Medicine and Health Sciences Commons^™

Measures Of Sleep Are Not Routinely Captured In Trials Assessing Treatment Outcomes In Knee Osteoarthritis - A Scoping Systematic Review And Call To Action, Jessica Feda, Tyler Miller, Jodi L. Young, Brett Neilson, Daniel I. Rhon

Funded Scholarship

Objective

Design

Results

Targeting The Pai-1 Mechanism With A Small Peptide Increases The Efficacy Of Alteplase In A Rabbit Model Of Chronic Empyema, Galina Florova, Christian J. De Vera, Rebekah L. Emerine, Rene A. Girard, Ali Azghani, Krishna Sarva, Jincy Jacob, Danna E. Morris, Mignote Chamiso, Steven Idell, Andrey A. Komissarov

School of Medical and Biological Sciences Faculty Publications and Presentations

The incidence of empyema is increasing and associated with a mortality rate of 20% in patients older than 65 years. Since 30% of patients with advanced empyema have contraindications to surgical treatment, novel, low-dose, pharmacological treatments are needed. A Streptococcus pneumoniae-induced rabbit model of chronic empyema recapitulates the progression, loculation, fibrotic repair, and pleural thickening of human disease. Treatment with single chain (sc) urokinase (scuPA) or tissue type (sctPA) plasminogen activators in doses 1.0–4.0 mg/kg were only partially effective in this model. Docking Site Peptide (DSP; 8.0 mg/kg), which decreased the dose of sctPA for successful fibrinolytic therapy in acute …

Integrating Participants As Partners In Research Governance And Operations: An Approach From The All Of Us Research Program Engagement Core, Catherine Hammack-Aviran, Alecia Malin Fair, Melinda Aldrich, Jennifer Richmond, Selena Mccoy Carpenter, Karriem S. Watson, Elizabeth G. Cohn, Consuelo Hopkins Wilkins

Law Faculty Scholarship

This article describes efforts within the All of Us Research Program to integrate research participants into governance and operational decision-making roles. Through intentional engagement strategies, participants were recruited to serve on steering and executive committees and contribute to program oversight. Evaluation of the initiative included a survey measuring researcher readiness for participant engagement across the consortium. Over a three-year period, survey responses demonstrated increased support for participant involvement and recognition of the value of participant perspectives in shaping research priorities. Although some reservations remained regarding equal decision-making authority, the findings suggest that structured participant engagement can strengthen trust, enhance transparency, …

Teaching Assistant Responses To Covid-19: Investigating Relationships Between Stress, Self-Efficacy, And Approaches To Teaching, Cody R. Smith, Deepika Menon, Annette Wierzbicki, Jenny Dauer

Department of Teaching, Learning, and Teacher Education: Faculty Publications

This study investigates the self-efficacy of undergraduate and graduate TAs associated with changes in instruction after the COVID-19 disruption to the spring 2020 semester.

Guiding research questions include: (i) What are the relationships among TA teacher efficacy and stress resulting from the COVID-19 disruption? (ii) What experiences do TAs describe that contribute to their stress and teacher efficacy?

Implications of the results for supporting TAs during similarly stressful events and circumstances are discussed.

Examining The Impact Of Teenage Pregnancy And Its Associated Factors On High School Graduation Rates In Ohio, Eshita Garg, Empress James

Scholarship in Medicine - All Papers

Objective: Our objective is to determine the impact of teen pregnancy, and its associated factors (e.g., child poverty, single-parent households, disconnected youth) on high school graduation rates in Ohio. Introduction: Failure to complete high school often results due to a process known as educational disengagement. This process has been studied to include such factors like teenage pregnancy, which is often linked to increased absences and decreased participation in class. While studies indicate that programs should emphasize attendance and engagement, rather than teenage pregnancy prevention, we also examine factors that are commonly associated with teenage pregnancy. Such variables that contribute to …

The Impact Of Healthcare Disparities In Rural Ohio, Bailey Stammen, Sara Curtis

Scholarship in Medicine - All Papers

Rural communities in the state of Ohio face barriers to care that affect the health of the population. This paper investigates the extent to which the general state of health, life expectancy, uninsured rates, and access to primary care providers can be affected by living in a rural community and how these variables have changed over time. Data from urban and rural counties in Ohio, taken from 2016 to 2022 via the 2022 County Health Rankings, will be used to explore health-related concerns. There were significant findings of decreased general health and access to primary care providers for rural communities …

Health Disparities In Rural Kentucky Counties: Mortality Outcomes And The “Rural Penalty”, Aaron R. Tims

Scholarship in Medicine - All Papers

Objective: The object of this paper is to investigate the relationship between rurality and the national top five causes of death in Kentucky counties.

Methods: We used Spearman correlations to quantify the relationship between percent rurality and the crude death rate for heart disease, malignant neoplasia, unintentional injury, chronic lower respiratory disease, and cerebrovascular disease for each Kentucky county. We also used a Spearman correlation to compare and correlate percent rurality and mortality due to heart disease as these two factors changed between data from 2000 and 2010.

Results: Our research demonstrated statistically significant correlations between percent rurality and the …

Furosemide For Postpartum Management Of Hypertensive Disorders: A Randomized Controlled Study, Margaret J. Herr, Holly M. Johnson, Rose A. Maxwell, Zachary Candela, Sheela Barhan

Celebration of Undergraduate & Graduate Research, Scholarship, and Creative Activities Materials

Loop diuretics have been investigated for managing postpartum hypertensive disorders, but there is currently insufficient clinical evidence pointing to any single agent. This study aims to compare blood pressure (BP) outcomes for patients with gestational hypertensive disorders receiving labetalol alone versus labetalol + furosemide during postpartum hospital stay. The primary aim was to learn if loop diuretic incorporation in conjunction with labetalol could lower the need for additional anti-hypertensive agents.

Prevalence Of Multimorbidity In The Atherosclerosis Risk In Communities Study At Baseline, Katie Highfill

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Aim: The aim of this study is to examine the prevalence of multimorbidity among middle-aged adults in the Atherosclerosis Risk in Communities Study at baseline by examining the demographic and socioeconomic characteristics of the participants.

Methods

I included 15,698 participants from the Atherosclerosis Risk in Communities (ARIC) baseline visit. Participants were randomly selected from 4 different locations in the United States. Multimorbidity was defined as the prevalence of 2 or more chronic conditions in an individual. Three different multimorbidity definitions (MM1, MM2, and MM3) were created with different inclusion criterion. Prevalence of each multimorbidity definition was analyzed among participants using …

Real-Time Surveillance Of The Drug Epidemic: An Assessment And Comparative Visualization Of Substance Abuse In The Commonwealth Of Kentucky, Julia Van Hosen

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

The purpose of this study was to implement and examine a new surveillance system for Kentucky State Police’s forensics unit to track trends of illicit drugs and drug trafficking, and to see if the implementation of this new system was associated with a decrease in overall drug counts over a period of five months. An extensive review of the literature showed that the drug epidemic in the United States continues to worsen, with public health and law enforcement institutions leading the fight in attempting to end the epidemic, but little evidence showing these two joining forces to work together.

Results …

"Disparities In Suicide Mortality Among Healthcare Support Workers In The United States, 2003-2019", Sol Ngam

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Objectives: To identify differences in demographic and contextual characteristics of suicide mortality among healthcare support workers (HCSWs) and to estimate annual suicide rates among HCSW in the United States from 2003-2019 using the National Violent Death Reporting System (NVDRS) and the United States Bureau of Labor Statistics (BLS).

Methods: Demographic variables of healthcare support worker suicide decedents were collected using the NVDRS. Odds ratios for circumstantial risk factors by sex were calculated. Crude rates for healthcare support worker suicide decedents were calculated and compared to the U.S. general population suicide crude rates.

Results: Male HCSW were more likely to have …

Gender Differences In Barriers To Entering Substance Use Treatment, Casey A. Baker

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Background

Nationally representative data have indicated that less than one in ten individuals with a substance use disorder (SUD) have received recent treatment, suggesting a need for research to examine potential barriers to SUD services. Although research has been conducted to identify some barriers to treatment, there is little research focused on gender differences. To address this gap in research, the present study aimed to examine gender differences in barriers to entering SUD treatment, as well as differences in factors that may impact decisions to enter treatment.

Methods

Participants (N = 62) were recruited from the community as part of …

Efficient Training On Alzheimer’S Disease Diagnosis With Learnable Weighted Pooling For 3d Pet Brain Image Classification, Xin Xing, Muhammad Usman Rafique, Gongbo Liang, Hunter Blanton, Zu Zhang, Chris Wang, Nathan Jacobs, Ai-Ling Lin

Computer Science Faculty Publications (Archived)

Three-dimensional convolutional neural networks (3D CNNs) have been widely applied to analyze Alzheimer’s disease (AD) brain images for a better understanding of the disease progress or predicting the conversion from cognitively impaired (CU) or mild cognitive impairment status. It is well-known that training 3D-CNN is computationally expensive and with the potential of overfitting due to the small sample size available in the medical imaging field. Here we proposed a novel 3D-2D approach by converting a 3D brain image to a 2D fused image using a Learnable Weighted Pooling (LWP) method to improve efficient training and maintain comparable model performance. By …

Level I Fieldwork: Could Simulation Be The Answer? A Descriptive Study, Darla Coss, Stephanie De Sam Lazaro, Katelyn Brady

Journal of Occupational Therapy Education

This article describes the creation and outcomes of simulation as Level I Fieldwork for entry level graduate occupational therapy students. The simulations were created by a team of interprofessional educators following the International Nursing Association for Clinical Simulation and Learning best practices. Additionally, the simulations were designed to meet the student learning outcomes of Level I Fieldwork. Students participated in eight high-fidelity simulations and were evaluated with self-ratings, peer ratings, and faculty ratings. Each student completed a student evaluation of the fieldwork experience, with rating scales and open-ended questions to understand student perceptions of the experience. The vast majority of …

Gender Career Stereotypes, Implicit Bias, And Occupational Therapy, Laura H. Vanpuymbrouck, Carli Friedman

Journal of Occupational Therapy Education

Implicit (unconscious) gender bias and stereotypes can affect clinical decisions and interactions between healthcare professionals, as well as impact careers. However, there is no research exploring the implicit gender bias or stereotypes of occupational therapy students or practitioners. Therefore, the aim of this study was to examine the gender-career bias of occupational therapy students. To do so, occupational therapy students (n = 54) from three Midwestern United States graduate occupational therapy programs completed the gender-career attitudes implicit association test (IAT) – biases associating women with family, and men with career – as well as a survey polling demographic information. …

Public Health Law’S Digital Frontier: Addictive Design, Section 230, And The Freedom Of Speech, Matthew B. Lawrence

Faculty Articles

This Article argues that, even if courts are unpersuaded by the broadest arguments in favor of a public health approach to regulation of addictive design, they should nonetheless reject the platforms’ efforts to make addictive design a public-health-law-free zone. The public health and internet paradigms can be reconciled as a policy matter because addictive design threatens both public health and innovation online. The public health and internet paradigms can also be reconciled as a legal matter be-cause even strong theories of section 230 and the First Amendment, properly understood, leave states a safe harbor in which to regulate much addictive …

Climate Change And The Law Of National Security Adaptation, Mark P. Nevitt

Faculty Articles

The Department of Defense (DoD) is the largest employer in the world, owns and operates an enormous global real estate portfolio, and emits more Greenhouse Gases (GHGs) than many nations. Entrusted with the national security, the DoD is now threatened by a new enemy—climate change. Climate change imperils national security infrastructure while undermining the military’s capacity to respond to climate-driven disasters at home and abroad. However, legal scholarship has yet to address what I call “the law of national security adaptation” and related questions. For example, how do environmental and climate change laws apply to the U.S. military? What laws …

Addiction And Liberty, Matthew B. Lawrence

Faculty Articles

This Article explores the interaction between addiction and liberty and identifies a firm legal basis for recognition of a fundamental constitutional right to freedom from addiction. Government interferes with freedom from addiction when it causes addiction or restricts addiction treatment, and government may protect freedom from addiction through legislation empowering individuals against private actors’ efforts to addict them without their consent. This Article motivates and tests the boundaries of this right through case studies of emergent threats to liberty made possible or exacerbated by new technologies and scientific understandings. These include certain state lottery programs, addiction treatment restrictions, and smartphone …

Thinly Rooted: Dobbs, Tradition, And Reproductive Justice, Darren L. Hutchinson

Faculty Articles

In Dobbs v. Jackson Women’s Health Organization, the Supreme Court overruled Roe v. Wade and Planned Parenthood of Southeastern Pennsylvania v. Casey. These two cases held that the Due Process Clause of the Fourteenth Amendment encompassed a right of women to terminate a pregnancy. Roe reflected over 60 years of substantive due process precedent finding and reaffirming a constitutional right of privacy with several animating themes, including bodily integrity, equality, and dignity. The Court’s substantive due process doctrine had established that the analysis in such cases would involve multiple points of inquiry, such as tradition, contemporary practices, and …

Development Of A Chitosan Nano-Immersion Vaccine Against Aeromonas Veronii Infection In Red Tilapia (Oreochromis Sp.), Pimwarang Sukkarun

Chulalongkorn University Theses and Dissertations (Chula ETD)

Red tilapia (Oreochromis sp.) is a prominent freshwater fish in Thai aquaculture. It has long been afflicted by severe bacterial diseases, ulcerative syndrome, and hemorrhagic septicemia, primarily caused by Aeromonas veronii. Vaccination is a key strategy for control and prevention. In this study a chitosan nano-immersion vaccine has been developed using a nanoemulsion technique and surface modification method with chitosan polymers. The physicochemical properties, mucoadhesive properties, immune response assays, and vaccine efficacy were investigated. The results showed that the vaccine is spherical-shaped, nanometer-sized, and having monodispersed positive charge. The mucoadhesive characterization, observed by SEM and fluorescence microscope imaging, demonstrated that …

The Expressions Of Mhc Class I And Class Ii In Biopsy Tissues By Immunohistochemistry And The Effect Of Interferon-Gamma (Ifn-Γ) On In Vitro Established Canine Cutaneous Mast Cell Tumors, Sudchaya Bhanpattanakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

Canine mast cell tumors (MCT), common skin tumors in dogs, present difficulties in treatment, emphasizing the need for effective therapeutic protocols. The cancer-immunity cycle's complex interactions between cancer and the immune system play a crucial role in tumor growth. Tumors often evade immune response by downregulating MHC expression, hindering T-cell recognition. Cancer immunotherapy is a promising approach that utilizes the patient's immune system for combating cancer. Interferon-gamma (IFN-γ), a potent immune substance, plays a crucial role in enhancing MHC expression and immune functionality, crucial for T-cell recognition and cancer cell elimination. Limited research exists on MHC expression, tumor immune response, …

Upscale Production Of Canine Adipose-Derived Mesenchymal Stem Cell-Derived Exosomes For Wound Healing In Vitro, Yudith Violetta Pamulang

Chulalongkorn University Theses and Dissertations (Chula ETD)

Mesenchymal stem cell-derived exosomes (MSC-derived exosomes) have been previously reported to enhance wound healing across different phases. However, its practical application has been hindered due to challenges regarding low productivity and the lack of efficient production protocol. Additionally, the usage of exosome-based regenerative treatments in the veterinary field remains relatively unexplored. Hence, this study aimed to address these gaps by establishing a potential upscaling protocol producing canine adipose-derived mesenchymal stem cell-derived exosomes (cAD-MSC-exosomes) and exploring their wound healing potential in vitro. To facilitate production protocol establishment, an in-house exosome-collecting media, designated as VSCBIC-3, was preliminarily developed. Building upon this foundation, …

Development Of A Latex Agglutination Test Based On Vh Antibody Fragment For Detection Of Streptococcus Suis Serotype 2, Kiratika Chidkoksung

Chulalongkorn University Theses and Dissertations (Chula ETD)

Streptococcus suis serotype 2 (S. suis 2) is an important porcine pathogen that causes diseases in both swine and humans. For rapid S. suis 2 identification, a novel latex agglutination test (LAT) based on heavy-chain variable domain antibody (VH) was developed. Firstly, the soluble 47B3 VH antibody fragment from a phage display library, in which cysteine residues were engineered at the C-terminus, was expressed in Escherichia coli. The purified protein was then gently reduced to form monomeric soluble 47B3 VH subsequently used to coat with latex beads by means of site-specific conjugation. The detection sensitivity was found to be as …

โครงการศึกษาการพัฒนาบริการสุขภาพปฐมภูมิด้านโรคผิวหนังในผู้สูงอายุ, ชินมนัส เลขวัต

Chulalongkorn University Theses and Dissertations (Chula ETD)

ประชากรโลกมีอายุสูงขึ้นอย่างรวดเร็ว การพัฒนาการจัดบริการสุขภาพปฐมภูมิด้านโรคผิวหนังในผู้สูงอายุจึงมีความสำคัญและมีความจำเป็น เพื่อให้ผู้สูงอายุเข้าถึงการวินิจฉัยและรักษาได้อย่างมีประสิทธิภาพอย่างต่อเนื่องและเท่าเทียมกัน การศึกษานี้ใช้กระบวนการวิจัยเชิงปฏิบัติการแบบมีส่วนร่วม (Participatory action research; PAR) โดยศึกษาองค์ประกอบ, ระบบงาน, เส้นทางการมารับบริการ, ความจำเป็นทางสุขภาพและความคาดหวังของผู้สูงอายุในการมารับบริการสุขภาพปฐมภูมิด้านโรคผิวหนัง โดยทำกิจกรรมสนทนากลุ่ม, การสัมภาษณ์เชิงลึก, การสำรวจด้วยแบบสอบถาม แล้วนำผลไปออกแบบแนวทางการพัฒนาบริการสุขภาพปฐมภูมิด้านโรคผิวหนัง ผลการศึกษาพบว่า การพัฒนาบริการสุขภาพปฐมภูมิด้านโรคผิวหนังควรประกอบด้วย 8 สิ่งสำคัญ คือ 1. การคัดกรองผู้ป่วย 2. การอธิบายการวินิจฉัยรักษาและมียาเพียงพอ 3. การพัฒนาศักยภาพของบุคลากรสาธารณสุข 4. การส่งต่อผู้ป่วย 5. การปรึกษาและเครือข่ายแพทย์ผิวหนัง 6. การนัดหมาย 7. การดูแลตนเองและการดูแลจากอาสาสมัครสาธารณสุขประจำหมู่บ้าน 8. สถานที่และอุปกรณ์เพียงพอ จากการสำรวจความเห็นของหน่วยบริการปฐมภูมิ 12 เขตสุขภาพและได้รับการตอบกลับจากโรงพยาบาลอำเภอและโรงพยาบาลส่งเสริมสุขภาพตำบล 397 แห่งจาก 576 แห่ง (อัตราการตอบกลับ 68.9%) มีความเห็นว่า มีความเป็นไปได้ในการทำวิธีการพัฒนาด้วย PAR 71%, มีประโยชน์ 96% และน่าจะทำได้ในระยะเวลา 6-12 เดือน ส่วนรูปแบบการพัฒนาการจัดบริการสุขภาพปฐมภูมิด้านโรคผิวหนัง มีความเป็นไปได้ 82%, มีประโยชน์ 98% และน่าจะทำได้ในระยะเวลามากกว่า 12 เดือน สรุปผลการศึกษาได้ว่า การพัฒนาการจัดบริการสุขภาพปฐมภูมิด้านโรคผิวหนังมีความจำเป็นและหน่วยบริการปฐมภูมิส่วนใหญ่ลงความเห็นว่าการพัฒนาการจัดบริการสุขภาพปฐมภูมิด้านโรคผิวหนังมีความเป็นไปได้และมีประโยชน์

ความเชื่อมั่นและความเที่ยงตรงของปัญญาประดิษฐ์ Application Dmind สำหรับค้นหาภาวะซึมเศร้าในประชากรไทย, โสฬพัทธ์ เหมรัญช์โรจน์

Chulalongkorn University Theses and Dissertations (Chula ETD)

ประเทศไทยและทั่วโลกมีประชากรประสบภาวะซึมเศร้าเพิ่มขึ้นทุกปี มีจำนวนมากที่ไม่สามารถเข้าถึงบริการสาธารณสุขได้จึงเริ่มมีการนำเทคโนโลยีปัญญาประดิษฐ์มาช่วยค้นหาภาวะซึมเศร้าพร้อมแยกระดับความรุนแรง การศึกษานี้มีวัตถุประสงค์เพื่อพัฒนาเทคโนโลยีปัญญาประดิษฐ์ Application DMIND ประเมินความเชื่อมั่น ความเที่ยงตรง และความถูกต้องในการคัดกรองภาวะซึมเศร้าในประชากรไทย เป็นการศึกษาแบบ Cross-sectional เป็น Research and development โดย มี 2 ระยะ คือ ระยะที่ 1 เป็น การพัฒนา DMIND Questionnaire ที่เตรียมนำเข้าไปใช้กับแอพลิเคชั่น มีการศึกษาความเชื่อมั่น ความเที่ยงตรงและความถูกต้องของแบบสอบถาม ระยะที่ 2 เป็นการศึกษาความเที่ยงตรงและความถูกต้องของ Application DMIND เทียบกับ HDRS-17 Thai ระยะที่ 1: ผู้เข้าการศึกษาทั้ง 81คน ถูกประเมินด้วยแบบสอบถาม DMIND ตามด้วยแบบประเมินภาวะซึมเศร้า Hamilton Depression Rating Scale (HDRS-17 Thai) ผลการศึกษาพบว่า แบบสอบถาม DMIND แสดงให้เห็นถึงคะแนนความถูกต้องของเนื้อหาสูง โดยมี I-CVI และ S-CVI ที่ 1.0 เครื่องมือยังแสดงให้เห็นถึงความสอดคล้องภายในที่สูง Cronbach's alpha coefficient = 0.96 การวิเคราะห์ ROC แสดง AUC = 0.88 ซึ่งบ่งบอกถึงความแม่นยำสูงในการคัดกรองภาวะซึมเศร้า คะแนนตัดที่เหมาะสมที่ 11.5 ระยะที่ 2: เป็นการศึกษาความถูกต้องและเที่ยงตรงของ Application DMIND เทียบกับ HDRS-17 Thai โดยมีผู้เข้าร่วมงานวิจัย ที่มีคุณสมบัติตามเกณฑ์ จำนวน 388 ราย ใช้แอปพลิเคชัน DMIND แล้วถูกประเมินต่อด้วย HDRS-17 Thai ผลการศึกษาพบว่า แอปพลิเคชัน DMIND มีระดับความสอดคล้องกับ HDRS-17 Thai สูง 87.53 …

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

Association Between Oral Health Behavior,Oral Hygiene Status, And Oral Health Status Among Primary School Children In Bangkok, Thailand : A Latent Class Analysis, Pemmika Intato

Chulalongkorn University Theses and Dissertations (Chula ETD)

Oral health affects both the overall health and quality of life of children. Dental caries and gingivitis are one of the most common global oral health problems among school children, including those in Thailand. Both problems are diet- and behavioral-related diseases, with various risk factors contribute to dental caries and gingivitis. This study aims to classify the clusters of oral health status among primary school children in Bangkok, Thailand, and identify association between the identified classes, oral health behavior, and oral hygiene status. The study utilized secondary data from dental chart records in the School Oral Health Promotion Program, Department …

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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