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2023

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Full-Text Articles in Public Health

Huge Abdominopelvic Mass Arising From Cervical Fibroid Around An Infected Cervical Diverticulum: A Very Rare Case And A Review Of Literature, Arpita De, Reva Tripathi, Abhinav Jain, Safia Rana Jan 2023

Huge Abdominopelvic Mass Arising From Cervical Fibroid Around An Infected Cervical Diverticulum: A Very Rare Case And A Review Of Literature, Arpita De, Reva Tripathi, Abhinav Jain, Safia Rana

Faculty, Staff and Student Publications

Primary uterine diverticula are a very rare congenital anomaly of the uterus with only 21 reported cases. Even rarer is the occurrence of primary cervical diverticula with only six cases reported so far. This is a unique case of a huge abdominopelvic mass arising from cervical fibroid around an infected cervical diverticulum. A 44 year-old, P4L4 came to the OPD with a eighteen weeks size abdomino-pelvic mass. She had a failed surgery 6 months back, attempted to remove the mass. Magnetic resonance imaging revealed a cervical diverticulum which possibly had a pus collection. Relaparotomy was done. It revealed a huge …


Prevalence Of Depressive Symptoms And Correlates Among Individuals Who Self-Reported Sars-Cov-2 Infection After Optimizing The Covid-19 Response In China, Liangjia Wei, Jiao Qin, Zhifeng Lin, Xinju Huang, Jinfeng He, Dee Yu, Fei Zhang, Sisi Li, Ping Cen, Mu Li, Tong Luo, Rongjing Zhang, Shanmei Zhong, Cai Qin, Zeyu Li, Yuan Yang, Huiqi Pan, Mengdi Zhao, Xiaoqiong Wu, Junjun Jiang, Hao Liang, Li Ye, Bingyu Liang Jan 2023

Prevalence Of Depressive Symptoms And Correlates Among Individuals Who Self-Reported Sars-Cov-2 Infection After Optimizing The Covid-19 Response In China, Liangjia Wei, Jiao Qin, Zhifeng Lin, Xinju Huang, Jinfeng He, Dee Yu, Fei Zhang, Sisi Li, Ping Cen, Mu Li, Tong Luo, Rongjing Zhang, Shanmei Zhong, Cai Qin, Zeyu Li, Yuan Yang, Huiqi Pan, Mengdi Zhao, Xiaoqiong Wu, Junjun Jiang, Hao Liang, Li Ye, Bingyu Liang

Faculty, Staff and Student Publications

BACKGROUND: The burden of depression symptoms has increased among individuals infected with SARS-CoV-2 during COVID-19 pandemic. However, the prevalence and associated factors of depressive symptoms among individuals infected with SARS-CoV-2 remain uncertain after optimizing the COVID-19 response in China.

METHODS: An online cross-sectional survey was conducted among the public from January 6 to 30, 2023, using a convenience sampling method. Sociodemographic and COVID-19 pandemic-related factors were collected. The depression symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9). Logistic regression analysis was performed to explore the associated factors with depressive symptoms.

RESULTS: A total of 2,726 participants completed the survey. …


‘A Healthy Mtu’ A Mixed Methods Baseline Programme Of Research To Empirically Inform A Campus Health Promotion Initiative Within An Irish Higher Education Setting, Andrea Bickerdike Jan 2023

‘A Healthy Mtu’ A Mixed Methods Baseline Programme Of Research To Empirically Inform A Campus Health Promotion Initiative Within An Irish Higher Education Setting, Andrea Bickerdike

Theses

Higher Education Institutions (HEIs) have been called to lead global health promotion actions, yet there remains a dearth of empirically informed ‘Healthy University’ (HU) initiatives. This thesis constituted a baseline mixed methods needs assessment to inform a settings-based health promotion (HP) initiative (‘A Healthy MTU’) within a multi-campus ‘case’ HEI in Ireland (Cork campuses of MTU, formerly CIT). Specific aims were to (i) investigate student and staff health metrics, and (ii) identify the cultural and environmental determinants of health and wellbeing within the case HEI setting. Using a phased, mixed methodology (QUAN-QUAL), five sequential empirical studies were undertaken. Quantitative data …


Pediatric Diarrhea Patients Living In Urban Areas Have A Higher Incidence Of Clostridioides Difficile Infection, Ayodele T Adesoji, Osaro Mgbere, Charles Darkoh Jan 2023

Pediatric Diarrhea Patients Living In Urban Areas Have A Higher Incidence Of Clostridioides Difficile Infection, Ayodele T Adesoji, Osaro Mgbere, Charles Darkoh

Faculty, Staff and Student Publications

Clostridioides difficile infection (CDI) is a major cause of antibiotic-associated diarrhea and an unappreciated contributor to child mortality in low- and middle-income countries where the diagnosis may be difficult. There is little information about the prevalence of CDI among infants, children, and adolescents in Africa. Using a cross-sectional design, seventy-six samples were collected from pediatric patients presenting with diarrhea, including infants (≤ 2 years old), children (2-12 years), and adolescents (13 ≤17 years) from three hospitals between January and December 2019. Demographic data, medical history, and prior antibiotic use were recorded. Toxigenic culture and PCR were used to detect and …


Population-Based Assessment Of The Burden Of Covid-19 Infection In African Countries: A First-Year Report Card And Public Health Implications, Osaro Mgbere, Ogbonna Collins Nwabuko, Olajumoke A Olateju, Omolola E Adepoju, Winston Liaw, Charles Darkoh, Ekere James Essien Jan 2023

Population-Based Assessment Of The Burden Of Covid-19 Infection In African Countries: A First-Year Report Card And Public Health Implications, Osaro Mgbere, Ogbonna Collins Nwabuko, Olajumoke A Olateju, Omolola E Adepoju, Winston Liaw, Charles Darkoh, Ekere James Essien

Faculty, Staff and Student Publications

BACKGROUND: The COVID-19 pandemic constitutes a global health threat and poses a major burden on the African continent. We assessed the real-world burden of COVID-19 infection in African Union (AU) member states to determine the distributional patterns of epidemiological measures during the first 1 year of the pandemic.

METHODS: This retrospective cross-sectional study utilized COVID-19 data from publicly available data repositories of the African Center for Disease Control and Prevention and

RESULTS: A total of 3.21 million cases were reported during the 1-year period, with 2.6 million recoveries, 536,784 cases remaining active, and 77,486 deaths. Most countries (49.1%,

CONCLUSION: Understanding …


Landscaping Wellness At Work: A Participatory Model For Worker-Centered Health, Anya Helena Piotrowski Jan 2023

Landscaping Wellness At Work: A Participatory Model For Worker-Centered Health, Anya Helena Piotrowski

Antioch University Dissertations & Theses

This study contributes to a body of scholarship that demonstrates the benefits and need of employee-driven and defined wellness at work processes. This participatory action research study brought together a team of employees within a remote-work, start-up organization to define and design a process for implementing wellness at work for their organization. Through a participatory process that allowed outcomes to emerge from the group, employees identified opportunities to foster embodied wellness in their organization in three core areas: organizational, personal, and cross-boundary initiatives. Through a reflective collaboration, employees generated ideas and developed a plan to address employee-identified priorities that will …


Effectiveness Of The Stage Of Change And Learning Resources In Educational Institutions (Sclr) For Reducing Alcohol Consumption Among University Students: A Quasi Experimental Study, Rangsima Passara Jan 2023

Effectiveness Of The Stage Of Change And Learning Resources In Educational Institutions (Sclr) For Reducing Alcohol Consumption Among University Students: A Quasi Experimental Study, Rangsima Passara

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to test the effectiveness of an alcohol prevention program, SCLR (S = stage, C = change, L = learning, and R = resources), on the knowledge about alcohol and alcohol consumption of moderate drinkers who were Rajabhat University students in Bangkok. A quasi-experiment was implemented in two Rajabhat universities. One hundred eighty-four moderate drinkers voluntarily participated in the program (Intervention, n = 92; Control, n = 92). Knowledge about alcohol and alcohol consumption was assessed four times: at baseline, at exit point (6 weeks after baseline), 1 month, 3 months, and 6 months post-intervention. Data were analyzed …


Effectiveness Of Lower Balancing Exercise (Modified Maneevej Program) Through Facebook Reducing Pms Among Undergraduate Students In Kasetsart University, Sakon Nakhon Campus, Thailand, Apiradee Wangkahart Jan 2023

Effectiveness Of Lower Balancing Exercise (Modified Maneevej Program) Through Facebook Reducing Pms Among Undergraduate Students In Kasetsart University, Sakon Nakhon Campus, Thailand, Apiradee Wangkahart

Chulalongkorn University Theses and Dissertations (Chula ETD)

Premenstrual Syndrome (PMS) is a worldwide public health issue which is present in all cultures of women. This is a chronic disorder that affects more than over a million women around the world among those who have started their period of menstruation. Adolescence is a phenomenon which is a sign of reproductive maturity and might not be seen as a health problem or condition. World Health Organization reported that approximately 199 million women have premenstrual syndrome. Studies showed that about 20% of women of reproductive age find these premenstrual symptoms distressing. Experiencing such symptoms is cited as affecting women’s interpersonal …


The Effectiveness Of Asthma Home Management Manual And Low-Cost Air Filter On Asthma Control And Quality Of Life Among Asthma Adults Living In Chanthaburi Province, Thailand: A Randomized Controlled Trial, Sirilak Muanprasong Jan 2023

The Effectiveness Of Asthma Home Management Manual And Low-Cost Air Filter On Asthma Control And Quality Of Life Among Asthma Adults Living In Chanthaburi Province, Thailand: A Randomized Controlled Trial, Sirilak Muanprasong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Asthma is an existing chronic respiratory disease imposing a significant burden on vulnerable groups and health care systems. It calls for critical needs in the management and control of asthma triggers and consequences. Addressing this, the study aimed to investigate the effectiveness of a home management manual and low-cost air filter as an asthma intervention to improve limited resource availability.This experiment was a three-arm randomized control trial accomplished from March to June 2022. The participants were 18-55 years old moderate and wild asthmatic patients. A total of 114 participants were recruited and randomly allocated to three groups: home management only, …


Effectiveness Of Telemedicine For Hypertension Patients In Primary Healthcare On Improving Healthcare Access And Blood Pressure In Muang District, Phetchabun Province, Thailand: A Mixed Methods Study, Tassana Thammaros Jan 2023

Effectiveness Of Telemedicine For Hypertension Patients In Primary Healthcare On Improving Healthcare Access And Blood Pressure In Muang District, Phetchabun Province, Thailand: A Mixed Methods Study, Tassana Thammaros

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Hypertension services were disrupted by the COVID-19 pandemic, prompting heavy utilization of telemedicine to overcome these challenges. This study aimed to develop and evaluate the effectiveness of telemedicine for hypertension patients in primary healthcare settings, focusing on healthcare access and blood pressure outcomes among hypertension patients in Muang District, Phetchabun Province, Thailand.Methods: This mixed-methods study began with in-depth interviews with healthcare staff until data saturation was reached in April 2023, using analytic induction for analysis. Subsequently, a quasi-experimental study was conducted in primary care facilities in Muang District, Phetchabun Province, Thailand, from May 1st to October 31st, 2023. Hypertensive …


The Effectiveness Of "Teach To Say-No" Intervention On Teacher's Knowledge, Attitude, Feasibility, And Acceptability Towards Child Sexual Abuse Prevention Program In Phnom Penh City, Cambodia: A Mixed Methods Study, Swarnamala Kantipudi Jan 2023

The Effectiveness Of "Teach To Say-No" Intervention On Teacher's Knowledge, Attitude, Feasibility, And Acceptability Towards Child Sexual Abuse Prevention Program In Phnom Penh City, Cambodia: A Mixed Methods Study, Swarnamala Kantipudi

Chulalongkorn University Theses and Dissertations (Chula ETD)

Child sexual abuse is a highly debated issue worldwide. Protecting children from sexual abuse and implementing primary prevention approaches is a crucial task for LMICs. The objective of this research is to evaluate the effectiveness of a CSA prevention program “teach to say-NO". The evaluation includes measuring knowledge and attitudes, as well as analyzing the feasibility and acceptability of the intervention among primary school teachers in a school environment.A total of 146 primary school teachers from 22 public schools in Phnom Penh, Cambodia were involved in the study. Additionally, 29 teachers participated in a qualitative study. The research design consisted …


Effect Of "Habibi Intervention" On Hiv Prevention Knowledge And Condom Usageamong Libyan Males Internally Displaced (Id) In Libya: A Quasi-Experimental Study, Fauzi M A Elamouri Jan 2023

Effect Of "Habibi Intervention" On Hiv Prevention Knowledge And Condom Usageamong Libyan Males Internally Displaced (Id) In Libya: A Quasi-Experimental Study, Fauzi M A Elamouri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Libya has been affected by the civil war since 2011. HIV and other sexually transmitted infections in areas of armed conflict should be considered a public health concern.This study aimed to investigate the effect of HABIBI intervention on HIV and its prevention knowledge, attitude, and condom usage amongst Libyan male Internally Displaced Persons (ID). The study was comprising two phases, the aim of the first phase (preparation phase) was to explore the magnitude of baseline in HIV knowledge, attitude, and condom use of the representative male IDPs through the cross-sectional study which male IDPs had being sampling from 5 camps …


Formulation Of Polyphenol-Loaded Microemulsions Against Human Breast Cancer Cells, Ghea Putri Cristy Jan 2023

Formulation Of Polyphenol-Loaded Microemulsions Against Human Breast Cancer Cells, Ghea Putri Cristy

Chulalongkorn University Theses and Dissertations (Chula ETD)

Breast cancer is one of the deadliest cancers and is categorized into the hormone-dependent and hormone-independent phenotypes. Plant-derived polyphenols have been deemed as one of possible solutions to combat breast cancer. This study explored inhibition of selected plant polyphenols on human 5-lipoxygenase (5-LOX), and further focused on how microemulsion encapsulation was used to enhance the deliverability of the polyphenols, namely quercetin, kaempferol, and rosmarinic acid, and to understand the nature of these compounds in terms of cytotoxicity and antioxidant properties by performing assays, including DPPH and nitric oxide assays. The results showed that kaempferol has the highest inhibition on 5-LOX …


Determinants Of Adverse Events Related To Topical Whitening Products Among Female Students Of Iqraa College For Sciences And Technology, Medicine And Pharmacy Program In Sudan: A Cross-Sectional Study., Suha Gafar Mohamedkhair Ibrahim Jan 2023

Determinants Of Adverse Events Related To Topical Whitening Products Among Female Students Of Iqraa College For Sciences And Technology, Medicine And Pharmacy Program In Sudan: A Cross-Sectional Study., Suha Gafar Mohamedkhair Ibrahim

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: This study aimed to explore the factors associated with adverse events related to topical whitening products among female students in Sudan.Methods: A cross-sectional study was conducted from September to October 2023 among 208 participants in Sudan. The questionnaire by researcher and researcher’s assistants, was constructed with a total of seventeen questions. For data analysis, we performed descriptive statistics analysis, bivariate analysis with simple logistic regression, and multivariable analysis with binary logistic regression.Results: The results imply that students with middle household income were 93% less likely to get adverse events compared to those students with low household income with p-value …


Factors Influencing On Frozen Embryo Transfer(Fet) Outcome After Preimplantation Genetic Testing(Pgt) Among Chinese Women Receiving Services In Thailand: A Cross Sectional Study, Liuxu Chen Jan 2023

Factors Influencing On Frozen Embryo Transfer(Fet) Outcome After Preimplantation Genetic Testing(Pgt) Among Chinese Women Receiving Services In Thailand: A Cross Sectional Study, Liuxu Chen

Chulalongkorn University Theses and Dissertations (Chula ETD)

The currently widely used technology to solve the problem of infertility is in vitro fertilization (IVF). In the embryo transfer step, frozen embryo transfer (FET) is currently popular, combined with preimplantation genetic testing (PGT) to ensure the quality of the embryo. However, pregnancy outcomes are still affected by multiple factors. The main purpose of this cross-sectional study is to determine the impact of these factors.Purposive sampling and snowball sampling were used to collect data from 385 Chinese women who received FET services in Thailand between 2019 and 2024 through an online questionnaire. The associations between demographic characteristics, lifestyle, and fertility-related …


Knowledge, Attitudes, And Practices (Kap) Towards Indoor Air Pollution Among Residents In Yangon And Mandalay, Myanmar: A Cross-Sectional Study, Min Thant Thaw Jan 2023

Knowledge, Attitudes, And Practices (Kap) Towards Indoor Air Pollution Among Residents In Yangon And Mandalay, Myanmar: A Cross-Sectional Study, Min Thant Thaw

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Indoor air pollution (IAP) is a growing public health threat, but little is known about knowledge, attitudes, and practices among urban residents in Myanmar. Rapid development in cities like Yangon and Mandalay might exacerbate pollution while increasing time spent indoors. This study aims to assess the knowledge, attitudes, and practices (KAP) related to Indoor Air Pollution (IAP) among residents of Yangon and Mandalay.Methods: A cross-sectional survey involving 579 participants (100% response rate) was conducted using six-sections questionnaire; socio-economic data, knowledge, attitudes, information accessibility, health perception, and practices. Knowledge and attitudes were evaluated using modified Bloom's cut-off points and Likert …


Health Risk Assessment Of Heavy Metal Contamination In Potato (Solanum Tuberosum) In Jining, Shandong, China, Siyuan Ma Jan 2023

Health Risk Assessment Of Heavy Metal Contamination In Potato (Solanum Tuberosum) In Jining, Shandong, China, Siyuan Ma

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: Heavy metals contamination in soil is a worldwide problem according to contamination also in plants and crops. Heavy metals in crops can cause human health risks such as cancer through oral exposure by crops consumption. Potato is one of underground growing crops that commonly found heavy metals. In China, potato is one of the most popular staple foods, especially in northern regions like Shandong. Therefore, they may have adverse health risk from contaminated potato consumption. Objectives: To find the concentration of heavy metals in potato and assess the non-cancer and cancer risk related to potato consumption among residents in …


Knowledge, Attitude, And Practice (Kap) Towards Atopic Dermatitis (Eczema)Associated With Indoor Environmental Factors In Young Adults Of Yangon, Myanmar, Htoo Tint Tae Jan 2023

Knowledge, Attitude, And Practice (Kap) Towards Atopic Dermatitis (Eczema)Associated With Indoor Environmental Factors In Young Adults Of Yangon, Myanmar, Htoo Tint Tae

Chulalongkorn University Theses and Dissertations (Chula ETD)

Atopic dermatitis,most common type of eczema, a relapsing and pruritic inflammatory skin condition caused by both outdoor and indoor environmental factors. Indoor air quality and indoor environmental factors become hazardous issues for public health consequences, but little is known about knowledge, attitudes, and practices concerning its pollutants are associated with eczema among urban residents in Myanmar within young adults. Therefore, this study aimed to assess the level of (KAP) and identify the association between knowledge, attitude, and practices levels toward atopic dermatitis (eczema) associated with indoor environmental factors in young adults. This cross-sectional study was conducted on 480 participants , …


Knowledge, Attitudes And Practices Of Solid Waste Management In Londhe-Krishnapuri Rural Community Of Jalgaon District, India, Priyanka Chavan Jan 2023

Knowledge, Attitudes And Practices Of Solid Waste Management In Londhe-Krishnapuri Rural Community Of Jalgaon District, India, Priyanka Chavan

Chulalongkorn University Theses and Dissertations (Chula ETD)

Abstract: Improper solid waste management is a critical issue in developing nations but lacks proper infrastructure in rural areas. This study investigates the Knowledge, Attitude, and Practice (KAP) of solid waste management in Londhe-Krishnapuri, a rural community in Jalgaon district, India. Currently, no formal waste management system, so this study explores residents' understanding, views, and methods on waste disposal which will help identify gaps in waste disposal awareness and practices. Information will target interventions, educational programs within the community, insights for policymakers to address disposal challenges. To identify association between knowledge, attitudes, and practices of solid waste management in Londhe-Krishnapuri …


The Role Of Social Media On Utilization Of Hiv Prevention Services Among Men Who Have Sex With Men In Yangon, Myanmar: A Qualitative Study, Thet Zaw Naung Jan 2023

The Role Of Social Media On Utilization Of Hiv Prevention Services Among Men Who Have Sex With Men In Yangon, Myanmar: A Qualitative Study, Thet Zaw Naung

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: HIV remains a significant global health challenge, disproportionately affecting populations such as men who have sex with men (MSM). In Myanmar, MSM faces high HIV prevalence and numerous barriers to accessing prevention services. Social media has emerged as a powerful tool in health communication, potentially enhancing HIV prevention efforts.Objective: This study explores the role of social media in the utilization of HIV prevention services among MSM in Yangon, Myanmar.Methodology: A qualitative research design was employed, involving in-depth interviews with 40 MSM recruited from two Key Population Service Centers in Yangon. Participants were selected using voluntary sampling, and data were …


The Relationship Between Self-Esteem And Suicidal Risk Among Adolescents In Nakhon Ratchasima, Thailand, Sirakrit Rungrojchaiporn Jan 2023

The Relationship Between Self-Esteem And Suicidal Risk Among Adolescents In Nakhon Ratchasima, Thailand, Sirakrit Rungrojchaiporn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: Suicide is an important global threat to adolescents worldwide, including Thailand. Adolescence is a crucial phase marked by significant changes in thought patterns, decision-making, behavior, and emotions. These changes can potentially increase risk of suicide. Self-esteem, a crucial factor in mental well-being, also takes shape during this period. Understanding the factors associated with suicide risk and the relationship between self-esteem and suicide risk is essential for developing effective intervention.Objective: The main objective is to find the relationship between self-esteem and suicide risk and to investigate the associated factors of suicide risk among adolescents in Muang District, Nakhon Ratchasima, Thailand.Method: …


Factors Associated With Knowledge, Attitude, And Practice (Kap) Towards The Prevention Of Hypertension Among People Aged 30-64 Years In Tonglu County, China: A Cross-Sectional Study, Yuanyuan Wu Jan 2023

Factors Associated With Knowledge, Attitude, And Practice (Kap) Towards The Prevention Of Hypertension Among People Aged 30-64 Years In Tonglu County, China: A Cross-Sectional Study, Yuanyuan Wu

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: The Global Burden of Disease study shows that poor blood pressure control remains one of the leading risk factors for global burden and death. Most of the general population had a good understanding of hypertension and satisfactory attitudes, but the participant's level of practice was not high. In China, about 270 million people have hypertension, and in Zhejiang, the prevalence of hypertension is higher than the national average. Therefore, knowledge, attitude, and practice toward hypertension play a crucial role in hypertension prevention. Objective: This study aims to assess the level of knowledge, attitude, and practice towards the prevention of …


Prevalence Of Hiv Testing And Its Determinants Among Youths In The Gambia: From 2019/2020 Demographic Health Survey, Abdou Jarju Jan 2023

Prevalence Of Hiv Testing And Its Determinants Among Youths In The Gambia: From 2019/2020 Demographic Health Survey, Abdou Jarju

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: HIV is a pathogen that attacks the immune system. Globally, 3.9 million youth aged 15-24 years living with the virus in 2017. In Sub-Saharan Africa, girls and boys accounted for 63% and 50% respectively. The Gambia, youth accounted for 37% of all HIV cases. Objective: To determine the prevalence and determinant factors of HIV testing among youth15 – 29 years in The Gambia.Methodology: Secondary data were used for analysis. This study population was 7438 youth aged 15 to 29 years. Sociodemographic and Economic knowledge about HIV/AIDS, risky sexual behaviors, and mass media exposure were used as predictors of HIV …


Knowledge, Attitude And Practice Regarding Antibiotics Self-Medication Among The General Public In A Northern City In Iran: A Cross-Sectional Study, Anahita Mogharabian Jan 2023

Knowledge, Attitude And Practice Regarding Antibiotics Self-Medication Among The General Public In A Northern City In Iran: A Cross-Sectional Study, Anahita Mogharabian

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Antibiotics are a powerful antimicrobial substance that plays an essential role in treating bacterial infections. However, misuse and overconsumption of antibiotics in recent years have created major problems for healthcare systems. Various studies have identified self-medication as the most common and obvious reason globally for antibiotic resistance. Based on the Centers for Disease Control and Prevention (CDC), antibiotic resistance is one of the treats to global health. In Iran, the high percentage of antibiotic utilization and the absence of a monitoring plan have resulted in increased resistance levels. However, there is inadequate evidence regarding how the general public uses …


Factors Associated With Diarrhoea Among Children Less Than 5 Years Old In The Gambia: Analysis Of The 2019/2020 Demographic And Health Survey, Alagi Ab Jarju Jan 2023

Factors Associated With Diarrhoea Among Children Less Than 5 Years Old In The Gambia: Analysis Of The 2019/2020 Demographic And Health Survey, Alagi Ab Jarju

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: Diarrhoeal diseases are the second leading killer of children under five years old in The Gambia, causing approximately 9% of deaths.Objective: To investigate the factors associated with diarrhoea among children less than 5 years old in the GambiaMethodology: The study utilized secondary data from the 2019/2020 Gambia Demographic Health Survey (GDHS). Initially, the research encompassed 8362 children less than 5 years of age, but only 5016 were included in the final analysis after cleaning.The statistical significance of the associated factors was determined using an adjusted odds ratio (aOR) with a 95% confidence interval (CI) and a p-value of less …


Analysis Of The Physical Discomfort Of Earplugs Experienced By A Group Of Workers In Canadian Companies And Identification Of The Influencing Variables, Bastien Poissenot-Arrigoni, Alessia Negrini, Djamal Berbiche, Franck Sgard, Olivier Doutres Jan 2023

Analysis Of The Physical Discomfort Of Earplugs Experienced By A Group Of Workers In Canadian Companies And Identification Of The Influencing Variables, Bastien Poissenot-Arrigoni, Alessia Negrini, Djamal Berbiche, Franck Sgard, Olivier Doutres

Études primaires

Earplugs are widely used to prevent noise induced hearing loss. However, the discomforts they induce negatively impacts their effectiveness by influencing their consistent and correct use. The physical earplugs discomfort is related to the user perception resulting from biomechanical and thermal interactions between the earplug and the earcanal. Its main attributes are “physical annoyance”, “pain”, “pressure” and “irritation". The (dis)comfort results from the complex interactions between the wearer, his/her earplug, and his/her work environment, which form the concept of triad. This study aims at improving our understanding of the physical discomfort of earplugs by identifying the triad characteristics that have …


Perception And Experiences Of Sexual Harassment Among Lgbtq Students In Universities, Bangkok Thailand, Jiratchaya Rungrote Jan 2023

Perception And Experiences Of Sexual Harassment Among Lgbtq Students In Universities, Bangkok Thailand, Jiratchaya Rungrote

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this research was to study perceptions and experiences of sexual harassment among 355 LGBTQ students in the University. Data was collected by self-administer questionnaire to find perceptions and experiences of sexual harassment. Descriptive, Pearson’s Chi-square and Fisher exact were performed to describe and determine the associations. The research findings indicate that the majority of research participants were perceived to sexual harassment at a moderate level. There was a moderate tolerant attitude towards sexual harassment, and there were experiences of verbal, non-verbal, and physical sexual harassment at a moderate level. Gender, University, part-time job type, the use of …


Effectiveness Of Tendingpets Application On Working Memory Among Adolescent In Phrae Province, Thailand : A Quasi-Experimental Study, Phitchasuda Detboon Jan 2023

Effectiveness Of Tendingpets Application On Working Memory Among Adolescent In Phrae Province, Thailand : A Quasi-Experimental Study, Phitchasuda Detboon

Chulalongkorn University Theses and Dissertations (Chula ETD)

Working memory performance refers to the capacity and ability of the brain to temporarily remember and process incoming information while working or solving problems. This competency is crucial for teenagers and is linked to success in learning mathematics, English language, and health-related behaviors. This quasi-experimental research, conducted with a controlled group, aims to explore the effectiveness of the "TendingPETs" application in enhancing working memory capacity and its impact on educational effectiveness and risky behavior among 99 teenagers in Phrae Province, Thailand. The participants were divided into an experimental group of 50 individuals who used the "TendingPETs" application alongside regular classroom …


Factors Associated With Glycemic Control Level Among Type 2 Diabetes Mellitus Patients At Public Health Centers In Bangkok, Thailand, Uraiwan Thamkhuru Jan 2023

Factors Associated With Glycemic Control Level Among Type 2 Diabetes Mellitus Patients At Public Health Centers In Bangkok, Thailand, Uraiwan Thamkhuru

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Type 2 Diabetes Mellitus becomes a major health problem in many countries. Consequently, Type 2 DM is one of important public health problems in Thailand. In 2019, there are 14,025 registered cases of Type 2 DM that received health care services at 68 Public Health Centers, Bangkok Metropolitans Administration while 7,283(52%) of them were uncontrolled blood sugar; HbA1C ≥ 7% , and 6,742 (48%) were control blood sugar level; HbA1C <7% (BMA, 2019). Objective: This study aims to determine the proportion of uncontrolled and controlled level of glycemic control, to explore levels of self-efficacy, self-care behaviors, and social support, and to identify the influencing factors on Glycemic Control among Type 2 DM patients at Public Health Centers in Bangkok, Thailand. Last, this study aims to describe which social support channels that Type 2 DM patients at Public Health Centers in Bangkok, Thailand acquires. Method: A Cross-sectional Study was used in this study. 411 participants from 5 Public Health Centers, Bangkok Metropolitan Administration (BMA) was conducted in this study by face-to-face interview based on the questionnaire. Sampling technique, this study used purposive sampling and simple random sampling technique. Descriptive statistics were used to describe the characteristics of participants. The bivariate analysis was used to identify factors associated (a crude odds ratio) with glycemic control level (p-value < 0.2). A multivariable model (binary logistic regression analysis) was used to identify factors associated (an adjusted odds ratio) with the dependent variable (glycemic control level). The association was declared significant at p-value < 0.05. Result: 214 (52.1%) of participants were controlled glycemic level (HbA1C<7%), while 197(47.9%) of participants were uncontrolled glycemic level (HbA1C ³ 7%). Most of the Participants had medium self-efficacy 248(60.3), medium self-care behavior 248(60.3), and moderate social support 129(31.4). Adjusted Odds Ratio of uncontrol glycemic control increased with higher level of self-efficacy, self-care behavior, and social support. 110(55.8) of participants who acquired social support from the doctor (secondary social support group) with control glycemic level (HbA1C <7%). 52(44.4) of participants who acquired social support from their family (primary social support group) with control glycemic level (HbA1C <7%). Conclusion: The findings of this study could be used to develop an intervention program for Type 2 DM patients, patient group, family, friends, and public health volunteers at Public Health Centers in Bangkok (BMA)in order to improve the glycemic control level.


Association Between Knowledge, Attitude, Barriers, And Practice Of Parents Regarding Children’S Malocclusion In Yangon, Myanmar, Ye Htet Aung Jan 2023

Association Between Knowledge, Attitude, Barriers, And Practice Of Parents Regarding Children’S Malocclusion In Yangon, Myanmar, Ye Htet Aung

Chulalongkorn University Theses and Dissertations (Chula ETD)

dren and can lead to psychological impacts. Therefore, this study aimed to investigate the association between knowledge, attitude, barriers, and practices of parents toward malocclusion in children. This cross-sectional study was conducted on parents, aged between 20 and 50 years, having children aged between 6 and 12 years, and living in Yangon, Myanmar. Parental socio-demographic characteristics, knowledge, attitudes, barriers, and practices regarding malocclusion in their children were surveyed and collected through an online validated self-administered questionnaire. A total of 388 participants aged from 21 to 50 years completed the survey questionnaire. The average scores of parental knowledge, attitude, and practice …