Public Health Commons^™

Agrochemicals And Rural Women's Health In The Volta Region Of Ghana, Sedomda Kpikpitse

Dissertations and Theses @ UNI

Steered by the demand to improve and increase farm production, agrochemicals are regularly used by many farmers globally. However, agrochemical usage has contributed to many chronic illnesses experienced by users such as reproductive disorders, different kinds of cancers, and some chronic respiratory diseases. There are several regional and global coalitions to regulate the prevalence of agrochemicals to ensure their safe usage. Even though people can have access to some approved chemicals, the proper handling of these chemicals is not guaranteed. Many qualities of the person handling the chemical could increase or reduce the risk associated with agrochemicals. The behavior of …

Effect Of Occupational Welding Fume Exposure On Hemostatic & Inflammatory Blood Parameters And Cardiovascular Risks On Welders And Non-Welders In Confined Space: A Longitudinal Study, Ning Li

Chulalongkorn University Theses and Dissertations (Chula ETD)

Occupational welding fumes contains varies of toxic metal particles and may affect cardiovascular system like the Particulate Matters (PM). The hypothetical mechanisms of welding fume toxicity center on oxidative stress and inflammatory, similar as the mechanisms that link PM2.5 and cardiovascular diseases (CVDs). The popular mechanisms on toxicity of welding fumes agreed that PM was associated with increased WBC and neutrophil counts, and increased WBC counts lead to higher Cardiovascular risks and Coronary heart disease risks.Urine Mn and Cr level in the welder group was significantly higher than the non-welder group (Mn: 0.96 VS 0.22 ug/g creatinine, p < 0.001; Cr: 0.63 VS 0.22 ug/g creatinine, p < 0.01). One third of the non-welders were in the high metal-exposed group. When all the participants were divided by occupation type, two times measurements revealed that Hct, WBC and Eosinophil indices of the welder groups were significantly higher (all p < 0.05). Linear regression models showed that, comparing to non-welders, welding could cause alterations to most hemostatic indices majorly by effecting an increase: Hct (β = 0.015, p = 0.007), WBC (β = 0.047, p = 0.033), Eosinophil ratio % (β = 0.345, p = 0.001). When all the participants were divided by metal level groups, there was bidirectional relationship between urine Mn level and WBC count in the linear regression models ((β = - 0.049, p = 0.045 and β = 0.059, p = 0.007, separately for starting and ending point). The study participants (both welders and non-welders) had an average systolic BP in the “high normal” range (Welders: 125.21 ± 11.23 mmHg for systolic BP Non-welders: mean = 126.33 ± 11.41 mmHg for systolic BP). Systolic blood pressure of the welder group increased significantly higher than the non-welder group after one year follow up (welder group VS non-welder: 4.13 ± 11.76 VS - 0.15 ± 6.60 mmHg, p = 0.037).

Family And Household Characteristics And Violent Disciplinary Practices Towards The Children In Myanmar: An Analysis Of 2015-2016 Myanmar Demographic And Health Survey, Nyan Linn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Violence against children is one of the challenging public health problems. Violent disciplines not only affect negative health impacts but also are against children's right. However, those violent methods are still widespread across the countries, especially within the family. For prevention and control, it is required to clearly understand the country-specific information of violent child disciplines. In Myanmar, there are very few studies focusing on this area. This study was aimed to investigate the prevalence and factors associated with violent disciplines against children in Myanmar.Methodology: This study was a secondary data analysis of nationally representative 2015-2016 Myanmar Demographic and …

The Stress And Burnout Among Lecturers In The Universities With Online Teaching In Vietnam During Covid-19 Pandemic: A Cross-Sectional Study, Anh Hoang Thi Ngoc

Chulalongkorn University Theses and Dissertations (Chula ETD)

During COVID-19 pandemic, the education system is one of many aspects in our life which is changed according to the effect of pandemic. Changing from traditional teaching method to new digital teaching method, may lead to adverse health effects directly to mental health of lecturers, including stress and burnout. This study aimed 1) to investigate the level of stress and burnout among lecturers in the universities in Vietnam during COVID-19 pandemic 2) to find the association among demographic, COVID-19 factors, difficulties in teaching online, and stress, burnout among tertiary education lecturers in Vietnam. This study was a cross-sectional study conducted …

Health Risk Assessment Related To Cadmium And Lead Exposure From Cigarette Smoking Among Indonesian Smokers In Surakarta, Indonesia: A Cross-Sectional Study, Panji Mukti

Chulalongkorn University Theses and Dissertations (Chula ETD)

Indonesia is one of the developing countries that have the highest number of smokers and ranks third under China and India. Heavy metal such as cadmium and lead poses major health hazards which are found in tobacco smoke. This study aimed 1) to assess the cancer risk and non-cancer risk related to lead and cadmium exposure from cigarette smoking among Indonesian smokers 2) to find the association between socio-demographic, exposure factors, and health risk among Indonesian smokers. This study was a cross-sectional study using an online questionnaire to get the personal information and smoking behavior among Indonesian male smokers who …

Effect Of Diamond Application On Dietary Intake And Bmi Among Over Nutrition Female College Student In Malang City, Indonesia: A Quasi-Experiment Study, Nurnaningsih Herya Ulfah

Chulalongkorn University Theses and Dissertations (Chula ETD)

Recently, using mobile applications for assisting weight loss programs is a common trend. However, the overnutrition rate is increasing every year. This research aims to develop and investigate the effect of Diet Monitoring (Diamond) application on dietary intake and BMI among overnutrition female college students in Malang City, Indonesia. Using 2 phases, this study used a cross-sectional study for phase I developing the app and a quasi-experiment for phase II investigating the effect of the application. 217 respondents were involved in phase I and 123 participants in phase II. The measurement tools were Tanita DC-360, and ZT-120 Health Scale, including …

Effectiveness Of Communication Program On Reduction Of Tb Stigma And Discrimination Among High-School Students In Bangkok: A Quasi-Experimental Study, Saowaluk Moonsarn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Tuberculosis (TB) is a contagious disease through airborne transmission, and it is still a major cause of illness in Thailand. In addition, some patients with TB infection suffer from stigma and discrimination while living in their community. However, the stigma of TB patients is also reported to be high among high school students. The study aimed to explore the effectiveness of communication program on reduction of TB stigma and discrimination among high-school students in Bangkok. A quasi-experimental study was implemented in two high schools with 212 high-school students (Experimental group =108; Control group=104). Purposive and systematic sampling techniques were adopted …

Association Between Working Condition And Musculoskeletal Disorders (Msds) Among Female Garmentworkers In Khan Mean Chey, Phnom Penh City, Cambodia, Try Phally

Chulalongkorn University Theses and Dissertations (Chula ETD)

Musculoskeletal disorders (MSDs) are a serious public health issue in both industrialized and developing countries. This study aims to investigate the prevalence of musculoskeletal symptoms and the association between working conditions and MSDs among female garment workers in Khan Mean Chey, Phnom Penh city, Cambodia. A cross-sectional research design was conducted among 423 female garment workers. Data collection was convenient sampling through face-to-face interview using a structured questionnaire consisted of socio demographics, working conditions, and the Standardized Nordic Questionnaire for musculoskeletal symptoms assessment during the period between April and May 2022. Descriptive statistics was used to present the prevalence of …

Effectiveness Of A Social Health Security Program In Improving Financial Risk Protection Against The Health Expenditures Of The Insured Populations In Four Districts Of Nepal: A Mixed Method Study, Gaj Bahadur Gurung

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Most low and low-middle income (LMICs) countries adopting National Health Insurance (NHI) programs to achieve Universal Health Coverage are struggling to implement the program and thus have failed to achieve the expected outputs. The Nepal NHI program initiated in 2016 has experienced numerous implementation challenges, due to inadequate inputs and throughput, resulting in negative output such adverse selection, poor health service delivery, low enrollment of the poor household and low annual non-renewals of the NHI membership. However, there is a lack of research that focuses on these problems. So, this study has two objectives. Firstly, delved into the NHI …

Geographical Distribution Improvement Of Physicians In Thailand And Japan : A Comparative Longitudinal Secondary Data Analysis, Hiromichi Takahashi

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The equitable distribution of healthcare workforces to all citizens is necessary to achieve health for all, and has been discussed and addressed in all countries including Thailand and Japan. The objective of this study was to longitudinally examine the change in the geographical distribution of physicians and related policies between 2008 and 2018 through a comparison between Thailand and Japan. Methodology: This research was a longitudinal comparative descriptive study. All data is open secondary data that can be downloaded in the government website. The number of physicians, the physician-population ratio, the Gini coefficient and the Spearman’s correlation coefficient between …

Effectiveness Of Positive Deviance, A Behavior Change Approach, To Improve Knowledge, Attitude And Practices On Dengue Prevention And Control In Selected Slums In Islamabad, Pakistan : A Mixed-Method Study, Muhammad Shafique

Chulalongkorn University Theses and Dissertations (Chula ETD)

This is the first practical application of positive deviance on dengue in the two selected low-income slums of Islamabad which was conducted during June-October 2020. A total of 112 participants (56 for intervention and 56 for the control group) participated in the study. The intervention arm received the positive deviance intervention through the identified positive deviance role models during the regular PD sessions, role plays, illustration competitions, and songs for two months. Three surveys were conducted, before the intervention, after two months, and after four months to assess the changes in knowledge, attitude, and practices. At the baseline, no statistically …

Effect Of Line Application On Action And Coping Plans On Exercise Adherence And Functional Performance For Older Adults With Knee Pain In Suburban Area Of Bangkok Metropolis, Thailand : A Quasi Experimental Study, Pattaraporn Piwong

Chulalongkorn University Theses and Dissertations (Chula ETD)

The known advantage of exercise for older adults who had knee pain is limited by low adherence to an exercise program. LINE application on action and coping plans do improve exercise adherence, knee functional performance and reduce knee pain. This quasi-experimental study determined the effect of LINE application on action and coping plans on exercise adherence, self-efficacy for exercise (SEE) , specific self-efficacy (task, maintenance, recovery), functional performance including knee range of motion (ROM), time up and go (TUG), 30-second chair stand (30CST) , knee outcome for activities of daily living (KOS-ADLS) and knee pain scale among older adults with …

A Policy Simulation Impact Of Tobacco Excise Tax Increase On Cigarette Consumption, Mortality, Medical Treatment Cost, Life-Years Gained, And Government Revenue In Indonesia, Ridhwan Fauzi

Chulalongkorn University Theses and Dissertations (Chula ETD)

The study aimed to examine the impact of tobacco excise tax increase on cigarette consumption, mortality, medical treatment cost, life-years gained, and government revenue in Indonesia. The study consisted of two phases. First, the demand for cigarettes was analyzed using the two-part econometrics model. Data were retrieved from the National Socioeconomic Survey (SUSENAS) 2015, 2016, 2017, 2019, and 2020. The smoking participation was examined using logit specification, while the second part (smoking intensity) used the Generalized Linear Model (GLMs). Second, a compartmental model involving 65 million smokers was employed to assess the impact of different tobacco excise tax increased scenarios …

Association Between Physical Activity And Mental Health Among University Students In Bangladesh : A Cross Sectional Study, Sanjida Sultana

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: Mental health is considered one of the most significant topics of public health as it makes up an integral part of a person’s ability to lead a fulfilling life. University students are one of the most vulnerable groups to be affected by mental health disorders due to a change in their life and societal pressure. Lifestyle modifications like physical activity can be one way to combat these Mental Health problems. Although a lot of research has been carried out to analyze the health impact of Physical exercise, impact of it on Mental Health still lags, especially during the Covid-19 …

Effectiveness Of Blended Learning Program For Cyber Sexual Harassment Prevention Among Female High School Students In Bangkok, Thailand, Siriporn Santre

Chulalongkorn University Theses and Dissertations (Chula ETD)

Cyber sexual harassment is increasing to be one of public health problem among youths. This study aimed to evaluate the effectiveness of blended learning program on knowledge, attitudes, intention to cope with cyber sexual harassment, behavioral coping strategies, and cyber sexual harassment among female high school students in Bangkok, Thailand. A quasi-experimental study design was conducted between May 2021 to October 2021. Total 112 students (56 in intervention and 56 in control group) were selected. The intervention group participated in blended learning program for 12 weeks, while the control group did not receive any program. Blended learning program based on …

Assessment Of Knowledge, Attitude And Usage On Personal Protective Equipment Among Mechanical Maintenance Workers Of A Power Generation Unit In Thailand, Titiphorn Tankian

Chulalongkorn University Theses and Dissertations (Chula ETD)

A Power Generation Unit has duty of electric power supply to the people by producing and distributing electric power. The mechanical maintenance department is one part of their responsibility to achieve the target. However, 207 accident cases were reported during 2012 to 2019. The main causes were found to be unsafe act and unsafe condition including improper usage and lack of personal protective equipment (PPEs). Thus, knowledge, attitude regarding to PPEs, its usage, and factors related to PPEs usage of mechanical maintenance workers need to be assessed. This survey study collected data through self-response questionnaire from 379 mechanical maintenance workers …

Work-Related Musculoskeletal Disorders, Psychosocial Factors, Work Productivity, And Work Ability Among Garment Factory Workers In Myanmar, Tun Win Oo

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background - Work-related musculoskeletal disorders (WRMSD) are the most common occupational problem worldwide. The magnitude of WRMSD is worsened by the physical and psychological factors in different occupations. The global burden of WRMSD comprises the second most common cause of disability; most frequent back pain, measured by Years lived with disability (YLDs) worldwide. Workability also plays a crucial role that links with productivity and WRMSD. Musculoskeletal disorders are also one of the most common causes of YLDS in the working-age group (20-54Years) take in more than 45% of the proportion. Sewing machine operators are one of the common occupational sectors …

Factors Associated To Mental Health And Stress Among Frontline Workers At Suvarnabhumi Airport During Covid-19 Pandemic, Thailand : A Cross-Sectional Study, Toonlaya Direkwutthikun

Chulalongkorn University Theses and Dissertations (Chula ETD)

During COVID-19 pandemic,the frontline airport workers are the first group of people who have to screening all passengers from other countries to control and mitigate the imported case at the point of entry. The effects of COVID-19 are deeply down to individual health, especially the frontline airport workers who perform screening duties at the airport. The anxiousness and stress can occur from scarcity of equipment and afraid to be infected and can affects mental health and stress. This study is aimed to investigate the association between socio-demographic, job characteristics, and personal preventive measure factors to the mental health and stress …

Prevalence And Associated Factors Of Food Insecurity During Covid-19 Pandemic In Bangkok, Thailand : A Cross-Sectional Study, Wimonmanee Mekkhum

Chulalongkorn University Theses and Dissertations (Chula ETD)

The prevalence of food insecurity (FI) in Thailand has fluctuated throughout time. The COVID-19 pandemic had a substantial impact on Thailand's food system and the factors that contribute to food insecurity differ greatly across developed and developing countries. Consequently, this study may contribute as a step in achieving the SDGs by 2030. The aim was to estimate the prevalence and associated factors of food insecurity during COVID-19 pandemic among Bangkokian. A cross-sectional study was conducted over 440 Bangkokians and data were collected through self-administrated. The questionnaire included the general characteristics, associated factors and the Food Insecurity Experience Scale (FIES) in …

Effects Of Selected Aroma Compounds On Physiological Activities And Emotions, Akarat Sivaphongthongchai

Chulalongkorn University Theses and Dissertations (Chula ETD)

Current literature has revealed the effects and therapeutic properties of a wide variety of aromatic compounds but studies on the inhalation effects of single aromatic compounds in terms of central nervous system, emotional states and autonomic nervous system are still very limited. So, this study aimed to examine the physiological and emotional effects of selected volatile compounds inhalation namely d-borneol (BO), d-camphor (CH), methyl eugenol (ME), methyl chavicol (MC) using scientific techniques on autonomic nervous system (ANS), self-evaluated questionnaire on emotional states and brain wave activities. Sweet almond oil was used as a carrier oil and a diluent control. This …

Compilation, Explanation And Restoration Of Moh Phon's Herbal Formulations For Skin Conditions, Qiaoling Ye

Chulalongkorn University Theses and Dissertations (Chula ETD)

Moh Phon’s traditional Thai medicine formularies were developed, compiled and recorded by Abhakara Kiartivongse or Moh Phon until 1915. This study aimed to elucidate traditional Thai medical wisdom regarding to Moh Phon formularies, especially for skin diseases. Herbal crude drugs in Moh Phon’s traditional Thai medicine formularies for skin diseases were compiled and authenticated for their vernacular and scientific names. The descriptions of plant species, ethnomedical uses, pharmacological activities and active constituents and toxicities were scientifically reviewed and established. The prevalence of plant species used in the formularies was analyzed. The formularies for 26 symptoms or diseases in the skin …

Rapid Transition Of A Technical Course From Face-To-Face To Online, Swapna Gottipatti, Venky Shankaraman

Research Collection School Of Computing and Information Systems

Just like most universities around the world, the senior management at Singapore Management University decided to move all courses to a virtual, online, synchronous mode, giving instructors a very short notice period—one week—to make this transition. In this paper, we describe the challenges, practical solutions adopted, and the lessons learnt in rapidly transitioning a face-to-face Master’s degree course in Text Analytics and Applications into a virtual, online, course format that could deliver a quality learning experience.

Covid-19 And The Workplace: Implications, Issues, And Insights For Future Research And Action, Kevin M. Kniffin, Jayanth Narayanan, Frederik Anseel, John Antonakis, Susan P. Ashford, Arnold B. Bakker, Peter Bamberger, Hari Bapuji, Devasheesh P. Bhave, Virginia K. Choi, Stefanie J. Creary, Evangelia Demerouti, Francis J. Flynn, Michele J. Gelfand, Lindred L. Greer, Gary Johns, Selin Kesebir, Peter G. Klein, Sun Young Lee, Hakan Ozcelik, Jennifer Louise Petriglieri, Nancy P. Rothbard, Cort W. Rudolph, Jason D. Shaw, Nina Sirola

Research Collection Lee Kong Chian School Of Business

COVID-19’s impacts on workers and workplaces across the globe have been dramatic. We present a broad review of prior research rooted in work and organizational psychology, and related fields, for making sense of the implications for employees, teams, and work organizations. Our review and preview of relevant literatures focuses on: (i) emerging changes in work practices (e.g., working from home, virtual teams) and (ii) economic and social psychological impacts (e.g, unemployment, mental well-being). In addition, we examine the potential moderating factors of age, race and ethnicity, gender, family status, personality, andcultural differences to generate disparate effects. Illustrating the benefits of …

Lessons From Our Living Rooms: Illuminating Lockdowns With Technology Domestication Insights, Sun Sun Lim, Yang Wang

Research Collection College of Integrative Studies

With at least half of humanity under lockdown to arrest the spread of COVID-19 (Sandford, 2020), adults have been working from home and children engaging in home schooling for months on end. Competing for scarce resources such as digital devices, bandwidth, as well as physical and personal space, families have had to contend with rising tensions around the quality of digital engagement, children’s learning abilities, parent-child relationships and overall familial wellbeing. This fraught situation shone the spotlight on the household context of technology use but also enabled us to marshal academic insights to advance advocacy and public education. The pandemic …

Prevalence And Factors Associated With Mental Health Symptoms In Adults Undergoing Covid-19 Testing, Ikponmwosa Osaghae, Linh K Nguyen, Tong Han Chung, Olivia Moffitt, Yen-Chi L Le, Mark B Suh, Pooja N Prasad, Eric J Thomas, Christine D Gordon, Kevin O Hwang

Faculty, Staff and Student Publications

BACKGROUND AND OBJECTIVE: Understanding the mental health impact of the COVID-19 pandemic on persons receiving COVID-19 testing will help guide mental health interventions. We aimed to determine the association between sociodemographic factors and mental health symptoms at 8 weeks (baseline) after a COVID-19 test, and compare prevalence of mental health symptoms at baseline to those at 16-week follow-up.

MATERIALS AND METHODS: Prospective cohort study of adults who received outpatient COVID-19 testing at primary care clinics. Logistic regression analyses were used to assess the association between sociodemographic characteristics and COVID-19 test results with mental health symptoms. Mental health symptoms reported at …

The Role Of Insurance Coverage In Outpatient Substance Use Disorder Treatment Referral, Utilization, And Outcomes, Huyen Pham

Theses and Dissertations

Opioid-related overdoses increased dramatically in recent years. Medicaid plays a predominant role in paying for opioid use disorder (OUD) treatment. However, there is a critical gap in understanding the role of Medicaid coverage in referrals to treatment, treatment utilization, and treatment retention. The three studies used observational and quasi-experimental (i.e., natural experiment) designs leveraging state and year variation in Medicaid expansion to characterize the role of Medicaid coverage in OUD treatment. We found that individuals with OUD with Medicaid insurance were more likely to use outpatient treatment, whereas those who were uninsured were more likely to use self-help groups only. …

A Deep Learning U-Net For Detecting And Segmenting Liver Tumors, Vidhya Cardozo

Theses and Dissertations

Visualization of liver tumors on simulation CT scans is challenging even with contrast-enhancement, due to the sensitivity of the contrast enhancement to the timing of the CT acquisition. Image registration to magnetic resonance imaging (MRI) can be helpful for delineation, but differences in patient position, liver shape and volume, and the lack of anatomical landmarks between the two image sets makes the task difficult. This study develops a U-Net based neural network for automated liver and tumor segmentation for purposes of radiotherapy treatment planning. Non-contrast simulation based abdominal CT axial scans of 52 patients with primary liver tumors were utilized. …

Health Outcomes And Utilization Associated With Renal Diseases In Patients With Cancer In The United States, Mitisha Dedhia

Theses and Dissertations

Background: Adverse events and impairments associated with cancer and its treatments causes worse outcomes. Increased incidence of renal diseases among cancer patients is of particular concern. Objective: To determine the risk factors for renal disease in cancer patients and compare healthcare costs, utilization and health-related quality of life (HRQoL) of cancer patients with a renal disease and cancer patients without renal diseases. Methods: Medical Expenditure Panel Survey files from 2009 – 2018 for cancer patients was used for this study. Multiple logistic regression, generalized linear model, Poisson regression and multiple linear regression for analyses after adjusting for demographic, socioeconomic and …

Associations Between Social Determinants Of Health And Chlamydia Infections Among Georgia Counties, Bre'auna K. Beasley

Theses and Dissertations

Chlamydia is a growing public health concern that disproportionately impacts southern states. While social determinants of health are not direct causes of chlamydia infections, studies have found that these determinants do influence infections by creating environments that promote or hinder health seeking behaviors, as well as exposure to risk factors. Guided by the Social Ecological Model of Public Health and the Healthy People 2030 Social Determinants of Health Conceptual Framework, this dissertation study aimed to examine the associations between social determinants of health and chlamydia infections among Georgia counties. This study employed a correlational research design. Aggregate-level secondary data for …

Another Step In Diagnostics Consultation Model© Actualization: Examining The Impact Of Consultation Workflow Processes On Providers' Clinical Decision Making, Elizabeth K. Leibach

Theses and Dissertations

Background
Communication errors in health services delivery significantly compromise quality in clinical decision making (CDM). Diagnostic information generated by clinical laboratories (CL) accounts for as much as 93% of objective data in the clinical record and therefore is foundational in CDM. This work describes the Diagnostics Consultation Model© (DCM©), a CL communications portal, which supports CDM within interprofessional teams, providers, and institutions. Specific aims were to develop and validate a workflow prediction index (the complexity index, CI) to assign resolution of consultation requests based on an algorithm comprised of characteristics available at the point of consultation initiation. The CI functions …