Digital Commons Network^™

How Health Care Organizations Can Use The Inflation Reduction Act To Reduce Costs, Enhance Resilience, And Lower Their Environmental Footprint., Celynne Balatbat, Walt Vernon, Antonia Herzog, Terri Scannell

Ambulatory and Primary Care Articles

No abstract provided.

Crossing The Decarbonization Chasm: A Call To Action For Hospital And Health System Leaders To Reduce Their Greenhouse Gas Emissions., Hardeep Singh, Walt Vernon, Terri Scannell, Kathy Gerwig

Ambulatory and Primary Care Articles

No abstract provided.

Perception And Experiences Of Sexual Harassment Among Lgbtq Students In Universities, Bangkok Thailand, Jiratchaya Rungrote

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this research was to study perceptions and experiences of sexual harassment among 355 LGBTQ students in the University. Data was collected by self-administer questionnaire to find perceptions and experiences of sexual harassment. Descriptive, Pearson’s Chi-square and Fisher exact were performed to describe and determine the associations. The research findings indicate that the majority of research participants were perceived to sexual harassment at a moderate level. There was a moderate tolerant attitude towards sexual harassment, and there were experiences of verbal, non-verbal, and physical sexual harassment at a moderate level. Gender, University, part-time job type, the use of …

The Effectiveness Of "Teach To Say-No" Intervention On Teacher's Knowledge, Attitude, Feasibility, And Acceptability Towards Child Sexual Abuse Prevention Program In Phnom Penh City, Cambodia: A Mixed Methods Study, Swarnamala Kantipudi

Chulalongkorn University Theses and Dissertations (Chula ETD)

Child sexual abuse is a highly debated issue worldwide. Protecting children from sexual abuse and implementing primary prevention approaches is a crucial task for LMICs. The objective of this research is to evaluate the effectiveness of a CSA prevention program “teach to say-NO". The evaluation includes measuring knowledge and attitudes, as well as analyzing the feasibility and acceptability of the intervention among primary school teachers in a school environment.A total of 146 primary school teachers from 22 public schools in Phnom Penh, Cambodia were involved in the study. Additionally, 29 teachers participated in a qualitative study. The research design consisted …

Formulation Of Polyphenol-Loaded Microemulsions Against Human Breast Cancer Cells, Ghea Putri Cristy

Chulalongkorn University Theses and Dissertations (Chula ETD)

Breast cancer is one of the deadliest cancers and is categorized into the hormone-dependent and hormone-independent phenotypes. Plant-derived polyphenols have been deemed as one of possible solutions to combat breast cancer. This study explored inhibition of selected plant polyphenols on human 5-lipoxygenase (5-LOX), and further focused on how microemulsion encapsulation was used to enhance the deliverability of the polyphenols, namely quercetin, kaempferol, and rosmarinic acid, and to understand the nature of these compounds in terms of cytotoxicity and antioxidant properties by performing assays, including DPPH and nitric oxide assays. The results showed that kaempferol has the highest inhibition on 5-LOX …

Determinants Of Adverse Events Related To Topical Whitening Products Among Female Students Of Iqraa College For Sciences And Technology, Medicine And Pharmacy Program In Sudan: A Cross-Sectional Study., Suha Gafar Mohamedkhair Ibrahim

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: This study aimed to explore the factors associated with adverse events related to topical whitening products among female students in Sudan.Methods: A cross-sectional study was conducted from September to October 2023 among 208 participants in Sudan. The questionnaire by researcher and researcher’s assistants, was constructed with a total of seventeen questions. For data analysis, we performed descriptive statistics analysis, bivariate analysis with simple logistic regression, and multivariable analysis with binary logistic regression.Results: The results imply that students with middle household income were 93% less likely to get adverse events compared to those students with low household income with p-value …

Knowledge, Attitudes, And Practices (Kap) Towards Indoor Air Pollution Among Residents In Yangon And Mandalay, Myanmar: A Cross-Sectional Study, Min Thant Thaw

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Indoor air pollution (IAP) is a growing public health threat, but little is known about knowledge, attitudes, and practices among urban residents in Myanmar. Rapid development in cities like Yangon and Mandalay might exacerbate pollution while increasing time spent indoors. This study aims to assess the knowledge, attitudes, and practices (KAP) related to Indoor Air Pollution (IAP) among residents of Yangon and Mandalay.Methods: A cross-sectional survey involving 579 participants (100% response rate) was conducted using six-sections questionnaire; socio-economic data, knowledge, attitudes, information accessibility, health perception, and practices. Knowledge and attitudes were evaluated using modified Bloom's cut-off points and Likert …

The Role Of Social Media On Utilization Of Hiv Prevention Services Among Men Who Have Sex With Men In Yangon, Myanmar: A Qualitative Study, Thet Zaw Naung

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: HIV remains a significant global health challenge, disproportionately affecting populations such as men who have sex with men (MSM). In Myanmar, MSM faces high HIV prevalence and numerous barriers to accessing prevention services. Social media has emerged as a powerful tool in health communication, potentially enhancing HIV prevention efforts.Objective: This study explores the role of social media in the utilization of HIV prevention services among MSM in Yangon, Myanmar.Methodology: A qualitative research design was employed, involving in-depth interviews with 40 MSM recruited from two Key Population Service Centers in Yangon. Participants were selected using voluntary sampling, and data were …

Prevalence Of Hiv Testing And Its Determinants Among Youths In The Gambia: From 2019/2020 Demographic Health Survey, Abdou Jarju

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: HIV is a pathogen that attacks the immune system. Globally, 3.9 million youth aged 15-24 years living with the virus in 2017. In Sub-Saharan Africa, girls and boys accounted for 63% and 50% respectively. The Gambia, youth accounted for 37% of all HIV cases. Objective: To determine the prevalence and determinant factors of HIV testing among youth15 – 29 years in The Gambia.Methodology: Secondary data were used for analysis. This study population was 7438 youth aged 15 to 29 years. Sociodemographic and Economic knowledge about HIV/AIDS, risky sexual behaviors, and mass media exposure were used as predictors of HIV …

Effectiveness Of The Stage Of Change And Learning Resources In Educational Institutions (Sclr) For Reducing Alcohol Consumption Among University Students: A Quasi Experimental Study, Rangsima Passara

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to test the effectiveness of an alcohol prevention program, SCLR (S = stage, C = change, L = learning, and R = resources), on the knowledge about alcohol and alcohol consumption of moderate drinkers who were Rajabhat University students in Bangkok. A quasi-experiment was implemented in two Rajabhat universities. One hundred eighty-four moderate drinkers voluntarily participated in the program (Intervention, n = 92; Control, n = 92). Knowledge about alcohol and alcohol consumption was assessed four times: at baseline, at exit point (6 weeks after baseline), 1 month, 3 months, and 6 months post-intervention. Data were analyzed …

Effectiveness Of Lower Balancing Exercise (Modified Maneevej Program) Through Facebook Reducing Pms Among Undergraduate Students In Kasetsart University, Sakon Nakhon Campus, Thailand, Apiradee Wangkahart

Chulalongkorn University Theses and Dissertations (Chula ETD)

Premenstrual Syndrome (PMS) is a worldwide public health issue which is present in all cultures of women. This is a chronic disorder that affects more than over a million women around the world among those who have started their period of menstruation. Adolescence is a phenomenon which is a sign of reproductive maturity and might not be seen as a health problem or condition. World Health Organization reported that approximately 199 million women have premenstrual syndrome. Studies showed that about 20% of women of reproductive age find these premenstrual symptoms distressing. Experiencing such symptoms is cited as affecting women’s interpersonal …

Novel Therapeutic Approaches To Treat Brain Cancer Combining 3d Cell Culture Models, Cold Atmospheric Plasma And Airborne Acoustic, Janith Wanigasekara

Doctoral

Glioblastoma (GBM), an adult-type diffuse grade 4 glioma (IDH wild type), is the most prevalent, aggressive, fatal, highly vascularized, malignant primary brain tumour in adults with a poor prognosis. Despite existing therapies such as surgical resection, radiation therapy and chemotherapy such as temozolomide (TMZ), patient survival remains largely unchanged over the last three decades. There is an urgent need for novel and effective therapeutic strategies that can overcome drug resistance, cross the blood brain barrier, and minimise off-target side effects that can negatively impact a patient's quality of life. The high failure rate of clinical trials is due to inefficient …

Factors Affecting The Decision Making To Use Thai Traditional Medical Postpartum Care Services Among Pregnant And Postpartum Women In Bangkok, Thailand, Lunlalin Sirichai

Chulalongkorn University Theses and Dissertations (Chula ETD)

After giving birth, there will be changes in the body during the postpartum period to return to the normal state as before pregnancy. Postpartum women often have common problems, such as lower back pain, breast engorgement, plugged milk ducts, mastitis, and not having enough breast milk. In Thai traditional medicine, there has been postpartum care for a long time. Thai traditional medicine postpartum care services, also referred to as Yu-Fai, can assist in easing postpartum discomfort. But at present, the number of people receiving postpartum care services with Thai traditional medicine is still low. Therefore, this study aimed to determine …

Effects Of Crypto Bear Market On Mental Health Of Pakistani Crypto Traders, Muhammad Umar Iftikhar

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: The proliferation of Cryptocurrency trading has introduced significant volatility and stress into the lives of investors. With the high-pressure environment of trading, especially during bear markets, traders are frequently subjected to intense emotional strain. The psychological impact of trading, including anxiety, depression, and stress, has emerged as a growing concern, particularly in rapidly adopting markets such as Pakistan. Objective: The aim of this study is to investigate the prevalence and implications of depression, anxiety, and stress among Pakistani crypto traders in the context of a crypto bear market. Methods: A cross-sectional study design was adopted to collect quantitative data …

The Effectiveness Of Using Facebook And Instant Communications Application (Line) To Reduce Alcohol Consumption Of Alcohol Promoters And Entertainers (Pretty Or Pr) In Bangkok, Thailand, Paladd Sakulthanit

Chulalongkorn University Theses and Dissertations (Chula ETD)

The deleterious health consequences associated with alcohol consumption, ranging from addiction and liver disease to accidents and mental health disorders, have been extensively documented. This study aimed to assess the efficacy of an educational program utilizing Facebook and Line platforms in mitigating alcohol consumption intentions among such workers in Bangkok. Utilizing a randomized controlled trial methodology, the study focused in Bangkok. A total of forty-four participants were allocated into either the intervention (n=22) or control (n=22) groups. The intervention group received health education sessions and live video broadcasts on Facebook, while the control group received standard care messages. Outcome measures …

Influencing Factors On Chinese Tourists’ Health Behavior Prevention Toward Post Covid-19 In Beijing, China, Sihang Li

Chulalongkorn University Theses and Dissertations (Chula ETD)

The global travel and tourism landscape has been profoundly impacted by the COVID-19 pandemic, requiring precautionary measures to keep travelers and local communities safe. In this context, it is of great significance to understand the factors that influence the adoption of healthy behavioral prevention among Chinese tourists. This study delves into the complex connections between risk perceptions, knowledge, attitudes, social norms, accessibility, communication, and cultural factors that influence mask-wearing behavior among tourists in China post-COVID-19. This study aims to identify the prevalence of preventive health behaviors among Chinese tourists during post-COVID-19 and investigate the association between influencing factors and tourists’ …

Association Between Related Factors And Communication Channels Among Women With Abortion Service At Private Clinics In Thailand, Xiao Wang

Chulalongkorn University Theses and Dissertations (Chula ETD)

In February 2021, abortion was officially permitted in Thailand. In the delivery of abortion services, communication channel is a key factor in assisting clients to access services. Research on clients' choices of communication channels is important for increasing clients' access to legal abortion services. This secondary data cross-sectional study aims to identify the association between factors related to communication channels among the clients who receive abortion services at The Planned Parenthood Association of Thailand (PPAT)’s clinic. The study samples covered 3,734 clients who get abortion service at PPAT’s clinic from February 2021 to December 2022. The researcher employed socio-demographic characteristic, …

Effects Of A Therapeutic Lifestyle Modification Intervention On Cardio-Metabolic Health, Sexual Functioning, And Health-Related Quality Of Life In Perimenopausal Chinese Women: A Randomized Controlled Trial, Yuru Wang

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: Our study aimed to explore the effects of a therapeutic lifestyle modification (TLM) intervention on cardiometabolic health, sexual functioning, and health-related quality of life in perimenopausal Chinese women. Methods: This was a 12-week, two-parallel arm, randomized controlled trial conducted in the First Affiliated Hospital of Yunnan University of Chinese Medicine, Kunming City, China. Ninety-four eligible perimenopausal women aged between 40 and 55 years were randomly assigned to either a TLM intervention or usual care at a 1:1 ratio. Menopause-specific quality of life (MENQOL), female sexual function index (FSFI), pelvic floor muscle strength (PFMS), and composite cardiometabolic biomarkers were evaluated …

Blended Program And Its Impact On Knowledge, Attitude And Help-Seeking Intention Of Conflict-Related Sexual Violence Among Internally Displaced People In Northern Myanmar Camps: A Quasi-Experimental Study, Chit Pyae Pyae Han

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction As a result of several military coups and internal armed conflicts, Myanmar has the longest history of civilian wars in the world. Human rights violations, gender-based violence, and sexual violence have become more widespread as a result of extensive conflicts and humanitarian crises. The United Nations is concerned about the detrimental consequences of sexual violence in military situations. A community-based program designed to prevent sexual violence is crucial in mitigating risk factors and enhancing protective factors Methods The two-group quasi-experimental study evaluated the impact of a community-based program to prevent sexual violence and examined the experiences of survivors among …

Knowledge Attitude And Practice Of Who Mental Health Guidelines For Non-Specialist Primary Healthcare Providers In Wuhua District, Kunming, People's Republic Of China: A Cross-Sectional Study, Liesha Luohe

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The 'Healthy China 2030' policy emphasizes the importance of mental healthcare at the primary healthcare level. Globally, primary healthcare(PHC) service delivery is considered the most effective approach for managing mental health (MH) disorders. The WHO’s mental health gap intervention guide version 2 (mhGAP-IG.v2), is a decision support tool for non-specialists for the assessment, management, and follow-up of mental, neurological, and substance use disorders. However, no studies have assessed primary healthcare providers’ (HCPs) knowledge, attitudes, and practices on MH services in the western part of China. Objectives: To determine the PHC providers’ characteristics and MH service provision level in Wuhua …

Association Between Greenness And Environmental Parameters Exposure And Depression Among Residents In Bangkok, Thailand: An Ecological Longitudinal Study, Wilaipak Nilsalai

Chulalongkorn University Theses and Dissertations (Chula ETD)

Depression and mental health issues are on the rise, and it is hypothesized that environmental factors may play a role in the development of these diseases. Greenness is one of the potential factors, and this study aims to investigate the relationship between living in greener areas and depression incidence in Bangkok. This is an ecological longitudinal study using secondary data documented between 2018 and 2020, utilizing data on depression (ICD-10 F32, F33), environmental parameters (PM2.5 (µg/m3), temperature (ºC), relative humidity (RH; %), and demographic variables (population density, number of communities, number of hospitals, number of healthcare centers, and divorce rate) …

Effectiveness Of Facebook Breastfeeding Support Group On Exclusive Breastfeeding Among Myanmar Migrant Mothers In Samut Sakhon Province, Thailand: A Randomized Controlled Trial, Zayar Lynn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Given the widespread popularity of mobile health technology nowadays, conducting health education and behaviour change intervention through Facebook groups is a simple and efficient way to promote exclusive breastfeeding. However, limited studies have been investigating its effectiveness. This study aimed to assess the effectiveness of Facebook Breastfeeding Support Group on exclusive breastfeeding among Myanmar migrant mothers in Samut Sakhon Province, Thailand. A 2-arm, parallel-group, randomized controlled trial was conducted with 198 pregnant mothers between 28th and 34th weeks of gestation at the Antenatal Care clinic of Samut Sakhon Hospital. The intervention group (n=99) received breastfeeding related information and experience sharing …

Still, We Thrive: Understanding How Gay, Bisexual, Transgender, And Other Men Who Have Sex With Men (Gbtmsm) Experience Structural Barriers & Facilitators To Wellness, Lucas Gergyek

Theses and Dissertations (Comprehensive)

Historically and concurrently, structural violence has been a significant force influencing the sexual health and broader health of gay, bisexual, transgender and other men who have sex with men (GBTMSM). Yet to date, the majority of projects exploring the health inequities facing GBTMSM have focused on intrapsychic and behavioural factors as most related to poor health outcomes. As well, these studies are sometimes deficits focused, and fail to evaluate how GBTMSM continue to thrive, and maintain positive health. As a result, the ways in which systems and policies underlie and perpetuate health inequities facing GBTMSM have been somewhat obscured. Connectedly, …

Workplace Aggression Against Healthcare Workers In A Spanish Healthcare Institution Between 2019 And 2021: The Impact Of The Covid-19 Pandemic, Aitor Díaz, Mireia Utzet, Joan Mirabent, Pilar Diaz, Jose Maria Ramada, Consol Serra, Fernando G Benavides

Faculty, Staff and Student Publications

OBJECTIVES: Describe the incidence of first aggressions among healthcare workers (HCWs) before and during the COVID-19 pandemic in a Spanish healthcare institution, according to workers' socio-occupational characteristics and analyze the impact of the pandemic on it.

METHODS: A cohort involving HCWs who worked in the institution for at least 1 week each year from 1 January 2019 to 31 December 2021. Adjusted relative risks (aRR) were estimated using generalized estimating equations and negative binomial models to calculate the differences in WPA between the different time periods. All analyses were stratified by gender.

RESULTS: Among women, the incidence was 6.8% (6.0; …

Soft X-Ray And Susceptibility Based Magnetic Resonance Imaging To Map Iron Distribution In Apples: Initial Results To Model Iron Storage In Water-Deficient Or Dehydrated Biological Tissue, Subhendra N. Sarkar, Eric Lobel, Evans Lespinasse, Zoya Vinokur, Analia Basilicata, Sonia Orellana, Maria Orellana, Aaliyah Salmon, Joanna Syska, Aravis Mcbroom, Jian Wang, Anam Riaz, Jodi-Ann Douglas

Publications and Research

Radiology departments have contributed significantly to greenhouse gases including release of toxic imaging contrast media to environment. We feel Radiology also has several spectroscopy and imaging tools that may apply to monitor and support cleaner environmental goals. The current manuscript is one of the firsts to prompt Radiology to move in that direction by non invasive imaging of bio metals that are less abundant in biological tissues but play key roles as co-factors in tissue structure and function. Conventional analytical tools are mostly invasive and cannot characterize the native oxidation states of bio metals. We chose carbohydrate matrix of metal-rich …

An Exploration Of Quality Of Life Perceptions Of Cochlear Implant Recipients And Their Frequent Communication Partners, Jessica L. Bishop, Ashley G. Flagge

Ashley Flagge Publications

Purpose: Quality of life (QoL) after cochlear implantation has been investigated using a variety of QoL questionnaires. However, few studies have examined the perceived QoL of cochlear implant (CI) recipients compared between the recipient and a frequent communication partner (FCP) using both hearing-related (hearing-specific), and health-general (health-general) measures.

Method: For this multiple case study, five participant pairs were recruited, consisting of five adult recipients who were implanted at least six months prior to the time of evaluation, and five adult frequent communication partners who lived with the recipient at the time of evaluation. All ten participants (five pairs) completed a …

Using Geospatial Social Media Data For Infectious Disease Studies: A Systematic Review, Fengrui Jing, Zhenlong Li, Shan Qiao Ph.D., Jiajia Zhang Ph.D., Bankole Olatosi Ph.D., Xiaoming Li Ph.D.

Faculty Publications

Geospatial social media (GSM) data has been increasingly used in public health due to its rich, timely, and accessible spatial information, particularly in infectious disease research. This review synthesized 86 research articles that use GSM data in infectious diseases published between December 2013 and March 2022. These articles cover 12 infectious disease types ranging from respiratory infectious diseases to sexually transmitted diseases with spatial levels varying from the neighborhood, county, state, and country. We categorized these studies into three major infectious disease research domains: surveillance, explanation, and prediction. With the assistance of advanced computing, statistical and spatial methods, GSM data …

Twitter Sentiment About The Us Federal Tobacco 21 Law: Mixed Methods Analysis, Page D. Dobbs, Allison Ames Boykin, Nnamdi Chika Ezike, Aaron Myers, Jason B. Colditz, Brian A. Primack

Health, Human Performance and Recreation Faculty Publications and Presentations

Background: On December 20, 2019, the US “Tobacco 21” law raised the minimum legal sales age of tobacco products to 21 years. Initial research suggests that misinformation about Tobacco 21 circulated via news sources on Twitter and that sentiment about the law was associated with particular types of tobacco products and included discussions about other age-related behaviors. However, underlying themes about this sentiment as well as temporal trends leading up to enactment of the law have not been explored.

Objective: This study sought to examine (1) sentiment (pro-, anti-, and neutral policy) about Tobacco 21 on Twitter and (2) volume …

Addressing Training Gaps: A Competency-Based, Telehealth Training Initiative For Community Health Workers, Laura Porterfield, Victoria Warren, Vanessa Schick, Shannon Gulliot-Wright, Jeff R Temple, Elizabeth M Vaughan

Faculty, Staff and Student Publications

BACKGROUND: To overcome vast variations in Community Health Worker (CHW) training, investigators for the CHW Core Consensus Project (CCCP) derived three types of CHW (Category 1, 2, 3) and established competencies for each category. However, studies are needed that implement these competencies in real-world settings.

OBJECTIVE: Using the six competency domains of the CCCP as a theoretical backbone, we developed and evaluated a training for

METHODS: We developed five telehealth-based, bilingual (Spanish/English) training sessions and implemented them among

RESULTS: All (18/18) CHWs achieved at least 70% on the posttest (mean: 93.7%; range 73.3-100%). Training attendance was 98.9%. Using a six-point …

Financial Strain Of Covid-19 And Its Impact On Willingness-To-Pay For Equine Care, Jada M. Thompson, Michelle Kibler, Jennie L.Z. Ivey

Agricultural Economics and Agribusiness Faculty Publications and Presentations

The novel COVID-19 virus caused a global pandemic disrupting lives, industries, and economies. The result was an impact on prices due to challenges with production and supply chain distribution. This study investigates the financial strain COVID-19 had on equine owners and leasers, what the market for equine care would bear if costs for care increased, and what factors contribute to their willingness to pay (WTP) for increasing cost of equine care. An online survey was distributed for 4 weeks to adult U.S. residents. Respondents reported their involvement in the equine industry, financial response to COVID-19, and responses to …