plueme/wizJson huggingface dataset:
Background: End stage renal disease (ESRD) cause the high morbidity, mortality, and cost in health
care system. The prevention of chronic kidney disease/ESRD is the early recognition and
appropriate treatment of the etiology disease. Glomerulonephritis (GN) is the third most common
cause of ESRD in Thailand comparable to the Western country. The development of qualified
registry and GN network may improve the health care service and accurate epidemiological data
that support the further studies in both clinical and translational research.
Objective: To develop web-based On-line Thai Glomerular Disease Registry for studying the
epidemiology and clinical outcomes of glomerular diseases in Thailand. To develop Thai
Glomerular Disease Collaborative Network (TGDCN) through the country for creating the GN
database and supporting together in taking care of the patients. To perform the clinical
recommendation in GN management.
Methods: TGDCN originally consists of 9 tertiary care centers. We developed the Web-based
Online registry to collect the data from all native kidney biopsy-proven GN patients with aged >
18 years after approval by the ethical committee of each site. We recorded the demographic data
including gender, age, education, native habitat and the laboratory tests including serum
creatinine, albumin, cholesterol, urinalysis, proteinuria, serology tests and the pathological
findings. The clinical outcomes including remission, flare, doubling of serum creatinine, renal
survival, and patient survival were investigated.
Results: We recruited 666 patients performed kidney biopsy during Jul 1, 2014 to Jun 30, 2015.
The female to male ratio was 2.16:1. The mean age, creatinine, albumin, and cholesterol were 42
(18-82) years, 1.4 (0.4-13) mg/dL, 2.9+0.8 g/dL, and 296+118 mg/dL in respectively. The median
proteinuria was 3.2 g/day and ranged 0-22 g/day. The patients presented with 34% of nephrotic
syndrome, 22% of nephritis, 21.7% of nephrotic nephritis, 52% of renal impairment (creatinine >
1.2 mg/dL), and 54.4% of new or aggravated hypertension. The renal pathological findings showed 38% of lupus nephritis (LN), 17.6% of IgA nephropathy (IgAN), 9% of focal segmental
glomerulosclerosis (FSGS), and 8.9% of membranous nephropathy (MN). The mean age of LN,
IgAN, FSGS, and MN were 34, 38, 46, and 50 years. The average creatinine at biopsy of LN, IgAN,
FSGS, and MN were 1.9, 2.4, 2.4, and 1.1 mg/dL. Due to the time limited, the clinical outcomes
were not described at this time.
Conclusion: Our study described the first three common renal pathological findings including LN,
IgAN, and FSGS They were in the working age and presented with the initial renal impairment at
kidney biopsy. This might be the severity of the disease or the delay in performing biopsy due to
limitation of facility in kidney biopsy procedure and referring system. In addition to the data from
Thailand Renal Replacement Therapy (TRT), LN, IgAN, and FSGS were the most common GN
causing the ESRD in our country. Early diagnosis and proper management should be improve the
clinical outcomes among these patients.
The aims of the study of “People With Disabled, Phitsanulok Taxi on Demand Systems” focus on four main components which are; 1) to survey the transportation demand of people with disability and the ability to provide service by the entrepreneur/taxi drivers; 2) to review the regulations and/or the standards of transportation service for disabled people that are represented both in Thailand and in other countries around the world; 3) to analyze and to find the appropriate way to support and assist the taxi service system for people with disability; 4) to design and to experiment the taxi service information system for people with disability.

The study found that 

1. Transportation is essential for people with disability. It does not only provide a need purposely for disabled people but also it does reframe the society’s perspective toward disability.  

2. Taxi service in Phitsanulok can be able to serve the people with disability in six aspects, which consist of; 1) the indistinguishable feeling of disabled people from ordianary ones when using the taxi service; 2) the assistance for getting into and out from the vehicle; 3) the assistance of taxi driver for lifting the passenger’s belongings; 4) the ability of taxi driver to communicate with the passenger when providing the service; 5) the hospitality and service mind to serve people with disbility; and 6) the ability to assist in case of emergency.

3. The designed information system is called “TODIS: Taxi on Demand Information System”. It purposely aims to represent a user friendly interface and comprehensive information regarding transportation service for disability, which can be viewed in the following links: http://www.wearehappy.sci.nu.ac.th/plk/taxi4dp/ and http://www.wearehappy.sci.nu.ac.th/plk/taxi4dp/taxiservice.html 

4. The foundation of taxi service system for people with disability in Phitsanulok is an important key point to consider and it is needed to perform in order to improve the system to be a suitable and functional service in the future. According to the results of the study, it is suggested that; 1) the taxi drivers have to customize their vehicles to suit the disabled person; 2) it is necessary to build the knowledge and attitude of the taxi drivers toward the disabilties; 3) the taxi service is needed to call via the call center service; 4) local administrative organization plays an important role in terms of transportation service for disability due to it has responsibility to improve the wellbeing and quality of life of the disabled people who live in the area of responsibility; and 5) it is necessary to determine the reasonable extra transportation fee for people with disability.
It has been well-recognized that quality control (QC) samples are essential for routine testing results, particularly HIV serology testing conducted by a rapid test. This study was to establish Dried Tube Specimens (DTS) for implementing as QC samples at laboratory networks of RMSC 1/1 Chaing Rai and RMSC 3 Nakhonsawan. DTS were delivered to 48 community hospital laboratories and were tested 1 time a week for 4 months. It was found that 1302 of 1350 (96.44%) tests and 48 of 1350 (3.55%) tests were reported positive and negative, respectively. Our study suggested that it is possible to use DTS as QC samples for HIV rapid testing. HIV misclassification might possibly be due to testing procedure, reading test results or competency of technicians. Owing to its ease of preparation and storage, DTS are alternative tools for community hospital laboratories to use as quality control materials as a requirement for routine testing in compliance with medical laboratory standards.
This research aims to study and develop online submission for medical device through the internet and follow the international standard. The tool for collecting data is in-depth interview and questionnaires to reveal the problem in the real situation and user’s requirement to develop online submission of import certificate for medical device. The target groups of this research are private and public sectors through the supply chain. We found that the research we propose can drive the change the operation through the chain efficiently and tend to implement the prototype from this research in the future.
According to the research, the prototype is developed following the ASEAN standard, CSDT: Common Submission Dossier Template, which is going to force to be used in the future. The researchers expect that this research can drive private sector can change and accept the information system to implement in the operation for decrease resources and implement data standard which more stable the storage data.
ST segment elevation myocardial infarction (STEMI) is a major cause of death. Recent evidences
showed that primary percutaneous coronary intervention (PPCI) can reduce mortality rate. However, in a
situation where PPCI is unavailable, a facilitated percutaneous coronary intervention (FPCI) using fibrinolytic drug before patient referral could be an important life-saving solution. Since FPCI may increase the
risk of major bleeding and incur more expenditure, the information on cost-effectiveness of FPCI is useful
for policy makers.
A Markov model was used to compare the lifetime cost and quality-adjusted life years (QALYs)
accrued to patients receiving FPCI before referral and PPCI at referral center from societal and health
system perspectives. All analyses were performed using Microsoft Excel. Input data were retrieved from
literatures and electronic databases.
We found that FPCI program at community hospital is a dominant alternative given its lower cost
and higher effectiveness than PPCI at referral center. This means it is a cost-effective policy option.
Therefore, community hospitals with the capacity to provide FPCI service for STEMI patients should
be supported to offer such service for better access to the patients with higher overall quality of life and
lower costs to the systems. We suggest that policy makers in the Ministry of Public Health and the hospital
administrators should consider these findings and provide support to make FPCI available in community
hospitals with existing capacity. Capacity strengthening particularly in terms of manpower, and budget
should be provided especially in the areas where there is still shortage of supply.
The aim of this research and development study was to develop model of lifestyle intervention for
preventing type 2 diabetes mellitus (DM) among the high-risk population. The Diabetes Prevention Program
(DPP) was designed to modify the lifestyle through seven meetings (in 16 weeks) organized by the
researcher team and the public health nurses of the Sub-district Health Promoting Hospitals. The education
and the empowerment program consisted of healthy diet, physical activity, stress management, DM
risk assessment, and goal setting of health behaviors. The participants were selected from the diabetes high-risk group in the local community, Kudjub district, Udonthani province, Thailand. The intervention
participants were encouraged to match a buddy for coaching each other for 16 weeks of the applied DPP.
Quasi-experimental study was used to evaluate the effectiveness of the model. The outcome measures
were the body mass index (BMI), waist circumference (WC), fasting blood sugar (FBS), health behaviors,
and the satisfaction of the applied DPP. Sixty participants that consisted of 30 intervention participants
and 30 controls were included. After 16 weeks of the intervention, the adjusted mean difference of the FBS
(90.1 mg/dl for the intervention group vs 95.3 mg/dl for the controls) and the BMI (25.7 kg/m2 vs 29.1
kg/m2) were not statistically significant between the two groups. The WC was significantly decreased
among the intervention group compared to the controls (mean difference = 5.9 cm; 95% CI = 2.4-9.4).
Health behaviors (mean difference = 3.6 score; 95% CI = 0.3-6.9 ) and the knowledge (mean difference = 2.0
score; 95% CI = 0.6-3.4) were significantly increased among the intervention group compared to the controls.
Collectively, 96.7% of the intervention group was satisfied with the applied DPP at the high to the
highest levels. The lifestyle program indicated significant improvement of the WC and the health behaviors
and could contribute to prevent the type 2 DM in the local community.
Bacteremia is a serious infection associated with high mortality rate. The diagnosis of bacteremia
depended on blood cultures. Published guidelines do not clearly state when blood cultures should be
obtained. The objectives of this study are to validate two clinical predictor rules: systematic inflammatory
response syndrome (SIRS) criteria and clinical prediction rule of Shapiro et al. for patients who were
suspicious of bacteremia. This study was retrospective cohort study, collected data from patients who
were suspicious of bacteremia in emergency department of Warinchamrab Hospital, Ubon Ratchathani. There were 457 patients met inclusion criteria, 65 patients (14%) whose blood cultures results were positive
for true pathogens. When applied SIRS criteria, the sensitivity and specificity were 83% and 31%
respectively. Positive likelihood ratio and negative likelihood ratio were 1.21 (95% confidence interval
1.06-1.38) and 0.54 (95% CI 0.31-0.93) respectively while applying clinical prediction rule of Shapiro et al.,
the sensitivity and specificity were 91% and 40%, respectively. Positive likelihood ratio and negative likelihood
ratio were 1.52 (95% CI 1.36-1.70) and 0.23 (95% CI 0.10-0.49), respectively. In conclusion clinical
prediction rule of Shapiro et al. is more accurate in predicting patients suspicious of bacteremia. Application
of this tool in clinical practice may reduce costs and improve quality of treatment.
The purpose of this study was to examine changes of body mass index (BMI) among elderly in the
Royal Denture Bestowed Project (RDBP). The study design was a retrospective cohort study. BMI was
carried out of 436 subjects, from 6 months to 2 years after denture services from medical record. Multiple
linear regression was analyzed the relationship between denture use and BMI adjusted for gender, age,
income level and baseline of BMI.
The results showed that the denture use significantly increased BMI with positive coefficient regression
and the BMI baseline decreased with negative coefficient regression of elderly in the RDBP (P < 0.05).
The conclusion of the elderly with loss of tooth was replaced with denture for food chewing effected
increase BMI
This study aimed to determine the total direct cost and the itemized unit cost of dental services of
Thatum Hospital in 2014 fiscal year. The total direct cost was summed of labor cost which paid from
dental personnel’s remuneration and welfare, material expenditure, and depreciation costs of durable
dental equipment. Costs were allocated by dental service time and amount of dental services. The study
revealed that the ratio of labor cost : material cost : capital cost was 71.79 : 20.03 : 8.19. The first and second
highest unit costs were prosthetics and endodontics. Sealant had lowest unit cost (86.76 baht/tooth). Comparing
to the 2006 fee schedule of the Comptroller General Department (CGD), most dental services operated
at Thatum Hospital had a lower unit cost. In prosthetics, unit costs were higher, except temporary
plate 1-5 teeth was lower than the CGD’s fee.
The purposes of this study were: 1) to study organizational effectiveness, transformational leadership,
and good governance of district health office, 2) to study relationships among transformational
leadership, good governance, and DHO’s effectiveness, and 3) to study impacts of transformational
leadership and good governance on DHO’s effectiveness. This study was a descriptive research by using surveys. The units of analysis were chief district health officers, administrative personnel, academic
personnel, and directors of subdistrict health promoting hospitals from all 54 DHOs in Health Region 3
for a total of 270 samples. The research instrument was a 5-point rating scale questionnaire. The content
reliability was 0.982. The analysis for frequency, average, standard deviation, and one-sample t-test was
done on SPSS for Windows, and the analysis for validity was done on LISREL 8.8.
The results were: 1) The levels of organizational effectiveness, transformational leadership, and
good governance were between 3.72 and 4.21 which were higher than 3.5 in 5-point rating scale (p < 0.01).
2) Organizational effectiveness, transformational leadership, and good governance had high pairwise
correlation coefficients between 0.745 and 0.819 (p < 0.01). 3) Transformational leadership and good
governance together influenced the effectiveness by 70.90 percent of variance (p < 0.01).
Suggestions from this research: To improve DHO’s effectiveness, one should emphasize on the
leadership development for CDHOs so that they have transformational leadership and good governance.
Moreover, Ministry of Public Health should develop a policy guidance for assessing transformational
leadership and good governance in a selection process for the position.
This descriptive study aimed to know the situation and pattern of dental health care utilization in
Thai working-age population related to health insurance coverage. Data of population aged 15-59 years
were selected from the Health and Welfare Surveys 2009-2013. Descriptive statistics were used in terms of
percentage and rate. Results showed that in 2013 dental health care utilization rate was very low despite
all of population had health insurance coverage. Population in Universal Coverage Scheme always had
lowest utilization rate. Female, urbanites and graduated adults were high utilization rate groups while
people in the central and north-eastern regions were low utilization rate groups. Self-employed, family
business and private employees always had low utilization rates too. Most utilization was for basic dental
care in the one to one ratio of public and private health care services. Private dental clinics were the most popular. The utilization with insurance cover ranged between 57.1%-70.0% of each health insurance scheme.
Main reasons of service utilization without using their insurance cover were “long waiting”, “limited
service time” and “limited insurance benefit”. Unmet rates were 1.0% in 2011 and 1.1% in 2013. Main
unmet reasons were “time constraint”, “unable to pay for service”, “long waiting” and “others such as
fear”. The results from this study suggest that the dental health care service be developed to match needs
of the working-age populations. The regulation system for private dental clinic should be standardized.
Competency of dental staff on each service level should be reviewed and updated. Other dental health
aspects should be researched as well.
The purpose of this descriptive study was to analyze unit cost of dental services by service group
which were promotive, preventive and curative services of Rajanukul Institute. This study was retrospective,
collecting data from dental service quantity, material disbursement, dental personnel’s remuneration
and welfare, lists of durable dental equipment and building-construction in fiscal year 2014. The data was
analyzed by using descriptive statistics. The unit cost of dental services was 554.22 baht per visit which
the labour, material and capital costs of 79.41%, 14.94% and 5.65%, respectively. The costs of promotive,
preventive and curative services were 189.61, 613.34, 657.58 baht per visit. The proportion of cost of promotive,
preventive and curative services was 1.00 : 3.23 : 3.46. Oral health promotion was the lowest cost
service group and necessary for children, especially children with developmental and intellectual disabilities.
Educating parents how to care children’s oral health effectively would reduce oral diseases and
high cost curative service.
Objectives: To examine the prevalence and geographic distribution of unsafe products using risk
and possibility assessments of problem-solving using prioritizing unsafe products at provincial level in 2014. Methods: A cross-sectional descriptive study was undertaken to rank the top 5 unsafe products
using risk and possibility assessments of problem-solving principles under Unsafe Product Issue
Prioritization Project in 4 Regions (60 provinces), during January to August 2014. The data were collected
by a health consumer protection pharmacist in each provincial public health office. Descriptive statistics
for the analysis, prevalence and geographic distribution of the unsafe products were employed. Results:
Thirty-one unsafe products were found. As for the prevalence of the top 5 unsafe products assessed at
national level, they were agricultural chemical residues in fruits, vegetables and salted fish, hazardous
chemicals in cosmetics, repeatedly-fried oil, steroids adulterated in health products and drug sole in the
community, and formalin contaminated food. Based on geographical conditions and public health services,
it was found that the prevalence of the most unsafe products in 4 regions was similar to that of the
national level. However, there were some slight differences in certain regions. Besides, it revealed that the
top 5 unsafe products at national level were distributed geographically in each province. Conclusions:
There were some similarities and differences among the conditions of unsafe products in different areas.
The differences could be due to the different factors in the areas such as consumer behavior, geographical
conditions affecting the distributions of goods, etc. These factors affected the selection of unsafe products,
as well as the risk and possibility assessments. Therefore, any relevant organizations should set appropriate
policies, measures or plans to solve such problems in all aspects.
This study is a descriptive study to develop the information systems research
health care systems in the nation's hospitals, Thai standards by storing data in research agencies / organizations and educational institutions since the year 2002-2012. Total 4371 researches. The data was collected during March to August 2013. The enterprise has a number of 194 story was 12.82 percent and from educational institutions of 4177 story was 3.34 percent. Researches have passed the criteria the most on 2007 was 12.06 percent. Mahidol University research through the qualifying criteria was 10.71 percent. Trends in health care systems research in the hospital. Recognize the anniversary of the studies found that the dimensions of health care are the most in a year since 2007 was 12.06 percent dimensions of health are the most in a year since 2006 was 11.28 percent dimensions the location with the most in a year since 2007 was 14.62 percent dimensions according to the level of management systems with the most in a year since 2004 was 11.69 percent dimensions dimensions based on the value chain of the health system are the most in a year since 2004 was 12.83 percent and the dimensions of health care are the most in a year since 2007 was 15.56 percent. Research overviews of each dimension by organization and institutions. The research was found to be compatible with the dimensions. There is a lot of research, as each organization and Council of education that have been carefully selected according to the criteria. In this study, the researchers conducted health care systems in the country's overall Thai hospital. On the basis of all education data is recorded in a computer program that can be added to the trace. So that is gathered. There are to be useful.
There should be a study of health service systems research collection in the community of the country, Thai within 10 years, and the study of storage systems research on public health service system. Basis both in the hospital and the community as a database for educational and research use to advantage.