bluuebunny/crossref_metadata_2025_split huggingface dataset:
ทัศนคติต่อการรับบริการทางสุขภาพจิตของนิสิต คณะแพทยศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย
Authors:   , ประสานเกลียว เหิร 
Published: April 2023

นิสิตแพทย์เป็นกลุ่มประชากรที่เป็นกำลังขับเคลื่อนกระบวนการสาธารสุขไทยในอนาคต ทัศนคติต่อการรับบริการทางสุขภาพจิต เป็นรากฐานสำคัญต่อสุขภาวะที่ดีของนิสิตแพทย์ที่ต้องเผชิญกับความกดดันจากการเรียนการทำงาน ดังนั้น วัตถุประสงค์ของงานวิจัย เพื่อศึกษาทัศนคติต่อการรับบริการทางสุขภาพจิต เพื่อเปรียบเทียบทัศนคติต่อการรับบริการทางสุขภาพจิต เพื่อศึกษาปัจจัยที่มีความสัมพันธ์กับทัศนคติต่อการรับบริการทางสุขภาพจิต และเพื่อสร้างสมการพยากรณ์ทัศนคติต่อการรับบริการทางสุขภาพจิตของนิสิตคณะแพทยศาสตร์ การวิจัยนี้ เป็นการศึกษาเชิงพรรณนา เก็บข้อมูลกับ กลุ่มตัวอย่างนิสิตชั้นปีที่ 1 ถึง 6 ที่มีสภาพนิสิตในหลักสูตรแพทยศาสตรบัณฑิต คณะแพทยศาสตร์ จุฬาฯ จำนวน 362 คน เครื่องมือที่ใช้ในการเก็บข้อมูล ได้แก่ แบบสอบถามแบบ Likert scale 5 ระดับ ประกอบด้วย แบบสอบถามพฤติกรรมการเลือกเข้ารับบริการทางสุขภาพจิต แบบสอบถามวัดแรงจูงใจในการเรียนแพทย์ แบบวัดกลวิธีการเผชิญความเครียดเชิงรุก แบบประเมินทัศนคติต่อการรับบริการทางสุขภาพจิต สถิติที่ใข้ในการวิจัย ได้แก่ ความถี่ ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน t-test การวิเคราะห์การแปรปรวน ค่าสหสัมพันธ์แบบเพียร์สัน และการถดถอยพหุคูณ
ผลการวิจัย พบว่า ทัศนคติต่อการรับบริการทางสุขภาพจิตมีค่าเฉลี่ยระหว่าง 1.55 – 2.78 ทัศนคติต่อการรับบริการทางสุขภาพจิตมีความแตกต่างในตัวแปร เพศ ชั้นปี ความเพียงพอของรายได้ บุคคลในครอบครัวเป็นผู้ป่วยจิตเวช บุคคลที่รู้จักเป็นผู้ป่วยจิตเวช การออกกำลังกาย เวลาพักผ่อนโดยเฉลี่ยต่อวัน และการมีโรคประจำตัวและ แหล่งให้บริการทางสุขภาพจิต ทัศนคติต่อการรับบริการทางสุขภาพจิตมีความสัมพันธ์กับ ปัจจัยส่วนบุคคล แรงจูงใจในการเรียนแพทย์ กลวิธีในการเผชิญความเครียดเชิงรุก พฤติกรรมการเลือกเข้ารับบริการทางสุขภาพจิต และสมมการการถอดถอย ได้แก่ การเปิดรับทางจิตใจ = 1.15 + 0.313กลวิธีการเผชิญความเครียดเชิงรุก - 0.26เพศ - 0.322บุคคลในครอบครัวเป็นผู้ป่วยจิตเวช + 0.187 การเตรียมความพร้อม - 0.240เกรดเฉลี่ย - 0.214พฤติกรรมการเลือกเข้ารับบริการทางสุขภาพจิต - 0.110ความมั่นคง
Determinants of maternal health services utility among adolescent mothers in Indonesia : an analysis of 2017 Indonesia demographic and health survey
Authors:   , Nuryana Dewi 
Published: April 2023

Maternal Mortality Ratio (MMR) in Indonesia remains high with 305 death per 100,000 live birth in 2015. Approximately 36 of 1000 adolescent girls (15-19 years old) in Indonesia experienced childbirth and face the higher risk for maternal mortality than older women. The aims of this study are to assess maternal health services utility (antenatal care (ANC), delivery services, and postnatal care (PNC)) level and to identify determinants of maternal health services utility among adolescent mothers in Indonesia. The design of this study is cross-sectional survey using secondary data from 2017 Indonesia Demographic and Health Survey (IDHS). The study population is women who had last birth at the age of 15-19 years old which total is 866 women. The descriptive statistics was used to assess the utilization of maternal health services level along with a simple logistic regression and multivariable logistic regression to identify the contributing factors. Among adolescent mothers, the highest level of utility is PNC (71.5%) followed by ANC (67.2%) then delivery services (64.5%). Factors that associated with ANC utilization are husband/partner’s education, mother’s autonomy, region, husband accompanied during ANC, topic discussed during ANC, and intendedness of last birth (p<0.05). Factors contributed to delivery services are mother’s education, mother’s working status, mother’s autonomy, residence, region, wealth index, health insurance, husband accompanied during ANC, and topic discussed during ANC (p<0.05). Whereas, for PNC utilization are knowledge of danger sign during childbirth, residence, region, and delivery services utilization (p<0.05). As the study’s results found that knowledge or education of adolescent mothers had significant association with some maternal health services utilization but only region was significantly associated with the three utilizations, therefore strategic policies and programs’ approach to adolescent mothers should focus on 1) Expanding health care coverage in every region, 2) Providing maternal education for women and men, and 3) Expanding the health insurance coverage.
Digital storytelling for Cambodian undergraduate students’ EFL reading and digital literacy
Authors:   , Hon Vychan 
Published: April 2023

The objectives of the study were threefold: (1) to investigate the effect of Digital Storytelling on Cambodian Undergraduate Students’ English reading ability, (2) to explore Cambodian Undergraduate Students’ perception on their digital literacy after participating in Digital Storytelling, (3) to explore Cambodian Undergraduate Students’ perceptions on Digital Storytelling,. The participants of the study were English-majored students (n = 18) in the foundation year from the School of Foreign languages (SFL) at the University of Cambodia (UC). Both qualitative and quantitative data were collected. For the first research objective, a Wilcoxon Signed Rank test was implemented to determine the difference between the pre-and post-English tests, followed by the effect-size calculation. For the second research objective, descriptive statistics, content analysis, and Friedman’s test were used. For the third research objective, content analysis was utilized. The results of the study showed that the post-test scores of the students from the English reading test were higher than the pretest scores of the students at a significant level (p < .05) with a large effect size of 0.69. Furthermore, After participating in Digital Storytelling, the student had positive perceptions toward their digital literacy. In general, they held positive perceptions toward Digital Storytelling.
Effect of dietary microencapsulated organic acid and essential oil on sow performance and nursery piglet growth performance and fecal bacteria
Authors:   , Riadini Aprilia 
Published: April 2023

The effect of feed supplementation with microencapsulated organic acids and essential oils (MOE, Porcinate+) in feed was investigated according to sow and nursery pig growth performances, and fecal bacteria population. Experiment 1: healthy three hundred and twenty sows during its late gestation period (7 days before farrowing) until the weaning phase (28 days after farrowing) were randomly divided as control group (160 sows) which was fed with basal diet, and treatment group (160 sows), which was fed with basal diets supplemented with 2 kilograms (kg) of MOE in 1 ton of feed. Each of 4 replications was composed of 40 sows in control and 40 sows in treatment groups. The results showed that sow back fat (BF) thickness and body condition score (BCS) were significantly decreased during late gestation phase until weaning within groups. However, BCS and BF thickness in treatment group were significantly higher compared to the control group at wean. The percentage of shoulder ulcer and score during lactation were lower in treatment group compared to control group. Furthermore, the positive correlation between BF to BCS tends to be found (p=0.01, r=0.362). Weaned pig numbers and weight were significantly increased in the treatment group compared to the control group. Experiment 2: two thousand and eight hundred weaned pigs were randomly divided into two groups; the control group (1400 pigs) which was fed with basal feed without MOE), and the treatment group (1400 pigs) which was fed with basal feed + MOE 2 kg/1 ton between 28 - 42 days old, and basal feed + MOE 1 kg/1 ton between 43 - 56 days old, respectively. The outcome revealed that average daily gain (ADG), average daily feed intake (ADFI), and feed conversion ratio (FCR) were statistically better in treatment than control groups. At the beginning and middle of the experiment, average number of coliform bacteria, E. coli, and Lactobacillus spp. in feces, including L/T and L/C ratios tended to have no significant difference between treatment than control groups. However, at the end of experiment (56 days of age), all bacterial population of both groups seemed to be statistically different, except the L/T and L/C ratios. In conclusion, feed supplementation with microencapsulated citric, fumaric, malic, and sorbic acid as organic acid mixture and eugenol, thymol, and vanillin as essential oil mixture offers better sow performance, increasing weaning pig weight gain and feed efficiency.
Religious Liberty for all? A religious right to abortion
Authors: Mala Corbin Caroline 
Published: April 2023

One of the most notable trends in recent Supreme Court jurisprudence is the expansion of religious liberty rights. The right to practice one’s faith is a core feature of a democracy, but the Supreme Court has privileged that right over other equally critical ones, most notably the right to equal treatment. Thus, for example, the Court has held that for-profit companies have a religious right to exclude contraception from their health insurance plans and that nonprofit charities have a religious right to refuse to place foster children with same-sex couples. In these and similar cases, the religious beliefs aligned with conservative Christianity.	But what if the religious liberty claim were not brought by a conservative Christian but by a progressive Christian, or not a Christian at all, and the religious belief collided with traditional Christian ideology? More precisely, what might be the result of a religious liberty challenge to an abortion ban? This question is not farfetched, as Jewish and other faith groups in multiple states are challenging restrictive abortion laws based upon religious freedom. These plaintiffs argue that their state’s abortion ban impedes their ability to live out the commandments of their faith. Would the Supreme Court retrench its religious liberty doctrine in the face of these lawsuits? Or would expansive religious liberty exemptions be available for progressive views as well as conservative ones? Or neither? This Essay examines that question, as well as the implications of denying the progressive religious liberty claim.	Part I outlines the ballooning of religious liberty rights, and how they have usually helped conservative white Christians at the expense of less powerful groups. Part II applies the current expansive doctrine to a claim for a religious right to abortion, arguing it should succeed given recent decisions. Part III suggests that, despite the current doctrine, the Court will likely reject the claim and discusses what this failure indicates about the future of the Supreme Court.
Late Neolithic Expansion
Authors: Winther Johannsen Jens 
Published: April 2023

Although the Scandinavian Late Neolithic today is mainly defined by the introduction of bifacial flint work, particularly daggers, agricultural intensification must also be seen as a part of the Late Neolithic package, which developed under Bell Beaker-influence in Jutland around 2350 BCE. It is argued that the changes in subsistence led to a population increase, which was the background for the spread of the new Late Neolithic culture in Scandinavia. A delay in the introduction of the Late Neolithic in East Denmark is, among other things, reflected in the scarcity of Bell Beaker-related artefacts in the region. It is suggested that this must be understood on the background of old cultural differences between West and East Denmark.
Outcomes of patients with haematological malignancies and febrile neutropenia at the Universitas Academic Hospital multidisciplinary intensive care unit, Free State Province, South Africa
Authors: Martins C D S , Maasdorp S D 
Published: April 2023

Background. Mortality rates in patients with haematological malignancies who required intensive care unit (ICU) admission have in the past been high. More recently, however, improved outcomes for critically ill haematological patients have been reported.
Objective. To determine outcomes, average length of ICU stay, and factors associated with mortality in patients with haematological malignancies and neutropenic fever in the multidisciplinary ICU (MICU) at Universitas Academic Hospital (UAH), Bloemfontein, Free State Province, South Africa.
Methods. We conducted a retrospective review of medical and laboratory records of all patients admitted to the UAH MICU with haematological malignancies and febrile neutropenia between 2010 and 2019.
Results. A total of 182 patients with haematological malignancies were admitted to the MICU between 1 January 2010 and 31 December 2019, of whom 51 (28.0%) fulfilled the inclusion criteria for the study. The median age was 33 years, and 29 patients (56.9%) were female. Most patients had either acute myeloid leukaemia (n=22; 43.1%) or acute lymphocytic leukaemia (n=16; 31.4%), while B-cell lymphoma (n=12; 23.5%) and multiple myeloma (n=1; 2%) were less frequent. The median length of stay in the ICU was 3 days. ICU mortality was 76.5% and hospital mortality 82.4%. Factors associated with mortality included septic shock, vasoactive agent use and mechanical ventilation.
Conclusion. Patients with haematological malignancies and febrile neutropenia in the UAH MICU have high ICU and hospital mortality rates. More needs to be done with regard to timeous management of patients with haematological malignancies and septic shock in our setting to improve survival.
Tapentadol Nasal Spray is an Effective Way of Pain Management after Tooth Extraction: A Randomized Control Clinical Trial
Authors: Mazhari Md. Khizar Hussain , Chandra Jagadish , Sequeira Joyce P. 
Published: April 2023

Background: Tapentadol nasal spray (Tapease NS) application is a novel method of pain management attributable to its action on higher centers for pain management in contrast to non-steroidal analgesics. The study aims to compare the efficacy of post-extraction pain control between Tapentadol nasal spray and oral administration of Diclofenac (50mg tablet).
Methodology: Fifteen subjects (30 sides) between the age group of 18-50 years with bilateral extraction of teeth were randomly selected for the study. Tapentadol nasal spray [22.5mg x 2=45mg] was administered on the right side every 8 hourly. The second extraction was done after 7 days on the left side and administered Diclofenac tablet at eight hourly intervals. Both groups received the therapy drugs for 3 days and the pain was assessed using the pain analog scale in both cases.
Results: The subjects administered with Tapentadol nasal spray did not experience any pain and controlled group receiving the Diclofenac tablet experienced pain and were administered with rescue analgesics.
Conclusion: Tapentadol nasal spray demonstrated a favorable outcome compared to the Diclofenac tablet in managing post-extraction pain. Hence, the proposed Tapentadol nasal spray is an optimal choice of analgesia recommended over other forms of oral analgesia post-extraction determined through thorough evaluations and approved questionnaires received from patients.
Paternity on the younger men’s: experiences, changes and possibilities / Paternidade entre homens jovens: vivências, mudanças e possibilidades
Authors: De Assis Veiga Maria Beatriz , Ribeiro Maciel Mayara , Pezzini Souza da Silva Klayn Bianca , Regina Ribeiro Cláudia , Lemos Adriana 
Published: April 2023

Objetivo: apresentar as percepções de homens jovens sobre a vivência da paternidade. Método: estudo qualitativo, realizado através de entrevista com 12 jovens de idade entre 18 e 24 anos, captados pela técnica de bola de neve e saturação teórica. O tratamento dos dados deu-se pela análise de conteúdo. Resultados: os jovens pais encontravam-se em cenário socioeconômico desfavorecido. A paternidade foi associada a isolamento e perdas, mas também à renovação e novas perspectivas. O provimento financeiro do filho foi um aspecto relacionado a exigências do modelo de masculinidade e paternidade vigentes, o que pode dificultar a vivência de outras formas de ser pai. Considerações finais: é necessária a implementação de políticas públicas que possibilitem aos rapazes gerenciarem sua vida reprodutiva de forma saudável e responsável, estabelecendo discussões quanto a gênero e masculinidade, para favorecer a vivência de uma paternidade menos calcada nas normas de masculinidade vigentes.
Swyer syndrome: an unusual presentation
Authors: Morsy A.H. , Al‐Fadly A. , Mokhtar S. , El‐Aasar E.M. , Farag T.I. 
Published: July 2002

AbstractWe report a 27‐year‐old XY female who presented with abdominal pain due to hemoperitoneum from a ruptured abdominal mass. Gonadoblastoma overgrown by endodermal sinus tumor and dysgerminoma was detected. The risk of neoplasia in such cases is discussed.
An evaluation of quality of life in patients with continent urinary diversions after cystectomy
Authors: Sullivan  , Chow  , KO  , Wright  , Mcloughlin  
Published: July 2002

Objective To determine the long‐term results and assess the quality of life in patients with continent urinary diversions after cystectomy.Patients and methods Eighty‐six consecutive patients who received a continent urinary diversion from 1988 to 1994 at the Vancouver Hospital and Health Sciences Center were evaluated. The evaluation comprised a review of their hospital charts and clinic visits at 3 months and then yearly. Quality of life issues were assessed using a postal questionnaire pertaining to the patient’s urinary symptoms, activity level and overall well‐being while living with a continent urinary diversion. Two separate questionnaires were sent, addressing heterotopic or orthotopic diversions.Results There was an acceptable rate of complications, with stone formation and urinary tract infection as the most common morbidities. Continence was rated as good in most patients, with no patient reportingcomplete incontinence. Undesirable urinary symptoms occurred less often than 20% of the time in most patients. Although there was a significant effect on sex life, the overall quality of life appeared to be very good, as 70% of the patients had no limitations to their activities.Conclusions The techniques currently evolved for urinary diversion produce good long‐term results and quality of life. These diversions should be considered in a well selected patient population.
The effects of an HIV‐1 immunogen (Remune) on viral load, CD4 cell counts and HIV‐specific immunity in a double‐blind, randomized, adjuvant‐controlled subset study in HIV infected subjects regardless of concomitant antiviral drugs
Authors: Turner JL , Kostman JR , Aquino A , Wright D , Szabo S , Bidwell R , Goodgame J , Daigle A , Kelley E , Jensen F , Duffy C , Carlo D , Moss RB 
Published: July 2002

Objective  We examined the activity of an HIV‐1 immunogen (Remune) on viral load, CD4 cells and HIV‐1 specific immunity.Methods  Plasma and peripheral blood mononuclear cells were obtained in a predefined random subset of subjects (n = 252) from a multicentre, double‐blind, adjuvant‐controlled phase III clinical endpoint study.Results  The subjects treated with the HIV‐1 immunogen had a significantly greater decline in viral load at multiple time points (P < 0.05), a trend towards increased CD4+ T cell counts and significantly enhanced HIV‐1 specific immune responses as measured by HIV‐1 lymphocyte proliferation (P < 0.001) compared to the adjuvant control group. Furthermore, in the HIV‐1 immunogen treated group, enhanced HIV‐1 specific lymphocyte proliferative immune responses were associated with decreased HIV‐1 plasma RNA.Conclusion  These results suggest that, in a predefined, random subset of subjects, a beneficial effect of the HIV‐1 immunogen was observed on viral load, CD4+ T cells, and HIV‐specific immunity. These differences were observed in a background of multiple drug therapies. Ongoing trials are evaluating the effect of the combination of this HIV‐1 specific, immune‐based therapy with potent antiviral drug therapy on virological outcomes.
The role of scleral contact lenses in modern hospital practice
Authors: Kempster A. Jayne 
Published: July 2002

SummaryExamination of the contact lens records at Birmingham and Midland Eye Hospital reveals that, despite the introduction of hydrogel and gas permeable contact lenses, there are still 4% of hospital patients who require fitting with scleral poly (methyl methacrylate) (PMMA) contact lenses. This percentage has changed considerably since 1963 when 100% of patients were supplied with these lenses. However, the proportion has remained constant over the last ten years, although the actual number of contact lens patients has increased considerably. The same number of contact lenses were supplied in 1963 and 1993. The patient categories show an interesting distribution: the keratoconics and postcorneal grafts account for 62%, cosmetic shells for 13%, high myopes 10%, and despite the seat‐belt legislation there are still 8% traumatic aphakics. The miscellaneous group essentially represent lens handling problems often due to poor desterity because of arthritic hands.These statistics would indicate that there is still a role for scleral lenses and they are likely to be needed in the future. It is, therefore, disheartening to realize that this is a skill that may be lost to the next generation of contact lens practitioners because scleral fitting is no longer a compulsory aspect of the undergraduate optometric courses.
Determination of the total attenuation coefficient for six contact lens materials using the Beer–Lambert law
Authors: Hull Christopher C. , Crofts Neil C. 
Published: July 2002

SummaryThe Beer–Lambert law has been used to determine the total attenuation coefficient, μt, of three hard and three soft contact lens materials. The three hard contact lens materials were PMMA, Polycon II and Boston IV whereas the 3 soft materials were chosen with differing water contents of 38, 55 and 70%, respectively. The total attenuation coefficients of all six materials were obtained from measurements of the axial transmission at 632.8 nm of a series of plano powered lenses varying in axial thickness from 0.5 to 3.5 mm. The value of the total attenuation coefficient depends on both scattering and absorption and hence PMMA and Boston IV, which both incorporated a handling tint, showed significantly higher values (P < 0.0001) of μt (0.562 ± 0.010 mm−1 and 0.820 ± 0.008 mm−1, respectively) than Polycon II (μt = 0.025 ± 0.005 mm−1). A comparison between Polycon II and the three hydrated soft contact lens materials showed a significant increase (P < 0.02) in the total attenuation coefficients for the 38% and 55% water content materials, and a weakly significant increase for the 70% water content soft lens material (P < 0.1). On the assumption that the absorption coefficients of these four materials are approximately constant, then this change would be due to an increase in the scattering coefficient of the material and could contribute to an increase in intraocular scatter. No significant difference (P > 0.5) was found between any of the hydrated soft contact lens materials tested.