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Articles 10501 - 10530 of 15281
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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 …
Effects Of Multi-Component Program On Family Caregiver’S Engagement In Promoting Safety Of Hospitalized Children: A Quasi-Experimental Study, Pataraporn Yubonpunt
Effects Of Multi-Component Program On Family Caregiver’S Engagement In Promoting Safety Of Hospitalized Children: A Quasi-Experimental Study, Pataraporn Yubonpunt
Chulalongkorn University Theses and Dissertations (Chula ETD)
Family caregiver’s involvement in improving patient safety was stated as one of the strategies that need to be undertaken in the hospital. A little is known about the study and has no tools that use to guide family caregivers. This study aimed to investigate the effects of multi-component programs on family caregiver's engagement in promoting safety for hospitalized children. A quasi-experimental study was performed during August-October 2019 in pediatric wards of public hospitals, North –Eastern, Thailand. 160 family caregivers were recruited with eligible criteria. The participants in the intervention group were given usual care and the multi-component program during the …
Effectiveness Of Mobile Application (Easydm) For Diabetes Control Focusing On Diabetes Medication Adherence Among Uncontrolled Diabetes Patients Attending Primary Care Units In Bangkok Thailand: A Randomized Controlled Trial, Nusaree Siripath
Chulalongkorn University Theses and Dissertations (Chula ETD)
Introduction: Increasing uncontrolled diabetes mellitus requires ways to tackle it effectively. Primary Care Units (PCU) play an important role in diabetes care in Thailand. One option of diabetes management includes use of mobile applications that have proven effective. We investigated whether EASYDM mobile application is effective in diabetes control focusing on medication adherence among uncontrolled diabetes patients attending Primary Care Unit. Method: A two-arm randomized assessor blinded controlled trial was conducted in between August to December 2019 at Pattanavej primary care unit in Saimai, Bangkok, Thailand. The sample was 186 patients who fulfill eligibility criteria of age 45-65 years, , …
Comparative Study Of The Effectiveness Between Used And Non-Used Noise Warning Application On Promoting The Wearing Of Hearing Protection Among Steel Industry Workers In Samut Prakan Province Thailand, Petcharat Kerdonfag
Chulalongkorn University Theses and Dissertations (Chula ETD)
The exposure to loud noises from occupational performance is a major problem for workers in steel mills. The operators have to be exposed to loud noises from various types of steel production machinery at all times. These noises may affect to the operator's hearing perception in spite the factories themselves have set up hearing conservation program whereas one element is the procurement of loud noise protection equipment to workers working in loud noise area. But it is still found that the operators hardly prefer wearing hearing protection devices during their working hours to work without wearing them. The main objective …
Parents' Knowledge, Attitude, And Preventive Practice About Sexual Harassment Of Children In Travel And Tourism Destination In Lombok, Indonesia, Siti Syahidati Fauzana
Parents' Knowledge, Attitude, And Preventive Practice About Sexual Harassment Of Children In Travel And Tourism Destination In Lombok, Indonesia, Siti Syahidati Fauzana
Chulalongkorn University Theses and Dissertations (Chula ETD)
Tourism is known as a promoter for economic growth. Lombok island is a place of interest where plenty tourists visit, but a high increasing number of visitors affect to increasing sexual harassment of local children. Child sexual harassment (CSH) is one of the seriously concerned issues. And parents are the best position with high potential to prevent CSH, they can act as a strong external obstacle to the offender accessing children. But there are limited studies were conducted on parent’s knowledge, attitude, and preventive practice (KAPP) about child sexual harassment especially tourism destination. The aims of this study were (1) …
Effectiveness Of The Self Static Stretching Strengthening Program On Physical Performances In Market Vendors: A Quasi-Experimental Study, Salila Cetthakrikul
Effectiveness Of The Self Static Stretching Strengthening Program On Physical Performances In Market Vendors: A Quasi-Experimental Study, Salila Cetthakrikul
Chulalongkorn University Theses and Dissertations (Chula ETD)
Introduction: Work-related musculoskeletal disorders (WRMDs) often occurs within the market vendor group. This study design is a Self-Static Stretching and Strengthening program for market vendors for reducing and/or preventing WRMDs. Objective: To determine the effectiveness of the Self-Static Stretching and Strengthening program (SSS program) compared with ergonomic knowledge on physical performances in market vendors. Methods: This study design was a quasi-experimental study with the control group. Base on convenience, the Samyan market was placed into the intervention group and the Ortorkor market was placed into the control group. The market vendors who volunteered were asked to complete the questionnaire and …
Predictors Of Suicidal Idea In The Elderly Living In Bangkok, Thailand, Supasaek Virojanapa
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
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
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 …
Effect Of Chicken Lof (Low Fat In 90 Days): M-Health Application On Lipid Profile And Body Composition Among Dyslipedemia Healthcare Workers: A Randomized Controlled Trial, Suwadee Puntpanich
Effect Of Chicken Lof (Low Fat In 90 Days): M-Health Application On Lipid Profile And Body Composition Among Dyslipedemia Healthcare Workers: A Randomized Controlled Trial, Suwadee Puntpanich
Chulalongkorn University Theses and Dissertations (Chula ETD)
Background/ Objectives: Non-communicable disease has become public health concern and is associated with an unhealthy lifestyle and ageing. This present study was conducted to explore the effectiveness of “CHICKEN LOF”: M-health application on lipid profile and body composition among dyslipidemia healthcare workers of Phuket City Hospital, Thailand. Subjects/ Methods: This study was a randomized controlled trail with 4 serial measurements and it was conducted among full time dyslipidemia healthcare workers from “Phuket Care Project”, a 10, 000 bed hospital via home visitation in Phuket City Hospital, Thailand. A total of 80 participants participated and they were randomly assigned by a …
Association Between Sanitary Toilet Coverage Rate And Intestinal Infectious Disease In Jiangsu Province, China, Tingting Chen
Association Between Sanitary Toilet Coverage Rate And Intestinal Infectious Disease In Jiangsu Province, China, Tingting Chen
Chulalongkorn University Theses and Dissertations (Chula ETD)
Intestinal infectious diseases are one of the most common disease group prevalent worldwide. It is also the commonly report acute infectious diseases in Jiangsu Province, China. This problem may result from the use of unhygienic toilet. Chinese government had announced the China's toilet improvement campaign for more than decades. The purpose of this ongoing campaign is to improve the hygiene and promote health. However, there is limited study evaluating the effect of toilet improvement and the incidence of intestinal infectious diseases. This study aims to determine the association of the increasing of sanitary toilets and intestinal infectious diseases in Jiangsu …
The Effect Of Home Visit And Telephone Tracking Program On Knowledge, Caregiver Burden And Quality Of Life Among Dementia Caregivers Ratchaburi Province Thailand, Worarat Magteppong
The Effect Of Home Visit And Telephone Tracking Program On Knowledge, Caregiver Burden And Quality Of Life Among Dementia Caregivers Ratchaburi Province Thailand, Worarat Magteppong
Chulalongkorn University Theses and Dissertations (Chula ETD)
Background: Elders with dementia have serious behavioral problems and require extensive care from caregivers. This poses a significant problem for patients’ families. Multicomponent interventions have been reported to be more effective than interventions targeting one point of caregiver functioning. This study aims to examine the effect of a home visit and telephone tracking program on knowledge, caregiver burden, and quality of life among dementia caregivers. Methods: This study was a quasi-experimental with two group comparisons during November 2018 – July 2019. The participants of this study comprised 62 dementia caregivers (31 participants in intervention and 31 participants in control group) …
Effectiveness Of The Enhanced Psychological Well-Being Intervention In Family Caregivers Of Schizophrenic Patients, Yada Thongthammarat
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 …
The Utilization Of Institutional Delivery Service Among Mothers Of Under 2 Years Old Children In Gambella Region Ethiopia, Menna Okok Ojulu
The Utilization Of Institutional Delivery Service Among Mothers Of Under 2 Years Old Children In Gambella Region Ethiopia, Menna Okok Ojulu
Chulalongkorn University Theses and Dissertations (Chula ETD)
Background: Home delivery is common in sub Saharan states including Ethiopia leading to cause morbidity and mortality of maternal and child health. This study aims to determine factors affecting utilization of institutional delivery among mothers of under two-year-old children in Gambella regional state, Ethiopia Method: A cross sectional study which approach 404 mothers of under too years old children in Gambella region, western Ethiopia. By using multistage and purposive sampling technique. Data was collected by self-administer questioner to find predisposing, enabling, need factors. Descriptive, Pearson’s Chi-square, and Fisher exact were performed to describe and determine the associations. Result: The study …
Depression And Domestic Violence Experiences Among Postpartum Women In Nepal, Pallavi Koirala
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 …
Factors Influencing ‘Stage Of Change’ Among Alcohol Use Disorder Patients In Rehabilitation Centers In Kathmandu, Nepal, Pranab Dahal
Factors Influencing ‘Stage Of Change’ Among Alcohol Use Disorder Patients In Rehabilitation Centers In Kathmandu, Nepal, Pranab Dahal
Chulalongkorn University Theses and Dissertations (Chula ETD)
INTRODUCTION: The ‘stages of change’ model defines behavior change as a process with a series of stages. Alcohol use disorder which includes ‘harmful use’ and ‘alcohol dependence’ is a serious public health concern. With the ever increasing prevalence of ‘alcohol use disorder’ there is an increasing need to better understand the complexities of behavior change among this group. METHODS: A cross- sectional survey was conducted in 8 alcohol and drug rehabilitation centers (residential treatment centers) of Kathmandu, Nepal, in September 2018, involving 225 male patients. AUDIT screening test was used to screen patients with alcohol use disorder. A self-report questionnaire …
Lead Poisoning Among Communication Radio-Repair Workers In Signal Department Royal Thai Army Samutsakhon Province, Thailand, Manasawee Thongsringklee
Lead Poisoning Among Communication Radio-Repair Workers In Signal Department Royal Thai Army Samutsakhon Province, Thailand, Manasawee Thongsringklee
Chulalongkorn University Theses and Dissertations (Chula ETD)
Chronic exposure to low dose of lead can affect to every systems and organs of the human body. Lead poisoning have been found among communication radio-repair workers because lead is routinely used for soldering. The longitudinal study design was used to investigate blood lead level (BLL) and hair lead level (HLL), to determine the association of BLL and HLL with signs and symptoms of lead poisoning among workers and to determine the health risk assessment of lead exposure among workers. There were 66 repair workers in exposed group and 54 office workers in low exposed group at baseline. And, there …
Breast Self-Examination Among Akha Women In Chiang Rai Province Thailand: Policy Recommendations Based On The Formative Research Study Design, Sirinan Suwannaporn
Breast Self-Examination Among Akha Women In Chiang Rai Province Thailand: Policy Recommendations Based On The Formative Research Study Design, Sirinan Suwannaporn
Chulalongkorn University Theses and Dissertations (Chula ETD)
Background: The mortality rate of breast cancer has increased in several countries in Asia. In Thailand, this fact is confirmed by the hospital–based cancer registry annual report which ranked breast cancer as first of all female cancer patients. One an urgent concern of prevention and education on early detection is Breast Self-Examination (BSE). ‘Akha’ women, the largest ethnic group in Chiang Rai, northern part of Thailand, have a significantly low percentage of BSE practice because of language barrier and other problems. This study aims to identify factors associated with BSE among this ethic group to better understand the reasoning for …
Effects Of Modified-Continuous Ambulatory Peritoneal Dialysis (Capd) Patient’S Handling Process Among Community Nurses Towards Patient’S Quality Of Life And Treatment Outcomesin Nan Province, Thailand, Prichavijy Promjak
Chulalongkorn University Theses and Dissertations (Chula ETD)
Background: Continuous Ambulatory Peritoneal Dialysis (CAPD) is an important kidney replacement therapy that highly increased after increasing ESRD patients which required renal replacement therapy and after the Thai government promoted PD first policy under a universal coverage scheme in the year 2008. The potential advantage of CAPD modality is home therapy which is less costly than haemodialysis nevertheless, CAPD’s patients facing lifelong physical, psychological and social problems related to their illness and its treatment care especially lack CAPD programme in primary care level. Consequently, this study aims to assess the “modified CAPD patient’s handling process” among healthcare providers at the …
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 …
Effect Of Peer Support Intervention On Anxiety, Depression And Quality Of Life Among Female Breast Cancer Patients On Chemotherapy In Yangon, Myanmar: Randomized Controlled Trial, Min Thu Naung
Chulalongkorn University Theses and Dissertations (Chula ETD)
Background: The physical and psychological symptoms occurring after diagnosis and during chemotherapy have a negative effect on the quality of life (QOL) of breast cancer patients. Anxiety and depression are also linked with a deprived QOL and prognosis. This study evaluated the effect of peer support intervention on knowledge about chemotherapy, self-efficacy, empathy, consumer satisfaction, anxiety, depression and QOL of female breast cancer patients on chemotherapy in Yangon, Myanmar. Methods: A randomized controlled trial was conducted at Shwe Yaung Hnin Si Cancer Foundation clinic in Yangon. A total of 74 patients participated and they were assigned randomly into an intervention …
Undernutrition And Its Determinants Among Under-Five Children Of Indigenous Thami Population In Dolakha District, Nepal, Keshav Dahal
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
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
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 …
Prostate Cancer Screening In Thailand: Cost-Effectiveness Analysis And Budget Impact Evaluation, Chavalit Romyen
Prostate Cancer Screening In Thailand: Cost-Effectiveness Analysis And Budget Impact Evaluation, Chavalit Romyen
Chulalongkorn University Theses and Dissertations (Chula ETD)
Objectives: As public health insurance schemes in Thailand did not included prostate cancer screening in their benefits package, this study aimed to systematically gather the effectiveness and explore the cost effectiveness of difference prostate cancer screening programs for the Thai population and find the financial impact for adapting prostate cancer strategy. Method: We perform systematic and network meta-analysis, health economic evaluation using Markov’s model to compare four prostate cancer screening strategies with no screening options. And we perform budget impact analysis to assess the potential burden for adopting selected strategy. Result: The result from systematic review and network meta-analysis suggest …
Risk Factors For Malaria Infection And Dihydroartemisinin+Piperaquine Resistance Distribution Between High And Low Endemic Areas In Indonesia, Irfanul Chakim
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 …
Drug Classification Scheme Review And The Economic Impact Analysis Of Abandoning Non-Prescription Drug Reimbursement In Thailand, Doungporn Leelavanich
Drug Classification Scheme Review And The Economic Impact Analysis Of Abandoning Non-Prescription Drug Reimbursement In Thailand, Doungporn Leelavanich
Chulalongkorn University Theses and Dissertations (Chula ETD)
In Thailand, controversies regarding the drug classification system persist; it was believed that the number of schemes should be changed, and most drugs classified into improper schemes. The system is not also fully used to allocate healthcare budgets, while several other countries cease non-prescription (OTC) drugs reimbursement to allocate this expenditure to catastrophic diseases instead. This study thus aims to (i) review drug classification system in Thailand by comparing to other countries, (ii) evaluate the economic impact of delisting OTC drugs from drug reimbursement list using non-sedating antihistamines (AH) in patients suffering from intermittent allergic rhinitis as a case study, …
Exploring Alcohol Withdrawal Syndrome And Predicting Alcohol Consumption Change In Patients Admitted To A Genenral Hospitals In Vietnam, Loan Thi Mai Nguyen
Exploring Alcohol Withdrawal Syndrome And Predicting Alcohol Consumption Change In Patients Admitted To A Genenral Hospitals In Vietnam, Loan Thi Mai Nguyen
Chulalongkorn University Theses and Dissertations (Chula ETD)
Risky alcohol drinking is common in hospitalized patients. Early detecting risky alcohol drinkers in hospital is important to provide appropriate management of Alcohol withdrawal syndrome (AWS). This first aim of this study was to identify the extent to which patients admitted to a general hospital in Vietnam meet the criteria for risky alcohol drinker (RAD), alcohol use disorder (AUD), and alcohol withdrawal syndrome (AWS). The second aim was to identify predictors of intension to change and changing alcohol consumption using the Integrated Behavior Model as a conceptual framework. Design: A prospective survey was conducted in Kien An - a general …
Study Of Pharmacist Workforce In Public Sector, Of Republic Of The Union Of Myanmar, Lwin Nyein Aye
Study Of Pharmacist Workforce In Public Sector, Of Republic Of The Union Of Myanmar, Lwin Nyein Aye
Chulalongkorn University Theses and Dissertations (Chula ETD)
Health workforce shortage was common across the world including Myanmar. However, there was not previous study about the pharmacist workforce to ascertain the shortage problem in Myanmar. This study was aimed to analyze the current situation of pharmacist workforce in Myanmar especially in public sector and to construct a simulation model to suggest the appropriate policy options to the policymakers in improving the pharmacist workforce situations in the public hospitals.For the first objective, the study design was a cross-sectional survey using a mixed method which consisted of the secondary data analysis and semi-structured face-to-face interviews. The government registry data related …
Precision Medicine Reimbursement Policy Landscape, Nisita Jirawutkornkul
Precision Medicine Reimbursement Policy Landscape, Nisita Jirawutkornkul
Chulalongkorn University Theses and Dissertations (Chula ETD)
Background: Access to precision medicine is limited due to many factors such as precision medicine technology of each country, high-cost technology that requires high finance, limitations on knowledge and competency of personnel and access to precision medicine. Each country manages access to precision medicine differently. The existing evidences of precision medicine reimbursement policy were limited. Objective: To explore reimbursement decision of precision medicine focusing on diagnostic tests and factors associated with reimbursement decision among high-income and upper-middle-income countries. Methods: A targeted review of literatures was conducted through PubMed, MEDLINE, Embase, Cochrane Library, and hand-searching. The study included 13 selected precision …