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    RESEARCH OUTPUT 7: Research Protocol

    Adviser: Dr. I.A. Ilano

    Submitted by: GROUP 9-A

    Leader:

    Holgado, Anna Victoria

    Members:

    Alcantara, Jan Christopher

    Balandan, Patricia

    Buenafe, Jonas Joaquin

    Constantino, Erwin

    Delos Santos, Kathrine Aira

    Flores, Marie Felle

    Hernandez, Kristeen Khae

    Lopez, Edison

    Date:

    November 8, 2011

    Topic: "A comparative study on the antibacterial activity peel extracts obtained from Musa

    acuminata, Musa balbisiana, and Musa paradisiacaagainst Staphylococcus aureus

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    Table of Contents

    I. Introduction 2

    A. Research Question ........... 2

    B. Research Hypotheses ... 2

    C. Background of the Research Question .. 2

    D. Significance of the Study .. 3

    II. Research Objectives .. 3

    III. Literature Review ........... 4

    A. Epidemiology of Disease of Interest 4

    B. Epidemiology of Exposure of Interest .. 4

    C. Summary of Related Studies 5

    D. Conceptual Framework . 6

    IV. Methodology 9

    A. Research Design 9

    B. Experiment Procedure . 10

    C. Sampling ............ 14

    D. Data Collection ............. 17

    V. Bibliography ............... 19

    VI. Appendices ............... 20

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    I. INTRODUCTION

    A. Research question

    Which species of banana peel extract has greater antibacterial activity against

    Staphylococcus aureus?

    B. Research hypotheses

    i. Working hypothesis

    The peel extracts obtained from the different species of banana have comparable

    antibacterial activity against Staphylococcus aureus.

    ii. Null hypothesis

    The peel extracts obtained from the different species of banana do not have

    comparable antibacterial activity against Staphylococcus aureus.

    C. Background of the research question

    The contribution of various plants or their parts (roots, stems, leaves, fruit) in the

    treatment and management of certain health conditions has been growing in recognition.

    At present, the use of herbal medicine are becoming more common both in developing

    and developed countries. The World Health Organization (WHO) has estimated that about

    70-95% of the citizens in majority of the developing countries utilize traditional medicine

    (including the use of herbal medicines) in managing their health and incorporate the

    practice in their primary health care to address emerging health-related needs.(1)

    Industrialized countries, such as Canada, France, Germany and Italy, share similar

    percentages in terms of the proportion of individuals who make use of traditional

    medication.(1) In the Philippines, the use of plant extracts as medication has been passed

    on from one generation to another, and has established its importance in health delivery,

    considering the expensive Western treatment that most Filipinos cannot afford or cannot

    easily access.(2)

    The banana fruit (Musa sapientum), has been commonly known for its nutritional

    value; however, its medicinal properties have only been recently investigated, mostly in

    tropical and subtropical countries wherein the banana fruit is considered as one of their

    major agriculture products, such as India and other Southeast Asian countries. In these

    regions, other parts of the banana plant such as their young shoots and peels have been

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    utilized as an alternative source of treatment for ulcers and wounds, especially in areas

    where access to conventional treatment is difficult.(3) In addition, majority of the studies

    conducted in these countries have been focusing on the most common variants of the

    Musa sapientumspecies available in their locality.

    The study aims to investigate the antibacterial activity of the most common local

    variants of banana grown in the province of Cavite, namely Musa acuminata(lakatan),

    Musa balbisiana (saba), and Musa paradisiaca (latundan)(4), and determine if the

    species variant plays a significant role in their respective antibacterial activity, specifically

    against Staphylococcus aureus, a common Gram-positive agent found in most health

    care-related infections.

    D. Significance of the study

    This study may provide additional information regarding the antibacterial activity of

    the common variants of bananas in the region, and thus provide possible plant leads that

    can be used as alternative and less expensive sources of treatment for the benefit of the

    local residents. The additional information obtained may also contribute in evoking interest

    for further research on the phytochemical profile and antibacterial activity of the local

    banana variants which may be used as active ingredients against drug-resistant

    microorganisms such as Staphylococcus aureus.

    II. RESEARCH OBJECTIVES

    A. General objective

    To determine which species of banana peel extract has greater antibacterial activity

    against Staphylococcus aureus.

    B. Specific objectives

    1. To measure the zones of inhibition of peel extracts obtained from Musa acuminata,

    Musa balbisiana, and Musa paradisiacaagainst Staphylococcus aureususing the

    disk diffusion method.

    2. To establish the respective minimum inhibitory concentrations of peel extracts

    obtained from Musa acuminata, Musa balbisiana, and Musa paradisiaca against

    Staphylococcus aureususing broth dilution test.

    3. To compare the obtained zones of inhibition and minimum inhibitory concentrations

    of the peel extracts from different banana species against Staphylococcus aureus.

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    III. LITERATURE REVIEW

    A. Epidemiology of disease of interest

    Staphylococcus aureus is considered as one of the medically important pathogens,

    commonly causing abscess formation, various pyogenic infections (e.g. endocariditis),

    food poisoning, and toxic shock syndrome. It has also been among the prevalent

    causative agent for majority of hospital-acquired infections (e.g. pneumonia), septicemia,

    and surgical-wound infections.(5)(6) Infections caused by the bacteria have been more

    prevalent in the health care setting where these are treated with more frequent and

    intensive antimicrobial therapy as compared in the community setting. (6)

    Throughout the evolution of antimicrobial therapy against S. aureus, various strains

    of resistance have been developed by the agent, thus amplifying the disease burden. (6) In

    some countries in the Western Pacific Region, such as the Philippines, a growing trend in

    methicillin-resistant S. aureus (MRSA) had been recorded within a span of 7 years. (7)

    According to the 2005 Philippine Antimicrobial Resistance Surveillance report, wherein

    twelve out of the agencys 17 sentinel health care institutions contributed to the data

    output, the overall MRSA rate among admitted patients significantly increased, from 17%

    in 2004 to 31% in 2005.(8) An increase of 34% was also observed in urban areas such as

    Metro Manila.(8)

    Health care institutions in the Philippines constantly deal with the disease burden

    brought about by various strains of methicillin-resistant S. aureusamong patients. A study

    conducted in a tertiary medical institution revealed the presence of hospital-acquired

    MRSA (HA-MRSA) among patients suffering from chronic kidney disease and were

    undergoing renal replacement therapy, such as hemodialysis. Strains of community-

    acquired MRSA (CA-MRSA) were also isolated and were identified among patients with

    no other underlying co-morbidities. CA-MRSA strains were commonly seen in skin and

    soft tissue infections.(9)

    B. Epidemiology of exposure/factor of interest

    Traditional medicine has been highly adopted throughout the world due to their

    availability, affordability and cultural familiarity. It has been estimated bytheWorld Health

    Organization that in some Asian and African countries, 80% of the population depends on

    traditional medicine.(10) They also identified the use of herbal treatments as the most

    popular form of traditional medicine. Herbal medicines include herbs, herbal materials,

    herbal preparations, and finished herbal products that contain parts of plants or other plant

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    materials as active ingredients. Among the components included in the current day

    pharmaceuticals, it has been estimated that about seven thousand active ingredients are

    of herbal origin. (10)

    The antimicrobial properties of the banana plant (Musa sapientum) are not as widely

    commercialized as compared to other local preparations. Nonetheless, its young leaves

    have been used for a long time in local folk medicine as a cold dressing for inflamed and

    blistered surfaces.(3) Scientific studies have presented evidences regarding the

    antimicrobial activities of the banana plant. Commonly utilized parts among the studies

    were its leaves, stem, peel, and fruit. Studies conducted by Mokbel and Hashinaga,

    Fagbemi et. al, and Scott et. al showed high antimicrobial acitivity in peel and pulp extracts

    of unripe bananas against certain bacteria, including S.aureus.(11)(12)(13) Further discussions

    regarding the designs and methods, as well as results of these studies are covered in the

    next portion of the study, Summary of related/similar studies.

    C. Summary of related/similar studies

    Majority of the experiments conducted made use of an analytical experimental

    design wherein the exposure variable under observation was assigned particularly to a

    treatment group and was compared to a control group. The method of extract preparation

    and the different solvents used were some of the factors identified that may have

    influenced the extracts potency and enhanced its antimicrobial activity.

    Method of preparation and solvents used for banana extracts

    Banana (Musa sapientum), belonging to Musa species is considered as one of the

    most useful plant species that carries a number of beneficial pharmacological effect such

    as ulcer protective activity, antioxidant activity and mutagenic effect, antibacterial activity

    and wound healing activity.(14)

    Several studies have been conducted to show that banana extracts do have

    antibacterial properties. In a study by Mokbel and Hashinaga, the antimicrobial and

    antioxidant activity of fresh green and yellow banana peel extracts obtained from the

    Cavendish variant were compared. Chloroform, ethyl acetate and water were used as

    solvents for the peel extracts. Results showed that ethyl acetate and water soluble

    fractions of green banana peel displayed high antimicrobial activity. Among the specific

    compounds isolated from green banana peel, d-malic acid and 12-hydroxystearic

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    exhibited the most active antimicrobial response, with an MIC varying between 140-750

    ppm, respectively. (11)

    Findings were supported in a phytochemical and pharmacologic review conducted

    by Akter et al. wherein it was demonstrated that the banana peel extract obtained from

    Musa paradisiacaand Musa sapientumshowed better antibacterial activity against the test

    bacteria (Staphylococcus and Pseudomonas species) than the banana leaf extract. The

    peel extract was also shown to be more active against Staphylococcus (Gram-positive)

    than Pseudomonas species (Gram-negative). Furthermore, the review of pharmacological

    activities suggests that the traditional uses of the banana plant in diarrhea, dysentery,

    ulcer, diabetes, hypertension and cardiac diseases are scientifically valid.(15)

    Other studies investigated if the difference in the subspecies of the Musa sapientum

    would yield varying degrees of antibacterial activity against a range of microorganisms.

    Akter et. al aimed to evaluate the antimicrobial and cytotoxic activities of different extracts

    of Musasapientum, L. subsp. Sylvestris fruits (MSSE). The methanolic extract of Musa

    sapientumpeel was investigated for antimicrobial activity by disk diffusion method and for

    cytotoxic activity by Brine shrimp lethality bioassay. The findings of the study

    demonstrated that the methanolic extract of Musa sapientum possessed good

    antimicrobial activity against Gram-positive and Gram-negative bacteria as well as against

    pathogenic fungi and affirmed the traditional use of the fruit to treat dysentery and

    diarrhea.(16)

    In addition, studies conducted by Hamid et al. as well as Mokbel et al. showed how a

    certain development of the banana fruit may contribute to its antibacterial activity by using

    both ripe and unripe banana peel extract. The type of solvent used was not

    specified. Extracts of ripe, unripe and leaves of guava (Psidiumguajava); ripe, unripe and

    leaves of starfruit (Averrhoacarambola); ripe and unripe banana (Musasapientumvariety

    Montel); ripe and unripe papaya (Carica papaya); passionfruit (Passiflora edulis F.

    Flavicarpa) peel; two varieties of Lansium domesticum peels; rambutan (Nephelium

    lappaceum) peel and rambai (Baccaureamotleyana) peel were evaluated for antimicrobial

    activity against Gram-positive bacteria, Gram-negative bacteria, yeast and fungi(Staphylococcusaureus, Bacillussubtilis, Bacillus cereus, Lactobacillus bulgaricus; E. coli,

    Proteus vulgaricus, Pseudomonas aeruginosa, Salmonelli typhi; Saccharomyces

    cerevisiae, Candida lypolytica; Rhizopus spp., Aspergillus niger, and Chlamydomucor

    spp). The antimicrobial activities were tested using both the disk diffusion and tube dilution

    assays. Most of the fruits showed some activity towards bacteria but poor activity against

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    yeast or fungi. Extracts from bananas, papayas, passionfruit peel, Lansiumdomesticum

    peels and rambutan peels showed activity against Candida lypolyticawhile extracts from

    guava showed strong activity against Saccharomycescerevisiae. Unripe banana showed

    activity against all the bacteria except towards P. vulgaricus.(17) In the study conducted by

    Mokbel and Hashinaga, fresh green and yellow banana peel of Musa, cv. Cavendishfruits

    were treated with 70% acetone; and afterwards, partitioned with chloroform and ethyl

    acetate. The antioxidant activities of the extracts were evaluated by using the thiocyanate

    method, beta-carotene bleaching method and 1,1-diphenyl-2-picrylhydrazyl (DPPH) free

    radical elimination whereas the antimicrobial activities of the extracts and isolated

    components were evaluated using paper disc methods and minimum inhibition

    concentration (MIC). Results of the study showed that the ethyl acetate and water soluble

    fractions of green peel showed higher antimicrobial activity than yellow banana peel. The

    antioxidant activity of the water extracts from green banana peel was comparable to those

    of synthetic antioxidants such as butylated hydroxyanisole and butylated hydroxytoluene.

    (11)Biases

    Although there were no significant experimental biases recognized in the related

    literatures that were reviewed, a possible researcher bias, wherein the prior knowledge of

    the researchers might affect the analysis of the results, may be encountered in the study.

    Observational bias may also be encountered among the researchers along the course of

    the experimental proper, wherein there may be discrepancies in measuring the outcome

    observed.

    Limitations

    It can be noted that since almost all of the studies were conducted in vitro, the

    occurrence of possible side effects or interactions of the extracts on actual clinical

    infections cannot be identified.

    Recommendations

    Results from related literatures showed that the banana pulp and peel exhibits high

    antimicrobial activity whereas in terms of solvent to be used, extracts using ethyl acetate,

    ethanol and methanol exhibits high antimicrobial activity. These results should be taken

    into consideration when choosing which part of the banana and what kind of solvent

    should be used for extraction.

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    D. Conceptual framework

    Figure 1 depicts the possible relationship of the exposure variable (application of plant

    extract) with that of the outcome variable (inhibition of microbial growth). The

    characteristics of the exposure variable must be taken into consideration as to how it

    would influence the outcome variable. Similarly, the characteristics of the outcome

    variable should also be taken into consideration as to how it may counteract the exposure

    variable and affect the result. Possible confounding factors such as exposure to

    environmental factors as well as experimental protocol (preparation and storage methods)

    were derived from literatures documenting various experimental processes in determining

    the antimicrobial activities of the plant extracts.

    Antibacterial activity

    of banana peel

    POSSIBLE CONFOUNDING

    FACTORS

    Exposure to environmentalfactors

    Preparation and storagetechniques

    CONTAMINATION

    Characteristics of the

    factor

    Type of solvent used

    Type of

    phytochemicals

    present which

    contributes to

    antibacterial activity

    Concentration of the

    extract

    Characteristics of the

    factor

    Inherent defense

    mechanisms of the

    sample of interest

    Inhibition of growth

    ofStaphylococcus

    aureus

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    IV. METHODOLOGY

    A. Researchdesign

    The study will utilize an analytic experimental design, wherein the independent

    variable under observation will be assigned particularly to a treatment group and will be

    compared to a positive and negative control group. Figure 2 illustrates the design of the

    study.

    Operational definition of variables

    1. Independent variable

    The antibacterial activity of the different species of banana peel extracts on the

    growth of Staphylococcus aureus serves as the independent variable for the study.

    Antibacterial activity refers to the capacity of an agent to kill or suppress the growth of

    microorganisms, specifically bacteria.(18)

    This property may be further classified into twomechanisms, bacteriostatic and bacteriocidal. Bacteriostatic activity results into the

    inhibition of microbial growth within a certain period of time. Microbial growth may be

    observed once environmental elements become suitable, or the microorganism has

    gained resistance to counteract the stimulus presented by the agent. (18) On the other

    hand, bacteriocidal activity results into the complete eradication of the species. In the

    study, significant bacteriostatic activity of the different species of bananas will be observed

    through disk diffusion method and broth dilution test.

    Musa acuminata (locally known as lakatan), Musa balbisiana (saba), and Musa

    paradisiaca(latundan) are considered as the most common group of species grown and

    commonly sold in the province of Cavite. Because of their wide availability and easy

    accessibility, these species will be chosen as samples for the study.

    2. Dependent variable

    The expected result from the study will be the inhibition of the growth of

    Staphylococcus aureuson nutrient agar medium. Inhibition denotes a temporary cessation

    in microbial growth processes. This implies that there are still possible chances for growth,

    given that the environment becomes favorable once again for microorganism

    propagation.(18) Therefore, strict compliance with the incubation of disk diffusion plates

    within the allotted time of 24 hours for the Staphylococcispecies should be observed so

    as to achieve reliable results and prevent possible growth of the organism. (19)

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    Inhibition of growth will be determined qualitatively using the disk diffusion method,

    as represented by zones of inhibition. Broth dilution test will also be employed to quantify

    the degree of the antibacterial activity by determining the peel extracts minimum inhibitory

    concentration. Minimum inhibitory concentration (MIC) of an antibiotic is the smallest

    amount per unit volume that will inhibit the growth of a certain organism. In broth dilution

    test, the end point tube will represent the peel extracts MIC. It is the tube wherein there is

    complete inhibition of growth of bacteria with the least concentration of the peel extract,

    which can be visually observed as absence of turbidity. (21)

    3. Confounding variables

    Both the independent and dependent variables may face possible contamination

    brought about by 1) their exposure to environmental factors, such as temperature and

    foreign body contamination; 2) as well as their subjection to certain preparation and

    storage techniques executed in the duration of the study. Contamination of the variables of

    interest may significantly influence the accuracy and analysis of the results. (18)(19)(21)

    B. Experiment procedure

    For the study, microbial growth inhibition will be determined using the disk diffusion

    method, also known as the Kirby-Bauer test. The principle behind the disk diffusion

    method depends on the formation of a concentration gradient as the antimicrobial agentdiffuses instantaneously into the agar. The drug concentration decreases at increasing

    distances from the disk. At a critical point, the amount of drug at a specific location in the

    medium is unable to inhibit the growth of the test organism, thus forming well-demarcated

    borders, resulting in a distinct area known as the zone of inhibition.(18) This method only

    gives a qualitative value of an agents antimicrobial activity against a particular bacterial

    species, as determined by the resulting zone of inhibition. The zone of inhibition refers to

    the clear area surrounding an antimicrobial disk following overnight incubation that result

    from the diffusion of the antimicrobial molecules into the agar and inhibition of growth ofthe test bacterium. This will be the parameter used in the study to reflect the presence of

    microbial growth inhibition.(18)

    Furthermore, control groups will be set up to validate that the microbial growth

    inhibition is indeed attributed to the antibacterial activity of the banana peel extract. A

    positive control will confirm that the treatment applied is competent to produce the

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    intended effect, thus minimizing the probability of false negatives. (20) For the study, the

    drug of choice for Staphylococcus aureus, Vancomycin, will be utilized as the standard for

    evaluating the antibacterial activity of the plant extracts. A negative control will also be set

    up in order to confirm that the effect produced was not influenced by extraneous factors,

    thereby minimizing the probability of false positives.(20) For the study, distilled water will be

    used as a reference reflecting microbial growth, indicating that the treatment applied has

    not been effective.

    In addition, a solvent group will also be set up to evaluate the influence of the solvent

    on the observed microbial growth inhibition. For the study, methanol will be used as

    reference.

    Quantitative measures, such as the minimal inhibitory concentration (MIC), will also

    be applied to validate the degree of the antibacterial activity of the banana peel extracts.

    Minimal inhibitory concentration refers to the smallest amount per unit volume that will

    inhibit the growth of a certain organism.(18)(21) Broth dilution tests, wherein tubes containing

    decreasing concentration of the plant extract tested are prepared by serial dilution, will be

    conducted to determine the plant extracts respective MIC.(21)

    Steps to be undertaken

    a) Physical set-up

    The study will use nutrient agar plates in observing the activity of peel extracts fromdifferent banana species (Musa paradisiaca, Musa balbisianana and Musa acuminata)

    compared with the positive control, negative control and solvent control. Three replicates

    will be used. Figure 3 illustrates the distribution of the treatments and control among the

    bacterial culture.

    Figure 3:Allocation of treatment and control

    SPECIES

    (A)

    SPECIES

    (B)

    SPECIES

    (C)

    (+)

    CONTROL

    (-)

    CONTROL

    SOLVENT

    ONLY

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    b) Procurement of plant materials

    Peels from different species of banana (Musa paradisiaca, Musa balbisianana

    and Musa acuminata) will be collected from Dasmarias, Cavite and will be identified

    taxonomically.

    c) Preparation of extract

    The banana peels (300 g for each variety) will be washed with water then coarsely

    chopped. The peels will then be placed in a solvent, methanol, at a ratio of 1 gram banana

    peel per 4.5 mL of methanol. The mixture will then be homogenized using a blender then

    transferred into their respective reaction tanks which will be left for 3-48 hours at room

    temperature. The mixture will be agitated or mixed periodically to prevent separation of

    masticated peel from the solvent. Change of color from yellow to amber to an opaque

    black liquid will indicate that the reaction is already complete. Upon completion of the

    reaction step, the mixture will then be filtered through a screen mesh. The collected filtrate

    will be further filtered through flat filter paper. The volume of the solution obtained after

    filtration will be recorded. The extracts will also be stored in a desiccator at 5C. (22)

    d) Preparation of peel extract stock solution

    The crude extract with an initial concentration of 22 g/mL will be diluted with

    distilled water to 0.001 g/mL (1000 ug/mL). To obtain the 1000 ug/mL final concentration

    the concentration-volume ratio will be used.

    (Initial Concentration) (Initial Volume) : (Final Concentraton) (Final Volume)

    ( 220 000 ug/mL) (Initial Volume) : (1000 ug/mL) (X)

    e) Preparation of bacterial suspension

    Staphylococcus aureus maintained on nutrient agar slants at 4C will be

    aseptically transferred using a sterilized needle into fresh broth culture. The tubes will be

    incubated at 37C for 24 hours. For standardization of bacterial density, the turbidity of the

    fresh 24hour old cultures will be adjusted to 0.5 MacFarland standard (1 108 cells/ml)

    by diluting with the sterile broth. (18)(21)

    f) Paper disk diffusion assay

    The plates with nutrient agar will be divided into 4 equal parts with a marking

    pencil on the bottom of the plates. A sterile cotton swab will be aseptically dipped into the

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    S. aureusbroth culture. The cotton swab will be rotated against the inside wall of the tube

    to remove excess broth, then the swab will be streaked evenly over the surface of the

    plate and in three directions, leaving no gaps in between strokes. The plate will be allowed

    to dry for 3-5 minutes with the lid in place. Filter paper disks (6mm) will be impregnated

    with the respective treatments and controls by dropping 1mL to each disk using a

    micropipette then will be allowed to dry for 10 minutes. The individual disks will then be

    placed and pressed lightly on the surface of the nutrient agar in the different sections

    marked on the bottom of the plates. The plates will be incubated at 37C for 24 hours. The

    zone of inhibition will be measured (in millimeters) after overnight incubation. (19)(23)

    g) Determination of MIC

    Two-fold broth dilution test method will be used in determining the minimum

    inhibitory concentration of the plant extracts. In ten sterile tubes labeled 1 through 10,

    0.5ml of sterile broth will be aseptically added. Then, 0.5 ml of the peel extract will be

    added to tubes 1 and 2. Serial dilution of the peel extracts will be carried out from tube 2

    until tube 9. All the tubes will then be inoculated with 0.5 mL of S. aureussuspension and

    incubated at 37C for 24 hours. Tube 10, containing only the sterile broth and S. aureus

    suspension will serve as the control tube. Bacterial growth in each tube will be examined

    by observing turbidity. The highest dilution without growth is the minimal inhibitory

    concentration.

    Possible biases and limitations

    Although there were no significant experimental biases recognized in the related

    literatures that were reviewed, a possible researcher bias, wherein the prior knowledge of

    the researchers might affect the analysis of the results (24), may be encountered in the

    study. Observational bias may also be encountered among the researchers along the

    course of the experimental proper, wherein there may be discrepancies in the manner of

    implementing the experiment procedure as well as in measuring the outcome observed.

    The in vitrosetting of the study may be accounted to the limitation of the external

    validity of the findings.(25) Extract activity observed in a controlled setting may be observed

    differently when applied in the clinical setting.

    The possible sources of errors in the study may come from faulty observation of

    preparation and storage techniques of both the inoculum and plant extracts. Application of

    the inoculum may contribute to the inaccuracy of results. Thickly applied inoculum onto the

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    agar may result to a small zone of inhibition; whereas, a thinly applied inoculum may result

    to a large zone of inhibition.(18)(21) Inadequate or haphazard application of plant extracts as

    well as those of the controls on to the paper disks also contribute to the inaccuracy of

    results.(18)

    Control plan for biases and possible errors

    The study will be conducted in an isolated controlled unit set at the temperature of

    37C to minimize the possible effect of environmental factors. A facilitator with

    microbiology expertise will be supervising the study in order to monitor errors in

    preparation and storage techniques throughout the duration of the study. The principle of

    blinding will be applied in the execution of the study and data collection. Three members

    will be assigned solely to the execution of the experiment, observation, and data

    collection. Another subgroup of three members will determine what type of treatment will

    be assigned to a particular sample. The remaining three members will be responsible for

    the result analysis, so as to minimize the occurrence of possible researcher bias.

    Assigned members will also be oriented with the flow of the experiment proper (as

    illustrated in the procedure schematic diagram) and proper data collection in order to

    minimize the occurrence of observational bias.

    C. Sampling

    Selection of treatment and control

    Selection for the type of banana species that will be utilized for the study will be

    based on the species availability and accessibility to the public. Different banana species

    that were common in the province of Cavite were determined. Based on the provinces

    consolidated production report for the month of August 2011, Musa acuminata (lakatan)

    garnered the top sales, followed by Musa balbisiana (saba) and Musa paradisiaca

    (latundan).(4) Choices for banana species were further specified as to their distribution

    among the districts of the province. Although majority of the local banana cultivars are

    grown in the upland districts (i.e. Districts V VII), the purchase of the banana samples

    will be done at the most convenient district for the study, the 4 th district of Dasmarinas City

    (26). Figure 4 depicts the selection process for the independent variable of the study.

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    Figure 4: Selection process for banana species

    One subgroup consisting of three members will be in-charge of treatment allotment.

    Nutrient agar plate will be used for observing the activity of extracts from different banana

    species (Musa paradisiaca, Musa balbisianana and Musa acuminata) in different

    concentrations compared with a positive and negative control. Control groups as well as a

    solvent group will be set up so as to validate that the intended effect is indeed attributed to

    the independent variable of the study. Vancomycin, the drug of choice for Staphylococcus

    aureuswill be used as a positive control, evaluating the antibacterial activity of the banana

    peel extracts (27). On the other hand, distilled water will be used as the negative control for

    the study to serve as a reference reflecting microbial growth (11). The disk diffusion assay

    will be replicated three times.

    Sample size

    The type of significance test to be done depends on the hypothesis. In this study,

    since the null hypothesis states that the peel extracts obtained from the different species

    of banana do not have comparable antibacterial activity against Staphylococcus aureus,

    therefore a two-tailed test will be employed because the null hypothesis does not tell the

    specific direction of difference.(28)

    PROVINCE OF CAVITE

    BANANA-GROWING

    DISTRICTS

    DISTRICT V DISTRICT VI DISTRICT VII

    DISTRIBUTION/EXPORT OF

    BANANAS TO OTHER DISTRICTS

    DISTRICT IV

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    In comparing the antibacterial activity of different species of banana, three controls

    and three treatments will be used. Antibacterial activity of the peel extracts obtained from

    Musa acuminata, Musa balbisiana, and Musa paradisiaca will be observed. For the

    control, a positive control containing Vancomycin and a negative control containing

    distilled water will be used. Methanol will be used for the solvent group. The zone of

    inhibition observed for each concentration per treatment and control group will be

    measured using a 6-inch ruler.

    Determining the number of replicates to be used in an experiment is a matter of

    judgement and the available resources. The following formula incorporating the

    probabilities for type I and type II errors as well as the variance and true difference

    anticipated will be utilized in computing for the number of replicates: (29)

    # of replicates = 2 (Z/2

    + Z)(/)2

    Wherein Z/2 isassociated with Type I error; Z is associated with Type II error; is

    associated with standard deviation; and is associated with the anticipated true difference

    that might be detected among replicates.

    Values obtained for the formula were based from previous experiments on the

    antibacterial activity of a particular species.(11) The study will be set a confidence level of

    95%, with a power of 80%. Based on these percentages, the following Z values for Type I

    and Type II error are the following:

    Z/2: = 0.05 (at 95% confidence level) Z: = 0.80/2= 0.025 Z value = 0.84

    = 1 - 0.025= 0.975

    Z value = 1.96

    Value for standard deviation is set at = 0.1, based on previous experiments. Avalue of 0.14 is set for the anticipated true difference.

    Calculation:

    # of replicates = 2 (Z/2+ Z )(/)2

    = 2 (1.96+0.84)(0.1/0.14)2

    = 2 (2.8)(0.51)

    = 2.86

    ~ 3 replicates will be used

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    Reference citations

    In several studies investigating the antibacterial activity of unripe banana peels

    conducted by Alisi, et. al and Sulaiman, et. al, n=3 was used for the number of replicates

    with a significance of p = 0.05. Alisi, et. al made use of a two-way analysis of variance

    (ANOVA) to determine the inhibition of bacterial dehydrogenase activity reflected in

    dehydrogenase assays. (30) On the other hand, Sulaiman, et. al utilized one-way ANOVA

    testing to establish the correlations between total phenolic and mineral contents with the

    antioxidant activities of the pulp and peel obtained from 8 different cultivars. (31)

    D. Data collection

    Sources of data (variables to be measured)

    The independent variable in the study is the antibacterial activity of the banana peel

    extracts from different species whereas the dependent variable is the inhibition of growth

    of Staphylococcus aureus. Paper disk diffusion method and broth dilution tests will be

    performed to collect the data needed in determining the antibacterial activity of different

    banana species against Staphyloccous aureus. The zones of inhibition and minimal

    inhibitory concentration can be obtained, respectively.

    Method to be used

    Results from the aforementioned tests will be determined through observation of the

    presence or absence of microbial growth in the agar plate for the disk diffusion method, as

    well as in the series of test tubes for MIC. The observation method is the preferred method

    in the context of a laboratory experimental study. Data collection is done by making use of

    standardized measurement methods and utilizing replications to achieve precision. (32) In

    the study, a schematic diagram of the step-by-step procedure will be developed to ensure

    that uniformity in the observation process and data collection will be implemented among

    the assigned observers. Three replicates per banana species for the disk diffusion method

    will be prepared to assure the precision of the observed antibacterial activity.

    Prior to the experiment proper, the group will be divided into three subgroups for the

    following tasks: 1) preparation of plant extract; 2) execution of antibacterial susceptibility

    tests and data collection; and 3) data analysis. Members assigned in a particular subgroup

    will be oriented to the schematic process to ensure a smooth execution of the study and

    uniformity in the observation process, thus reducing a possible researcher and

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    observational bias. The principle of blinding, as well as plans for controlling bias and other

    possible errors have been discussed in the studys Research Design section under the

    main point, Methodology.

    In addition, available calipers or rulers will be calibrated to warrant accurate

    measurement of zones of inhibition and extract concentration for the disk diffusion method

    and broth dilution tests, respectively.

    Data collection tool

    Collection tools provide the necessary data for analysis; in this respect, tools should

    be strong enough in order for a research to yield a claim. Data collection tools are mainly

    categorized into three: secondary participation, in-person observations, case studies and

    analysis content.(33)In experimental designs however, these tools are rarely used. Instead,

    the researchers use an array of experimental procedures to obtain the data.

    The size of the zone of inhibition obtained from the disk diffusion method is directly

    proportional to the sensitivity of the organism to the antibiotic,(18)(19) which in this particular

    study is the sensitivity of Staphylococcus aureus to peel extracts of different banana

    species. Infections due to organisms designated as sensitive to a given antibiotic are more

    likely to respond clinically to that antibiotic.(34) The measured zones of inhibition from the

    three banana test species will be recorded in millimeters. (21)

    Antibiotic sensitivity expressed in the context of the minimal inhibitory concentration

    gives quantitative data not obtainable with the disk diffusion method. MIC is identified as

    the smallest concentration of antibiotic that inhibits the growth of the test bacterium; thus,

    these quantitative results are useful in predicting the amount of antibiotic that must be

    attained to assure inhibition.(19)Results of MIC will be recorded in g/mL.

    The data obtained will then be organized in tables, as shown in the following section

    (Tables I III). This functions as the data sheet but also aids in the analysis of the data.

    The tables provide the analyst of the experiment the specific data required for the

    evaluation of the hypotheses. Data collected from disk diffusion method will be recorded in

    Tables I and II, for the treatment and control respectively. The measured zone of inhibition(mm) from the three replicates of different concentrations and species will be recorded and

    their respective means standard deviation will be computed. In this way, the analyst can

    assess the variation among the zones of inhibition observed due to possible errors and

    discrepancy of the measurements.

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    Data collected from MIC, on the other hand, will be recorded in Table III. The

    resulting concentration of peel extracts after serial dilution using a series of ten tubes as

    well as observation for microbial growth in each tube will be recorded. Presence of

    turbidity in the tube indicates growth. (36)

    BIBLIOGRAPHY

    (1) Bodeker G. and Kronenberg, F. (2002) A public health agenda for traditional, complementary, andalternative medicine. American Journal of Public Health, 92, 1582-1591.

    (2) Philippine Institute of Traditional and Alternative Health Care.http://www.doh.gov.ph/pitahc/Index.html

    (3) Philippine Medicinal Plants: Banana (Saging).http://www.stuartxchange.org/Saging.html

    (4) Provincial Government of Cavite. Agri P.Noy High Value Commercial Program Consolidated MonthlyReport (August 2011).

    (5) Levinson, W. (2006) Review of Medical Microbiology and Immunology. New York City: McGraw-HillProfessional.

    (6) World Health Organization. Initiative for Vaccine Research (VR): Bacterial infections. Retrieved fromhttp://www.who.int, 23 July 2011.

    (7) World Health Organization. Combating communicable disease: communicable disease surveillance andresponse. Retrieved fromhttp://www.wpro.who.int/nr/rdonlyres/572c5084-4adb-4634-8e85-ee8993da3e3d/0/05_csr.pdf, 23 July 2011.

    (8) Carlos, C.C. (2006) The 2005 antimicrobial resistance surveillance data. PIDSP Journal, 10, (9 pages).

    (9) Arakama, M., et. Al (2010) Emergence of methicillin-resistant Staphylococcus aureusamong patients in atertiary renal medical center. Philippine Journal of Microbiology and Infectious Diseases, 39, 28-33.

    (10) World Health Organization. Traditional medicine. Retrieved fromhttp://www.who.int, 23 July 2011.

    (11) Mokbel, M.S. and Hashinaga, F. (2005). Antibacterial and antioxidant activities of banana (Musa AAA., cv.Cavendish) fruits peel. American Journal of Biochemistry and Biotechnology, 3, 125-131.

    (12) Fagbemi, J.F.; Ugoji, E.; Tayo, A.; Omotoyin, A. (2009). Evaluation of the antimicrobial properties of unripebanana (Musa sapientum L.), lemon grass (Cymbopogon citratus S.), and turmeric (Curcuma longa L.) onpathogens. African Journal of Biotechnolog, 8 (7), 1176-1182.

    (13) Scott, W., H. McKay, P. S. Schaffer and T. Fontaine. The Partial Purification and Properties of AntibioticSubstances from the Banana (Musasapientum). Bureau of Agricultural and Industrial Chemistry,Agricultural Research Center, Beltsrille, Maryland.

    (14) Banerjee, S.; Halder, B.; Barman, N.R.; Ghosh, A.K. (2010). An overview on different variety of Musa

    species: importance and its enormous pharmacological action. Journal of Pharmacognosy and HerbalFormulations, 1 , 2-11.

    (15) Akter, S. and Imam, M.Z. (2011) MusaparadisiacaL. and MusasapientumL. : A Phytochemical andPharmacological Review. Journal of Applied Pharmaceutical Science, 1 (5), 14-20.

    (16) Akter, S. and Imam, M.Z. (2011) Antimicrobial and cytotoxic properties of different extracts of Musasapeintum, L. subsp. Sylvestris. Jourmal of Applied Pharmaceutical Science, 2(8).

    (17) Hamid et al. Antimicrobial Activity of some Tropical Fruit Wastes (Guava, Starfruit, Banana, Papaya,Passionfruit, Langsat, Duku, Rambutan and Rambai)

    http://www.doh.gov.ph/pitahc/Index.htmlhttp://www.doh.gov.ph/pitahc/Index.htmlhttp://www.doh.gov.ph/pitahc/Index.htmlhttp://www.stuartxchange.org/Saging.htmlhttp://www.stuartxchange.org/Saging.htmlhttp://www.stuartxchange.org/Saging.htmlhttp://www.who.int/http://www.who.int/http://www.wpro.who.int/nr/rdonlyres/572c5084-4adb-4634-8e85-ee8993da3e3d/0/05_csr.pdfhttp://www.wpro.who.int/nr/rdonlyres/572c5084-4adb-4634-8e85-ee8993da3e3d/0/05_csr.pdfhttp://www.wpro.who.int/nr/rdonlyres/572c5084-4adb-4634-8e85-ee8993da3e3d/0/05_csr.pdfhttp://www.wpro.who.int/nr/rdonlyres/572c5084-4adb-4634-8e85-ee8993da3e3d/0/05_csr.pdfhttp://www.who.int/http://www.who.int/http://www.who.int/http://www.who.int/http://www.wpro.who.int/nr/rdonlyres/572c5084-4adb-4634-8e85-ee8993da3e3d/0/05_csr.pdfhttp://www.wpro.who.int/nr/rdonlyres/572c5084-4adb-4634-8e85-ee8993da3e3d/0/05_csr.pdfhttp://www.who.int/http://www.stuartxchange.org/Saging.htmlhttp://www.doh.gov.ph/pitahc/Index.html
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    (18) Mahon, C.R., Lehman, D.C., and Manuselis, G. (2007). Textbook of Diagnostic Microbiology. Missouri:Saunders.

    (19) Forbes, B.A., Sahm, D.F., and Weissfeld, A.S. (2007) Bailey and Scotts Diagnostic Microbiology. Missouri:Elsevier.

    (20) Scientific control.http://encyclopedia.thefreedictionary.com. Retrieved last 5 August 2011.

    (21) Department of Microbiology and Parasitology, DLS-HIS College of Medicine (2011). Laboratory Manual onMicrobiology and Parasitology.

    (22) Edwards, B. G. (2003). Banana peel extract composition and method for extraction. Delft PharmaInternational, Ogden Utah. Retrieved from:http://www.freepatentsonline.com/5989559.pdf

    (23) World Health Organization. (2006). Blood Safety and Clinical Technology: Guidelines on Standard OperatingProcedures for Microbiology. Retrieved from: http://www.searo.who.int/en/section10/section17/section53/section482_1786.htm

    (24) Researcher bias.http://www.pairbondpublications.com/for_students/online_glossary. Retrieved last 8August 2011.

    (25) Food and Agriculture Organization of the United Nations (1997). Marketing Research and Information

    Systems(Chapter 6: Experimentation). Retrieved from:http://www.fao.org/docrep/w3241e/w3241e07.htm#chapter 6: experimentation

    (26) Republic Act No. 9272 An Act Reapportioning the Province of Cavite into Seven (7) Legislative Districts.Retrieved fromhttp://www.senate.gov.phlast September 6, 2011.

    (27) World health Organization.http://www.who.int

    (28) UCLA Academic Technology Services. What are the differences between one-tailed and two-tailed tests?.http://www.ats.ucla.edu/stat/mult_pkg/faq/general/tail_tests.htm. Retrieved last 11 September 2011.

    (29) North Dakota State University. Siza of an experiment the number of replicates to use. Retrieved from:http://www.ndsu.edu/ndsu/horsley/ExptSize.pdf, 26 September 2011.

    (30)Alisi, C.S., et. al. (2008) Inhibition of dehydrogenase activity in pathogenic bacteria isolates by aqueous

    extracts of Musa paradisiaca(var. Sapientum). African Journal of Biotechnology. Vol. 7 (12), pp. 1821-1825.

    (31) Sulaiman, S.F. et. al. (2011) Correlation between total phenolic and mineral contents with antioxidantactivity of eight Malaysian bananas (Musasp.). Journal of Food Composition and Analysis. Vol. 24 (1), pp1-10. Retrieved from:http://www.sciencedirect.com/science/article/pii/S0889157510001985, 12 September2011.

    (32) McKubre, M.C.H. (2008) The Importance of Replication. ICCF-14 International Conference on CondensedMatter Nuclear Science.

    (33) The Three Main Types of Data Collection Tools. (n.d.). Retrieved October 1, 2011, from Scienceray:http://scienceray.com/technology/information/the-three-main-types-of-data-collection-tools/

    (34) Vasanthakumari (2007). Practical Microbiology. BI Publications Pvt Ltd. Copyright. http://books.google.com/

    (35) Parija,S.C.(2009).Textbook of Microbiology & Immunology. Elsevier India

    Copyright.http://books.google.com/

    (36) Neelima Garg, K. L. Garg and K. G. Mukerji. (2010). Laboratory Manual of Food Microbiology. I. K.

    International Pvt Ltd. Copyright. pp. 75-78. http://books.google.com/

    http://encyclopedia.thefreedictionary.com/http://encyclopedia.thefreedictionary.com/http://encyclopedia.thefreedictionary.com/http://www.freepatentsonline.com/5989559.pdfhttp://www.freepatentsonline.com/5989559.pdfhttp://www.freepatentsonline.com/5989559.pdfhttp://www.pairbondpublications.com/for_students/online_glossaryhttp://www.pairbondpublications.com/for_students/online_glossaryhttp://www.pairbondpublications.com/for_students/online_glossaryhttp://www.senate.gov.ph/http://www.senate.gov.ph/http://www.senate.gov.ph/http://www.who.int/http://www.who.int/http://www.who.int/http://www.ats.ucla.edu/stat/mult_pkg/faq/general/tail_tests.htmhttp://www.ats.ucla.edu/stat/mult_pkg/faq/general/tail_tests.htmhttp://www.ndsu.edu/ndsu/horsley/ExptSize.pdfhttp://www.ndsu.edu/ndsu/horsley/ExptSize.pdfhttp://www.sciencedirect.com/science/article/pii/S0889157510001985http://www.sciencedirect.com/science/article/pii/S0889157510001985http://www.sciencedirect.com/science/article/pii/S0889157510001985http://scienceray.com/technology/information/the-three-main-types-of-data-collection-tools/http://scienceray.com/technology/information/the-three-main-types-of-data-collection-tools/http://books.google.com/url?id=F3tSac2PGicC&pg=PT57&q=http://www.bipgroup.com&clientid=ca-print-pub-7392917442895701&channel=BTB-ca-print-pub-7392917442895701+BTB-ISBN:8172253184&linkid=1&usg=AFQjCNFQuURFHID5U3RHCpaDOhRPBcbD3A&source=gbs_pub_info_s&cad=3http://books.google.com/books?idhttp://books.google.com/url?id=HcgGLfxDJSQC&pg=PA72&q=http://www.elsevierhealthindia.com&clientid=ca-print-reed_elsevier_india_pvt_ltd&channel=BTB-ca-print-reed_elsevier_india_pvt_ltd+BTB-ISBN:8131221636&linkid=1&usg=AFQjCNHSklgu2Bxdck2MwPtYxZ84C5sYPA&source=gbs_pub_info_s&cad=2http://books.google.com/books?id=HcgGLfxDJSQC&printsec=copyright&source=gbs_pub_info_s&cad=2http://books.google.com/http://books.google.com/http://books.google.com/http://books.google.com/url?id=8h4Ze5s6sFUC&pg=PA77&q=http://www.ikbooks.com&clientid=ca-print-pub-2792127120201681&channel=BTB-ca-print-pub-2792127120201681+BTB-ISBN:9380578016&linkid=1&usg=AFQjCNHqWlBEDx9hxlaHGnHzP0KasPTerA&source=gbs_pub_info_s&cad=3http://books.google.com/url?id=8h4Ze5s6sFUC&pg=PA77&q=http://www.ikbooks.com&clientid=ca-print-pub-2792127120201681&channel=BTB-ca-print-pub-2792127120201681+BTB-ISBN:9380578016&linkid=1&usg=AFQjCNHqWlBEDx9hxlaHGnHzP0KasPTerA&source=gbs_pub_info_s&cad=3http://books.google.com/books?id=8h4Ze5s6sFUC&printsec=copyright&source=gbs_pub_info_s&cad=3http://books.google.com/books?id=8h4Ze5s6sFUC&printsec=copyright&source=gbs_pub_info_s&cad=3http://books.google.com/url?id=8h4Ze5s6sFUC&pg=PA77&q=http://www.ikbooks.com&clientid=ca-print-pub-2792127120201681&channel=BTB-ca-print-pub-2792127120201681+BTB-ISBN:9380578016&linkid=1&usg=AFQjCNHqWlBEDx9hxlaHGnHzP0KasPTerA&source=gbs_pub_info_s&cad=3http://books.google.com/url?id=8h4Ze5s6sFUC&pg=PA77&q=http://www.ikbooks.com&clientid=ca-print-pub-2792127120201681&channel=BTB-ca-print-pub-2792127120201681+BTB-ISBN:9380578016&linkid=1&usg=AFQjCNHqWlBEDx9hxlaHGnHzP0KasPTerA&source=gbs_pub_info_s&cad=3http://books.google.com/http://books.google.com/books?id=HcgGLfxDJSQC&printsec=copyright&source=gbs_pub_info_s&cad=2http://books.google.com/url?id=HcgGLfxDJSQC&pg=PA72&q=http://www.elsevierhealthindia.com&clientid=ca-print-reed_elsevier_india_pvt_ltd&channel=BTB-ca-print-reed_elsevier_india_pvt_ltd+BTB-ISBN:8131221636&linkid=1&usg=AFQjCNHSklgu2Bxdck2MwPtYxZ84C5sYPA&source=gbs_pub_info_s&cad=2http://books.google.com/books?idhttp://books.google.com/url?id=F3tSac2PGicC&pg=PT57&q=http://www.bipgroup.com&clientid=ca-print-pub-7392917442895701&channel=BTB-ca-print-pub-7392917442895701+BTB-ISBN:8172253184&linkid=1&usg=AFQjCNFQuURFHID5U3RHCpaDOhRPBcbD3A&source=gbs_pub_info_s&cad=3http://scienceray.com/technology/information/the-three-main-types-of-data-collection-tools/http://www.sciencedirect.com/science/article/pii/S0889157510001985http://www.ndsu.edu/ndsu/horsley/ExptSize.pdfhttp://www.ats.ucla.edu/stat/mult_pkg/faq/general/tail_tests.htmhttp://www.who.int/http://www.senate.gov.ph/http://www.pairbondpublications.com/for_students/online_glossaryhttp://www.freepatentsonline.com/5989559.pdfhttp://encyclopedia.thefreedictionary.com/
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