Digital Commons Network^™

An Assessment Of Alcohol Consumption, Substance Use And Sexual Risk Behavior Among Men Who Have Sex With Men (Msm) In Yangon And Mandalay Myanmar, Kyaw Min Htut

Chulalongkorn University Theses and Dissertations (Chula ETD)

Alcohol consumption and substance use are associated with sexual risk behaviors. In Myanmar, lack of study was reported on alcohol consumption, substance use and sexual risk behavior among men who have sex with men (MSM) and current study was conducted to identify patterns of alcohol consumption, substance use and sexual risk behavior among MSM in Yangon and Mandalay, Myanmar. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) was also used. A total of 256 MSM included in the study and their mean age was 27.3±7.7 years. Age of MSM was categorized as 15-24 years as young MSM and ≥25 …

Effect Of Cooking Fuels Use On Increased Maternal Carotid Intima Media Thickness And Preeclampsia Among Self-Cooking Pregnant Women In Nay Pyi Taw Area, Myanmar: A Cohort Study, Myo Min

Chulalongkorn University Theses and Dissertations (Chula ETD)

Fuels burned in households for cooking causes indoor air pollution. Exposure to pollutants emitted from burning cooking fuels poses a considerable risk for human health including preeclampsia through systemic inflammation process for which carotid intima-media thickness (CIMT) is an important surrogate arthrosclerosis biomarker. This study aimed to examine the association of cooking fuels use with increased maternal carotid intima-media thickness and preeclampsia among cooking pregnant women in Myanmar. A cohort study was conducted in Nay Pyi Taw Area, Myanmar from September 2019 to March 2020. A total of 192 pregnant women over 18 years with gestational weeks less than 18 …

Predictors Of Suicidal Idea In The Elderly Living In Bangkok, Thailand, Supasaek Virojanapa

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The suicide mortality rate of the elderly in Thailand rose by 9.7% from 2008 to 2018. While the suicide mortality rate in Bangkok rose 61.1% in 5 years. There had been no recent research to estimate the suicidal idea prevalence and its association in the elderly living in Bangkok. Methods: A secondary data analysis of 1,454 elderly, registered in the elderly clubs, was conducted. General characteristics, depression, suicidal idea, loneliness, and QoL were collected with standard questionnaires. SPSS Statistics Version 21 was used. This analysis had an ethics review from Health Science Group, Chulalongkorn University (COA No.054/2563). Results: The …

Quantitative Microbial Risk Assessment Of Water Consumption In Flood-Prone Communities, Nakhon Si Thammarat Province, Thailand, Teeraphat Attavinijtrakarn

Chulalongkorn University Theses and Dissertations (Chula ETD)

A cross-sectional study was performed for household survey using a questionnaire with a face-to-face interview to determine the general characteristics and water consumptions during flooding events in flood-prone communities, Pak Phanang and Chian Yai district, Nakhon Si Thammarat province, Thailand between February-July 2020. From a 425 household survey, 69.5% were female, two-thirds of the participants aged 46 years old and above, and had the average monthly household income at 7305.13 ± 7016.56 Baht. Free bottled water and stored water in their own houses were the two main sources of drinking water during floods. ​From the survey, stored rainwater typically collecting …

Factors Associated With Food Safety Knowledge And Practice Among Street Food Vendors In Taunggyi Township, Myanmar : A Cross-Sectional Study, Tin Aung Soe Htway

Chulalongkorn University Theses and Dissertations (Chula ETD)

Food safety is a growing public health concern worldwide. Street food is a major element of food safety concerns since, especially in developing countries, it is where street food is an integral part of the culture offering easy access to food with affordable price. Food safety knowledge and practices of street food vendors is, therefore, essential to ensure safe food and prevent food borne disease outbreaks. This cross-sectional study investigated the level of food safety knowledge and practices as well as their associate factors among street food vendors in Taunggyi Township, Myanmar. Validated structured questionnaires were used to interview 158 …

Effectiveness Of The Enhanced Psychological Well-Being Intervention In Family Caregivers Of Schizophrenic Patients, Yada Thongthammarat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Most of the family-based interventions focus on assisting patients more than the family caregivers. Family caregivers of schizophrenic patients require intervention which focuses more on their strengths than on solving problems for schizophrenic patients. For this study with 127 family caregivers of schizophrenic patients in Nonsung District, Nakornratchasima Province, Thailand, 63 were in the intervention group and 64 were in the control group. The 4-session intervention was held every other week. Psychological well-being and burden of care were assessed pre-intervention, post-intervention, and at 3-month follow-up. The intervention group had significant increase in psychological well-being after receiving the intervention, but did …

Depression And Domestic Violence Experiences Among Postpartum Women In Nepal, Pallavi Koirala

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Postpartum Depression is an important cause of maternal and infant morbidity as well as mortality. This study aimed to determine the prevalence of postpartum depression and domestic violence experience as well as to identify association of postpartum depression with domestic violence experiences and other factors among women in Nepal. Methods: The study was a cross sectional hospital-based research conducted in Kathmandu, Nepal among women who were 6 weeks to 6 months postpartum; chosen by simple random sampling. Self-report questionnaire was used Results: The prevalence of PPD was found to be 20.7% while that of the different forms of domestic …

Household Pyrethroid Insecticides Exposure In Relation To Pyrethroid Metabolite And Gaba Level Effects Of Young Children In Urban Area, Bangkok Thailand, Jadsada Kunno

Chulalongkorn University Theses and Dissertations (Chula ETD)

Pyrethroids are commonly used in households and affect to nervous system in children. Data on pyrethroids exposure related to neurotransmitter gamma-aminobutyric acid (GABA) is unknown. This study investigated the relationship between 3-PBA metabolites and GABA concentrations, and also determined the factors influencing pyrethroids metabolites among young children in urban areas. A repeated cross-sectional design was designed to collect the information on PYR insecticide exposure between wet (November – December 2018) and dry (April – May 2019) seasons. To collect the data, urine samples were collected from children age 2–3 years(n = 80), and the questionnaires were used with parents. The …

Undernutrition And Its Determinants Among Under-Five Children Of Indigenous Thami Population In Dolakha District, Nepal, Keshav Dahal

Chulalongkorn University Theses and Dissertations (Chula ETD)

Undernutrition is a major public health issue leading to morbidity and mortality in children of age under-five, especially with higher rate of prevalence in very low or low-income countries including socially deprived and marginalized group of population. This study was carried out to identify the prevalence of undernutrition and its determinants among under-five children of indigenous Thami population in Dolakha District, Nepal. A community based quantitative cross-sectional study was conducted during the period of August to September 2019 with multistage sampling technique among 366 under-five children and their biological mothers. Anthropometric measurement tools were used to collect the data as …

Standardization Of Leaf And Stem Of Thunbergia Laurifolia And Quantitative Analysis Of Rosmarinic Acid In Selected Thai Medicinal Plants, Parichart Hongsing

Chulalongkorn University Theses and Dissertations (Chula ETD)

Rang-Jued or Thunbergia laurifolia Lindl. is a species in family Thunbergiaceae. In Thailand, leaf and stem of T. laurifolia are used to treat fever, inflammation, as well as antidotes. Perilla frutescens (L.) Britton or Nga-Kee-Mon belongs to Labiatae family. The leaf of P. frutescens is used to treat allergy, fever and inflammation. Rosmarinic acid is the active compound in both plants which was used as a standard marker in this study. Quantification of rosmarinic acid in the three samples using TLC-densitometry and TLC-image analysis were not statistically significantly different (P > 0.05). The pharmacognostic specification of T. laurifolia leaf and stem …

Effects Of Inhaled Essential Oils On Central Nervous System, Autonomic Nervous System, Emotional States And Reaction Time: Randomized Crossover Study, Pakamon Thanatuskitti

Chulalongkorn University Theses and Dissertations (Chula ETD)

The odors of essential oils used to cure various symptoms refer to aromatherapy. The effects of inhaled essential oil on humans are therapeutically effective due to both the psychological and physiological effects. A large body of previous studies have been conducted on the effects of essential oil inhalation. However, the studies conducted on the effects on central nervous system and reaction time task are still lacking. Thus, the purpose of this study was to evaluate the effects of selected essential oils including neroli oil (Citrus aurantium Linn.), cinnamon leaf oil (Cinnamomum zeylanicum Blume), and rice paddy herb oil (Limnophila aromatica …

Risk Factors For Malaria Infection And Dihydroartemisinin+Piperaquine Resistance Distribution Between High And Low Endemic Areas In Indonesia, Irfanul Chakim

Chulalongkorn University Theses and Dissertations (Chula ETD)

Globally, malaria case is decreasing over decades. This similar trend happens in Indonesia but it is still not even close to elimination. To control and eradicate malaria require a comprehensive and coincident strategy for the parasite and its vector. However, malaria elimination strategy of many countries, including Indonesia, is still considering only treatment which has led to resistance of Plasmodium species over various antimalarial drugs. Recently, resistance to the only and current available drug, artemisinin, has appeared and spread over continents in the world. However, it has not been extensively discovered in Indonesia. Additionally, it was widely known that a …

Predictors Of Experimental And Control Group Attendance: Findings From An Hiv/Std Prevention Rct With Pregnant Women At Risk For Substance Use, Jaclyn S. Sadicario

Theses and Dissertations

Efforts to improve inclusion in research have included mandating the recruitment of ethnic minorities and women into NIH funded studies. However, little research has been completed on who attends such interventions. This is particularly worrisome in populations for which attendance to interventions can have dire consequences. HIV is a public health concern for pregnant women in substance using communities, as pregnant women are much less likely to use condoms during intercourse to prevent HIV. Group modular HIV prevention interventions have long been the standard for HIV prevention. However, little attention in research on HIV prevention interventions RCTs has been focused …

Illumination Of The Golgi Apparatus Of Pathogenic And Nonpathogenic Naegleria Species, Tyler M. Poe

Theses and Dissertations

In this study, Naegleria fowleri, a pathogenic amoeba and the causative agent of Primary Amebic Meningoencephalitis (PAM), was utilized to determine the presence or absence of classically conserved Golgi molecules featured in the expression of a Golgi apparatus. Previous studies concluded no Golgi expression via light microscopy and transmission electron microscopy, but a recent report on Naegleria gruberi indicated the presence of dispersed Golgi tubules. Non-pathogenic species of the Naegleria genus such as Naegleria gruberi 30540 and Naegleria lovaniensis 30569 were utilized in Western immunoblot analysis compared to reduced whole-cell lysate proteins of two strains of N. fowleri and …

2nd Tier Assay For The Detection Of Congenital Adrenal Hyperplasia By Virginia’S Newborn Screening Laboratory: Steroid Profile By Hplc-Ms/Ms, Christopher E. Nixon

Theses and Dissertations

Congenital Adrenal Hyperplasia (CAH) encompasses several disorders related to disruptions in the adrenal steroid production pathway. These disruptions may cause virilization of the external female sex organs, incorrect gender assignment, precocious puberty, and in the most severe form, may cause life-threatening salt wasting and adrenal crisis if not detected and treated early in the newborn period.

17α-Hydroxyprogesterone (17-OHP) is the primary target for immunofluorescence detection of CAH from dried blood spots in newborn screening (NBS). Unfortunately, current immunoassay techniques for the detection of CAH suffer from high false positive rates. The primary factors contributing to false positive determinations can include …

Predictors And Health Outcomes Of Treatment-Resistant Depression Among Adults With Chronic Non-Cancer Pain Conditions And Major Depressive Disorder, Drishti Shah

Graduate Theses, Dissertations, and Problem Reports (ETD)

Understanding major depressive disorder (MDD) as a comorbidity in patients with chronic non-cancer pain conditions (CNPC) is of importance because of the high prevalence and well documented bi-directional relationship between MDD and pain. Furthermore, presence of CNPC among adults with MDD often reduces benefits of antidepressant therapy, thereby increasing the possibility of treatment resistance. Treatment-resistant depression (TRD) commonly defined as insufficient response to multiple antidepressant trials, often worsens depression and pain symptoms and can amplify the clinical and economic burden among adults with CNPC and MDD. Additionally, long-term opioid therapy (LTOT) may be prescribed at a higher rate to adults …

Adoption And Impact Of Telemental Health On Healthcare Outcomes In The United States, Xiaohui Zhao

Graduate Theses, Dissertations, and Problem Reports (ETD)

Mental health conditions (MHCs) are the most expensive conditions in the United States (US). The high MHC prevalence coupled with continued undertreatment of MHC has contributed significantly to this high economic burden. Despite policy changes to increase mental health parity and integrate mental and physical healthcare, the shortage of mental health providers remains a significant barrier to mental health (MH) treatment. Telemental health (TMH) has emerged as an alternative care delivery approach to meet the growing demand of MH care and shortages of MH providers. Understanding the adoption of TMH among mental health facilities is critical for informing the broad …

Analysis Of User Preference With N95 And Powered Air-Purifying Respirators In A Healthcare Work Environment, Brittany Renee Carver

Graduate Theses, Dissertations, and Problem Reports (ETD)

For those working in the healthcare field, personal protective equipment is vital. Healthcare workers are often first responders when it comes to dealing with patients who are infected or when a disease outbreak occurs. The Occupational Safety and Health Administration (OSHA) requires all healthcare operations to provide employee protection against blood borne pathogens. With the increase of life-threatening disease outbreaks, such as SARS in 2003 and Ebola in 2014, it is of the upmost importance to make sure respirators are best suited for users and acceptable for long term use. It has been shown through previous studies that due to …

Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber

Antioch University Dissertations & Theses

The purpose of this study was to unearth how adolescents with substance use disorders achieve the task of identity formation and the construction of self-concept in the midst of the drug culture and society that exists. It sought to uncover the social constructs designed to ignore and/or remove human complexities and allow an intersectional approach to be brought to a study on this population. Historically, there has been a failure to investigate the underlying social attitudes and behaviors that impact the very delicate and vulnerable process of finding self. Psychosocial and relational adjustment are strongly influenced by the extent to …

Performance Study Of An Unconventional Breathresponse Papr Against A N95 Ffr And Conventional Paprs, Huihui Yang

Graduate Theses, Dissertations, and Problem Reports (ETD)

Healthcare workers (HCWs) are the first responders when infectious pathogens occur. Powered air-purifying respirators (PAPRs) are one of the most widely used personal protective equipment for healthcare workers. Currently, few studies have been performed with HCWs in the actual healthcare work environments to assess discomforts, acceptance and protective efficiency towards wearing and use of PAPRs. The main purpose of this dissertation was to introduce and assess a brand new unconventional PAPR (Koken breath-response PAPR). The protection performance and user preferance of this unconventional PAPR were studided and compared to that of a N95 FFR and traditional PAPRs.

Firstly, a laboratory …

Factors Influencing Breast Cancer Genetic Testing Among High Risk African American Women: A Systematic Review, Shirley Ann Spencer, Carolyn Rodgers, Vickii Coffey

Internet Journal of Allied Health Sciences and Practice

African American women are disproportionately impacted by breast cancer and its associated effects. They have the highest breast cancer mortality rate of all racial and ethnic groups in the U.S., yet, many high risk African American women do not follow-up with genetic testing despite, having a shorter survival rate and more likely to develop malignancies or aggressive forms of breast cancer than white women. Purpose: This review explored breast cancer genetic follow up and barriers among African American women and made recommendations for designing tailored high risk breast cancer programs. Method: The Integrative Model of Behavioral Prediction framework provided …

Effects Of Neighborhood Membership And Hypertensive Disorders In Pregnancy On Adverse Birth Outcomes, Chinyere Onyebuchi

Walden Dissertations and Doctoral Studies

Infant mortality (IM) rates in the United States remains high. The higher rates of IM among specific groups in the United States is believed to be fueled by the high rates of adverse birth outcomes including low birthweight (LBW) and preterm births (PTB) among these groups. Adverse birth outcomes have also been linked to the presence of hypertensive disorders during pregnancy. The purpose of this cross-sectional study was to explore the association between hypertensive disorders during pregnancy and adverse birth outcomes and the impact of the residential neighborhood of expectant mothers on this association. The life course health development theory …

The Effectiveness Of Two Types Of Adjunct Acupuncture Exposures On In Vitro Fertilization Outcomes, Lindsey Vacovsky

Walden Dissertations and Doctoral Studies

One out of every 8 couples experiences infertility. Few publications exist examining the association between the addition of adjunctive therapies when applied to the in vitro fertilization (IVF) procedure and pregnancy outcome. The purpose of this study was to compare the effectiveness of 2 types of adjunct acupuncture exposures on IVF outcomes by applying the concept of the epidemiology triad. The association between the type of adjunct acupuncture exposure received (the independent variable) and pregnancy (the outcome) was determined via binary logistic regression using SPSS software. Medical records of women having received the IVF procedure along with adjunct acupuncture were …

Suicide Attempts And Their Contributing Factors Among African American Veterans, Gervline Blaise

Walden Dissertations and Doctoral Studies

Suicide is one of the leading causes of death in the United States. The rate of suicide attempts among veterans in the United States has increased tremendously since 2001, which has left the Department of Veterans Affairs deeply concerned. The purpose of this study was to examine if there is an association between suicide attempts among African American/Black veterans and mental health support, income level, marital status, education level, and unemployment status. This quantitative study used the socio-ecological model to explain the association of the contributing factors to suicide attempts. Descriptive statistics, chi-square, and logistic regression were used to analyze …

Barriers To Utilization Of Malaria Preventive Measures In Rural Nigeria Among Pregnant Women, Olabosipo O. Oreyomi

Walden Dissertations and Doctoral Studies

Malaria is a mosquito transmitted tropical disease that accounts for more cases and deaths in Nigeria than in any other country worldwide. Globally malaria accounts for 300,000 deaths among young children and pregnant women annually. The promotion of the use of insecticide treated nets (ITNs) to reduce pregnant women's contact with mosquitoes has been the focus of malaria prevention efforts in Nigeria. However, the use of ITNs during pregnancy has been inexplicably low in Nigeria. A quantitative cross-sectional study was conducted to examine barriers to the utilization of ITNs among pregnant women in rural Nigeria. The social ecological model was …

"Exploring Telehealth Feasibility For Hiv Status In Individuals Aged 17 To 34 In Southwestern Nigeria", Michael Funso Olaniyi

Walden Dissertations and Doctoral Studies

Abstract

The use of smart phones among young people in Southwestern Nigeria has grown since the early 1990'€™s while traditional healthcare access had continued to deteriorate. HIV care centers have been concentrated in large cities, but earlier studies had shown higher prevalence of HIV in rural areas that constituted a larger portion of the population. However, existing studies had not adequately explored the use of mobile phones to supplement traditional healthcare access. The purpose of this study was to assess the feasibility of telehealth for healthcare access among individuals aged 17-34 with positive HIV status and those at high risk …

Impact Of Socioeconomic Status And Health-Seeking Behavior On Malaria In Pregnancy, Ifeanyi Livinus Udenweze

Walden Dissertations and Doctoral Studies

Malaria in pregnancy remains a public health challenge in Nigeria despite the fund appropriation for malaria control. The health challenges of malaria in pregnancy vary with populations and there is limited knowledge on the impact of the socioeconomic status and health-seeking behavior on malaria in pregnancy in Nigeria. The objective of this cross-sectional quantitative survey was to examine whether socioeconomic status and health-seeking behavior predict malaria in pregnancy in Nigeria using the social cognitive theoretical model. The data from a 2015 Nigeria Malaria Indicator Survey was used in this study. Data were analyzed using chi-square, binary, and multivariate logistics regression …

Association Of Health Facility Delivery And Risk Of Infant Mortality In Nigeria, Susan Adaku Ukwu

Walden Dissertations and Doctoral Studies

Infant mortality (IM) incidence in health facility systems during or after infant delivery is

substantially high in Nigeria. In this quantitative, cross-sectional study, the effects of skill

birth attendants (SBAs), prenatal care, and providers of prenatal care on IM in health

facility delivery centers were examined. The Mosley and Chen theoretical framework

informed this study and was used to explain the relationship between SBAs, prenatal

care, and providers of prenatal care and IM. One hundred and sixty infant deaths were

examined among mothers who used an SBA versus those who did not, mothers who had

prenatal care versus those without, …

Predictors And Risk Factors Of Ebola Virus Disease In Sierra Leone, Kandeh Kamara

Walden Dissertations and Doctoral Studies

Sierra Leone had the highest number of cases of Ebola virus disease in history during the 2014 Ebola epidemic. The purpose of this quantitative, cross-sectional study was to examine the relationship between sociocultural and behavioral risk factors and Ebola status among women and men ages 15 to 49 years in Sierra Leone. The ecological model served as the theoretical framework. Secondary data were collected from the Sierra Leone Ebola Disease Survey. Results of chi-square tests revealed that attending a funeral (p = .001), touching a dead body at a funeral (p = .023), contact with a sick person (p = …

Adherence To Art Among Hiv Infected Female Sex Workers In Nigeria, Abass Babatunde Yusuf

Walden Dissertations and Doctoral Studies

A lack of adherence to antiretroviral therapy (ART) increases the risk of onward human immunodeficiency virus (HIV) transmission and mortality. The purpose of this cross-sectional study based on Andersen's conceptual framework was to test the associations between age, marital status, job/occupational status, education, membership in a peer support group, community, and facility ARV drug refill and alcohol and substance use, and adherence to ART among female sex workers (FSWs) who are 15 years and older in Rivers and Cross Rivers states Nigeria. Data were abstracted from existing program data collected between January 2015 and December 2017 by Heartland Alliance International, …