rosemarie Bambico, Teacher-in-Charge Canarem E/S “I am so much thankful that TYKFI thought (of) this pro-gram, it will help me a lot, they have now a writing notebook to use, pad papers and standard bags to use.”—Melody D. Mallo, Lawed E/S Teacher-I “Ito ay para sa kabutihan ng kanilang pag-aaral at maka-mit ang kanilang munting pan-garap.”—Beti E/S Parent (stu-dents: Alvin Sintal and Marlon John Ancheta)

“Napakasaya po niya at very excited na makita at maha-wakan ang supplies na kanyang matanggap. Napakalaking tu-long…dahil hindi naming kay-ang bilhin.”—Yaway E/S Parent (student: Lester N. BucasaN, Kinder) “It’s wonderful because TYKFI brings smile(s) to the children’s faces. TYKFI is a very big help to the children as well as to the community. Magagamit ng mga bata ang mga school supplies sa kanilang pag-aaral. Isa ito sa mga inspirasyon nila para pagbutihan nila ang kanilang pag-aaral.”—Elizabeth C. Samuel, Macdu E/S Grade 6 Adviser “As parents witnessed this memorable occasion, I know at the back of their minds, they may tell (themselves), ‘I have (a) partner in educating my child’, realizing (now) how important education is...”—Vir-ginia A. Batallam Tabueng E/S and Latar P/S Head Teacher III

“Makakatulong ito upang matugunan ang kanilang pan-gangailangan sa paaralan at magsisilbing inspirasyon nila upang sila ay makapag-aral ng mabuti.”—Crisline A. ContrerasLatar P/S Kinder Volunteer Program Teacher “I believe that the gifts received by the children come from the Lord Jesus Christ and through our benefactors, the Tan Yan Kee Foundation, because of their love..to help, hulog sila ng langit at ipagda-rasal natin sila para marami pa silang matutulungan lalong lalo na sa mga batang katulad ninyo na maraming mga pan-garap. Ang lahat ng bata ay may natanggap na mga gamit sa pag-aaral at sana maging inspirasyon ninyo na pumasok ng maaga araw-araw at mag-sumikap para makatapos.”—Dr. Aurafina Galindez, Schools District Supervisor, Aritao II District-In-Charge Dr. Jon-athan A. Fronda ES III expressed

his congratulations, noting that they are lucky indeed amd thanked the Foundation as he acknowledge that to train a child, “it takes a village”. In Sta. Cruz, Ilocos Norte, students from Babayoan and Sidaoen Elementary Schools benefitted from the Program and were selected due to their dire need for school supplies. Together with the Depart-ment of Education and the LGU, TYKFI distributed pack-ages containing pad paper, pencils, notebooks, durable slippers, and school bags. 189 students from Babayoan E/S and 110 from Sidaoen E/S, both in the municipality of Sta. Cruz received their packages, which are meant to help them through schooling and prepar-ing them for the K to 12 pro-gram. Parents, students, and ed-ucators were one in saying that the packages are a big help for an uninterrupted schooling.

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Some comments include: “Malaking tulong ito sa mga batang mag-aaral…Ito ay maka-katulong sa kanilang future, ito ay ating ipaalala sa mga bata na sila ay magsipag na pumasok sa paaralan upang..ambisyon ay matupad, upang mabago ang kanilang pamumuhay sa takdang panahon.”—Parent: Helen Tan Jimenez

“Nakakatulong [ito] sa kanilang pag-aaral dahil meron silang magagamit at dahil makapag-aral sila ay magiging maganda rin ang kanilang future. Nakakatu-long ito ng malaki sa kanilang kinabukasan dahil meron silang natapos.”—Parent: Lolita P. Ar-zadon, Day Care Teacher Stu-dent: Shenaicah Liezel Arzadon (9yrs old)

Head Teacher III Mrs. Violeta J. Javonillo addressed the as-sembly with a short speech as follow: “Our ever charming, kind-hearted District Supervisor Dr. Buenafe Medrano, our ever-supportive TYKFI representa-tive, our very active PTA presi-dent, Mr. Samuel Binas-O, our dear PTA officer, classroom and federated, our beloved baran-gay captains from the different barangays, and their respec-tive members of the barangay council, and our dear parents, a blessed afternoon to one and all. We are very glad indeed to have with us today our dear school officials, local government officials to wit-ness the turnover ceremony of the Adopt-a-School pro-gram through the Tan Yan Kee Foundation Inc. through the concerted efforts of Sir Philip showing their love and concern to our school, specially to our pupils who are very major con-cerns in education. TYKFI is very much willing to extend re-sources to improve our school performance by giving our children supplies to lessen the burden of their parents. Thank you so much to our Almighty Lord that we are

given the chance to be ben-efited from our generous spon-sor TYKFI. We welcome you all with open hearts and open minds. God Bless all.” Head Teacher III Mrs. Vio-leta J. Javonillo followed with a statement of commitment: “To our generous and ever-supportive TYKFI representa-tives, our school officials, our dear parents we are committed to try our very best to educate our young with the best of our abilities, develop them to become God-fearing, good citizens, and become respectful to their par-ents, teachers, and to all people around them. Encourage them to study harder though the support of their parents. Let them con-tinue their schooling up to college in order to achieve quality educa-tion and improve the quality of their lives.” The student body showed enthusiasm in receiving the supplies. The students prac-ticed all afternoon and sang

in unison with energetic voices and perfect pronunciation of the national anthem, and the Sta. Cruz song along with a dis-play of ‘thank you’ letters on sign cards. Selected students and some PTA members danced a number from the Bago tribal dance. Santa Cruz District Su-pervisor Dr. Buenafe Medrano likened the supplies into sever-al metaphors in expressing the love and encouragement expe-rienced by the recipients. She mentioned the bags to be ‘bags of armor’ for going up the edu-cation ladder, and ‘bags of re-sponsibility’ to study hard and soar high, as well as a ‘carrying torch’ for education. She also calls these ‘gifts of love’ an act of spreading sunshine into the hearts of the pupils as it makes learning fun and as it opens the eyes of the pupils towards their own success one day and towards emulating this act of kindness in return.

LEYTEIN Leyte, partners TYKFI, De-partment of Education- Leyte Division, and Tanduay Distill-ers, Inc.—Tacloban Sales Office reached out to 2,378 selected students within each school’s population who normally go to school without slippers.They belong to a set of schools attended by children of indig-enous families who are also most likely to be beneficiaries of the 4Ps program. Lack of slippers was used as an indi-cator to select only children who belong to the poorest of the poor. Aside from durable slippers, they also received pad paper, pencils, notebooks, and school bags. Below is a table showing distribution of pack-ages. Students, parents, and educators were united in their appreciation and gratitude for the assistance provided by the partners. Some of these com-

SChooL DISTRICT NUMBER of RECIpIENTS

Patong Primary School San Miguel 95

Pinarigusan Primary School San Miguel 61

Dinaayan Elementary School Burauen North 100

Villa Corazon Elementary School Burauen North 95

Cangumbang Primary School Palo II 86

Iligay Primary School Villaba North 121

San Francisco Elementary School Villaba North 113

Sta. Lucia Primary School Abuyog East 54

Cangmoya Primary School Palompon South 32

Belen Elementary School Palompon South 14

San Roque Primary School Palompon South 25

Cambacbac Elementary School Palompon North 178

Tabigue Elementary School Abuyog North 229

Prisco Pillo Elementary School MacArthur 64

Minesite Elementary School Sta Fe 120

Catoogan Elementary School Sta Fe 96

San Miguelay Elementary School Alangalang II 72

Calaasan Elementary School Alangalang 1 187

Langit Elementary School Alangalang 1 181

Uyawan Elementary School Carigara 1 176

Sulpa Elementary School Villaba South 118

Villaba National Comprehensive High School (Sulpa Annex Campus) Villaba South 161

Total 2,378

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ments follow: “My favorite subjects are English and Math. I am happy and excited to receive the supplies. I want to be a chef after gradu-ation.”—Aisa C. Dalalis, consis-tent honor student, Grade VI Valedictorian. Parents: Nestor, Aileen Dalalis “She doesn’t know who gave her the bag so I always repeat TYK so that she will know who gave her the bag.”—Parents: Royalde, Jennifer Ligo, Uyawan ES. Student: April Joy Royalde Uyawan ES

Educators and parents Mylene C. Brazil, Teacher-III;Jubelle Gayas Gamoy, T-III;Maria Baguio Gomez, GPT-CA Vice President; Maria Ba-guio Gomez, GPTCA Vice Pres-ident; Mylene Velarde Jongco, T-I; Maricar A. Cabodil, P-I; Shirley A. Eduyan, P-1; Dona-lyn V. Afable, Teacher-III; Donalyn V. Afable, Teacher-III; Desiree D. Lesigues, Volunteer Kinder Teacher;Sheena Cabe-lio, Teacher I; Dulce M. Alcala, Teacher 1; Jovita L. Reboso, Brgy. Official & GPTA Officer; Rominick Penferrada, Teacher 1; Myraflor S. Cabojoc, Lorena Abella, Teacher 1; Elsa G. Torre, Head Teacher III; Jonathan Enage, Head Teacher I; Elsa D.

Pedrosa, GPTA; Joan L. Salceda, Vice President (room officer); Antonieta E. Culas, Principal I; Eric F. Cometa, Teacher I; Jennifer M. Edloy, Jennyfer P. Margate, Principal I; Arlene R. Viral, EGT-III; Patricio L. Sa-naco, Jr., PrincipaI; Patricio L. Sanaco, Jr., Principal I; Ray L. Catampungan, Teacher I; Les-lie Y. Sabenorio, Teacher I; Lea N. Domael, Teacher I; Julita L. Branzuela, Teacher I; Deolita A.. Diaz, Education Program Supervisor ; Manuel P. Albaño, ASDS; Arturo D. Rosal, Prin-cipal II in summary, spoke of the program in a singular vein. They spoke of Adopt-A-School as follow:

“The TYKFI Adopt-a-school pro-gram is a great help to the school especially to our needy pupils. The supplies they have given will be used to enhance the learning of our pupils. They are a lot of help for the encouragement on the part of our school children in coming to school regularly and teacher will get high result on the children’s performance. I think without the TYKFI, it would be difficult again for the students to cope with the school requirements, since we observed that students during the begin-ning of classes don’t have enough school supplies. This projects real-ly motivates students to continue their studies.”

“For sustainability we will all do constant monitoring with the teachers, pupils and parents. We will have a con-ference on how to sustain and improve the project that will also improve quality of result or performance. As educators, it is our responsibility to make sure that they will use these school supplies every day and to remind them always to take good care of these supplies.” “The long term effect of this project has a positive im-pact to the school. Through this, pupils will no longer make absences due to lack of sup-plies.” In appreciation, recipi-ents and educators said, “To-day, we are very much lucky and thankful to be one of the recipients of this TYKFI. This goes to show that they are very concerned with our school children, so they re-ally support the program of the DepEd which is “Adopt-a-School” Program. We hope that our dear parents, school children, teachers, and other stakeholders will stay united. In this, we are pretty sure that we will be realizing DepEd’s vision and mission that no child is left behind.”

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ASIA BREWERY SENDS TWO ON SCHOLARSHIP

THE Asia Brewery Medical Specialty Scholarship Program recently gave

scholarship grants to two beneficiaries for post graduate studies abroad.

Dr. Janet Elcano is currently doing her post graduate studies in Clinical fellowship Training in Cardiac Electrophysiology at Yonsei University health System-Division of Cardiology, Department of Internal Medicine in Seoul, South Korea.

Dr. Allen Andrew Sy is doing post graduate studies in Clinical fellowship in Interventional Cardiology at the National University heart Center in Singapore.

UE-TAN YAN KEE SCHOLARS TAKE BOARD SPOTSFIFTEEN U.E-TYKFI scholars and two grantees successfully passed the Certified Public

Accountant (CPA) Licensure Examination held Last October 2013. Two of the examinees took spots in the top ten ranking. They are Austine Bernadette S. Baron (U.E. Manila Campus) at

eighth place and Ricardo A. Caderao, Jr. (Caloocan Campus) at ninth place. Other successful scholars and grantees of the U.E.-TYKFI program are:

Abad, Mary Christine Bernadeth P. Caloocan Scholar Cum Laude

Amper, Christine L. Manila Grantee Cum Laude

Antonio, Marie Elise A. Caloocan Scholar Cum Laude

Baron, Austine Bernadette S. Manila Scholar Cum Laude

Caderao, Ricardo Jr. A. Caloocan Scholar Magna Cum Laude

Lamera, Keith Roy G. Manila Scholar Cum Laude

Lu, Richelle Therese A. Manila Scholar Cum Laude

Makimot,Marycris C. Manila Grantee -

Mamac, Edel Mae M. Manila Scholar -

Manalang, Catherine T. Manila Scholar Cum Laude

Meguiso, Kimberly G. Manila Scholar Magna Cum Laude

Miguel, Ruth Anne A. Manila Scholar Cum Laude

Neyra, Aryen A. Caloocan Scholar Cum Laude

Pacaldo, Jhoane Dominique A. Caloocan Scholar Cum Laude

Rostrata, RoaEmm C. Manila Scholar Cum Laude

Seebok, Jonathan L. Caloocan Scholar Magna Cum Laude

Taylaran, Jaina F. Manila Scholar -

When George Bernard Shaw wrote, “youth is wasted on the young” he was defi-

nitely not referring to the young high school students who have joined Proj-ect Citizen (PC) -- an international pro-gram organized through the partner-ship between the Tan Yan Kee Foun-dation, Incorporated (TYKFI) and the Philippine Center for Civic education and Democracy (PCCeD). Project Citizen is implemented in about 60 countries and designed to provide the youth with an appropriate avenue to develop civic knowledge, skills and habits as they immerse

themselves in the existential problems of their community and engage their peers in healthy debate on policy pro-posals for the good of the community. In 2012, the United nations Develop-ment Programme (UnDP) cited PC as an effective model for youth participa-tion in society.For 2013, TYKFI and PCCeD imple-mented PC in three areas: national Capital Region (nCR), Bacolod City, and Butuan City .On September 14-15, 2013, 21 Social Studies teachers from the Bacolod City division of the Department of educa-tion (Deped) attended the Teacher’s

Training Seminar held at the Univer-sity of St. La Salle. In nCR, 49 Social Studies teachers participated in the training hosted by the University of Makati (UMak) last September 21-22. On October 17-18, 85 Social Studies teachers from Butuan City participat-ed in the training.During the seminars, participants were trained to implement PC in their respective classes. Among the topics covered were how to identify commu-nity problems, how to conduct com-munity research, and how to develop policy solutions to be presented in a public hearing. The trainers/facilitators

were from the pool of PC teachers who have previously implemented the pro-gram in their classes in the past. The teachers’ training will be followed by a series of coordination meetings, monitoring activities and school visits designed to guide teachers to success-fully integrate PC as a service learn-ing component of their subjects.On February 2014, these three areas will organize local showcases where PC student teams will present their policy proposals to the public. A national showcase is slated April 2014 which will gather 8 winning PC teams from all over the country.

Project Citizen Beyond NCR

Austine Bernadette S. Baron

Ricardo A. Caderao, Jr.

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THE Tan Yan Kee Founda-tion, in cooperation with Tanduay Distillers, Inc.-Vigan Branch, PNB-Vigan

Branch, DepED Ilocos Sur Divi-sion, and the Philippine Founda-tion for Science and Technology brought the Science Centrum’s Sci-Fun Caravan to the public school students and teachers of Ilocos Sur. The exhibit remained in the Ilocos Sur National High School Gym from November 8, 2013 to December 20, 2013 ben-efitting some 20,000 public school students from Grades 4 to 12. The Foundation hopes to promote the quality and raise the standard of science learning among public school students. Through the creativity and the everyday, practi-cal phenomenon of each exhibit, science learning is multiplied, in-spired, and instilled in each stu-dent and teacher walking through

the various exhibits. The Founda-tion sees the importance of rais-ing the quality of education of the youth especially in the areas of science and reading, because the youth is as has often been said, the future of our nation. The interactive exhibits in-clude: n 3D Tic Tac Toe n Animal Sounds n Anti-Gravity Mirror n Bernoulli Blower n Bridge n Calypso Reef n Changing Colors n Charge Now, Powe Later n Chaotic Pendulum n Coin Reflection n Color or words n Colored Shadows n Corner reflector n Dancing worms n Dinoaurs n Finger tingler

n For Your Eyes Only n Frozen Shadows n Gravity Well n Jacob’s Ladder n Magnetic Chain Reaction n Magnetic Suction n Money Detector n Parabolic Dish n Pedal Generator n Pick a cone n Plasma Sphere n Pupil of the Eye n Ring Bubbles n Shadow Geometry n Siphon n Steady Hand Game n Stereo Hearing n Subjective Shapes n Tiny bubbles n Touch Me If You Can n Two Eyes n Well of Flowers n You and Me Are One n Trapezoidal Window n Your Nose Knows

n Zoetrope n Van De Graff n Electric Fleas “Thank you” enthusiastical-ly said the OIC from the office of the Governor of the Province of Ilocos Sur, the Hon. Constante Oandasa, “for considering our province for this project as we see the need for the improve-ment of science and technology in the province. In the interna-tional education scene, science is a priority. We do not see it as an excuse for our province to depart from this international trend. In fact, in our province, education is a priority agenda and there-fore, anything that will augment the status of our education sec-tor is a welcome development.” “We are very lucky and blessed that our learners in the whole province of Ilocos Sur would benefit from the Sci-Fun

Sci-Fun Caravan Traveling Science Exhibit Visits Ilocos Sur

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Caravan, where teachers, pupils, and students will learn and ex-perience science concepts un-known before. This is not an ordinary event in the lives of our learners, so I encourage all our pupils and students to come and be a part of this maybe once in a lifetime experience”, says DepEd Vigan City Division, Schools Di-vision Superintendent, Mr. Jorge M. Reinante. According to the Honorable Vice Mayor of Vigan City, Hon. Lulu Baguiran, “After the experience they shall have fresh insights on mechanics, mathematics, vision and percep-tion, electricity and magnetism, lights and liquid. The Sci Fun caravan will certainly boost our young Bigueños aptitude for the sciences…Vigan welcomes learn-ing activities such as this because it heightens the scientific incli-nation of our budding scientists and draws interests of others who are less inclined. It sharp-ens the faculties of our students to discover the enchantment of this world where they live in…Please continue to be with us in improving and achieving better things for the future Albert Ein-steins and Benjamin Franklins of Vigan.” According to the prin-cipal of Ilocos Sur National High School, Dr. Giovanni V. Velasco, “The Sci-Fun caravan will serve as a vital instrument in the teaching and learning of science and technology. Science teach-ing is not just knowing the con-cepts and principles. For it to be more fruitful, it has to be more

manipulative and experiential which will result in the develop-ment of scientific skills and at-titudes, which are necessary for learners to be able to live mean-ingful lives. With this kind of activity, our students and teach-ers will be exposed to the actual application of science concepts that will surely guide and inspire and will eventually lead them to realize that science teaching and learning is exciting, interesting, and enjoyable.” The Sci-Fun’s engaging, exploring, and enjoy-ing dimensions perfectly suits the K to 12 curriculum accord-ing to Dr. Velasco, and he adds, “Pagnaranasan [ang science], ay nagiging lifelong learning, napakaganda at napakalaking tulong ito.” The project is as mind-open-ing as it is hands-on according to the teachers. Mr. Ricky Bosque, ISNHS grade 8 teacher says, “the project is a very great en-deavor since it will enhance the

understanding of students on the different science concepts. It will make learning more fun and memorable for them. It will make them appreciate the ap-plications of all concepts. The students will appreciate more the concepts of learning by do-ing. They will be motivated and widen their horizons by not be-ing contented with what they see but how they see and learn things.” Ms. Ana A. Castor, teacher from Tamag Elementary school says, “[This is] a great help for us in making science

teaching interesting, fun, and enjoyable for our learners. They will be challenged to discover the importance of the learned con-cepts related to science when ap-plied to real life situations, hence a greater challenge for them to love and value the importance of science and technology.” And Ms. Rubie Anne Cubangbang, third year teacher of ISNHS ob-serves, “I was so attracted with the lights and colors since my field in teaching is on chemis-try. The devices help us mentors to demonstrate the very abstract characteristics of tiny particles that make a matter. These de-vices explain further the nature of light. And other devices such as on the tiny bubbles – it dem-onstrates the H-bond and be-havior of molecules [according to] the type of intermolecular bond [that] exists within them.” The enthusiasm towards science was no less in the teachers a they were amongst the students.

“Fun and memorable” says James Patrick Redondo of ISNHS who liked each and every one of the exhibits, while the Frozen Shad-ow exhibit is Mia Sharlotte Flo-rendo’s favorite as this is simply a “cool and extraordinary” dem-onstration of science. According to her, the Sci-Fun caravan is “fun [and] encourages students to study and love science”. When asked if the teach-ers have plans to sustain the project, Sci-Fun explainer says, “Since teachers are very creative, I believe they can manipulate the exhibits by making improvised apparatuses which are similar to the exhibits.” According to Principal Velasco, “I am sure the teachers will be inspired to repli-cate. I am also sure that ang mga bata [who are] so excited will be more inspired and curious in do-ing their own experiments and researches. Mawawala yung fear of science.” Likewise, the Hon. Vice Mayor of Vigan City, the Hon. Lulu Baguiran notes, “We can expect even better presenta-tions in our local science fairs.” Finally, DepEd Region 1 – region-al Director, Dr. Teresita Velasco congratulated the students and the foundation with these reas-suring words, “These students are very lucky. This is rarely done and can’t be done to all. Iba ito sa libro at sa internet, iba ang na-eexperience. Wala ito sa public school teaching. Thank you Tan Yan Kee Foundation for thinking of this. Because it’s hands-on, enjoy na, nag-aaral pa. They will remember this long after gradu-ation and be able to teach their brothers and sisters. I look at it as something more lasting, something that the students can relate with.” Dr. Teresita Velasco, DepED Region 1 Director referred to the exhibit as a welcome opportu-nity for the students to have ac-tual experience of science. She added, “This is rarely done, and can’t be done to all. These stu-dents are very lucky. Iba ito sa libro at sa internet, iba ang na-eexperience at wala ito sa pub-lic school teaching. Thank you Tan Yan Kee for thinking of this.

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Because this is hands on, enjoy na, nag-aaral pa. They will re-member this long after gradua-tion and [be able to] teach their brothers and sisters. I look at it as something more lasting and something that the students can relate with.” Dr. Giovanni V. Velasco, Principal IV, ISNHS says that students have a chance to expe-rience science first hand and to manipulate it, which is perfectly suited K to 12’s engage, explore, enjoy. Pagnaranasan ang sci-ence, ay nagiging lifelong learn-ing – napakaganda. Thank you Tan Yan Kee Foundation, napak-alaking tulong ito. I am sure the teachers will be inspired to repli-cate, at least para masustain ang mga learnings. I am also sure that ang mga bata who are so ex-cited will be more inspired and curious in doing their own ex-periments and researches in the classrooms. Mawawala na yung fear of science. Other comments include: Ricky Bosque ISNHS—Teacher Grade 8: The project is a very great endeavor since it will enhance the understanding of stu-dents on the different science con-cepts. It will make learning more fun and memorable for them. It will make them appreciate the ap-plications of all concepts. The stu-dents will appreciate more the con-cepts of learning by doing. They will be motivated and widen their horizons by not being contented with what they see but how they see and learn things. Over the long-term, this will be very appropriate for the K to 12 curriculum since the curriculum is more of learning applications of the different con-cepts of real life situations. Since teachers are very creative, I believe they can manipulate the exhibits by making improvised apparatuses which are similar to the exhibits. The anti-gravity mirror [is most interesting] because it looks deceiv-ing and fun. At the same time you can learn a lot of concepts in optics. Rubie Anne Cubangbang ISNHS—Teacher Third Year: I was so attracted with the lights and colors since my field in teaching is on chemistry. The devices help us

mentors to demonstrate the very abstract characteristics of tiny par-ticles that make a matter. These devices explain further the nature of light. And other devices such as on the tiny bubbles - it demon-strates the H-bond, and behavior of molecules according to the type of intermolecular bond [that] ex-ists within them. Ana A. Castor Tamag E/S MT: This is a great help for us in making science teaching interest-ing, fun, and enjoyable for our learners. They will be challenged to discover the importance of the learned concepts related to science when applied to real life situations, hence, a greater challenge for them to love and value the importance of science and technology. The effect of this project is lifelong because it implies learning by discovery and exploration as expressed from their hands on experiences on the proper and correct manipulation of the different science exhibits. Peter Johm A. Frial ISNHS Grade 7 teacher: The project re-inforces science concepts taught inside the classroom. It facilitates learning to be more meaningful and enjoyable. During the opening of the exibit, it was noted that the viewers in the area are very “lucky and blessed that the learners in the whole province of Ilocos Sur would benefit from the Sci Fun Caravan, where teachers, pupils and students will learn and experience science concepts unknown before. This is not an ordinary event in the lives of our learners, so I encourage all our pupils and students to come and be

a part of this maybe once in a life-time experience. Learn and enjoy your stay.” Vice Mayor Lulu Baguiran, on behalf of Vigan City Mayor Eva Marie Singson Medina key-noted the opening. “Today we have been gathered to witness numerous dimensions of science through a colorful and leisurely at-mosphere. I refer to the sci-fun car-avan, the wonderful travelling sci-ence centrum exhibit which ushers the beginning of another enhanced scheme for the teaching-learning activities of Bigueño teachers and children. Around 3,500 students and their teachers shall walk through this exposition. After the experience they shall have fresh insights on mechan-ics, mathematics, vision and per-ception, electricity and magnetism, lights and liquid. The sci-fun cara-van will certainly boost our young Bigueños aptitude for the sciences. We can expect even better presenta-tions in our local science fairs. Vigan welcomes learning

activities such as this because it heightens the scientific inclina-tion of our budding scientists and draws interests of others who are less inclined. It sharpens the facul-ties of our students to discover the enchantment of this world where they live in. Dear students, grab this rare chance to broaden your knowledge. It is not everyday that a travelling science exhibit in the standard of sci-fun caravan comes right in your doorstep free of charge. Have fun while learning. The mounting of the sci-fun

caravan in our city, all the more inspired us who are in the govern-ment, to continuously partner with the private sector such as the Tan Yan Kee Foundation and the Phil-ippines Foundation for Science and Technology to make possible unique learning opportunities for the chil-dren of vigan. We thank the Tan Yan Kee Foundation and the Philippine Foundation for Science and Tech-nology for this gift to our children. The sci-fun caravan marks another milestone in our education sector. Thank you for sharing our mission to educate our children to realize their full potential to best serve their communities and help build a better nation. Please continue to be with us in improving and achieving better things for the future Albert Einsteins and Benjamin Franklins of Vigan. God bless us all! Naimbag Nga Bigat Tayo Amin. “ Ilocos Sur Governor Ryan Luis Singson, through OIC Constante Oandasa, sent the

following message: “Science has played a key role in our lives. Spanning from the simple processes, to the more com-plex technologies. In fact, science has made our lives easier to live. However, many find science diffi-cult as a subject, but science too, is fun to learn. And, I thank the Tan Yan Kee Foundation, Inc. for hosting the sci-fun caravan travelling science centrum for making it possible to make science fun to learn for school children. The province is privileged to have this travelling science centrum to benefit about 30,000 public school pupils and students. I thank the foundation for considering our province for this project as we see the need for the improvement of science and tech-nology in the Province. In the international education scene, sci-ence is a priority. We do not see it as an excuse for our province to de-part from this international trend. In fact, in our province, edu-cation is a priority agenda and therefore, anything that will aug-ment the status of our education sector is a welcomed development. I just hope that our children will take advantage of the oppor-tunity to have this Sci-fun caravan at its fullest. I also enjoin the De-partment of education to assist our children to have better access to the caravan. For surely, this event that happens here and in Sta. Cruz next year, is and will be a great contri-

bution to the overall development of our children. Once again, thank you and good day.” Dr.Giovanni V. Velasco, Prin-cipal IV ISNHS by way of greeting the opening participants said: “We gather here today for the commencement of the sci-fun cara-van. This activity aims to provide opportunity for school children, teachers, administrators and par-ents a first hand experience on the amazing world of science in an atmosphere of fun and excitement and to provide an avenue for learn-ing the k to 12 science outside the classroom. The sci-fun caravan will serve as a vital instrument in the teach-ing and learning of science and technology. Science teaching is not just knowing the concepts and principles. For it be more fruitful, it has to be more manipulative and experiential which will result to the development of scientific skills and attitudes, which are necessary for

learners to be able to live meaning-ful lives. With this kind of activity, our students and teachers will be exposed to the actual application of science concepts that will surely guide and inspire and will eventu-ally lead them to realize that sci-ence teaching and learning is excit-ing, interesting and enjoyable. For the secondary level, we are now in the second year of im-plementation of the k to 12 basic education, commonly known as the spiral curriculum which has the 4

E’s as its core. Engage, Experience, Explore, and Enjoy. This activity perfectly suits the k to 12 curricu-lum for the students are given the opportunity to perform not just see and observe, experience not just read and hear and more impor-tantly the fear of learning science will be eradicated and will surely be replaced by fun and enjoyment. As the primary servant of the school, I would like to express our sincerest thanks and gratitude to the Tan Yan Kee Foundation Incor-porated, Philippine Foundation for Science and technology, our leaders in the Department of Education, the DOST, and our local officials for choosing our school as the venue and one of the recipients of this laudable program, thank you very much for the honor you have accorded us.” Students were not to be out-done either. Here are some com-ments: Francis Pastor (3rd year High School): “It is a new expe-rience; many new knowledge ac-

quired; enjoyable; able to “bond” with other schools.” Via Ashley Quintos, Kristina Hernandez, Jezza Caye Palpa-la-toc, Nicole Talusig, Jane Pauleth Ragudo, Ivy Reotutar, Precious Rapada, Cherry Palapala, Shiela Racoma, Alyza Quintal, Hazel Arellano, Joan Galinato, Andrea Querubin, Chara Ayon: “It is fun, amazing, enjoyable, relaxing, in-teresting, mind-blowing, awesome, adventurous, challenging, thought provoking; encourage us to learn new things; exciting; we were able to derive new knowledge; Thank you to TYKFI, sana maulit muli.” Carlos Antonio Dela Cuesta (Grade 7): “Enjoyable, maganda, we were able to explore and learn new theories; very helpful to con-ceptualize science experiments for our science projects; will share to other students and siblings; en-courage us to be future scientists.” Jonathan del Castillo (4th year): “Cool; shows practical as-pects of the lessons we learn from school; let them understand the principles behind many scientific observations; (When asked wheth-er he would like to be a scientist, the answer was: Mahirap ang sci-ence; I want to be an English teach-er because I find joy in conveying ideas to others. But maybe, I need to study science so I can share this to others, he he he…” Mc Roger del Castillo, Mark John Felis (3rd year): “Masaya, maganda, nakakalimutan ang problema.” Johlan Pimentel (3rd year): “Enjoyable, maganda, enable us to explore new things especially con-cepts in science which we learn from school.” Fernalie Yadao (3rd year): “Made us understand more and explain the things we learn from school .” Chara Abella, Jennifer Ar-ranz: “Exciting; learned new things.” Stephnie Bringas (4th year): “First time to see and experience this kind of exhibit and learning; marami pa pala kong hindi alam.” Ashley Pula (3rd year): “Maraming discoveries at naka-katuwa; na-explain yung inaral namin sa first and second year.”

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TYKFI EXTENDS HELP TO YOLANDA VICTIMS

TYKFI EXTENDS HELP TO YOLANDA VICTIMS

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TYPHOON Yolanda (international name Haiyan) was an exception-ally powerful tropical cyclone that brought devastation to areas of

Southeast Asia, particularly the southern part of the Philippines in early November. Tacloban appeared to bear the brunt of the cyclone, which is recorded as the deadli-est in the country with close to 6,000 fatali-ties in this city and its neighbouring areas. It is also the strongest storm recorded at landfall and unofficially the fourth stron-gest in terms of wind speed. The devastation and the victims it left in its trail shocked the world, with many nations, individuals, international and lo-cal celebrities, NGOs, and the government rushing to provide assistance and hope to-wards surviving and then rebuilding lives and livelihood. The Tan Yan Kee Foundation’s HOPE Caravan went to action immediate-ly to launch Relief Operation for the victims and survivors of typhoon “Yolanda”, with Chairman Lucio C. Tan personally going to the area. A number of companies of the Lucio Tan Group also suffered from the de-struction of Yolanda. Together with partner companies and or-ganizations, Dong-A Pharma Phils., Inc., Philippine Airlines, TJ Trucking, Fo Guang Shan Foundation, Inc., Delta Vol-unteer Fire Brigade, and Tanduay Distill-ers, Inc. and Sales Office- Tacloban City, HOPE Caravan was able to reach some 5,000 families in the following cities/municipalities:

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Location (City/Municipality) No. of family-recipients

Tacloban City 1,253

Palo 1,718

Tanauan 776

Tolosa 761

Alangalang 492

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Immediate needs right after the storm that were brought by HOPE Caravan included 15,015 liters of bottled water; 1.234 tons of crack-ers; 2.49 tons of cheese; 12,000 liters of milk; 0.5 tons of noodles; 14,300 medicines and medical supplies; 1 ton of blankets.To assist in other areas of operation, the Cara-van also brought 2,000 pieces of body bags and five units of fogging machines including chemical. The Foundation also flew 200 victims out of Tacloban to tempo-rary shelters in Metro Manila and took care as well of flying to Taclo-ban government officials and digni-taries. The Tan Yan Kee Foundation is exploring further possibilities for rebuilding affected areas and families. In succeeding outreach efforts to victims of Yolanda, HOPE Cara-

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van in partnership with FoGuang Shan Foundation provided some 5,000 families in the towns of To-losa, Tanauan, Palo, and Tabontabon tents, clothes, and cooking utensils. TYKFI provided various medicines and supplies through the Philippine Army. It also brought medical mis-sions to Brgy. Holy Child II in Alan-galang, Leyte. The Lucio Tan Group of Com-panies, including PNB Life Insur-ance, Inc. and the University of the East supported efforts with cash donations. Foreign donors, through Macroasia Corporation, Goodwind Development Corporation (Guam) gave cash donation and Singapore Foods (Singapore) provided 764 cases (22,920 pouches) of food items. Through Asia Brewery, Inc. 4,032 cases (145,152 tetra packs) were donated by Green Spot Co. Ltd. (Thailand).

MEDICAL foRUM No. 247BRAChIAL pLExUS INJURIESDiscussant: Emmanuel Estrella, M.D.

BRACHIAL plexus is a complex network of nerves arising from cervical roots 5 to 8 (C5-

C8) and the first thoracic root (T1). These nerves are responsible for the sensation and movement of the upper extremity. Brachial plexus injuries may involve some or all of the nerves of the plexus and will result in dysfunction. Injuries involve some nerves and may include symptoms such as weakness or paralysis of the shoulder, elbow and hands, depending on which of the nerve roots are involved. In cases where all five nerves are involved, the whole upper extremity, from shoulder to the hands may lose sense of touch and may be paralyzed. Types of Brachial plexus injuries include: n Adult Traumatic: usually caused by either a stretched, ruptured or an avulsion type of injury, common in high-speed motor vehicular accidents. Prognosis would depend on severity of injury. n Obstetric: injuries that result from difficulty delivering larger and heavier babies. The shoulder usually gets trapped during child birth. Treatment options include: n Surgery, when no recovery is expected. It ranges from the simplest to the most complex, depending on the severity of nerve injury. n In early cases (less than sic months from injury), surgery is most effective. This includes exploration of brachial plexus and nerve reconstruction. n In late cases, salvage procedures such as tendon-muscle transfers and selected fusions are done. There are cases, however of spontaneous recovery.

MEDICAL foRUM No. 248Robotic Assisted Surgery for theTreatment of prostate CancerDiscussant: Jason L. Letran, M.D.

THE prostate is a small, walnut-sized structure that makes up part of a man’s

reproductive system. It wraps

around the urethra, the tube that carries urine out of the body. Treatment options for localized prostate cancer include: n Traditional open surgery, which requires a large eight to ten inches of incision. The open surgery is done to remove the entire malignant prostate and its nearby structures. This procedure is potentially associated with more blood loss and longer recovery period. n Robotic Assisted Prostatectomy, utilizes the state-of-the-art technology device called the “DA VINCI ROBOT”. This allows the surgeon to see vital anatomical structures inside the body more clearly and to perform more precise surgery. It utilizes only small keyhole incisions that markedly decreases the degree of invasiveness. This results to: n Less post-operative pain n Less risk of infection n Less scarring n Less blood loss and transfusions n Shorter hospital stay n Faster recovery and quicker return to normal activities

MEDICAL foRUM No. 249Understanding (De-mystifying) LupusDiscussant: Julie Li-Yu, M.D.

SYSTEMIC lupus erythematosus is a complex, prototypic, multisystemic, autoimmune

disease associated with pathogenic autoantibodies resulting in immune complex deposition and complement tissue damage. The incidence of Lupus affects: n Around 500,000 to 1.5 million Americans have lupus with an escalation of 16,000 people each year. n Children, teenagers and elderly men and women can get lupus. However, 80-90% of lupus patients are females of childbearing years between 15 and 45 years old. n Lupus disproportionately affects people of different races. African-American women are three times more likely than Caucasian women to be affected by lupus. No single known cause is identified, but Lupus might be

triggered by a combination of the following: n Genetics plays a major role in the disease process. There may be as many as 100 genes which contribute to the development of systemic lupus erythematosus. n Hormones cause an overactive immune system, which is a hallmark of Lupus. Female hormones tend to stimulate an immune response. Male hormones have the opposite effect and are more immunosuppressive. n Environment plays a role in initiating or triggering lupus in a genetically-predisposed person. These factors include ultraviolet light(sunlight and fluorescent light), extreme stress, infectious agents such as viruses, certain foods or chemical agents, and certain medications such as those belonging to the sulfa and penicillin groups. Symptoms may embrace a wide scope: n can come and go and are usually vague and often mimic other illnesses; n may be acute, resembling an infectious process consisting of fever, pleurisy and muscle aches or they may be a progression of vague symptoms over a long period of time; n Surgery can also exacerbate lupus symptoms. Elective surgeries should not be performed until lupus activity subsides. Passive immunizations have not been shown to exacerbate systemic lupus erythematosus. However, live vaccines are not advisable. n Emotional changes such as grief, depression, and anger, can make a person feel isolated from others. Diagnosis usually involves professional readings of Internists, Dermatologists, Nephrologists, Rheumatologists. The diagnosis requires: n entire medical history (including family history) n analysis of laboratory tests n complete physical examination n biopsy of the skin or kidney An open mind and good communication are necessary in assessing the patient. Treatment options can minimize symptoms, reduce inflammation, and

maintain normal body functions. The choice of drugs is highly individualized and often changed during the course of the disease. Drugs include NDAIDS, anti-malarials, corticosteroids, immunosuppressants, and all coupled with investigational research. Management of persons afflicted with Lupus should: n become well educated about the disease; n learn how to detect early symptoms of disease activity, which can help the physician know when a change in treatment is needed and to prevent the onset of a lupus flare; (Warning signs of a flare include increased fatigue, pain, rash, fever, stomach discomfort, headache and/or dizziness.) n listen and acknowledge these subjective complaints because they provide a sense of comfort to the patient; n maintain healthy relationships for patients, ask for support by keeping clear lines of open communication with family, friends, health care providers to alleviate and manage stress, depression and pain. Prognosis is much better today, but a cure for Lupus has not yet been developed and causes death. Those patients with non-organ threatening form of the disease can look forward to a normal lifespan if they follow instructions of physicians, take medication(s) as prescribed, and seek help for unexpected side effects of a medication or any new symptoms.

MEDICAL foRUM No. 250CopD: The Silent KillerDiscussant: Dennis Teo, M.D.

CHRONIC Obstructive Pulmonary Disease (COPD) is a common, preventable, and

treatable disease. It is a chronic inflammatory response in the airways and the lung to noxious particles or gases. Around 20% to 25% of the world sample population has COPD and is now the fourth leading cause of death. Causes of the disease include prolonged years of exposure to tobacco smike and long-term exposure to noxious fumes, gases, and wood fire particles, biomass

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TYKf-AABMSS MoNThLY MEDICAL foRUMEvery month, the Tan Yan Kee Foundation, Inc. and the Association of Asia Brewery Medical Specialty Scholars (AABMSS) hold a medical forum designed for laymen. The forum provides people with a venue to learn about the latest medical issues, trends, and available treatment options. Asia Brewery medical scholars render free consultations and discuss pertinent matters in layman’s language. The forum is held at the Century Park Sheraton.

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fuels, and other work-related dust. Characteristics marked generally by progressive chronic airflow limitation include: n a mixture of small airways disease (chronic obstructive bronchiolitis) and parenchymal destruction (emphysema); n a genetic predisposition on which phenotype a person belongs to( new medications are shown to benefit certain phenotypes of chronic bronchitis); n neutrophilic inflammation in the airways and alveoli. n The airways are narrowed, edematous, and the ciliated columnar cells are distorted, losing its important function of moving foreign substances and secretions out of the lungs. n Damaged alveoli affects gas exchange in and out of the body causing blood gas abnormalities of hypoxemia and hypercapnea. These changes are not fully reversible. n Patients are predisposed to recurrent exacerbation of COPD as well as infection. n Inflammation is not confined to the lungs. It also systemically involves other organs. Patients are predisposed to developing ischemic heart problems, muscle apoptosis and wasting, gastrointestinal, neurologic and renal failure problems. Diagnosis is done clinically coupled with spirometry. It looks out for: n symptoms of chronic dyspnea or breathlessness at rest and on exertion; n chronic sputum production of more than 3 months for two consecutive years; n history of chronic exposure to noxious substances Forms of treatment are mostly given for symptomatic relief. They include: n Drugs: new medications with prolonged effects; improved drug delivery directly targets inflammation in the lungs. These are: bronchodilators, which open up the airways; steroids, which decrease inflammation; mucolytics, which assist in expectoratin; and provision of oxygen, which improves gas exchange. Vaccinations to protect from deadly serotypes of streptococcus and influenza are also administered. CPAP and BiPAP improve hypercapnea for patients whose CO2 elevation is more of the problem and result to: n pulmonary rehabilitation such as teaching breathing exercises to help patients get back their life; n improve nutrition of

emphysema patients; n lung volume reduction surgery:, which is an option for localized emphysema patients such as lobectomy and bullectomy. Lung transplant has had some success cases, but with the difficulty of finding lung donors, high cost, and rejection in lung transplants have hindered its progress in the Philippines. Prevention includes smoking cessation and using wood fire and biomass fuel as well as wearing protective gear if exposure in the workplace is inevitable.

MEDICAL foRUM No. 251Dengue: Living Dengue-rouslyDiscussant: Richmond Reyes, M.D.

DENGUE Fever is an acute febrile illness caused by any one of the four serologically-

related RNA virus (DEN-1, DEN-2, DEN-3, DEN-4), with an incubation period of three to fifteen days(average of five to eight days). Mode of transmission is a bite of the Aedes aegypti mosquito (daybiting) and peak periods are early in the morning and in the evening before dusk. The incidence of dengue is the most rapidly spreading mosquito-borne viral infection affecting people of all ages in the world, with an estimated 25,000 deaths occurring each year. It is most prevalent in tropical and sub-tropical areas including the Philippines. Dengue has become a whole-year-round disease in recent years with cases seeing a surge since 2009. The course of the illness takes about two to seven days of febrile phase and the critical phase, which usually lasts for 24 to 28 hours and occurs during the third to seventh day of illness when fever subsides. Symptoms include: n fever, headache, body malaise, “flu-like illness” such as muscle and joint pains; n poor appetite, nausea, vomiting, diarrhea, problem of dehydration or seizure in children; n rashes and mucosal membrane bleeding (ex. nose or gums) may be present. Diagnosis is done through CBC tests and positive result would should decreased WBC with or without a decrease in platelet count. Optional tests are Dengue NS-1 antigen test, which is best done during the first four days of fever, and Dengue lgM antibody test. Patients with warning signs may deteriorate, while patients without warning signs may improve. Warning signs include:

n severe plasma leakage leading to shock (Dengue Shock) with or without respiratory distress; n severe bleeding and/or severe organ impairment; n mucosal bleeding; n abdominal pain or tenderness; n persistent vomiting; n lethargy or restlessness. An increase in hematocrit and/or decreasing platelet count mark the recovery phase, where patients also show improved well-being, no fever, and better appetite. Recovery from infection provides lifelong immunity against that particular serotype. However, subsequent infections by other serotypes increase the risk of developing severe dengue. Treatment includes paracetamol for fever and pain, adequate hydration, without for any anti-viral drugs or antibiotics, and requires close monitoring for any signs of bleeding. Prevention people should observe include: n wearing of proper clothing in places endemic for mosquitoes n vaccines , which are still under investigation; n use of mosquito repellant lotion; n elimination of mosquito breeding sites that include government-initiated programs such as “Aksyon Barangay Kontra Dengue or ABaKaDa”

MEDICAL foRUM No. 252Current Management of Devastating Traumatic Injuries of the Upper ExtremityDiscussant: Nathaniel S. Orillaza Jr., M.D.

THE upper extremity of the human body is designed for motion and provides the ability

to manipulate the environment and hold tools. The lower extremeties are used for standing, walking, jumping, running, kicking, and especially for bearing weight. Musculoskeletal trauma is a relatively common injury, but has significant effects on patients’ lives. This includes: n Fracture: soft tissue injury complicated by a break in the bone; n Soft tissue injuries, which are usually a combination of different layers or types: n Skin: laceration, avulsion; n Muscle: strain, transection; n Ligaments: sprain, transection, avulsion; n Vascular: sharp / blunt, complete / incomplete; n Neurologic: neuroplraxia /

axonotmesis / neurotmesis, High / Low Diagnosis evaluates: n Age, Sex, Handedness, Occupation n Place of Injury (POI): environment n Time of Injury (TOI): concept of “Golden period” dictates ideal timing of treatment n Mechanism of Injury (MOI): anticipate degree of injury n FOOSH (fall on out-stretched hand) n Crushing n Sharp (hacking, industrial) n Gunshot n Motorcycle crash

Prevention of injuries require a lifestyle safety check and use of protective gears. Management of traumatic injuries include: n Proper and timely evaluation, which is most important; n Initial evaluation, which looks at life versus limb, life threatening vascular injury in the acute stage; n Detailed evaluation, which looks at systemic or proximal to distal layers and neurologic and bone problems, which determines long-term outcome; Treatment options are either non-surgical or surgical. The following factors should be considered. n Surgery is not always needed but those who will, should be treated appropriately. n Treatment plans should have realistic expectations. n Treatment should focus not on what the doctor can do but what the patient needs. n Emergency setting should provide comfort and protection from further injuries. n Setting expectations discusses restoring gross versus fine movements, rush versus taking time to recover. n Gadgets and contraptions upgrade frequently, but basic principles are the same. n Role of medical management and biologics.Care after initial management considers that: n any method of surgical or non-surgical intervention is only half the battle; n rehabilitation modalities are just as important as the first part of treatment; n amputation is an option of treatment only after all other treatments fail; n choices include better prosthesis versus regeneration as well as more utilization of medical intervention.

LT Group News

THE Foundation for Upgrading Standards of Education (FUSE) held last September a

five-day training for teacher-trainers in the subject areas of Chemistry, Integrated Science, Physics, Mathematics, and English. The course was a part-nership between FUSE, as the delivering organization, in co-operation with the Philippine Science Consortium. Each course had its own specific objectives designed to raise the competence of teach-ers in Science, Mathematics, and English subjects, while earlier FUSE courses focused on training Science and Math-ematics teachers on content and methods. Specifically tar-geted for training were future Trainer-Teachers for future teachers. Because of this fo-cus, the participant-attendees in each program were generally small in number compared to the regular direct training of

subject teachers. 105 teachers were trained, grouped as fol-low: Chemistry 21 Integrated Science 18 Physics 17 Mathematics 25 English 24

The five-day program start-ed with an introductory session held at the FUS E Auditorium that clarified the common goals of the courses as well as to get all participants to realize the signif-icance of beginning with a com-mon prelude to training future trainers.

The session, which fol-lowed was a break-out for each group’s specific subject focus. For all five courses, a pre-test was given to assess where the participants currently stand and to give them indicators on coverage of concepts, sub-jects, thrusts, aims that are emphasized. In three of the five courses, outside experts in-volved in expanding the scope of the courses beyond the usual coverage and who are national-ly-recognized experts handled the training. Focus on up-to-date knowledge was addressed and

given more time than usual through questioning tech-niques, discussion, presenta-tion, verification, reflection and hypothesis formula-tion—giving them more depth, breadth, and open discussion. Added to these approaches was viewing of video episodes from the FUSE collection of IT-ori-ented materials. A post-test complement-ed pre-test toward the fourth or fifth day to assess the key learnings, particularly with re-gard to teaching methods and techniques. At the end of the five-day program, a joint session for all five groups was held, which capped the training by drawing out from the participants their impressions of the training course. Evidently, the effort is worthwhile to repeating in 2014. An evaluation of the im-pact of this model of training is also strongly recommended by FUSE through follow-up on the trainees.

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FUSE Holds Training Course for Teacher-Trainers

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