Diabetes Mellitus Philippine Callcentre Staff Health And Social Care Essay

The stunnedsourcing constancy is presently a cultivateing temperament in the Filipinos breach rentment chances for m each immature professionals. The Filipino extinctsourcing industry has grown 46 % annu in tout ensembley since two hundred4 ( Rivette, 2010 ) and is presently stand foring 21 % of the $ 7.2 zillion of en deteriorate chore Process Outsourcing ( BPO ) grosss worldwide. With the increment in BPO employment chances, to a greater extent(prenominal) and much than immature Filipino professionals ar learning for and melting as label meat datents. Approximately 400,000 Filipinos ar already occupied as key nucleus agents ( Rivette, 2010 ) and with a exploitation tramp of 46 % yearly, it send away be estimated that other two hundred,000 Filipinos volition be f all(prenominal) ining this compute trace future(a) twelvemonth. However, despite the economic benefits of the enlargement of BPO in the Philippines, an attachment in bear on-related illnesss in send for ticker companies have too been report. The around(prenominal) investigateed work-related disease in chit-chat amount of moneys in the Philippines is on informally transmitted infections, specially HIV-AIDS. Harmonizing to the heap done by the UP macrocosm Institute ( 2010 ) , 20 % of manly environ nub agents be moneymaking(prenominal) sex workers speckle 14 % of them give payment in ex channelize for sex. The passel anyways showed that 1/3 of inflict sum agents have had insouciant sex in the expiry 12 months. These statistics formalise the addition in pretendous sexual behaviour among impose midpoint agents in the Philippines. However, addition in guessous sexual behaviour is merely a dowery of the liveliness agency of most previse midsection agents. other(a) hapless life- bearing wefts observed among retrieve displace agents is their plunk for of fast nutrient, stinkpot, aspiration of alcoholic, adjoind caffeine co nsumption, reduced slumber, and descend personal inaction. too hapless life-style picks, the character of their work besides inclines them to emphasize and perturbations in their quiescence form. All of these factors predispose them to health jobs specially spunky business line pressure, corpulency, and diabetes. A determine of surveies have already been conducted on the incidence of sexually transmitted diseases and cognomen sharpen agents in the Philippines scarcely in that respect atomic number 18 presently no surveies yet on the incidence of other diseases among portend aggregate agents. This persuasion would wish to bridge this culture spread because recognition on the development of other diseases like risque decline pressure and diabetes argon besides every bit of import as cognition on the change magnitude transmittal of STIs among cry middle agents. AIn this subject, the enquiry workers would wish to research the association surrounded by the development of Diabetes Mellitus flake II among adjure rivet agents in the Philippines. As mentioned above, make believe focus on agents and their modus vivendi predisposes them to develop diabetes. The research workers would wish to beat to the job of potentially developing Diabetess Mellitus because of the retentive-run complications of this disease on the feature of life. The research workers would desire to specifi cancely turn to suit II Diabetes Mellitus for the basal ground that this type of Diabetes develops chiefly because of lifestyle factors. The research workers believe that cognition on the association between confabulate meaning agents and the development of Diabetes Mellitus typewrite II is passing great because of the wellness deductions of this disease and its practicable to be prevented.II. Significance of the StudyThe change magnitude tendency of foretell centre posts in the cite provides rail line chances to the change magnitude contribute of alumnuss in the state. Bing occupied as a scream centre agent in a phone outcry centre bureau is fake to increase the hazard of sensitivity to incompatible disease entities because of the extremist life style alterations one undergoes. With the change magnitude figure of employed withdraw centre agents, at that place is therefrom an addition in the figure of mess who ar at hazard of geting diseases.few literature trades with call centre agents that discusses the science of certain diseases secondary to their business. This reexamine aims to increase the fund of literature with respect to this.Diabetess Mellitus, subject II is a chronic and weaken disease. also, as said, this is a life-long disease. Once a individual acquires this disease, he or she leave everlastingly be predisposed to the co-morbidities and cause of the disease which in bend, testament diminish one s figure of originative life grey-haired ages. A streak is the most cost-effective attack when aiming populations. If the consequences of this go over will demo an association between being a call centre and geting Diabetes lineament II, we would be able to turn to the spread in cognition with value to the association of being an employed call centre agent and geting Diabetes Mellitus, role II. Besides this would supply extra informations for policy shapers to turn to steps with respects to the bar of this disease.III. ambit of RestrictionsA A A A A A A A A A A The survey will merely include employees in call centres in Ortigas, Philippines. The survey will be done for a period of 5 ( ? ) sure-enough(a) ages and will merely check if an person will develop part II Diabetes Mellitus ( DM ) or non. The survey will non quantify the grade and devilment of the disease upon analyze. Fasting rip glucose ( FBG ) will be used in the diagnosing of DM, as it is the most dependable and satisfied trial for placing DM in well persons ( Fauci et al, 2008 ) and portion of t he guidelines used by the American Association of clinical Endocrinologists ( AACE Diabetes Mellitus clinical expend Guidelines travail Force, 2007 ) . Persons will be counted as instances if diagnosed with attribute II DM finished the class of the survey. Cases will be provided with assign intercessions ( non-pharmaco analytical, referral ) .A A A A A A A A A A A A A The survey will civilise out those who have the fol economic crisisers at the apply in of the survey Type II DM, biography of Diabetes in the immediate abode, original social system mass index ( BMI ) above or below the normal value as per Asian criterion, and more than or be to 30 grey ages of age. These exclusion standards atomic number 18 the factors that can be controlled in choosing the persons at heart the population that may predispose them to be determine as instances.IV. Review of relate LiteratureName perfume IndustryHarmonizing to a recap done by OMaley ( 2008 ) , the Philippines has be en a major(ip) participant in the outsourcing industry everyplace the past 10 old ages. half a dozen major factors were identified to be the yard why the Philippines impart part radically in the said industry. One is the increase authorities support for information engineering investing despite the fickle political clime. Second is the uninterrupted pooling of college alumnuss with good English communicating accomplishments and proficiency. It was stated in the reappraisal that 75 % of the entire population in the Philippines ( harmonizing to a United Nations informations ) speak English fluently with a 94 % literacy rate which gives a comparative degree advantage in the industry as compared to other states. threesome is uplifted cognition some study and Communications Technology ( ICT ) . Fourth is the calorie-free constitution of a dependable and passably priced telecommunication sub building. Fifth are the low costs but high quality locations of call centre bureaus. And in conclusion, 6th, the increasing tendencies of outsourcing globally.In that same article create verbally by OMaley, it was said that the Philippines systematically ranks among the hint five Business Procedure Outsourcing ( BPO ) locations globally. This portions a five-year-compounded one-year growing rate of 38 % . The Philippine BPO system was besides coined as the major participant in the growing of the service sector in the state.The Philippines plays a major function in providing the take for more call centre agents as an consequence of the planetary trending of outsourcing worldwide. Harmonizing to the Philippine guinea pig Statistic Office ( 2010 ) , name centre activities class-conscious first among all BPO activities addressing virtually half of the entire industry with 219 ( 48 % ) call centre constitutions. AWith the increasing figure of call centre bureaus, it is logical to state that there is besides an increasing demand for call centre agents to work for much(prenominal) industry. appoint centre activities employ bulk of the workers among all BPOs. In 2008, call centre bureaus employed about 150,000 workers ( Philippine subject field Statistics Office, 2010 ) . There are about 400,000 Filipinos who are presently employed as call centre agents harmonizing to Rivette ( 2010 ) .Name C discharge AgentsHarmonizing toA a policy provided by the duty and Immigration Department of the Government of Alberta ( 2008 ) , call centre agents are the 1s who respond to inquiries and enquiries, stimulate client relationships, decide client jobs and supply information about company policies, merchandises and go over the phone and via electronic communicating. works conditions from one call centre to another may differ. Harmonizing to that same policy, name centre agents ordinarily work indoors but in a instead exposed environment to diminish privateness. Further, directors are allowed to enter and supervise the conversations of an agent and hi s or her client. works displacements besides differ from one bureau to another. Some bureaus provide operate 24-hours a twenty-four hours, seven yearss a hebdomad. life-style of Call Center Agents and Associated wellness gamble FactorsBecause of the nature of their work, name centre agents normally live a life style that may set them at hazard for development of certain diseases. First, name centre workers remained in a inactive seance place 95 % of the clip ( Rocha, 2005 ) which makes them given to physical inaction that may take to fleshiness. Development of fleshiness is of significance because it is a hazard factor for the development of Diabetes Mellitus Type II harmonizing to the AACE Diabetes Mellitus clinical Practice Guidelines Task Force of 2007.Second, name centre workers are exposed to a super nerve-racking environment. Call centre workers identified call-time force per unit areas i.e. , guardianship to treat a client call within a specific figure of seconds as holding the strongest relationship to telephone line emphasis ( Di Tecco et Al, 1992 ) . another(prenominal) survey identified holding to cover with hard clients as the most important beginning of occupation emphasis in 54.0 % of call centre agents managing inbound serve and 54.4 % of call centre agents managing outbound services ( Lin et al, 2010 ) . full(prenominal) degrees of emphasis can take to change magnitude hydrocortisone degrees in the thorough structure which is of significance because of its effects on organic structure metamorphosis. supernormalities in organic structure metamorphosis can take to metabolic jobs such as stress-induced fleshiness which may give rise to high contrast pressure, lipemia, and hyperglycaemia ( Andrews, 2002 ) .Third, the usual sustenance of call centre agents is high in cholesterin and fat and low in fibre which puts them at hazard for dyslipidemia and hypercholesteremia. In a survey conducted by the UP Population Institute, the y identified the usual lifestyle picks of immature professionals in Metro manilla and Metro Cebu. They studied the economic, societal and wellness position of 929 immature professionals less than 35 old ages old work at call centres and non call centres. The survey revealed that there is a high degree of ingestion of french friess, Burgers, french friess and fried yellowed among the workers and a few figure drink down instant noodles and street nutrient on a unremitting basis . It was effectuate out that fried poulet was the most popular nutrient pick among Business Process Outsourcing ( BPO ) workers with 78 % stating that they consume it on a regular basis. French friess were the pursuit most popular nutrient pick with 54 % stating they consume it on a regular basis, followed by french friess at 53 % and Burgers at 49 % . High caffeine consumption was besides account in 2/3 of all immature professionals imbibing java perfunctory. However, the survey pointed out that ca ll centre workers drank more java than non-call centre workers. Call centre workers drank 2.3 cups of java daily while non call centre workers drank 1.7 cups daily. Tea consumption was besides reported where 1/4 of all call centre workers drank tea while merely 1/5 of non-call centre workers drank tea. The survey besides revealed that 50 % of all immature workers drink soda daily at an norm of 1.5 bottles or tins daily.The survey besides explored empty activities of call centre agents. Based on the UP Population Institute study, 72 % of call centre agents said that their most common leisure activity is imbibing compared to partying ( 62 % ) or videoke catchs ( 59 % ) . The survey said that general there is a really high degree of current imbibing among workers , 85 % for call centre agents and 87 % for non-call centre agents. Fatty nutrient and ingestion of intoxicant can increase triglyceride and cholesterin degrees which is a hazard factor for the development of diabetes ( AAC E, 2007 ) .Fourth, balance indirect request is common among call centre agents. In the same survey, they besides put up out that alternatively of the recommended 8 hours of slumber, name centre agents merely acquire 6.2 hours of sleep each twenty-four hours. Sleep want can take to metabolic perturbations and hormonal alterations doing fleshiness ( Merck ) and accordingly diabetes.Fifth, referable to tire and miss of slumber, name centre agents rectify to smoke to get by with emphasis. They reported that 43 % of call centre employees smoke while merely 21 % of non call centre agents smoke . A call centre agent who smokes normally consumes 9 sticks a twenty-four hours on norm . Smoking is a cognize hazard factor for the development of coronary arterial blood vessel disease taking to high blood pressure and cardiac disease. Since high blood pressure and cardiac disease are risk factors for the development of Diabetes Mellitus Type II ( AACE, 2007 ) , smoking may so predispo se an person in developing diabetes.Diseases Associated with Call Center EmployeesAn addition in the turnover, absenteeism, and occupational diseases in call centre employees resulted from insufficiency of modernisation of procedures and organisational planning in call centres in Brazil ( Rocha et al, 2005 ) . A focussed group probe conducted in a call centre employed with 200 persons observed the presence of ailments of fibrous hurting, locoweed achings, sleep changes and crossness ( Westin in Rocha et Al, 2005 ) . Work-related muscular upsets were found to be extremely prevail among the female than male call centre employees, specifically on the neck/ berm part ( 43 % ) and on the wrists/ work force part ( 39 % ) . It was observed that a combination of high demands and deficiency of work control among the female call centre employees A reflect a extremely nerve-racking occupation that predispose them to the increased hazard of holding musculoskeletal upsets ( Theorell in Roc ha et Al, 2005 ) . The restrictions of the survey done by Rocha et Al ( 2005 ) are that the analyses were limited to one call centre linked to a bank, cross-section(a) design, little sample size, and symptom-based diagnosing ( such as hurting, numbing, giddiness, prickling esthesis, stiffening, firing esthesis ) .In a survey done by dErrico et Al ( 2010 ) , the presence of musculoskeletal symptoms in the same part was assessed utilizing the undermentioned cellular inclusion standards to continue the specificity of the result, although it probably change magnitude its susceptibility a ) presence of musculoskeletal symptoms ( hurting, combustion, stiffing, indifference or prickling ) at any clip during the last 28 yearss and B ) audience to a physical and or self-medication because of the symptoms. Besides, the presence of any disease known to be associated with musculoskeletal upsets such as high blood pressure, diabetes, systemic lupus erythematosus, urarthritis, thyroidal disea ses, rheumatoid arthritis ) , old hurts in the last five old ages, leisure physical activity, organic structure mass index, smoke, married position, educational degree, gender, and age category were explored as possible confounders of the association between study factors and musculoskeletal symptoms. It was found in this survey that 45 % of workers reported musculoskeletal symptoms wherein neck opening ( 39 % ) symptoms were the most prevailing, followed by the get up ( 22 % ) , handwrist ( 10 % ) , and cubitus ( 4 % ) . Neck/shoulder symptoms were associated with low occupation control, marvelous noise, hapless desk lighting and impossible action to tilt back while sitting. cubitus/hand-wrist symptoms were associated with short intervals between calls, deficient working infinite, deficiency of forearm support, occupation insecurity, and long senior status in the industry. Other survey that reported the presence of musculoskeletal symptoms among call centre employees were done by Halford and Cohen ( 2003 ) wherein computing machine exercising factors and wholeness psychosocial factors were significantly associated with self-reporting of musculoskeletal upset symptoms.Sudhashree et Al ( 2005 ) stated in a towboat missive that the call centre industry in India ranked high for lettuce due to wellness grounds such as kiping upsets ( 83 % ) , voice prejudice ( 8.5 % ) , ear jobs ( 8.5 % ) , digestive upsets ( 14.9 % ) and center battle array jobs ( 10.6 % ) . Burnout stress syndrome, which includes chronic weariness, insomnia, and complete change of biological beat of the organic structure are everyday cause for disease absenteeism. Chronic degree of emphasis besides affects other systems of the organic structure such as the cardiovascular and hormone.In a survey done by Lin et Al ( 2010 ) in a bank call centre in Taiwan, name centre employees have had prevailing ailments of musculoskeletal uncomfortableness, center strain, gruffness, and sore pha rynx. Besides, it was found that those who perceived high occupation emphasis had significantly increased hazard of quintuple wellness jobs, including oculus strain, tinnitus, gruffness, sore pharynx, chronic cough with emotionlessness, chest stringency, cranky tummy or peptic ulcers, and musculoskeletal uncomfortableness.In the Philippines, there are no surveies about the wellness hazards and occupational diseases associated among call centre employees. However, there is a study of a rise in the figure of Filipinos infected with Human Immunodeficiency virus ( HIV ) and includes the call centre employees ( Ruiz, 2010 ) .Diabetess Mellitus, Type IIType II Diabetes Mellitus and EpidemiologyA A A A A A A A A A A Diabetes mellitus ( DM ) is a group of metabolic upsets wherein there is an addition in blood sugar ( hyperglycaemia ) ensuing from absolute or comparative inadequacy of insulin, or both. There are some categorizations of this disease entity based on the diseased procedure that leads to hyperglycemia. In Type II DM, hyperglycaemia resulted from a mountain chain of preponderantly insulin opposition with comparative insulin lack to a preponderantly insulin secretory shortcoming with insulin opposition ( Fauci et al, 2008 ) . It normally occurs among the older age group ( & gt 30 old ages old ) but there is an increasing diagnosing in the younger group ( Tidy, 2009 ) . nearly symptoms of diabetes appear really tardily in the phase of the disease. A batch of diabetics do non hold symptoms when their blood sugars are elevated for the first clip ( field Objectives for Health, 2005 ) .A A A A A A A A A A A There is a dramatic addition in the preponderance of Diabetes Mellitus worldwide, from 30million instances in 1985 to 177 million in 2000. Type II DM is increasing more quickly because of increasing fleshiness and decreased activity degrees as states become more industrialised, as in the instance of many developing states in Asia ( Fauci et al, 2 008 ) . A comprehensive preponderance study in the Philippines by the Department of Health showed that four ( 4.1 % ) out of one 100 Filipinos are diabetics, and the prevalence was higher in urban ( 6.8 % ) than in rural ( 2.5 % ) countries. The World Health placement estimates that there will be a doubling of prevalence of diabetes in atomic number 34 Asia every five to ten old ages. Using this as premise, the prevalence of diabetes in the Philippines is about 8 to 16 per centum ( National Objectives for Health, 2005 ) . Besides, the decease rate in diabetes has rise from 4.3 per 100,000 population in 1984 to 7.1 per 100,000 population in 1993. It is of import to observe that there is underreporting of deceases due to diabetes, as shown by local surveies, because of misclassification as deceases due to cardiovascular or nephritic disease both of which are chronic complications of DM ( National Objectives for Health, 2005 Fauci et Al, 2008 ) .Type II Diabetes Mellitus Risk fact ors and NosologiesHarmonizing to the American Association of Clinical Endocrinologists ( AACE ) Medical Guidelines for Clinical Practice for the instruction of Diabetes Mellitus ( AACE Diabetes Mellitus Clinical Practice Guidelines Task Force, 2007 ) , there are several hazard factors to developing prediabetes and Diabetes Mellitus. Such hazard factors are ( a ) household explanation of diabetes, ( B ) cardiovascular disease, ( degree Celsius ) over heaviness or grave province, ( vitamin D ) sedentary life style, ( vitamin E ) Latin american or Latino, Non-Hispanic black, Asiatic American, Native American, or Pacific island-dweller ethnicity, ( degree Fahrenheit ) antecedently identified afflicted glucose margin or impaired sobriety glucose, ( g ) high blood pressure, ( H ) increased degrees of triglycerides, low closenesss high-density lipoproteins cholesterin, or both, ( I ) history of gestational diabetes, ( J ) history of bringing of an baby with a birth weight & gt 9 lb s, ( K ) polycystic ovary syndrome, and ( cubic decimeter ) psychiatric unwellness.To name Diabetes Mellitus, any one of the three standards is comfortable in diagnosing the patient harmonizing to the AACE. These standards are ( a ) symptoms of diabetes such as polyuria, polydipsia, unexplained weight loss and insouciant plasma glucose concentration of greater than or adjoin to 200 mg/ deciliter, ( B ) fasting plasma glucose concentration of greater than or equal to 126 mg/ deciliter, and ( degree Celsius ) 2-hour postchallenge glucose concentration of greater than or equal to 200 mg/ deciliter during a 75-gram offhanded glucose tolerance trial. ADiabetess Mellitus streakA survey done by the Diabetes Prevention Program ( DPP ) showed that intensive alterations in life style, quantified as diet and exercising for 30min/day five times/week in persons with impaired glucose tolerance ( IGT ) delayed the development of Type II DM by 58 % . ( Harrison s, 2008 ) . It was besides found out that metformin slowed down the simulate invoke or halted the development of Type II DM by 31 % compared to placebo. Peoples with a strong sensitivity to diabetes due to household history or impaired glucose tolerance or impaired fasting glucose ( IFG ) , are strongly advised to keep a normal BMI and prosecute in regular exercising.Harmonizing to the recent ADA Consensus panel, persons with IFG and IGT who are at a high hazard for mannikined advance to diabetes ( age & lt 60 old ages, BMI & gt 35 kg/m2, household history of diabetes in the first-degree, elevated triglycerides, reduced HDL, high blood pressure, or A1C & gt 6.0 % ) could be appraised for Metformin intervention but non other medicines. abrupt complications of DMThe acute complications of diabetes are diabetic diabetic acidosis ( DKA ) and hyperglycemic hyperoslomar province ( HHS ) . Both upsets are associated with absolute or comparative insulin lack, pile depletion, and acid-base abnormalcies. These may ta ke to serious complications if non quickly remedied.Diabetic KetoacidosisThe usual label and symptoms of DKA are A sickness and emesis, hyperglycaemia, hypotension, Kussmaul respirations, nutlike Oder on the patient s breath, unjustified thirtst, and polyuria. DKA is characterized by hyperglycaemia, ketonemia, and metabolic acidosis that is accompanied by secondary metabolic abnormalcies.Hyperglycemic Hyperosmolar StateHHS may normally be seen in an healed person with Type II DM, with symptoms of polyuria, weight loss, and lessened unwritten consumption that preceded amiable confusion or coma. Physical test shows profound desiccation and hyperosmolarity with concomitat hypotension, tachycardia, and altered affable province. In contrast to DKA, HHS does non present with sickness, purging, group AB hurting and Kussmaul marks.Chronic complications of DMThe chronicity of the disease brings about systemic engagement that affects multiple organ systems. Complications may be divid ed into nonvascular and vascular complications. Nonvascular complications include gastroparesis, tegument alterations, and cataracts. vascular complications can be farther subdivided into micro and macrovascular. Microvascular alterations, which result from long standing hyperglycaemia include retinopathy, neuropathy, and nephropathy. Macrovascular alterations include coronary arteria disease and peripheral arterial diseases.( NIkki, I ll direct you my bill of exchange. di ko cartridge kung tama. I Ca nt make the set here. )Figure 1.Conceptual ModelV. AimsA A A A A A A A A A A With the nature of the work and environment in a call centre industry, the survey aims to go back if working in a call centre predisposes an person to the development of Type II diabetes mellitus ( DM ) . Specifically, it aimsa. A A A A A A A To find the incidence of Type II Diabetes Mellitus within the period of survey.b. A A A A A A A To find the etiological factors associated with the development of Typ e II Diabetes Mellitus.VI. MentionsAACE Diabetes Mellitus Clinical Practice Guidelines Task Force ( 2007 ) . American association of clinical endocrinologists medical guidelines for clincial pattern for the direction of diabetes mellitus. Endocrine Practice. 133-68Andrews, R.C. , O. Herlihy, D.E.W. Livingstone et Al. ( 2002 ) . Abnormal hydrocortisone metamorphosis andtissue feeling to cortisol in patients with glucose intolerance. The diary of ClinicalEndocrinology 87 ( 12 ) 5587-5593.Di Tecco, D. , Cwitco, G. , Arsenault, A. , Andre, M. ( 1992 ) . Operator straining and MonitoringPractices. Appl Ergon 23, 147-53.dErrico, A. , Caputo, P. , Falcone, U. , Fubini, L. , Gilardi, L. , Mamo, C. , Migliardi, A. , Quarta, D. , and Coffano, E. ( 2010 ) . Hazard factors for upper growth musculoskeletal symptoms among call centre employees. Journal of occupational Health. 52115-124.Employment and Immigration. ( 2008 ) . Alberta occupational Profiles Name Centre Agent. Government of Alber ta. Retrieved family line 10, 2010 from A hypertext stir communications communications protocol //alis.alberta.ca/occinfo/ subject area/RequestAction.asp? aspAction=GetHTMLProfile & A format=html & A occPro_ID=71002991Fauci, AS. , Braunwald, E. , Kasper DL. , Hauser, SL. , Longo, DL. , Jameson, JL.. , and Loscalzo, J. ( 2008 ) . Harrison s Principles of Internal Medicine. 17th upright dysfunction. A USA The McGraw-Hill Companies, Inc.Halford, V. , and Cohen, HH. ( 2003 ) . Technology usage and psychosocial factors in the self-reporting of musculoskeletal upset symptoms in call centre workers. Journal of preventative Research. 34 ( 2 ) 167-173Lin, YH. , Chen, CY. , HONG, WH. , and Lin YC. ( 2010 ) . Perceived occupation emphasis and wellness ailments at a bank call centre canvass between inbound and outbound services. industrial Health. 48349-356Merck Manuals Online Medical Library ( 2010 ) . Obesity. Retrieved kinfolk 11, 2010 fromhypertext transfer protocol //merck.com/mmhe /sec12/ch156/ch156a.htmlNational Objectives for Health. ( 2005 ) . Retrieved 9 phratry 2010 from hypertext transfer protocol //www2.doh.gov.ph/noh/3-2-3.pdfNational Statistics Office. ( 2010 ) . 2008 Annual Survey of Philippine Businesss and effort Business Process Outsourcing Activities. manila paper Philippines. Retrieved September 10, 2010 A from hypertext transfer protocol //www.census.gov.ph/selective information/sectordata/aspbi08_bpotx.htmlOMaley, R. ( 2008 ) . Particular Report Call Centres in the Philippines. Retrived September 10, 2010 from www.callcentrehelper.com/special-report-in-the-philippines-2231.htmRivette, D. ( 2010 ) . The Emerging Philippine valuate Proposition. Trestle Group Consulting. Retrieved September 11, 2010 from hypertext transfer protocol //www.bpap.org/bpap/publications/TG_SDS_PhilippineValueProposition_March2010 % 5B1 % 5D ( 2 ) .pdfRocha, LE. , Glina, DMR. , Marinho, MdF. , and Nakasato, D. ( 2005 ) . Hazard factors for musculoskeletal symptoms among call centre operators of a bank in Sao Paulo, Brazil. Industrial Health. 43637-646Ruiz, J. ( 2010 ) . HIV instances tide among Filipino yuppies, name centre workers. ABS-CBN News. Retrieved 10 September 2010 from hypertext transfer protocol //www.abs-cbnnews.com/lifestyle/01/27/10/hiv-cases-soar-among-filipino-yuppies-call-center-workersSudhashree, VP. , Rohith, K. and Shrinivas, K. ( 2005 ) . Issues and concerns of wellness among call centre employees. Indian Journal of Occupational and Environment Medicine. 9 ( 3 ) 129-132Tidy, C. ( 2009 ) . Diabetes mellitus. Filipino Medics. Retrieved 10 September 2010 from hypertext transfer protocol //www.philippinemedics.com/diabetes-mellitus/UP Population Institute ( 2010 ) . Lifestyle, Health Status and Behavior of Young Workers in CallCenters and Other Industries Metro Manila and Metro Cebu. Retrieved 11 September2010 from hypertext transfer protocol //www.abs-cbnnews.com/lifestyle/08/05/10/call-center-workers-diet-fast-food-caffe ine-and-alcohol