Public Health Commons^™

Genetic Diversity Of Merozoite Surface Protein 1 Gene Of Plasmodium Falciparum In Thailand, May Myat Thu

Chulalongkorn University Theses and Dissertations (Chula ETD)

In 2030, World health organization's target is to eliminate malaria at least in 35 countries. At present, Thailand is low risk of malaria so that, it has the potential to eliminate. About 10 years ago, malaria prevalence was high along the country border areas. To prevent the recurrence in those areas, evaluation of drug susceptibility of parasites and vaccine are important. Therefore, basic knowledge on genetic diversity in malaria parasite is needed. Merozoite surface protein 1(msp1), one of the vaccine candidate genes, is useful for monitoring genetic diversity of the parasite and the potential gene of vaccine. However, high diversity …

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

Factors Associated With Knowledge And Awareness Of Syphilis Among The Youths Visiting Family Planning Clinics, Bangkok, Thailand, Nutcha Tattanon

Chulalongkorn University Theses and Dissertations (Chula ETD)

Syphilis has been controlled since 1960. However, syphilis is now reappearing in some areas in Africa and South-east Asia including Thailand. In Thailand, syphilis is reappearing in all regions. The most high-risk population is the youth aged 15-24 year. Objective of this study aimed to determine factors associated with knowledge and awareness of syphilis prevention among youths visiting at family planning clinic, Bangkok, Thailand. Method of this study was a cross-sectional study conducted by purposive sampling among the youth aged 15-24 years old who visit at PPAT family planning clinic, Bangkok, Thailand during April-June 2021. Multivariable logistic regression analysis was …

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

Pharmacognostic Specifications And Chlorogenic Acid Content Of Morus Alba Linn. Leaves In Thailand, Phimkun Aiyarakanchanakun

Chulalongkorn University Theses and Dissertations (Chula ETD)

Morus alba Linn., belonging to Moraceae family, is commonly used as an herb. M. alba leaves are widely used in traditional Chinese medicine and Thai traditional medicine. It used to treat colds caused by wind-heat, sore throat, cough, eye inflammation, etc. This study aimed to investigate the pharmacognostic specifications and analyze the content of chlorogenic acid in M. alba leaves. M. alba leaves were collected from 15 different sources throughout Thailand. The fresh mature leaves were used for macroscopic and microscopic evaluations. The macroscopic details were illustrated as drawings. The microscopic evaluation showed the details of the leaf constant number …

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

Effect Of Social Media Model To Improve Sexual Health Literacy Among Secondary School Female Students In Southern Provinces, Thailand: A Quasi Experimental Study, Premyuda Narkarat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background/Objectives: Adolescent pregnancy is one of major public health issues globally and in Thailand. Female adolescents are at high risk of sexual and reproductive health problems like unintended pregnancies, abortion, childbirth related complications including sexually transmitted diseases (STDs) and AIDS due to poor sexual health literacy (SHL). Sexual health literacy (SHL) is one of very important factors to prevent teenage pregnancy. The aim was to examine the effect of social media model to improve sexual health literacy among secondary school female students in southern provinces of Thailand. Method: This study employed a quasi-experimental research design using two groups the intervention …

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

A Social Ecology Of Sexual Health And Well-Being Among Older Gay Men And Transgender Women In Chiang Mai, Thailand: A Qualitative Study, Suchon Tepjan

Chulalongkorn University Theses and Dissertations (Chula ETD)

With increasing ageing populations in Thailand, including sexually diverse communities, there has been little attention to older gay men and transgender women regarding their sexual health and well-being. Several international studies indicated that these communities have been underserved, especially in countries that lack human rights to protect against social and cultural stigma. The well-being of this population, that had experienced discrimination, victimization, and identity concealment in their early years, could have been better understood through open-ended exploration. This study explores the social-ecological factors contributing to the sexual health of older gay men and transgender women in Chiang Mai. This qualitative …

Association Between Smartphone Addiction And Mental Health Among High School Students In Bangkok, Thailand: A Cross-Sectional Study, Suphasuta Doungraksa

Chulalongkorn University Theses and Dissertations (Chula ETD)

The technology today is rapidly and continuously intervening into people's lives, and when people become too addict to electronic devices has shown series of abnormality of health problems which including both physical and mental. As it mentioned, the study aims to examine the relationship of smartphone addiction and mental health specifically in depression, anxiety, and stress. This study aims to investigate the relationship between smartphone addiction and mental health among high school students in Bangkok, Thailand. There were sample of 420 high school students in Bangkok, Thailand who participated in self-administrated questionnaires for a cross-sectional study of smartphone addiction and …

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

Impact Of Covid-19 Pandemic On The Mental Health Of Health Care Personnel From Government Hospitals In Yangon Region, Myanmar, Za Mae Nin Sar Aung

Chulalongkorn University Theses and Dissertations (Chula ETD)

The outbreak of COVID-19 has disastrously impacted on the human being resulting with a great number of deaths and somewhat negative mental health outcomes across the countries. A dramatic rise in transmission and death rate had profoundly hit Myanmar during the second wave especially in epicenter Yangon. The burden of managing COVID-19 have led the health care personnel (HCP) into both physical and mental exhaustion.This study intended to estimate mental health impact among HCP by quantifying the magnitude of symptoms of depression, anxiety, and stress and to determine associated factors. A cross-sectional, online based self-administered questionnaire was used to gather …

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

Chulalongkorn University Theses and Dissertations (Chula ETD)

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

Self-Reporting, Unf Emergency Management

UNF COVID-19 Response

Information on Self-Reporting Covid-19 symptoms

Meet With Peace Of Mind, Adam W. Herbert University Center

UNF COVID-19 Response

Protocols for meetings at the Adam W. Herbert University Center

Covid-19 Event Information, Unf Fine Arts Center

UNF COVID-19 Response

Covid protocols for Fine Arts Center events

Housing And Residence Life Coronavirus (Covid-19) Updates, Unf Housing And Residence Life

UNF COVID-19 Response

Residence Life Covid-19 Updates

Unf Covid-19 Education Program Completion Instructions, Center For Professional Development And Training

UNF COVID-19 Response

Instructions for employees and students to access and complete COVID-19 training

Free Covid-19 Testing On Campus, Unf Emergency Management

UNF COVID-19 Response

No abstract provided.

“Is Therapy For Me?” Perceptions Of Therapy Inclusivity And Willingness To Seek Help Among Black Emerging Adults, Randl B. Dent

Theses and Dissertations

Mental health issues are prevalent among Black emerging adults; however, they tend to underutilize mental healthcare services. The goals of the current study were to examine whether: (1) perceived therapy inclusivity would predict willingness to utilize mental healthcare services and (2) the relationship between perceived therapy inclusivity and willingness would be moderated by two indices of racial identity (i.e., centrality and private regard). Results provide evidence that greater perceptions of therapy inclusivity are associated with greater willingness to seek mental health services even after controlling for factors, such as gender, self-stigma, and previous mental healthcare utilization. Additionally, there was no …

Associations Between Stress, Racial Discrimination, And Cytokine Levels In Black Americans, Takia Williams

Theses and Dissertations

Inflammation is a common pathophysiological pathway for a number of chronic diseases and is influenced by exposure to stress. Although there are racial disparities in health outcomes, relatively little is known about factors that may influence the inflammatory response in Black American individuals. This study examined whether racial discrimination and other forms of stress are associated with the balance of pro- and anti- inflammatory cytokines in Black American adults. Data from 22 participants were drawn from a larger study of Black American children (ages 5-12) and their primary caregivers drawn from low income neighborhoods in Richmond, Virginia. Caregivers reported demographics, …

The Relationships Among External Environments, Organizational Structures, And Performance In Pursuit Of The Clinical And Academic Missions At Academic Health Centers, Eric J. Strucko

Theses and Dissertations

Clinical and academic missions place Academic Health Centers (AHCs) at the center of the American health care system, and the future viability of these institutions requires successful performance in competitive environments. AHCs are organizations involving hospitals, physician group practices, and medical schools, and treat patients with complex conditions, conduct bio-medical and health science research, and educate future physicians and health professionals. AHCs account for 20% or $540 billion of national health care expenditures, conduct over 80% of all heart, liver, and lung transplants, utilize over $27 billion in annual sponsored research funding, and graduate approximately 17,300 medical doctors annually. Financial …

Identifying And Addressing Barriers To Accessing Treatment For Substance Use Disorders Among Opioid-Misusing Individuals Following Implementation Of The Affordable Care Act, Mirinda A. Gormley

Theses and Dissertations

BACKGROUND: This project utilized opioid-misusing adults to investigate the association between type of opioid misuse and perceived readiness, financial, structural, and stigma-related barriers to accessing SUD treatment; identified classes of PSU and the association between patterns of PSU and perceived barriers, and evaluated effectiveness of an out-of-hospital opioid-treatment connection program.

METHODS: Respondents from 2015-2018 NSDUH included insured adults reporting past year opioid misuse. Multivariate logistic regression assessed relationship between type of opioid misuse and perceived barriers to SUD treatment. LCA identified patterns of PSU, and multivariate logistic regression assessed association between PSU classes and perceived barriers. EMS ePCRs for nonfatal …

A Theoretically-Based Mixed Methods Approach To Examining Mental Health Disorders And Help-Seeking Behaviors Among University-Enrolled African American Men, Kofoworola D.A. Williams

Theses and Dissertations

Recent studies show that African American men in college are disproportionately experiencing high levels of psychological distress, increasing their risk of developing mental health symptoms associated with depression and anxiety. Despite being at higher risk for developing mental health symptoms, university-enrolled, African American men are not seeking help even when experiencing high levels of stress and anxiety, impacting their academic performance. The evidence base describing mental health symptom prevalence and evidence-based prevention strategies among university-enrolled, African American men is limited. To that end, this dissertation work utilized a concurrent, mixed methods approach, theoretically-based in the Social Ecological Model (SEM), to …

A Qualitative Analysis Of Caregiver Goals For Urban Children With And Without Asthma, Megan M. Carlson

Theses and Dissertations

Pediatric asthma is a major public health concern that disproportionately affects children of color and youth living in low-income, urban areas. The implications for public health, child health, and family functioning necessitates our understanding and addressing experiences by families who are facing barriers within their socio-demographic context in addition to the stressors associated with managing pediatric asthma. The current study applied qualitative methods to interviews with caregivers of children with and without asthma in an effort to more deeply connect with caregivers’ experiences and yield richer information about the intersection of identities as Black caregivers living in an urban setting …

The Impact Of The Fda Warning On Post-Tonsillectomy Opioid Prescribing In Publicly And Privately Insured Children, Dianna J. Soelberg

Theses and Dissertations

Due to reports of significant adverse events, the U.S. FDA placed a Boxed Warning on the opioid codeine in February 2013 – contraindicating its use in pediatric patients undergoing tonsillectomy and/or adenoidectomy. Studies conducted in privately insured children showed a reduction in codeine prescribing and a slight increase in alterative opioid prescribing following the FDA warning, yet the extent to which the FDA warning impacted prescribing in publicly insured children is unknown. Using a quasi-experimental interrupted time series design, this study evaluated codeine and alternative opioid prescribing before and after the FDA warning in both publicly and privately insured children …

Black Women And Body Image: Implications Of The Racialized Beauty Aesthetic, Rachel L. Boutte

Theses and Dissertations

Black women have the highest prevalence of overweight and obesity relative to any other demographic group in the United States, however current weight management interventions appear least effective for them. Although several hypotheses have been proposed to explain these outcomes, few studies have collected data to evaluate how well they fit the lived experiences of Black women. In particular, the potential roles of body image and body dissatisfaction in the development and maintenance of overweight and obesity in Black women are not well understood. Extant literature largely reports that Black women are inoculated from body dissatisfaction due to cultural factors, …

A Five-Sample Confirmatory Factor Analytic Study Of Burnout-Depression Overlap, Renzo Bianchi, Irvin Sam Schonfeld, Jay Verkuilen

Publications and Research

Objective: It has been asserted that burnout—a condition ascribed to unresolvable job stress—should not be mistaken for a depressive syndrome. In this confirmatory factor analytic study, the validity of this assertion was examined.

Methods: Five samples of employed individuals, recruited in Switzerland and France, were mobilized for this study (N = 3,113). Burnout symptoms were assessed with the Shirom–Melamed Burnout Measure, the Maslach Burnout Inventory (MBI)—General Survey, and the MBI for Educators. Depressive symptoms were measured with the PHQ‐9.

Results: In all five samples, the latent factors pertaining to burnout’s components correlated on average more highly with the latent Depression …