plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Developing a Stroke-care Model for the Outpatient Department, Thoen Hospital, Lampang Province 
abstract:To develop a stroke-care model for the outpatient department, Thoen Hospital in
Lampang Province, 32 patients were studied in the period February -July 2007 (six months)
by a multidisciplinary team. The method of study was a three-dimensional framework.
The first dimension was to strengthen the health-care team, focusing on control of comorbid
conditions and risk factors. It was found that, in the DM-patient group of 13
cases, the results of risk control as the compliance levels of blood pressure, plasma fasting
glucose, TG and LDL were about 23.08, 30.77, 69.23 and 23.08 percent, respectively. In
the group of 14 cases without DM but having other risk factors, we found that the levels
of blood pressure, TG and LDL were under control at 64.29, 57.14 and 14.29 percent, respectively.
By monitoring for new risk factors, we could detect such factors in 24 cases
(75%), for whom we controlled both their previous and new risk factors purposely in
order to reduce stroke recurrence. The second dimension was to encourage self-care
behavior in the patients and their caregivers; we could empower 30 cases (93.75%) to
achieve successful rehabilitation. For evaluating the quality of life, we used the Barthel
Index of Activity of Daily Living; we found that the score had statistically significantly
increased (p = 0.005). The stroke patients could pass their post-test in the topics of nutrition,
domestic vegetables and traditional Thai medicine; the increase was significant (p =
0.005). The last dimension was for providing competency for the partnership of the community
health-network. The local government and a volunteer-group participated in
home health-care activities for stroke patients in the villages. For improving the quality
of life for the stroke patients, many community plans have been implemented, such as
the screening activities among the population at risk for stroke prevention and fostering
health promotion in the Thai style. In conclusion, there is a limitation on stroke care in
the outpatient department of the community hospital, but with such a model, using the
concept of a multidisciplinary team, the effectiveness of integrated health care for stroke
patients could definitely be improved.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Result of Phototherapy for Neonatal Jaundice Compared with the Use with and without Blue Light Lamps in Thabo Crown Prince Hospital, Nongkhai Province 
abstract:Neonatal jaundice is a common and, in most cases, benign problem in neonates. The
treatment of neonatal jaundice is indicated in pathologic jaundice and the goal of therapy
is to prevent the concentration of unconjugated bilirubin in the blood from reaching levels
at which neurotoxicity may occur. For more than three decades, phototherapy has been the standard of care for the initial treatment of neonatal jaundice. A retrospective
study about the result of treatment for neonatal jaundice compared between phototherapy
with and without blue light lamps was done in Thabo Crown Prince Hospital from October
1, 2004 to September 30, 2007. The purpose of this study was to identify which type of
lamp used in phototherapy was more effective in decreasing the blood bilirubin level.
This study showed that the highest blood bilirubin level during treatment with phototherapy
without blue light lamps was significantly higher and also the length of stays for
treatment was significantly longer than in the group that used phototherapy with blue
light lamps. Although many factors affect the efficacy of phototherapy in decreasing the
blood bilirubin level, one of the important factors is the type of lamps used. This study
suggests that, for the treatment of neonatal jaundice to be effective, phototherapy with
blue light lamps is recommended.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Outcome of Having an HIV Clinic in Sawangdandin Crown Prince Hospital, Sakon Nakhon Province 
abstract:A clinic for HIV-infected patients was set up at the Sawangdandin Crown Prince
Hospital, Sakon Nakhon Province in October 2002. This study was conducted during the
period from October 2002 through September 2007 to collect clinical as well as administrative data from the outpatient and inpatient medical records of all HIV patients who
attended the Clinic during the period October 2002 to September 2007. Descriptive data,
i.e., frequency, percentage, means and standard deviation, median, minimum and maximum
values, derived from the use of the Mann-Whitney U test and Kruskal Wallis test
were obtained.
The results showed that the HIV-infected patients were 54.4 percent male and 45.6
percent female, their average age 35.5 years, education status 72.3 percent primary school,
agriculture 73 percent, and heterosexual infection risk 93 percent. There were significant
differences in the median amounts of CD4 when they started taking anti-HIV drugs (p
value= 0.035). There was no statistically significant difference in the median duration
from contracting HIV infection to the treatment period (p = 0.113). The most common
drug regimen used was Nevirapine, Lamivudine and Stavudine during the periods 2002-
2004 and 2005-2007 (75.8%), and the response rate was 81.7 percent. There was no statistically
significant difference in median duration of response to anti-HIV drugs depending
on the amount of CD4 (p= 0.088). Side effects of anti-HIV drugs included skin rashes,
neuritis and cheek lipoatrophy. The most common of the opportunistic infections was
pulmonary tuberculosis. The initial time to receive drugs was quite delayed when a CD4
level of lower than 100 cells/ml was used as an indicator. When acute symptoms subsided,
the majority of patients moved to new working areas and received drugs via relatives.
The result was inconsistent taking of drugs and drug resistance usually developed
thereafter. In such a context, the author has suggested that HIV patients should be given
information about opportunistic infection and CD4 levels. Regular care and medications
for the patients would be effective if high-quality networks are set up. Finally, it is
importanct to pursue the cooperation of organizations offering work and proper income
for the patients after their condition has been improved by treatment with anti-HIV drugs.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Study of Intentional Suicide in a District Hospital 
abstract:This was a retrospective study on intentional self-harm among patients at
Khoksamrong Hospital in the years 2004-2006. The patients were those who intentionally
attempted suicide but survived, and who were brought to Khoksamrong Hospital
for treatment. Data were collected using a standard form for depression and a self-harm
surveillance system (report 506.DS) and a form to collect data from death certificates
( M.B.1.). Women comprised the majority of the cases (64.17%), married persons (58.33%)
and laborers (49.17%). Most of them (96.67%) had attempted suicide for the first time.
Common precipitating causes (48.33%) were “personal conflicts with a close person and
love affair problems.” A common self-harm method was “ingesting a sedative” (21.67%).
Of eight cases who died among the 120 suicidal patients hospitalized, the youngest was
25 years old and the oldest 70 years old. The most common stimulating event among the
cases of mortality were “personal conflicts with a close person and love affair problems.”
The most common method of committing suicide was “drinking chemical agents.” Of the
29 cases dead on arrival at the hospital, 17 were males and 12 were females, and 31.03
percent were aged 30-39 years. The most common methods were hanging (58.62%), following
by drinking chemical agents (31.03%). It is apparent that men used more aggressive
methods than women.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Hand, Foot and Mouth Disease in Chumphuang District, Nakhon Ratchasima Province, 2002 -2007 
abstract:Hand, foot and mouth disease is a communicable disease caused by a virus that
infects mostly preschool children. In 2006, there were 3,961 cases and seven deaths in
Thailand; Nakhon Ratchasima Province had 85 cases and 3 deaths. Enterovirus 71 was
the causative pathogen. This descriptive study conducted at Chumphuang District,
Nakhon Ratchasima Province during the period from 2002 to September 30, 2007, used
individual disease investigation forms, outpatient and inpatient records and the midyear
population data of the Ministry of Interior. There were 47 cases, no deaths, 31 males
and 16 females among them; the sex ratio was 1.9:1. Most of them were found during
June to October. Forty were treated as outpatients and only seven were admitted to the
hospital. Fever, and palm and sole rash were the common symptoms; most patients were
from Chumphuang Tambon, and no case was detected at Nontoom Tambon; only one
patient was found in each village. Stool and paired serum samples were derived from
93.62 percent of the patients and Enterovirus 71 was isolated from two stool specimens in
2006 and 2007. According to the disease surveillance system, primary health-care staff
should be trained to screen and refer the suspects to hospitals, viral isolation should be
supported and promoted among the health-care services. The disease-control measures
should emphasize community health education and the isolation of patients from other
children either in school or in child-care centers.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Tuberculosis Situation in Maung Mae Hong Son District, Thailand 
abstract:Thailand and Myanmar are both among the 22 countries with a high burden of
tubercuosis (TB) cases identified globally. Population migration in Mae Hong Son Province
may have a great impact on the national TB-control program. Mae Hong Son’s Muang
district is close to Myanmar. Citizens of both countries travel back and forth across the
border for business or for temporary or permanent settlement. This phenomenon causes
problems in controlling tuberculosis in Thailand.
In the period 2001-2007, a total of 829 tuberculosis patients were registered at the TB
clinic of Srisangwan Hospital. They were taken for study and 795 newly registered cases
(Thai 49.6%, non-Thais 51.4%) were reviewed, reflecting a very high incidence of new
tuberculosis cases in this region. Detailed data were reported in the text.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Effectiveness of Cardiovascular Risk Reduction Model of Nongkhoon Primary Care Unit, Amphur Watsing, Chai Nat Province 
abstract:Cardiovascular diseases are among the three most important causes of death worldwide, including in Thailand and in Chai Nat Province. This one-group prepost test design of quasi-experimental research was conducted in order to study the effectiveness of the cardiovascular risk reduction model of Nongkhoon Primary Care Unit, Amphur Watsing, Chai Nat Province. The study sample included 129 residents aged 35 to 60 years, living in the vicinity under the responsibility of the Nongkhoon Primary Care Unit; they were selected by simple random sampling. Data were collected using questionnaires, i.e., the pre-test data were collected in the month of March 2006 and post-data in September 2006. The statistical analyses were descriptive, such as percentage, arithmetic mean and standard deviation, and analytic statistics by paired t-test and multiple regression. The results revealed that pre- and post-data disclosed that all samples had normal blood pressure and body mass index. Men had a low health risk, while women had a high health risk. Pre-test data denoted a low level of self-care practice for prevention of cardiovascular risks and post-test data had a medium level. All parameters, i.e., blood pressure, body mass index, health risks and the practice of self-care for reducing cardiovascular risks both pre- and post-data, yielded significant correlations at a p-value of
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Management of Chronic Obstructive Pulmonary Disease Patients in a Community Hospital, Phrae Province 
abstract:Chronic obstructive pulmonary disease (COPD) is one of the top five diseases treated
at Sungmen Hospital. This cross-sectional descriptive study was carried out to review
the management practice of COPD patients in Sungmen Hospital. The subjects studied
were 167 patients who attended the COPD Clinic from August to October 2007. The
majority of patients (77.8%) were male, with the mean age being 68.2 years. Ninety-four
percent of them had a history of smoking and 26.7 percent were still active smokers.
Diagnosis of COPD was made in 84.7 percent of the cases by history-taking, combined
with physical examination and pulmonary function test. The mean values of FVC, FEV1
and %FEV1 were 68.6, 55.5 and 58.4 percent, respectively. The patients were categorized
based on the severity of the disease; 71.2 percent of the patients suffered moderate to
severe disease. The study disclosed that COPD patients with mild to moderately severe
morbidity had received excessive medications, according to the COPD clinical practice
guidelines. Sustained-release theophylline was prescribed at a high rate in every stage of
severity of the patients. More needed long-acting beta-2 agonist inhalers and long-term
oxygen therapy, but these therapies were not available due to the patients’ economic constraints.
The therapeutic management of COPD patients, by establishing a COPD clinic
in a community hospital, using existing hospital resources, would offer better efficiency
in the diagnosis and treatment of COPD patients.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Mini-laparotomy Exploration in Peptic Ulcer Perforation 
abstract:This retrospective descriptive study was designed to determine the clinical outcomes
of mini-laparotomy exploration (MLE), with simple closure of a perforated ulcer in patients
treated at Chaibadan Hospital. Of the 70 ulcer patients, 62 (M:F 8:1; aged 51.2 ± 15.6
years and 12.8% over 60) underwent the MLE procedure in the period between October 1,
2001 and September 30, 2007. The ulcer types were type I (prepyloric part of stomach and
first part of duodenum) 78.4 percent, and type I (antrum) 14.5 percent. The average operative
time was 32.8 ± 12.7 minutes. Operative complications were encountered in 30
percent of the patients, i.e., 12 patients with an infected wound, and four patients had
postoperative fever; however, there was no death. Postoperative medication included
anti-H. pylori and proton pump in all patients. The benefits of the surgical procedure
studied were small abdominal wound and scar with less pain, decreased severe complications
with early ambulation and no mortality.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Thai Diabetes Risk Score Applied to Cost-effectiveness Analysis of Diabetes Primary Prevention for Prediabetes in Thatpanom District, Nakhon Phanom Province 
abstract:The objective of this quasi-experimental research was to apply the Thai diabetes
risk score for evaluating diabetes prevention outcome in order to conduct a cost-effectiveness
analysis of diabetes primary prevention for prediabetes. The study population
included 1,182 cases of prediabetes selected by verbal screening criteria and impaired
fasting glucose level (100 - 125 mg/dl); they were divided into two study groups for
comparison. The experimental group consisted of 400 prediabetes cases who agreed to
participate in a prediabetic day camp; the control group comprised 410 prediabetes cases
receiving ordinary health-care services. The instruments used for collecting the data were
questionnaires, Thai diabetes risk score, customer and provider cost data recording profiles,
practice guidelines for a diabetes prevention program in a day camp. Data were
analyzed statistically, using frequency, percentage, mean, standard deviation, and ratio;
they were comparatively analyzed by t-test and paired t-test at the 0.05 level of statistical
significance.
The results of this study were as follows: (1) prediabetic day camp activities effected
a reduction in the cumulative incidence of developing diabetes by a factor of 7.49 times in
the experimental group (relative risk = 7.49) compaired with the control group; it also
statistically significantly decreased the average diabetes risk score and the probability
level of the sample in the day camp compared with those in the control group. Furthermore,
the risk factors for diabetes reduced from lifestyle modification caused a statistical
decrease that was significant (p < 0.05) on both average BMI and BP level, except for
waist circumference; (2) the effectiveness of diabetes primary prevention for prediabetes
justified by summation of the individual differences in diabetes risk probability before
and after intervention was 0.0198; otherwise the cumulative incidence of lower diabetes
risk score for prediabetes in the experimental group revealed a score of 0.2375; (3) the
economic cost of diabetes primary prevention for prediabetes in the prediabetic day camp
was 357,100 Baht, with the opportunity cost being 20.31 percent compared with the total
cost; (4) the cost-effectiveness ratio of diabetes primary prevention for prediabetes in the
day camp was 18,035,353 Baht per effective diabetes risk probability prevented and/or
1,503,578.9 Baht per effective cumulative incidence prevented.
It was recommended that (1) the research findings should provide important information
for policy decisions to apply the Thai diabetes risk score for evaluating diabetes
prevention outcome; (2) comparative cost-effectiveness analysis of diabetes primary prevention
for prediabetes should also be studied by other health-care teams on a long-term
basis.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Risk of Coronary Heart Disease in Type 2 Diabetes Patients Attending Sangkhom Hospital, Nongkhai Province 
abstract:Diabetes is an important risk factor for the development of coronary heart disease
(CHD). Recent studies have found that the rise in the mortality rate of diabetes mellitus type 2 patients was due to coronary heart disease. This study was conducted in June
through September 2007, with the intention to evaluate CHD risk in diabetes patients
attending Sangkhom Hospital, Nongkhai Province. Data were collected by interview, blood
sampling and retrieval from medical records. The participants were 309 patients with
type 2 diabetes, aged 33 to 75 years (mean 55 ± 22 years), and without cardiovascular
diseases. The 10-year probability was estimated by using the INTERHEART Study modified
from NCEP ATP III (National Educational Program and Adult Treatment Panel III).
Student t-test and chi-square test were used to determine the differences between men
and women patients regarding risk factors, and to predict the probability of CHD. Most
patients (92.2%) smoked; 46.9 percent were hypertensive or were taking antihypertensives;
37.2 percent had total blood cholesterol (CHOL) higher than 200 mg/dl and a high density
lipoprotein cholesterol (HDL-C) level of less than 40 mg/dl. Evaluation by the heart
risk score (based on a model using basic risk factors, i.e., age, smoking, CHOL, HDL-C,
systolic blood pressure), 6.8 percent of the patients (25.3% men and 1.6% women; p <
0.001) had a predicted 10-year probability of more than 20 percent at very high risk (I)
and 21.4 percent of the patients (58.2% men and 11.2% women; p < 0.001) had a predicted
10-year probability of 10-20 percent at high risk (II); whereas 71.8 percent of the patients
(16.4% men and 87.2% women; p < 0.001) had a predicted 10-year probability of less than
10 percent at moderate risk (III). The predicted 10-year probability of 10-20 percent and
over 20 percent of the diabetic men was significantly higher than that of diabetic women,
whereas the predicted 10-year probability of less than 10 percent of the diabetic women
was significantly higher than that of diabetic men. The prevalence of risk factors related
to high risk of CHD was different in diabetes patients. Thus, estimates of probability of
CHD are necessary for all persons with diabetes, indicating the risk factors to be corrected
in order to prevent mortality and morbidity. Despite differences in individual risk
factors and predicted probability between men and women, the estimated risk for CHD
should be calculated for all persons with diabetes mellitus.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Factors Relating to Hypertension of Residents in Banlaem District, Phetchaburi Province 
abstract:This research was aimed at analyzing the relationships between relating factors and
their characteristics in relation to high blood pressure in Banlaem district, Phetchaburi
Province. The sample population comprised 1,521 randomly selected people who were
interviewed by using a questionnaire during the period between August 2007 and January
2008. The data were analyzed by Pearson chi-square.
The result of the study revealed that 7.10 percent of patients were living in the area
under the responsibility of Tapoonoak Primary Care Unit. The majority of them also had health behavior related to hypertension at the middle level (69.36%), had a model of selfcare
at the middle level, understood and had knowledge concerning hypertension at the
middle level (65.22%). The factors that related to hypertension included geographical
area of residence (p<0.000), age (p<0.001), education (p=0.040), income (p=0.000), marital
status (p=0.002), having specific illness (p<0.001), having experience in screening for hypertension
(p=0.028), body mass index (p=0.000), exercise behavior (p<0.001), and selfcare
behaviors (p=0.001). Therefore, holistic care is necessary for the population in order
to decrease risk factors as well as to adapt health behavior. The service should cover the
family and community, including the local administrative organization, to get them to
participate in solving the problems. Moreover, multidisciplinary health personnel would
necessary be allocated to primary care units in an appropriate manner.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Maternal Risk Factors for Having Low Birth Weight Infants in Panomsarakham Hospital, Chachoengsao Province 
abstract:Low birth weight newborns are more vulnerable to higher mortality and morbidity
rates than normal weight infants. Research to determine the maternal risk factors would
be valuable in planning a way to solve the problem. This retrospective study was aimed
at finding out those risk factors in women of more than 28 weeks pregnancy from the
delivery records during the period from September 1, 2005 to October 31, 2007. There
were 3,622 deliveries, of which 174 delivery incidents of low birth weight infants were
taken as the study group and 177 deliveries of normal birth weight infants as the control
group by systematic randomized sampling. The prevalence of low birth weight in this
study was 4.8 percent. Results from the univariate analysis showed that a maternal age
of less than 18 years, a gestational age of less than 37 weeks, attending ANC less than four
times, and maternal height less than 145 centimeters were risk factors. Multiple logistic
regression analysis revealed the risk factors to be maternal age being less than 18 years
old, gestational age less than 37 weeks, twin pregnancies, ANC less than four times, premature
membrane rupture, and pregnancy-induced hypertension.