cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.14457/tu.the.2017.980
title: Health care provider-patient communication and self-care behaviors among type 2 diabetes at Mahosot Hospital, Vientiane Capital, Lao PDR

description: This cross-sectional study was aimed to evaluate health care provider-patient communication and self-care behaviors among Type 2 Diabetes at Mahosot Hospital, Vientiane Capital, Lao PDR. Descriptive statistics and multiple linear regression were used to determine the relationship between independent variables and dependent variables. Data collection was conducted by interviewing 226 participants visited OPD, Mahosot Hospital.The finding shows health care provider-patient communication was good (58.0%). For social supports, over half of participants had a moderate to good family supports (59.7%), more than half of participants had poor peer supports (63.3%), and most of participants received information of Type 2 Diabetes Mellitus (92.5%). However, self-care behaviors was poor (59.7%). Regarding to self-care behaviors on dietary practice, more than half of participants was poor (62.4%) while moderate self-care behaviors with dietary was 30.5%. In addition, 6.6% of participants were current smokers. 16.8% of participants were current alcohol drinkers. 75.2% did not check blood sugar at home because of no equipment. Also, 58% of participants had never examined feet for sores or wounds. In addition, 34.5% had forgotten to take disbetic drugs, and 54% of participants had poor medical adherence. Over half of participants (58.8%) had depression. After using a multiple linear regression model, age was associated with self-care behaviors (b= 0.16, p=0.002). This shows the higher age had better self-care behaviors. In addition, education was associated with self-care behaviors (b= 3.19, p=0.022). Moreover, health care provider-patient communication were significantly related to self-care behaviors (b= -0.25, p = 0.043).This study shows that health care provider-patient communication is crucial for self-care behaviors among Type 2 Diabetes. Further studies should emphasize on how to improve this communication to help adjust life styles in order to prevent diabetes complications.
DOI: 10.14457/tu.the.2017.981
title: An exploration of interactional metadiscourse in introduction and discussion in tourism research articles

description: The research article is one of the academic writing forms that is widely used as social genre being employed as a “communicative way among members of a specific discourse community”. Therefore, as noted by Hyland (2004b), by means of metadiscourse analysis, it is used as a valuable means to explore academic writing, rhetorical features and preferences of different discourse communities. Moreover, metadiscourse is an aspect of language; it gives the connection between texts and disciplinary cultures. It helps define the rhetorical context by showing some of the expectations and understandings of the audience for whom a text is written. In line with these significances, the current study was conducted to explore the similarities and the differences in the use of interactional metadiscourse markers in the introductions and discussion sections. Twenty tourism research articles from seven leading international articles in tourism were selected as the sources for analysis. Results indicated that the writers in the tourism field similarly used interactional metadiscourse in both sections of research articles. Furthermore, similar functions were also found in both sections.
DOI: 10.14457/tu.the.2017.983
title: Social support and life-style modification among type 2 diabetes at Champasak Hospital, Lao PDR

description: This study was aimed to assess life-style modification among type 2 diabetes, and identify the relationship between patient’s characteristics, social support, source of information and health care provider-patient’s communication with life - style modification among type 2 diabetes. Face-to-face interviews were conducted in 162 type 2 diabetes who attended outpatient department at Champasak Hospital, Champasak Province, Lao People's Democratic Republic (Lao PDR). Data analysis was performed by using analysis of variance (ANOVA) and multiple regression at significance level of 5%.The study revealed that 51.9 % of participants had poor life-style. Factor associated with life-style modification was doctor-patient communication (p-values 0.04). The group of poor peer support was 92.0%, whereas good family support was 52.5%. Level of satisfaction to health services was in good level (83.3%). On the other hand, doctor-patient communication at poor level was 53.1% which was similar to nurse-patient communication (51.2%). This study found that most participants had limited access on information about Diabetes Mellitus. Most participants (96.3%) could not control their blood sugar level. These findings suggest that health care provider pays a crucial role in assisting diabetes patients on their life-style modification especially in medical adherence. Health policy needs to focus on how to improve blood sugar level among type 2 diabetes.
DOI: 10.14457/tu.the.2017.982
title: Secondary school students' opinions towards multimodal materials in EFL classrooms

description: This mixed-method research study aimed to investigate the multimodal materials that are used in the EFL classroom and explore the students’ opinions towards multimodal materials used in the EFL classroom. The participants of the study were fifty Mattayom five (grade 11) science-math program students from one of the public schools in Nonthaburi province, Thailand. The data was collected through a questionnaire conducted based on information from an interview with the teacher about the multimodal materials used in the classroom. The data from the questionnaire was analyzed to find mean and Standard Deviation (SD). A 5-point Likert Scale was used to score and interpret the data. Open ended questions were analyzed qualitatively in narrative form. The results from the study revealed that text books were the multimodal material most frequently used in the classroom. The students expressed positive opinions through each kind of multimodal materials used in the classroom at the high level. Most students could learn effectively through PowerPoint and they suggested having other multimodal materials used in the classroom.
DOI: 10.14457/tu.the.2017.984
title: Physical activity and its associated factors of healthcare workers in Vientiane Capital, Lao PDR

description: Physical inactivity has adverse health effects for the sedentary workforce. This study aimed to identify predisposing, enabling and reinforcing significant role affecting the physical activity (PA) of healthcare workers in Vientiane, Lao PDR. The cross-sectional study was conducted between April 5th and May 4th, 2018 by using self-administered long form International Physical Activity Questionnaire (IPAQ). The multivariate ordinal logistic regression was performed to identify factors associated with PA levels.  A total of 203 healthcare workers completed the study. The result showed that 42.4% of participants had vigorous PA levels (MET ≥ 3001), 48.3% had a moderate PA level (MET=601-3000) and 9.4% had a low PA level (MET &lt; 600). The younger age group had a 1.14 times higher PA level compared to the older age group (95% CI=0.38-0.45). Male respondents had a 1.1 times higher PA than females (95%CI=0.57-2.12). Married study participants had a 1.40 times higher PA levels than those who were single (95%CI=0.62-3.18). The majority of medical doctors and pharmacists had lower PA levels than nurses, dentists, medical technicians, midwifes and other medical personnel ((OR) ̂=0.86, 95%CI=0.37-1.99). Respondents with an overweight BMI had a 1.74 times higher PA levels (95%CI=0.81-3.75) than those with normal BMIs. Respondents with abdominal obesity showed higher PA compared to those who had a normal waist circumference ((OR) ̂=0.60, 95%CI=0.28-1.29). Those with no, or low, family support showed 0.98 times higher PA than respondents with moderate or high family support (95%CI=0.40-2.44). Respondents with low or no friends’ support had a 0.46 times higher PA than those with higher support (95%CI=0.20-1.04). Participants with no, or low, support from colleagues had a higher level of PA than those with moderate or high level of support ((OR) ̂=1.47, 95%CI=0.72-2.30). Those with no, or low, professional health support had a 0.73 times higher level of PA than respondents with moderate or high level of support (95%CI=0.27-1.97).In conclusion, medical doctors and pharmacist had a lower PA than nurses and other medical personnel. Strong support from family, friends, colleagues and health professionals was not associated with higher PA levels. Keywords: Physical activity, Healthcare workers, Lao PDR
DOI: 10.14457/tu.the.2017.985
title: Alcohol drinking among high school students of Sikhottabong District, Vientiane Capital, Lao PDR

description: A cross-sectional study assessed prevalence and identified factors related to alcohol drinking among high school students in Sikhottabong District, Vientiane Capital, Lao People's Democratic Republic (Lao PDR). Data was gathered in April 2018 by self-administered questionnaire. 296 samples were students in grade 11 through 13 at five high schools and analyzed by descriptive statistics and Chi-squared test. Results were that 36.5% of samples current drink while 39.5% ever drink. Male samples drank more than females, at a rate of 46.6% to 26.7%, respectively. Among current drink, age of start drinking was 10 years. 33.8% was family drink.72.6% of samples ever heard about alcohol law. Current drink in grade 13 more than grade 11 and grade 12.  Factors related to alcohol drinking were gender, academic level, status as smoker or nonsmoker, free time activity, and whether family members and friends drank (p-values&lt;0.05). Grade 13 samples were likelier to drink than younger ones. The reason of drinking alcohol at first time were friend persuasion and party-going, while stopping was mainly motivated by bad taste and lack of friend persuasion. Friends were most often present when samples first tasted alcohol at retail stores, most commonly beer. These findings suggest that enforcement of laws prohibiting sales of alcohol to minors should be more strictly enforced to decrease current availability. Family and friend should also act as role models to decrease sample rate of alcohol drinking.
DOI: 10.14457/tu.the.2017.986
title: Patient trust of OPD service at Mother and Child Hospital, Vientiane Capital, Lao PDR

description: A cross sectional study was conducted to assess patient trust in the outpatient department (OPD) service at the Mother and Child Health Hospital, Vientiane Capital, Lao People's Democratic Republic (Lao PDR). 250 samples had all been OPD patients. Data was gathered by face to face interview from April 1 to 30, 2018. A structured questionnaire addressed general characteristics, doctor-patient relationships, perception to health service quality, and trust in OPD services. Data was analyzed by frequency, percentage, and chi-square test.Results revealed that most samples (96.4%) were female. 38.0% were aged from 25 to 30 years, 31.6% having received bachelor degree. 36.8% were civil servants, earning a monthly household income from two to five million Lak (236.39 to 590.98USD). Almost all were Lao Loum ethnicity and most lived in Vientiane, less than 10 kilometers from the hospital. 42.0% of samples had visited the OPD from twiceto five times. Over half found it easy to access. 69.2% of samples expressed a positive level of trust in the OPD services. Over half (68.4%) had positive levels of perception of hospital service quality, and 67.2% had positive levels in the doctor-patient relationship.It is needed to be established monitoring and evaluation tolls/ indicators to monitor of the service facility quality and trust.
DOI: 10.14457/tu.the.2017.987
title: Motivation of nurses at Mahosot Hospital in Vientiane Capital, Lao PDR

description: Factors affecting the motivation of nurses at Mahosot Hospital, Vientiane Capital, Lao People's Democratic Republic (Lao PDR) were studied. Data was gathered by self-administered questionnaire. 300 samples, all nurses at Mahosot Hospital, provided data, which was analyzed by descriptive statistics and the chi-square test. Results were that most samples were female, aged from 30 to 39, with a mid-level education, and from 10 to 19 years of professional experience. Samples reported high levels of work responsibility, average happiness, and commitment to achieve organizational goals. Age, average monthly income, and years of experience were the most influential factors, in decreasing order of importance. Other influences were job satisfaction, intensive professional challenges, staff welfare, professional mobility, job security, and workplace environment, in decreasing order of importance. These findings suggest that hospital management should promote inter-collegial relationships, professional recognition, career growth, staff responsibility, job characteristics, salary, working conditions, and orientation techniques to improve nursing service qualityKeywords: Motivation, Nurse, Performance, Lao PDR.
DOI: 10.14457/tu.the.2017.988
title: Economic costs of tuberculosis screening by patients in Mahosot Hospital, Lao PDR

description: This study was a descriptive study, to analyze the direct and indirect costs of tuberculosis screening by patients in Mahosot hospital, Lao PDR. In this study we found 50 patients, there were 56% of male, 76% were married. There were 28% of patients aged 60 years and above, 36% completed secondary school. Regarding economic status, average income of the samples was 1,624,000 LAK. More than half (58%) of all samples went to hospital twice. Prior to being diagnosis as TB patient, 76% got X-rays once, 12% got X-rays twice times, 4% got X-rays three times, 56% got Echo once times, and 58% got other checkup twice times. The average of patient travelling cost was 33,720 LAK, patient other cost was 79,520 LAK and administration cost (not included cost of medicine) of the samples was 350,080 LAK. Primary income in the household are patient 46%.The average of household income is 2,615,000LAK.There were 31 patients who has persons accompanied the patient to hospital revealed the following; partner or spouse 32%, relative 32%, other 23%, parents 13%. Their occupational were 39% labor. The average income of accompanying person for visiting hospital was 1,329,000 LAK. The average expenditure of the accompanying person for visiting hospital was 79,000 LAK.According to the result in chapter 4, this study founded the total unit cost of TB screening by Gene X-pert service in National Reference Laboratory was 139,601 LAK. We found total unit cost of material cost was 105,652LAK, capital cost 26,887 LAK and labor cost was 7,062 LAK. The highest cost of this study was material cost, the capital cost was the second and labor cost was the third. The reason, the material cost might do to the highest cost of screening TB by Gene Xpert, because some items were not reusable.
DOI: 10.14457/tu.the.2017.989
title: Adherence to warfarin among cardiovascular disease patients attended at Mahosot Hospital, Lao PDR

description: As adherence to warfarin is becoming an increasingly important part of healthcare in both developing and developed countries, this cross-sectional study aimed to estimate the prevalence of adherence to warfarin among cardiovascular disease patients and its influencing factors at Mahosot Hospital, Lao PDR. This interviews by using structured questionnaires was conducted among 95 respondents in April, 2018. Frequency distribution, mean and standard were computed for descriptive statistics, chi-square test and binary logistic regression analysis were used for analytical part.The prevalence of adherence to warfarin among cardiovascular disease patients was 31.6%. The study also showed that 30.5% of respondents had high knowledge on warfarin level, 33.7% had high health care provider-patient communication level, and 54.7% received a high level of family support and 48.6% received a high level of peer support for adherence to warfarin. Binary logistic regression analysis showed that four variables influenced adherence to warfarin: knowledge on warfarin (OR= 5.78, 95% CI= 2.22-15.03), high health care provider-patient communication level (OR= 1.50, 95% CI= 0.61-3.69), and high family support (OR= 2.56, 95% CI= 1.02-6.42) and also high peer support level (OR=3.73, 95% CI= 1.48-9.43). The finding of the study could help create guidelines for a health education program on the rational use of drugs and to provide behavior change communication training and programs.
DOI: 10.14457/tu.the.2017.990
title: Utilization of personal protective equipment in dental practice at dental hospital University of Health Sciences, Vientiane Capital, Lao PDR

description: The principles of Universal Precautions are central to infection control in dental practice. These principles also provided the guidelines for the use of personal protective equipment (PPE). This study investigated PPE practices (Glove, Mask, and Cap, Gown and Eye protection) of dentists in dental hospital university of health sciences, Vientiane capital, LAO PDR. In April 2018, data was gathered by self-administered questionnaire (79 participants), clinical observation (18 participants) and analyzed by descriptive statistics and Chi-squared for variables association.Most of the participants were in clinical practice for ten years or less (62%). The majority were graduated DDS (63%), their age were 39 years or younger (77%). The participants’ glove practicing were high (100% from clinical observation and 85% from questionnaire). Mask and Gown practicing were also high according to the data from clinical observation (95% and 100% respectively). However, other PPE practicing’s were lower than 50%. The predictor variable for glove practicing was female (p-value: 0.01), for mask practicing was DDS (p-value: 0.02). This study also found that dentists from the department of periodontics performed better PPE practicing compared to other departments. Sufficient supply of PPE and the management within the Department showed a strong association to PPE practicing compared to individual factors, this should be helpful for the hospital administrators for future programs to improve dentist PPE practicing.
DOI: 10.14457/tu.the.2017.1000
title: การตีความการใช้มาตรการบังคับใช้สิทธิเหนือสิทธิบัตรยา: ผลกระทบและโอกาสสำหรับประเทศไทย

description: ประเทศไทยได้มีการประกาศใช้มาตรการบังคับใช้สิทธิเหนือสิทธิบัตรยากับยา 7 รายการ และยังมีแนวโน้มว่าจะประกาศกับยารักษาโรคอีกต่อไป ด้วยเหตุผลด้านยาราคาแพง ทำให้ผู้ป่วยไม่สามารถเข้าถึงยาได้ อย่างไรก็ดี การใช้มาตรการบังคับใช้สิทธิดังกล่าวก่อให้เกิดการวิพากษ์วิจารณ์ว่าประเทศไทยไม่ได้ดำเนินการตามที่ความตกลงทริปส์กำหนด และยังก่อให้เกิดผลกระทบทางเศรษฐกิจโดยสำนักผู้แทนการค้าสหรัฐอเมริกา (United States Trade Representative: USTR) ได้ตัดสิทธิทางภาษีกับสินค้าบางรายการซึ่งประเทศไทยส่งออกต่อสหรัฐอเมริกา อีกทั้งยังเกิดปัญหาทำให้ผู้คิดค้นยารักษาโรคใหม่ โดยเกรงว่าหากมาจดทะเบียนทรัพย์สินทางปัญญาในไทย อาจถูกบังคับใช้สิทธิเหนือสิทธิบัตร ซึ่งส่งผลให้ประเทศไทยไม่ได้รับการถ่ายทอดเทคโนโลยีด้านยาใหม่จากผู้ทรงสิทธิในสหรัฐอเมริกาการศึกษานี้มีวัตถุประสงค์เพื่อศึกษาถึงปัญหาการใช้มาตรการบังคับใช้สิทธิเหนือสิทธิบัตรยา ภายใต้กรอบกฎหมายขององค์การการค้าโลก อันได้แก่ ความตกลงว่าด้วยทรัพย์สินทางปัญญาที่เกี่ยวกับการค้า (“ความตกลงทริปส์”) ด้วยการนำหลักการตีความสนธิสัญญาแบบวิวัฒนาการและหลักความจำเป็นมาใช้ประกอบการตีความมาตรการบังคับใช้สิทธิเหนือสิทธิบัตรเพื่อขจัดปัญหาการที่ต่างชาติมองว่าการใช้มาตรการบังคับใช้สิทธิของประเทศไทยเป็นไปโดยไม่ชอบด้วยกฎหมายระหว่างประเทศ รวมถึงการกระทำให้เป็นไปตามเจตนารมณ์ของความตกลงดังกล่าว โดยผลจากการศึกษาพบว่าประเทศไทยได้มีการปรับปรุงกฎหมายภายในให้เป็นไปตามความตกลงทริปส์และความตกลงต่างๆที่เกี่ยวข้องแล้ว ยกเว้นแต่พิธีสารแก้ไขเพิ่มเติมความตกลงทริปส์ ข้อ 31bis อีกทั้ง  จากการศึกษาการตีความบทบัญญัติมาตรการบังคับใช้สิทธิเหนือสิทธิบัตรภายใต้หลักการตีความสนธิสัญญาแบบมีวิวัฒนาการกับคดีการค้าระหว่างประเทศ พบว่าหลักเกณฑ์การตีความดังกล่าวสนับสนุนการใช้มาตรการบังคับใช้สิทธิเหนือสิทธิบัตรยา ทั้งนี้ในส่วนของการศึกษาทางเศรษฐศาสตร์ ผู้เขียนได้ศึกษาผลดีและผลเสียของการประกาศใช้มาตรการบังคับใช้สิทธิเหนือสิทธิบัตรทางเศรษศาสตร์ ภายใต้ทฤษฎี cost-benefit analysis โดยใช้ต้นทุนคือ ความสูญเสียทางการส่งออกและการลดลงของการจดทะเบียนสิทธิบัตร ในส่วนของผลประโยชน์ คือ การที่ประชาชนทุกคนเข้าถึงยารักษาโรคซึ่งมีราคาแพงและการประหยัดซึ่งงบประมาณด้านการสาธารณสุข จากผลการศึกษาพบว่าเป็นผลดีต่อสังคมไทยมากกว่าผลเสียที่ได้รับ
DOI: 10.14457/tu.the.2017.1001
title: การศึกษาเชิงนิติเศรษฐศาสตร์มาตรฐานติดฉลากสารก่อภูมิแพ้สินค้า coconut milk drink ของไทยที่ส่งออกไปยังประเทศออสเตรเลีย

description: การศึกษาครั้งนี้มีวัตถุประสงค์ในการศึกษา 2 ข้อ คือ 1) ศึกษามาตรการฉลากสินค้า Coconut Milk Drink ที่ส่งออกไปออสเตรเลีย เปรียบเทียบกับมาตรฐานสากล และ 2) ศึกษาความเข้าใจและตระหนักถึงการส่งออกในสินค้า Coconut Milk Drink ไปยังประเทศออสเตรเลียของผู้ส่งออกไทยผลการศึกษาพบว่ามาตรการการติดฉลากสารก่อภูมิแพ้ในสินค้า Coconut Milk Drink ของประเทศออสเตรเลียเป็นกฎระเบียบที่สำคัญเพื่อชี้แจงรายละเอียดผลิตภัณฑ์แก่ผู้บริโภค ซึ่งสินค้า Coconut Milk Drink เป็นผลิตภัณฑ์นมทางเลือกจากพืช (Plant based dairy alternative product) เหมาะสำหรับผู้บริโภคที่แพ้นมวัว แพ้อาหาร ไม่บริโภคนมจากสัตว์ และผู้ดูแลสุขภาพ ดังนั้นฉลากสารก่อภูมิแพ้เป็นการให้ข้อมูลแก่ผู้บริโภคเพื่อลดความเสี่ยงในความเข้าใจของผลิตภัณฑ์ และคุ้มครองผู้บริโภคในการเลือกซื้อผลิตภัณฑ์มาตรการการติดฉลากสารก่อภูมิแพ้ดังกล่าวเป็นมาตรการเทียบเคียงกับมาตรฐานสากล อาทิ มาตรฐานโคแด็กซ์ (Codex) และสอดคล้องกับมาตรการสุขอนามัยและสุขอนามัยพืช (SPS) และความตกลงว่าด้วยการลดอุปสรรคเทคนิคทางการค้า (TBT) และผู้ส่งออกสินค้า Coconut Milk Drink ของไทยให้ความสำคัญในการติดฉลากสารก่อภูมิแพ้และปฏิบัติตามกฏระเบียบอย่างเคร่งครัด
DOI: 10.14457/tu.the.2017.992
title: Magnetic nanoparticle–graphene oxide composite using coprecipitation and solvothermal processes for strontium removal

description: In this study, ferrite nanoparticles were attached on graphene oxide (GO) to enable magnetic separation using coprecipitation and solvothermal process. X-ray diffraction (XRD), Scanning Electron Microscope (SEM), Fourier Transform Infrared Spectrometer (FTIR). Thermal Gravimetric Analysis (TGA), and Vibrating Sample Magnetometer (VSM), were used to characterize the composites, and examine the attachment of ferrite nanoparticles onto the graphene oxide and the sulfonated graphene oxide (SGO). It was found that ferrite particles have been successfully attached on GO and SGO surfaces. In addition, cation adsorption experiment was carried out to evaluate the potential of using these composites in the strontium removal based on contact time, pH, and the adsorption isotherm using Sr. The ferrite nanoparticles GO and SGO composites could be separated and recovered by magnetic separation with the highest cation adsorption capacity attained at pH 8 and contact time of about one hour. These composites show potential for Sr removal with rapid separation time.