plueme/wizJson huggingface dataset:
This was the third cross-sectional survey conducted in Nakhon Ratchasima Province
in 2006 to follow up the surveillance of a cluster of female sex workers whose behaviors
potentially put them at risk of contracting HIV infection, and to verify their knowledge
about HIV. A one-stage cluster sample with equal probability was used to select the
brothels where the women worked. All the female sex workers willing to participate were included in the study. Self-administered questionnaires were used for data collection.
A total of 147 female sex workers participated in the survey; their average age was
30.4 years. Only 34.6 percent of them were capable of answering correctly all of the five
UNGASS knowledge questions. The rate of condom use with clients in the previous
week was 99.2 percent. In the previous month, 46.3 and 36.7 percent of them had sex with
their spouse and none-client partners, respectively. The rates of condom use with spouse
and none-client partners in the previous month were 30.8 and 79.6 percent, respectively.
The drug addiction rate and rate of injecting drug use in the previous year were rare, only
0.7 and 4.1 percent, respectively. In the previous six months, 78.2 percent of the female
sex workers had participated in voluntary HIV counseling and undergone anti-HIV testing.
From the results of this survey, it is obvious that female sex workers in Nakhon
Ratchasima Province still need to improve their knowledge about HIV/AIDS. Their regular
condom use needs to be extended to cover all types of sexual partners.
Many middle-aged women are facing problems with overweight, which is a risk
factor for cardiovascular disease, diabetes mellitus and hypertension. Key determinants
are physiological changes and food consumption and exercise. Controlling overweight
requires appropriate self-care. Self-efficacy would help middle-aged women to have confidence
that they are capable of appropriate practices. This study was aimed at identifying
the relationships between self-efficacy and practices to control the weight of women
aged 40-60 years. Three hundred and thirty-three middle-aged women who attended the
Golden Age Clinic of the Bandung Crown Prince Hospital in Udon Thani Province were
randomly recruited. Data were collected using a questionnaire on self efficacy and overweight
controlling practices for middle-aged women. The questionnaire was modified
from the questionnaire developed by Rawicha Hongrojchanpak, which used Cronbach
alpha coefficient for the self-efficacy part at 0.82.
The results indicated that the middle-aged women had high levels of overall selfefficacy.
The self-efficacy of food consumption and exercise were also at high levels. Most
of the middle-aged women (70.3%) had high to very high self-efficacy in eating fiber-rich
vegetables, walking instead of using vehicles for short distances (62.2%), not drinking
alcohol to relieve stress (60.7%) and drinking water rather than sweet soda (59.5%).
Their overall practices for controlling overweight were at a high level. They usually
and often did not eat fast food (72.1%), walked instead of using vehicles for short distances
(64.6%), avoided eating sweets (64.3%), did not drink alcohol (64.0%), avoided
eating carbohydrates (63.7%) and did exercises during their free time (61.3%).
The self-efficacy of these middle-aged women had a moderate relationship with
overall overweight practices with regard to food consumption behavior and exercise (r=
0.65, r=0.60 and r=0.58 respectively). However, most of the middle-aged women had
problems concerning self-efficacy and overweight controlling practices in avoiding highcalorie
foods, and seldom exercising, which resulted in their inability to control their
weight. It is essential to modify health promotion activities which emphasize self-efficacy
and continuity of appropriate overweight controlling practices among midldle-aged
women.
This cross-sectional survey was aimed at exploring the health-promotion coverage
of and disease-prevention services for children 0-5 years old in Lop Buri Province. A total
of 173 children were selected by two-stage cluster sampling probability proportional to
size. This study found that the persons most frequenlty acting as checkers of the children’s
progressive development were their mother and father (68.5%); 2.2 percent of the children had abnormal results and all of them were take care of by physicians; of the 71.8
percent that were weighed, 68 percent had normal weight. Almost all (98.3%) had received Bacillus-Guerin (BCG) vaccine, hepatitis B vaccine (97.7%), polio vaccine (95.4%),
diphtheria, tetanus toxoid and pertussis vaccine combined (94.8%), measles vaccine (93.3%)
and Japanese encephalitis vaccine (86.2%). Most of the children did not get dental care
(65.9%) and 42.4 percent had dental carries. More than half (56.7%) of the parents had
read their children’s health record and almost all (96.9%) of them used their books. The
three most useful aspects of the books were for child-feeding, checking the progress of
the children and making appointments for vaccination, respectively.
The purpose of this study was to determine how to control weight among personnel in Health Promotion Center, Region 10, Chiang Mai. It focused on participation between the health promotion clinic team and 20 volunteers 35-55 years of age, who had a body mass index of at least 27 kilograms/square meter, during the period May 2006- May 2007. The study involved variety activities, such as health education and community of practice concerning proper diet and physical activity, nutrition demonstration, physical activity practice, as well as encouraging and motivating the volunteers to take part in activities continuously. The results of this study showed that 18 of the volunteers (90%) were female; only 2 (10%) were male. Body weight was not increased in 15 persons (75%), waist circumference was not increased in 16 persons (80%) and knowledge about health was increased in 15 persons (75%) following the education activity. Follow-up six months after the end of the project revealed that weight was still controllable in 13 persons (65%), persistent behavioral nutrition in 16 persons (80%) and continuous physical activities in 18 persons (90%). This model study should be developed and applied to control weight among the general public for good health.
Medical records serve as a tool for the continuation of patient care, maintaining communication among health team members, providing quality assurance and, at present, using them as a reference for allocation of budgets under the national universal healthcare coverage scheme (UC). This study was aimed at exploring the level of quality of the medical records and developing good-quality procedures for in-patient records through multidisciplinary participation at Muangsruang Hospital. A descriptive study was used, with both qualitative and quantitative methods: in-depth interviews were conducted with doctors, nurses, anesthetic nurses, pharmacists and medical information technicians. Additionally, focus groups were set up with two groups of nurses. Moreover, 50 medical records were randomly sampled and were thoroughly examined. Data were analyzed using several methods, including content analysis, and triangulation techniques. Twentyfour staff members were interviewed and eight nurses joined each focus group. All professional groups realized that medical records are very important. Physicians, nurses and anesthetic nurses had clear guidelines on recording procedures. The recording quality was classified as good in 80.91 percent of the records. The accuracy of the medical records on the diagnoses of physicians and on codifications for diagnoses with procedures were 58 and 56 percent, respectively. The quality of medical records was influenced mainly by a number of factors, including clear policy deployment from executive officers, awareness among stakeholders, appropriate format of the forms, involvement of stakeholders in developing criteria for practical recording, the monitoring and evaluating systems used, the arrangement of a conference related to nursing care records, the availability of technical articles related to pharmaceutical care and nursing care at the ward as references.
The objectives of this mixed-method study were to investigate the implementation
of the persons treated with narcotics with regard to the information management process
in the Policy to Win the War against Narcotic Drugs, from 1 February to 30 April 2004. A
management model was applied and data were collected from the public health personnel
who worked in the information management process, two provincial personnel, two
district personnel, four tambon personnel and the personnel responsible for finding narcotic
takers/addicts, six district personnel, 6 tambon personnel and 70 village leaders
using in-depth interviews. For 47 public health personnel, focus group discussion was
used as well as documents study and data analysis from the registration form (BST.1-5).
Qualitative data were checked and analyzed by triangulation techniques. Quantitative
data were described as percentages.
The urgent activities followed by the policy, especially determeneing the number of
narcotic takers/addicts, could not be rechecked. There were some persons who had quit
taking narcotics and some persons who had never taken any illicit drugs. The registration
and report form for selecting them and the treatment activities that had been used before
was changed to BST.1-5 and reported on the hospital‘s website. The change occurred after
these processes had already been done; thus, the personnel had to register and report
later. Inadequate essential supporting activities; technological skills (computer and
Internet), urgent problem-solving ability affected some elements of personal data loss,
especially in the area where computer and/or high-speed Internet were not available.
Data diviations occurred in all processes so that the data reported by the website could
not be used for monitoring and evaluation. However, the policy was the most important
factor reinforcing the development of information systems useful for multi-sectors.
Implementation of the policy should be in the same direction. Rechecking the understanding
of personnal and adequate essential support must be provided.
This evaluation research was aimed at assessing the effectiveness of the psychiatric
patient care system of Sangkom Hospital in a community of Sangkom district, Udon Thani
province, i.e., whether it could encourage the community participating in providing con-tinuity of care for psychiatric patients, families and communities having knowledge and
a positive attitude and supporting the patients to live within the community, reducing
readmission rates, suicide and referral to higher institutions. A qualitative method was
applied for data collection, including document research, in-depth interviews, small group
meetings and participatory and non-participatory observations. Data were collected between
September 1, 2007 and January 30, 2008.
The study revealed that the psychiatric patient care system in the community was
established with community participation. Changes were noted from the time when there
were no services in the communities, poor drug compliance and no continuity of care, all
of which resulted in readmission, to a time when a community participation psychiatric
patient care system had been established. The development process included increased
community awareness and understanding of the situation and facilitation of all community
sectors to participate in identifying problems and causes of the problems, planning
for appropriate interventions to help psychiatric patients, families and communities in
line with a proactive policy for continuity of care. A community health committee was
established with the financial support of the local administration organization. The committee
organized a training workshop for volunteers to improve their knowledge, attitudes
and skills in caring for and counseling those with special needs. These volunteers
made monthly home visits to support the psychiatric patients and identify new cases.
Capacity-building training for patients and their families was organized. Both patients
and their families were helped and supported in joining community activities. The development
resulted in reducing drug non-compliance; there were no suicides and the number
of patients referred to specialized hospitals was reduced. As a resalt, the volunteers
as well as the community had knowledge and better attitudes towards psychiatric patients.
Teenage pregnancy is considered a high-risk situation that increases the likelihood
of adverse obstetric and perinatal outcomes, such as those associated with low birth weight,
anemia, hypertensive disorder in pregnancy and preterm delivery. The trend in teenage
pregnancy has increased. To effectively solve the problem of teenage pregnancy, currently
a global and nationwide problem (including in Wiangsa district as well), it is necessary
to study the real causes and results before implementing local, specific strategies.
The purposes of this study were to study the epidemiology of teenage pregnancy in
Wiangsa district and to compare the pregnancy outcome of teenage pregnancy with adult
pregnancy in Wiangsa Hospital. The research design for comparing the pregnancy outcome
was a retrospective cross-sectional study; that used for studying the epidemiology
was a descriptive study.
The study and the control groups (teenage and adult mothers respectively) each
consisting of 146 singleton primigravida females aged <20 and 20-29 years, respectively,
who were Wiangsa district citizens and who delivered at Wiangsa hospital between October
1, 2004 and September 30, 2007. The data were extracted from medical records and
analyzed for pregnancy outcomes. Then 43 teenage mothers who were still available in
the province were studied for epidemiology and interviewed in-depth (under informed
consent) to determine the factors causing them to become pregnant.
Results: In the study group 39.04 percent were 13-17 years of age. Antepartum period:
the study group had a significantly higher average gestational age at the first antenatal
care visit, a lower average number of antenatal visits, a lower average weight gain,
a higher rate of those who received inadequate antenatal care (<4 times), those who were
unsure about their last menstrual period, those who developed anemia and premature
membrane rupture. Intrapartum period: the study group had a significantly higher rate
of inadequate pelvis measarements (crudely evaluated by nurses during admission), caesarean
section, especially when indicated by cephalopelvic disproportion. Postpartum
period: the study group had a significantly higher rate of urinary tract infections. There
was no increase in significant complications commonly found in other studies, especially
preterm labor, and low birth weight. Epidemiology: the trend in the teenage pregnancy
rate in Wiangsa district increased, especially in younger teens. Weaker families and
society seem to be the major root causes of this problem.
Conclusions: Teenage pregnancy in Wiangsa district had poor outcomes, especially
antepartum and intrapartum. The trend of this situation is getting worse, mainly because
of weaker family and socialties.
This cross-sectional study was aimed at (1) assessing the knowledge, attitude and
practices of caretakers regarding the development of IQ and EQ of children in day care
centers, (2) identifying problems related to this issue, and (3) proposing suggestions to
improve the development of IQ and EQ of those children in day care centers in Phen
district, Udon Thani Province. Questionnaire interviews were conducted with 80 caretakers,
randomly selected from all 54 day care centers in Phen district from January 15 to February 28, 2008.
The results indicated that these caretakers had low levels of knowledge about childhood
IQ and EQ development, with a mean score of 7.65 (SD= 1.34) out of 15. However,
they had higher levels of attitude and practices concerning childhood IQ and EQ
development, with an average score of 3.79 (SD = 0.33) out of 5 and 3.10 out of 4 (SD =
0.37) respectively. The caretakers identified several obstacles related to childhood IQ and
EQ development, including lack of knowledge of the caretakers, inadequacy of materials,
equipment and budgets, poor building structures and management problems of the centers.
These caretakers suggested various measures to solve the problems: providing training
for caretakers, and supporting more equipment, materials and budgets for the centers.
Participation of the local governments in terms of supporting more budgets and
working cooperatively with parents, communities and hospitals would be a successful
strategy for the development of IQ and EQ of children in day care centers.
This evaluation research was aimed at assessing the results of service system development of the Labor Unit of Srithat Hospital, Udon Thani, and its problems and providing a basis for making recommendations for the further development of the Labor Unit.
The qualitative data were obtained from relevant document reviews, in-depth interviews,
participatory and non-participatory observations, from October 1, 2007 to February 29, 2008. It was revealed that the Labor Unit had improved its service system in both process
and outcome as follows: (1) Capacity-building. The administrators assigned multidisciplinary staff members to the Labor Unit.  A staff member visited Kumpawapee Hospital, the model hospital, to gain insight into the Labor Unit’s service system development.
The Unit organized training for staff to improve the quality of care for pre-labor, labor,
post partum, newborn, discharge plan and special equipment applications; (2) Facility
improvement. There was also structural development in that the pre-labor attending room
was separated from the Inpatient and Emergency Units. Essential equipment was procured and allocated to the unit; (3) Process improvement. Three service practice guidelines were developed by the multidisciplinary team to ensure good quality of care for
both normal and high-risk labor. The three practice guidelines were (a) care map for intra-partum and immediate post-partum care: low risk, (b) pregnancy-induced hypertension (PIH) care practices guidelines and (c) birth-before-admission practices guidelines.
A post-partum and newborn care handbook was also developed and distributed to mothers
before they were discharged from the unit in order to educate them on how to look after
themselves and their children. The results of improving the system were satisfactory.  Client
satisfaction with the services of the Labor Unit increased from 75.2 percent to 88.4 percent. There was no infant and maternal death. Maternal complications also decreased.
Problems encountered in developing the Labor Unit service system were unfamiliarity
with the practice guidelines of staff for both normal and high-risk labor. Reporting on the
care given to patients was still incomplete.  Recommendations for further development
included training on applications of the service practice guidelines, simplifying the practice guidelines, monitoring the reporting and establishment of continuous and systematic evaluation of the performance of the Labor Unit.
This action research was aimed at assessing the health behavior of members of the
health club, Wang Sammoh district, Udon Thani Province. One hundred and ninety-eight
members were purposively selected to answer a questionnaire and to be physically examined
during the period from September 2006 to October 2007. This study employed
both qualitative methods, including focus group discussion, and quantitative methods in
collecting and analyzing data using descriptive statistics: average, percentage and chisquare.
The results of small group meetings found that 86 percent of the members of the
club had diabetes mellitus and/or hypertension; 90 percent of them wanted to know the
causes of leg-pain and back-pain. A method for self-care in a communal way for solving
health problems would be to buy medical supplies from drug stores in conjunction with
promoting the use of herbs.
General data analysis revealed that 79.3 percent of the subjects were women (average
age was 36 years old), 30.81 percent had chronic illnesses or personal diseases;
average body weight before entering to the club was 55.9 kilograms and after was 56.4
kilograms.
The researcher and his team used the results of this research for devising a plan in
such a way as to create two projects: (1) one for adapting and changing heath behavior in
exercise and health checks for monks, civil servants, beneficiaries (insurees) of the social
security assurance scheme; and (2) the other, related to abdominal fat, by using tactics
concerning how to eat food properly; how to exer cise appropriately depending on age
and health status. These projects would be monitored and evaluated every three months
and it could be expected that the people of Wang Sammoh would have awareness about
developing their own health behavior in order to attain better physical, mental and social
health status.
The objective of the study was to evaluate the effectiveness of the remodeling of
health behavior programme. Participants included 118 civil servants of Prayuen district,
Khon Kaen Province. The programme consisted of lectures and behavioral remodeling
activities lasting two days and one night. Data collection was performed before and six
months after programme implementation. Six areas of health behavior according to the
Ministry of Public Health policy were measured by conducting interviews. Measurement
of blood pressure, body mass index, and blood sugar level were also performed. It revealed
that, at six months after programme implementation, the participants consumed less sugar, took more fish and decreased the amount of food consumed at dinner time,
at significantly different levels than before they began participating in the programme
(p-value = 0.03, 0.02 and 0.01, respectively). They also spent more time in performing
routine physical exercises, taking care of the sanitary environment and recycling garbage
(p-value = 0.01, 0.03 and 0.01, respectively). Significant improvement in physical examination
results were shown in terms of blood pressure (p-value = 0.02) and pulse rate
(p-value = 0.03). However, no significant differences were found in the following variables:
taking raw meat, participating in a health club, controlling emotions, eradicating
disease carriers, treating waste water, practicing protective measures against diseases,
practicing harmful behaviors that would lead to ruin and changes in body mass index.
More studies are needed to understand these unhealthy behaviors and to find appropriate
resolution.