plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Factors Relating Self-care Behavior to the Control of Cervical Cancer in a Target Group of Women in Tambol Nong Ya Sai, Nong Ya Sai District, Suphan Buri Province 
abstract:This survey research study was aimed at to examining the self-health-care behavior
of women in preventing cervical cancer among a target group of women in Tambol Nong Ya Sai, Amphur Nong Ya Sai, Suphan Buri. Applying the Health Belief Model Theory as
a guideline, the research had been performed during June and July 2007 using purposive
sampling on 251 target women aged 35, 40, 45, 50, 55 and 60 in the area under the responsibility
of Nong Ya Sai Hospital. The research workflow consisted of interviewing, data
collection and analyzing processes, using frequency distribution, percentage, means, standard
deviation, chi-square test and Pearson’s correlation coefficient.
The results indicated that 46.6 percent of the target group of women had an intermediate
level of knowledge about cervical cancer, 97.2 percent had an intermediate level
of acknowledging risk opportunities in having cervical cancer, 68.1 percent had an intermediate
level of acknowledging cervical cancer, 72.9 percent had a high level of acknowledging
the benefit of having a Pap smear test, 60.6 percent had a high level of self-care
behavior in preventing cervical cancer, 53.0 percent had a Pap smear test, while 10.7 percent
did not undergo that test. The research also informs that marriage status and knowledge
about cervical cancer have a significant relationship with self-care behavior in preventing
cervical cancer (p value ≤ 0.05).
Recommendation: Public health officials should provide knowledge about cervical
cancer to increase the number of target group women who have undergone a Pap smear
test, which will lead to good health.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Benefits of Performing Vaginal Papanicolaou Smear in Visual Inspection, Using Acetic Acid-positive Subjects 
abstract:Carcinoma of the cervix is the most common cancer in Thai women. Over 40 years,
Pap smears have been used as the standard technique for cervical cancer screening, but
the coverage is quite low among the population and the incidence of advanced stage
cancer is still high. Acetic acid (VIA) testing had been introduced as an alternative method
in order to improve the effectiveness of cervical cancer screening in Thailand. When the
VIA result was positive, the client is referred for further management, but most doctors
do a repeat Pap smear to start rescreening as usual. This study was conducted to evaluate
the effectiveness of VIA and determine how necessary it is to practice in VIA-positive women.
This retrospective descriptive study was conducted in VIA-positive women who
were sent for colposcopic examination between February 17, 2004 and February 16, 2007,
a total of 109 cases. Pap smear and colposcopic cervical biopsy, with or without LEEP
conization, were performed. A Pap smear result of “normal” meant normal; inflammation
was found in 102 cases. “Abnornal” meant SIL or CIN to carcinomas, which was
found in seven cases. The histopathological result was classified as “normal”, meaning
negative and cervicitis, and “abnormal” meaning CIN I to carcinomas, which were found
in 90 and 19 cases respectively. Pap smear sensitivity was 36.84 percent, specificity was
100 percent, positive predictive value was 100 percent, and negative predictive value was
88.24 percent. This study suggested that repeated screening by Pap smear in VIA-positive
women should not be recommended due to its low sensitivity.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Study of General Data on Tuberculosis Cases and Management Trends in a TB Clinic in Rasisalai District, Srisaket Province 
abstract:This report is aimed at studying the management trend of Rasisalai Clinic and the
general data on the occurrence of new tuberculosis cases in Rasisalai district, Srisaket
Province, for creating a proper TB control planning program. An interview survey was
conducted at the TB clinic; all 134 TB cases had been registered between October 1, 2005 and September 30, 2006. The majority were males (64.2%), had a primary school level of
education (88.1% ), were farmers (71.9%) and were more than 60 years old (40.3%).
These patients were more likely to have been vaccinated with BCG (70.1%) than not
vaccinated (29.9%). The study population also had other health indications as follows:
DM 11.2 percent and HIV infection 1.5 percent. The most important factor was contact
with TB cases in their households (70.1%). Improper protection measures between TB
patients and their relatives could account for the occurrence of new TB cases: no mask
(53.2%), improper sputum collection (36.7%), no isolated bedroom (33.6%) and no isolated
eating area (35.8%). These behaviors were relevant to poor management of the
Rasisalai TB Clinic in terms of screening TB contacts in the households and in terms of
protective education.
We concluded that the effective TB treatment regimen offerred by DOTS to control
TB prevalence was not enough; the incidence of TB cases is still rising. We purpose speeding
up the screening of new cases in different high-risk groups, especially for persons
contacting tuberculosis cases in the same household. Proper protective behavior between
the TB patients and their relatives staying with them is imperative. A good clean environment
is another issue that should be the responsibility of the community at every level.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Knowledge, Attitude, and Practice in Using Insulin Pens among Diabetes Mellitus Patients of Leongnoktha Crown Prince Hospital, Yasothon Province 
abstract:Insulin treatment is one of the standard regimens for controlling blood glucose in
patients with diabetes mellitus (DM). The use of the “Insulin Pen” device for injecting
insulin, instead of the traditional vial/syringe for injection, provides additional convenience and accuracy and it reduces pain during injection. This descriptive observational
study was aimed at studying the behavior of 124 DM patients using insulin pens. Questionnaires were used to assess the following items: knowledge, history of using the insulin pen, attitude and practice in using the pen.
Data were analyzed by independent sample t-test and one-way ANOVA (F-test).
The majority (70.17%) of the samples were women, the average age of the samples was
57.0 ± 5.0 years; 87.90 percent of the patients were primary school graduates; 74.19 percent were experienced in using the pen for 6-8 months; 78.20 percent had used the traditional syringe insulin injection twice daily before switching to the insulin pen; 41.19 percent self-administed the insulin injection; 92.74 percent were instructed about the insulin
pen, using the method described by health-care staff. The average knowledge score was
8.25 ± 2.17 out of a possible 10; the average attitude score was 3.14 ± 1.55 out of a possible
4 and the average practice score was 2.62 ± 0.54 out of a possible 3. When comparing the
differences in sex, age, knowledge, history of using the insulin pen, attitude and practice
in using the pen, we found that differences in educational background affected the knowledge of patients about using the insulin pen. The ones who were experienced in using
the insulin pen were more likely to use it correctly than those who were inexperienced (p
< 0.05).
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Referral of Unsuccessful Labor Cases from Khuandon Hospital, Satun Province 
abstract:This report describes data on the referral by Khuandon Hospital in Satun Province
of patients experiencing unsuccessful labor in fiscal years 2005-2007. The objectives of
the study were to compile knowledge for planning in order to improve patient care and
referrals. The methodology of the study was to review the 122 cases of unsuccessful
delivery in the labor division of Khuandon Hospital, focusing on the rate of unsuccessful
labor, the characteristics of the patients experiencing unsuccessful labor and the patterns
of delivery after they were referred to a general hospital in the province. The findings
were as follows: the unsuccessful labor rate was 15.74 percent among the total study population
of 775 pregnant women. The patterns of delivery at Satun Hospital, to which the women had been referred, resulted in normal labor including breech-assisted cases
(41.80%), caesarean section (40.98%) (or 6.45% of the total of 775 pregnant women, which
was similar to the data of the Office of Health Service Development, Ministry of Public
Health (5.46 - 7.04%). The majority of patients experiencing unsuccessful labor were
primigravidae. The causes of referrals ranged respectively from pregnancy-induced hypertension
(PIH), cephalopelvic disproportion (CPD), prolonged stage, and fetal distress,
to premature labor and breech presentation. With regard to the patterns of delivery after
the referrals at the Satun General Hospital, PIH, fetal distress and premature labor cases
were successfully delivered in 66.67, 45.46 and 54.54 percent of the cases, respectively, but
the majority of CPD, prolonged stage and breech presentation necessitated caesarean section
(50.00, 45.46 and 90.91% respectively). The following recommendations were made
: the medical and nurse committees, obstetricians and pediatricians should join together
to develop guidelines for the care and referral of patients in labor and the hospitals should
link the data about the results of the care and health status of the mother and child after
referral.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Comparison between Intraocular Pressures Measured by Non-contact Tonometer and by Standard Device in Glaucoma and Non-glaucoma Patients 
abstract:This was a cross-sectional analytic study conducted to compare intraocular pressure
(IOP) measurements by non-contact tonometer (NCT) and a standard Goldmann
applanation tonometer (GAT) in glaucoma and non-glaucoma patients. One hundred and
forty-eight outpatients attending Thamuang Hospital in the period December 2007 - January
2008 were categorized into two groups: the glaucoma group comprised 48 patients
(48 right eyes, 47 left eyes) and the non-glaucoma group comprised 100 patients (99 right
eyes, 100 left eyes). None of the patients had a history of ocular surgery or corneal disease.
Their IOP were measured by two independent parallel observers using non-contact
tonometer Canon TX-F and Goldmann applanation tonometer.
The results of the study disclosed that the intraocular pressures measured by the
non-contact tonometer were significantly different from those measured by the Goldmann
applanation tonometer (paired t-test statistical analysis p < 0.05) in both glaucoma and non-glaucoma groups. Mean IOP in the glaucoma group, measured by NCT, was lower
than GAT (4.63 ±3.14 mmHg right eye, 4.33±3.50 mmHg left eye); also, the mean IOP in
the non-glaucoma group, measured by NCT, was lower than GAT (1.95±2.89 mmHg right
eye, 2.40±2.62 mmHg left eye). The pressure difference increased in cases with a higher
IOP, thus reflecting the reliability of NCT measurement only in measurement of the cases
with normal intraocular pressure range. Therefore, repeat intraocular pressure measurement
should be performed to conform with the standard Goldmann applanation tonometer,
if necessary.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: A Comparative Study of Patients who Committed Suicide between Residents of Khanuworalaksaburi District and Khlongkhlung District, Kamphaengphet Province in 2007 
abstract:This study was aimed at identifying the general characteristics and different factors
related to the commission of suicide, and the factors affecting the accomplishment of
suicide between residents of Khanuworalaksaburi and Khlongkhlung districts in 2007.
Secondary information on the patients was obtained from the report 506 DS in 2007. The
data were analyzed by descriptive statistics, t-test and logistic regression.
The study included 110 patients, 12 were successful in committing suicide, equal to
10.6 percent of the total. The death rate of Khlongkhlung’s victims was four-fold greater
than Khanuworalasaburi’s. Nearly all of the suidcides committed were Thai agriculturists,
in the working-age group and married. The prevalence in females was four times
higher than in males. For most of the subjects, it was their first attempt; of those who
survived, they were reluctant to repeat the suicide attempt. Most of the victims had two
or more precipitating factors: the most common was depression, physically chronic
diseases and having sufferred abuse; these were enabling factors but not significant.
Most of the victims received service provision two or more times. The comparative study
indicated that there was significance in the different modes of committing suicide, especially
with regard to the use of insecticide, and physically chronic illness, particularly
rheumatic diseases, as well as tobacco addiction. The types of services provision included
making suggestions to their relatives, handout distribution, medication for depressive
disorder, other supportive services such as referral for repeated suicide attempts. The
risk factors and service provision were both significant factors in decreasing the success
rate of those intending to commit suicide. Having suffered abuse was an important factor
in raising the success rate. The authors suggest that the provision of good-quality and
appropriate services would effectively decrease the success of attempts to commit suicide,
while the screening for the precipitating factors and a change in abusive behavior
would reduce the number of attempts.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Psychosocial Adjustment among Perimenopausal Women Attending Proprathabchang Hospital, Phichit Province 
abstract:This descriptive research was carried out to study psychosocial adjustment during
the perimenopausal period of women. The subjects were 89 married women in the
perimenopausal period who visited the outpatient department of Phoprathapchang Hospital,
Phichit Province, in 2007. The study used a questionnaire consisting of two parts:
personal data record and psychosocial adjustment in the perimenopausal period.
The results showed that 53.93 percent of perimenopausal women reported overall
psychosocial adjustment at a good level and 46.07 percent at a poor level. In considering
each aspect, the aspects of the vocational environment, domestic environment, social environment
and psychological distress were at good levels, i.e., 59.55, 51.69, 62.92 and 55.06
percent, respectively, while the aspects of health-care orientation, sexual relationship and
extended family relationship were at a poor level of 51.69 percent.
The results of this study could be utilized as basic information in planning care,
counseling and for enhancing psychosocial adjustment for the well-being of the perimenopausal
women.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Manual Sutureless Cataract Surgery for the Underserved in a Community Hospital 
abstract:This is a report of the results of a prospective series of manual sutureless extracapsular
cataract extraction on 161 eyes, performed at Taphanhin Crown Prince Hospital,
Phichit Province, in the period May 2006 - November 2007. The patients, aged 42 to 82
years (mean 68.9 years), had a preoperative visual acuity of less than 3/60 in 47.8 percent
of the cases (76 eyes). Of the 159 patients who returned for follow up, the visual acuity at
one month postoperatively was improved in 153 eyes (96.2 %), i.e., VA 6/18 or better in
42.1 percent, and 6/24 - 6/60 in 57.2 percent. When measured by pinhole, visual acuity
was 6/18 or better in 78.6 percent of the eyes. There was no major sight-threatening
complication; only minor surgical complications were encountered in 10 eyes (6.3%). In
conclusion, this intervention is cost-effective, appropriate and provides accessibility for
underserved cataract-blind patients in community hospitals. It also empowers health
personnel and should be implemented in other community hospitals or eye camps in
order to eliminate the backlog of such patients and improve the quality of life of the Thai
elderly in rural areas.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Incidence and Outcomes of Teenage Pregnancy, October 2003-September 2006, Chaibadan Hospital, Lop Buri Province 
abstract:The objective of this retrospective study was to determine the incidence of teenage
pregnancy and to compare pregnancy outcomes between teenagers and adults who delivered
in Chaibadan Hospital, Lop Buri Province. The study group included singleton
primigravida women aged 13-19 years who gave birth between October 1, 2003 and September
30, 2006. The comparison group consisted of singleton primigravidae, aged 20-29
years, who gave birth at the same hospital in that period. The study revealed that the
incidence of teenage pregnancy was 20.77 percent; teenagers had a higher proportion of
inadequate antenatal care (i.e., no ANC or ANC<4 times) compared with adult pregnant
women. Preterm delivery was higher in the study group than in the control group. There
was no statistically significant difference in obstetric complications, birth weight, stillbirth
and Apgar score between the two groups.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Factors in Patients with Low Back Pain Attending Bang Pla Ma Hospital, Suphanburi Province 
abstract:This survey-based research was aimed at determining the factors associated with
low back pain, satisfaction levels, needs and suggestions regarding the service of the Bang
Pla Ma Hospital, Suphanburi Province. The sample comprised 347 patients undergoing
low back pain treatment more than once during the period October 1 to November 30,
2007. Data were collected by a structured questionnaire, analyzed and reported as frequency,
percentage and mean. Of the total number of patients, 64.3 percent were female (average 48 years and
married); 37.2 percent were graduated from primary school; 35.2 percent had a bachelor’s
degree. A good number of them were government officers (41.5%) and had moderate
salary (63.9%); those earning more than 20,000 Baht/month comprised 29.1 percent of the
total. Most the patients (56.8%) held the right of reimboursement and 34 percent had
rights under the health assurance scheme. Most of the low back pain occurred not only
when the patients lifted heavy objects using two hands while bending (49.9%), but also
when they had improper postures. They were mostly non-consumers of alcohol (81.8%)
and non-smokers (87.3%), and regularly exercised (65.1%). Patients had received health
education relating to low back pain, in particular using local heat massage (80.7%); however,
most had moderate knowledge about keeping healthy (61.4%). Patients were mostly
satisfied with Thai massage; the next highest level of satisfaction was among those taking
a prescription pill. Having treatments 1-3 times alleviated the symptoms of most patients.
Alternative medical therapies should be advised for patients with low back pain.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Development of Health Promotion among Diabetic Patients Using Self-efficacy and Social Support in Banphotpisai District, Nakhon Sawan Province 
abstract:anphotpisai Hospital, Nakhon Sawan Province
The effects of health promotion development among diabetics, using self-efficacy
and social support, on fasting blood sugar and HbA1c in type-2 diabetes patients were
studied in four primary care units (PCUs) in Banphotpisai district, Nakhon Sawan Province, in the period from April to July 2006. The study sample comprised 126 patients who
attended the medical outpatient department and diabetic clinic of four PCUs; they had
fasting blood sugar levels higher than 180 mg/dl. The data were collected by means of
demographic questionnaires and diabetic care questionnaires, including measurement of
FBS and HbA1c. The data were analyzed using percentage, standard deviation, and paired
sample t-test. The average score for self-efficacy of pre-test was 101.28 and of post-test
113.70. The average score for social support of pre-test was 85.94 and of post-test 94.33.
The average FBS of pre-test was 142.42 mg/dl and of post-test 126.43 mg/dl. The average
HbA1c of pre-test was 5.34 mg/dl and of post-test 5 mg/dl.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Relationship between Neuropathy and Foot Ulcer in Diabetes Mellitus Type 2 Patients 
abstract:The increasing incidence of diabetes mellitus (DM) every year has resulted in multiple
complications of DM. Diabetic neuropathy is one of the most important complications;
it causes diabetic foot and leads to amputation of the legs. In a rural hospital, the
relationship between neuropathy and foot ulcer provides important information for the
development of a preventive foot-care program in a DM clinic. A retrospective study
was performed from medical records and diabetic foot evaluations from October 2005 to
September 2006; a total of 1,029 diabetic patients from Wichianburi Hospital, 247 from the Putaey primary care unit and 308 from the Kokeprong primary care unit, were studied.
Of the total, 31.51 percent were males and 68.49 percent females; 404 patients (24.72%)
had neuropathy, 60 patients (14.85%) in this group had foot ulcer, and 47 of them (3.82%)
had foot ulcer without neuropathy. The risk of foot ulcer in neuropathic patients was
almost eight-fold (7.92 times) greater than that of non-neuropathic patients. Seventynine
patients with foot ulcer had hyperglycemia; the mean blood glucose levels ranged
between 125 and 179 mg/dl, and blood glucose levels of more than 125 mg/dl were 4.39-
fold greater than the normal glucose level. Foot ulcer in diabetic patients was related to
neuropathy and blood glucose levels; thus well-controlled blood glucose and good foot
care in diabetic neuropathic patients is important in preventing foot ulcer.