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Publication Metadata only Ground reaction forces of the lead and trail limbs when stepping over an obstacle(2015-07-14) Sunee Bovonsunthonchai; Fuengfa Khobkhun; Roongtiwa Vachalathiti; Mahidol University© Med Sci Monit, 2015 Background: Precise force generation and absorption during stepping over different obstacles need to be quantified for task accomplishment. This study aimed to quantify how the lead limb (LL) and trail limb (TL) generate... and absorb forces while stepping over obstacle of various heights. Material/Methods: Thirteen healthy young women participated in the study. Force data were collected from 2 force plates when participants stepped over obstacles. Two limbs (right LL and leftPublication Metadata only The obstacles to diabetes self-management education and support from healthcare professionals’ perspectives: A nationwide survey(2019-01-01) Lukana Preechasuk; Pornsri Sriussadaporn; Supawadee Likitmaskul; Faculty of Medicine, Siriraj Hospital, Mahidol University© 2019 Preechasuk et al. Purpose: This study identified the obstacles to diabetes self-management education and support (DSMES) from healthcare professionals’ perspectives in Thailand. Patients and methods: A cross-sectional survey was conducted... at 613 hospitals throughout Thailand from December 2016 to March 2017. A self-completion questionnaire on the characteristics of, and obstacles to, diabetes education was sent to administrators, doctors, and diabetes educators (DEs). The views of DEsPublication Metadata only Problems and obstacles in implementation of nosocomial infection control in Thailand.(2005-12-01) Somwang Danchaivijitr; Susan Assanasen; Montakanti Trakuldis; Sribenja Waitayapiches; Somporn Santiprasitkul; Mahidol UniversityOBJECTIVES: To study the problems in implementation of nosocomial infection (NI) control in Thailand and strategies to overcome the obstacles. MATERIAL AND METHOD: Interviewing administrators, chair-persons of infection control committee and doctors... by stratified random sampling. Policy on NI control was known to 95.3% and implementation to 81.2% of subjects. The main obstacles of NI control was the lack of incentive (66.7%) and support from administrators (30.2%). Hospital administrators set NI controlPublication Metadata only Challenges and obstacles of mother-daughter sexual communication among Thai rural communities: An exploratory study(2021-05-01) Wilaporn Teppasom; Kanittha Chamroonsawasdi; Sutham Nunthamongkolchai; Wirin Kittipichai; Punyarat Lapvongwatana; Mahidol UniversityThis qualitative study explores the challenges and obstacles of mother-daughter sexual communication among Thai rural communities. In-depth interviews were conducted with the selected group of 33 dyads of mothers-daughters. Focus group discussions... in school were lectures, and the contents were physiology development and sexual desire. The challenges and obstacles of mother-daughter sexual communication were poor maternal sexual knowledge, maternal attitudes toward sexual communication, mother-daughterItem Metadata only Editorial: Public and community engagement in health science research: Openings and obstacles for listening and responding in the majority world(2022-08-31) Black G.F.; Cheah P.Y.; Chambers M.; Nyirenda D.; Mahidol UniversityItem Metadata only Demographic and socioeconomic obstacles to access to malaria services for Myanmar migrants in Thailand(2024-12-01) Sripoorote P.; Wattanagoon Y.; Inthitanon N.; Petchvijit P.; Thongyod W.; Win K.M.; Anantjitsupha A.; Min N.B.B.; Rachaphaew N.; Suk-aum K.; Watakulsin P.; Sattabongkot J.; Nguitragool W.; Aung P.L.; Sripoorote P.; Mahidol Universitydisplacement. This study aimed to investigate the demographic and socioeconomic obstacles to access to malaria services among Myanmar migrants residing in the Thailand–Myanmar border areas. Methods: A cross-sectional study was conducted in early 2024 acrossPublication Metadata only Reach-to-grasp co-ordination in the paretic limbs of individuals with stroke: Insight from a barrier paradigm(2014-01-01) Nuttakarn Runnarong; Jarugool Tretriluxana; Vimonwan Hiengkaew; Roongtiwa Vachalathiti; Mahidol University; Srinakharinwirot Universityto compare reach-to-grasp co-ordination while avoiding an obstacle in the paretic hand of individuals after stroke with matched non-disabled adults. Material and Method: Twenty-four participants having mild severity of upper extremity impairment were... recruited with an equal number of non-disabled adults. Kinematic reach-to-grasp movements with obstacle avoidance were analyzed. Reachto-grasp co-ordination was quantified using cross-correlation analysis: maximum correlation coefficient representedPublication Metadata only The impact of using primaquine without prior G6PD testing: a case series describing the obstacles to the medical management of haemolysis [version 2; peer review: 2 approved](2019-01-01) Cindy S. Chu; Germana Bancone; Nay Lin Soe; Verena I. Carrara; Gornpan Gornsawun; François Nosten; Swiss Tropical and Public Health Institute (Swiss TPH); Mahidol University; Nuffield Department of Clinical Medicine© 2019 Chu CS et al. Radical cure of Plasmodium vivax malaria in glucose-6-phosphate dehydrogenase (G6PD) deficient individuals employs weekly primaquine dosing. This is the only recommended regimen for this patient sub-group. If national malaria programs mandate daily primaquine dosing (the recommended regimen for G6PD normal individuals), then G6PD testing before prescription is necessary to avoid iatrogenic haemolysis in G6PD deficient individuals. In this case series, two P. vivax infected patients with unknown G6PD status from two different countries were prescribed primaquine as per national malaria program guidelines. During treatment both patients presented to the clinic with symptoms of anaemia after taking primaquine incorrectly. The clinical management of the iatrogenic severe haemolysis that occurred in these patients demonstrates the various adverse effects primaquine can cause, that other common medical treatments also have haemolytic potential, and how the diagnosis of G6PD deficiency can be elusive during acute haemolysis. Health care providers should provide careful instructions about primaquine dosing, be watchful for haemolysis, and have a high index of suspicion for G6PD deficiency in the presence of haemolysis if the G6PD status is previously unknown.Publication Metadata only Assessment of nationwide emergency systems in Thailand, a middle-income country setting with UHC(2019-04-01) Paibul Suriyawongpaisal; Pongsakorn Atiksawedparit; Samrit Srithamrongsawad; Thanita Thongtan; Faculty of Medicine, Ramathibodi Hospital, Mahidol University; Mahidol Universitydepartment (ED) workforce vis-à-vis workload on a national scale, the availability of services for selected high-priority health burdens, and the governance obstacles in addressing the workforce management. Method: One hundred thirty public Thai EDs... reporting the availability of coronary artery catheterization (34%) and thrombolytic infusion for acute thrombotic stroke (24%) was limited. The governance obstacles to manage emergency systems were considered. Conclusion: ED staffing seems to positivelyPublication Metadata only Scaling up emergency medical services under the universal health insurance scheme in Thailand(2012-10-01) Suriyawongpaisal Paibul; Woratanarat Thira; Tansirisithikul Rassamee; Srithumrongsawat Samrit; Mahidol University; Chulalongkorn University; Health Insurance System Research OfficeObstacles to developing effective Emergency Medical Services (EMS) include a lack of structural models, inappropriate training foci, concerns about cost, and sustainability in the face of a high demand for services. This reported case study from... Thailand demonstrated how these obstacles had been addressed through incremental changes via a few initiatives on trauma care. Universal health insurance system and health systems and health financing reforms had taken place during the last 2 decades