plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2001 source: HSRI 
title: Ventilator-Associated Pneumonia(VAP): a multi-step approach to improve surveillance report respiratory care technique and outcome 
abstract:The study objectives were to know incidence and risk factors of getting lung infection in patients on respiratory machine and to assess effectiveness of surveillance patients in all wards. Retrospective technique was used to look into 246 OPD cards admitted in department of medicine paediatric and surgery from August 1 to September 30, 1995. Self reporting questionnaires were used on doctors and nurses to gather problems which could occur in such patients. Group discussion with doctors and nurses was also used to assess sterilisation technique. Consequently, surveillance technique for  lung infection in patients on the machine was developed to be able to report infection rates. This study recommended the study be reported to administrators to know the problems, special surveillance be paid on risk patients for example CVA, light weighted babies, patients with head injury and lung infection outside the hospital, the guideline be strictly followed and targeted-surveillance be practiced rather than hospital-wide surveillance.
location: nan, 'Thailand 
year: 1997 source: HSRI 
title: Assessment of the pilot project in service quality improvement in public Hospitals with TQM 
abstract:Assessment of the pilot project on service quality improvement in public hospitals with TQMQuality improvement for hospital services currently received enormous interest. In 1993, the Health Systems Research Institute, Thailand initiated the pilot project on service quality improvement in public hospitals using the total quality management (TQM) approach. The duration of the project was 2 years. Eight public hospitals in Bangkok and nearby provinces participated. Our study aims to assess and outcomes of the TQM pilot project in public hospitals by applying criteria modified from the Malcolm Baldrige National Quality Award and to determine a set of selected knowledge, attitudes and practices perceived by the top and the middle management and operating personnel in service quality management using TQM concepts. A combination descriptive study designs were conducted by a retrospective ocumantal review with two site-visit key performances interviews and a post-intervention cross-sectional survey during July 1996 and March 1997. The results revealed that the project was systematically organized in providing 2-day TQM training for senior management and middle management and in setting structures to support TQM activities in hospitals. However, participating hospitals had different levels of progress in TQM implementation; two of them were classified as having "breakthrough" progress while the other six hospitals were classified as having "incremental" progress. The following factors were identifies as contributing to the differences: the senior and middlemanagement leadership commitment and continuity, information system and analysis, strategic plans development, human       resources training in quality tools and analytic techniques and management, involvement in patient care services process which brought about visible organizational outcome and had impact on customers. In addition, hospital personnel from the two groups of hospitals had significantly different levels of opinions towards policy deployment, hospital status, knowledge on TQM, attitudes towards quality improvement, process management and hospital outcomes. The three most important factors that contributed to success or failure of TQM project in their opinions were attitude and involvement of all personnel, the senior management attitude and strong support, and training in TQM. Consequently, we suggest a new model for effective TQM implementation in public hospitals by emphasizing changing "process first", quality policy deployment, TQM training, enhancement of strategic and tactical action planning, key services process focus, and closer to both internal and external customers and also their expectations by pre-and post-intervention customer surveys.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Analysis of the Quality and Efficiency of the Nursing Service System in the Outpatient Department, Srisungwan Hospital 
abstract:This retrospective descriptive study was conducted to analyze the quality and the efficiency
of the Nursing Service System in the outpatient department in fiscal year 2007, using a
questionnaire comprising 10 key indicators for evaluation, as contained in the fifth section of the
standards for nursing services; the results were presented as percentages. The study showed that the
nursing practice fulfilled the criteria for eight of the indicators, failed one, and could not be
evaluated for the other.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Mental Health of HIV/AIDS Patients in Nonsaat Hospital, Udon Thani Province 
abstract:This was a cross-sectional descriptive research study, the objectives of which were to assess  
 the mental health of persons infected with HIV and those with AIDS at Nonsaat Hospital, Nonsaat  
 District, Udon Thani Province. The data were collected from 66 persons by direct interviews  
 conducted in an area in front of the counseling room in the period January-March 2008. Thereafter,  the data were analyzed using a computer program. The statistics analyzed included frequency,  
 percentage, arithmetic mean, and standard deviation. The results showed that the persons infected  
 with HIV and the AIDS patients had a 62.1 percent lower level of mental health than the general  
 population. When considered by dimension, the study showed that, at the first dimension, HIV/ 
 AIDS patients had a mental capacity 74.2 percent lower than the average person; the second  
 dimension, 66.7 percent lower; at the third dimension, for the persons infected with HIV and the  
 AIDS patients, the percentages were 34.8 and 36.4 respectively; and at the fourth dimension, the  
 percentage was 47. The study suggested that, besides promoting preventive measures and fostering  
 good mental health among this group, physicians need to provide serious and continuous help for  
 such patients.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Technical Efficiency of Community Hospitals : A Case Study in Khon Kaen Province 
abstract:The propose of this study was to evaluate technical efficiency of twenty community  
 hospitals in Khon Kaen Province, Thailand. The number of patients and the resources provided by  
 Khon Kaen Provincial Public Health Office since 2005 were analyzed using the data envelopment  
 analysis (DEA) method. The study revealed that, four medium-sized community hospitals (30-60  
 beds), located in areas populated with more than 60,000 inhabitants, were highly efficient, while  
 those of the small-sized community hospitals exhibited very low efficiency indices. It noted  
 that the patient/resource ratios among the efficient hospitals were significantly higher than those of  
 the inefficient hospitals, suggesting that they ware efficient in using the resource provided.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Factors Influencing Teenage Pregnancy in Wangpong District , Phetchabun Province 
abstract:This cross-sectional research consisted of a quantitative and a qualitative study. The study
was aimed at determining the factors influencing teenage pregnancy/giving birth. In the quantitative
part, 31 samples, who had given birth in Wangpong Hospital between October 1, 2006 and September 30, 2007, were selected and interviewed by using a questionnaire. In the qualitative part,
the participants were purposively selected and interviewed by using an interview guide until data
saturation had been achieved; there were eight subjects in this study. Quantitative data were
analyzed by using descriptive statistics, namely percentage, mean and standard deviation, and
qualitative data were analyzed by the process of summative analysis.
The study results showed that the majority of pregnancies were females 18 years old,
whose husbands were 22 years old. Most of them studied to the junior high school level. They were
farmers with low income. The age of first pregnancy was between 12 and 17 years and included
both wanted and unwanted pregnancies. The complications of pregnancy included preterm labor,
eclampsia, low birth weight and dystocia. The causes of the child being unwanted by the parents
were lack of knowledge of sexuality, birth control and family planning. The pregnancies that were
wanted reflected different problems, such as economic problems, and those related to family support
and the environment. Suggestions given by the pregnant teenagers were (1) be strong minded and
donût take it easy, (2) obtain a higher education before becoming pregnant, and (3) practice birth
control if one is at risk of pregnancy. These findings suggested that hospital or health services
should be offering antepartum care for pregnant teenagers in order to provide knowledge about
family planning and effective care of a pregnancy. Moreover, hospitals should also coordinate with
high schools in giving classes on sex education and family planning.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Effectiveness in the Reduction of Renal Complications of a Diabetes Clinic Model at Buengkan Hospital 
abstract:The purpose of this retrospective descriptive study was to evaluate the effectiveness of the
Diabetes Clinic at Buengkan Hospital in reducing renal complications. The medical records of
patients from May 2006 to May 2008 were reviewed and the glomerular filtration rate (GFR) was
calculated by MDRD equation. The study materials included 916 patients (females 75%) out of a total of 1,970 diabetes
patients. The patients with increased GFR accounted for 63.3 percent of the total (average GFR
before the project was 55.5 ml/minute, and after project it was 60.9 ml/min); statistical significance
was determined by paired t-test (p=0.001). Staging of chronic kidney disease was reduced to the early
stage. It was concluded that the Diabetes Clinic at Buengkan Hospital had enhanced the condition of
diabetic patients by increasing their GFR and reducing chronic kidney disease to the early stage.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Efficiency and Side Effects of GPOvir Treatment on Naive HIV-infected Patients with Different CD4+cell Levels 
abstract:This retrospective descriptive study was conducted to determine the effectiveness and the
side effects of the three-drug antiretroviral tablet (GPOvir), containing nevirapine, stavudine and
lamivudine, in the treatment of naïve HIV-infected patients with varying CD4+cell levels. The
study subjects comprised HIV-naive patients 15 years old and older who received GPOvir for more
than one year at Thabo Crown Prince Hospital, Nongkhai Province, in the period from February
2004 to September 2007. CD4+cells were counted and the side effects observed after one year of
treatment. The results revealed severe drug side effects in 33.90 percent of the patients: hepatitis in
15.24 percent, and extensive rashes in 6.78 percent; the responses of CD4+ cells from the initial
counts of less than 50, 50-100 and 101-200 cells/mm3 were statistically significant after 6-24
months of treatment. The study concluded that GPOvir was effective in the treatment of
HIV-infected patients even though the level of side effects was high in one-third of the patients.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Development of an Exercise Promotion Model in Type 2 Diabetes Patients 
abstract:This action research study was aimed at developing a model for the promotion of exercise
behavior in 196 type-2 diabetic patients who were residing in a community of Bang Kor Laem
District, Bangkok. The study population comprised 43 men and 153 women, whose average age was
58.4 ± 9.2 years. The researchers studied the exercise behavior and related data, and measured the
patientsû anthropometry, fasting blood sugar, hemoglobin A1c, and lipid profiles. In this action
research for exercise behavior modification, the Transtheoretical Model (TTM) was employed, and it
yielded successful results; however, when the çFour-step Model for Achievement of Exercise
Behavior Modificationé was applied, it was found that 168 of 189 diabetic patients (equal to 88.9%
of the total) had improved exercise behavior. When comparing the result of blood chemical
concentrations checked before and after the study, it was found that the level of hemoglobin A1c
decreased, with the statistical significance being p = 0.00; however, other factors showed no
statistically significant changes. Based on the results of the study, it was concluded that, after
developing the model for promotion of exercise behavior in type-2 diabetic patients through the
application of the TTM, as well as designing the proper exercise prescription for diabetic patients,
the exercise behavior of the majority of diabetic patients in this program had been successfully
modified.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: HIV Counseling System in the Antenatal Care Unit of the Pong District Health Network, Phayao Province 
abstract:This research was conducted from October 2005 to September 2007 with the aim of
developing a counseling system and determining the efficiency of HIV counseling in preventing the
maternal transmission of HIV at the antenatal care unit in Pong District, Phayao Province. The first
step was undertaken in 2004, namely a situation analysis and result evaluation for planning. The
second step in 2005 developed the couple HIV counseling system, promoted project and personnel
preparation, and tried a one-stop health center approach. The third step in 2006 implemented
the system, while the fourth step in 2007 adjusted and further developed it. The device for
collecting data was evaluated, i.e. an awareness form for HIV counseling and gathering general data
for that purpose in the antenatal care unit. Analysis was by mean, percentage and standard
deviation. The result of the study showed that after counseling the mean awareness of the couples
was higher than before counseling and that success had been achieved in developing the couple
HIV counseling system in the health center of Pong District. Coverage was more 100 percent of
health centers and more than 80 percent of all such couples in 2007 in the antenatal unit; now all
health centers have a couple HIV counseling system. There was no instance of one mate infecting
another and in more than 80 percent of the pregnancies of an HIV-infected mother there was no
transmission of the virus to the child.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Risk Factors for Obesity in Preschool Children in Jaehom District, Lampang Province 
abstract:This case-control study was conducted to identify the risk factors for obesity in preschool  
  children in Jaehom District, Lampang Province. The subjects comprised 108 obese and 108 non- 
  obese children, aged 0-6 years. Information on the childrenûs weight, height and activities,  
  consumption style and family background was collected by the study team from the childrenûs  
  parents. The findings on the following risk factors were all statistically significant (P< 0.05): a body  
  mass index >23 kg/m
2
 of the childrenûs fathers, their own birth weight being >3.5 kg, their food  
  intake exceeding  three meals a day, their habit of taking food before going to bed, consuming  
  large amounts of food per day, being fond of fried and fatty food, and parents having an attitude  
  favoring a chubby-looking child. These findings suggest the need to improve consumption behavior  
  as part of the intervention program to prevent childhood obesity.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Situational Review of Ethics in Research Involving Humans: A Study of Human Subject Protection in the Ministry of Public Health 
abstract:The objective of the study was to assess the mechanism of human subject protection, focusing on the
ethics committee in the central part of the Ministry of Public Health. The methodologies included a literature
review, questionaire, and in-depth interview. The study revealed that most departments in the Ministry
had established ethics committees, i.e., Ministry of Public Health, Department for the Development of Thai Traditional and Alternative Medicine, Department of Medical Services, Department of Disease
Control, Department of Medical Science, Department of Mental Health, and the Health System Research
Institute. There are institutional ethics committees in the Department of Medical Services, e.g., the National
Neurological Institute and the Queen Sirikit National Institute of Child Health. Most members of
the committees are acquainted with international ethical principles and guidelines for research involving
humans. The composition of the committees is in line with international guidelines. Each committee has
its own guidelines and standard operating procedures. Only one committee has been surveyed, evaluated,
and recognized by the SIDCER/FERCAP Recognition Program, i.e., the Ethics Committee for Thai
Traditional and Alternative Medicine. Since research is not the first priority of the Ministry of Public
Health, there are some shortcomings that need to be considered for correction and improvement. Most
medical and health journals have no policy requiring the ethical clearance of studies submitted for publication.
Most ethics committees focus only on a preview of the protocol, with no proactive activities on
continuous review or site visits. Most committees review both scientific and ethical aspects; meanwhile,
most members of ethics committees have limited knowledge and experience in research on advanced and
complicated sciences. The support of most committees is inadequate. Information techno-logy is not fully
used by most committees. Some committees have problems in conducting timely reviews and there may
be doubts about their independence in some cases.
location: nan, 'Thailand 
year: 2007 source: HSRI 
title: ระบบการจัดการฐานข้อมูลสุขภาพชุมชนเทศบาลตำบลปริก 
abstract:Public Health Database Management System for Prik Municipality (PHDBMS_PM) was a research project supported by the Southern Health Systems Research Institute (HSRI) to study the healthy conditional prototype of a community at the level of sub-district municipality. Prik Municipality at Sadao district, Songkhla province was selected as a target area for this case study. The study composed of six stages. 1) Assessing community needs and collecting data, 2) Designing Knowledge  Base System, 3) Developing Knowledge base System, 4) Developing skills and training for Knowledge 5) Developing Public Health Database Management System, and 6) Developing skills and training for Public Health Database Management System.
In the study process, there were a number of field surveys for collection data. The study developed a tool for knowledge management in the format of web application at URL: http://www.tonprikinfo.org for staffs of Prik Municipality, educational offices, and community people. The study process also included learning exchange by classifying on community of practice, story telling, local wisdom, center of excellence, forums, and lesson learned.
	The result of assessing community needs indicated a total of indicators of five healthy conditions. 1) Physical condition with 28 indicators, 2) Emotional and spiritual condition with 9 indicators, 3) Social condition with 17 indicators, 4) Environmental condition with 11 indicators, and 5) Network condition with 2 indicators.  The data were collected from three sources that were Prik Municipality, Prik Sanitation Station, and Basic Information Needed for Families from the Community Development Department, Ministry of Interior. The study developed a database system to indicate the healthy condition of Prik Municipality community through web application at URL: http://www.tonprikinfo.otg/application. The system shows the output in the easy understandable format with convenience to improving and searching for the information. This system supports three groups of users that are administrators, municipality staffs and community people in Prik community.  The administrators can use information for decision-making such as planning the policy for the health of people in Prik community and etc.
	The PHDBMS_PM is flexible that can be adjusted to increase, reduce, of change the indicators when needed by users and can be further applied as the prototype of public health database management system in other community as well.
location: nan, 'Thailand 
year: 2007 source: HSRI 
title: Describes and analyses the Thai alcohol policy process in the period 1997- 2006 
abstract:The Report describes and analyses the Thai alcohol policy process in the period 1997- 2006, in order to investigate the characteristics and areas for potential improvement of the Thai alcohol policy process. The analysis used several extant public policy models. The models covered three aspects of the process at the macro level: stages of development, the characteristics and behaviors of major policy players, and the policy context. At the micro level, the analysis employs concepts of agenda setting, policy formulation, policy implementation, monitoring and evaluation, stakeholder relationships and policy context. Information on Thai alcohol policy was collected from two sources: secondary data included official documents, literature, technical publications and mass media; primary data was collected through stakeholder interviews.
Thai alcohol policy, during this period became more comprehensive and more oriented to public health. Problem-reduction values gained momentum while economic values remained significant. Thai policy stakeholders focused on the formulation process, while implementation, monitoring and evaluation were neglected. Limited resources, human capacity and ineffective management exacerbated this situation. Incrementalism characterized Thai alcohol policy formulation; existing policy or the policy precursor was very important to the decisions made. Limitations in the availability, accuracy and utilization of knowledge about alcohol consumption, related problems and alcohol policy also affected the process. 
The Thai alcohol policy process became a more open public policy sphere for stakeholders. Many new players made major contributions to the process. The mechanisms stakeholders use to influence policy have become more complex and included:  technical knowledge, the use of mass media and civil movements, and coordination among stakeholders. A centralized bureaucratic administration and personal and institutional interests are critical features for official stakeholders, while connection to high-ranking officials and representation in the process are significant for interest groups. The Thai cultural context had a crucial impact on the alcohol policy process; cultural features that are not explicitly covered in the Western policy models utilized include cronyism, relationships, representation, commitment, negligence, and compromise. These characteristics make the Thai alcohol policy process difficult to fully explain in terms of the available public policy theories.