plueme/wizJson huggingface dataset:
The objective of this experimental study was to evaluate the therapeutic effect of
acupuncture on diabetic peripheral neuropathy (DPN) in 40 diabetic patients attending
the Diabetes Clinic of Laungpoh Pern Hospital; the methodology used simple random
sampling technique. Twenty patients served as the group studied, receiving acupuncture
and the remaining 20 cases acted as a control group. Both groups received the same
conventional treatment from the hospital. In both groups, the degree of foot numbness
was measured and recorded, using Semmes -Weinstein monofilament one week before
and one week after the study period of four weeks (equal to the twice-a-week application
of eight acupunctures). Statistical comparison of the therapeutic results in individual
groups, and between the acupuncture-treated and the control groups were made by
using the t-test.
The results showed a statistically significant improvement of the numbness symptoms
in the experimental group compared with the control group (p < 0.05). Therefore, it
was concluded that acupuncture has a supplementary therapeutic effect on DPN in addition
to the conventional treatment.
HIV-counseling for couples considering voluntary counseling and testing (VCT) is
very important in HIV prevalent areas. This research was carried out in this belief with
the objective of incorporating the counseling system into health centers and increasing the coverage of HIV counseling to more than 80 percent of couples. The work conducted
in the period 2004 -2006 covered 703 pregnant women and their partners who visited the
Antenatal Care Unit at Chun Hospital and health centers in Chun district, Phayao Province.
The results show the success of developing the counseling system so that it can be
incorperated into all health centers during the three successive years (2004-2006). The
coverage of couple HIV-counseling increased to 74, 94 and 89 percent, respectively. The
HIV infection rate in the pregnant women decreased to 1.8, 1.5 and 1.3, respectively. Moreover,
among 11 discordant infected couples with different blood mates, one couple was
evidently infected by each other. No infected born baby was born to these couples during
the period of study.
HIV couple counseling was very useful in protecting against the HIV epidemic; it
encourageed HIV-positive persons to join the system. The service at the Antenatal Care
Unit was suitable for inducing couples to be interested in HIV screening. Distributing the
service among the communities served by health centers was very important since it
made people feel very comfortable to take the service. Moreover, strengthening followup
programs and launching proactive public relations campaigns would produce more
success.
In the period from March to June 2007, a trial was carried out in 14 asthmatics in
order to observe the therapeutic effects on dyspneic symptoms produced by embedding
subcutaneously soluble catgut threads. All patients, eight men and six women, aged 35 -
76 years, who had had 3-8 years of asthmatic symptoms, had received treatment with
oral bronchodilators and meter-dose inhalers regularly. The treatment technique used
soluble chromic catgut No. 0 embedded subcutaneously into an area between the midline
of the back and inner border of both scapulae at the level of the T2 and T3 vertebrae twice
one month apart. Based on the Classification Asthma Score, pre and post-treatment asthmatic
scores were compared. It revealed that the treatment had satisfactorily reduced the
asthmatic symptoms in all patients, having improved asthmatic scores in 12 of the 14
patients. The OPD visits and hospitalization were reduced. This therapeutic technique is
recommended for an alternative treatment for asthmatic patients.
This qualitative research, conducted on 60 uncontrolled hypertensive volunteers,
using in-depth interviews, participant observation, group discussion and content analysis.
The aim was to study suitable forms of the holistic health-care service for hypertensive
patients available in the three primary care units at Bangmunak District, Pichit Province.
The objectives were to 1) Study the perception of hypertension disease and behavioral
self-care, 2) Study the situable health-care service for hypertensive patients in the
primary care units, 3) synthesize the situable health-care service for hypertensive patients.
Diabetes and hypertension increase the chance of a person developing heart disease
or stroke, which is called metabolic syndrome. We found that many diabetes patients attending the out-patient department in Krathumban Hospital could not control their
blood sugar levels. This quasi-experimental design was aimed at comparing fasting blood
sugar levels and blood pressure levels between pre and post utilization of service for
competency promotion of self-care intervention at 3-month, 6-month and 9-month intervals.
The 288 samples were selected by purposive sampling. The research instruments
comprised research questionnaire, digital weight and hight scale, sphygmomanometer,
and the service pattern for competency promotion for self-care intervention. The problems
of the patients and the health-care team were assessed iointly. They were advised
about diet control and exercise practiced for 30 minutes. The service pattern for competency
promotion to self-care intervention was utilized every 3 months. All samples underwent
blood tests and blood pressure testing pre and post utilization of service for
competency promotion of self-care intervention at 3-month, 6-month and 9-month intervals.
The results showed that there were significant differences among the fasting blood
sugar levels and systolic blood pressure levels pre and post service (F = 7.18, P = 0.00) and
(F= 6.95, P = 0.00) by using repeated measure analysis of variance. Service pattern
for competency promotion for self-care intervention should be included in the care of
diabetes and hypertension disease in hospitals.
This descriptive study was designed to analyze risky behavior that makes people
vulnerable to HIV infection in Phan district. Among the sample of 330 people, 48.19
percent were unaware of HIV infection, and 76.67 percent were practicing unsafe sex. Of
222 samples who were tested for anti-HIV antibodies, 11 of them were HIV-positive, producing
an HIV prevalence rate of 4.95 percent in Phan district, whereas the prevalence
rate for the country as a whole is 1.4 percent. It seems that there is a high possibility of an
HIV outbreak in the near future in view of the present situation. The basic problems are
the same as encountered in the previous era, e.g. a lack of knowledge, values, and sense
of social responsibility. These are universal concerns, not just those of HIV-infected persons.
Sustained collaboration is truly needed in order to strictly control the spread of
HIV.
This was a one-group quasi-experimental study carried out at Waritchaphum Hospital
in 2006, with the objective of determining the health benefits of a running campaign.
The study population comprised personnel who were working at Waritchaphum Hospital
in 2006. Descriptive statistics were used to summarize demographic characteristics
and the level of cooperation. The difference in the results before and after the campaign
on body mass index, blood levels of sugar, cholesterol, and triglyceride was analyzed by
paired t-test.
Of the 122 persons analyzed, 67 percent were women and the average age of the
sample was 35 years; of the total, only 76 percent participated in the campaign. Over 58
percent of the persons had good physical ability. From the analytical results, the mean
blood cholesterol and triglyceride levels obtained before and after the campaign were
statistically significantly different (p-value < 0.05), whereas the means of fasting blood
sugar and body mass index were not statistically different.
As exercise is known to be necessary for health, this study of the running campaign
was conducted in the hope that, if the persons studied could change their behavior so
that they took exercise regularly for better health, they could become leaders in promoting
exercise in the community.
This research involved a descriptive study, the objectives of which were to assess
the knowledge of and the level of preventive behaviors for avian influenza (bird flu),
including the comparative avian flu prevention behaviors of district public health volunteers
in Phakhai District, Phranakhon Si Ayutthaya Province, as categorized by sex, age, educational background, level of knowledge, work experience as district public health
volunteers, and relationship between poultry and one’s residence. The samples comprised
265 district public health volunteers. The instrument used for data collection was
a questionnaire verified for content validity and reliability. Data were collected in August
2007. Descriptive and inferential statistics (t-test, F-test) were used for analysis. Most
of district public health volunteers were female (83.4%), aged between 50 and 59 (37.4%),
who had compleated primary school (68.3%), with 5-15 years of experience as district
public health volunteers (60%), not involved in poultry business (87.5%), and resided in a
non-risk area (93.6%). The sample for the most part had a high level of knowledge about
avian influenza (80%). The prevention behaviors for avian flu were at a moderate level
(58.9%). The comparison of preventive behaviors for avian influenza demonstrated that
the sex of the district public health volunteers was not related to preventive behavior,
while age, educational background, level of knowledge, work experience of district public
health volunteers, relationship between poultry and their residence, did affect the prevention
behavior for avian flu at the 0.05 level of statistical significance.
Suggestions for this study were that public health and livestock officers should provide
intensive learning programs for district public health volunteers so that they could
improve their prior incorrect practices by regularly imparting knowledge about avian
influenza to people in every area, encouraging people to understand the present situation.
It was also necessary to study problems and operational requirements in order to
apply the findings of the study report for potential development.
This study was conducted in Chainat Province, comparing the results of treatment
of type II-diabetic patients treated at two health centers with those treated at a community
hospital. The study group of 39 patients voluntarily agreed to attend the District
Health Center for at least six months of treatment; they were cases receiving oral medications
and were not at risk of serious complications. Results of treatment were based upon
blood pressure, body mass index, waist circumference, and blood chemistry parameters,
i.e., fasting plasma glucose (FPG), HbA1c, total cholesterol, triglyceride, HDL and LDL.
Data were analyzed statistically using percentage, mean and standard deviation in order
to assess the value of the treatment. The non-parametric (chi-square) test was used for
showing the differences of treatment results between the hospital and health centers. Successful
of treatment was demonstrated by the following: FPG (46.3%), HbA1c (23.1%),
blood pressure (20.5%), total cholesterol (41.0%), triglyceride (43.6 %), HDL (53.8%), LDL
(17.9%), BMI (33.3%) and waist circumference (23.1%) for the patients treated at the two
health centers compared with those obtained at the community hospital. Only the results
of blood pressure testing were of statistically and significantly different.
Objective : To compare the outcome among patients using the diabetes foot care
program and those who did not use it.
Material & Methods : This quasi-experimental research focused on the effects of
using the diabetes mellitus foot care program in terms of sensory receptor score. The
controlled patients were non-insulin-dependent cases of diabetes mellitus. They had been
treated in the diabetes mellitus clinic of Bangbo Hospital, Samutprakarn Province. There
were 100 cases divided into experimental and control groups. They were followed up
using the diabetes mellitus foot care program. The data were analyzed by the method of
percentages, means, descriptive statistics and compared means by t-test.
Result : In the experimental group, their foot problems decreased and there was an
improvement in their sensory receptor score better than that of the control group (95%
confidence interval; p-value <0.05).
A study was conducted to evaluate a gas-fired incinerator system for the eradication
of infectious waste compared with a fuel-fired one, with regard to their efficiency in
destroying such materials, their cost of operation, and the satisfaction of the 127 hospital
staff who have to work with them. The materials employed in the study comprised the reports on hospital infectious
waste incineration, the Yala City Municipality Rule 2007 dealing with such services, the
collection and eradication of infectious waste, and the statements of hospital staff as contained
in questionnaires which had been approved in substance and for accuracy, with a
confidential value of 0.83; they were tested using Cronbach’s alpha coefficient. The data
were analyzed by using percentage statistics and average.
Findings :
1. As regard the effective budget for destroying infectious waste, comparing a gasfired
incinerator with a fuel-fired system at the Yala Municipal waste treatment plant, it
appeared that:
- The average cost for eradicating infectious waste, using the gas-fired incinerator
system, is 3.34 baht perkilogram, while that for the fuel-fired system is 23.42 baht
per kilogram; the average cost of eradicating infectious waste transported to the Yala
Municipal waste treatment plant is 81.56 per kilogram.
2. The comparison between the gas-fired incinerator and the fuel-fired one showed
that the gas-fired system had greater efficiency than the fuel-fired system, with regard to
combustion rate, quantity of ash produced, residues following combustion and number
of staff need to operate the system.
3. As for the satisfaction of the 127 hospital staff concerned, it was found that a
good level of satisfaction was 12.68 percent, and a very good contentment level was 87.32
percent.
The aim of this development research study was to develop the patterns of the primary
care service in Sritia and Laoyaw tambons of Baan Hong District in Lamphun Province,
where they conjoin with Chiang Mai Province. The study was undertaken in the
period 2003 - 2006. The study was conducted in a number of phases: first, correcting the data, then planning, followed by processing, and finally evaluating the outcome. In the
first period of this study, the population of the Sunpulauy Primary Care Unit (PCU) required
extraordinary health-care service out that posed a budgetary problem under the
Universal Coverage system in the Banhong PCU. Subsequently a meeting was held to
study and correct the statistical data, the health-care services received, the number of
patients with chronic illness, the ways to establish health-care services, the ability to recruit
new patients, evaluate the competency of the health-care team, and prepare to develop
the pattern of health-care services. In second phase, arrangements were made for
family nurses to work in the PCU full time and be associated with the community based
health-care services. In the third phase the Laoyaw PCU was developed to become the
center for community medical-care services with the provision of a doctor for providing
medical care and evaluating the outcome of processing.
In the fourth phase, the people in Sritia and Laoyaw tambons enjoyed a greater
range of health-care services. Patients in the Laoyaw PCU increased from 11.94 percent
of the population in 2004 to 24.60 percent in 2006, because family nurses were working in
this PCU and developed it into a community medical-care center. The Laoyaw PCU decreased
the UC budget following the DRGs of the Sunpulauy PCU. The population receiving
health-care services increased from 20.69 percent in 2004 to 36.13 percent in 2006.
The screening of patients with hypertension increased 3.32 more than three fold, and that
of patients with diabetes mellitus increased more than 5.6 times from 2003. The number
of patients with respiratory diseases decreased; increased screening was carried out for
diseases associated with community problems, that is, myalgia of the muscle and skeleton
systems. The community medical hub was connected to the primary health-care
service system in this area. The study found that it is possible to develop persons in the
community and public health volunteers following the system policy that stresses improving
health using the Banhong UC budget.
The purpose of this research survey was to study the risky health behaviors in terms
of non-communicable diseases among government officers stationed in Long District,
Phrae Province. The research samples involved 864 government officers in that district.
Questionnaires and a screening protocol were used as the main instruments in collecting
the data, which were analyzed by descriptive statistics. The risk behaviors were as follows:
Smoking was 11.7 percent, alcohol consumption 50.3 percent, and physical inactivity
64.7 percent. For unhealthy diet behaviors, 30.2 percent of the subjects favored high
sugar diets, 18.2 percent favored high sodium diets and 3.8 percent high fat diets. For
traffic accident prevention, 37.4 percent seldom wore helmets or fastened the seat belts
in their vehicles. The results of the health screening revealed that the body mass index
indicating overweight or obesity was found in 54.4 percent of those surveyed, while
waist circumference that posed risks for obesity was found in 29.8 percent; by sex, these indicators were found in 31.8 percent of the male and 27.4 percent of the female officials.
It was also found that 38.3 percent of them were at risk of hypertension and 21.1 percent
had hypertension; 15.9 percent had excess blood sugar, making them prone to diabetes.
Overall health-risk behaviors of the government officers in Long District put them
at a high risk of developing non-communicable diseases (90.4 percent). It is urgent that
preventive measures be developed to alter the risky behaviors by introducing effective
health programs for these government officers so that they might avoid contracting noncommunicable
diseases.
This action research was developed to assess the results of good-quality care and
practical guidelines for alcohol-dependent patients in Phimai Hospital during the period
from October 1, 2004 to July 31, 2007. The first group of subjects included 808 alcoholdependent
patients in the three subgroups studied in successive periods of care development:
261 patients treated in the early developing period (Oct. 1, 2004 to Sept. 30, 2005);
241 patients in the developing period (Oct. 1, 2005 to Sept. 30, 2006); and 306 patients in
the post-developing period (Oct. 1, 2006 to Jul. 31, 2007), respectively. The second sample
group was selected by randomized purposive sampling consisting of 35 patients who
received brief counseling and relapse prevention in the alcohol clinic of Phimai Hospital
in the period from February 1, 2005 to July 31, 2007.
The results of the quality care development revealed that the severity of withdrawal
symptoms in the post-developing group had statistically significantly decreased, but
showed no significant difference in average length of stay from any other groups at the 99
percent confident interval (p value < 0.01); relapse prevention showed that 37.14 percent
(13 out of 35), 34.29 percent (12 out of 35) and 8.57 percent (2 out of 35) could continuously
stop drinking over three months, six months and 12 months, respectively.
In conclusion, this action research focussed on the improvement of care and relapse
prevention. However, there were other opportunities to make improvements, such as
combination therapy, counseling in skills training for medical personnel, continuing care
in primary care units and community participation.
The Public Health Coordination Committee of Wangchan District, Rayong Province
has started a new form of health promotion for the people of Wangchan District under a
project named “Caravan for active health promotion, conducted by networks of participants
in the community.” The objectives were: (1) to compare activities between the new
and the former health services on aspects of their activities, budget, personnel, time consumption,
and involvement of health networks in the community; (2) to evaluate the
outcomes regarding the expected target establised by provincial as well as ministerial
public health policy; and (3) to determine satisfaction with the project among public health
staff, the target group, community leaders and health network participants. Information
sources were derived from questionnaires and working records.
The overall results of the descriptive study demonstrated the superiority of the new
form of health-promotion service to the former one on aspects of health benefits to the
community as well as the satisfaction of the participants involved in the study.
The study was undertaken to determine the effectiveness of bilateral hypogastric
artery occlusion in minimizing blood loss from abdominal hysterectomy. The subjects
under study were patients with myoma uteri who attended the Kabinburi Hospital for
surgical intervention in the period August 1, 2000 to July 31, 2007. The patients were
divided by simple random sampling into two groups; the initial numbers were 33 in the study group undergoing bilateral hypogastric artery occlusion right before hysterectomy
and 32 in the control group with no artery occlusion. After the abdominal hysterectomy,
Five patients were excluded after hysterectomy but not the cases of myoma, thus making
the patients numbers 30 each in both groups. With the same provision of preoperative,
operative and postoperative care for all patients, the procedure of bilateral hypogastric
artery occlusion was performed on the study group by the present author just before the
uterus removal operation and occlusion release after the hysterectomy was completed
and all the bleeders were checked.
The results of this study showed no statistically significant differences between the
two groups regarding their personal data and the operative outcomes. The average blood
loss in the study group was 350.67 ± 140.38 ml, whereas in the control group it was 572.83
± 207.82 ml; the difference was statistically significant (p < 0.05). The study group received
0.13 ± 0.346 units of blood transfusion during the operation, whereas the control
group received 0.63 ± 0.765 units; the difference was statistically significant (p < 0.05).
The operative time taken in the study group was 85.23 ± 17.17 minutes compared with
104.53 ± 16.06 minutes in the control group; the difference was statistically significant (p
< 0.05). There were no significant differences between the two groups regarding preoperative
and the 24-hour postoperative hematocrit levels, the numbers of pads used in the
first post- operative days, incidence of postoperative fever or infection, other organ injuries,
and the average length of hospital stay post operation. The study was conducted to
support the practice of temporary bilateral hypogastric artery occlusion in order to minimize
blood loss during abdominal hysterectomy.
The software program OPDAudit was developed from Microsoft Visual Foxpro. It
was used to audit outpatient data in contracting units of primary care (CUP) of Sisaket
Province, to analyze the outpatient services: health-care services or health promotion services
and finally to made a report for claims to the Sisaket Provincial Health Office. Input
files for this program comprised 12 electronic files, which every CUP sends to the Sisaket
Provincial Health Office monthly.