plueme/wizJson huggingface dataset:
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Situation of an Outbreak of Acute Diarrheal Disease in Tapanhin District, Phichit Province 
abstract:This study was aimed at investigating an outbreak of acute diarrhea during the
period February 20 to March 23, 2006 in Tapanhin district, Phichit Province. It is a descriptive
epidemiological study that was undertaken to identify the problems and the interventions needed to control the disease, using an interview with individual case surveillance,
as designed by the Bureau of Epidemiology, and specimen collection. The study
population comprised 554 cases, including all cases who visited health-care facilities and
those in communities in Tapanhin district. An additional study was based on an observation
of the environmental factors and the disease-control measures. Quantitative data
analysis was presented in percentage, ratio, minimum and maximum, using a computer.
These data analyses were based on triangulation in order to make links, between the
factors and effective implementation.
The study found 554 cases in total (526.67 per 100,000 population). The epidemic
began in the municipal area and spread rapidly to surrounding sub-districts. The highest
prevalence was among children 1-4 years old (3,485 cases per 100,000) and 5-9 years (1,413
cases per 100,000), respectively. Leading symptoms included watery stool (85.35%), and
stomach ache (58.81%). Non-pathogenic bacteria were detected in 94.52% of the cases
based on rectal swab culture, whereas rota virus was detected in 3 of 9 stool cultures. A
centralized operation unit was set up in order to conduct active case surveillance and
control the disease. The interventions were conducted through both sanitation (cleaning
animal slaughter units, markets, and public restrooms) and education of street food-vendors.
As a result, the epidemic was brought under control within four weeks.
The achievement of diarrhea prevention and control requires rapid disease investigation
and community intervention from the district health system. To determine the
root cause of an epidemic, objective data, based on active case surveillance and comprehensive
laboratory examination are helpful.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Introduction and Development of an Addiction Rehabilitation Program in Bangphli Hospital, Samut Prakan Province 
abstract:The purpose of this study was to assess the addiction rehabilitation model (adopting
the matrix-intensive outpatient program - IOP) in the primary care units of Bangphli
Contracting Unit of Primary Care (CUP). The capacity of the primary care unit’s health care workers has been developed to implement this model. This action research was
completed by Bangphli Hospital. The program follows the matrix-intensive outpatient
program, which features cognitive - behavioral therapy. The Bangphli Hospital therapist
team oversees and advises all the other primary care units involved in this program. The
therapist team monitors every session of the program. Their results are evaluated by using
the standard criteria from the Thanyarak Institute. These criteria require the involvement
of at least 60 percent of those who attended and completed the program, and 60
percent of those who attended being non-relapsing, and who returned to work or school.
The results of the study revealed that implementing and pursuing this addiction rehabilitation
program has been an effective solution for the drug addiction problem. The primary
care units monitored were found to have exceeded these criteria by having 88.89
percent of the patients completing the matrix program and 100 percent of those did not
relapse but returned to work or school. These patients returned to their communities and
were welcomed by their families.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: The Benefit of Group Participation in the Control and Self-care Patients with Non-insulin Dependent Diabetes Mellitus 
abstract:Non-insulin dependent diabetes mellitus (NIDDM) is a major health problem. One
significant factor that affects the success in its control and treatment involves the individual
self-care behavior in patients’ life style.
The purpose of this study was to assess the effectiveness of group participation in
self-help on self-care in patients with non-insulin dependent diabetes mellitus by comparing
them with patients receiving routine advice. The subjects included 88 non-insulin
dependent diabetes patients who attended the outpatient department of Prachathipat
Hospital in the period from December 2006 through May 2007. The samples were simply
randomized into experimental and control groups comprising 44 patients each. The experimental
groups assigned to the self-help group was further divided into four subgroups
of 8 -11 patients to join three activity sessions, spending 40 minutes in each of
them once a month. The control group received routine advice. Data were then collected
through interviews using questionnaires before and after the experiment. The statistical
analyses provided mean, standard deviation, and information from paired t-test and ttest.
The findings showed that, after completing the study project, the self-care behavior
mean score of patients who participated in the self-help group was statistically higher
than it was before starting the experiment and higher than the results in the control group.
The gained mean score on self-care behavior after the experiment between the self-help
group participating and the routine teaching group differed statistically.
The explanation given was that participation in the self-help group provided the
patients with sharing and learning experiences. The researcher suggested that the efficiency
of self-care behavior could also be modified for practice in the prevention of complications
from other chronic diseases.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Multidimensional Evaluation of lodine Deficiency in Residents of Dansai District, Loei Province 
abstract:Formerly, the programs for the elimination of iodine deficiency disorder in Thailand
had used the total goiter rate in school children as an indicator for evaluating the
program. That indicator showed improvement, from 19.3 percent in 1989 to 1.31 percent
in 2003. However, for protection against brain damage from iodine deficiency, importance
must be given to the transfer of thyroid hormones across the placenta even during
early gestation. Thus, the ultimate focus must be women who are going to be pregnant,
pregnant women and neonates. The criteria recommended by WHO/UNICEF/ICCIDD
are salt iodization, proportion of households consuming effectively iodized salt > 90 percent,
median urinary iodine in school age children > 10 μg/dl, thyroid size in school age
children, proportion with enlarged thyroid by ultrasound or palpation < 5 percent and
neonatal TSH, proportion with levels > 5 mU/l whole blood < 3 percent.
The present study took for examination thyroid size and collected blood and urine
specimens for TSH, thyroid function test, urinary iodine in many age groups both from
the hospital and the community in 1998 and 2003. The results showed that the goiter rate
in school age children by ultrasound decreased from 5.1 percent in 1998 to 0.5 percent in
2003, but this proportion was not similar to those identified according to thyroid size by
palpation i.e., 16.1 percent in 1998 and 21.4 percent in 2003. Median urinary iodine in
2003 in the subjects in age groups 0-1 year, 1-3 years, 4-6 years, 6-12 years, pregnant women
and elderly persons were 12.44, 15.49, 15.44, 15.31,11.30, 5.52 μg/dl, respectively. The levels
seemed to decline when compared with the 2003 findings of 19.62, 19.06, 15.83, 46.92,
7.17 μg/dl respectively. Neonatal TSH (serum based) >11.25 μlU/ml in 2003 were 26
percent, which showed that our area was a moderate iodine deficiency disorder area.
This might be caused by unsatisfied coverage with iodized salt at 45 percent.
In this study, most outcome indicators achieved the criteria, but the impact indicator
was unsatisfied in neonatal TSH. Accordingly, a process indicator such as coverage of
salt iodization showed the failure to achieve the criteria. Therefore, Dansai Crown Prince
Hospital would analyze the data in each community and show those data to people in the
community in order to solve this problem. We recommend that every district follow the
multidimensional evaluation of iodine deficiency disorder continuously as process, outcome
and impact indicators.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Treatment Result of Tuberculosis Patients in Sanam Chaikhet District, Chachoengsao Province 
abstract:The objective of this work was to assess the results of tuberculosis patients treated at Sanam Chaikhet District, Chachoengsao Province by comparing the result of treatment between the Group 1 regimen, i.e., with the assistance of family members or public health volunteers in 141 patients and the Group 2 regimen, with treatment assisted by sub-dis trict personnnel, together with family members or volunteers for 38 patients. The data obtained from the patients’ registration (RorBor. 1K04) and treatment cards were analyzed for the number of patients, means, percentage, and the chi-square test. Of the 179 patients, 66.5 percent were male and 33.5 percent female, aged 10 to 88 years, with the average being 53.3 years. About 91.1 percent were cases of lung TB, of which 73.2 percent were registered as new cases, and 88.3 percent had no history of allergy. The majority (76 percent) of patients received treatment for category I, for which only 35.2 percent of the patients completed the treatment. Successful treatment, as cured patients and completed treatment, was obtained in 64 percent of patients. The results of treatment with the adapted regimen were 81.6 percent cured, 18.0 percent unsuccessful, while those treated with the old regimen showed success in 60 percent of patients and 39.7 percent were unsuccessfully treated. The difference between the two regimens was statistically significant at the level of 0.05.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Visual Function and Quality of Life in Cataract Patients after Phacoemulsification 
abstract:Cataract is a significant cause of blindness in the global population. The objective of
this descriptive study was to study visual function (VF) and the quality of life (QOL) in 32
cataract patients treated by phacoemulsification at Bangnamprieo Hospital from January
to April 2007. Information was obtained before and one month after the intervention.
The patients were 12 men and 20 women, aged 50-82 years, with 62 years being the average.
Half of them had no occupation; average family income was 57,769 baht per year.
They suffered low vision for 23 months on average. The VF and QOL scores after one
month of treatment were higher than before, and the VF scores positively correlated to
the QOL scores (r =.567, p <.01). In conclusion, the present study shows higher visual
function and better quality of life scores after the intervention by phacoemulsification
together with the standard of care. The authors recommend this particular measure for
tackling cataract disease in community hospitals without full-time ophthalmologists, in
order to increase the health of the Thai population and improve the quality of life of the
people.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Epidermiology of Diabetes Mellitus in Phanomphrai District, Roi Et Province 
abstract:Objective: To study diabetes mellitus epidemiology in Phanomphrai district and
to assess diabetes risk factors in the Phanomphrai sub-district (tambon).
Methodology: Descriptively reviewed the Phanomphrai population and diabetes
registration and services for epidemiologic data in fiscal year 2006, and carried out a
community survey to assess diabetes risk factors through interviews using questionnaires
and specimen collection among those aged 20 years and older in Phanomphrai tambon in
the period July - September 2005.
Results: The Phanomphrai population was 100,870, with 38,069 (37.7%) aged 40 or
older; 2,648 diabetic patients were registered, with a prevalence rate of 2.6 percent. There
were 10 (0.4%) with type 1 diabetes, 2,630 (99.3%) with type 2 diabetes, and 8 (0.3%) with
gestational diabetes. New cases of type 2 diabetes totaled 299, 300 and 192 cases during
2004, 2005 and 2006, respectively, making the incidence rate 0.29 percent, 0.30 percent and
0.20 percent, respectively. After complication screening, there were 8.4 percent renal, 2.0
percent neurological, 1.7 percent arterial and 1.2 percent ophthalmologic complications
with 0.5 percent experiencing amputation and 0.9 percent multiple complications. After
the community survey of a total of 1,540 subjects, 474 (30.8%) were classified as cases of
disease, 605 (39.3%) as being at risk and 461 (29.9%) as normal. Risks by body mass index
(BMI ≥25) were 46.9 percent, 31.8 percent and 22.1 percent in the disease, risk and normal
groups, respectively. Risks by abdominal circumference were 41.3 percent, 28.3 percent
and 17.8 percent in the disease, risk and normal groups, respectively. High blood pressure was found in 84.6 percent and 97.4 percent in the disease and risk groups, respectively. Abnormal fasting blood glucose levels were 44.7 percent and 9.0 percent in the
disease and risk groups respectively. Abnormal triglyceride levels (≥250 mg%) were found
in 27.6 percent, 14.2 percent and 12.0 percent of the disease, risk and normal groups,
respectively. High density lipoprotein levels (≤40 mg/dl) were 47.2 percent, 49.2 percent
and 45.5 percent in the disease, risk and normal groups, respectively.
Conclusions: Epidemiologic study helps increase understanding of the diabetes
situation and disease burden, and indicates that diabetes has imposed huge public health
and economic burdens. Measures of high priority must be emphasized in relation to the
quality of care, information systems and the interventions made to prevent or delay diabetes in high-risk groups, and to study the risk factors for diabetes and metabolic syndromes for the development of efficacious preventive measures.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Lead Levels in the Blood of Residents Living in the Vicinity of a Lead Smelter 
abstract:This cross-sectional study was conducted to determine the lead levels in the blood
of people living within 1 kilometer of a lead smelter.  The subjects included were 134
residents aged 20 years and older, randomly selected, one each from the households.
Among them, 103 (77%) were female, 12.7 per cent had occupational exposure to lead,
83.6 per cent spent their time at home seven days a week, 57.5 percent had a primary
education, 54.5 percent lived within 500 meters of the smelter, and 71.6 per cent drank
water from sealed containers.  The average blood lead level was 12.7 micrograms/deciliter.  Factors which were statistically and significantly associated with blood lead levels
were education level, distance from the smelter and source of drinking water.  The results
of this study could be used to locate the hazardous zone surrounding the smelter, to
select safer sources of drinking water and to educate residents at risk in order to prevent
future health hazards
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: An Outbreak of Influenza A (H1N1) in Li District, Lamphun Province, November 2007 
abstract:An outbreak of influenza A (H1N1) in Li district, Lamphun Province in November
2007 led to investigation and control of the event and an epidemiologic study to determine the characteristics of the outbreak, to define the cause and factors associated with
the outbreak, and to implement effective prevention and control measures. Methods included
descriptive epidemiology, environmental survey and laboratory study. A total of
80 cases were identified in this outbreak; 58.8 percent were students and 35 percent were
children aged 5-9 years. The causative virus, influenza A (H1N1), was identified by PCR
technique in 61 out of 77 cases (79.2%). The highest incidence rate of 38.31 per 1,000
population was evident in Village 5 of Srivichai subdistrict. The propagated source epidemic
probably started after introduction of influenza virus A by a student who contracted
it from the local market and then spread it at his school. The health team implemented
comprehensive control measures, including health education on disease etiology
and prevention for local residents both in the school and the community, screening and
isolation of new cases, giving prompt treatment, providing masks and promoting hand
washing among school children and teachers, temporary closure of schools to cut the
transmission chain, and active surveillance and early treatment in the community. A
field hospital was set-up in a temple to accommodate and provide treatment to overloaded
cases from Li Hospital. As a result of all intervention measures implemented by
public health agencies, community leaders and villagers, the outbreak was curtailed
quickly, with no further outbreak in nearby areas.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Effect of the Positive Self-talk Training Program in Patients with Generalized Anxiety Disorder 
abstract:This quasi-experimental research study was aimed at assessing the effect of the positive
self-talk training program on anxiety in patients with generalized anxiety disorder.
All subjects were outpatients of the Takfa Hospital, Nakhon Sawan Province, seen during
the period October through December 2007. The study was one of a group of pre-post
tests conducted on 15 subjects obtained from random sampling. Research instruments
comprised (1) a demographic data form, (2) the translated version of State-trait Anxiety
Inventory of Spielberger, and (3) the Positive Self-talk Training Program based on the
concept of Nelson-Jones. Data were analyzed using descriptive statistics and paired ttest.
The findings were that the state-anxiety score of the patients decreased significantly
after they joined the Positive Self-talk Training Program (p < 0.05). The finding suggests
that the methodology could be taken as a guideline for ameliorating anxiety in patients
with generalized anxiety disorder.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Health Condition and Health Behavior of Staff of Khonsawan Hospital in Chaiyaphum Province 
abstract:This cross-sectional study was conducted with the objective of determining the hospital
staff’s health behavior, health conditions and differentials in health behavior conforming
to the six-habits policy of the Ministry of Public Health. Data were collected by
questionnaires administered among 120 hospital staff in September 2007.
The results indicated that almost all of the hospital’s staff were in good health, without
remarkable underlying disease and had no work-related injury or illness. The problems
that disturbed them, making them worried or nervous, were their job and debt, but
they were able to manage somehow. Minor problems were indigestion and constipation.
Overall health behavior, including food consumption, environmental sanitation,
wealth, temptation, and temperament, was at a moderate level. By contrast, their exercise
behavior was at a low level. The differences in age, working hours and educational levels
were not related to health behavior; however, gender, marital status, job position, work
experience, job description and health conditions were related to their health behavior.
location: nan, 'Thailand 
year: 2008 source: HSRI 
title: Quality of Life of HIV-infected Persons and Patients: A Case Study of the "Ruam Nam Jai Rim Nam Lao Group, Mae Lao District, Chiang Rai Province 
abstract:The objectives of this study were to: (1) examine the quality of life of HIV-infected
persons and patients; (2) identify the factors related to their quality of life, and (3) map
out the problems and seek ways to improve their quality of life.
A questionnaire was employed as the research instrument to obtain information
from 180 HIV-infected persons and patients who had been members of the Ruam Nam Jai
Rim Nam Lao Group in Mae Lao district, Chiang Rai Province, for at least three mouths.
Frequency, percentage, t-test and F-test were used for data analysis. About 50.6 percent of
the subjects were females, aged below 35 years (43.9%) and married. The majority (68.9%)
had finished elementary school. The majority (60%) were engaged in general employment
or in agriculture (33.9%), among others. The average monthly income was below
1,000 baht (42.80%). Most of them had been members of the Ruam Nam Jai Rim Nam Lao
Group for four years or more. The reason for joining the group was to access the facilities
to look after their own health and to get anti-AIDS medicines. They participated in the
group activities 1-4 times. They learned that they were HIV-infected at least six years
previously. They experienced a mild ill-feeling approximately once a month. The period
of treatment with anti-HIV medicines was one and a half years to three years. To a great
extent, they looked after their own health ( x = 0.74 out of 1).
Overall, the quality of life of the HIV-infected persons and patients was moderate
(x = 3.59 out of 5). When the individual dimensions were considered separately, it was
found that the quality of family life and that of community life were high ( x = 4.07 and
3.84, respectively). Their health and economic security were found to be moderate ( x =
3.43 and 3.03, respectively).
The factors relating significantly to their quality of life at the 0.05 level were gender,
marital status, income, length of time knowing about their HIV infection, and the nature
of their illness, respectively. In contrast, education, number of years of taking anti-HIV
medication and self-care were all found to have no relationship to their quality of life.
From the findings of the study, the researchers were able to compile some suggestions
for improving the situation of the HIV-infected persons and patients in the communities;
the details of the study are described in the text.