Journal of Medical and Public Health Region 4

Forecasting the number of cerebrovascular patients in Lopburi Province

2024-01-26T18:08:18+07:00

From fiscal year 2014 to 2023, Lopburi Province's number of stroke patients doubled from 1,528 to 3,020. Forecasting the number of patients in fiscal years 2024 and 2025 using a time series model will be basic administrative information, and the model can be improved for further forecasting. Because there are only 12 years of statistical data on the number of stroke patients in Lopburi Province (fiscal years 2013–2024, processed on January 12, 2024), the linear regression method was chosen. and Gray System Theory, GM (1,1) model. The result of the linear regression equation method has a mean absolute error percentage (Mean Average Percentage Error, MAPE) of 2.9, giving a forecast value for the number of patients in fiscal years 2024 and 2025 equal to 3,180 and 3,337 people, respectively. As for the GM(1,1)-I model, when using data from fiscal years 2013 to 2023 with the GM(1,1)-II model using data from fiscal years 2013 to 2023, it has a MAPE of 3.71 and 4.45, respectively, which are within the criteria for good forecasting. The GM (1,1)-I model has the number of patients in fiscal year 2024 equal to 3,368 people. The GM (1,1)-II model gives a forecast value of the number of patients in fiscal years 2024 and 2025 equal to 3,253 and 3,475 people, respectively. The GM(1) model,1)-II provides a forecast that is in the middle between the linear regression method and the GM(1,1)-I model and should therefore be used as the forecast.

Antimicrobial resistant Klebsiella pneumoniae in cancer patients at Maha Vajiralongkorn Thanyaburi Hospital

2024-02-05T15:44:12+07:00

The research focused on investigating drug-resistant infections at Mahavajiralongkorn Thunyaburi Hospital, where Klebsiella pneumoniae was identified as the primary pathogen. A retrospective cohort study was conducted with the objective of identifying factors linked to the development of Klebsiella pneumoniae drug resistance among cancer patients between October 1, 2021, and September 30, 2024. Thirty-two participants were enrolled, consisting of 13 cases with drug resistance and 19 without. Of these, 76.9% were male and 23.0% were female. Among the 19 non-drug-resistant cases, 73.7% were male and 26.3% were female. The study found no significant difference in the rates of interventions such as enteral feeding, gastrostomy, colostomy, nasogastric tube (NG tube), and tracheostomy tube (TT tube) between the drug-resistant and non-drug-resistant groups (P>0.05). However, urinary catheterization showed a noteworthy contrast, with 53.85% of patients with Klebsiella pneumoniae infection and drug resistance having catheters compared to 5.26% without drug resistance, displaying statistically significant differences (P=0.003) with a risk ratio of 3.5 (RR 3.5, 95% CI 1.66-7.34). Furthermore, patients with a history of drug-resistant infections were significantly more prevalent in the drug-resistant group (69.23%) compared to the non-drug-resistant group (0%) (P<0.001), with a risk ratio of 5.6 (RR 5.6, 95% CI 2.35-14.01). Understanding the factors associated with drug-resistant Klebsiella pneumoniae infections in cancer patients can inform surveillance and management strategies effectively.

Ergonomic Risk Assessment, Light intensity and prevalence of musculoskeletal and eyes symptoms among Mae Fah Luang University office workers

2024-03-12T10:13:34+07:00

Office workers are a group of people who work in an office and often maintain inappropriate postures for long periods of time. These people often experience musculoskeletal symptoms and eye fatigue. The aims of this study were to assess ergonomic risk in office workers using the ROSA method, workplace lighting intensity, and the prevalence of musculoskeletal and eye symptoms. A cross-sectional study was conducted among 231 Mae Fah Luang University office employees. All participants were interviewed by using the standardized Nordic questionnaire regarding musculoskeletal and questions about eye symptoms, evaluated the ergonomic risk assessment using the ROSA method, and measured light intensity at the work desk. The results of this study showed most of participants had a high level of ergonomic risk (113 people) and a very high level (17 people). Prevalence of musculoskeletal symptoms in the past 7 days was 72.73. The 7 day prevalence of musculoskeletal symptoms was highest in the lower back at 40%, followed by the neck at 34% and upper back at 34%, respectively. Light intensity <400 lux, 175 people or 75.76 percent, and it was also found that 75 percent of the people had eye fatigue. In conclusion, the study found that office workers at Mae Fah Luang University are at high to very high ergonomic risk. The majority of workstation areas don't have enough light to meet the Department of Welfare and Department of Labor Protection and Welfare's standards. Moreover, it was found that the highest prevalence of musculoskeletal symptoms was in the lower back, neck, and upper back, respectively, and most participants had symptoms of eye fatigue.

Factor analysis of Self-reliance in health according to the philosophy of sufficiency economy among the older adults outside municipal areas Phetchaburi Province

2023-10-01T16:17:57+07:00

This descriptive research aims to analyze the confirmatory factors of health self-reliance in accordance with the Sufficiency Economy Philosophy. Data were collected from older adults residing outside the municipality area of 17 sub-districts in Phetchaburi Province, totaling 310 individuals, using cluster sampling. The instrument used was a questionnaire employing a 5-level rating scale with 24 items. Content validity was assessed by determining the consistency index value, which was found to be 0.97. Reliability testing using Cronbach's alpha coefficient yielded a value of 0.94. Data were analyzed using descriptive statistics and confirmatory factor analysis. The results of the study indicated that the examination of the consistency of the components of health self-reliance according to the Sufficiency Economy Philosophy yielded Chi-square = 5.87, df = 5, χ²/df = 1.174, p = 0.319, CFI = 0.997, TLI = 0.994, SRMR = 0.015, and RMSEA = 0.024. These values suggest that the model of health self-reliance components based on the Sufficiency Economy Philosophy is consistent with the collected data. Divided into 5 components: 1) psychological aspect, 2) social aspect, 3) natural resources and environment, 4) technology aspect, and 5) economic aspect, the component with the highest weight indicating self-reliance in health is the economic aspect, with a component weight value of 1.18. This value suggests that the economic aspect can indicate 87 percent of self-reliance in health according to the Sufficiency Economy Philosophy. Therefore, the findings of this study can serve as a guideline for assessing and developing suitable activities to enhance health self-reliance among older adults.

Factors associated with tooth loss among junior high school students in Prachathipat Subdistrict, Thanyaburi District, Pathum Thani Province

2024-01-17T09:32:56+07:00

Tooth loss is an important public health concern for global health that impacts peoples’ quality of life. This cross-sectional analytical research aimed to assess the tooth loss situation and identify factors associated with tooth loss among junior high school students in Prachathipat Subdistrict, Thanyaburi District, Pathum Thani Province. The study population consisted of 2,389 students. Data were collected through questionnaires and oral health examinations conducted between September 1^st, 2023 to November 1^st, 2023. Statistical analysis was conducted using both inferential and descriptive statistics, employing multivariable logistic regression with stepwise backward selection. The analysis presented adjusted odds ratios (OR_adj) along with their 95% confidence intervals (95% CI), with a significance level set at 0.05. The study found that there was a 6.4% tooth loss rate among students. Female students had a significantly higher rate of tooth loss. Nearly half of the tooth loss cases (44.7%) were attributed to dental caries, while orthodontic treatment (32.9%) was the second leading cause. The factors related to tooth loss include age, type of school, orthodontic treatment, demand for orthodontic services, receiving dental treatment. Schools and public health agencies should therefore implement health promotion activities to provide knowledge and promote behaviors for oral health care, aiming to enhance good dental health and reduce tooth loss among early adolescent students.

Factors influencing health literacy 3E2S concept among the elderly in Pathum Thani Province

2024-03-06T13:35:38+07:00

This research study is a cross – sectional descriptive study. To study the level of health literacy according to the principles of 3E2S. and factors affecting health literacy according to the principles of 3E2S of the elderly in Pathum Thani Province. The study sample consisted of 317 people aged 60 years and over using multi-stage sampling. Collected using a questionnaire with an Index-Objective Congruence (IOC) was 0.892 Cronbach's Alpha Coefficient for the entire version was 0.876. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and deviation. Standard inferential statistics include Eta coefficient statistics, Pearson's Correlation coefficient, and multiple regression. The resulted of the study found that the majority of the sample had an overall level of health literacy at a fair level, accounting for 42.0 percent. And the results of the analysis of factors affecting health literacy found that the ability to use technology Interpersonal factors Receiving information and factors at the overall social level affecting health literacy according to the 3A.2S principles of the elderly in Pathum Thani Province, which can predict health literacy according to the principles of 3A.2S. of the sample at 63.2 percent (R2=0.632). Therefore, we should have to create interactions between people in the family. Public health officials and the elderly are focusing on developing skills in accessing useful information. By selecting online health media and practicing data analysis, health personnel provide advice to ensure that the elderly maintain good health and a high quality of life.

The study of Right ventricular longitudinal strain by Echocardiography in child and adolescents under 19 years old

2023-10-14T16:01:52+07:00

The right ventricular longitudinal strain (RVLS) usually measure by cardiac magnetic resonance imaging (CMRI). But an Echocardiography was superior in portability, not expensive and spent time less than MRI. In adult patient, the RVLS able to describe right ventricle myocardial function and several use in research and clinical routine than the child group. This study aim to retrospective study in RVLS from pediatric echocardiographic reports and compare value in tree segments and age group. This retrospective study review echocardiographic data in RVLS data from Philips Epiq CVX by transducer S8-3 MH_Z and X5-1 MH_Z with auto RV strain function in Automatic cardiac myocardial quantification mode (aCMQ) and use offline analysis by Philips heath care system QLAB version 15.0 in normal child and adolescent 45 patients. Age 1-18 years old (6.5 ± 6.4). Female 33% and male 67%. The result was occurred at Basal RVLS -29.7 ± 7.9% [95% CI (-27.3 to -32.1%)], Mid RVLS -24.8 ± 6.0% [95% CI (-23 to -26.6%)], Apical RV LS -21.8% ± 5.0% [95% CI (-20.3 to -23.3%)], RV FWSL -25.7 ± 5.6% [95% CI (-24 to -27.4%)], RV 4CSL -21.3 ± 5.2% [95% CI (-19.3 to -22.9%)]. And the significant difference in RVLS in the under versus above 10 years group, similar significant difference of 3 segments (Basal, Mid, Apical) (P-value < 0.05)

Stress among health personnel at sub-district health promoting hospital Pathum Thani Province during COVID-19 outbreak

2024-03-19T08:35:15+07:00

This cross-sectional design survey research aimed to examine the relationships among personal factors, work-related factors, and stress in public health officials at Subdistrict Health Promoting Hospitals in Pathum Thani province during the COVID-19 outbreak. A total sample of 252 public health officials was recruited. Data were collected using a questionnaire developed by the researcher. A statistical analysis was conducted to determine frequencies, percentages, and averages. The inferential statistics using Chi-square test and Pearson's product moment correlation coefficients were calculated for examining the relationships at p-value of 0.05. The study results revealed that: (1) most of samples were females (83.3%), 50.4% aged 21-30 years, 54.8% were single, 90.5% completed a bachelor’s degree, 67.5% had 1-10 years working experience, and 45.2% had a monthly income of 15,001-20,000 baht; (2) their total work-related factors scored at a moderate level, 52.8% of them reported a moderate level of stress, work-related factors associated with work stress consisted of job characteristics and workload, success and career advancement, organizational structure and atmosphere, and relationships in the workplace, and organizational roles; and (3) personal factors related to stress included age, educational level, working time period, and monthly income. Suggestions: The executives should give importance on work-related factors by analyzing job characteristics and workload, evaluating work assignments that suit the abilities of official staff appropriately, and providing a support for professional advancement as to reduce a work stress during the public health emergency from pandemic.

Factors influencing the use of personal protective equipment among garbage collectors in Muang District, Nakhon Ratchasima Province

2024-04-05T08:31:21+07:00

This cross-sectional analytical design aims to study the factors influencing the use of personal protective equipment among garbage collectors in Muang District, Nakhon Ratchasima Province. The study included 203 garbage collectors employed by the local government organization. Data collection was conducted using a questionnaire from April to June 2023. Descriptive statistics and multiple linear regression analysis were employed for data analysis. The results revealed that most of the participants were male at 98.50% with an average age of 44.57 ± 10.46 years. The mean work time was 7.80 ± 0.65 hours/day. The level of knowledge (Mean = 10.92, S.D. = 1.74) and safety attitude (Mean = 2.31, S.D. = 0.36) were at a moderate level. Safety training was reported by 78.32% of participants, and working policy adherence was at 84.23%. Only 23.65% of the sample reported receiving adequate personal protective equipment. Social support was rated at a good level (Mean = 2.57, S.D. = 0.56). The use of personal protective equipment was at a moderate level by 50.25%. The factors of safety training, policy, and social support predict the use of personal protective equipment among garbage collectors at 27.20% (R² = 0.272; p < 0.01). Therefore, local government organizations should provide training to clarify working policies and foster positive relationships between supervisors, colleagues, family, and the community. This will encourage garbage collectors to better adhere to the use of personal protective equipment.

The study for community health assessment by participatory learning process in Sa Yai Som subdistrict, U Thong district, Suphan Buri Province

2024-02-15T12:41:35+07:00

Community health assessment is a process in which the active participation of community members develops strategies to solve problems in the community and work together to drive the community towards a sustainable healthy community. This participatory action research is aimed to community health assess and priority setting of community health problem by participatory learning process in Sa Yai Som subdistrict, U Thong district, Suphan Buri province. Subjects in community health assessment process were individuals aged 15 and above, totaling 255 people, randomly selected. Data were collected using household interview questionnaires, personal health information interview questionnaires and a secondary data copy form from the subdistrict health promoting hospital. The subjects in participatory learning process consists of stakeholders from 3 villages, with 15 individuals per village, comprising 2 community leaders, 4 representatives of the population in each age group, 4 representatives from different occupations, 3 village health volunteers, 1 subdistrict health promoting hospital officers, and 1 local government organization officers. Data were collected using focus group discussion and community brainstorming. Quantitative data were analyzed using descriptive statistics. For qualitative data, content analysis was performed and summarize the main points. The results showed that a semi-urban community was studied, convenient transportation, well-planned infrastructure and the majority of the people in the that area are workers and agriculturalists. Important community issues are classified into three categories; including health outcomes, health risk behavior or environment risk, socioeconomic status which all issue has a systemic link that impacts the health of those who live in the community and must be solved. The results from prioritizing problems found that diabetes, hypertension, and dyslipidemia were the most important concerns in village 3, 4, and 5, respectively. It is a problem that everyone in the community agrees needs to be solved as rapidly as possible, which community members or organizations can utilize to develop plans to solve health problems by collaborating with various sectors to achieve holistic and sustainable solutions.

Effectiveness of health promotion program among people to preparing for entering the aging by based temple

2024-04-23T09:14:21+07:00

This research was two groups pretest and posttest quasi experimental design which had objective to evaluate the effectiveness of health promotion program among people to preparing for entering the aging by based temple. Population was 60 people who are aged between 50-59 years. sampling by simple random sampling. Sample was separate to an experimental group (30 samples) and a control group (30 samples). The experimental group were received in health promotion program; whereas, those in a control group whereas the control group received usual care. Collected data by using questionnaires. Analyzed by used descriptive statistics and t-test statistic. The result found that the after the experiment of health promotion program the experimental group had average score of knowledge and health promotion behaviors higher than before with significantly at the .005 level. (t = -11.15, p < .001) (t = -7.18, p < .001) Before the experiment of health promotion program the experimental group and control group had average score of health promotion behaviors that there was not difference.
After the experiment of health promotion program the experimental group had average score of health promotion behaviors higher than control group with significantly at the .005 level. (t = 4.08, p < .001) and after the experiment of health promotion program control group had average score of health promotion behaviors that there was no difference than before the experiment. Therefore, the temple was a place in the community which suitable as a base for organizing health promotion programs of people. So that the temple was can be a base for training using of Buddhist principles as a guideline to creating physical and mental health programs.

The association of short cervical length after successfully inhibiting preterm labor with recurrent preterm labor and preterm delivery

2023-09-12T16:21:31+07:00

To study the association of cervical length after successfully inhibiting preterm labor with recurrent preterm labor and preterm delivery by measuring the transvaginal ultrasound after successful suppression of preterm labor for at least 24 hours. The patients were classified into two groups, those with cervical length < 25 mm (short cervix) and those with cervical length 25 mm (normal cervix). One hundred and fifteen women with threatened preterm labor or preterm labor were included, of which 33 participants (28.70%) had a short cervical length and 82 participants (71.30%) had a normal cervical length. Baseline characteristics were not different in the two groups except the maternal age. The mean gestational age at the time of participation in both groups were not significantly different. The mean gestational age at delivery was 262.76 ± 11.20 days in the short cervical length group and 267.17 ± 8.67 days in the normal cervical length group (P = 0.022). After following the pregnancy showed recurrent preterm labor in short and normal cervical groups equal to 36.36% and 18.29% (P = 0.039) and preterm delivery were 33.33 and 10.98% (P = 0.004) respectively. The calculated risk ratio stands at 3.03. In conclusion, the cervical length in pregnant women after successfully inhibiting preterm labor that less than 25 mm was associated with recurrent preterm labor and preterm delivery. The probability of experiencing preterm birth was 3 times higher in the short cervical length group compared with the normal cervical length group.

Construction of a decision tree model based on laboratory test results for screening lung cancer cells in pleural fluid

2024-04-23T09:39:02+07:00

Parameters from laboratory analysis have been studied for screening cancer cells in pleural fluid. However, limitations in sensitivity, specificity, and appropriate cut-off values for routine laboratory use have been identified and the standard cytology methods for diagnosis are long turnaround time. At present, data analysis using machine learning is a popular tool in the era of data science for predicting and applying disease screening tools. Therefore, our research team aimed to create a decision tree model based on laboratory analysis results for screening cancer in pleural fluid. Historical data (retrospective study) from 357 samples, both cancer-positive and cancer-negative were collected, and a decision tree model was developed using the J48 algorithm in the WEKA program. Significantly different parameters (p < 0.05) included protein, adenosine deaminase (ADA), carcinoembryonic antigen (CEA), the count of high fluorescence-body fluid cells (HFBF#), and the percentage of high fluorescence-body fluid cells (HFBF%). Subsequently, decision tree modeling divided 90% of the data into a training dataset and a testing dataset, while the remaining 10% served as a blind dataset. The results of the decision tree modeling showed that the most effective model included the parameters CEA, ADA, protein, and HFBF%, achieving a sensitivity of 94.10% and specificity of 72.60%. Testing the model on a blind dataset demonstrated a sensitivity of 92.31% and specificity of 82.60%, with positive and negative predictive values of 75.00% and 95.00%, respectively. This suggests that the model could be beneficial for screening cancer cells in pleural fluid.

The model for finding new tuberculosis patients in the community by X-Ray mobile with artificial intelligence; AI, Health Region 4

2024-10-21T11:48:53+07:00

This study was a research and development approach and the objective was to study and present a model for detecting new tuberculosis patients in the community using a mobile X-Ray Artificial Intelligence (AI), Health Region 4. It also the issues problem and solutions associated. The sample groups included managers and staff involved in proactive tuberculosis screening activities. The study involved data collection, observing management patterns, repeated screening of new tuberculosis cases, responsibilities of those in charge, and in-depth interviews with managers and staff participating in the active case finding activities in the community. Tools were reviewed by three different experts with varying expertise. The research duration is from October 2022 to June 2023. The research area comprised of eight targeted locations in the Health Region 4, selected by the responsible tuberculosis personnel at the provincial health office. Quantitative data was described by descriptive statistics Qualitative data was analyzed via interpretation and content analysis. The study results show that the proactive tuberculosis patient detection model in the community using a mobile X-ray Artificial with an Intelligence (AI) system that can find two tuberculosis cases in the community. and help isolate people at risk of tuberculosis in the community. The community received 151 cases from 2,113 investigators within 8 days (average 264-265 cases per day). The recommendation is that public health agencies, along with local government organizations, should implement and expand the AI-driven proactive tuberculosis patient detection model to cover seven target groups that need to be screened for tuberculosis in the community.

Systematic review of prevalence and antimicrobial drug resistance characteristics of Streptococcus suis

2024-02-09T13:12:14+07:00

Streptococcus suis (S. suis) is a zoonotic disease transmitted from animals to humans. The pathogen enters the body through consumption and contact with skin lesions. In severe cases, disability or death may occur. This study aims to investigate the prevalence and antibiotic resistance patterns of S. suis through systematic review and meta-analysis of research publications between 2012–2022 from 11 electronic databases and data from the Institute of Public Health Research. The PRISMA Statement guidelines were followed using PICOS criteria to define search terms, select articles based on inclusion/exclusion criteria, and assess article quality using the Joanna Briggs Institute's Checklist for Prevalence Studies. Data analysis was performed using R software. The study found 79 research reports meeting the inclusion criteria, with 28 abstracts remaining after screening. Bias assessment revealed 77.77% high bias in sample selection. The study's findings on the prevalence of infection in patients and swine showed that most were infected with serotype 2, with proportions of 0.87 (95% CI: 0.72 - 1.00) and 0.33 (95% CI: 0.18 - 0.48), respectively, followed by serotype 14 with proportions of 0.19 (95% CI: 0.01 - 0.36) and 0.02 (95% CI: 0.00 - 0.03), respectively. Antibiotic resistance to penicillin and gentamycin in patients was 0.04 (95% CI: 0.00 - 0.11) and 0.15 (95% CI: 0.00 - 0.31) respectively, while resistance to ceftriaxone was 31.25%. In swine, the proportions of resistance to penicillin and gentamycin were 0.21 (95% CI: 0.10 - 0.31) and 0.49 (95% CI: 0.25 - 0.74) respectively, and to ceftriaxone was 0.50 (95% CI: 0.40 - 0.60). In summary, most humans and swine were infected with serotype 2, followed by serotype 14, with similar proportions of resistance to penicillin, gentamycin, and ceftriaxone. Therefore, monitoring the use of antimicrobial drugs in swine, especially those used for treating patients infected with S. suis, should be a priority.