plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Mycobacteriosis avium : report of a case of a patient residing in Nongphai district, Phetchabum province 
abstract:Mycobacteriosis avium (MV) is a disease rarely diagnosed in community hospitals.
The diagnosis is very difficult to make because it requires specialists and a laboratory
with full facilities for making a diagnosis of the disease. However, such specialized teams
are usually available only in medical schools. Furthermore, the microbiological examination
necessary takes several months before the results can be reported. In the meantime,
patients would inevitably suffer from the disease and the side-effects of the medication
prescribed, i.e., for a case with a provisional diagnosis of pulmonary tuberculosis.
The patient in this report had suffered from a chronic illness for almost seven years
before receiving treatment as a case of pulmonary tuberculosis based on the common
clinical features of tuberculosis coupled with the results of three consecutively positive
direct smear sputa tests. He subsequently suffered from TB drug toxicity adverse reactions,
including hepatotoxicity, renal toxicity, color blindness, nausea, flatulence, diarrhea,
itching, arthralgia, headache and shock. A correct diagnosis was obtained when he
sought an opinion in several hospitals, with a culture of the mycobacteria revealing the
fact.
This article recounts the true story of a doctor and patient written with the intention
to provide lessons for other physicians and health-care workers that mycobacteriosis avium
ought be one of the differential diagnoses for patients with signs and symptoms similar
to tuberculosis.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Clinical audit and clinical outcome of Thawatchaburi hypertensive clinic in fiscal year 2007 
abstract:Hypertension is the most common cause of preventable death in developed countries
and also an important problem in developing countries. The objectives of this study
were to evaluate clinical audits and clinical outcomes of hypertensive treatment compared
with the Thai Hypertension Society guidelines, 2007. The study population included
1,274 patients who were treated in the hypertensive clinic of Thawatchaburi Hospital from October 1, 2006 to September 30, 2007. The results showed that 492 males
(38.62%) and 782 females (61.38%) with a mean age of 64 years 5 months participated in
the study and 83.31 percent of the cases were under the universal health care coverage
system. Only some risk factors associated with hypertension were recorded, ranging
from 2.51 percent to 90.66 percent. Almost all (98.74%) of the patients’ BMI levels were
recorded; 55.57 percent of them had normal BMI. There were several co-morbidities in
the records: 53.14 percent had dyslipidemia and 35.24 percent DM. The prevalence of
nephropathy and left ventricular hypertrophy was 6.59 percent and 3.77 percent, respectively.
One- third of the medical treatments used two categories of hypertensive medicines
and the other third used only one catagory. Diuretics were used in 36.50 percent of
the cases, with 29.75 percent being ACE-inhibitors, 20.15 percent beta blockers and 12.35
percent Ca channel blockers. Follow-up adherence was 76.45 percent; 23.41 percent of
the cases had well-controlled blood pressure whereas only 3.39 percent of those with DM
were well controlled.
In conclusion, a model for the development of hypertensive care should be developed
by all stakeholders, including clinicians, other health-care professionals, patients
and their families in order to improve continuously the quality of care and its outcome.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: HIV-related behaviors of female sex workers in Nakhon Ratchasima, 2007 
abstract:This was the third cross-sectional survey conducted in Nakhon Ratchasima Province
in 2006 to follow up the surveillance of a cluster of female sex workers whose behaviors
potentially put them at risk of contracting HIV infection, and to verify their knowledge
about HIV. A one-stage cluster sample with equal probability was used to select the
brothels where the women worked. All the female sex workers willing to participate were included in the study. Self-administered questionnaires were used for data collection.
A total of 147 female sex workers participated in the survey; their average age was
30.4 years. Only 34.6 percent of them were capable of answering correctly all of the five
UNGASS knowledge questions. The rate of condom use with clients in the previous
week was 99.2 percent. In the previous month, 46.3 and 36.7 percent of them had sex with
their spouse and none-client partners, respectively. The rates of condom use with spouse
and none-client partners in the previous month were 30.8 and 79.6 percent, respectively.
The drug addiction rate and rate of injecting drug use in the previous year were rare, only
0.7 and 4.1 percent, respectively. In the previous six months, 78.2 percent of the female
sex workers had participated in voluntary HIV counseling and undergone anti-HIV testing.
From the results of this survey, it is obvious that female sex workers in Nakhon
Ratchasima Province still need to improve their knowledge about HIV/AIDS. Their regular
condom use needs to be extended to cover all types of sexual partners.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Relationship between the self-efficacy and the controlling practices of over-weight middle-aged in Bandung district, Udon Thani province 
abstract:Many middle-aged women are facing problems with overweight, which is a risk
factor for cardiovascular disease, diabetes mellitus and hypertension. Key determinants
are physiological changes and food consumption and exercise. Controlling overweight
requires appropriate self-care. Self-efficacy would help middle-aged women to have confidence
that they are capable of appropriate practices. This study was aimed at identifying
the relationships between self-efficacy and practices to control the weight of women
aged 40-60 years. Three hundred and thirty-three middle-aged women who attended the
Golden Age Clinic of the Bandung Crown Prince Hospital in Udon Thani Province were
randomly recruited. Data were collected using a questionnaire on self efficacy and overweight
controlling practices for middle-aged women. The questionnaire was modified
from the questionnaire developed by Rawicha Hongrojchanpak, which used Cronbach
alpha coefficient for the self-efficacy part at 0.82.
The results indicated that the middle-aged women had high levels of overall selfefficacy.
The self-efficacy of food consumption and exercise were also at high levels. Most
of the middle-aged women (70.3%) had high to very high self-efficacy in eating fiber-rich
vegetables, walking instead of using vehicles for short distances (62.2%), not drinking
alcohol to relieve stress (60.7%) and drinking water rather than sweet soda (59.5%).
Their overall practices for controlling overweight were at a high level. They usually
and often did not eat fast food (72.1%), walked instead of using vehicles for short distances
(64.6%), avoided eating sweets (64.3%), did not drink alcohol (64.0%), avoided
eating carbohydrates (63.7%) and did exercises during their free time (61.3%).
The self-efficacy of these middle-aged women had a moderate relationship with
overall overweight practices with regard to food consumption behavior and exercise (r=
0.65, r=0.60 and r=0.58 respectively). However, most of the middle-aged women had
problems concerning self-efficacy and overweight controlling practices in avoiding highcalorie
foods, and seldom exercising, which resulted in their inability to control their
weight. It is essential to modify health promotion activities which emphasize self-efficacy
and continuity of appropriate overweight controlling practices among midldle-aged
women.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Coverage of health promotion and disease-prevention services for children aged 0-5 years in Lop Buri province, 2006 
abstract:This cross-sectional survey was aimed at exploring the health-promotion coverage
of and disease-prevention services for children 0-5 years old in Lop Buri Province. A total
of 173 children were selected by two-stage cluster sampling probability proportional to
size. This study found that the persons most frequenlty acting as checkers of the children’s
progressive development were their mother and father (68.5%); 2.2 percent of the children had abnormal results and all of them were take care of by physicians; of the 71.8
percent that were weighed, 68 percent had normal weight. Almost all (98.3%) had received Bacillus-Guerin (BCG) vaccine, hepatitis B vaccine (97.7%), polio vaccine (95.4%),
diphtheria, tetanus toxoid and pertussis vaccine combined (94.8%), measles vaccine (93.3%)
and Japanese encephalitis vaccine (86.2%). Most of the children did not get dental care
(65.9%) and 42.4 percent had dental carries. More than half (56.7%) of the parents had
read their children’s health record and almost all (96.9%) of them used their books. The
three most useful aspects of the books were for child-feeding, checking the progress of
the children and making appointments for vaccination, respectively.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Model of body weight control in health promotion center, region 10, Chiang Mai province 
abstract:The purpose of this study was to determine how to control weight among personnel in Health Promotion Center, Region 10, Chiang Mai. It focused on participation between the health promotion clinic team and 20 volunteers 35-55 years of age, who had a body mass index of at least 27 kilograms/square meter, during the period May 2006- May 2007. The study involved variety activities, such as health education and community of practice concerning proper diet and physical activity, nutrition demonstration, physical activity practice, as well as encouraging and motivating the volunteers to take part in activities continuously. The results of this study showed that 18 of the volunteers (90%) were female; only 2 (10%) were male. Body weight was not increased in 15 persons (75%), waist circumference was not increased in 16 persons (80%) and knowledge about health was increased in 15 persons (75%) following the education activity. Follow-up six months after the end of the project revealed that weight was still controllable in 13 persons (65%), persistent behavioral nutrition in 16 persons (80%) and continuous physical activities in 18 persons (90%). This model study should be developed and applied to control weight among the general public for good health.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Recording the development of in-patient medical records through multidisciplinary participation at Muangsruang hospital 
abstract:Medical records serve as a tool for the continuation of patient care, maintaining communication among health team members, providing quality assurance and, at present, using them as a reference for allocation of budgets under the national universal healthcare coverage scheme (UC). This study was aimed at exploring the level of quality of the medical records and developing good-quality procedures for in-patient records through multidisciplinary participation at Muangsruang Hospital. A descriptive study was used, with both qualitative and quantitative methods: in-depth interviews were conducted with doctors, nurses, anesthetic nurses, pharmacists and medical information technicians. Additionally, focus groups were set up with two groups of nurses. Moreover, 50 medical records were randomly sampled and were thoroughly examined. Data were analyzed using several methods, including content analysis, and triangulation techniques. Twentyfour staff members were interviewed and eight nurses joined each focus group. All professional groups realized that medical records are very important. Physicians, nurses and anesthetic nurses had clear guidelines on recording procedures. The recording quality was classified as good in 80.91 percent of the records. The accuracy of the medical records on the diagnoses of physicians and on codifications for diagnoses with procedures were 58 and 56 percent, respectively. The quality of medical records was influenced mainly by a number of factors, including clear policy deployment from executive officers, awareness among stakeholders, appropriate format of the forms, involvement of stakeholders in developing criteria for practical recording, the monitoring and evaluating systems used, the arrangement of a conference related to nursing care records, the availability of technical articles related to pharmaceutical care and nursing care at the ward as references.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Information management process for persons terated for nacrotics in the implementation of the policy to with the war against nacrotic drugs, 2004 
abstract:The objectives of this mixed-method study were to investigate the implementation
of the persons treated with narcotics with regard to the information management process
in the Policy to Win the War against Narcotic Drugs, from 1 February to 30 April 2004. A
management model was applied and data were collected from the public health personnel
who worked in the information management process, two provincial personnel, two
district personnel, four tambon personnel and the personnel responsible for finding narcotic
takers/addicts, six district personnel, 6 tambon personnel and 70 village leaders
using in-depth interviews. For 47 public health personnel, focus group discussion was
used as well as documents study and data analysis from the registration form (BST.1-5).
Qualitative data were checked and analyzed by triangulation techniques. Quantitative
data were described as percentages.
The urgent activities followed by the policy, especially determeneing the number of
narcotic takers/addicts, could not be rechecked. There were some persons who had quit
taking narcotics and some persons who had never taken any illicit drugs. The registration
and report form for selecting them and the treatment activities that had been used before
was changed to BST.1-5 and reported on the hospital‘s website. The change occurred after
these processes had already been done; thus, the personnel had to register and report
later. Inadequate essential supporting activities; technological skills (computer and
Internet), urgent problem-solving ability affected some elements of personal data loss,
especially in the area where computer and/or high-speed Internet were not available.
Data diviations occurred in all processes so that the data reported by the website could
not be used for monitoring and evaluation. However, the policy was the most important
factor reinforcing the development of information systems useful for multi-sectors.
Implementation of the policy should be in the same direction. Rechecking the understanding
of personnal and adequate essential support must be provided.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Effectiveness of a psychiatric patient care system developed in a community in Sangkom district, Udon Thani province 
abstract:This evaluation research was aimed at assessing the effectiveness of the psychiatric
patient care system of Sangkom Hospital in a community of Sangkom district, Udon Thani
province, i.e., whether it could encourage the community participating in providing con-tinuity of care for psychiatric patients, families and communities having knowledge and
a positive attitude and supporting the patients to live within the community, reducing
readmission rates, suicide and referral to higher institutions. A qualitative method was
applied for data collection, including document research, in-depth interviews, small group
meetings and participatory and non-participatory observations. Data were collected between
September 1, 2007 and January 30, 2008.
The study revealed that the psychiatric patient care system in the community was
established with community participation. Changes were noted from the time when there
were no services in the communities, poor drug compliance and no continuity of care, all
of which resulted in readmission, to a time when a community participation psychiatric
patient care system had been established. The development process included increased
community awareness and understanding of the situation and facilitation of all community
sectors to participate in identifying problems and causes of the problems, planning
for appropriate interventions to help psychiatric patients, families and communities in
line with a proactive policy for continuity of care. A community health committee was
established with the financial support of the local administration organization. The committee
organized a training workshop for volunteers to improve their knowledge, attitudes
and skills in caring for and counseling those with special needs. These volunteers
made monthly home visits to support the psychiatric patients and identify new cases.
Capacity-building training for patients and their families was organized. Both patients
and their families were helped and supported in joining community activities. The development
resulted in reducing drug non-compliance; there were no suicides and the number
of patients referred to specialized hospitals was reduced. As a resalt, the volunteers
as well as the community had knowledge and better attitudes towards psychiatric patients.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Epidemiology and outcome of teenage pregnancy in Wiangsa district, Nan province 
abstract:Teenage pregnancy is considered a high-risk situation that increases the likelihood
of adverse obstetric and perinatal outcomes, such as those associated with low birth weight,
anemia, hypertensive disorder in pregnancy and preterm delivery. The trend in teenage
pregnancy has increased. To effectively solve the problem of teenage pregnancy, currently
a global and nationwide problem (including in Wiangsa district as well), it is necessary
to study the real causes and results before implementing local, specific strategies.
The purposes of this study were to study the epidemiology of teenage pregnancy in
Wiangsa district and to compare the pregnancy outcome of teenage pregnancy with adult
pregnancy in Wiangsa Hospital. The research design for comparing the pregnancy outcome
was a retrospective cross-sectional study; that used for studying the epidemiology
was a descriptive study.
The study and the control groups (teenage and adult mothers respectively) each
consisting of 146 singleton primigravida females aged <20 and 20-29 years, respectively,
who were Wiangsa district citizens and who delivered at Wiangsa hospital between October
1, 2004 and September 30, 2007. The data were extracted from medical records and
analyzed for pregnancy outcomes. Then 43 teenage mothers who were still available in
the province were studied for epidemiology and interviewed in-depth (under informed
consent) to determine the factors causing them to become pregnant.
Results: In the study group 39.04 percent were 13-17 years of age. Antepartum period:
the study group had a significantly higher average gestational age at the first antenatal
care visit, a lower average number of antenatal visits, a lower average weight gain,
a higher rate of those who received inadequate antenatal care (<4 times), those who were
unsure about their last menstrual period, those who developed anemia and premature
membrane rupture. Intrapartum period: the study group had a significantly higher rate
of inadequate pelvis measarements (crudely evaluated by nurses during admission), caesarean
section, especially when indicated by cephalopelvic disproportion. Postpartum
period: the study group had a significantly higher rate of urinary tract infections. There
was no increase in significant complications commonly found in other studies, especially
preterm labor, and low birth weight. Epidemiology: the trend in the teenage pregnancy
rate in Wiangsa district increased, especially in younger teens. Weaker families and
society seem to be the major root causes of this problem.
Conclusions: Teenage pregnancy in Wiangsa district had poor outcomes, especially
antepartum and intrapartum. The trend of this situation is getting worse, mainly because
of weaker family and socialties.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Potential of caretakers in the development of intelligene quotient(IQ) and emotional quotient(EQ) of children in day care centers in Phen district, Udon Thani province 
abstract:This cross-sectional study was aimed at (1) assessing the knowledge, attitude and
practices of caretakers regarding the development of IQ and EQ of children in day care
centers, (2) identifying problems related to this issue, and (3) proposing suggestions to
improve the development of IQ and EQ of those children in day care centers in Phen
district, Udon Thani Province. Questionnaire interviews were conducted with 80 caretakers,
randomly selected from all 54 day care centers in Phen district from January 15 to February 28, 2008.
The results indicated that these caretakers had low levels of knowledge about childhood
IQ and EQ development, with a mean score of 7.65 (SD= 1.34) out of 15. However,
they had higher levels of attitude and practices concerning childhood IQ and EQ
development, with an average score of 3.79 (SD = 0.33) out of 5 and 3.10 out of 4 (SD =
0.37) respectively. The caretakers identified several obstacles related to childhood IQ and
EQ development, including lack of knowledge of the caretakers, inadequacy of materials,
equipment and budgets, poor building structures and management problems of the centers.
These caretakers suggested various measures to solve the problems: providing training
for caretakers, and supporting more equipment, materials and budgets for the centers.
Participation of the local governments in terms of supporting more budgets and
working cooperatively with parents, communities and hospitals would be a successful
strategy for the development of IQ and EQ of children in day care centers.