plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Healthcare Healing Environment Design (2nd year) 
abstract:The second year of Healthcare Healing Environment Design project (HHED) focus on the implementation of the HHED’s Assessment tool on the 17 project member hospitals along with the environmental improvement according to the assessment tool and selecting an area or a building to improve to be a model of HHED and also develop a related research topic according to HHED concept, finally, evaluating users experience from the improvement of the physical environment in order to create academics reference and development of Thai healthcare system.  The reflection from the users on the visiting of 17 member hospitals on healthcare healing environment problem, we found problems in 2 dimensions, firstly, for the infrastructure, it is lack of functional using area, secondly is the poor environmental quality that impact work performance and user’s well-being such as heat, poor air quality, bad ventilation which cause staffs’ infection as well as the exceeded standard of carbon dioxide quantity, too many sources of noise that reduce the efficacy of staffs’ productivities, lighting with both not enough light cause the medical errors and the reflection of glare light.  From research team’s perspectives, besides those 2 dimensions of problems, we found that there are too many poor-quality media installed on the visual field that increase stress for the user such as direction signposts, room name/ department name those are too diversity and not in a unity format. Sometimes it cause confusion or even straying. While producing various media to communicate to the users, for example, the service instructions, Patients’ terms of service, etc. These badges do not work in practical, the staff still have to answer the same questions which appearing on those badges there is also a large amount of health education media board that is not designed to be interesting. On the contrary, the user refuses to consume the medical education information provided by the hospital because there is too much details that users cannot remember and apply in daily life.  From such problems, there is a key issue in selection areas/ department/ buildings as the hospital selected pilot areas for the development of environmental quality that will be caped as healing environment. It is still in the process of collecting evidence of the problem to improve physical environment and the central research team will assist on designing the area according to the context. After the improvements, the research team will collecting data to evaluate user experience according to the improvements that is in the research processes of the third-year of the research project based on user experiences from 5 aspects from the HHED assessment tools which are: 1) Function and safety, 2) Sensing and comfort, 3) Interaction and support, 4) Empowerment and informed choice, and 5) Value and spirituality.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Improvement of Clinical Outcome in Kidney Diseases via On-line Thai Glomerular Disease Registry 2nd year 
abstract:Background: End stage renal disease (ESRD) affects the quality of life and causes the high cost in health care system. The prevention of ESRD is the early recognition and appropriate treatment. Glomerulonephritis is the third most common cause of ESRD in Thailand. Thai Glomerular Disease Collaborative Network (TGCN) was established to evaluate the epidemiology and clinical outcomes in the glomerular diseases and helped to promote the good system to taking care of these patients. Methods: TGCN originally consists of 9 tertiary care centers and expands to 20 hospitals. We conducted a prospective cohort study in the adults’ native kidney biopsy proven glomerular diseases between July 2014 and Mar 2017. The clinical and laboratory parameters at the time of biopsy, pathologic findings, treatment regimens and clinical outcomes were recorded via on-line registry. Results: We recruited 1,556 patients performed native kidney biopsy during Jul 1, 2014 to Mar, 2017. The female to male ratio was 1.88:1. The average age, creatinine, albumin, and cholesterol were 43.4+16 years, 2.11+19 mg/dL, 2.9+0.8 g/dL, and 294+131 mg/dL in respectively. The median proteinuria was 3.7 (0.02-25.3) g/day. The patients presented with 40% of nephrotic syndrome, 21.7% of nephritis, 19.4% of nephrotic nephritis, and 60.8% of renal impairment (creatinine>1.2 mg/dL). The renal pathological findings showed 33.9% of LN, 13.5% of IgAN, 10.5% of FSGS, 7.4% of minimal change disease(MCD), and 7.1% of membranous nephropathy (MN). The mean age of LN, IgAN, FSGS, MCD, and MN were 34.9, 39.4, 47.7, 46.5 and 52.6 years. The median creatinine at biopsy of LN, IgAN, FSGS, MCD, and MN were 1.08, 1.76, 1.65, 1.02 and 0.98 mg/dL. Conclusion: Our study described the common renal pathological findings including LN, IgAN, FSGS, MCD, and MN. The clinical outcomes and prognosis of these diseases were described in the complete report. In the second year, we have performed the recommendation for management in glomerular disease, FSGS and MCD in adult Thai patients.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Capacity Building of Community Volunteers to be Case Manager of Community Dwelling Elderly with Disabilities 
abstract:This research aims to 1) propel the handicapped elderly care in the community to
receive rehabilitation properly. 2.) developments in public health volunteers, a case
manager in the care of older people with disabilities in the community effectively 3) Create
a list of cases of people with disabilities. The cooperative research (PAR) of the research
team with the Nakean community in Nakhon-si-thammarat province using the AIC technique, which has the creation of knowledge, development guidelines, practice and evaluation. The sample are 32 village health volunteers who jointly take care of 50 elderly people with disabilities in the community. The data were collected using pre-post test. Data analysis by content analysis, mean and percentages. The study found that: The management pattern can be summarized as follows: 1) sub-district health promotion hospital explore elderly with disabilities 2) Clarify the role of case manager with public health volunteers. 3) Training course “Capacity Building of Community Volunteers to be Case Manager of Community Dwelling Elderly with Disabilities.” 4) Organize teams to take care of elderly with disabilities people in the community. 5) Record visit and sent to sub-district health promotion hospitals every month. 6) Sub-district health promotion hospitals monitor the performance of public health volunteers 7) coordinate with external agencies involved in helping and caring for the elderly disabled. Public health volunteers are trained in both theoretical and practical subjects pass 100 percent. After the training they have increased in all aspects. In terms of basic knowledge on the rights of elderly with disabilities people (97.34%), knowledge on health assessment and screening (95.78%). Thus The Department of Health Service ,Support Local administration and Subdistrict Health Promotion Hospital should a role in the health of people in the area. Especially bedside patients and should provide services that facilitate access to older with disabilities people. And should provide training for public health volunteers.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Research and Development of data visualization system for the national health examination survey data on the internet: phase 2 
abstract:Development of data visualization system for the National Health Examination Survey data on the internet is a data presentation platform in addition to traditinal survey report. Users of the system can access via the internet and can select data and related variables for comparision as well as compare data over time between survey rounds. The National Health Examination Survey data used in this system consists of 3 rounds including the 3rd round in 2004, the 4th round in 2009 and the 5th round in 2014. This data visualization system presents 17 groups and 63 lists of outcome data. There are 3 types of outcome data consisting of proportion, multinomial proportion and mean. Data analysis for preparing data to be used in data visualization system is pre-calculated data from individual survey data for each survey round. It is a semi-automated process using ready-to-use command scripts that create summary tables to be further imported into the data visualization system. The design and development of data visualization system focuses on the flexibility of data selection and variables selection for disaggregation that can be 1 variable or 2 variables for presenting one particular round of survey data or one variable for presenting overtime comparison across 2 or 3 survey rounds. The variables for disagregation consist of sex, age group, region and administrative type of area. The data presentation is in form of bar chart for proportion and mean while stack bar chart is used for multinomial proportion. Graphs created by the system can be exported into image file, document file and spreadsheet file (Excel) for futher use in other platform. The system also provides the number of samples for each data disaggregated by selected variables for further use and reference. The aspect and use of data can be various such as indicating target population and area for each health problem, indicating distribution of severity of selected health problem and indicating trend of health problems over time. The access and use of the system covers general users as well as specific technical users related to specific health topics or health systems. Data presented in the system can be extended to further health movement and relevant policy recommendation. For system maintenance and updating of survey data in the future, the system allows modification and addition of new data by adjusting reference table and variables. The command script for preparing and analyzing data is semi-automated process creating new summary data for importing into data visualization system on the internet without need for development of new system.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Operational Actions of the Thailand Antimicrobial Resistance (AMR) Containment and Prevention Program in Response to the World Health Organization (WHO) Global Action Plan on AMR 
abstract:The Thailand Antimicrobial Resistance (AMR) Containment and Prevention Program, utilizing a One Health approach, has been implementing the following 10 operational actions in accordance with the World Health Organization (WHO) global action plan on AMR since 2013. They are: 1) estimate the national AMR burden; 2) determine the AMR prevalence and AMR chain in Thailand; 3) develop a national AMR containment and prevention governance structure; 4) develop laboratory and information technology systems for surveillance of AMR, antibiotic use and hospital-acquired infections; 5) regulate the use and distribution of antibiotics in humans and food animals; 6) design AMR containment and prevention campaigns; 7) generate local evidence to promote responsible antibiotic use and infection prevention and control practices; 8) create the AMR campaign packages; 9) implement the AMR campaign packages in selected communities; and 10) conduct research and development of AMR surveillance, diagnostics, and therapy and prevention of AMR infections. The major outputs, outcomes and impacts of the Thailand AMR program are: the magnitude of the AMR burden in Thailand was established; AMR campaign packages for health professionals and laypeople were developed according
to the established AMR chain and AMR prevalence in Thailand; and locally-generated evidence on the responsible use of antibiotics and infection prevention and control (IPC) is available. Implementation of AMR campaign packages in 4 pilot communities revealed their effectiveness in terms of improved awareness and understanding of AMR, responsible use of antibiotics, and compliance with IPC practices. Many containment and prevention measures from the Thailand AMR program have been adopted as national policy and implemented nationally.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Antibacterials Prescribed to Universal Health Coverage Beneficiaries in Outpatient Departments, Thailand 
abstract:Irrational use of antimicrobials is a major problem that leads to antimicrobial resistance. Examining patterns and amounts of antibacterials prescribed from health facilities is one strategy to monitor antimicrobial use. Method: This study employed claims data of the National Health Security Office and pharmaceutical manufacture and imports of the Food and Drug Administration in 2013 to calculate amounts and costs of antibacterials prescribed in outpatient departments. Findings: The total amount of antibacterials prescribed to outpatients in 2013 was 117.3 million defined daily doses or 7.1 DDDs per 1,000 population per day. Prescriptions with antibacterial agents accounted for 19% of all outpatient prescriptions. Amoxicilin was prescribed the most at the amount 58.7 million DDDs and costed 215 million Baht. Health centres were the main prescribers using 52% of the overall antibacterial use. Mae Hong Son, Ayutthaya, Samut Songkhram and Phatthalung were found to have high proportions of prescribed antibacterials. Conclusion: Monitoring antibacterial uses should be integrated in the national drug surveillance in addition to the normal reporting system of pharmaceutical manufacture and imports.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Effects of Campaigns Using Change Agent Team and Mass Media to Promote Concept of and New Social Norm towards Antibiotic Smart Use 
abstract:This quasi-experimental research aimed to determine effects of campaign using change agent team and mass media for promotion of Antibiotic Smart Use (ASU) concept and new social norm towards ASU. A correlation between social norm and ASU behaviors was also examined. The sample was 624 subjects, 348 were assigned to the intervention group, and 276 to the control group. The interintervention group was implemented with a campaign using change agent team and mass media aimed at promotion of ASU concept and new social norm. Paired t-test was used to compare social norm and ASU behaviors between baseline data and after the campaign implementation. An independent t-test was used to compare those between the intervention and control groups. Results at the end of the campaign implementation demonstrated that social norm in the intervention group was significantly higher than the baseline data, but no significant difference in social norm was found between the intervention and control groups. With regard to ASU behaviors, there was significant improvement in ASU behaviors after the campaign implementation in the intervention group. A Significant difference was also found for ASU behaviors between the intervention and control groups after the campaign implementation. In addition, this study demonstrated that changes in social norm towards ASU were significantly correlated with changes in ASU behavior.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Lessons Learnt from Scaling up to Sustainability of Antibiotics Smart Use (ASU) 
abstract:Antibiotics Smart Use (ASU) was introduced in 2007 by Thai Food and Drug Administration. Its goal was to create new social norm on rational use of antibiotics in Thailand. Qualitative research was used to investigate factors for sustainability of the ASU. Semi-structured interviews were conducted with 39 key informants (30 projects, 18 provinces) between January 21 and March 28, 2013 (2 months). Content analysis was used. The key informants were purposively selected from health care professionals who experienced the ASU as a coordinator, supporter, promoter and driver at least one year.
Results show that key factors that affect the start up of ASU and sustainability in the organizations include policy support, institutionalization, leadership support, staff involvement, partnership, community participation, public behavior on antibiotics use, and program monitoring and evaluation. These findings will be useful for decision makers, program managers and program evaluators for driving the ASU to achieve the goal.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Knowledge, Perceived Stigma and Experiences of Doctors and Nurses Regarding Tuberculosis and Contact Investigation 
abstract:Background: Contact investigation (CI) reduces tuberculosis (TB) burden. Yet, implementing CI is still low. One of CI Barriers is health workers’ knowledge and attitude about TB. Design/Methods: Mixed-methods. A focus group discussion with doctors and nurses who had TB was conducted. A self-administered questionnaire was distributed to 60 doctors and 178 nurses. The questionnaire measured TB knowledge, stigma and CI practice. A stepwise multiple regression analysis was employed. Results: Response rate was 100%. Almost 20% of doctors and about 14% of nurses prefer a job without exposure to TB patients. Female doctors practiced CI 2.07 scores more than male doctors (95%CI 0.21, 3.92). The internists and the pediatricians had less CI scores than the resident doctors, respectively, 3.82 scores (95%CI -6.04, -1.60) and 0.17 scores (95%CI -2.51, 2.17). For nurses, an additional one year working experience increased 0.09 CI scores (95%CI 0.01, 0.17). Nurses obtaining TB training had 2.52 CI scores more than nurses without training (95%CI 0.99, 4.05). All household contacts of doctors and nurses having TB received TB screening. But contacts at the workplace (colleagues and patients) were not systematically investigated. Conclusions: TB training may increase CI practice in nurses. Annual health check for doctors and nurses should be reinforced. When doctors and nurses have TB, their contacts in the workplaces (co-workers and patients) should receive CI.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: Implementation, Obstacles and Needs of Hospitals in Thailand in Preventing Tuberculosis Transmission 
abstract:Transmission of tuberculosis (TB) has a negative impact on patients, personnel and hospitals.
This descriptive study aimed to determine implementation, obstacles and supporting needs of Thai
hospitals in preventing TB transmission. Data were collected by using self-administered questionnaire
developed by the researchers from the Guidelines for Preventing the Transmission of Mycobacterium
tuberculosis in Health-Care Settings 2005 of the US Centers for Disease Control and Prevention.
The questionnaire was sent to an infection control nurse of 524 hospitals, including 93 regional and
general government hospitals, 316 community hospitals randomly selected from 45% of all community
government hospitals, 8 university government hospitals, 33 other government hospitals and 74
private hospitals randomly selected from 111 private hospitals with 100 beds and more in all regions
of the country. The study was conducted during May to September 2009. The response rate was
72.5%.
The study results revealed that 93.6%, 73.9% and 47.3% of hospitals have implemented
measures of respiratory tract disease prevention, administrative controls, and environmental controls,
respectively. The most important obstacle in preventing TB transmission in hospitals was an
insufficient number of isolation rooms (80.2%), other obstacles were having an inappropriate area to
conduct the physical examination for TB patients (51.8%) and insufficient time for screening suspected
TB patients (50.2%). Most hospitals needed technical support for their ventilation system (86.3%),
training for personnel in charge of TB patients (76.8%), guidelines for preventing TB transmission in
hospitals (71.3%), guidelines for screening TB patients in the outpatient department (69.7%) and
screening forms for TB patients (60.2%).
Relevant organization should provide guidelines for preventing TB transmission, including guideline
for educating hospital personnel on caring for TB patients and preventing TB transmission for
every hospital and support expert consultation on hospital environment, especially ventilation
system, so that the hospitals can prevent TB transmission efficiently.
location: nan, 'Thailand 
year: 2017 source: HSRI 
title: In Vitro Antimicrobial Susceptibility Patterns of Burkholderia pseudomallei in Northeastern Thailand 
abstract:Burkholderia pseudomallei is a causative agent of melioidosis. Ceftazidime is a drug of choice
for treatment of this infection but the mortality rate is high in some endemic areas. This study investigates
the effectiveness of antibiotics by an in vitro antimicrobial susceptibility test. A total of
1,340 B. pseudomallei samples were isolated from patients admitted to Sappasitthiprasong Hospital,
Sisaket Hospital, and Amnatcharoen Hospital between January 2013 and February 2015. Antimicrobial
susceptibility of B. pseudomallei were evaluated by the standard disk diffusion test and to determine
minimum inhibitory concentration (MIC). Ceftazidime, imipenem, trimethoprim+sulfamethoxazole,
and ciprofloxacin were used as antimicrobial agents for the standard disk diffusion test, and MIC was
determined for ceftazidime, imipenem, and trimethoprim+sulfamethoxazole. Bacteria strains were
randomly selected for conventional polymerase chain reaction (PCR) followed by gel electrophoresis
analysis for penA and oxa gene.
Results demonstrated that all the antimicrobial agents were effective against B. pseudomallei.
Trimethoprim+sulfamethoxazole was 100% effective, and ceftazidime and imipenem were 98.36%
and 99.10% effective respectively. Ceftazidime MIC was 0.25 to ≥32 mg/ml and imipenem MIC was ≤0.5
to 16 mg/ml. It was found that 1.27% of B. pseudomallei was resistant to ceftazidime and 0.37% was
resistant to imipenem. All random samples found oxa gene but not penA gene.
It was concluded that all antimicrobial agents tested effective. Ceftazidime and imipenem were
bactericidal drugs of choice for melioidosis treatment. The bacteriostatic agent for B. pseudomallei
was trimethoprim+sulfamethoxazole. Although, the activity of the antimicrobial agents was effective
in vitro, early diagnostic and prompt clinical treatment to which drugs be administered intravenously
still urgently needed.