Journal of Medical and Public Health Region 4

The collaboration of the public and private sector to prevent injuries and deaths from road traffic crashes in urban areas: A case study of Udon Thani city municipality

Natthida Chamniyan — 2024-03-08

This study was a cross-sectional analytical study. The purpose of this study was to study collaboration and factors related to public-private sector collaboration to prevent injuries and deaths from road traffic crashes in the area of Udon Thani municipality by using the concept of collaborative governance. The population was 116 personnel, who agreed to participate in the project out of 127 personnel from the public and private sectors working to prevent injuries and deaths from road traffic crashes in the area of Udon Thani municipality, according to the order of the Udon Thani Road Safety Directing Center and Committee and the Road Safety Strategy Driving Committee of Udon Thani Province. In which there was no random sampling. Data were collected through interviews using a questionnaire. The statistics that were used in this study included frequency, percentage, mean, standard deviation, and logistic regression analysis. The study’s result found that collaboration of the public-private sectors was at a high level, with a mean of 3.63 (S.D. = 0.94). The factors related to collaboration, include high levels of structural and institutional factors (OR_adj = 3.69, 95% CI = 1.10 - 12.39, p-value = 0.035) and high levels of relationships between stakeholders (OR_adj = 4.59, 95% CI = 1.71 - 12.29, p-value = 0.002). These factors play an important role in the public-private collaboration process in preventing injuries and deaths from road traffic crashes in the area of Udon Thani municipality.

Prevalence and factors Influencing motorcycle accident among food delivery drivers in Urban areas, Bangkok Thailand

Pusanisa Prakobkarn — 2024-03-08

This study entailed the analysis of a cross-sectional survey conducted from february to march 2023 to determine
the prevalence and factors associated with motorcycle accidents among food delivery drivers in urban areas of Bangkok, Thailand. Sampling based on the law of probability using multistage sampling, random sampling from the 6 zones and sampling the quota
and purposive selection of food stores with food delivery drivers waiting to receive food. Questionnaires was used with the confidence value of the questionnaire was 0.81. Characteristics were compared using descriptive statistics. Binary logistic regression was used to test the association between various factors related to motorcycle accidents. Statistical analysis was performed using the statistical Package for the Social Sciences Program (SPSS), version 22. A total of 809 food delivery drivers’ responses were received. Our study presented a prevalence rate of 35.1%. The results of binary logistic regression analysis found associations between motorcycle accidents associated with type of application A, C, D, F application and frequency of food delivery motorcycles per day
(P-value < 0.05). This study could be useful for policy surveillance of food truck drivers in urban communities and can be used to raise awareness of this profession.

Health literacy survey about dengue hemorrhagic fever of people at hyperendemic area, health region 9th

yada toutchon — 2024-03-08

This survey study aimed to Health Literacy Survey about Dengue Hemorrhagic Fever of people 18 years and over, determine the factors affecting the DHF literacy level at Hyperendemic area, Nakhon Ratchasima Province. The study subject were 394 person, collected data by questionnaires, respectively and 0.9 Cronbach’s alpha coefficient were employed to test reliability of the questionnaires. Results revealed that most of the samples were female at 81.73 %, couple 73.10, secondary education/professional sentence at 44.67 %, agriculture at 53.30%, have a comfortable income 49.24 %, received DHF information from health volunteer 69.54 % and search the internet 61.68 %. The majority of them were found to have an adequate 97.97%, Accessibility DHF information, Cognition, Utilization were adequate 92.89, 96.95, 98.48, 98.48 and 98.22% respectively. It was found the factors that predict DHF literacy by reading fluency, DHF information searching, health volunteer, sufficient income statistically significant (P-value< 0.05) The result of this study will be useful for the policy makers to plan DHF health literacy for health volunteer and preparation of news information published on the internet.

Effectiveness of cannabis leaf transdermal patches in pain relief among patients with knee pain in Suan Phrik Sub-District, Phranakhon Si Ayutthaya District, Phranakhon Si Ayutthaya Province

Patipanee Khanthapok — 2024-03-08

Knee pain is a musculoskeletal disorder that affects the quality of life of patients. The oral administration of non-steroidal anti-inflammatory drugs (NSAIDs) can alleviate this symptom. However, NSAIDs also have dangerous adverse effects. Therefore, the external application of herbal products for knee pain relief is another interesting approach for patients. Cannabis (Cannabis sativa L.) has an analgesic activity. Its leaves have been used as an ingredient in Thai traditional medicine formulas for musculoskeletal pain relief. Hence, there is a possibility for the development of knee pain relief products derived from cannabis leaves. This quasi-experimental research aimed to investigate the effectiveness of cannabis leaf transdermal patches in pain relief among patients with knee pain in Suan Phrik sub-district, Phranakhon Si Ayutthaya district, Phranakhon Si Ayutthaya province. A total of 40 samples were selected by purposive sampling. Patches were applied on the anterior aspect of knees for 30 minutes, twice a week for 4 weeks. Scores of knee pain, joint stiffness, joint usage in daily routine, and efficiency in daily routine management were evaluated using the modified WOMAC scale for knee pain before and after treatment in the 2^nd, 4^th, and 8^thexperiment. An adverse effect of patches was also determined using the Naranjo’s algorithm. Data were analyzed using descriptive statistics and paired samples t-test at a significance level of .05. The results showed that mean scores of knee pain, joint stiffness, joint usage in daily routine, and efficiency in daily routine management after treatment were significantly improved (p < .05) and an adverse effect was not found. These results indicate that cannabis leaf transdermal patches can relieve knee pain and promote abilities in daily routine management. Bioactive compounds presented in cannabis, including cannabinoids, terpenes, flavonoids may play an important role in knee pain relief. The obtained data can be used in the further development of pain relief products from cannabis leaves. The comparison of effectiveness of cannabis leaf transdermal patches in pain relief between experimental and control groups is need in the further study.

Associated factors to COVID-19 vaccine service among older people, Bangkok, Thailand

Aeiladawan Sriphai — 2024-03-08

This cross-sectional study was conducted to determine the determinants of access to COVID-19 vaccine service among the elderly population in Bangkok, Thailand, during February–March 2023. This study selected the population by purposive sampling, which included the elderly population in urban areas, Bangkok. Data was collected using a questionnaire. Characteristics were used descriptive statistics. Binary logistic regression was used to test the association between vaccination with various factors about vaccination against COVID-19. The level of significance was set at a P-value < 0.05. Statistical analysis was performed using the Statistical Package for the Social Sciences Program (SPSS), version 28. The results were presented that a total of 393 participants. The cumulative coverage is calculated as follows: The first dose accumulated 94.15%, 2nd dose: 93.12 percent, 3rd dose: 61.32 percent, 4th dose: 16.79 percent, 5th dose: 2.54 percent. The results
of binary logistic regression analysis found associations between vaccination with non-disease, absence of diabetes, occupational, and anxiety about vaccines (P-value < 0.05). Thus, this study is based on the current situation of elderly people using COVID-19 vaccines in Bangkok, Thailand. According to our studies, we ought to encourage the general population to understand the value of vaccination and demonstrate vaccine safety.

Health literacy in COVID-19 prevention and healthcare service accessing for homeless at Khet Phra Nakhon, Bangkok, Thailand

Supparada Montatip — 2024-03-08

This qualitative research was based on data theory (grounded theory method). The objectives were to evaluate health literacy in COVID-19 prevention and healthcare service access for homeless people. There were 28 participants from Homeless Service Providers and homeless who living in public areas at Khet Phra Nakhon, Bangkok. Data were collected in April 2023 and analyzed using thematic analysis. The study results revealed that the majority of homeless individuals possess health literacy in understanding of COVID-19 prevention measures. They stated that wearing face masks can effectively prevent COVID-19. However, they still have limited understanding regarding disease transmission and the symptoms of
COVID-19. Regarding healthcare service access for COVID-19 prevention, one in three homeless individuals has not received the COVID-19 vaccine, citing reasons such as personal strength and they still lack confidence in the effectiveness of the vaccine. Therefore, the government and relevant organizations should strive to educate homeless individuals about COVID-19 by engaging with them directly in the areas where they reside. This should include providing proactive healthcare services such as COVID-19 screening, including antigen testing kit, and administering COVID-19 vaccinations in order to ensure comprehensive access to healthcare services for homeless individuals.

The comparison of pulmonary artery size and McGoon ratio from magnetic resonance imaging versus transthoracic echocardiography

Uthen Bunmee — 2024-03-08

Most congenital heart disease patients need advanced cardiac imaging, e.g., Magnetic resonance imaging; MRI,
due to the image quality limitation of basic cardiac imaging modality and international recommendation guidelines. Especially the pulmonary artery size and McGoon ratio value is an important parameter for follow-up and selecting the type of treatment. The usual patient underwent evaluation by transthoracic echocardiography; Echo for basic imaging modality. This study compared the pulmonary artery size and McGoon ratio calculated from both methods. This retrospective study reviewed pulmonic valve size, main pulmonary artery size, left and right branches, abdominal descending aorta, and McGoon ratio calculated from the database in 2010-2021. In 54 studies of congenital heart disease at Ramathibodi Hospital, 4-37 years for age, male 54%, female 46% underwent MRI and Echo within two years (10.7 + 8.2 months). The result showed that
the McGoon ratio, pulmonary valve, and right pulmonary artery were not different between MRI and Echo with moderate to very strong correlation (r=0.55-0.87). The results showed a significant difference in main pulmonary artery size (MRI 21.70 + 5.82, Echo 19.92 + 5.17 mm.) and left pulmonary artery size. (MRI 16.61 + 4.62, Echo 15.10 + 4.01 mm.) (P < 0.05) Echocardiography was an alternative tool for evaluating and following clinical for congenital heart disease.

Development of a health data management program for a synthetic fibers and plastic resins workplace in Bangkok

Pitsinee Ronnatee — 2024-03-08

This research and development study aims to 1) develop a health data management program for a synthetic fiber and plastic resin workplace in Bangkok and 2) evaluate user satisfaction with the program. The research methodology consists of 1) problem analysis 2) program development and trial 3) user satisfaction evaluation 4) program improvement. The program is developed using Microsoft Excel and Visual Basic for Application (VBA) programming language. It is divided into three parts: 1) user information, 2) health data recording form, and 3) health information report. The program can systematically store current and past health data. It analyzes and interpret health data accurately and quickly. The program can generate comprehensive health information reports that present data in tables and graphs, including average values. These reports provide both an overview of the company's overall health information and individual employee health information. User satisfaction with the program is evaluated using satisfaction evaluation questionnaires. These questionnaires cover three aspects: security, content, and program efficiency. The evaluation is conducted among three groups of users: 1) the health data recording staff (n=7), 2) the management-level staff (n=17), and 3) the staff using individual health reports (n=213). The findings indicate that users are highly satisfied with the program in all aspects. The program ensures data security, provides content that meets user needs, and is efficient for recording and managing health data in this particular workplace.

Tuberculosis surveillance evaluation in community hospitals, eastern Tak province, fiscal year 2021 - 2022

kittiphat iemrod — 2024-03-08

The purpose of this study is to evaluate TB surveillance system evaluation in community hospitals, eastern Tak province, fiscal year 2021-2022. A cross-sectional study was conducted in these 3 hospitals by reviewing medical records of patients TB during fiscal year 2021-2022. Standard TB case definitions were used. The study compared data from the TB surveillance system (National Tuberculosis Information Program: NTIP) with those from medical records of TB to determine quantitative attributes of surveillance evaluation. Qualitative attributes were determined by interviewing health personnel involving the NTIP. Of the medical records reviewed, 94 cases met TB case definitions and 90 were reported in NTIP. Ninety cases were found in both TB medical record reviews and NTIP. The overall sensitivity of TB surveillance was 95.7%. The predictive value positive was 100.0% in all 3 hospitals. Data of NTIP could be representative. Distributions of gender, age, nationality, sub-district address and month of TB treatment initiation in NTIP were corresponding to those in medical record reviews. Data quality of NTIP was very good, with 100.0% complete reporting of study variables in all 3 hospitals. About 94.4% of TB cases could be reported within one week in NTIP. All health personnel stated that the surveillance system was acceptable, simple, flexible, stable and useful.

Evaluation of report system of full range of smoking cessation support services (Fah Sai V. 2)

Kullaphassorn Sirimanassakul — 2024-03-08

Fah Sai V.2 program was established as a smoking cessation database in Thailand and had not been evaluated. This study aims to examine the program's process, qualitative, and quantitative attributes and offered improvements. A mixed-methods study was done in two hospitals. Quantitative research randomly selected smoking cessation and non-communicable disease clinic patient records in 2021 to assess coverage, positive predictive value (PPV), completeness, accuracy, and representativeness. In qualitative research, staff involving Fah Sai V.2 were in-depth interviewed about the process, usefulness, acceptability, simplicity, flexibility, and stability. 522 reviewed medical records showed 20.3% coverage, 61.98% PPV. Gender and appointment date variables were all completely recorded, but their accuracy is 98.25% and 61.99%, respectively. 1.17 % were completed in age variables. Fah Sai V.2's treatment and outcomes were different from medical records, limiting its representativeness. Participants agreed that Fah Sai V.2 was useful for tracking smoking cessation treatment data, but it was rarely used, particularly in policymaking. Program login and data recording were unstable. Uncorrectable data and workforce duplication result in low coverage and inaccurate data. Thus, Fah Sai V.2 should be stabilized and connected to the hospital database to improve data quality and reduce redundancies. The program should be evaluated regularly after improvement.

Factors related to the preparation of the working-age population to support the aging society in Buached District, Surin Province

Sawinee Sampao — 2024-03-08

Preparation for an aging society is crucial for the working population, as they need to prepare themselves for the aging process's various aspects, including its impact on quality of life. The purpose of this research was to study the factors associated with the readiness of the working-age population to support an aging society in the Buachet District of Surin Province. A cross-sectional analytical study was conducted involving 330 individuals aged 40-59, selected through stratified random sampling. The research utilized a questionnaire as the primary research tool and employed descriptive statistics to analyze the collected data. Factors related to the preparedness of the working-age population to support an aging society were examined using multivariate logistic regression. The research findings were presented using adjusted odds ratios (OR_adj) with 95% confidence intervals (CI) and a significance level (P-value) of less than .05. The results of the study revealed that the sample group perceived a high level of readiness to support an aging society (95.2 percent) and held a positive attitude towards preparing for it
(97.0 percent). However, the preparedness to support an aging society was lacking (70.9 percent). The factors that showed statistical significance (P-value < .05) with readiness were average monthly income and recognition by the population with an average monthly income of over 3,000 baht and good recognition. Individuals in this category were 2.88 times more likely to be better prepared (OR_adj = 2.88, 95% CI: 1.40-4.16) and 8.21 times more likely (OR_adj = 8.21, 95% CI: 1.00-17.54) compared to those with an average monthly income of less than 3,000 baht and moderate awareness. Therefore, it is crucial to encourage
the working population to have a stable income, promote vocational skills, generate income, manage their finances, develop savings habits, and create awareness among people of all ages. These efforts aim to increase awareness and enhance preparedness to support an aging society better.

A study of the relationship of advance care planning with actual end of life care in patients receiving palliative care, Pathum Thani Hospital

Thanyapat Soontaranurak — 2024-03-08

This study aimed to determine the needs and outcomes of advance care planning of patients receiving palliative care by using a retrospective cohort study method. The data of this study were collected from medical record of advance care planning of terminally ill patients and actual outcomes of patients receiving treatment at the palliative care clinic of Pathum Thani Hospital in a year 2022, totaling 226 people. The statistics were analyzed by mean with standard deviation, percentage and chi-square at P-value < 0.05. The study found that most of patients’ Palliative Performance Scales (PPS) were in the rage of 10 - 30 and 90.71% of patients were terminal cancer. 92.47% had advance care planning. Regarding advance care planning, it was found that 98.08% of the patients received actual care according to the needs recorded in the exclusion of intubation, 99.06% in exclusion of cardiopulmonary resuscitation (CPR) and 87.21% for the place of death. Increasing in public awareness should have relevant organizations such as the National Health Commission or the Ministry of Public Health should publicize through various media to increase awareness of planning care in terminal ill patients joint advance care planning between patient family and caring team. It also reduces the provision of treatment that is non-beneficial treatment and inconsistent with the patient's needs.

Factors associated with quadriceps angle in healthy young adult males

Janya Chuadthong — 2024-03-08

This study aims to investigate the correlation between quadriceps angle (Q-angle) and leg muscles strength,
leg muscles flexibility, balance, and range of motion. A cross sectional study was conducted in 97 adult men. All participants were interviewed by using the questionnaire and physical examination. An outcome measurement consists of quadriceps angle and leg muscles strength, leg muscles flexibility, balance, and range of motion (ROM). The result of this study showed a statistically significant relationship between the Q-angle and the leg muscles strength (r = -0.23 - r = -0.31, p < 0.05), muscle flexibility of hip adductor (r = -0.48 p < 0.01), Iliotibial band (r = -0.30 p < 0.01) and hamstrings (r = -0.60 p < 0.01). In addition, there was statistically significant between the Q-angle and ROM of hip extension (r = -0.23 p < 0.05), hip adduction (r = -0.31
p < 0.05), and knee extension (r = 0.26 p < 0.05). However, there was no relationship between Q-angle and static and dynamic balance. In conclusion, this study found that the Q-angle had a statistically significant correlation with the leg muscles strength, leg muscle flexibility and ROM whereas not correlated with balance control.

Model development of COVID-19 Factory prevention and control in Phra Nakhon Sri Ayutthaya Province

Pensri Phatairat — 2024-04-12

This action research aims to study the context and the situation of the COVID-19 outbreak in industrial establishments in Phra Nakhon Si Ayutthaya Province and to develop prototype industrial establishments for COVID-19 prevention and control appropriate to the context. The study is divided into 4 phases: 1) Study of the context and the situation of the COVID-19 outbreak in industrial establishments. 2) Development of prototype industrial establishments. 3) Evaluation of outcomes.4) Lessons learned and result expansion. The study period spans from June 2564 to September 2565. The sample group consists of 30 individuals, including managers, security personnel, and large-scale industrial establishment disease prevention and control committee members, who volunteered to participate in the project. Data were collected from documents, meeting reports, inspections, and presentations of industrial establishments. Quantitative data were analyzed using descriptive statistics, presented as percentages and ratios, while qualitative data were analyzed through content analysis. The study found that in large-scale industrial establishments, the illness rate among employees was 69.7% in July 2564, with a 3.9 times increase compared to the previous month. Most industrial establishments lacked accommodation for employees, who commuted daily by shuttle bus. The outbreaks occurred due to collective work and commuting in closed groups. Some establishments reported slow disease spread. Closure of industrial establishments to control the disease resulted in increased outbreaks in families and communities. The developed prototype industrial establishments were the result of collaborative efforts, involving stakeholders, with six components of practice: 1) Development and rehearsal of business continuity management plans, 2) Guidelines for new employee reception, 3) Strict implementation of D-M-H-T-T-A measures (Distance, Mask, Hand washing, Temperature check, Testing, Application of Thai Chana platform), 4) Care for infected employees, 5) Mental health care for employees, and 6) Three options of Bubble and Seal method: staying in the establishment, providing accommodation, or staying at home. After implementation, no group outbreaks occurred, and no business closures were necessary. Subsequently, the spread in communities slowed down. These models can be applied to prevent the spread of other respiratory infectious diseases.

Chest computed tomography findings in Coronavirus Disease 2019 (COVID-19) patients at Sena Hospital: Case report

Asawin Rungpattanakijchai — 2024-03-08

Chest computed tomography (CT) plays a role in supporting the diagnosis, grading the severity of disease,
aiding in monitoring the clinical progression, and evaluating the treatment outcomes of Coronavirus 2019 (COVID-19) patients. This is a report of five confirmed cases of Coronavirus 2019 patients who underwent chest computed tomography
at Sena Hospital, which is used as information and knowledge for further patient care. Most common showed ground glass opacity and consolidation abnormalities predominantly in the peripheral, lower lobe distribution of both lungs, consistent with previous reports. These characteristics are important for physicians when treating patients, especially those with severe pneumonia.