plueme/wizJson huggingface dataset:
The study of “Self-management, perceived warning signs, risk of complications and management for complication in chronically ill patients (Diabetes mellitus and/or hypertension) in Saraburi province” purposed to examine self-management, influential factors and barriers, and experience to manage themselves of chronically ill patients. Furthermore, the perception of warning signs and risks of complications and management for complication in chronically ill patients (Diabetes mellitus and/or hypertension) in Saraburi province were explored. 
Method: Mixed method design in relation to concurrent pattern was used in this study. Study sample was recruited from 18 health care settings in Saraburi province that were sampling by using multi-stage procedure. Quantitative data was collected in 536 chronically ill patients (Diabetes mellitus and/or hypertension) who visited health care settings in Saraburi province.  Qualitative data was collected by conducting person focus group with 165 chronically ill patients (Diabetes mellitus and/or hypertension). 
Results: Sample included 536 chronically ill patients. The major group was diabetes mellitus with hypertension patients (n=231, 41.09%), hypertension patients (n= 214, 39.93%), and diabetes patients (n= 91, 16.98%). Average age of sample was 60.4 years (SD= 12.13) Maximum age was 94 years and minimum age was 21 years. Average period of suffering from diabetes mellitus was 5.04 years (SD=6.78), and hypertension was 6.29 years (SD=8.13). The majority of the patient was female (n=360, 66.90%). The major of education was primary school (n=392, 73.13%)  The number of patient who had or had not family members suffering by chronically illness was not difference (51.87% and 48.19% respectively).  The majority of co-morbidity was hyperlipidemia (n=211, 39.37%) The major sample has no complication (n=381, 71.08%)  The majority of complication was neuropathy (n=81, 15.11%)
With regard to health behavior, the majority of study sample was no smoking (n=492, 90.49%), no drinking (n=485, 90.49%), eating high fat diet (n=194, 36.19%), eating spicy food (n=179, 33.40%), having lower than 3 meals a day (n=171, 31.30%), drinking tea, coffee and pop more than two cup a day (n=166, 30.97%) and eating frequently  (n=137, 25.56%). The majority of patient did not doing exercise (n=320, 59.70%). With regard to patient who performing exercise, these patient did standard exercise (n=61, 28.24%). For the type of exercise, the majority was arm swing (n=63, 29.17%) and walking (n=53, 24.51%), running (n=22, 10.19%) and aerobic exercise (n=10, 4.10%).  The majority of sample had ability to care for themselves (n=442, 82.46%). The major group of patient had good social support from family members, friends and health care providers (n=442, 82.46%). The majority of sample had recreation activities and they have religion and family to lead themselves (n=305, 56.90%) and came to visit as appointment (n=521, 97.20%)
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, 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 it incurred 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 or PPCI at referral center from societal and health system perspective. 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.
Road accident tends to rise, resulting in enormous loss of lives and assets. According to statistics of deaths from road accident from The World Health Organization found that Thailand mortality rate was 38.1 deaths per 100,000 populations and 3rd in the world ranking. The purpose of this report was to study the situation of trauma care process in Ministry of Public Health hospitals in regional health 3 through mixed methodology research. 382 traumatic patients were randomized from Emergency Department and 59 of administrators and staffs were interviewed and group discussed.
The result found that most traumatic patients were urgent. The average time of care in Emergency Department was 86.4 minutes. Most were highly satisfied to the services. Most traumatic patients entered to hospital privately. Patients who came with ambulance would communicate directly through emergency call of 1669 in trust of the safety system. The problems of Emergency Room management were insufficient of medical personnel especially emergency physicians and inadequate of referral system, budgets, equipments and information system including lacking of coordinated work and integrations with Fast Responder unit of other local government and foundations.
The policy recommendations from this study were Ministry of Public Health and Emergency Medical Institute should long-term plan to support emergency physicians and other medical personnel for hospitals in any level from A,S,M to F in 5-10 years. Including encouragement of local government to participate in developing of emergency system.
Background: Increasing trend of Traditional and Complementary Medicine use has been documented worldwide. In many developing countries, the majority of the population continues to use Traditional Medicine to meet its primary health care needs. In Thailand, the Thai Traditional Medicine service is a priviledge for all Thai according to our constitutional as well as Universal Health Care Coverage program. However, none of the study has been conducted to survey for Thai Traditional and Complementray Medicine (TT&CM) services together. This study therefore aims to survey the data base of TT&CM services as well as to study the factors influenecing outpatient department utilization of TT&CM services of Ministry of Public Health hospitals.
Method: The data base of TT&CM services were collected from October 2013 to March 2014. The structured collection sheet was distributed and collected through the 76 representatives of Thai Traditional services at the Health Provincial Office. The factors influenecing the outpatient department utilization of TT&CM services were analysed with Pearson’s Correlation, Independent t-test and multiple linear regressions.
Results: There were 266 from 456 hospitals have been reported their information. The response rate was 58.33. Only 231 hospitals (86.84%) could be analysed. One hundred percent reported that they have provided Thai Traditional Medicine services with 186 hospitals (80.52%) provide only Thai Traditional Medicine services while 45 hospitals (19.48) provide TT&CM services. The ratio of outpatient department utilization of TT&CM services among Ministry of Public Health hospitals was 16.69. Factors influencing outpatient department utilization of TT&CM services were the number of staffs (p-value<0.001), clinical competency for inpatient services (p-value=0.002), the number of staff receiving wage at least 15,000 Baht per month (p-value=0.017), being a study/ visiting site for education (p-value=0.011), continuing year of services (p-value=0.004) and herbal consumption value (p-value <0.001).
Discussion and Conclusion: Results of this study reveal that the numbers of Minsitry of Public Health hospitals providing TT&CM services are increase. To support TT&CM services, human resource planning along with reliable wage, clinical skill for Thai Traditional doctor especially inpatient services and networking with university are prioritized factors.
Maternal and child health (MCH) situation in three southernmost provinces has been in a critical stage. MMR was about three times higher than country’s targets and almost two times in MDGs Plus target, lower than the performance in almost all indicators. Most deaths due to causes that can be prevented in the context of modern obstetrics. There is only a small detail that seems to be absent. Prenatal care to pregnant women with traditional midwives. The way of life, religion and cultural norms determine the practice of pregnant women. But it is not seen as important as surveillance and health complications.   Key factors which affect the success of maternal and child in three southernmost provinces are
1. Manpower  : Turnover rates are frequent, because it is a difficult task, required high skills and experience. More tools and indicators and some indicators are not consistent with the context in three southernmost provinces. 
2. Belief : Two believes persists that determines the norms and practices of pregnant women are 1) do not eat more and do not take the medicine  2) seek female personnel’s service for delivery. Including lifestyle, religious values are very high in regard to procreation, and that the death is natural. The attitude that contraception is wrong, against the principles of Islam.
3. Traditional Birth Attendants (TBA) : TBA is the strength of maternal and child health in the southernmost provinces. Pregnant women are faithful and believe in TBA. While Islam still had limited access to medical services. 
Suggestion and Policy Brief 
1.	Urgent measures : Cooperation with TBA to reduce MMR (Maternal Mortality Rate) in three southernmost provinces. Development competency TBA to learn assessment of high risk pregnancy, refer and delivery of emergency cases safely. Appropriate Incentive measures are important. We should also encourage Muslim husbands to have proper attitude and to help woman during pregnancy and childbirth. 
2.	Medium and long term measures : Department of Health and related agencies  should review policy,  strategy and tools that is flexible, affordable and possible. Provides analysis and support capacity in maternal and child health. We should put more obstetricians in the three southernmost t provinces and enhance them and their MCH team to understand the way of truly Muslim.
Treating ischemic stroke patients with rt PA no more than 3 hours or 180 minutes after the stroke can increase the chance of recovery or improved condition.  If, however, treatment is delayed, the potential outcome may be permanent disability or death.  This descriptive study was conducted with the objective of assessing time elapsed before treatment in ischemic stroke patients and analyzing the factors influencing the amount of time elapsed before ischemic stroke patients receive hospital treatment.  The sample group was composed of 300 ischemic stroke patients treated at Sanphasitthiprasong Hospital in the province of Ubonratchathani, Thailand.  Data were collected from November 2014 to February 2015.  The following three sets of instruments were employed:  1) Demographic Data Questionnaire; 2) Ischemic Stroke Evaluation Form and 3) Time to Treatment Evaluation Form.  Data were analyzed by descriptive statistics and by finding the correlations by using Spearman's correlation coefficient.
According to the research findings, 229 of the 300 ischemic stroke patients (76.3%) had pre-hospital times of more than 180 minutes.  The mean pre-hospital time from the occurrence of stroke to hospital arrival was equal to 1,117.7 minutes (SD=1,556.4).  The amount of time elapsed from arrival in the emergency room at Sapphasitthiprasong Hospital until receipt of treatment (in-hospital time) was equal to 134.0 minutes (SD = 93.4).  Therefore, the mean time from the initial presenting symptoms until treatment was equal to 1,218.7 minutes (SD = 1,602.0).  Furthermore, the pre-hospital time, the distance from the site of the incident to the hospital and the in-hospital time from arrival until laboratory test results were received were found to be positively correlated with the pre-hospital time from the initial presenting symptoms until receipt of treatment (rs= .661, .185, .235, p<.01).  The severity of symptoms evaluated with NIHSS scores was found to be negatively correlated with pre-hospital time (rs= -.129, p<.05).
In summary, most ischemic stroke patients within the boundaries of Ubonratchathani receive delayed treatment in which the pre-hospital time has the highest correlation with receipt of treatment and instructing patients, people at risk for ischemic stroke and their relatives.  Moreover, the development of an emergency medical service provision system and a hospital referral system that minimizes procedures and time in transferring ischemic stroke patients is vital to helping ischemic stroke patients receive timely treatment.
The incidence of childhood obesity in Thailand has become increasingly high and its effects are likely to worsen in the future.  To control and prevent obesity effectively by behavioral changes, various levels of control and factors are needed.  This two-group pretest-posttest non-equivalent control quasi-experiment aimed to compare health behavior and the lost weight among overweight secondary school students before and after the experiment.  The subjects of the study were male and female students whose weight was over the standard weight studying in secondary schools in Hat Yai District of Songkhla Province.  There were 51 students in each group of the control and the experimental groups.  The behavioral change tools consisted of administrative policy, physical environmental development, peer influence, health service systems, parents program, food sellers program, and health behavioral change program for overweight children.  The experiment was from July 2014 to February 2015.  The general data were analyzed with frequency and percentage, health behavior and weights before and after the experiment were compared using Wilcoxon Signed Ranks Test and Mann-Whitney U Test.  Analysis was performed with qualitative data on school administrative policy, physical environmental development, health service system, and food sellers in the school.
	The study found that after the experiment, the experimental group had a higher level of health behavior in food consumption than the control group at a statistically significant level of p<.05, the level of health behavior in exercise for the experimental group was also higher than that for the control group at the level of p=.05.  The effects of the programs on weight loss revealed that the average of ordinal scale for the experiment group decreased with a statistic significance of (p< 0.05) while that for the control group increased with a statistic significance of (p< 0.05).
The results of the study indicate that the health behavioral change program improved health behavior among the overweight secondary school students, and decreased their weights.
The research and development study aimed to develop a model of lifestyle intervention to prevent type 2 diabetes mellitus (DM) in high risk group. 
Methods:	The lifestyle program was applied from the diabetes prevention program (DPP). Researcher team and public health nurses in District Health Promoting Hospitals (DHPH) performed seven meetings to deliver education and empowerment consisted of healthy diet, physical activity, stress management and social behaviors. The participants in intervention group were encouraged to match as a “buddy” for coaching each other throughout 16 weeks of the program. Quasi-experimental study was used to evaluate the effectiveness of the model. Participants were selected from high risk group of DM in the local community, Kudjub district, Udonthani province, Thailand. The outcomes were body mass index (BMI), waist circumference (WC), fasting blood sugar (FBS), health behaviors, and satisfaction of the program.      
Results:	Totally, 6o participants (30 persons in intervention and 30 in control group) participated. After 16 weeks, adjusted mean difference of FBS (90.1 mg/dl in intervention vs 95.3 mg/dl in control group) and BMI (25.7 vs 29.1 kg/m2) were not significant between two groups. WC was significantly decreased in intervention group compared to control group (mean difference –5.9 cm; 95%CI = –9.4 to –2.4; p=0.001). Health behavior (mean difference 3.6 score; 95%CI = 0.3, 6.9; p=0.035) and knowledge (mean difference 2.0 score; 95%CI = 0.6, 3.4; p=0.006) were significantly increased in intervention compared to control group. Overall, 96.7% of the intervention group was satisfied and very satisfied with the program.  
Conclusion: 	Lifestyle intervention program demonstrated significant improvement in WC and health behaviors. The program could lead to prevent type 2 DM in the local community.
The purpose of this study was to examine changes in body mass index among elderly in royal denture bestowed project. The study design was a retrospective cohort study. Data collection was carried out in 436 subjects, from 6 months to 2 years after denture services. Multiple linear regression was used to analyses the relationship between denture use and body mass index adjusted for gender, age, income level and baseline body mass index.
	The results showed that the denture use significantly increased body mass index of elderly in royal denture bestowed project (P < 0.05)
The methodology of this research was a Mixed method ,combination of survey research and In-depth interview. The Objective to study medical rehabilitation services situation ,  to study factors relating to access of medical rehabilitation service amongst  people with mobility impairment and to utilize information for policy planning in the aspect of development of the service system. A sample of people with mobility impairment were drawn using multi-stage sampling from 10 provinces in 4 regions of Thailand. The samples used in the research were 400. The questionnaire was used to collect the data from June to September 2013.The response rate was 97.25%. The data were analyzed using percentage, mean, standard deviation, t – test, F test, chi-square test, and Forward stepwise logistic regression analysis. The study results situation of 26 items of rehabilitation services, service sectors can provide only some items. The most accessibility of service consist of evaluation, medication and advice & councelling. While the less accessibility consist of vocational rehabilitation, skill & knowledge training for care giver and social skill training for  people with mobility impairment. Correlation factors according to rehabilitation accessibility consist of gender, medical right, type of impairment, onset of disability, travelling to the health service and public facilities. These factors can be used as a predictor of rehabilitation accessibility at 14.5 percentage.
Performance Assessment of District Health System in Tak Province.The aims of this study were to assess of the provincial and district committee level,in 9 district of Tak province. ), which will assess the compliance of the project in the context ,input, process, output and outcome .Using the model CIPP Model of Stoughton Waffle Beam. (Stufflebeam's CIPP Model ) Data were collected and analyzed by quantitative method with descriptive statistics.
	The results showed that the context of each area with the integration of technical development in areas already include self-assessment. The district health system Using a model planned community with quality development, including the development of quality guidelines HA PCA standard and are used for process-driven application development, network management services, process know-how. The knowledge from  routine  to research. The input policy, budget, personnel, equipment showed that. Commented that there is a consistent level. The process Issue Rating Is the process of implementation Tracking supervision and evaluation The samples of the opinion that there is consistency in the level of output of the sample is of the opinion that there is a consistent level of results, the sample is of the opinion that there is a consistent level. The development of district health network. The collaboration at the district level were moderate consensus. Providing essential care The samples of the opinion that there is a consistent level. The sharing and development groups. Commented that there is a consistent level. The involvement of community groups. Commented that there is a consistent level. And the value of work Sample Commented that there is a consistent level.