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Publication Open Access Indoor Air Quality in Public Health Centers: A Case Study of Public Health Centers Located on Main and Secondary Roadsides, Bangkok(2022) Natlada Boonphikham; Chatchawal Singhakant; Suwimon Kanchanasuta; Withida Patthanaissaranukool; Tawach PrechthaiThis cross-sectional study investigated the indoor air quality (IAQ) of public health centers (PHCs) and primary health care units in Bangkok to determine the impact of the different locations and ventilation systems concerning IAQ. Three indoor air pollutants: PM2.5, CO2, and CO were measured in three areas (medical record departments, outpatient departments and examination rooms) of six PHCs located in two different locations (main and secondary roadsides). The results showed that the average levels of PM2.5, CO2, and CO in the PHCs located on main roadsides were higher than those located on secondary roadsides. Among these parameters, only CO was found to significantly differ between those two locations indicating the result of vehicles and traffic sources regarding indoor CO level. Furthermore, all parameters were compared among the sampling areas with different ventilation systems; natural ventilation and air conditioner with and without ventilation fan. The amounts of all three pollutants significantly differed in each area with different ventilation systems. The average levels of PM2.5 and CO2 were the highest in areas with air conditioner without ventilation fan, while the level of CO was the highest in areas with natural ventilation. The ventilation was proved to be a key measure to improve IAQ. PHCs should consider ventilation efficacy to improve the IAQ by using ventilation fans in rooms using air conditioners. Finally, the average levels of all parameters were found below the recommended values in related standards, indicating safe IAQ for people working and receiving services in PHCs.Publication Open Access Color Removal of Pulp and Paper Mill Wastewater Using Residual Eucalyptus Wood(2022) Kanjana Yupin; Thanakrit Neamhom; Chatchawal Singhkant; Siranee Sreesai; Supawadee PolprasertThis study investigated the color removal efficiency of pulp and paper mill wastewater using residual eucalyptus wood as a method to minimize the solid wastes generated from pulp and paper processes. The activated carbon used in this study as the color adsorbent was produced from residual eucalyptus wood. The carbon was activated with phosphoric acid and carbonized in a furnace at 500°C for 60 min. Effects of types and amounts of activated carbon on color removal efficiency were evaluated. Three types of solid wastes, consisting of wood chip, bark, and mixed wood (wood chip:bark, 1:1), were investigated at a loading of 1, 3, 5, and 7 g/100 mL under contact times of 30, 60, 90, and 120 min. The results showed that 7 g of wood chip activated carbon/100 mL under all contact times gave color removal efficiency of 94-97%. However, the highest adsorption capacity of 216 ADMI/g occurred at 1 g of adsorbent used. Freundlich isotherms were satisfactorily fitted to experimental data for the best condition with high correlation coefficients. The color removal efficiency depended on surface area, pore volume, structure, and characteristics of the activated carbon.Publication Open Access Phosphorus Recovery and Bioavailability from Chemical Extraction of Municipal Wastewater Treatment’s Waste Activated Sludge: A Case of Bangkok Metropolis, Thailand(2022) Kay Thi Khaing; Chongchin Polprasert; Suwisa Mahasandana; Wanida Pimpeach; Withida Patthanaissaranukool; Supawadee PolprasertThis study evaluated the extractability and bioavailability of Phosphorus (P) recovered from waste activated sludge (WAS) so as to reduce dependence on the import of non-renewable P resources. P extraction was carried out using sulfuric acid (H2SO4). A response surface methodology was used to optimize conditions for the chemical leaching of WAS. The results showed the optimum condition for leaching WAS with 0.1 mol/L H2SO4 for 30 min, resulting in 97% P released. The efficiency of P recovery by P precipitation was associated with pH value and Mg:P. At pH 7, 9, and 11, P recovery was 92, 92, and 91% with uncontrolled Mg and 93, 93, and 92% with sea salt (Mg:P, 2:1), respectively. However, the yield of the produced struvite was much lower compared with that of added sea salt. From elemental analysis, the yield of struvite precipitated at pH 9 of Mg:P, 2:1 was about 26%, and the total P content of the precipitate was 12%. Available P was almost 80% after 35 days of operation, which was higher than that of commercial fertilizers. Results of this study are expected to provide fully comprehensive information to decision-makers regarding the suitability of implementing P-composite matter recovered from WAS. This will also help close the loop of the P cycle for food cultivation in the human ecosystem.Publication Open Access ความสัมพันธ์ระหว่างนโยบายความปลอดภัยของผู้ป่วยกับการรับรู้วัฒนธรรมความปลอดภัยของบุคลากรช่วงสถานการณ์การระบาดของโรคโควิด 19 ในโรงพยาบาลมหาวิทยาลัยแห่งหนึ่ง(2566) พรทิชา นันทานุกู; จารุวรรณ ธาดาเดช; ปรารถนา สถิตย์วิภาวี; พงศกร อธิกเศวตพฤทธิ์; Pornticha Nantanukul; Charuwan Tadadej; Pratana Satitvipawee; Pongsakorn Atiksawedparitบทนำ: ความปลอดภัยของผู้ป่วยเป็นเรื่องที่สำคัญของระบบสุขภาพ การมีวัฒนธรรมความปลอดภัยจะเป็นการประกันคุณภาพโรงพยาบาลและมาตรฐานการบริการระบบบริการสุขภาพ วัตถุประสงค์: เพื่อศึกษาการรับรู้วัฒนธรรมความปลอดภัยของผู้ป่วยและปัจจัยที่มีความสัมพันธ์กับการรับรู้วัฒนธรรมความปลอดภัยของผู้ป่วยในบุคลากรในภาพรวมช่วงสถานการณ์การระบาดของโรคโควิด 19 วิธีการศึกษา: การวิจัยเชิงสำรวจแบบภาคตัดขวางเชิงวิเคราะห์ในกลุ่มตัวอย่างบุคลากรที่ปฏิบัติงาน ณ โรงพยาบาลมหาวิทยาลัย จำนวน 284 คน เก็บรวบรวมข้อมูลโดยใช้แบบสอบถาม ตั้งแต่วันที่ 21 เมษายน พ.ศ. 2565 ถึงวันที่ 31 พฤษภาคม พ.ศ. 2565 และทำการวิเคราะห์ข้อมูล ผลการศึกษา: บุคลากรมีการรับรู้วัฒนธรรมความปลอดภัยของผู้ป่วย จำนวน 9 มิติ จาก 12 มิติ โดยมีระดับการรับรู้สูง (median [range], 4.00 [1.00 - 5.00]) ด้านความสัมพันธ์ของตัวแปรพบว่า ปัจจัยด้านประสบการณ์การทำงานในโรงพยาบาล (Adjusted OR, 2.85; 95% CI, 1.26 - 6.42) และนโยบายด้านความปลอดภัย (Adjusted OR, 9.5; 95% CI, 1.23 -73.37) มีความสัมพันธ์กับมิติการรับรู้วัฒนธรรมความปลอดภัยของผู้ป่วยในภาพรวมอย่างมีนัยสำคัญ (P < .05) สรุป: บุคลากรที่มีประสบการณ์การทำงานในโรงพยาบาล มีโอกาสรับรู้มิติการรับรู้ความปลอดภัยของผู้ป่วยในภาพรวมอยู่ในระดับสูง และบุคลากรที่รับทราบนโยบายด้านความปลอดภัยและปฏิบัติตาม มีโอกาสรับรู้มิติการรับรู้ความปลอดภัยของผู้ป่ วยในภาพรวมอยู่ในระดับสูงPublication Open Access Established and Emerging Risk Factors of Stroke in Asian Countries: A Systematic Review(2024) Phornanan Jarintanan; Nidhi Singh; Orasa Suthienkul; Pichit BoonkrongThis paper aims to review the stroke situation regarding its risk factors in 16 Asian countries. From the stroke incidence in 2016 and 2019, it was found that the number of stroke cases per 100,000 people increased in 10 and decreased in 6 Asian countries. Low-middle income countries (LMICs) tend to have lower service and quality of healthcare compared to high-income countries (HICs), this significant difference in healthcare might be what causes the difference in stroke incidence. A systematic review was conducted for identifying and rating the frequency of stroke risk factors. Reviewing 15 selected papers, there are eight risk factors for stroke ranging from hypertension15, diabetes12, hypercholesterolemia/dyslipidemia12, smoking11, physical inactivity7, obesity7, air quality2 to family history1. Age remains a significant risk factor for stroke, underscoring the importance of targeted preventive measures and healthcare interventions for older populations. China, as an example, has spread awareness and shown commitment to health issues and factors, adding institutions, and establishing a healthcare service for locations with more than 300,000. Studies have shown that women in LMICs are more likely to have a stroke at a young age compared to those in HICs, and could be influenced by cultural and social factors on women’s health. Therefore, individuals could decrease stroke risk through healthy lifestyle choices, preventing hypertension, diabetes, and hypercholesterolemia/dyslipidemia. Lifestyle modifications including not smoking, maintaining a healthy diet, and exercising regularly should lower the risk of stroke occurrence in individuals. Simultaneously, national policies could lower stroke incidences by strengthening the stroke care ecosystem.Publication Open Access Developing an Application for Nursing Practice with Hypertension(2024) Nattawan Suknark; Hathaikan Chootrakool; Apinya Siripitayakulkit; Fuangfar Pensiri; Prasong Kitidumrongsuk; Pichet TreewaiTo address the growing concern of hypertension in Thailand, we developed a mobile health application designed to assist patients in monitoring their blood pressure, adopting healthier behaviors, and improving self-care practices, following recommendations by the World Health Organization (WHO) to reduce modifiable risk factors. This study aims to develop and evaluate a prototype application which integrates data on blood pressure-lowering activities such as exercise routines, dietary changes, and medication adherence, with the effectiveness presented through calculated effect sizes. The application features an assessment form with multiple-choice questions to evaluate users' lifestyle habits, enabling the personalization of recommended activities based on individual needs. Guided by the ADDIE model (Analysis, Design, Development, Implementation, and Evaluation), the prototype development involved systematic reviews and meta-analyses of nursing practices in Thailand. A quantitative online survey with four hundred and fifty-six hypertensive participants was conducted; 56.14% were male, and the majority were aged between 30 and 60 years old. Participants were selected based on specific inclusion and exclusion criteria. Satisfaction with the application was measured on a 5-point scale, with an average score of 4.45, indicating high satisfaction. Positive feedback suggests that while the prototype shows promise, further development and evaluation are needed to assess its effectiveness in reducing blood pressure and promoting healthy behaviors among hypertensive patients.Publication Open Access Systematic Review and Meta-Analysis of Diagnostic Alzheimer’s Disease with Blood Biomarkers(2024) Nutthida Kunsanprasit; Hathaikan Chootrakool; Saran Thanapluetiwong; Pichitpong Soontornpipit; Chukiat ViwatwongkasemBackground: One of the world's leading causes of death is Alzheimer's disease (AD). Diagnostic of the disease and determining the risk before it reaches a severe stage are essential to reduce the rate of a patient’s development into the dementia phase, as well as locating practical, economical, and effective diagnostic tools, including blood tests, are easier and still reasonably priced, compared to neuroimaging or cerebrospinal fluid (CSF) examinations. Method: The studies were systematically searched for and determined by pooled sensitivity and specificity which studies were about diagnosing AD using the single molecular array (SIMOA) method by detecting phosphorylated tau (p-tau) in the blood. In addition, Egger's test results for heterogeneity and publication bias were evaluated. Result: After systematically review the studies from 2016 to 2023, seven studies have been included for the meta-analysis. The results show low level of heterogeneity (I2 = 28.99%) and no publication bias Egger's test in sensitivity and specificity (p-value = 0.244 and 0.084, respectively) in patients. Conclusion: The ability to identify p-tau in blood with SIMOA has been useful in the diagnosis of Alzheimer's disease. Currently, this procedure is utilized in conjunction with other diagnostic approaches for diagnosis.Publication Open Access Factors Related to Mental Health and Quality of Life among College and University Teaching Professionals in Thailand(2024) Paul Ratanasiripong; Sukhontha Siri; Suda Hanklang; Pornlert Chumchai; Florencia GalvanThe field of higher education has grown rapidly throughout the last half-century, with student enrollment outpacing the general population growth rate in recent years. This has placed increased stress and demands upon university teaching professionals who have already been identified by researchers as one of the most stressed occupational groups. This quantitative study examined the predictors of mental health and quality of life among college and university teaching professionals. Data was collected from 360 teaching professionals employed at four higher education institutions in Thailand. Variables in this study included participants’ personal, professional, financial, health characteristics, and self-esteem as well as mental health conditions and quality of life. Multiple regression analyses revealed the following results: Gender, years work as teaching professional, BMI, and self-esteem are significant predictors of depression (adjusted R²=.33). Salary, savings, sleep, and self-esteem are significant predictors of anxiety (adjusted R²=.22). Years work as teaching professional, loans, and self-esteem are significant predictors of stress (adjusted R²=.17). Years work as teaching professional, loan, sleep, and self-esteem are significant predictors of overall quality of life (adjusted R²=.48). Preservation of university resources including teaching professionals is critical to ensuring the successful growth and development of the higher education institutions. Recommendations for improving quality of life and mental health outcomes for university teaching professionals include reducing pressure relating to research output, promoting self-esteem through mentorship and supportive workplace relationships, and encouraging healthy daily habits.Publication Open Access Relationship between Perceived Organizational Support, Empowerment and Organizational Commitment of Health Workers at Sub-District Health Promoting Hospitals in Suphanburi Province, Thailand(2024) Thanika Matvijit; Charuwan Tadadej; Wirin KittipichaiThis cross-sectional study aims to explore the relationship between personal characteristics, perceived organizational support, empowerment, and organizational commitment. Data were collected using self-administered questionnaires from health workers at Sub-district Health Promoting Hospitals (SHPHs) in Suphanburi Province from June to July, 2023. A total of 374 out of 542 participants 69% were completed the questionnaires for data analysis. Pearson’s Product Moment Correlation Coefficient and Stepwise Multiple Regression Analysis statistics were used for data analysis. The findings revealed that most health workers perceived organizational commitment, empowerment at a moderate level (54%, 52.4%), and perceived organizational support at a high level (39.04%). Additionally, perceived organizational support, and empowerment showed statistically significant relationships with organizational commitment (r = 0.622, 0.614). Perceived organizational support and empowerment were crucial predictors accounted for 44.1% of the variance in the organizational commitment. To increase the health workers’ organizational commitment, the SHPHs supervisors should focus on improving perceived organizational support and empowerment for SHPHs to retain them within the organization.Publication Open Access Factors Associated with Violence of Persons with Disabilities in the Thai Context(2024) Naruemon Auemaneekul; Suphattra Seesaet; Sunee Lagampan; Dusit SujiraratThis study used an analytical descriptive research approach, focusing on violence against people with disabilities, the types of violence experiences, and the factors related to the violence among people with disabilities in the Thai context. This study applied the Ecological model for understanding interpersonal violence from the World Health Organization as the theoretical guideline. The calculated samples consisted of 201 people who have a disability aged 20 years old and over. Descriptive statistics were used to describe the general characteristics, and logistic regression was applied for the data analysis. The results revealed that people with disability experienced overall violence at 98%, psychological violence 96.5%, physical violence 77.1%, violence from being neglected 75.6%. Factors influencing violence against people with disabilities composed of younger age, being female, low income, living with illness, poor relationships within the family, less family members, and social values to violence. The result of this study could be beneficial in developing awareness and prevention programs to protect human rights violations against people with disabilities in the Thai context.Publication Open Access ปัจจัยทํานายพฤติกรรมป้องกันการติดเชื้อไวรัสโคโรนา 2019 ของผู้สูงอายุ จังหวัดระยอง(2566) ณัฐรฎา จันทะโคตร; เพลินพิศ บุณยมาลิก; พัชราพร เกิดมงคล; ทัศนีย์ รวิวรกุล; Natharada Juntakot; Plernpit Boonyamalik; Patcharaporn Kerdmongkol; Tassanee Rawiworrakulโรคติดเชื้อไวรัสโคโรนา 2019 มีลักษณะการระบาดใหญ่ทั่วโลก พบผู้ติดเชื้อและเสียชีวิตหลายล้านราย โดยเฉพาะผู้สูงอายุ ซึ่งความเสื่อมตามวัยและโรคเรื้อรังทําให้เสี่ยงติดเชื้อและเสียชีวิตได้ง่าย การวิจัยเชิงพรรณนาแบบภาคตัดขวางนี้มีวัตถุประสงค์เพื่อศึกษาพฤติกรรมป้องกันการติดเชื้อไวรัสโคโรนา 2019 และปัจจัยที่สามารถทํานายพฤติกรรมป้องกันการติดเชื้อไวรัสโคโรนา 2019 ของผู้สูงอายุ จังหวัดระยอง โดยประยุกต์ใช้ PRECEDE – PROCEED Model กลุ่มตัวอย่างเป็นผู้สูงวัย อายุ 60 ปีขึ้นไป จํานวน 420 คน จากการคัดเลือกกลุ่มตัวอย่างแบบหลายขั้นตอน เก็บข้อมูลโดยการสัมภาษณ์ด้วยแบบสอบถาม วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนา สถิติสัมประสิทธิ์สหสัมพันธ์ของสเปียร์แมน และสถิติวิเคราะห์การถดถอยโลจิสติกเชิงพหุผลการศึกษาพบว่า กลุ่มตัวอย่างมีอายุเฉลี่ย 66.9 ปี ส่วนใหญ่เป็นเพศหญิง (ร้อยละ 62.9) อาศัยอยู่ในเขตอุตสาหกรรม (ร้อยละ 59.0) มีพฤติกรรมป้องกันการติดเชื้อไวรัสโคโรนา 2019 ภาพรวมในระดับดี (Mean = 34.05, SD = 3.415) ปัจจัยที่มีความสัมพันธ์กับพฤติกรรมป้องกันการติดเชื้อไวรัสโคโรนา 2019 อย่างมีนัยสําคัญทางสถิติที่ p <0.05 ได้แก่ ปัจจัยนํา (เพศ ส ถานภาพสมรส เขตพื้นที่อาศัย การรับรู้โอกาสเสี่ยงต่อการเกิดโรค การรับรู้ความรุนแรงของการเกิดโรค การรับรู้อุปสรรคของการปฏิบัติพฤติกรรมป้องกันโรค การรับรู้ประโยชน์ของการปฏิบัติพฤติกรรมป้องกันโรค) ปัจจัยเอื้อและปัจจัยเสริม ผลการวิเคราะห์พหุปัจจัยพบว่า ผู้สูงอายุเพศหญิง (p <0.05) อาศัยในเขตอุตสาหกรรม (p <.0001) มีการรับรู้ความรุนแรงของการเกิดโรคที่ดี (p<.0001) และได้รับปัจจัยเสริม (p <.0001)มีโอกาสเกิดพฤติกรรมป้องกันที่เหมาะสมมากกว่า โดยตัวแปรทั้งหมดสามารถร่วมกันทํานายพฤติกรรมป้องกันการติดเชื้อไวรัสโคโรนา 2019 ของผู้สูงอายุ จังหวัดระยอง ได้ร้อยละ 11.8มีค่าความถูกต้องของการพยากรณ์ ร้อยละ 51.0 ผลการวิจัยครั้งนี้สามารถนําไปใช้เป็นแนวทางในการพัฒนาแผนการดําเนินงานเฝ้าระวัง ป้องกัน และควบคุมโรคติดเชื้อไวรัสโคโรนา 2019 ของผู้สูงอายุในชุมชนอย่างมีประสิทธิภาพต่อไปโดยเฉพาะในเขตอุตสาหกรรมPublication Open Access Factors Associated with Depression among Elderly in Mahalaxmi Municipality, Lalitpur, Nepal(2023) Gaurav Shrestha; Sukhontha Kongsin; Sukhum Jiamton; Sukhontha SiriDepression is a common mental health problem among the elderly, and its prevalence is increasing. This cross-sectional study aimed to assess the level of depression and the factors that contributed to depression. The study was conducted among 370 respondents aged 60 years and above obtained through multistage proportionate random sampling in Mahalaxmi Municipality, Lalitpur. Information was collected using a semi-structured questionnaire on socio-demogprahic factors, lifestyle factors, socio-economic factors, comorbid conditions, and depression using GDS-SF (Geriatric Depression Scale Short Form). Data were analyzed using descriptive and inferential methods (chi-square, binary logistic regression, and multiple logistic regression). The results showed a high prevalence of depression (53.2%). Multiple logistic regression identified several statistically significant factors. The elderly in the 70-79 age group were 2.05 times, and those aged 80 years and above were 1.81 times more likely to have depression than those aged 60-69 years. Similarly, low social support (AOR = 13.86, CI: 5.81-33.08), and low quality of life (AOR = 5.65, CI: 3.06-10.41) were statistically significant factors associated with depression. Hence, this study highlights the need for addressing depression among the elderly through targeted effective interventions and prioritizing elderly mental health care by policymakers.Publication Open Access ผลของโปรแกรมส่งเสริมความสามารถตนเองในการป้องกันอาการปวดหลังจากการทํางานของพนักงานเก็บขนขยะสังกัดองค์กรปกครองส่วนท้องถิ่นในจังหวัดสมุทรปราการ(2566) Sakulvalai Cheawbangyang; แอนน์ จิระพงษ์สุวรรณ; สุรินทร กลัมพากร; สุคนธา ศิริ; Ann Jirapongsuwan; Surintorn Kalampakorn; Sukhontha Siri; สกุลวลัย เชี่ยวบางยางอาการปวดหลังทําให้การทํากิจกรรมและประสิทธิภาพการทํางานลดลงการปรับเปลี่ยนท่าทางทํางานตามหลักการยศาสตร์ควบคู่กับการออกกําลังกายช่วยลดอาการปวดหลังได้ วัตถุประสงค์ของการวิจัยกึ่งทดลองนี้ เพื่อศึกษาผลของโปรแกรมส่งเสริมความสามารถตนเองในการป้องกันอาการปวดหลังจากการทํางานของพนักงานเก็บขนขยะ โดยประยุกต์แนวคิดการรับรู้ความสามารถตนเองและหลักการยศาสตร์ กลุ่มตัวอย่างคือ พนักงานเก็บขนขยะองค์กรปกครองส่วนท้องถิ่นในจังหวัดสมุทรปราการ คัดเลือกแบบเฉพาะเจาะจง ได้กลุ่มทดลอง 14 คน ได้รับโปรแกรมส่งเสริมความสามารถตนเองในการป้องกันอาการปวดหลังจากการทํางานร่วมกิจกรรม 4 ครั้ง กลุ่มเปรียบเทียบ 15 คน ดูแลสุขภาพตามปกติ เก็บรวบรวมข้อมูลโดยการสัมภาษณ์แบบสอบถามวัดความอ่อนตัว และประเมิน REBAจํานวน 3 ครั้ง ที่ก่อนทดลอง หลังทดลองสัปดาห์ที่ 5 และ 7 ผลการวิจัยพบว่า หลังการทดลองสัปดาห์ที่ 5 และ 7 กลุ่มทดลองมีคะแนนเฉลี่ยการรับรู้ความสามารถตนเอง ความคาดหวังในผลดีของการปฏิบัติตนพฤติกรรมป้องกันอาการปวดหลังและความยืดหยุ่นของกล้ามเนื้อหลังเพิ่มขึ้นกว่าก่อนการทดลอง และ แตกต่างกับกลุ่มเปรียบเทียบอย่างมีนัยสําคัญทางสถิติ (p <0.05) คะแนนเฉลี่ยอาการปวดหลังลดลง กว่าก่อนการทดลอง และ แตกต่างกับกลุ่มเปรียบเทียบอย่างมีนัยสําคัญทางสถิติ (p <0.05) และ คะแนนเฉลี่ยความเสี่ยงทางการยศาสตร์ลดลง ในสัปดาห์ที่ 5 และ 7 และแตกต่างกับกลุ่มเปรียบเทียบในสัปดาห์ที่ 7 อย่างมีนัยสําคัญทางสถิติ (p <0.05) ผลการศึกษานี้เสนอแนะให้พยาบาลอาชีวอนามัยและเจ้าหน้าที่สาธารณสุขขององค์กรปกครองส่วนท้องถิ่นสามารถนําโปรแกรมนี้ไปใช้ส่งเสริมความสามารถตนเอง ในการป้องกันอาการปวดหลังจากการทํางานของพนักงานเก็บขนPublication Open Access Factors Affecting Medication Adherence among Nepalese Hypertensives in a Rural Area(2023) Sudim Sharma; Natkamol Chansatitporn; Ann Jirapongsuwan; Lava TimsinaMaintaining drug adherence has become a challenge for both the hypertensives and the health system for a variety of reasons. There is a lack of understanding about the several factors that may lead to medication non-adherence, especially among rural hypertensives. The purpose of this study was to assess the status of medication adherence and to identify the factors influencing medication adherence among Nepalese rural hypertensives. This community-based cross-sectional study was conducted among 405 rural hypertensives from Lamahi Municipality, Dang District of Nepal through a simple random sampling. The sample size for this study was determined using the formula: Z2pq/d2. The standard 9-items Hill-Bone medication scale (HB-MAS) questionnaire was used to assess the status of medication adherence. The questionnaires used in this study are based on rigorous literature review and were tested for the validity and reliability. Data was collected using a face-to-face interview and was analyzed using descriptive (frequency and proportion), bivariate (chi-square) and multiple logistic regression. Study indicated that only 56.5% hypertensives are adherent to antihypertensive medication. Ethnicity [adjusted odds ratio (AOR) = 0.24; 95% CI: 0.09 - 0.65, p 0.005], knowledge [AOR = 13.80; 95% CI: 4.95 – 38.48, p <0.001], attitude [AOR = 15.08; 95% CI: 5.21 – 43.63, p <0.001], availability of medication and services [AOR = 2.84; 95% CI: 1.24 - 6.49, p <0.013], and accommodation of hypertension-related services [AOR = 14.15; 95% CI: 2.21 – 90.57, p 0.005] are the factors associated with medication adherence. Targeting tailored interventions for specific ethnic groups, enhancing knowledge, and building trust among the hypertensives regarding the medication, ensuring availability of the antihypertensive medication, and strengthening current health service provision for antihypertensive medication and services closer to the communities might improve medication adherence among the rural hypertensives in Nepal.Publication Open Access Safety Culture Assessment in Three Automobile Assembly Plants in Thailand(2023) Siriwan Naksawat; Densak Yogyorn; Dusit Sujirarat; Vorakamol BoonyayothinThe automotive industry in Thailand is at the turning point with digitalization, lean and advanced manufacturing technological development, transforming the structure and system that drive this industry. In the meantime, rapid change over assembly lines is forcing workers at risk of injury and illness from working with collaborative robots (cobots) and being exposed to dangerous machinery and chemicals. Objective: This study aimed to draw and compare the pictures of safety culture in three Japanese automobile assembly plants in Thailand, broadly recognized as a strong corporate safety culture. Method: This was a cross-sectional study conducted on three automobile assembly plants, with 719 respondents, mostly male 686 people (94.5 %). This study used the questionnaires which consist of two parts, personal data and the safety climate assessment developed by the UK Health and Safety Executive (HSE). Descriptive statistics were used to describe the safety climate score and the characteristics of the respondents. Inferential statistics were used to describe the comparison of personal factors, workplace location and find the correlation to the safety climate. Result: This study found that there was no shared vision of management commitment between the managers and subcontractors (p=0.04). The subcontractor perceived the safety rules and procedures differently compared to the manager (p = 0.001), supervisor, and operational staff (p = 0.00). In addition, the subcontractor’s perception of the work environment was different between the supervisor (p = 0.01) and operational staff (p = 0.04). The older workers perceived the safety rules and procedures differently compared to the younger generations (p = 0.00). The differences between Plant C compared with Plant A and B were communication, involvement, priority of safety, safety rules and procedures, supportive environment, and work environment (p = 0.00). Conclusion: This study explored the differences factors that are embedded in these three plants by using the Safety Climate questionnaires. Recommendation: The method of this study can be applied to other corporates to perform multiple plants assessment to measure their safety climate periodically.Publication Open Access High Normal Blood Pressure among Young Supervisors in Siracha District, Chon Buri Province(2023) Passara Wattana; Orawan Kaewboonchoo; Patcharaporn KerdmongkolHigh normal blood pressure can develop to hypertension and cardiovascular disease if there is inappropriate risk protection, especially for individuals less than 35 years old who had the opportunity to develop left ventricular hypertrophy. The aims of this study were to measure the prevalence of high blood pressure and to investigate the factors associated with high normal blood pressure among young construction supervisors at a construction project in the Si Racha district. In this cross-sectional study, the subjects consisted of 117 young constructions supervisor calculated by Daniel’s formula 2010. A questionnaire was used to collect data and blood pressure was measured by an automated device based on the 2020 International Society of Hypertension criteria. Data was then analyzed by descriptive statistics, Chi-Square tests (c2 test) or Fisher’s Exact test, and Binary logistic regression. The prevalence of high normal blood pressure was 49.6 percent. The binary logistic regression analysis showed alcohol drinking (OR = 7.69, 95% CI: 2.1-28.1), smoking (OR = 6.46, 95% CI: 1.8-22.9), noise annoyance (OR = 11.83, 95% CI: 3.5-40.5), and job strain (OR = 4.5, 95% CI: 1.3-14.8) were significant with high normal blood pressure at P-value < 0.05. This study showed the prevalence of high normal blood pressure in young construction supervisors. The behavioral risk factors including alcohol drinking, smoking and environmentalPublication Open Access “Wellness” an Introduction to Concepts and Principles(2023) Supa PengpidCurrently, the main keywords used in Thailand's health and wellness business and tourism are “wellness”. Several services, businesses, conferences, articles and new technologies use this keyword to promote. The term is used in various ways, such as the Wellness Centre, the Wellness Business, the Wellness Economy. This paper aims to explain the definition, concepts and principles of “wellness” so that readers can recognize terms and engage further in a deeper detail.Publication Open Access Factor Related to Violence among Nursing Professionals at Emergency Rooms of Community Hospitals in Metropolitan Area(2023) Pikun Pitja; Naruemon Auemaneekul; Arpaporn PowwattanaThe present cross-sectional survey research aimed at investigating factors related to violence among nursing professionals at emergency rooms of community hospitals in the metropolitan area. The concept of ecology was employed as the conceptual framework. This study included 208 nursing professionals working at emergency rooms, randomly selected of community hospitals in the metropolitan area by obtained using a Google form. The statistical analysis used were descriptive statistics, Pearsons’ Product Moment Correlation, and Multiple Regression Analysis. The results showed that there were relationships between violence and the selected variables of stress (r= 0.619), interpersonal interaction (r= 0.487), work condition (r= 0.527), physical environment (r= 0.669), type of service users (r= 0.615), and sufficiency of healthcare personnel (r= 0.524). Furthermore, physical environment, type of service users, work condition, and educational were the factors that can predict of violence among professional nurses working at emergency rooms by 59.3%. (Adj R²= 0.593). Also, physical environment, had the greatest to violence among nursing professionals at emergency rooms (beta=0.374). This study could be used for developing a stress management, categorization of at risk service receivers, and communication training.Publication Open Access Diagnostic accuracy of Opisthorchis viverrini antigen methods for human opisthorchiasis: Systematic review and Meta-analysis(2023) Kritpisut Maitongngam; Mathuros Tipayamongkholgul; Varakorn KosaisaveeOpisthorchiasis relates to cholangiocarcinoma occurrences. Regular screening for Opisthorchis viverrini can prevent loss of human and economy; however, optimal screening techniques have not been identified. There are various methods to detect O. viverrini infections, and each method has its strengths and limitations. A common detection method, conventional fecal examinations are cheap but has high false-negative and cannot differentiate between O. viverrini and Minute intestinal fluke (MIF) eggs. Antigen detection can result in cross-reactivity with other helminths; nevertheless, it can detect O. viverrini at early stage of infection and uses non-invasive human samples. This systematic review and meta-analysis evaluated the diagnostic accuracy of antigen detection for O. viverrini. This research searched various databases: MEDLINE, EMBASE, Google scholar, PubMed, Scopus, Science direct, Cochrane, AMED, IPA, CINAHL, and Thai Thesis Database. Study selection and data extraction were done by two researchers independently. Of 142 published articles, 4 articles met the inclusion criteria. Quality assessment was done by QUADAS-2 and found a low risk of bias. Pooled sensitivity is 91 % (95% CI = 82% - 96%) and pooled specificity is 68% (95% CI = 65% - 72%). The high sensitivity of antigen detection for O. viverrini suggested its potential to be an optimal tool for early detection and treatment. However, the moderate specificity reflects lower effectiveness to apply the antigen test for surveillance in low endemic areas. The study's findings provide evidence of the precision of O. viverrini antigen detection. Public health decision-makers can employ antigen detection of O. viverrini as cost-effective screening tools in an epidemic area.Publication Open Access Environmental Action is a Responsibility for a Viable Planet(2023) Naowarut CharoencaLooking back on 2022, I reflect on the past and anticipate what future environmental health priorities may bring. . Reducing the collective production of ecological damage has manifested into a focus on reducing greenhouse gas (GHG) emissions and lowering global temperatures. Greenhouse gas emissions are only one area of concern. At least ten environmental catastrophes totaling more than three billion dollars each occurred in the previous year. Worldwide, they include four floods, three droughts, two hurricanes, and a destructive storm named Eunice in Europe1. These events are disturbing as they suggest a new normal for the future. To investigate what climate impacts may occur in the future, scientists have modeled 1200 scenarios of planetary change to the year 2100. Their findings suggest that things may get worse in coming decades with uncertainty about whether human actions can bring about enough change for ecosystem viability by 21002. Protecting the natural and built environments is crucial to human survival but is often viewed as the responsibility of expert environmental health specialists. A compartmentalization of the environment into distinct parts (natural, human, physical, or biotic and abiotic) quickly falls apart when larger interactive frameworks are examined. Such is the case with multiple components of environmental change through climate change. Different scholars discuss the problem from different perspectives, as a challenge from population overshoot, fossil fuel emissions, planetary heating, or human industrial production and pollution. These perspectives of environmental degradation center on the shift to a human-driven environment causing unprecedented abrupt consequences.