A Scoping Review on The Efficacy of Azadirachta indica on Mild Symptoms of COVID-19 Angeline Mae S. Aguilar Monique Ashley D. Brillante Cy Justin G. Casin Eunice Andrea N. Marbella Kyle Aleiza S. Mayor Angelica C. Miranda Senior High School Department, University of Santo Tomas - Legazpi ABSTRACT Coronavirus disease (COVID-19) is caused by the severe acute respiratory disease syndrome coronavirus 2 (SARS-CoV2) and first appeared last December 2019 in Wuhan, China. As of April 17, 2022, there have been 6, 204, 155 deaths documented. Although there are many ongoing trials for the cure of COVID-19, the cure for COVID-19 is left unidentified. The Azadirachta indica is a medicinal plant commonly used in Ayurvedic medicine and is known to have various compounds that can reduce bodily effects of flu-like illnesses. There may be studies showing that the Azadirachta indica can be effective against some symptoms of COVID-19, but there is not enough evidence and studies to support their claims. The purpose of this review was to investigate the efficacy of Azadirachta indica on mild symptoms of COVID-19 through a scoping review and used PRISMA protocol for systematic reviews. It also intends to determine the compounds present in Azadirachta indica and its phytochemical properties that can help treat the mild symptoms of COVID -19; to determine the efficacy rate of the leaves, leaf extracts, and bark of A. indica as a treatment towards mild symptoms of COVID-19; and to distinguish which part of the A. indica can be best suited to treating COVID-19 patients with mild symptoms. Relevant articles and studies published from January 2011 to April 2022 were gathered from online sources such as Medscape, WHO, CDC and were screened if it is fit for the study’s criteria. Out of 115 articles, 16 were recognized eligible for the review. Azadirachta indica is reported to have multiple biological and pharmacological activities such as antiviral, antifungal, anti-inflammatory, and many more. The findings of this review revealed that the Azadirachta indica has diverse medicinal compounds and properties that may be significant in treating the mild symptoms of COVID-19. Regardless of these, the findings suggest that the Azadirachta indica is a potential treatment that can treat mild symptoms of COVID-19. The most suitable part of A. indica is its leaves and leaf extracts, with a leaf extract efficacy rate of 55 per cent and the leaves efficacy rate of 100 per cent. The review revealed particular existing gaps in the gathered studies which insinuates the need for further investigations about the efficacy of Azadirachta indica on mild symptoms of COVID-19. Also, the researchers strongly suggest the conduct of research that proposes a cross-sectional design. Keywords: Medicinal plants, COVID - 19, Azadirachta indica, phytochemical properties, compounds INTRODUCTION Last December 2019, a new unidentified coronavirus emerged. Its first reported case was from Wuhan, China and is known to have spread across multiple countries. The virus is known as coronavirus disease 2019 (COVID-19) which is an infectious disease caused by the severe acute respiratory disease syndrome coronavirus 2 (SARSCoV-2). It can be transmitted in several ways such as close contact, inhalation of aerosols or droplets from an infected person’s sneeze or cough (CDC, 2021). According to the latest report from the World Health Organization (WHO) Coronavirus Dashboard, as of 17 April 2022, there have been 504, 079, 039 confirmed cases of COVID-19 globally and 3, 683, 367 cases in the Philippines (World Health Organization, 2022). A mild case of COVID-19 does not call for a visit to the hospital (Kritz & Huang, 2020). According to the WHO, most individuals will suffer from mild-to-moderate respiratory diseases and will be able to recuperate at home without 1 requiring special care. People with mild COVID-19 should nevertheless isolate themselves and take additional precautions to avoid transmitting the virus (Huizen, 2021). Individuals diagnosed with COVID19 have had a wide range of symptoms that appear two to 14 days after one’s exposure to the virus. These include fever, cough, difficulty in breathing, fatigue, body aches, headache, loss of taste or smell, sore throat, congestion, nausea, and diarrhea. On the other hand, people who had COVID-19, whether they were hospitalized or not, continue to experience fatigue and other respiratory and neurological symptoms as long-term effects of COVID-19 (CDC, 2021). prove to be one of the ways forward (University of Portsmouth, 2020). Azadirachta indica, also known as neem, is a medicinal plant and is commonly used in ayurvedic, unani, and homeopathic medicine. It has a variety of chemically and biologically active chemical compounds that have been identified from different parts of the neem including its leaves, flower, fruits, seeds, roots, and bark, and has been traditionally used as medicine in other diseases (Ahmad et al., 2016). Alkaloids, flavonoids, saponins, and terpenoids are compounds that are present on Azadirachta indica’s leaves, stembark, and seeds (Khanal, 2021). According to Ahmad et al. (2016), these active compounds have been identified to have anti-inflammatory, anti-bacterial, antihyperglycemic, anti-ulcer, immunomodulatory, anti-mutagenic, anti-cancer, antioxidant, and antiviral properties. Up to the present, the cure for COVID-19 is still unknown. Optimal supportive care is currently given to infected patients. The World Health Organization (WHO) COVID-19 Solidarity Trial is a global platform trial for the possible treatments for COVID-19. From the available results of the trials they have conducted, remdesivir, hydroxychloroquine, lopinavir/ritonavir and interferon regimens have little to no effect on the inhospital course of COVID-19 among hospitalized patients (World Health Organization, 2021). Several studies have shown that Azadirachta indica can be used as a treatment for COVID-19. However, it is not yet proven and there was not enough evidence that could support their claims, as well as the methods used were not comprehensively reviewed and examined. Studies regarding neem as an alternative medicine for COVID-19 symptoms are limited and needs a further investigation since the disease is a recent outbreak and is still occuring. In addition, effective treatment modalities for this outbreak are still unknown, which is why interventions to lower the risk of COVID-19 mild symptoms are highly needed. Subramanian (2020) suggests that further investigation is needed to know and determine if Azadirachta indica leaves can be used as a preventive treatment option, as it might inhibit the virus, boost immunity, and slow the spread of COVID19. On the other hand, Eze et al., (2022) recommends that more investigation on the leaf extract should be conducted to identify the bioactive phytochemical principles in order to formulate anti-COVID-19 treatments from pure compounds. Therefore, the researchers conducted a scoping review to give clarification about the concepts and definitions of the topic, comprehensive review and provide sources of The economy faced multiple problems since the pandemic started. Due to this, the interest to find an alternative and affordable treatment for the virus grew. Medicinal plants have been used since the prehistoric period to prevent, treat, and complement recovery from numerous illnesses. According to the World Health Organization (WHO), more than 80 per cent of the world’s population use herbal medicines as a part of their primary health care and over 21,000 plant species have the potential to be used as medicinal plants (World Health Organization, 2021). Ayurveda, the most extensively used traditional Indian system of medicine, emphasizes a holistic approach. It is often combined with diet, exercise, and lifestyle changes (Petre, 2019). Traditional Indian medicine is also known to reduce bodily effects of flu-like illnesses such as the COVID-19. Dr. Pattanathu Rahman, a microbial biotechnologist from the University of Portsmouth, said that there is an urgent need for a novel treatment for COVID-19 and Indian medicinal plants might 2 evidence as well as identify gaps in the existing literature/research (Verdejo et al., 2021). review is a type of research synthesis that aims to map the literature on a particular topic or research area. It provides an opportunity to identify key concepts, gaps in the research, and types and sources of evidence. Scoping reviews are a preliminary assessment of the potential size and scope of available research literature (Tricco et al., 2018). The main objective of this scoping review is to investigate the efficacy of Azadirachta indica on mild COVID-19 symptoms. Specifically, it intended (1) determine the compounds present in A. indica and its phytochemical properties that can help treat the mild symptoms of Covid -19; (2) determine the efficacy rate of the leaves, leaf extracts, and bark of A. Indica as a treatment towards mild symptoms of COVID-19; and (3) distinguish which part of the A. indica can be best suited to treating Covid-19 patients with mild symptoms. The researchers used PRISMA to support the scoping review protocol. They acquired online sources and studies from January of 2011 to April 2022, which was from selected publications from various countries that used neem as a primary or secondary alternative for treating COVID-19 or COVID-related symptoms (Tricco et al., 2018). The data gathered in this study will be of great help to students, teachers, journalists, government officials, medical professionals, and future researchers. The contents of this review may give them enlightenment about the efficacy of Azadirachta indica on COVID-19 patients experiencing mild symptoms. They may also use the findings of this study as a baseline for future studies related to this topic. The researchers used a non-experimental research design that examined existing phenomena without modifying settings to influence subjects' answers, and no independent variable was manipulated. Many factors in such research cannot be altered, either technically, ethically, or with minimal contact with the variable. The researchers were able to answer the research questions using the existing condition, no physical contacts with any form of variable, and with minimum effort (Radhakrishnan, 2013). This was picked by the researchers in view of the fact that there will be no direct involvement in the plants that will be used on administering it to COVID-19 patients but just to make an effort to know if Azadirachta indica (Neem) is effective against mild symptomatic patients. The review focuses on investigating the efficacy of Azadirachta indica on mild symptoms of COVID-19 by determining its phytochemical properties. The research does not include sources that were published earlier than January 2011. The other parts of the Azadirachta indica plant will also be excluded because the leaves and the bark are the most commonly utilized to create medication. Only the common symptoms of COVID-19 are included, with the severe and fewer common symptoms being omitted. Inclusion and exclusion criteria METHODS Azadirachta indica, a medical plant commonly used in ayurvedic medicine, is the main subject of the study. Along with this, its phytochemical properties and efficacy in treating mild symptoms of COVID-19 were also included in the study. Topics other than what was specified were excluded. The researchers gathered data and information from articles, journals, and databases that were published from January 2011 and onwards. Information from letters, blogs, and editorials were excluded. As well as those that were published before January 2011 and those Research design In this review, the researchers used a nonexperimental-qualitative-scoping review. Nonexperimental research designs include those in which the researchers just describe the group or analyze relationships between existing groups (Price et al., 2017). Qualitative research involves gathering and evaluating non-numerical data in order to fully explain concepts, views, or experiences. It can be used to get in-depth insights into a topic or to develop fresh research ideas (Bhandari, 2022). A scoping 3 that were written in other languages aside from English. recoveries," and then summarizing articles and papers that clarify and analyze the issue. To supplement the chosen topic, the researchers of this study used key terms which are: “medicinal plants,” “COVID 19,” “Azadirachta indica,” “phytochemical properties,” “compounds,” and other descriptors to maximize the number of results and collect relevant studies. Table 1. Inclusion and exclusion criteria for the screening of related studies Criteria Included Excluded Subject Azadirachta indica (Neem) Other than specified The efficacy of Azadirachta indica (Neem) on Mild Symptoms of COVID-19 including its compounds and phytochemical properties Topics other than what is specified Language English Non English Study time frame Studies published in January 2011 and onwards Studies published before January 2011 Source of data and information Online articles, journals, and databases Letters, blogs, and editorials Focus of the study Selection process A flow diagram based on the PRISMA protocol has been constructed in order to visually summarize and to show the systematic review and the screening process of the study. Due to the unavailability of most electronic databases, a manual comprehensive search was performed by the researchers. Additional records identified through other databases and sources were pre-proof using the Boolean search method. To ensure productivity, the work to be done was distributed among the researchers, including the identification of duplicates and discrepancies on the screened articles since there were some that were excluded since they are not relevant to the study. Data evaluation Data charting Data collection The obtained related and relevant studies and literature from the medical databases were used to organize the information that were used in the review. They were extracted and used for the presentation and discussion of the related studies and literature. The table created showed the essential variables of the study conducted. Information sources The relevant articles and studies from January 2011 to April 2022 were searched from the following databases: Elsevier, ScienceDirect, CDC, World Health Organization, and PubMed. The articles and studies gathered provided additional information about the history of the COVID-19 symptoms and how it started. Data items According to Goncalves et al. (2020), the average number of days between the peak viral load and symptom onset of the COVID19 progression is making it difficult for the timely antiviral administration in the Search strategy The researchers began by looking up phrases related to the chosen topic, "Azadirachta indica as part of the treatment for COVID – 19 4 community outbreaks. The following are the primary data that were considered for the evaluation of the research outcomes that were connected to the related studies and literature: (1) author and year of publication, (2) type of study, (3) experimental setup, (4) tested hypothesis, (5) observations of possibilities, (6) evaluation of the efficacy of Azadirachta indica, and (7) conclusion. irrelevance, inaccessibility, and duplication. An additional 15 papers were removed since they do not meet the target year for the study. Among the 75 studies remaining, seven were excluded for being unrelated to the focus of the study. After assessing the 68 studies included in the review, only 16 papers from the remaining publications were included in the results and discussion, four of which were about the properties and compounds of A. indica, seven about utilizing Azadirachta indica to treat COVID-19 symptoms, and five about experiments on COVID-19 using A. indica. The findings of the study were used to determine the efficacy of Azadirachta indica and its phytochemical properties of treating mild symptoms of the COVID-19. Characteristics of included studies Data analysis A total of 16 studies were observed and evaluated. Four of the included studies focused on the properties and compounds present in different parts of Azadirachta indica, specifically the leaf and bark extracts. Three of the four studies were based on qualitative and quantitative phytochemical screening focusing on the compounds and phytochemical properties present in A. indica (Khanal, 2021; Naik et al., 2014; Dash et al., 2017), while the one remaining study focused on the efficacy rate and antioxidant properties of A. indica leaf and bark extract (Alzohairy, 2016). For this study, a thematic analysis was used. The process of conducting a thematic analysis is illustrated through the presentation of an auditable decision trail (see figure 1), guiding, interpreting and representing textual data. (Nowell et al., 2017). Researchers classified the research based on the parts of the neem they investigated and summarized the contexts, types, and research methods for each group, as well as the measurements used and broad conclusions (Tricco et al., 2018). The data collected included the following: properties and compounds of Azadirachta indica, specific parts of A. indica, efficacy of A. indica, and the limitations of review. Furthermore, the researchers counted the number of publications in the review that potentially fit the inclusion criteria and recorded how many studies were overlooked by their search (Maguire & Delahunt, 2017). Among the 12 remaining studies, seven studies focused on the use of Azadirachta indica to treat patients with COVID-19 symptoms. It emphasizes how it reacts after being applied to the body using different methods, as well as the phytochemical properties that help lessen the risk of symptoms. Three of the seven studies focused on individuals or patients who took Azadirachta indica extract orally, either as a capsule or a pill, resulting as a possible treatment for COVID-19 infection (Nesari et al., 2021; Kanitkar et al., 2020; Nutraveris, 2021). While four of the included studies included in the review focused on the medicinal use of neem and its potential to treat covid-19 symptoms and other diseases (Kushwaha, 2021; Roy, 2020; Subramanian, 2020; Rxlist, 2021). RESULTS AND DISCUSSION Study selection As illustrated in Figure 1, the keywords "medicinal plants," "COVID - 19," "Azadirachta indica," “phytochemical properties,” "compounds," and other descriptors combined by Boolean operators like 'and' and 'or' generated 115 distinct articles during the initial search. Twenty-five records were eliminated from this set based on the title, Among the 16 studies reviewed, only five studies focused on experiments on COVID19 using Azadirachta indica. Two of the five 5 Identification Identificatio studies were conducted through a literature screening or review; one study had identified that Azadirachta indica contains compounds that can act as inhibitors, while the other one discussed that A. indica leaves are composed of compounds that have antibacterial and antifungal properties, as well as compounds that demonstrate antiviral properties (Lim et al., 2021; Manzano-Santana et al. 2021). The remaining three studies used different methods or approaches; the in silico study indicated that Azadirachta indica’s leaf and bark extract contain bioactive compounds with therapeutic properties, particularly Azadirachtin H, which inhibits virus contact and recognition (Shadrack et al., 2021). The study that used molecular docking simulation identified that Azadirachta indica extracts had inhibitory activity and also that the compounds present, such as Desacetyl Gendunin, could help in therapeutic efforts against COVID-19 (Balidya et al., 2021). While the other study that used molecular dynamic simulation had discussed that Azadirachta indica extract can reduce the growth and pathogenesis of another member of the coronavirus family, which can be a therapeutic option (Borkotoky & Banerjee, 2020). Records identified through databases from Elsevier, ScienceDirect, CDC, WHO, PUBMED and Journal Preproof using the Boolean search method n = 39 Additional Records identified through databases from other sources using the Boolean search method n = 76 Duplicates removed n = 0 Includ Included S Screening Records screened n = 115 Studies excluded as not relevant n = 25 Studies selected for assessment review on Azadirachta indica properties, using A. indica in COVID-19 treatments and experiments n = 90 Studies excluded for not meeting the eligibility criteria n = 15 Studies selected for full-text assessment review on Azadirachta indica properties, using A. indica in COVID-19 treatments and experiments n = 75 Studies that do not focused on A. indica and COVID-19 = 7 Studies included in the review n = 16 Figure 1. Flow diagram of the selection process 6 Table 2. Summary of reviewed phytochemical properties and compounds of Azadirachta indica studies Number 1 Author/s (Year) Alzohairy (2016) Methods Clinical studies. Major Findings based According to the studies of Alzohairy (2016), at doses ranging from 50 to 100 μg/mL, neem bark extract effectively inhibited HSV-1 entrance into cells (Yerima et al. 2012). Furthermore, when Azadirachta indica bark extract was preincubated with the virus but not with the target cells, blocking action was seen, suggesting that the neem bark extract had a direct anti-HSV-1 function (Tiwari et al. 2010). Neem (Azadirachta indica A. Juss.) leaves extract (NCL11) has exhibited virucidal efficacy against coxsackievirus virus B-4, as evidenced by virus inactivation and yield reduction assays, as well as interfering with the virus's reproduction cycle at an early stage (Badam et al. 1999). Leaf and bark extracts of Azadirachta indica have been studied for their antioxidant activity and results of the study clearly indicated that all the tested leaf and bark extracts/fractions of neem grown in the foothills have significant antioxidant properties. The study showed that leaf aqueous extract and stem bark ethanol extracts showed higher free radical scavenging effect with 50% scavenging activity at 26.5, and 30.6 microg/mL, respectively. Furthermore, total antioxidant activity of extracts was found to be 0.959 mM and 1.064 mM of standard trolox, respectively. 2 Khanal (2021) Qualitative quantitative phytochemical screening. and Chemical compounds were being studied in parts of the neem plant (Azadirachta indica). The result shows that among the various qualitative tests performed on secondary metabolites, alkaloids, flavonoids, saponins, and terpenoids were present in all tested components, while polyphenols, tannins, and steroids were only found on neem's leaves and bark of the stem. None of the metabolites tested contained glycosides and coumarins. The compounds (alkaloids, flavonoids, saponins, and terpenoids) that are present on Azadirachta indica’s leaves, stembark, and seeds were screened quantitatively. The result shows that stembark, leaves, and seeds had higher per centages of alkaloids, flavonoids, saponins, and terpenoids. Based on previous studies and research, all the phytochemicals that were mentioned and tested are bioactive, and this could be a good source of medication. 7 3 Naik et al. Clinical (2014) studies. based According to research, Azadirachta indica has a wide range of compounds, some of which have pharmacological potential. Triterpenes have the therapeutic use out of all the compounds found in Azadirachta indica. Antipyretic, fungicidal, antihistamine, and antiseptic properties have been shown for nimbin (triterpene). Additionally, nimbin has anti-inflammatory and antioxidant properties, minimizing damage by reducing the production of reactive oxygen species. 4 Dash et al. Phytochemical (2017) screening studies. Phytochemical analysis of methanolic leaf extracts of Azadirachta indica has shown the presence of biological compounds like, alkaloids, flavonoids, saponins, etc which are then compared to aqueous leaf extracts of the plant. Biochemical analysis includes the estimation of chlorophyll content, carbohydrate content and proline content. The result suggests that the Azadirachta indica extracts contain plenty of phytochemicals with antimicrobial, antiinflammatory, and antioxidant properties. Table 3. Summary of reviewed studies of using Azadirachta indica for treating COVID-19 symptoms Number 5 Author/s (Year) Methods Major Findings Nesari et al. A Pilot, Double- This pilot study, double-blinded, placebo-controlled, and (2021) Blind, Randomized randomized, examined the prophylactic effect of Controlled Trial Azadirachta indica in patients at risk of COVID-19 infection due to contact with COVID-19 positive patients. 190 participants have been enrolled. They received a placebo or 50 mg twice daily of a neem leaf extract for 28 days. Among the 154 participants who completed the study, three were tested positive in the supplemented group, whereas eight were tested positive in the placebo group. The risk of infection was 0.45 times the risk of participants in the placebo group, with the effectiveness of the intervention being around 55 per cent. Because of the anti-inflammatory and antiviral properties of neem capsules, therapy as a therapeutic intervention for COVID-19 infection could be investigated. 6 Kushwaha (2021) Molecular Docking, Molecular Dynamics Simulation, and MMPBSA Approach Lim et al. (2021) suggested Azadirachta indica as a potential herbal source of anti-SARS-CoV-2 agent with a multimodal efficacy of antiviral, anti-inflammatory, and immunomodulatory properties. Recently two different 8 randomized controlled trials of Azadirachta indica extract/capsule on COVID-19 positive patients established the significant anti-SARS-CoV-2 potential in the A. indica plant. 7 Kanitkar et Clinical based case There were six patients with covid symptoms & there were al. (2020) report also some who were asymptomatic. In this case study, the patients took Azadirachta indica leaves orally and after the succeeding days, the dosage of the neem leaves solution became lesser. Also, their conditions improved and they fully recovered. The intake of leaves shows effect within two to three days. It is non-toxic and patients will not be critically ill since it has anti-viral properties. Lead crude extracts are used to treat normal fever. Azadirachta indica leaves can also treat gastrointestinal disorders such as diarrhea. Azadirachta indica leaf, flower, stem and bark extracts have strong antioxidant properties. 8 Roy & Literature review Bhattacharry (2020) 9 Subramanian Molecular (2020) study 10 Nutraveris (2021) 11 Rxlist (2021) Literature review Neem (Azadirachta indica) is widely used as ayurvedic medicine to treat fever, cough, asthma, and diarrhea, which are also reported as the common clinical symptoms of COVID 19. Neem is reported to enhance both humoral and cell-mediated immune response during viral infection. Docking Neem (Azadirachta indica) leaves have long been renowned for their antiviral and antibacterial qualities. Ingesting neem leaves extract powder or crude neem leaves may suppress the COVID-19 virus by preventing it from multiplying, as meliacin anhydride and other chemicals are obtained from neem leaves. A pilot randomized controlled trial and In the current study, participants who took neem (Azadirachta indica) had a significantly lower chance of COVID-19 infection, indicating that it could be used as a COVID-19 infection preventative medication. Because of the potential anti-inflammatory and antiviral properties of neem capsules, treatment could be explored as a therapeutic intervention for COVID-19 infection. Neem (Azadirachta indica) leaf is used for leprosy, eye disorders, bloody nose, intestinal worms, stomach upset, loss of appetite, skin ulcers, diseases of the heart, and blood vessels (cardiovascular disease), fever, diabetes, gum disease (gingivitis), and liver problems. The leaf is also used for birth control and to cause abortions. The bark is used for stomach and intestinal ulcers, pain, and fever. 9 Table 4. Summary of reviewed studies on Azadirachta indica against COVID-19 experiments Number Author/s (Year) Methods Major Findings 12 Lim et al. Literature screening/review (2021) Specific to SARS-CoV-2, molecular docking studies have demonstrated that Azadirachta indica derived compounds nimbolin A, nimocin, and cycloartanols have the potential to bind to envelope (E) and membrane (M) glycoproteins of the SARS-CoV-2 and act as inhibitors. 13 Shadrack In silico study et al. (2021) Bioactive compounds from Azadirachta indica (leaves, and bark) have been reported in different studies to possess several biological activities including antibacterial, antifungal, antiinflammatory, antioxidant, antimalaria and antiviral activities, to mention a few. Azadirachtin H binds strongly to both the spike and the RBD–ACE2 interface. Azadirachtin H was found to adopt several structural orientations, thereby inhibiting the interaction and recognition of the virus with hACE2 at the interface. 14 Manzano- Literature screening/review Santana et al. (2021) Fresh Azadirachta indica leaves contain polyphenolic flavonoids that have antibacterial and antifungal properties. Nimbaflavone, rutin, and hyperoside, which are found in this plant species, have been proven to suppress influenza viruses (H1N1, H2N2, H2N3, H5N1, H7N2, H7N3, H7N7, and H9N2) by demonstrating comprehensive antiviral capabilities. 15 Balidya et Molecular docking simulation al. (2021) Azadirachta indica (neem) extracts have been known for their anti-bacterial and other effects since ancient times. Azadirachta indica extracts show inhibitory activity on Papain like protease of the novel coronavirus SARS-CoV-2. Desacetyl Gedunin (DCG) found in Azadirachta indica seed showed the highest binding affinity towards PLpro. It is believed that the significant effect of DCG on PLpro may help in therapeutic efforts against SARS-CoV-2. 16 Borkotok Molecular dynamics simulation y & Banerjee (2020) A recent study showed that Azadirachta indica extract can reduce the growth and pathogenesis of another member of the coronavirus family, reinforcing the chemicals' promise as therapeutic choices. The validation and optimization of these natural substances in the lab could help with the 10 development of particular SARS-CoV-2 therapies. found on plant’s leaves and bark of the stem. Phytochemical properties and compounds of Azadirachta indica None of the metabolites tested contained glycosides and coumarins. The constituents (alkaloids, flavonoids, saponins, and terpenoids) that are present in the plant’s leaves, stembark, and seeds were screened quantitatively. The result shows that the stembark, leaves, and seeds had higher per centages of alkaloids, flavonoids, saponins, and terpenoids. Based on previous studies and research, all the phytochemicals that were mentioned and tested are bioactive, and this could be a good source of medication (Khanal, 2021; Subramanian, 2020). Azadirachta indica has been widely used in ayurvedic medicine to treat fever, cough, asthma and diarrhea, which are also reported as the common clinical symptoms of COVID-19 (Roy & Bhattacharyya, 2020). Aside from being a rich source of antioxidants, it is also reported to contain multiple biological and pharmacological activities such as antibacterial, antifungal, and antiinflammatory (Alzohairy, 2016). Further studies confirmed that it also contains antiarthritic, antipyretic, hypoglycemic, anti-gastric ulcer, and antitumor activities. Its constituents also include nimbin, nimbidin, nimbolide, and limonoids and other ingredients that partake in disease management through the modulation of genetic pathways and other activities (Alzohairy, 2016). According to research, Azadirachta indica has a wide range of compounds, some of which have pharmacological potential. Triterpenes have the therapeutic use out of all the compounds found in neem. Antipyretic, fungicidal, antihistamine, and antiseptic properties have been shown for nimbin (triterpene). Additionally, nimbin has antiinflammatory and antioxidant properties, minimizing damage by reducing the production of reactive oxygen species (Naik et al., 2018). Additionally, its bioactive compounds are known to have antiviral activities against smallpox, chickenpox, herpes, poliovirus, dengue virus, and HIV. The chemicals it contains may also help in lowering blood sugar levels, repair gastric ulcers, prevent pregnancy, kill germs, and prevent plaque build-up in the mouth (Shadrack et al., 2021). Flavonoids found on Azadirachta indica, inhibits prostaglandin biosynthesis, endoperoxides, and enzymes including protein kinases and phosphodiesterases are implicated in inflammation (Batista et al., 2020). The result shows that among the various qualitative tests performed on secondary metabolites, alkaloids, flavonoids, saponins, and terpenoids were present in all tested components, while polyphenols, tannins, and steroids were only Table 5. Azadirachta indica parts, the compounds it contains, and its phytochemical properties Plant Parts Compounds Medicinal Properties Leaves, Stem bark Alkaloids anesthetics, cardioprotective, and anti-inflammatory Leaves, Stem bark Triterpene Antipyretic, fungicidal, antihistamine, and antiseptic properties,anti-inflammatory and antioxidant properties Leaves Flavonoids Anti-inflammatory Leaves, Stem bark Terpenoids anticancer, antimicrobial, antifungal, antiviral, 11 antihyperglycemic, analgesic, anti-inflammatory, and antiparasitic Leaves, Stem bark Polyphenols antioxidant and anti-inflammatory Leaves, Stem bark Steroids Anti-inflammatory Leaves, Stem bark Saponins hemolytic factor4 anti-inflammatory,5 antibacterial,6 antifungal,7 antiviral,8 insecticidal9, anticancer,10 cytotoxic11 and molluscicidal action. Leaves, Stem bark Tannins anticancer, virucides, antioxidant, antimicrobial and anti-inflammatory Trunk Bark nimbin, nimbinin, nimbidin, nimbosterol, essential oil, tannins, margosine, 6-desacetyl nimbinene, antitumor polysaccharide Heartwood β-sitosterol, 24-methylenelophenol and nimatone, calcium, potassium, iron salts Specific Parts of Azadirachta indica Leaf / leaf extract This component of the scoping review highlights the case report of Kanitkar et. al, wherein they studied the effects of orally taken Azadirachta indica leaves to six patients experiencing COVID-19 symptoms. Two participants belonged to the age group of 5-13 years old, three from the 34-40 age group, and one from the age group of 60-70. This information is further discussed in detail (Table 6). Age and Gender Symptoms 1 34-year-old female Body ache, cough 2 40-year-old male Body ache, etc. 5-year-old female Myalgia 4 37-year-old male Asymptomatic 5 13-year-old male Asymptomatic 6 69-year-old female Serious illness These patients started their intake of Azadirachta indica leaves one to two days after their admission. The ones belonging to the age group of 13-70 were prescribed to ingest 9-10g of A. indica leaves mixed with water in equal portions every day, while the five-year-old had a lesser dose (1-2g/day) due to her age. Some of them ingested it for four days and some took it for five days. As days go by, the researchers of the case report were able to observe that the participants’ conditions have improved, and they gradually lessened the frequency and dosage of the solution until the participants have fully recovered. They have concluded that the leaves Table 6. Patient information from the case report of Kanitkar et. al Patient 3 12 are non-toxic for 6g/kg body weight, and they hypothesized that the solution takes effect within two to three days (Kanitkar et al, 2020). The trunk bark contains several compounds, including nimbin, nimbinin, nimbidin, nimbosterol, essential oil, tannins, margosine, 6-desacetyl nimbinene, and antitumor polysaccharide, as shown in the table. The bioactive compounds found in the stem bark include alkaloids, flavonoids, saponins and terpenoids, polyphenols, tannins, and steroids. The heartwood contains -sitosterol, 24-methylenelophenol and nimatone, as well as calcium, potassium, and iron salts (University of Colorado Anschutz Medical Campus, 2022). In vitro and in silico docking studies have demonstrated that Azadirachta indica leaf extracts and its phytochemicals have direct antiviral effects on different viruses like dengue and hepatitis C (Lim et al., 2021). In the study conducted by Dash et al. (2017), a phytochemical analysis of methanolic leaf extracts of A. indica showed that it contains numerous biological components, specifically alkaloids, flavonoids, and saponins, but the aqueous leaf extract was found to contain a maximum number of phytoconstituents such as saponins and flavonoids. They have concluded that phytochemical and biochemical experiments performed during the study confirms that Azadirachta indica’s leaf extracts are rich in antimicrobial, anti-inflammatory, and antioxidant properties (Dash et al., 2017). In addition to this, Azadirachta indica leaves can also be used to treat gastrointestinal disorders such as diarrhea (Roy & Bhattacharya, 2020). Efficacy of Azadirachta indica The study of Lim et al. (2021) suggests Azadirachta indica as a possible herbal source of anti-SARS-CoV-2 agent with antiviral, anti-inflammatory, and immunomodulatory characteristics in a multimodal efficacy. A. indica has recently been the subject of two separate randomized controlled trials. The anti-SARS-CoV-2 potential of indica extract/capsule in COVID19 positive patients was established in A. indica (Khan et al., 2020; Nesari et al., 2021; Kushwaha et al., 2021). Bark Azadirachta indica’s bark is also used to treat fever (RxList, 2021) and as a tonic and astringent (Alzohairy, 2016). Its twig also has medicinal properties that could relieve cough, asthma, piles, phantom tumor, intestinal worms, spermatorrhea, obstinate urinary disorder and diabetes (Meghwarl & Khaskheli, 2020). It was discovered that root bark extract had a stronger free radical scavenging effect, with 50 per cent scavenging activity at 27.3 μg/mL and overall antioxidant activity of 0.58 mM of standard ascorbic acid. Meanwhile, its stem bark ethanol extracts showed higher free radical scavenging effect with 50 per cent scavenging activity at 30.6 microg/mL. Furthermore, total antioxidant activity of stem bark extract was found to be 1.064 mM of standard trolox (Alzohairy, 2016). According to the findings of the study of Kumar (2020), the natural compounds of Azadirachta indica can be efficient SARSCoV-2 inhibitors by binding to the spike glycoprotein, RNA polymerase, and/or its protease. Several of these natural compounds have shown strong binding activity against the SARS-major CoV-2's protease. The greater the binding activity of these compounds over lopinavir/ritonavir and remdesivir, the better justification their therapeutic use gets (Kumar, 2020). 13 Table 7. Summary of pilot studies on reducing the risk of COVID-19 infection No. of participant s Patient description Sample type E = 190 C = 154 Patients at risk of COVID-19 infection due to contact with COVID-19 positive patients. Placebo Supplement C=6 1 = 34-year-old, female 2 = 40-year-old, male 3 = 5-year-old, female 4 = 37-year-old, male 5 = 13-year-old, male 6 = 69-year-old, female Dosage Major findings 50 mg. of neem leaf extract Total 13 subjects tested positive during the study. All were asymptomatic. Of the 154 participants who completed the study perprotocol, 11 tested positive, three in the supplement group and eight in the control group. The risk of infection was 0.45 times the risk of participants in the placebo group, with the effectiveness of the intervention being around 55 per cent (Nesari et al., 2021). 9-10g of Azadirachta indica leaves mixed with water in equal portions The individuals' symptoms improved after four to five days of constant consumption of Azadirachta indica leaves, and the frequency and quantity of the solution were gradually lowered until the individuals recovered completely. Within one to three days, the subjects' conditions had stabilized and were asymptomatic. They determined that the leaves are non-toxic at a dose of 6g/kg body weight and predicted that the solution will take effect in two to three days. According to these findings, all six patients have a recovery rate of 100 per cent. Legend: E - enrolled; C - completed the study prophylactic effect of neem in patients at risk of COVID-19 infection due to contact with COVID19 positive patients. There were 190 enrolled patients, however only 154 patients completed Table 7 shows pilot studies experiments of Azadirachta indica on patients positive and maybe at risk of COVID-19. The study in row 1 examines the 14 the study. The sample given to the patients were a placebo and 50 mg twice daily of a neem leaf extract for 28 days. The participants' average age was 36.97 years, and 68.42 per cent were male. A total of 11 patients were positive, three in the supplemented group and eight in the placebo group. The patients in the placebo group had a risk of infection of 0.45 times, with the effectiveness of the intervention being around 55 per cent (Nesari et al., 2021). CONCLUSION AND RECOMMENDATION This study was conducted in order to provide a scoping review of the potentiality of Azadirachta indica as a treatment towards mild symptoms of COVID-19. After determining the inclusion and exclusion criteria and screening the gathered resources, 16 studies were found eligible for this scoping review. The findings gathered from this review revealed that the Azadirachta indica has various medicinal compounds and properties that may be significant in alleviating mild symptoms of COVID-19. Such compounds include alkaloids, flavonoids, terpenoids, polyphenols, saponins, tannins and steroids that are known to have antiinflammatory, antioxidant, antimicrobial, antibacterial, and antipyretic properties. Thus, the researchers were able to conclude that the Azadirachta indica may be a potential treatment for mild symptoms of COVID-19. The first five patients ranged in age from five to 40 years old, and all of them tested positive for COVID19 and displayed typical COVID19 symptoms such as body aches, coughs, and fevers. Two of the five patients were children, aged five and 13, and the others were adults, aged 36-40. Three of the five patients were male, and two were female. All the patients were from the same family and lived in the same home. Patient 6 was a 69-year-old woman who was hospitalized on July 3rd with significant sickness and a D-Dimer level of more than 2000 ng/mL. The study by Kanitkar et al. (2020) in Row 2 shows that participants' conditions have improved within four to five days of continuous intake of A. indica leaves, and the frequency and dosage of the solution have been steadily reduced until the subjects have totally recovered. Within one to three days, the participants’ conditions are now stable and asymptomatic. They determined that the leaves are non-toxic at 6g/kg body weight and expected that the solution will take effect in two to three days. With these reports, the recovery rate of the six patients is 100 per cent. Studies about this topic are limited because the issue is novel. From the current data extracted from the existing studies, it is revealed that Azadirachta indica leaves have direct antiviral effects on dengue and hepatitis C. In addition to this, phytochemical and biochemical experiments in the study of Priyanka confirmed that Azadirachta indica leaves are rich in antimicrobial, anti-inflammatory, and antioxidant properties. Although there are studies about the Azadirachta indica’s bark as a treatment for fever and can be used as a tonic and astringent, there are more studies about its leaves and extracts. Limitations of review There are distinct reasons that caused limitations in carrying out this scoping review. Considering that the issue this study covers is novel, the number of articles and studies used in this review is finite. The researchers were also able to encounter restrictions in accessing the information encompassed by certain sources. Manual searching was also conducted due to the unavailability of automated software and tools for searching. In spite of these, such limitations likely contributed to the fabrication of this study. In addition, the results of this scoping review only covered published studies as of October 2021. In accordance with the information in Table 6 (Kanitkar et.al), the participants of the case report experienced bodyache, cough, and myalgia. Some participants were also asymptomatic, and some were suffering from a serious illness. They were prescribed with a certain dosage and frequency and the researchers were able to hypothesize that the leaf solution took effect within two to three days of ingestion. Also, from the information shown in Table 7, the participants who took leaf extracts had the risk of infection while the participants who took the leaf solution mixed with equal parts of water were reported to be stable and asymptomatic. With these, the researchers concluded the efficacy rate 15 of leaf extracts is 55 per cent and 100 per cent for the leaf solution mixed with water in equal portions. The review revealed particular existing gaps such as the limited studies found and not having enough evidence in the gathered studies which insinuates the need for further investigations about the efficacy of Azadirachta indica on mild symptoms of COVID-19. Also, the researchers strongly suggest the conduct of research that proposes a cross-sectional design. 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Nearly 20+ compounds in Neem leaves extract exhibit high binding affinity with some of them as high as -14.3 kcal/mol against COVID19 main protease (Mpro): A molecular docking study. IndiaRxiv Preprints. https://doi.org/10.35543/osf.io/pyqx4 The Art of Living. (2021). The wonderful health benefits & medicinal uses of neem bark, powder, leaves, oil. Art of Living (India). https://www.artofliving.org/inen/ayurveda/uses-of-neem The Ries, J. (2020). Herbal remedies and COVID-19: What to know. Healthline. https://www.healthline.com/healthnews/herbal-remedies-covid-19-what-toknow Laidlaw Library. (2022). Literature searching explained. https://library.leeds.ac.uk/info/1404/liter ature_searching/14/literature_searching_ explained/4#citation%20searching Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., . . . Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMAScR): Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/m18-0850 Roy, S., & Bhattacharyya, P. (2020). Possible role of traditional medicinal plant neem (Azadirachta indica) for the management of COVID-19 infection. Int. J. Res. Pharm. 1(11): 122–125, 2020. ELSEVIER. World Health Organization. https://pesquisa.bvsalud.org/globalliterature-on-novel-coronavirus-2019ncov/resource/pt/covidwho-694598 Sarkar, L., Putchala, R. K., Safiriyu, A. A., & das Sarma, J. (2020). Azadirachta indica A. Juss ameliorates mouse hepatitis virus-induced neuroinflammatory demyelination by modulating cell-to-cell fusion in an experimental animal model of multiple sclerosis. Frontiers in Cellular Neuroscience, 14. https://doi.org/10.3389/fncel.2020.00116 University of Portsmouth. (2020). Herbal medicine might help battle against Covid-19. News | University of Portsmouth. https://www.port.ac.uk/news-eventsand-blogs/news/herbal-medicine-mighthelp-battle-against-covid-19 Verdejo, C., Tapia-Benavente, L., SchullerMartínez, B., Vergara-Merino, L., Vargas-Peirano, M., & Silva-Dreyer, A. M. (2021). What you need to know about scoping reviews. Medwave. https://www.medwave.cl/link.cgi/Englis h/Reviews/MethodlogicalNotes/8145.act Shadrack, D. M., Vuai, S. A. H., Sahini, M. G., & Onoka, I. (2021). In silico study of the inhibition of SARS-COV-2 viral cell entry by neem tree extracts. RSC Advances, 11(43), 26524–26533. https://doi.org/10.1039/d1ra04197e 22 Villena-Tejada, M., Vera-Ferchau, I., Cardona-Rivero, A., Zamalloa-Cornejo, R., Quispe-Florez, M., Frisancho-Triveño, Z., Abarca-Meléndez, R. C., Alvarez-Sucari, S. G., Mejia, C. R., & Yañez, J. A. (2021). Use of medicinal plants for COVID-19 prevention and respiratory symptom treatment during the pandemic in Cusco, Peru: A cross-sectional survey. PLOS ONE, 16(9), e0257165. https://doi.org/10.1371/journal.pone.025716 5 World Health Organization. (n.d.). WHO coronavirus (COVID-19) dashboard. Retrieved April 17, 2022, from https://covid19.who.int Yuan, H., Ma, Q., Ye, L., & Piao, G. (2016). The traditional medicine and modern medicine from natural products. Molecules, 21(5), 559. https://doi.org/10.3390/molecules21050 559 Watts, E. (2022). Ayurvedic compound may serve as ‘starting point’ for COVID-19 treatment. MedicalNewsToday. https://www.medicalnewstoday.com/articles /ayurvedic-compound-may-serve-asstarting-point-for-covid-19-treatment WHO COVID-19 Solidarity Therapeutics Trial. (2021). World Health Organization. https://www.who.int/emergencies/diseases/ novel-coronavirus-2019/global-research-onnovel-coronavirus-2019-ncov/solidarityclinical-trial-for-covid-19treatments?fbclid=IwAR0i2vIq4HoR3sD0c RP-qcveR05MyCSTPra1RJESnl4wr4WLukbY5Vzofw 23 A Scoping Review on The Efficacy of Azadirachta indica on Mild Symptoms of COVID-19 Angeline Mae S. Aguilar Monique Ashley D. Brillante Cy Justin G. Casin Eunice Andrea N. Marbella Kyle Aleiza S. Mayor Angelica C. Miranda Recommendations Ester Joy D. Agudo, MAEd. ➢ Have no more comments Actions Taken Sonny Jayson C. Taduran, LPT. ➢ Have no more comments Faith P. Acabado, LPT. ➢ Have no more comments Noted: DIANA MAE PONCE, LPT. Research Adviser Approved: ESTER JOY D. AGUDO, MAEd. Panel Chair SONNY JAYSON C. TADURAN, LPT. Panel Member FAITH P. ACABADO, LPT. Panel Member 24 MARBELLA, EUNICE ANDREA N. Estancia, Malinao, Albay Email Add.: euniceandrea.marbella30@gmail.com Contact Number: 09494270070 22 X 2 PHOTO (Corporate/formal Attire or Uniform) Career objective ● ● To be an astounding professional in my area of work, with a passion for innovation, challenges, working and helping with the people and the community. To attain a position as a nurse, where I can apply my skills, my experience in rescue and aid, and a goal to achieve the hospital’s objectives. Basic Information Age Nationality Height : 18 : Filipino : 5’0 Date of Birth : November 30, 2003 Gender : Female Civil Status : Single Skills Skills : Goal oriented : Prioritization of Work : Basic skills in rescue and aid : Skilled in 3D AutoCAD : Can work under pressure Educational Background Secondary Level School : University of Santo Tomas - Legazpi Year : S. Y. 2020 - 2022 Address : Rawis, Legazpi, Albay Awards Received: Ranked 185th in STEM, Ranked 223rd in Grade 11 School : Tabaco National High School Year : S.Y. 2016 - 2020 Address : Panal, Tabaco City, Albay, Awards Received: Academic Excellence Award S.Y. 2019 - 2020, Academic Excellence Award S.Y. 2018 - 2019, Leadership Award in Match Club, Leadership Award in Arts and Design Club, Leadership Award in Grade 10 Federated Class Council School Primary Level : San Antonio Elementary School 25 Year : S.Y. 2009 - 2016 Address : San Antonio, Tabaco City, Albay Awards Received: Academic Excellence Award S.Y. 2015 - 2016, Academic Excellence Award S.Y. 2014 - 2015, Academic Excellence Award S.Y. 2013 - 2014, Academic Excellence Award S.Y. 2012 - 2013, Academic Excellence Award S.Y. 2011 - 2012, Academic Excellence Award S.Y. 2010 - 2011, Academic Excellence Award S.Y. 2009 - 2010 Academic/Work Experiences Designation Company Year : Part-time Sales Lady, Staff : KSR Minimart : August 2021 - to present Designation Company Year : Front Liner, Staff : Bas Refilling Station : 2015 - to present Designation Institution Year : Volunteer, #KitaMan Donation Drive : Bicol University : 2020 - 2020 Designation Institution Year : Volunteer, AlBayanihan: A Donation Drive : Bicol University : 2020 - 2020 Designation Institution Year : Business Manager, Grade 10 Federated Class Council Officer : Tabaco National High School : 2019 - 2020 Designation Institution Year : Member, Student-led Hazard Watching Team : Tabaco National High School : 2019 - 2020 I hereby certify that the aforementioned records and information are true and correct to the best of my knowledge, belief, and ability. EUNICE ANDREA N. MARBELLA Applicant 26 BRILLANTE, MONIQUE ASHLEY D. Purok 3 Doña Tomasa, Guinobatan, Albay Email Add.: moniquebrillante@gmail.com Contact Number: 09551703337 Career objective ● To become knowledgeable, skill-wise and be able to apply the knowledge and skills I’ve learned and developed from school onto an actual working setting. I willingly offer my service to your company and I will persevere to become one of your company’s strong suits during the time of my employment under you. Basic Information Age Nationality Height : 18 : Filipino : 5”3 Date of Birth : March 06, 2004 Gender : Female Civil Status : Single Skills Skills Skills : Effective communication skills : Computer literate : Commendable leadership skills : Can easily adapt : Can work under pressure : Writing : Open-minded : Committed Educational Background Secondary Level School : University of Santo Tomas - Legazpi Year : 2020 - 2022 Address : Rawis, Albay Awards Received: (not available) School : St. Benedict’s Academy, Inc. Year : 2016 - 2020 Address : Guinobatan, Albay Awards Received: Grade 7-10 With Honors Primary Level School : St. Benedict’s Academy, Inc. Year : 2009 - 2016 Address : Guinobatan, Albay Awards Received: Grade 1 - 6 With Honors 27 Work Experiences Designation Company Year : Work Immersion Student / Trainee : Camalig Rural Health Unit : 2022 I hereby certify that the aforementioned records and information are true and correct to the best of my knowledge, belief, and ability. BRILLANTE, MONIQUE ASHLEY D. Applicant 28 CASIN, CY JUSTIN G. 5807 Post Corners trail Apt. G, Centreville, VA 20120 Email Add.: cyjustin.casin@ust-legazpi.edu.ph Contact Number: +639566717977 Career objective ● To obtain experience and information, as well as to acquaint myself in preparation for my future ambition of working in a hospital. Basic Information Age Nationality Height : 18 : Filipino : 5’9” Date of Birth : October 29, 2003 Gender : Male Civil Status : Single Skills Skills : Crafty : Responsible : Easily adapt to situations : Critical thinker Educational Background Secondary Level School :University of Santo Tomas–Legazpi Year : 2020 - 2022 Address : Legazpi City, Albay Awards Received : N/A School Year Address Awards Received : Catholic Central School : 2016 - 2020 : Ziga Ave., Tabaco City, Albay : Academic Excellence Primary Level School : Tabaco Northwest Central School Year : 2014 - 2016 Address : Panal, Tabaco City Awards Received : N/A 29 School Year Address Awards Received : Daniel B. Peña Memorial College Foundation : 2010 - 2014 : Ziga Avenue, Tabaco City : N/A Academic/Work Experiences Designation Company Year : N/A : N/A : N/A I hereby certify that the aforementioned records and information are true and correct to the best of my knowledge, belief, and ability. CY JUSTIN G. CASIN Applicant 30 MIRANDA, ANGELICA C. San Julian, Irosin, Sorsogon Email Add.: angelica.miranda@ust-legazpi.edu.ph Contact Number: 09283444718 ● To acquire knowledge and practice my skills in the career I'll be pursuing, and to apply and use what I've learned in school in a real-life scenario and practical context. Age Nationality Height Skills : 18 years old : Filipino : 5'0 Date of Birth : October 25, 2003 Gender : Female Civil Status : Single : Video Editing : Photography : Communication : Creativity : Leadership : Teamwork School Secondary Level : University of Santo Tomas-Legazpi Year : 2020-Present Address : Rawis, Legazpi City Awards Received : None School : Gallanosa National Highschool Year : 2016 - 2020 Address : San Pedro,Irosin,Sorsogon Awards Received: Academic Excellence Awards from Grade 7 to Grade 10 : School-Based Science & Technology Fair 2020 : 1st placer in English Quiz Bowl S.Y 2019-2020 :3rd placer in Math Game during the Cluster Patiribayan in Math, Math Camp & Leadership Training 31 Primary Level School : Holy Spirit Academy of Irosin Year : 2008 - 2016 Address : Irosin, Sorsogon Awards Received: Academic Excellence Awards from Grade 1 to Grade 6 I hereby certify that the aforementioned records and information are true and correct to the best of my knowledge, belief, and ability. ANGELICA C. MIRANDA Applicant 32 AGUILAR, ANGELINE MAE S. Bapor, Masbate City, Masbate Email Add.: angelinemae.aguilar@ust-legazpi.edu.ph Contact Number: 09277063192 22 X 2 PHOTO (Corporate/formal Attire or Uniform) Career objective ● To find a position as a medical assistant where I can use my educational background and time management abilities to provide great assistance to both doctors and patients. Committed to leveraging knowledge of industry equipment and technology to support diagnosis and treatment. Basic Information Age Nationality Height : 18 y/o : Filipino : 155 cm Date of Birth : February 05, 2004 Gender : Female Civil Status : Single Skills Skills : Reliability : Decision-making : Communication : Time management : Organizational : Perseverance Educational Background Secondary Level School : University of Santo Tomas - Legazpi Year : S.Y. 2020-2022 Address : Rawis, Legazpi City, Albay Awards Received: Academic Excellence Award School : Liceo de Masbate Year : S.Y. 2016-2020 Address : Quezon Street, Masbate City, Masbate Awards Received: Academic Excellence Award Primary Level School : Yadah Christian School Inc. Year : S.Y. 2010-2016 Address : Quezon Street, Masbate City, Masbate Awards Received: Academic Excellence Award, Loyalty Award 33 Work Experiences Designation Company Year : Part-time cashier : MSP Trading Center Masbate : 2019 I hereby certify that the aforementioned records and information are true and correct to the best of my knowledge, belief, and ability. ANGELINE MAE S. AGUILAR Applicant 34 MAYOR, KYLE ALEIZA S. Dap-dap, Legazpi City Email Add.: kylealeiza.mayor@ust-legazpi.edu.ph Contact Number: 09054248354 Career objective ● Seeking a challenging position in a reputed organization where I can learn new skills, expand my knowledge, and leverage my learnings. Basic Information Age Nationality Height : 18 : Filipino : 5’0 Date of Birth : April 07, 2004 Gender : Female Civil Status : Single Skills Skills : Adaptive Thinking : Communication : Collaboration : Empathy : Perspective : Writing Educational Background Secondary Level School : Saint Raphael Academy Year : 2016-2020 Address : Baybay, Legazpi City Awards Received: Athlete of the Year School : University of Santo Tomas - Legazpi Year : 2020-2022 Address : Rawis, Legazpi City Awards Received: N/A Primary Level School : Albay Central School Year : 2008-2016 Address : Albay Awards Received: Athlete of the Year 35 Academic/Work Experiences Designation Company Year : Member : Girl Scout of the Philippines : 2018-2019 Designation Company Year : Outreach Program : SRA : 2018-2019 Designation Institution Year : Participant : Musical Play : 2018-2019 I hereby certify that the aforementioned records and information are true and correct to the best of my knowledge, belief, and ability. KYLE ALEIZA S. MAYOR Applicant 36