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Researchh Ppaer REal Not FAek 1
Researchh Ppaer REal Not FAek 1
Researchh Ppaer REal Not FAek 1
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Group 4 – “TBantay: Development of a Tuberculosis Patient Monitoring Application
Using Machine Learning”
BACOOR NATIONAL HIGH SCHOOL MAIN
MOLINO I, CITY OF BACOOR, CAVITE
June 2023
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Group 4 – “TBantay: Development of a Tuberculosis Patient Monitoring Application
Using Machine Learning”
BACOOR NATIONAL HIGH SCHOOL MAIN
MOLINO I, CITY OF BACOOR, CAVITE
TABLE OF CONTENTS
Acknowledgement
Abstract
Chapter Page
I. INTRODUCTION 5
Research Hypotheses 8
Conceptual Framework 9
Definition of Terms 10
Conceptual Literature 12
Foreign Studies 13
Local Studies 16
Synthesis 18
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Group 4 – “TBantay: Development of a Tuberculosis Patient Monitoring Application
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BACOOR NATIONAL HIGH SCHOOL MAIN
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III. METHODOLOGY 2
Research Design 22
Experimental Design 25
Experimental Flowchart 26
Statistical Treatment 27
References 28
Appendices 31
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Group 4 – “TBantay: Development of a Tuberculosis Patient Monitoring Application
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ACKNOWLEDGEMENTS
We would like to acknowledge and thank the people who have provided us the
guidance and support we needed throughout the creation and development of this
research paper.
To our research adviser, Mr. Richard L. Nocillado, for his hard work and effort in
checking, proofreading, and helping us create a proper and well-written research paper.
To our robotics coach, Mr. Rod Edmon Torreliza, for helping us conceptualize and
guiding us as we explore the field of computational science. Thank you for your advice
and support.
To our parents and guardians for their never-ending support. Thank you for
Lastly, we would like to extend our gratitude to our Father God, for guiding and
encountered during the creation of our research paper, leading to its completion.
The Researchers
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Group 4 – “TBantay: Development of a Tuberculosis Patient Monitoring Application
Using Machine Learning”
BACOOR NATIONAL HIGH SCHOOL MAIN
MOLINO I, CITY OF BACOOR, CAVITE
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Group 4 – “TBantay: Development of a Tuberculosis Patient Monitoring Application
Using Machine Learning”
BACOOR NATIONAL HIGH SCHOOL MAIN
MOLINO I, CITY OF BACOOR, CAVITE
Chapter I
INTRODUCTION
affects the lungs, though it can also affect other organs such as the brain, spine, and
transmitted easily, thus making it highly infectious. Because of its contagious nature,
TB remains a significant issue, with around 1 million active cases recorded in the
treatment once diagnosed with the disease and are isolated in order to prevent
infection. This treatment usually lasts for at least 6 months, with a monthly check-up
with their doctor (Centers for Disease Control and Prevention, 2021). Despite the
need to monitor a patient’s progress, there are times when the patient does not
regularly update their doctor, drink their medicine, and even fail to show up for their
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Group 4 – “TBantay: Development of a Tuberculosis Patient Monitoring Application
Using Machine Learning”
BACOOR NATIONAL HIGH SCHOOL MAIN
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patterns and structures in the data for the AI to learn, make predictions, and many
more (NetApp, n.d.). This branch of AI can be found in search engines, email filters,
and even voice recognition (The Royal Society, n.d.). It can also be used for the
The purpose of this study is to develop an application that will help monitor TB
patients from their homes and create a database that will show the status of certain
patients. The study aims to identify whether the application will be accurate,
efficient, and easy to use; whether it will display necessary information; and whether
the application will help with easy filing and patient profiling.
This study will benefit various sectors and people are as follows:
This study will benefit this department as our application is able to help keep
track, monitor, and profile TB patients and help collect data much easier and
convenient.
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This study will benefit this organization in various ways as our application is
able to help monitor and keep track of TB patients as well as providing further
Hospitals/Medical Centers
This study will benefit these places as it’ll give them a much easier time to help
Pulmonologists
This study will benefit these medical professionals as our application will be able
to help record data and keep track of TB patients inputted by them and through
the doctors.
Community
This study will benefit the community for it will be a much easier and
convenient way to identify TB patients and a way for them to keep track and
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MOLINO I, CITY OF BACOOR, CAVITE
However, monitoring a patient can be difficult, especially when they are diagnosed
with an easily transmitted disease. In order to ease the situation, an application for
monitoring patients and filing that is accessible to both the patient and doctor will be
developed.
2. Does the application display and label the necessary information, namely the
progress of the patient, the information the user will input and whether their
3. Will the application properly organize files of TB patients and make it easily
2. The application does not display and label the necessary information, namely
the progress of the patient, the information the user will input and whether
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3. The application will not properly organize files of TB patients and make it
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10
The study aims to develop an application that will be able to monitor the
tuberculosis (TB) patients easier through machine learning and to determine the
The figure above shows the relationship between the independent and
together with the programming is the study’s independent variable (IV). Meanwhile,
the application’s feasibility and effectiveness to file the patient’s conditions is the
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application that will be able to locate and identify patients who have completed or
uncompleted their medications that would improve the efficiency of filing in hospitals
and health centers. The study does not aim to produce a physical machine nor make
it commercial. The intended program and application will not be made publicly
The programming aspect of the project will be carried out using the Python
analysis will be conducted through changing the time to assess whether the
The diagnosed patient that the program seeks to monitor and file.
Algorithm
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analyze the patient’s data and provide valuable insights, enhancing the
learning.
Python
Machine Learning
The common branch of AI used to create the application for filing with the use of
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Chapter II
Tuberculosis
Tuberculosis (TB) is a potentially fatal illness that mostly affects the lungs.
coughing up blood or mucus, chest pain, pain with breathing or coughing, and
fever. TB sickness symptoms vary based on the part of the body affected
(Centers for Disease Control and Prevention, 2021). The most often used therapy
pyrazinamide, and ethambutol. Although you may feel better within a few weeks
which have low sensitivity and long turnaround times, pose a biohazard risk, and
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monitoring tools and for drug development (American Society for Microbiology,
2022).
Machine Learning
wherein the system makes use of data and algorithms to learn on its own and do
FOREIGN STUDIES
sequential events from the source case generating infectious particles to susceptible
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incidence and mortality rates. This study lays the groundwork for future articles
young children, trends in tuberculin skin tests and interferon γ–release assays, and
The study emphasizes the significance of factors such as the prevalence of TB, living
and working conditions, and the effectiveness of healthcare and public health
these factors and measurement tools, the study aims to bridge knowledge gaps and
Wang et al. conducted a research study with the title of "Using Electronic
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the Community Level in China," the study aimed to evaluate the acceptance and
observed therapy (DOT) was not feasible. Patients were given the option to use the
EMM or receive DOT. The EMM stored a month's supply of anti-TB drugs, and patient
adherence was monitored monthly. Patients with poor adherence were switched to
DOT. The study included 231 TB patients, with 154 completing the treatment course
using the EMM. The median adherence rate was 99.3%. Healthcare workers found
the EMM acceptable, although it moderately increased their workload. Through the
reducing patient visits. The study highlights the potential of EMM for differential TB
Patients in China" assessed the use of an electronic medication monitor (EMM) for
for EMM, and 1,314 (73%) used it during their treatment. Based on EMM data, 134
associated with not using EMM within the first month included age, employment
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17
status, tuberculosis pleurisy, and previous treatment. The study emphasized the
need to ensure adherence and provide clear guidelines for managing missing EMM
data. EMM implementation holds promise for enhancing TB treatment and control in
China.
patient outcomes. Data from the app and TB Information Management System were
analyzed using logistic regression. App users had more regular check-ups, and
33.28% showed regular drug intake. The overall drug intake rate was 84.84%. Poor
adherence was linked to tuberculosis pleurisy and prior treatment, while residents
had better adherence. The study highlights the app's positive impact but suggests
and devise preventive measures” was conducted by Khan et al. in 2021. The study
inform their respective instructors to help improve the students’ grades at an early
algorithms. The results showed that the Decision Tree algorithm worked the best
compared to other algorithms. It was concluded that machine learning can indeed
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18
LOCAL STUDIES
was conducted by Flores et. al in 2022. The study states in the Philippines, where
nearly 10 million people reside in urban slums, social determinants are also major
drivers of tuberculosis endemicity. The local 2019 TB Program Review showed how
vulnerable populations—the urban poor, people living with HIV, and people
outcomes. The study contributes to the importance of the study because of the
prevention to achieve universal health coverage in the Philippines." The goal of the
preventive treatment (TPT). The findings of this study emphasize the importance
preventive treatment, proving the importance, timeliness, and valuable insights for
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19
expected and reported tuberculosis cases during the COVID-19 pandemic. This
study aimed to examine the barriers to tuberculosis care in the Philippines amidst
the study highlighted the projected increase in tuberculosis incidence and deaths
limited to only two regions and remained inaccessible to the majority of Filipinos.
The study emphasizes the need for a centralized strategy to enhance surveillance,
service delivery, and the overall reduction of the tuberculosis burden in the
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Philippines. This study helps the current one as it points out the need for a system
that monitors and keeps track of TB patients in the Philippines amidst the current
2.3 Synthesis
The related studies above include a variety of information that have similar and
Churchyard et. al (2017) and Agyeman et al. (2017) lays the groundwork for future
insights for combating this global health issue and offers general education to
healthcare professionals and the public which promotes awareness of its prevention
and management strategies. Furthermore, The study of Li et. al (2021) included data
from the app and TB Information Management System were analyzed using logistic
regression. App users had more regular check-ups, and 33.28% showed regular drug
intake. This shows the importance of a monitoring app and why the logistic
regression algorithm was used. Additionally, the study of Mathema et. al discusses
tuberculosis case notifications in young children, trends in tuberculin skin tests and
interferon γ–release assays which bridge knowledge gaps and contribute to the
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found the EMM acceptable and states EMM implementation holds promise for
enhancing TB treatment and control which justifies the application of EMM in our
study.
Being one of the leading causes of diseases in the Philippines, the study will
and keep track of TB patients among medical centers and hospitals for medical
personnel and TB-affected patients to use. The preceding foreign and local studies
disclosed different and consistent findings about the lack of monitoring and
evaluation of TB patients and the need for one. The variables are with similarities to
the present study, specifically, with the use of Python as the computer program, and
data set to monitor and evaluate. The researchers wanted to compare the
differences between each study, taking into account the gaps and recommendations
of each supporting study that the researchers wish to enhance and address.
Numerous foreign and local studies including the study of Li et al, Khan et al
(2021), and Wang et al have correlations to the present study because they were
able to highlight the need to approach the innovation world in the fields of computer
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the groundwork for the creation and the groundwork for the variable of the paper.
Taking into account the similarities of the supporting studies to the present,
there are gaps and recommendations that the researchers would like to improve.
ensured the efficiency of an electronic medication monitor, unlike the main study, it
perform this study to create an application using machine learning to enhance cancer
the efficiency of the health center and hospital's way of profiling, monitoring, and
ultimately tracking down the progress of each patient. Using machine learning, a
monitor and file TB patients because an application beats the traditional way of filing
patients through papers. It is a study unlike the given related literature as the study
focuses on the accuracy and precision of the application's ability to file and monitor
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23
Chapter III
METHODOLOGY
The study will utilize the One-Group Posttest-Only Design as it is the most
fitting research design. This will help determine whether each algorithm used has a
significant difference from each other and whether the system is capable of
organized database to be used by doctors and medical staff. The table below
represents the tabulated results of the study, wherein “X” serves as a placeholder for
VARIABLES POSTTEST
(ALGORITHM ACCURACY PRECISION RECALL F-SCORE
USED)
Decision Tree X X X X
k-Nearest X X X X
Neighbors
Artificial Neural X X X X
Network
Table 3.1 Research Design
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The data to be used for the training and testing of the system will be
obtained from Our Lady of Guadalupe Medical Specialists Clinic in Imus, Cavite.
The hospital will provide the data on 200 patients’ weight, cough status,
Data Preparation
The acquired data will then undergo a preparation stage involving data
cleanup, data normalization, and variable selection. Data cleanup will fill in null
values, while null values that cannot be filled will be eliminated. This is followed
by data normalization where the data will be converted to a form that is easier
for the algorithm to understand and analyze. Afterwards, a target variable will be
selected. The target variable or the goal of the application for the study is to
Algorithm Selection
After the data is prepared, the machine learning algorithms that the
program will use are selected. These are the Decision Tree algorithm, k-Nearest
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System Programming
After the algorithms and data set is ready to be used, the application’s
programming will be conducted. The programming will make use of the Python
programming language, using the Python 3.11 compiler. The data set and
the application will also feature a filing system for medical staff.
Model Training
The ten-fold cross-validation method will be used to train the model. The
data set will be randomly divided into nine parts for the model’s training, while
one part will be for its testing. This process will be repeated ten times with
different randomly divided parts. In order to avoid bias, ten randomly selected
After training the model, the application will be run. The data set aside will
then be used for testing the system and the conclusion to be presented by the
program will be evaluated in the confusion matrix, either a True Positive (TP),
False Positive (FP), or False Negative (FN). This will be tested for each of the
algorithms used by the program. The results will then be computed using the
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Furthermore, the smooth navigation and intended use of the application will also
be tested by simply imputing the data for testing and observing whether the
Application Testing
After the first testing phase of the application. It will be sent to 5 hospitals,
namely St. Dominic Medical Center, Central East Asia Medical Center, Our Lady
of Guadalupe Medical Specialists Clinic, Bacoor City Health (Salinas) – DOTS, and
Bacoor Doctors Medical Center for a test run. The application will be used to
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Experimental
Repetitions
Table 3.2 Experimental Design
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The flowchart below shows the processes that will be followed throughout the
experimentation phase in order to ensure the validity and success of the experiment.
Data Pre-processing
Algorithm Selection
System Programming
Model Training
Application Testing
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The study will make use of the T-test statistical treatment in order to
determine the means or the difference between the results provided by the doctor’s
data and the results presented by the application. This will provide a t-value and p-
value, along with its level of significance, allowing the researchers to determine
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References
https://www.researchgate.net/profile/Richard-Ofori-Asenso/publication/
309666774_Tuberculosis_-_an_overview/links/581c39d808ae40da2caa44a5/
Tuberculosis-an-overview.pdf
Calderon, J., Perry, K., Thi, S, S., Stevens, S. (December, 2022). Innovating tuberculosis
https://www.sciencedirect.com/science/article/pii/S2666606522002243
Churchyard, G., Kim, P., Shah, S., Rustomjee, R., Gandhi, N., Mathema, B., Dowdy, D.,
Transmission: An Overview.
https://academic.oup.com/jid/article/216/suppl_6/S629/4589582
Flores, G., Alberto, I., Eala, M., Canal, J. (January, 2022). The social determinants of
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(21)00516-7/
fulltext
Jones, A. B., & Brook, C. D. (2011). Sample print book title. Publisher.
Li, X., Pang X., Zhang, F., (August, 2021). Evaluation of Mobile Application for the
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https://www.dovepress.com/evaluation-of-mobile-application-for-the-
management-of-tuberculosis-pa-peer-reviewed-fulltext-article-PPA
Manyazewal, T., Woldeamanuel, Y., Getinet, T., Hoover, A., Bobosha, K., Fuad, O.
https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00549-1/
fulltext#secsectitle0010
Mathema, B., Andrews, J., Cohen, T., Borgdorff, M., Behr, M., Glynn, J., Rustomjee, R.,
https://academic.oup.com/jid/article/216/suppl_6/S644/4589580
The Corporation. (2012). Company brochure: Available online. Retrieved August 27,
weak. BBC News. https://www.bbc.com/news/business-50419127
Wang, N., Shewade, H., Thekkur, P., Huang, F., Yuan, Y., Wang, X., Sun, M., Zhang, H.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190174/
Wang, N., Zhang, H., Zhou, Y., Jiang, H., Dai, B., Sun, M., Li, Y., Kinter, A., Huang, F.
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https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-019-4521-2
Xiang, E., Cooper, F., Wilson, G. H., & Liang, I. (2012). Sample title: Of an invented
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APPENDICES
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Appendix A
BUDGET PLAN
Test
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Appendix B
PROJECT DATA BOOK
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Appendix C
PROJECT APPROVAL FORM
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Appendix D
CURRICULUM VITAE
PERSONAL INFORMATION
Name: Claire Eugene L. Deado
Date of Birth: May 18, 2008
Age: 15
Address: Blk 2A Lot 17, Chesapeake Village, Buhay na
Tubig, Imus, Cavite
Contact Details:
E-mail – claire18deado@gmail.com
Cellphone Number – 0961 159 5238
EDUCATION
Elementary: Academia de Julia Victoria
Secondary: Bacoor National High School Main
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PERSONAL INFORMATION
Name: Andrea Kate G. Angeles
Date of Birth: July 3, 2007
Age: 15
Address: Blk 10 Lot 11, Ivory St., Diamond Village,
Salawag, Dasmarinas, Cavite
Contact Details:
E-mail – angelesandrea1203@gmail.com
Cellphone Number – 0945 415 9712
EDUCATION
Elementary: Salawag Merryhills School
Secondary: Bacoor National High School Main
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PERSONAL INFORMATION
Name: Adam T. Baldago
Date of Birth: May 21, 2008
Age: 14
Address: Blk 2 Lot 1, Phase 1-A Navarre Belazzona,
Molino III, Bacoor, Cavite
Contact Details:
E-mail – adambaldago08@gmail.com
Cellphone Number – 0966 829 7073
EDUCATION
Elementary: St. Dominic College of Asia
St. Jerome Emiliani Institute
Secondary: Bacoor National High School Main
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PERSONAL INFORMATION
Name: Keziah Ashley I. Jarabelo
Date of Birth: September 20, 2008
Age: 14
Address: Blk 9 Lot 28, Greentown Villas 1, Mambog III,
Bacoor, Cavite
Contact Details:
E-mail – keziahjarabelo@gmail.com
Cellphone Number – 0960 559 7517
EDUCATION
Elementary: University of Perpetual Help System DALTA
Statefields School Inc.
Secondary: Bacoor National High School Main
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PERSONAL INFORMATION
Name: James Lemuel C. Ramos
Date of Birth: December 3, 2007
Age: 15
Address: Blk 15 Lot 22, M. Aquino St., Georgetown
EDUCATION
Elementary: George Mueller Christian Academy
Secondary: Bacoor National High School - Main
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PERSONAL INFORMATION
Name: Rafael Athrun DP. Berbon
Date of Birth: May 12, 2008
Age: 15
Address: Blk 5 Lot 45 Ph 2 Sapphire Street Maryhomes
Subdivision Molino 4 Bacoor, Cavite
Contact Details:
E-mail – athrun.berbon@gmail.com
Cellphone Number – 0992 636 6932
EDUCATION
Elementary: Maria Mae Academy Inc.
Likha Molino 4 Elementary School
Secondary: Bacoor National High School Main
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