Digital Commons Network^™

Lead Removal From Water By Modified Activated Carbon Produced From Banana Stem, Imelda Octa Tampubolon

Chulalongkorn University Theses and Dissertations (Chula ETD)

Banana stem-activated carbon (BSAC) and modified banana stem-activated carbon, containing sulfur, nitrogen, and oxygen-containing groups derived from banana stem, were prepared and studied for Pb(II) ion removal. The materials were characterized by scanning electron microscopy, X-Ray diffraction, surface area analysis, and Fourier transform infrared spectroscopy. SEM images showed that the materials are porous, and XRD confirmed that the structures are amorphous and resemble the graphitic hexagonal structure of carbon materials. Surface areas of these materials ranged from 517.67 m2/g for the bare banana stem activated carbon to 234.03, 453.74, 252.97, and 22.96 m2/g for sulfur, oxygen, sulfur and oxygen and …

Life Cycle Assessment Of Canned Fish Production In Thailand, Chanya Kraiwed

Chulalongkorn University Theses and Dissertations (Chula ETD)

The canned fish industry is one of the world's most popular exports in Thailand. Moreover, the canned seafood industry ranks fourth in terms of energy consumption, which compares to all industry group (Wiriyatangsakul, 2021). Commercial competitiveness, on the other hand, must be improved because of the competitive conditions in the global market. Thus, this study evaluates the environmental performance of a factory in Samut Sakhon, Thailand, using Life Cycle Assessment (LCA) with Gate-to-Gate approach and setting functional unit by 1 ton fresh fish entering to process. The study used the SimaPro LCA application with the CML 2 baseline 2000 method, …

Assessment Of Greenhouse Gases Emissions From Dairy Cattle Production In Thailand, Phoo Pwint Pwint Thu

Chulalongkorn University Theses and Dissertations (Chula ETD)

Thailand’s agriculture sector plays a vital role in driving economic growth. Globally, livestock production is estimated to contribute about 18% of greenhouse gas (GHG) emissions. Despite its importance, there is a relative lack of research on GHGs assessment in the livestock sector in Thailand. The aim of this research was to estimate GHGs emissions from dairy cattle production in Saraburi and Ratchaburi provinces of Thailand. The 2019 Refinement to the 2006 IPCC guidelines for national greenhouse gas inventories was applied in this research. Twenty dairy farms (n=20) including both small farms (n=10) and medium farms (n=10) were selected as the …

Effects Of Chitosan Oligosaccharide And Probiotics On Chronic Kidney Disease Rats, Weerapat Anegkamol

Chulalongkorn University Theses and Dissertations (Chula ETD)

Chronic kidney disease (CKD) patients suffer from the accumulation of toxic substances in their blood due to the loss of kidney function, which results in hyperphosphatemia. This condition contributes to hyperparathyroidism, leading to the development of chronic kidney disease-related mineral bone disorder (CKD-MBD). Additionally, CKD patients experience changes in their gut microbiota, disrupting epithelial tight junctions and allowing excessive absorption of dietary phosphate. In this study, we aimed to investigate the effects of various oligosaccharides and probiotics on the gut microbiota, intestinal barrier, hyperphosphatemia, and hyperparathyroidism in CKD rats. We isolated Lactobacillus and Bifidobacterium strains from healthy participants and tested …

D-Lactic Acid Fermentation Platform From Oil Palm Trunk Sap By Sporolactobacillus Terrae Sbt-1, Naphatsawan Sukaiem

Chulalongkorn University Theses and Dissertations (Chula ETD)

Lactic acid is an organic acid that contains two enantiomers, L- and D-lactic acid, and is considered the most potential monomer for many industrial products. Lactic acid has versatile applications in the pharmaceutical, food, textile, chemical, and leather industries moreover in poly-lactic acid (PLA) manufacturing. While L-lactic acid is well known in many commercial products and studies, only a few studies on D-lactic acid were found. Lactic acid can be produced either by microbial fermentation or chemical synthesis. Approximately 90 percent of the total lactic acid produced worldwide is via microbial fermentation which provides an optically pure L- or D-lactic …

Factors Influencing Quality Nursing Care At Hospitals In Indonesia, I Gede Juanamasta

Chulalongkorn University Theses and Dissertations (Chula ETD)

The study investigated whether patient-to-nurse ratio, working hours, nurse competence, environment, nurse satisfaction, and turnover intention influence inpatient quality nursing care in Indonesian hospitals. Aiken’s model and empirical evidence were adapted to construct the framework. A cross-sectional design and multistage sampling were employed. Five hundred-fifty registered inpatient department nurses from June to October 2022. They were involved in completing the seven-part questionnaires, include a demographic questionnaire, nurse staffing measurement form, Good Nursing Care Scale, Nurse Competence Scale, Practice Environment Scale, McCloskey/Mueller Satisfaction Scale, and Anticipated Turnover Scale. All questionnaires had acceptable psychometric properties, which included content validity, construct validity, and …

The Effects Of Decellularized Extracellular Matrix Derived From Jagged1-Treated Human Dental Pulp Stem Cells On Biological Responses Of Stem Cells Isolated From Apical Papilla, Suphalak Phothichailert

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: Indirect Jagged1 immobilization efficiently activates canonical Notch signaling in hDPSCs. This study aimed to investigate the characteristic of the Jagged1-treated hDPSCs-derived dECM and its biological activity on odonto/osteogenic differentiation SCAPs. Methods: Bioinformatic database of Jagged1-treated hDPSCs was analyzed by NetworkAnalyst. hDPSCs seeded on Jagged1 immobilized surface were maintained with N or OM followed by decellularization procedure, dECM-N or dECM-OM, respectively. SCAPs were reseeded on each dECM with either normal medium or OM. Cell viability was determined by MTT assay. Characteristics of dECMs and SCAPs were evaluated by SEM, EDX, immunofluorescent staining and alcian blue staining. A Multipotential differentiation assay. …

Prediction Of Future Caries In Toddlers Via Salivary Microbiome: A 1-Year Longitudinal Study, Ratcha Raksakmanut

Chulalongkorn University Theses and Dissertations (Chula ETD)

Dental caries in children is the most common chronic oral disease that could disturb their quality of life including their development. Early prevention is a key approach to reducing the prevalence of early childhood caries. However, a reliable caries predictor, as an essential tool for targeted prevention that is important to this approach, is still lacking for infants before caries onset. Therefore, we aimed to develop the caries risk prediction model based on the salivary microbiome of caries-free 1-year-old children to predict caries onset at 1-year follow-up. Using a nested case-control design within a prospective cohort study, 30 saliva samples, …

The Effects Of Co-Ingestion Of Highly Branched Cyclic Dextrin And Dietary Nitrate On Physiological Responses And Endurance Capacity In Recreational Endurance Runners, Songdhasn Chinapong

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to investigate the effects of co-ingestion of HBCD and dietary nitrate on physiological responses and endurance capacity in recreational endurance runners compared with an isocaloric HBCD beverage, a maltodextrin-dietary nitrate beverage, and a maltodextrin beverage during high-intensity prolong running. Nine male marathon runners (age 35.00 ± 4.00 years) participated in a double-blind crossover design, where they were randomly assigned to receive either the co-ingesting 1.5 g HBCD·kg-1 BM and 500 mg dietary NO3- (~8.00 mmol NO3-) beverages (HBCD+NO3-), the ingesting 1.5 g HBCD·kg-1 BM (HBCD), the co-ingesting 1.5 g MD·kg-1 BM and 500 mg dietary NO3- (~8.00 …

Challenges Of Ngos In Facilitating Access To Health Care Services For The Urban Poor In Slums During The Covid-19 Pandemic: A Case Study Of Kampala, Uganda||ความท้าทายขององค์กรนอกภาครัฐในการช่วยเหลือการเข้าถึงบริการการดูแลสุขภาพสำหรับคนจนเมืองในชุมชนแออัดในช่วงการระบาดของโรคติดเชื้อไวรัสโคโรนา 2019 กรณีศึกษา กรุงกัมปาลา ประเทศยูกันดา, Brendah Kyaterekera

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study investigates the challenges NGOs face in providing healthcare access to the urban poor during the COVID-19 pandemic, using cases of slum communities in Kampala, the capital city of Uganda. The COVID-19 pandemic has disproportionately affected vulnerable populations, including those living in slums characterized by overcrowding, inadequate infrastructure, and limited access to basic services, especially access to healthcare, a fundamental right of people. During the past years, the pandemic has further restricted the already limited accessibility to healthcare services for the urban poor. The primary research methodology employed in this study is case study research, using in-depth interviews, observations, …

The Infection Dynamics, Co-Infection, Multi-Gene Phylogeny, And Molecular Screening Of Plasmodium Caprae Infection In Goats And Mosquito Species, Hoang Lan Anh Nguyen

Chulalongkorn University Theses and Dissertations (Chula ETD)

Ungulate malaria parasites, including Plasmodium caprae that infects the domestic goats, have received little attention. There are only few studies about the prevalence and mitochondrial genome analyses. This study, therefore, aimed to investigate the natural infection dynamics of P. caprae and its mosquito vectors. Besides, genome analyses based on nuclear genes of P. caprae and other related haemosporidian parasites were also carried out to obtain an in depth understanding about their evolutionary history and origin. A total of 423 goat blood samples were collected during rainy seasons from 2018 to 2021 to assess the malaria infection status. In addition, 1,019 …

Establishment Of Transplantation Platform For Delivering Mouse Induced Pluripotent Stem Cell-Derived Insulin-Producing Cells (Mips-Ipcs) For Diabetes Treatment, Hong Thuan Tran

Chulalongkorn University Theses and Dissertations (Chula ETD)

Pancreatic beta-cell replacement is recognized for feasible type 1 diabetes (T1D) treatment. However, in post-transplantation, the autoimmune destruction incidentally attacks the activity and survival of beta-cells are reported in animal and human. To address these concerns, the generation of immortalized, biocompatible beta-cells, and the engraftment platform are insightfully investigated. The stepwise chemical process was used for in vitro Insulin-producing cells (IPCs) production from mouse gingival fibroblast-induced pluripotent stem cells (mGF-iPSCs). The real-time qRT-PCR, glucose stimulation C-peptide/Insulin secretion, immunostaining, and visible cell methods were examined during IPC differentiation. The encapsulated-IPC beads were loaded into subcutaneous pocket space via transplantation platform. Completed …

In Vitro Inhibitory Effects Of Turmeric Extracts Against Biofilm Formation And Virulence Of Flavobacterium Oreochromis, Sirawich Ngernson

Chulalongkorn University Theses and Dissertations (Chula ETD)

Flavobacterium oreochromis is an opportunistic bacteria and causative agent of columnaris disease that affects freshwater fish worldwide. To initiate infection, the bacteria are required to attach and form biofilm on the fish's skin. The bacteria cells in the biofilm then produce toxins that can degrade fish connective tissue, resulting in lesions and ulcers. This study aimed to evaluate the efficacy of turmeric (Curcuma longa L.) extract by three organic solvents (hexane, ethanol, and methanol) in biofilm inhibition and modulation of biofilm-associated genes of F. oreochromis. Turmeric extracts by three different organic solvents were tested for their ability to inhibit the …

Molecular Characterization Of Clinostomum Spp. Infecting Cultured Snakeskin Gourami (Trichopodus Pectoralis) In Thailand, Sk Injamamul Islam

Chulalongkorn University Theses and Dissertations (Chula ETD)

The digeanean Clinostomum spp. is a significant parasitic pathogen of freshwater fish. It has low host specificity and a wide distribution geographically. Morphological and molecular data analyses have been performed on Clinostomum to assess its diversity. However, the molecular occurrence of Clinostomum spp. in aquaculture in Thailand has yet to be reported. Snakeskin gourami (Trichopodus pectoralis), a freshwater fish cultured in Thailand, has significant economic importance. Herein, the study focuses on describing a digenean Clinostomum in the abdominal cavity of T. pectoralis and reports the prevalence of this parasite from central Thailand. Two hundred and sixty-two 4 to 8- month-old …

Seroprevalence Of Lawsonia Intracellularis Antibody Among Swine Herds In Thailand, December 2021-March 2022, Thanh Nguyen Che

Chulalongkorn University Theses and Dissertations (Chula ETD)

The gastrointestinal infectious diseases caused by bacteria have been a major problem in the Thai swine industry. Porcine proliferative enteropathy (PPE), also known as porcine ileitis, is an enteric infectious disease caused by Lawsonia intracellularis. Porcine ileitis has been an economic threat to the global pork production system due to various types of diarrheas. Serological diagnosis can be applied for determining pathogen-antibodies seroprevalence and the timing of L. intracellularis infection when introduced to the herd. A lack of serological data since 2009, as well as recent antibiotic usage restrictions, may have a negative impact on porcine ileitis seroprevalence in Thailand. …

Transferable R Plasmids In Escherichia Coli Isolated From Meat Ducks, Zulqarnain Baqar

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to describe the AMR characteristics and transferable R plasmids in Escherichia coli isolated from meat ducks reared in an open house system. One hundred seventy-seven (n=177) commensal E. coli were previously isolated from duck cloacal swabs. In this study, all were biochemically confirmed and examined for their susceptibilities to 15 antimicrobial agents by broth microdilution method. Transfer of R plasmids was tested by biparental mating method followed by plasmid replicon typing (PBRT) and plasmid multi-locus sequence typing (pMLST). The highest resistance rates were observed for ampicillin (83.0%) and tetracycline (81.9%) while multidrug resistance was common (86.4%). Extended-spectrum …

Effects Of Nutritional Therapy On Nutritional Status In Patients Undergoing Orthognathic Surgery: A Randomised Clinical Trial, Naratorn Prachasartta

Chulalongkorn University Theses and Dissertations (Chula ETD)

Orthognathic surgery can limit oral intake postoperatively, leading to the loss of weight and muscle mass, which can weaken the immunity. To ensure proper perioperative care, it is crucial to provide adequate nutrition and mitigate surgical stress-induced catabolism. However, research on nutrition therapy for orthognathic surgery patients is limited. Therefore, our study aimed to investigate the nutritional status of patients who received nutritional therapy. Thirty-four patients were randomly assigned into two groups: one receiving nutritional counselling only and the other receiving nutritional counselling with an oral nutritional supplement. We collected data on weight, muscle mass, fat mass, handgrip strength, biomarkers, …

Effect Of Air Pollution On Number Of Visits With Pneumonia And Influenza:Before Vs. During Covid-19 Outbreak In Thailand, Benjawan Roudreo

Chulalongkorn University Theses and Dissertations (Chula ETD)

The COVID-19 pandernic had effect on changes in people, environment, and health risk. This was a unique research opportunity to assess the effects on the risk of respiratory infectious diseases resulting from the changes in air pollution during COVID-19 outbreak. This study estimated the relative risks (RRs) of hospital visits with pneumonia and influenza associated with air pollution (PM10 PM25 NO2 and ⊖ y} by using Poison with generalized additive model (GAM) and compared the different RRs of pneumonia and influenza before vs. during the COVID-19 outbreak in Khon Kaen province and its vicinity. For results, before the COVID-19 period, …

Impact Of Calcium Ion (Ca2+) On Pectin Wall Material For Microencapsulated Lactobacillus Plantarum, Nurul Hasniah

Chulalongkorn University Theses and Dissertations (Chula ETD)

The microencapsulation, a promising technology, could preserve the probiotic viability during processing, storage, and delivery to gastrointestinal tract through the wall layer. However, the loss of probiotic depends on heat/stress-susceptibility of culture themselves and the microencapsulating efficiency of wall materials. The selection of wall material composition is very challenging. Maltodextrin (MD) is mostly selected for the microencapsulating application because of its low price, rapid water solubilization, and low viscosity. MD functions as a good medium but not stabilizer for culture. Pectin is the most abundant biopolymer, found in plant cell. Pectin itself is a good gelation agent so it could …

The Effect Of House Price Affordability On Social Integration Among Mobile Populations: Evidence From China, Yiping Li

Chulalongkorn University Theses and Dissertations (Chula ETD)

The level of integration of the mobile populations is related to whether group strengths and social resources can be fully utilized, thus affecting the development potential of a city. In addition, high house prices and low wages are common problems faced by mobile populations. This study aims to reveal whether the affordability of house prices among the mobile populations affects social integration and also further explores whether house price affordability has different effects on the social integration of different groups based on education level, gender and marital status. The data comes from the Collection of Data from Migrant Population Dynamics …

ปัจจัยโลจิสติกส์การท่องเที่ยวที่ส่งผลต่อการท่องเที่ยวเชิงส่งเสริมสุขภาพในจังหวัดภูเก็ต, อทิตา สุประดิษฐ

Chulalongkorn University Theses and Dissertations (Chula ETD)

งานวิจัยนี้มีวัตถุประสงค์เพื่อ ศึกษาปัจจัยโลจิสติกส์การท่องเที่ยวที่ส่งผลต่อนักท่องเที่ยวเชิงส่งเสริมสุขภาพในจังหวัดภูเก็ต วิเคราะห์และจัดลำดับความสำคัญ และระดับความพึงพอใจของนักท่องเที่ยวเชิงส่งเสริมสุขภาพชาวต่างชาติ ต่อปัจจัยโลจิสติกส์การท่องเที่ยว และเสนอแนวทางในการพัฒนาและปรับปรุงการจัดการโลจิสติกส์การท่องเที่ยวเชิงส่งเสริมสุขภาพในจังหวัดภูเก็ต รวบรวมข้อมูลด้วยแบบสอบถาม วิเคราะห์ผลด้วยเทคนิค IPA แบบสอบถามแบ่งตามกลุ่มตัวอย่าง คือ นักท่องเที่ยวเชิงส่งเสริมสุขภาพชาวต่างประเทศ จำนวน 140 ราย ผู้ประกอบการเพื่อสุขภาพ จำนวน 18 ราย และภาคส่วนที่เกี่ยวข้องอื่น ๆ จำนวน 5 ราย ผลการวิจัยพบว่า (1) นักท่องเที่ยวเชิงส่งเสริมสุขภาพชาวต่างชาติ ส่วนใหญ่อยู่ในวัยทำงาน เป็นผู้มีการศึกษา ประกอบอาชีพธุรกิจส่วนตัวและพนักงาน/ เจ้าหน้าที่บริษัท มีรายได้ปานกลางค่อนข้างสูงถึงสูง เป็นชาวยุโรปและอเมริกามากที่สุด (2) นักท่องเที่ยวเชิงส่งเสริมสุขภาพชาวต่างชาติ ให้ความสำคัญปัจจัยโลจิสติกส์การท่องเที่ยวภาพรวมรายด้านมากที่สุดทุกด้าน ได้แก่ ด้านบุคลากร ด้านการเงิน ด้านบริการในสถานประกอบการเพื่อสุขภาพ ด้านกายภาพ ด้านสถานที่ท่องเที่ยว และด้านข้อมูลข่าวสาร ตามลำดับ (3) นักท่องเที่ยวฯ มีระดับความพึงพอใจต่อปัจจัยโลจิสติกส์การท่องเที่ยว ภาพรวมรายด้านมากที่สุดในด้านการเงิน ด้านบุคลากร และด้านสถานที่ท่องเที่ยว ตามลำดับ (4) ปัจจัยโลจิสติกส์การท่องเที่ยวที่จำเป็นต้องดำเนินการให้มีการปรับปรุงอย่างเร่งด่วน คือ ภาพรวมในด้านบริการในสถานประกอบการ โดยเฉพาะอย่างยิ่งปัจจัย สถานประกอบการเพื่อสุขภาพมีการให้บริการที่หลากหลาย และปัจจัยโลจิสติกส์ที่ทำได้ดี คือ ด้านบุคลากร (บริการด้วยความสุภาพ อ่อนน้อม เอาใจใส่) และด้านการเงิน (ค่าบริการ) ทั้งนี้ เพื่อเป็นเสริมจุดแข็ง และเพิ่มขีดความสามารถในการแข่งขันของการท่องเที่ยวเชิงส่งเสริมสุขภาพ จำเป็นต้องเร่งปรับปรุงในปัจจัย มีความรู้และความเชี่ยวชาญในการให้บริการที่ดี (ด้านบุคลากร) และ มีบริการ Cashless ในสถานประกอบการเพื่อสุขภาพและแหล่งท่องเที่ยว (ด้านการเงิน)

Counting Butterflies In Yosemite: A Guide For Beginners, Christine Melvin

Department of Entomology: Distance Master of Science Projects

Entomology is the study of insects. Insects are the most numerous animal group on the planet and therefore the field of entomology is further divided based upon insect groups. Butterflies and Moths belong to the insect group Lepidoptera. An entomologist who studies butterflies and/or moths is called a Lepidopterist. Butterflies are a special group of insects because they are not only studied by entomologists, but they are also studied by people called citizen scientists. Citizen science is the casual participation in gathering of data about anything relating to science. Anyone who uses the app iNaturalist is a citizen scientist because …

Fracture Liaison: A Crucial Tool In The Fight Against Fragility Fracture, Paul J. Mitchell

Medical Papers and Journal Articles

Over the course of the first half of the 21st century the age structure of the human population will have undergone dramatic change, leading to what has been described by the Fragility Fracture Network and the International Osteoporosis Foundation as a new demographic era. In the absence of widespread implementation of systematic approaches to chronic disease management, and prevention and treatment of osteoporosis and fragility fractures in particular, fracture rates among older people will increase significantly by mid-century. The purpose of this narrative review is to characterise the current and projected burden of fragility fractures, evaluate current gaps in delivery …

Defining The Rate Of Nutritional And Metabolic Derangements After Pancreatic Resection, K L. Percy, Y X. Ooi, C B. Nahm, F Simpson, G Hickey, S Sahni, D Chesher, M Itchins, N Pavlakis, V H. Tsang, R Clifton-Bligh, A J. Gill, J S. Samra, A Mittal

Medical Papers and Journal Articles

Background and aims: Pancreatic resection is associated with pancreatic exocrine insufficiency (PEI) leading to nutritional consequences. The Pancreatic Nutrition Clinic was established to diagnose and manage PEI through standardised nutritional assessment. In this prospective observational study, we aimed to define the rate of PEI, diabetes mellitus and nutritional abnormalities in patients who underwent pancreatic resection.

Methods: All Pancreatic Nutrition Clinic patients were included for analysis. Clinical data were prospectively obtained at initial assessment. Biochemical data included micronutrient levels, faecal elastase-1 and haemoglobin A1c. Bone mineral density and nutritional assessment were undertaken.

Results: Ninety-eight patients were included. Fifty-nine per cent (58/98) …

Quality Improvement Initiatives In The Care And Prevention Of Fragility Fractures In The Asia Pacific Region, Paul J. Mitchell, Seng Bin Ang, Leilani Basa Mercado-Asis, Reynaldo Rey-Matias, Wen-Shiang Chen, Leon Flicker, Edward Leung, David Choon, Sankara Kumar Chandrasekaran, Jacqueline Clare Therese Close, Hannah Seymour, Cyrus Cooper, Philippe Halbout, Robert Daniel Blank, Yanling Zhao, Jae-Young Lim, Irewin Tabu, Maoyi Tian, Aasis Unnanuntana, Ronald Man Yeung Wong, Noriaki Yamamoto, Ding-Cheng Chan, Joon Kiong Lee, On Behalf Of The Asia Pacific Fragility Fracture Alliance

Medical Papers and Journal Articles

Summary: This narrative review summarises ongoing challenges and progress in the care and prevention of fragility fractures across the Asia Pacific region since mid-2019. The approaches taken could inform development of national bone health improvement Road Maps to be implemented at scale during the United Nations ‘Decade of Healthy Ageing’.

Purpose: This narrative review summarises recent studies that characterise the burden of fragility fractures, current care gaps and quality improvement initiatives intended to improve the care and prevention of fragility fractures across the Asia Pacific region.

Methods: The review focuses on published studies, reports and quality improvement …

The Global Burden Of Fragility Fractures – What Are The Differences, And Where Are The Gaps, Paul J. Mitchell, Ding-Cheng (Derrick) Chan, Joon-Kiong Lee, Irewin Tabu, Bernardino B. Alpuerto

Medical Papers and Journal Articles

The current burden of fragility fractures is enormous, and it is set to increase rapidly in the coming decades as humankind enters a new demographic era. The purpose of this review is to consider, in different settings:

• The human and economic toll of fragility fractures.

• Risk factors for fragility fractures.

• Current acute management of fragility fractures.

• Current care gaps in both secondary and primary fracture prevention.

A summary of global, regional, and national initiatives to improve the quality of care is provided, in addition to proposals for the research agenda. Systematic approaches to improve the acute …

Accessing Antenatal Care When You Are Rough Sleeping: Barriers And Enablers, Lisa Wood, Natalie Bogoias

IHR Papers and Journal Articles

No abstract provided.

Nurses Leading Volunteer Support For Older Adults In Hospital: A Discussion Paper, Rosemary Saunders, Kate Crookes, Karen Gullick, Olivia Gallagher, Karla L. Seaman, Debra Scaini, Seng G.M. Ang, Caroline Bulsara, Beverley Ewens, Jeff Hughes, Beverly O'Connell, Christopher Etherton-Beer

IHR Papers and Journal Articles

Background

The ageing population has led to growing numbers of older adults in hospital. Given the increased care needs of older adult patients, hospitals are facing resource challenges to ensure patient safety and quality of care. Support from trained volunteers focussed on older adults needs, such as eating, drinking, ambulation and cognitive stimulation have been found to improve patient outcomes.

Aim

This discussion paper describes a novel nurse-led model of volunteer support providing individualised supportive care for hospitalised older adults.

Methods

Discussion paper.

Findings

Nurses’ clinical expertise, 24 hour care and leadership skills makes them ideally placed to guide support …

Improving Care For Older Patients Visiting Emergency Departments. Are They Receiving Falls Prevention Guideline Care?, Melinda Williamson, Annette Barton, Deborah Edwards, Claire Morrisby, Angela Jacques, Kristie J. Harper

IHR Papers and Journal Articles

Background: The primary objective was to examine whether the Emergency Department (ED) treatment of older adults who fall in Australia is concordant with falls prevention and management clinical guideline care recommendations.

Methods: A retrospective medical records audit was completed for patients 65years and older, who at-tended the ED with a fall and were discharged home. An audit tool was developed from local, national, and international falls clinical guidelines.

Results: One thousand and twenty-seven patients presented following a fall throughout 2020. One hundred and seven patient medical records were audited. Assessment of cognition (94%), medication review (76%) and …

Childhood And Infant Exposure To Famine In The Biafran War Is Associated With Hypertension In Later Life: The Abia Ncds Study, Okechukwu S. Ogah

IHR Papers and Journal Articles

There are very few studies in Africans investigating the association between early life exposure to malnutrition and subsequent hypertension in adulthood. We set out to investigate this potential association within an adult cohort who were born around the time of the Biafran War (1968–1970) and subsequent famine in Nigeria. This was a retrospective analysis of Abia State NonCommunicable Diseases and Cardiovascular Risk Factors (AS-NCD-CRF) Survey, a community-based, cross-sectional study that profiled 386 adults (47.4% men) of Igbo ethnicity born in the decade between January 1965 and December 1974. Based on their date of birth and the timing of the famine, …