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A Case Of Megaloblastic Anemia With Suspected Gilbert Syndrome, Nair A, Prasad R, Dr. Ravikumar S, Dr. Prasanna Kumar

Digital Journal of Clinical Medicine

No abstract provided.

Prevalence And Factors Associated With Maternal Near-Miss In Magway Regional Hospital, Magway, Myanmar, Aye Myo Thet

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Maternal mortality is an important public health concern. Women die every day from pregnancy complications, delivery-related issues, and childbirth. Pregnancy related morbidity and mortality in Myanmar were dramatically increased from 17.6% in 2012 to 20.2% in 2018. In Myanmar, there are limited studies on maternal near miss. Therefore, this study aimed to estimate the prevalence and determine the factors associated with maternal near miss in Magway Regional Hospital, Myanmar. Method: This cross-sectional study employed a health facility-based secondary data analysis to estimate the prevalence of maternal near miss cases, and examine factors associated with maternal near miss in Magway …

Cost Effectiveness Of Oral Health Care Program Implementation In Primary School In Bangkok, Thailand, Nicha Luksamijarulkul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Dental caries are common oral diseases in schoolchildren. This retrospective cohort analysis was done to assess caries prevalence, risk and protective factors associated permanent caries among 433 children profiles of school children in selected primary school in Bangkok who received or did not receive a preventive program. Additionally, a cost effectiveness of the program was analyzed. Result revealed that there was high caries prevalence in deciduous teeth (1st grade) 87.2% and mean dmft 6.44 (± 4.4) and caries prevalence in permanent teeth (6th grade) 51.7% and mean DMFT 1.37 (± 1.84). Risk and protective factors associated permanent caries, after logistic …

Factors Associated With Retirement Preparation Among Formalworkers In Near Retirement Age: A Cross-Sectional Study, Nuttapat Kulabut

Chulalongkorn University Theses and Dissertations (Chula ETD)

In the past few decades, the fast-growing life expectancy has raised concern over retirement issues worldwide, including in Thailand. While insufficient preparation for retirement has been known to link with negative impacts on both physical and mental health of retirees, there is still little research done on retirement preparation and planning among the Thai older person. Thus, the present study aims to determine the level of retirement preparation among formal workers at near retirement age in a public sector. This study was conducted in May-June 2021 via a 45-minute self-administered questionnaire with 226 participants aged 55-59 years old; participants were …

Pharmacognostic Specification And Rosmarinic Acid Content Of Mentha Cordifolia Leaves And Stems In Thailand, Ploychat Chamnanthongpiwan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Mentha cordifolia Opiz ex Fresen. is one of the popular Thai kitchen herbs due to its unique aroma and benefits to human health such as helping to relieve colds, fever, motion sickness and poor digestion problems. This study aimed to specify the quality parameters of M. cordifolia dried leaves and stems with special reference to rosmarinic acid (RA) contents. The pharmacognostic specifications of leaf and stem crude drugs were investigated including microscopic cross-sectioning of leaf and stem as well as leaf constant numbers; physico-chemical contents i.e. acid-insoluble ash, total ash, loss on drying, moisture, extractive matters and volatile oil. The …

Improving Routine Immunization Coverage Through Strengthening Interpersonal Comminication Skills Of Primary Health Care Workers In Rural Local Government Areas In Kebbi State Nigeria, Saudat Abdullahi Basheer

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: In 2015, Kebbi state was among the four (4) states in northwestern Nigeria that have low routine immunization performance in the country. National Nutrition and Health Survey 2015 report indicated that only 7.8% of the eligible children have received three doses of DPT/Penta and measles coverage was 14.7%. There was no documented research to investigate the effect of interpersonal communication skills on routine immunization services in Kebbi state Nigeria. The objective of this study, therefore, was to examine the effect of vaccination education on improving mothers' knowledge and uptake of routine immunization services among children in the rural LGAs …

Knowledge, Attitude, And Practice Towards Social Distancing Among Undergraduate Students In Medical Fields During Rapid Rise Of Covid-19 In Samarinda City, Indonesia : A Cross Sectional Study, Siti Hadijah Aspan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Social distancing is health guidelines recommended by World Health Organization (WHO) for controlling the COVID-19 transmission. Undergraduate students in medical fields had responsibility in spreading accurate health promotion during this prolong pandemic. This study aimed to determine the practice of social distancing and its associated factors, to find out the reasons for not practicing social distancing along with the source of social distancing information used by undergraduate students in medical fields in Samarinda, Indonesia. This cross-sectional online survey study (April to May 2021) involved 422 undergraduate students from medicine, public health and pharmacy faculty using convenience sampling technique. Binary logistic …

Unit Cost Analysis Of Acute Respiratory Infection (Ari) Clinic For Covid-19 Screening At Bangbuathong Hospital, Nonthaburi, Thailand, Tharit Mongkol

Chulalongkorn University Theses and Dissertations (Chula ETD)

The COVID-19 outbreak has affected the services of all hospitals in Thailand, especially making their financial position at risk of bankruptcy. Although managing the cost of health care services for COVID-19 effectively can help reduce that risk, but very few researches has been done and analyzed on these issues. This study aimed to identify the unit cost and cost recovery of Acute Respiratory Infection (ARI) clinic for COVID-19 screening at Bangbuathong Hospital. This research was a descriptive study by retrospective data collection from hospital recorded and database of costs of ARI clinic between March to May 2021, which was the …

Brain-Derived Neurotrophic Factor (Bdnf) Levels And Subjective Sleep Quality In The First Trimester Of Pregnancy Among Myanmar Migrant Workers In Samut Sakhon Province, Thailand: A Secondary Data Analysis, Thuvachit Kriengtuntiwong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: During pregnancy, mother will face many challenges in this time because so many things will change to their health, mental health, family and social. Result from these change lead pregnant woman to have mental illness both antepartum and postpartum period. Depression and poor sleep quality are common mental health problem during pregnancy, and these symptoms have effect to mother and child health. Brain-derived neurotrophic factor (BDNF) is one of the biomarkers that association with depression and sleep quality during pregnancy. Migrant people are risk group that will have treatment gap from Thailand health system. Samut Sakhon is the province …

Maternal Knowledge, Attitude And Practices On The Dietary Omega 3 And 6 In Children Aged 1-2 Years Old In Labuhanbatu Utara Regency, Indonesia, Sinar Yunita Purba

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Indonesia is one of the countries with low quality human resources including the issue on cognitive performances from brain functioning creativity. In the effort to fulfil Omega 3 and 6 in children aged 1-2 years, the most responsible person to the period are mothers. Therefore, the study aimed to determine the level of maternal knowledge, attitude, and practices and factors associated with the dietary omega 3 and 6 consumption in children aged 1-2 years old in Labuhanbatu Utara, Indonesia. Method: This cross-sectional study was conducted among 428 mothers of children aged 1-2 years using a face-to-face interview with a …

An Assessment Of Schools' Wellness Policies And Teachers’ Perspectives And Confidence In Teaching Nutrition In Elementary Schools In Jeddah, Saudi Arabia, Asma Yahya

Masters Theses

Nutrition education in school can provide students with the knowledge and skills to improve their eating behavior and overall health. This study aimed to evaluate the content of school wellness policies and understand teacher perspectives about teaching nutrition education at their schools in Jeddah, Saudi Arabia. In 2020, electronic surveys were used to evaluate the wellness policies in 11 elementary all-female government schools and teachers’ perspectives about the nutrition education offered in three elementary all-female government schools. Sixty-one teachers and eleven principals participated in this study. Fisher’s exact tests were used to test the differences between teachers’ perspectives and their …

Psychometric Evaluation Of A Perceived Barriers To Medication Adherence Instrument And Association Between Perceived Barriers And Patient Characteristics, Lynn Andreae

All ETDs from UAB

Medication adherence is an important component of diabetes management, yet nonadherence is common and has substantial patient and economic costs. In order to achieve meaningful improvements in medication adherence, clinicians and researchers need good ways of both identifying those at risk of nonadherence and ascertaining the specific reasons driving nonadherence in those patients. Current options for self-reported medication adherence are limited in their vulnerability to response bias, which may lead to overestimation of adherence. A measure that assesses perceived barriers to medication adherence may be a useful alternative, as it may identify patients at risk of nonadherence while reducing socially …

Translating Public Health Strategies To Examine Hypertensive Disorders Of Pregnancy In Alabama, Matthew Dean Moore

All ETDs from UAB

Hypertensive disorders of pregnancy (HDP) are on the rise in the United States and contribute significantly to maternal and infant morbidity and mortality. The impact of such disorders is especially burdensome for women insured by Medicaid, for those who live in the South, and for those representing racial and ethnic minorities. It is evident across the aims of this dissertation that HDP remains an important public health concern to stakeholders in Alabama, its diagnosis is influenced by various maternal characteristics, and it can result in disparate severe outcomes for some populations. The first aim examines systems level decision-making in the …

Race, Type Ii Diabetes Mellitus And Vertebral Fragility Fractures: A Cross-Sectional Analysis From Nhanes, Yuchen At Xiao

All ETDs from UAB

IntroductionThis study examined the association between race and bone health, and if T2DM modifies this association in a diverse sample of adults. Methods We conducted a cross-sectional study using the 2013-2014 National Health and Nutrition Examine Survey (NHANES) data. Bone health outcomes included lumbar spine BMD (lowered BMD based on T-scores <-1), and vertebral deformities, assessed via vertebral fracture assessment (VFA), including presence, number of deformities, and severity ratio of deformities. T2DM status and other demographic, lifestyle, and health characteristics were self-reported via questionnaire data. To assess if T2DM modifies the association between race and bone health outcomes, we conducted stratified analyses using logistic regression for dichotomous outcomes, Poison regression for count outcomes, and linear regression for continuous outcomes. Results Non-Hispanic (NH) Blacks have significantly less odds of being lowered BMD and osteoporosis comparing to NH-Whites in the crude model and significantly less odds of having vertebral deformities comparing to NH-White in both crude and adjusted model for non-diabetic participants. Such differences are not observed in diabetic groups. Participants in Other race group have significantly more odds of being lowered BMD comparing to NH-Whites in the adjusted model for both diabetic and non-diabetic groups. And have significantly more odds of having vertebral deformities in the diabetic group, crude and adjusted, yet the differences are not significant in non-diabetic groups. Similar results were seen in the number of deformities and total bone loss ratio. The potential modification effect of T2DM was not significant in these models. Conclusions In our national evaluation, bone health differs not only by race and ethnic group but also by T2DM status. The protective vertebral fragility effects observed among NH-Blacks was no longer present among those with diabetes. Likewise, among participants in other racial and ethnic groups, T2DM seemed to magnify the association of worse vertebral fragility. Such trends indicate a potential modifying effect of participants’ T2DM status and should be noted clinically, yet more studies are required for more precise results.

Understanding Financial Hardship In Women With Breast Cancer, Courtney Williams

All ETDs from UAB

Individuals with cancer are at risk of material, psychological, and behavioral financial hardship due to costly new treatments, increasing time on treatment, and longer survival. Breast cancer is an ideal environment to study financial hardship. Treatment options for metastatic breast cancer are heterogeneous due to differences in patient characteristics, disease biology, and because it has the largest number of treatment options of any metastatic cancer. In early stage breast cancer, treatment options include multimodality treatments, including surgery, radiation, and medical therapy (chemotherapy, hormone therapy, targeted therapy), with the choice for each modality being dependent on the other modality decisions. Despite …

Exploring The Physical And Mental Health Disparities In The Transgender Male Community In A Southern Community-Based Medical Lgbtq Organization, Karen E. Musgrove

All ETDs from UAB

This dissertation examined the physical and mental health disparities in the transgender male community in a Southern community-based medical LGBTQ (lesbian, gay, bisexual, transgender, queer) organization via a convergent mixed methods study design. There is a paucity of research on the transgender male community in terms of their physical and mental health care needs, services, and disparities. Quantitative data were col-lected via a chart review of 130 transgender male medical charts at the Magic City Well-ness Center (MCWC). The MCWC transgender male medical chart data were compared to three groups separately of the 2018 Behavioral Risk Factor Surveillance System (BRFSS) …

Impact Of Chlorpyrifos Exposure On Colorectal Cancer In Agricultural Communities In Ohio, Vicky Knisley-Henry

Walden Dissertations and Doctoral Studies

Colorectal cancer (CRC) is the third leading cancer diagnosis in the United States, and second in Ohio, for both men and women. In 2019, there were an estimated 145,000 cases of new CRC diagnoses and will lead to more than 50,000 deaths. Results from a systematic review indicate that chlorpyrifos use in agriculture is linked to the incidence of breast and lung cancers and has a possible association with CRC. Grounded in the social-ecological model, this study investigated the association between exposure to chlorpyrifos and CRC rates in agricultural communities in Ohio. The quantitative cohort design method utilized secondary data …

Education To Improve Health For Rural Africa American Women With Diabetes, Monique Deidre Pendleton

Walden Dissertations and Doctoral Studies

Diabetes (DM) is the 7th leading cause of death in the United States. Minorities like Hispanics and African Americans (AA) are at greater risk of developing DM. The prevalence and outcomes affecting diabetes are attributed to socioeconomic status, sex differences, ethnic, cultural, and religious status. Diabetes-related mortality is a major health problem in AA in rural America. The focus for this project was to identify the best evidence regarding educational counseling on lifestyle modifications that positively impact adult AA women with diabetes living in Rural America. The social-ecological theory and health belief model informed this project because these models incorporate …

Parental Characteristics And Lead Knowledge In The Minimization Of Environmental Lead Exposure, Trina Yvette Redford

Walden Dissertations and Doctoral Studies

A method for guiding lead intervention and minimizing lead exposures in Philadelphia, Pennsylvania (PA) is through understanding the relationship between lead knowledge and parental characteristics such as gender, age, income, marital status, and education attainment. Parental characteristic may play a significant role in the identification of population groups where knowledge pertaining to lead exposure is inadequate. Through awareness and intervention, preventive measures can be implemented to minimize and eliminate lead exposure. The theoretical concept used in this quantitative study was Krieger ecosocial theory. The ecosocial theory provides guidance and analyzes differences in existing health relationships, especially those with biological and …

Mothers With Diabetes And The Effects Of The Disease To Their Offspring, Rachel Smart-Fadairo

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological was to understand the lived experiences of mothers who were diagnosed with gestational diabetes mellitus and had a child who had been diagnosed with a speech disorder. Despite educational and medical interventions having increased to reduce gestational diabetes, the growing incidence of gestational diabetes signals a disconnect between education, intervention, and prevention. Previous studies have shown that mothers with gestational diabetes mellitus can experience high- risk pregnancies. The long-term effects of the disease on the mother and her newborn child in terms of soaring healthcare cost, loss of work productivity, education, and the emotional health …

Socio-Economic Determinants Of Risky Sexual Behavior In Sub-Saharan Africa, Frida Tende

Walden Dissertations and Doctoral Studies

Risky sexual behavior (RSB) is a major public health concern due to health outcomes, such as HIV/AIDS, sexually transmitted infections, and unwanted pregnancies. RSB has been identified as 1 of the main components contributing to the high HIV incidence rate in sub-Saharan Africa. The purpose of the current research was to investigate RSB and its association with education and economic status among men and women in 3 sub-Saharan African countries (i.e., Rwanda, Zimbabwe, and Cameroon) while controlling for gender, age, religion, and place of residence. The social cognitive theory provided the framework for this cross-sectional study that included data from …

Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze

Walden Dissertations and Doctoral Studies

In Africa, especially Nigeria, maternal mortality is a public health issue among women of childbearing age (WCBA). WCBA living in the Ekpeye community located in Rivers state in Nigeria are at high risk of maternal deaths during pregnancy and labor or delivery. Data were obtained through key informant interviews with 9 relatives, friends, and health workers. The purpose of the key informant interviews was to identify perceived barriers that result in high maternal deaths and facilitators seen as promoters to reduce pregnancy-related deaths. The participants identified 11 core themes as contributors to maternal death: (a) postpartum death, (b) financial insecurity, …

Stroke Prevention Through Education, Laura Lee Ballance

Walden Dissertations and Doctoral Studies

AbstractThis project focused on two concepts: a need for a stroke prevention program and what should be included. The problem with early identification of stroke is not formally addressed at the project site, physician’s office. A physician’s office can play a beginning key role in minimizing the risk of stroke. The purpose of this project was to explore the evidence to support the need for and to determine ideal content for a stroke prevention education program. This program focused on early detection and identification of risk factors to prevent stroke occurrence. The theoretical framework of Pender’s health promotion model aligns …

Predictors Of Condom Use Among High School Students In North Carolina, Danielle Cierra Robinson

Walden Dissertations and Doctoral Studies

The spread of sexually transmitted diseases is a major ongoing public health issue in North Carolina. Adolescents between the ages of 13 and 19 years have consistently contributed to this trend. Researchers have found that condom use among high school students has decreased. High school students continue to engage in sex with multiple partners, with lack of knowledge about sexually transmitted diseases, even though sex education and prevention programs have been recommended. The purpose of this quantitative study was to evaluate the predictors of condom use among adolescents. The socioecological model theoretical framework was applied to guide this research involving …

Exploring Health Literacy In The Acute Care Setting In A Rural Border Region, Shiloh Williams

Walden Dissertations and Doctoral Studies

Health literacy is important to ensuring patients have the necessary knowledge and skills needed to actively participate as a member of their own healthcare team. Patients with low health literacy are at increased risk for poor outcomes and limited participation in decisions affecting their health or treatment plan. Using the Social Ecological Model (SEM) as a framework, the purpose of this study was to determine the relationship between medical-surgical registered nurses, medical-surgical patients and the registered nurse’s (RN) assessment of their patient’s health literacy of those who live in a rural-border region. The study’s sample consisted of 84 pairs of …

Predictors Of Hiv Testing Among African American Men Who Have Sex With Men, Jeanette Marie Higgins

Walden Dissertations and Doctoral Studies

Human immunodeficiency virus (HIV) infections affect more than 1.2 million people living in the United States and disproportionately affect African Americans (AA) men who have sex with men (MSM). The numbers of those who have HIV infections are likely higher due to lack of HIV testing by all individuals living at risk for HIV in the United States. Prior research has been inconclusive in determining the exact cause of the disparity among AA MSM. Therefore, the purpose of this quantitative secondary data study was to explore barriers to HIV testing within the AA MSM population. The sample for this study …

Perceptions Of Fruits And Vegetables Amongst Supplemental Nutrition Assistance Program Recipients, Latasha Shanelle Reddick

Walden Dissertations and Doctoral Studies

Supplemental Nutrition Assistance Program (SNAP) benefits are the primary source of food for Georgians with an annual income under the federal poverty level. This program provides monthly monetary benefits to allow the purchase of food through an Electronic Benefits Transfer (EBT) card. Georgia SNAP beneficiaries do not receive nutrition counseling or have purchasing restrictions associated with their benefits. Previous research has indicated that there is a significant benefit to eating fruits and vegetables. The purpose of this qualitative study was to apply the health belief model theory to understand the viewpoint of Georgia SNAP beneficiaries regarding fruits and vegetables. Data …

Physician–Patient Communication: Association With Health Literacy In African Americans Living With Type 2 Diabetes Mellitus, Brittany Egeh

Walden Dissertations and Doctoral Studies

Health literacy is needed throughout care to understand basic health, prevent diseases, understand diagnoses, and treatment and management of complicated diseases, such as Type 2 diabetes mellitus (T2DM). Inadequate physician–patient communication is related to medication errors and overall understanding of basic health information in chronic condition such as T2DM. The purpose of this study was to examine the association between physician–patient communication and health literacy, glycemic control, diabetic knowledge, and demographics. The target population consisted of African Americans, ages 18-75, diagnosed with T2DM. Primary data were collected from a family medicine clinic using 4 questionnaires: s-TOFHLA (short form of functional …

Neighborhood Factors, Depression, And Body Mass Index Among Patients With Lupus In Georgia, Aisha L. Hill

Walden Dissertations and Doctoral Studies

Elevated BMI (overweight and obesity) is a common health-related issue and affects more than half of the lupus population. Weight issues lead to additional health-related issues, such as heart disease and disabilities in the lupus population. To address the shortage of research focusing on this specific issue in the lupus population, one approach is a novel outlook on how neighborhood factors have the capability of determining or altering behaviors, such as physical activity, healthy eating, and healthy social relationships. Another variable to consider is depression and its capability of altering interactions, relationships, self-esteem, or even the inflammatory state of the …

Evaluating The Impact Of The In-Store Programming And Outreach Coalition (Ipoc) On Increasing Access To Healthy Food And Healthcare Services In Paso Del Norte Region: First-Person Account Of Stakeholders' Perspective, Dennis Nyachoti

Open Access Theses & Dissertations

Grocery stores can provide a conducive environment for interventions targeting healthy eating and access to health services, particularly in low-income communities. Nationally, several organizations have implemented grocery store interventions and have shown impact on perceptions of purchasing nutritious food, especially by raising awareness of fruits and vegetables. However, most of those programs have not been implemented in a coordinated manner despite being delivered in the same location. Collaboration of local health promotion organizations with grocery stores could increase consumers' access to and selection of healthy foods, as well as access to and use of services.

This evaluation of the In-Store …