plueme/wizJson huggingface dataset:
Background This study of 118 non-insulin-dependent diabetes mellitus patients
attending the out-patient department of Tesabarn Nakorn Chiangmai Hospital in the period
from January 2001 to June 2005 was conducted in order to study factors that affect
the change in blood sugar and blood lipid levels of those practicing self-dietary control
and self-care behavior.
Methods To evaluate the effects of dietary self-control, and self-care behavior on
blood sugar and blood lipid levels, a descriptive and retrospective study using an interview
form and a blood sugar record form was undertaken.
Results Of the total 118 patients aged 33-86 years, comprising 33 males (27.97%) and 85 females (72.03%), 66 of them (55.93%) had blood sugar levels below 120 mg/dl; 36
(30.51 %) had blood sugar levels of 121-140 mg/dl; and 16 (13.56%) had blood sugar
levels above 140 mg/dl. Sixty-nine patients (58.47%) had total cholesterol levels above
200 mg/dl; 58 patients (49.15%) had triglyceride levels above 150 mg/dl; 60 patients
(50.85%) had low-density lipid levels (LDL-C) above 130 mg/dl; and 46 patients (38.98%)
had high-density lipid (HDL-C) levels below 40 mg/dl.
Normal body mass index (BMI), good dietary control and good self-care behavior
tended to decrease blood sugar levels better than others, but the result was not statistically
significant.
Conclusions Multi-medical personnel should work together in the management of
diabetic patients in order to enable good control of blood sugar levels.
This cross-sectional descriptive research was carried out in January 2007 to study
the factors that affect stress and happiness in 1,426 public health personnel working in
Chachoengsao; included in the study were 1,024 community hospital staff, 59 provincial
public health officers and 343 district health officers. Happiness and stress questionnaires
were used to determine personal factors. The data were analyzed using t-test and
one- way ANOVA. The major findings showed the mean score of happiness of the sample was equal to
that of the general population (mean = 31.49) and the mean score of stress was at a
moderate level (mean = 40.61). Age, education, family incomes, workplace and kind of
services, all were factors affecting the happiness and stress at a statistically significant
level (p <.05). There were no statistically significant relationships between marriage status
and duration of work with regard to happiness and stress.
In conclusion, the sample has the same level of happiness as the general population
and stress was at a medium level. While the workplaces were related to low levels of
happiness and high stress, this factor should be analyzed further and corrected. It is
suggested that raising incomes would increase the happiness and lessen stress for these
officers, resulting in an improved quality of services.
This non-randomized controlled study was carried out in order to compare the efficiency
of simple breast massage with breast massage combined with warm compress
regarding milk production in 1,150 non-complicated postpartum women in five district
hospitals of Sakhon Nakhon Province. The subjects were assigned to two groups. The
first group of 567 pregnant women went into labor during the period 1 October 2005 - 31
March 2006. The second group comprised 583 pregnant women who went into labor
during the period 1 April 2006 - 30 September 2006. The first group had only simple
breast massage after vaginal delivery. The second group had breast massage with a warm
compress after vaginal delivery. The proportion of pregnant women producing milk within
six hours, and within 48 hours post partum was measured. The proportion of pregnant
women in whom the production of milk started within six hours post partum: 1st group
and 2nd group, was 61.9/97.1 percent respectively; those producing milk within 48 hours
post partum: 1st group and 2nd group was 75/98.8 percent respectively. The differences
were statistically significant (p < 0.001) in both groups. The conclusion of this study is
that breast massage with a warm compress is a better method than breast massage alone
in promoting milk production within six hours post partum and effectual milk production
within 48 hours post partum.
Factors affecting treatment outcome of new pulmonary tuberculosis patients in
Pannanikhom District, Sakhon Nakhon Province.
The study focuses on the relationship between predisposing factors, reinforcing factors
and enabling factors in a cohort of new pulmonary tuberculosis patients registered at
the tuberculosis clinic of Praarjanphun Arjaro Hospital in Pannanikhom District Sakhon
Nakhon Province during the period October 2004 - September 2006. The data were collected
using an interview form and analyzed by using retrospective study statistics, Chi -
square, Fisher’s exact test and correlation coeffcients.
The predisposing factors significantly associated with treatment outcome in new
pulmonary tuberculosis patients were age, marital status, education and economic factors
(p < 0.05).
The reinforcing factors were no cigaratte smoking or drinking of alcohol while under
the care of their doctor, during introduction and while reserve care from family, and
observers. Consultants explained the DOTS strategy to the pulmonary tuberculosis patients,
observers, Medical packing, checking and allergy drug (p < 0.05).
The enabling factors were distance and convenience of transportation (p < 0.05).
The living behaviors of people change in line with their economic and social status,
among others, often leading to incorrect health behavior with regard to nutrition, exercise,
and elimination of stress. This was a quasi-experimental research study. The sample
comprised 120 people from village 4 Banwangyai and village 5 Banwangplub is Tambon
Wanghin, Wangpong District, Petchabun Province. A multistage random sampling method
was used, with the sample divided into an experimental group and a comparison group,
each comprising 60 people. The experimental group was exposed to a health education
program with social support. The research instruments for data collection were questionnaires assessing knowledge of health-promotion behavior concerning susceptibility to
various types of diseases caused by behavior, severity of the diseases, social support by
public health volunteers, and health promotion behavior, among others. The statistical
methods used were means, standard deviation, paired-sample t-test, student’s t-test, and
Pearson’s correlation coefficient.
The findings showed that the experimental group had higher scores than the comparison
groups on these aspects following the program and the increase was statistically
significant.
The purpose of this study was to consider the result of the management of
Rongkwang Hospital in “sufficient economy.” The authors planned continuous management
and changed the way of creating suitable benefits for consumers, care-givers and
the hospital. This retrospective study compared financial liquidity, the quality of healthcare
services, the contentment of officers with the “sufficient economy” theory both premanagement
and post-management. Result of the study indicated that the average in-crease in financial liquidity was 80.82 percnt, which in pre-value and post-value measure
were 0.99 and 1.80, respectively. The decreased expenses included the public utility’s
value at 7.64, investigated material’s value at 0.08, and supportive medicine’s value at
28.63. The value of other materials was 10.42 when the quality service of health care in
the remedication rate for seven days decreased from 2 to 0.01 percent, the readmission
rate decreased in 28 days from 3.16 to 3.05 percent, the OPD consumer contentment rate
increased from 84.62 to 95.49 percent, the IPD consumer contentment rate increased
from 87.61 to 100 percent and the officer contentment rate increased from 74.75 to 75.31
percent. In conclusion, the result shows that management, in utilizing the principle of a
“sufficient economy” in Rongkwang Hospital, increased its financial liquidity without
any adverse effect on the quality of health-care services and the satisfaction of the officers
concerned.
This descriptive study was conducted in Huai Rai-Sajae Village of Mae Chan district,
Chiang Rai Province in the period from May 20, 2007 to July 20, 2007 to determine
the characteristic of the dengue hemorrhagic disease in order to understand the distribution
of the disease and independent factors for outbreaks, and to identify patients in the
community for treatment and prevention the epidemic. The data were analyzed by using
the SPSS version 12 software package for Windows to calculate the percentage, ratio,
means, cross-tabulations and chi-square.
The first case of dengue hemorrhagic fever emerged on May 21, 2007. The outbreak
became progressively worse, reaching a total number of 568 cases, among whom the diagnosis
of 63 cases was confirmed by serology and 525 cases remained probable cases
according to clinical criteria. The prevalence Rate of the disease in Mae Chan district was
492.33 cases per 100,000 population; the mortality rate was 0.17 percent. Most patients
(534 cases) lived in Huai Rai-Sajae Village; the remainder lived in other villages in Mae
chan district. The mean age was 24.88 years (SD= 16.82). Patients represented all age
groups, the youngest being 1 month old and the oldest 84 years old; the male to female
ratio was 1:1.24. The frequency of clinical signs and symptoms of the patients were fever,
99.31 percent; headache, 80.1 percent; myalgia, 63.27 percent; positive tourniquet test,
62.18 percent; and maculopapular rash, 43.5 percent. Impending shock and dengue shock
syndrome were seen in 12.41 percent of the cases.
The causes of the dengue epidemic in this village were inadequate control of mosquito
larvae in the community, poor sanitation and environment, lack of knowledge, and
a poor health-care system. In recent years, public health authorities have emphasized
disease prevention and mosquito control through community efforts to reduce larval breeding
sources. Although this approach will probably be effective in the long run, it is unlikely
to have a beneficial impact on disease transmission in the near future. We must,
therefore, develop improved, proactive, laboratory-based surveillance systems that can
provide early warning of an impending dengue epidemic. At the very least, surveillance
results can alert the public to take action and physicians to diagnose and properly treat of
cases.
This descriptive study was aimed at assessing the results from the monitoring process
in following the quality standards of the Ministry of Public Health in Sungmen District
Hospital. The survey, which was conducted on June 27, 2007 by the Ministry of Public
Health Standards Committee, was done by random sampling of people visiting 10
health-care service interfaces: ER, OPD, IPD, LR, Dental Clinic, OR, Laboratory, X-ray,
Pharmacy and community medicine. The Ministry of Public Health standard 2007 questionnaire
was used in collecting data. Data were statistically analyzed in terms of the
quality of services received compared with the service specifications subjects’ understanding
and satisfaction.
It was found that (1) 85.75 percent of the respondents received services as stated in
the service specification (covering four aspects of the Ministry of Public Health standard),
and all respondents understood the process of services, with 92.78 percent of them being
satisfied with the services, (2) the result of the award audit monitoring among the 10
health-care service interfaces was 91.96 percent.
Asthma is an ambulatory care-sensitive condition (ACSC). With effective ambulatory
care, this condition need not necessitate hospital admission. Avoiding disease exacerbation
and hospital admission of asthma sufferers can save health-care costs and improve
the quality of life of those affected. This study was aimed at determining the cost of
asthma treatment, either outpatient or inpatient, in order to obtain basic information for
asthma administration in the hospital. This was a retrospective and descriptive study using a prevalence-based approach.
The cost was calculated by a bottom-up method from a provider’s perspective. Those
eligible to participate in the study were either outpatient or inpatient asthmatics at
Prankratai Hospital, a 60-bed community hospital. Occurrences of asthma were identified
using the International Statistical Classification of Diseases and Related Health Problems,
10th Revision (ICD-10) codes J45 and J46. The data were collected from an electronic
database.
The cost of treating asthma consisted of nebulization (28.85%), medication (26.28%),
hospitalization (25.76%), outpatient visit (14.64%), oxygen therapy (2.97%), and x-ray
(1.50%). The average cost was 1,424.19 baht per patient per year. The average cost of
outpatient and inpatient treatment was 742 and 3,580 baht per patient per year, respectively.
During the study period, one-fifth of the asthmatic patients were admitted, but
accounted for about half of the total cost of all treatment.
Hospitalization comprised a considerable cost for treating asthma. To improve
asthma management and control, hospital administrators should establish simple asthma
clinics, develop guidelines, and encourage greater participation in asthma care by a broader
range of health-care professionals and not just doctors. Such initiatives are predictably
likely to decrease admission rates and the burden on health-care costs.
The study involved descriptive research using the survey method to study the healthpromoting
behavior, quality of life and relationship between health-promoting behavior
and quality of life of the elderly in Khowrai subdistrict. It was conducted in the period
February-May 2007. Data were collected by interviewing the sample population using
modified questionnaires of Kwanjai Tantiwattasatien, Pechara Intarapanich and
Daowrueng Khommuang puk, which utilized alpha coefficient for accuracy. Samples
included the elderly over 60 years old. Both men and women subjects lived in Khowrai
subdistrict; 248 persons were selected by cluster sampling from 18 villages. Data were
analyzed by descriptive statistics, mean, percentage, standard diviation and Pearson’s
coefficient for assessing the relationship between health-promoting behavior and quality
of life.
The findings were as follows: health-promoting behavior regarding nutrition, exercise,
daily hygiene, sociability, stress management, and health responsibility were medium
grade; quality of life was high grade by if considered in detail the quality of life in
terms of residence and social interaction were low level, but the quality of life in health,
recreation and self-assessment were high. Health-promoting behavior relates significantly
to quality of life. The results can be used for policy and strategic planning for health
promoting innovation for the elderly by cooperating with health personnel and subdistrict
organizations to solve social, economic and health problem in the elderly.
The objective of this study was to determine the differences in socio-economic status,
service utilization, and pregnancy outcomes between teenage and adult mothers aged
20-25 years old. Data were collected by interviewing and reviewing the medical records
of all mothers 13-25 years old who gave birth in Samroiyod Hospital, Prachuap Khiri
Khan Province, during the period September 1, 2006 to August 31, 2007. The study consisted
of 150 teenage mothers whose age was 13-19 years old and 255 mothers whose age
was 20-25 years old. Descriptive statistics including proportion, mean, and standard deviation
were used to present the analysis. The chi-square test or the Fisher’s exact test
was used to compare between the proportions of the two groups. Among the pregnant
women giving birth in the hospital during the study period, 29.0 percent were teenage
mothers. About 54.0 percent of the teenage mothers were 18-19 years old and 9.3 percent
were between 13 and 15 years of age. Their mean age was about 17.5 years old. The
teenage mothers had significantly higher educational levels than the adult cases. Insufficient
earnings, no home of their own, and being separated were significantly more common
in the teenage mothers than the adults. The proportions of teenage mothers completing
the antenatal care of four visits and taking iron supplement tablets regularly were
significantly lower than those of the adults. The teenage mothers were significantly more
likely to be in their first and unplanned pregnancies and have a history of abortion than
the adults. Stress was significantly more common in the teenage mothers than the adults.
The teenage mothers significantly had a higher incidence of antenatal complications, including
anemia and low weight gain during pregnancy, and low birth weight infants
than the adult mothers. Good antenatal care should intensively be provided to these
risky pregnancies. A reduction of the numbers of teenage pregnancies in the community
is essential.
This was a participatory-action-research study aimed at examining a model healthpromoting
village, using community participation, conducted in three villages in Denchai
district, Phrae Province. The health-leading teams comprised 10 specifically selected persons
from each village, a total of 30 persons; representative villagers were 50 residents selected by simple random sampling from each village, a total of 150 respondents. Data
were collected by interviews, group discussion, and health leading-team conferences.
Results of the study revealed that health leading-teams were the leaders of developing,
controlling the plans and activities of health promoting villages and coordination with
other organizations. Health-promoting activities in the villages were as follows: 80 percent
of the villagers planted and consumed local vegetables, meaning that there was no
chemical contamination in food; there was one elderly social group in each village; because
of project implementation, the health knowledge of villagers was improved to 100
percent, which was statistically significant.
With regard to health problems, 49.3 percent of the villagers undertook regular physical
exercise for 30 minutes per day thrice a week; 88 percent washed their hands before
and after eating; 84 percent brought food substances approved by the Food and Drug
Administration as certified by labels and symbols; 75.3 percent eradicated mosquito breeding
sites; 73.3 percent were members of the “To Be Number One Club”, which works
against amphetamine addiction 88 percent had their blood pressure measured within
one year; 63.3 percent of the female villagers had had a pap smear examination; and 93.7
percent had performed breast examinations by themselves. Based on the results of the
study, the author suggests that community health promotion should be promoted and
models of implementation should be developed with the support of every organization
and civil society concerned. Government authorities should support community participation
in the management of health-promoting plans of the villages.
This report describes an investigation of a measles outbreak in Umphang District,
Tak Province, in the period 2004-2005 and emphasizes the importance of coverage of
measles immunization in children. Medical records of measles cases diagnosed between
January 2004 and April 2005 in the district were reviewed. Data on measles immunization
in children 9 months of age or older and measles-mumps-rubella immunization in
school children were retrieved from Umphang Community Hospital and 4 out of the 7
health centers to determine the coverage. Over the outbreak period, among the 187 measles
cases, about 85 percent were Thai and 15 percent were cases among citizens of Myanmar.
One case died from pneumonia, producing a fatality rate of 0.5 percent. Of the 187 cases,
89.8 percent were children 0 - 14 years old and 10.2 percent were 15 years of age or older.
Measles cases were reported from all subdistricts in Umphang District. Sporadic cases
were reported from January to April 2003 and the cases increased thereafter. Clinical manifestations
included fever (100%), rash (100%), cough (80.2%), and rhinorrhea (67.9%).
Measles complications in these cases were pneumonia (17.6%), diarrhea (10.7%), and otitis
(5.9%). About 61.6 percent of the Thai cases had not received measles immunization
and the remainder could not be determined. Of the 106 measles cases examined for
measles-specific IgM by ELISA, 80.2 percent were positive. The coverage of measles immunization
in both > 9-month and school children was low in some areas of the district.
The outbreak tapered off after providing preventive and control measures. The authors
suggest that full coverage of measles immunization among the target children is essential.
For remote areas in the district where people face difficulty in traveling and limited
outreach of health services, the provision of an immunization program in dry season may
be useful.
The purpose of this study was to determine the effectiveness of the full denture
process by the cabinet control dispersion of acrylic resin in Sichon District Hospital from
2005 to 2007. According to the Royal Denture Project, the number of elderly Thais who
want full dentures is increasing and of acrylic resin denture products is increasing. Many problems are caused by acrylic resin contamination, such as health hazards, environmental
damage, bad odor and dust. New equipment for making full dentures uses local
materials. With regard to the production of full dentures, the level of patient and dentist
satisfaction before and after the use of this equipment was measured. The data were
collected using a questionnaire which assessed the patients’ and dentists’ satisfaction by
using the Likert scale. The data were analyzed using the SPSS program Version 10. The
study showed that the total number of elderly persons who received complete dentures
during the three-year period was 433 people and the efficiency of the dentists were 100,
98.2 and 154.4 percent respectively. The results of the dispersion acrylic resin control rate
were 100 percent in the 2nd, 4th, 6th, 8th, 16th, and 24th weeks of data collection. The
findings also showed that the patients were highly satisfied with this approach when
compared with the previous procedure. Moreover, the results showed that dentists were
also satisfied.
This study demonstrated that the effectiveness of the full denture process was significantly
increased by using this cabinet for dispersion of acrylic resin control.