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Journal of Health Science and Medical Research
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2586-9981 - ISSN (Online) 2630-0559
Published by Prince of Songkla University Homepage  [3 journals]
  • Evidence-Based Neonatal Care

    • Authors: Anucha Thatrimontrichai
      Pages: 163 - 169
      Abstract: Aging societies are developing around the world while the number of newborns is decreasing. The best neonatal care is a crucial issue since prematurity is surging along with high mortality and morbidity in developing countries. However, the basic areas of evidence-based practice in neonatal care still have limited information because both the shortand long-term outcomes of this fragile population need to be considered. Sophisticated neonatal care is a new topic for improvement of survival and long-term neurodevelopmental outcomes. Randomized controlled trials and metaanalyses in neonatal care were reviewed and the local epidemiology was integrated to implement evidence-based neonatal care.
      PubDate: 2019-05-13
  • Comparative Effect of a Balance Training Program and Core Stabilization
           Program on Factors Related to the Prevention of Falling in Healthy
           Middle-Aged Individuals: A Double-Blind Randomized Controlled Clinical

    • Authors: Chatwalai Sonthikul, Wanida Kaewmunee, Porraporn Sriwannawit, Jirapinya Kasipan, Natthanan Khuatjit, Duangkamol Kimakhom, Pattaraporn Rueangsuk
      Pages: 171 - 181
      Abstract: Objectives: The aim of this study to compare the effectiveness of the balance training program (BTP), and the core stabilization program (CSP), on dynamic balance in healthy middle-aged individuals.
      Material and Methods: This study was a single-blind randomized controlled trial design. Forty-two healthy middle-aged participants were randomly assigned to the BTP group (n=21), or the CSP group (n=21). Participants in both groups received an intervention program (balance training or core stabilization) 3 times a week, for 60 minutes, over 6 weeks. The primary outcome was the dynamic balance measured by the timed up and go test. The other outcomes were: core muscle endurance, muscle strength of the lower extremities, the flexibility of the lower back and hamstring muscles, and gait variables. The measurements included: the prone bridge endurance test, 5 times sit to stand test, sit and reach test and a wireless movement monitoring inertial sensor system, respectively. All outcomes were measured at baseline, and then after 6 weeks. The data were analyzed by the Independent Sample t-test between groups, and the paired t-test within either group.
      Results: After 6 weeks, there was no statistically significant difference between the groups in either dynamic balance, or other variables, however, a statistically significant difference was found in core muscle endurance (p-value=0.003). In so saying, the BTP group, statistically significant improvements were found only in core muscle endurance, the flexibility of the lower back and hamstring muscles, and gait variables from pre- to post-test. Moreover, in the CSP group, there was a statistically significant difference from pre- to post-test in all measured outcomes.
      Conclusion: The Core stabilization program is not superior to a balance training program, for the improvement ofdynamic balance. Although, after 6 weeks of training, the study found that the Core stabilization program was effective for improving dynamic balance. This finding may point out that the Core stabilization program helps improve balance in a middle-aged person
      PubDate: 2019-05-08
  • Feasibility and Reliability of a Developed and Validated Forensic
           Recording Form for Firearm Injury

    • Authors: Kittisak Sripong, Wirachai Samai, Tippawan Liabsuetrakul
      Pages: 183 - 195
      Abstract: Objective: The aim of this study was to develop and validate a forensic recording form for firearm injuries and test the feasibility and reliability of its application.
      Material and Methods: A cross-sectional study was conducted. The first version was developed using knowledge from the literature search and was checked for validity by 3 forensic physicians using the Content Validity Index (CVI). Feasibility was tested among physicians working at 4 district hospitals. Its reliability was analyzed by 2 forensic physicians using prevalence-adjusted and bias-adjusted kappa.
      Results: The validity of a developed recording form for firearm injuries was good, with a CVI of 0.8. All items were rated to be feasible, and the format of the recording was rated from good to excellent. The reliabilities ranged from poor agreement to perfect agreement. After considering the validity, feasibility and reliability tests, a final, forensic recording form was established.
      Conclusion: A systematically constructed forensic recording form for firearm injuries, for any physicians, with less experience in the field of gunshot cases, was developed. This form will be helpful in assisting physicians in the completion of information for any gunshot cases, which may decrease the consequences from incomplete information.
      PubDate: 2019-06-07
  • Medication Use in the Community: Comparison between Urban and Rural Home

    • Authors: Mina Maričić; dr, Milica Paut Kusturica, Mia Manojlović, Ana D Tomas, Olga Horvat, Svetlana Goločorbin Kon, Zdenko Tomić, Ana Sabo
      Pages: 197 - 206
      Abstract: Objective: This study aimed to examine the contents of home pharmacies and medication use, as well as storage and disposal habits in urban and rural households in Serbia.
      Material and Methods: This prospective research was conducted within 70 households in Novi Sad (urban setting) and Laćarak (rural setting) from October 1, 2015 to January 15, 2016. The data were collected using a standardized questionnaire, as well as by direct examination of drugs stored in households.
      Results: The most common groups of drugs stored were cardiovascular drugs, drugs for the nervous system, antirheumatic products and antimicrobials. A high percentage of drugs for the alimentary tract were found stored in Laćarak, while drugs for the respiratory tract were discovered in Novi Sad. Prescription only medications (POMs) made up 69.7% of all medications in Laćarak and 60.6% in Novi Sad. POMs were purchased independently in high amounts (13.2% in Laćarak and 9.1% in Novi Sad). Presence of expired medications was higher in Laćarak (12.0%) than Novi Sad (5.8%). Over two-thirds of the households stored medications properly; however, only 10.0% of respondents reported the proper disposal of unused medications.
      Conclusion: The structures of home pharmacies in Novi Sad and Laćarak differ, which implies different healthcare needs. The practice of self-medicating was noted both in Novi Sad and Laćarak. While Laćarak residents rely more on the advice of friends and family, Novi Sad residents buy medicine mostly without any consultation. Medications in both environments are stored properly in the majority of households, but mostly disposed of improperly together with household waste.
      PubDate: 2019-06-08
  • Effectiveness of a Plai Oil Prepared by Thai Traditional Medicine Process
           in the Treatment of Myofascial Pain Syndrome: A Randomized Placebo
           Controlled Trial

    • Authors: Vanuchawa Wisuitiprot, Wasin Bumrungchaichana, Nipon Kaewtai, Arinchaya Rawangking, Suphawat Saiphanit, Kanoknan Lasongmuang, Nitirat Meekai, Wudtichai Wisuitiprot
      Pages: 207 - 215
      Abstract: Objective: To evaluate the effectiveness of Plai oil for treating myofascial pain syndrome.
      Material and Methods: One hundred and fourteen volunteers with muscle pain from myofascial pain syndrome participated in the study and had Plai oil, placebo oil and diclofenac gel applied to their shoulder and neck for 6 days. Clinical evaluation was determined using visual analogue scales, pressure threshold and cervical range of motion of neck flexion and neck extension measurements.
      Results: The results showed that the visual analogue scales of the 3 groups were significantly different from the baseline. The pressure threshold also increased significantly from the baseline (3.87±1.36) in the volunteers who applied Plai oil (4.42±1.34) and those who applied diclofenac gel (4.35±1.06). However, the results of treatment and placebo groups at the last follow-up were not significantly different. Interestingly, it was observed that Plai oil and placebo oil significantly increased the angle of neck flexion and extension within 3 days of application. Muscle pain treatment with Plai oil resulted in a good outcome that was no different to the outcome of applying the diclofenac gel and placebo.
      Conclusion: It was demonstrated that Plai oil is as effective for relieving myofascial pain as 1.0% diclofenac gel.
      The interpreted results of muscle pain are not fully clarified due to placebo effect and other influencing parameters. However, Plai oil also decreased muscle tension and improved the restricted range of motion. We can recommend that Plai oil can be used as an alternative topical application for muscle pain treatment.
      PubDate: 2019-06-18
  • Geographic Distribution of Households with Goats and Women’s Adverse
           Pregnancy Outcomes and Perceptions of Healthcare Providers Toward Risk of
           Exposure to Goats or Their Raw Products in Pregnant Women

    • Authors: Kan Kledmanee, Tipppawan Liabsuetrakul
      Pages: 217 - 227
      Abstract: Objective: To identify the geographic distribution of households with goats and rates of adverse pregnancy outcomes in women, and assess healthcare providers’ perceptions towards risk of adverse pregnancy outcomes related with exposure to goats or their raw products during pregnancy and their intention to do risk screening.
      Material and Methods: A cross-sectional study was conducted in Songkhla province using the number of households with goats and the rates of abortion, stillbirth, and preterm birth reported in the Thailand 2015 Universal Coverage Scheme database. The perceptions towards risk of exposure to goats or their raw products and the intention to do risk screening according to the Health Belief Model of 46 healthcare providers from four districts of this province were using correlation analysis and multiple linear regression.
      Results: A high number of households with goats was found in all four districts but the number of households with goats was not significantly correlated with any of the rates of adverse pregnancy outcomes. Most perceptions of healthcare providers were highly correlated with intention to do risk screening, except their perceptions on barriers. Cues to action was significantly (p-value=0.018) associated with intention to do risk screening in multiple regression analysis.
      Conclusion: No correlation between the number of households with goats and rates of adverse pregnancy outcomes were found; however, healthcare providers had positive perceptions and intention to do risk screening for exposure to goats or their raw products in pregnant women. Education and warning messages concerning zoonosis as strengthening cues to action are needed.
      PubDate: 2019-06-19
  • Roxithromycin as Anti-Inflammatory Drug Improves Clinical Outcomes in
           Adult Patients with Bronchiectasis: A Double- Blinded Randomized,
           Placebo-Controlled Pilot Clinical Trial

    • Authors: Siwasak Juthong, Sarayuth Eiamsa-ard
      Pages: 229 - 236
      Abstract: Objective: Macrolides are anti-inflammatory agents that have been reported to improve symptoms in bronchiectasis. The objectives of this study were roxithromycin 300 milligrams (mg) once daily for 8 weeks in patients with bronchiectasis improves the symptom scores as the primary outcome, and the pulmonary function tests and quality of life as the secondary outcomes.
      Material and Methods: This was a randomized double-blinded placebo-controlled trial of roxithromycin or placebo once daily for 8 weeks in patients with bronchiectasis. Symptom scores, pulmonary function tests, St. George’s Respiratory Questionnaire (SGRQ), and sputum culture were done at each visit.
      Results: Twenty-eight bronchiectasis patients with a mean age of 56 years participated in this study. Fourteen patients were randomized to receive either roxithromycin 300 mg or placebo once daily. Roxithromycin was shown to improve symptom scores (mean difference of symptom scores=–1.66, p-value=0.005) compared with placebo (mean difference of symptom scores=-0.06, p-value=0.94). Quality of life assessed by the SGRQ, significantly improved in the roxithromycin group (p-value=0.012) but not in the placebo group (p-value=0.84). Pulmonary function tests (forced expiratory volume in one second, forced vital capacity, and diffusing lung capacity of the lung for carbon monoxide) did not improve in either group. None of the patients in the roxithromycin group reported any adverse effects.
      Conclusion: Roxithromycin once daily showed benefits in clinical outcomes such as symptoms and quality of life. Larger studies of the effects of roxithromycin in bronchiectasis with longer follow-up should be done.
      PubDate: 2019-06-24
  • The Impact of Out-of-Pocket Health Expenditure on Maternal Health:
           Empirical Evidence from Central and Latin American Countries

    • Authors: Achille Dargaud Fofack, Steve Sarpong
      Pages: 237 - 245
      Abstract: Objective: The aim of this paper is to assess the impact of out-of-pocket (OOP) health expenditure on maternal health outcomes using a panel of twenty Central and Latin American countries between 2000 and 2015.
      Material and Methods: Six different estimation techniques were used in the analysis in order to check the robustness of the findings. Those estimation techniques were: the ordinary least squares method, the Prais-Winsten correlated panels corrected standard errors regression, the fixed and the random effects models, the generalized least squares method and the bias-corrected least squares dummy variable method.
      Results: After controlling for female education, gross domestic product and remittances, it was found that a surge in (OOP) health expenditure significantly deteriorates maternal health as it leads to a decrease in skilled birth attendance and an increase in maternal mortality. It was also found that in Central and Latin American countries, educated women tended to be healthier, and maternal health care was mainly financed with the money received from friends and family members living abroad.
      Conclusion: It is therefore recommended that public health authorities design and implement protective health care financing programs, such as health insurance.
      PubDate: 2019-06-25
  • Validation of Functional Assessment of Cancer Therapy with Nasopharyngeal
           Cancer Subscale (FACT-NP) for Quality of Life in Thai Patients

    • Authors: Thanarpan Peerawong, Chanon Kongkamol, Zhiping Chen, Paytai Rordlamool, Duangjai Sangtawan, Rungarun Jiratrachu
      Pages: 247 - 257
      Abstract: Objective: To develop and validate the Thai version of the functional assessment of cancer therapy with nasopharyngeal cancer subscale (FACT-NP) with the abbreviated version of the World Health Organization Quality of Life-BREF instrument (WHOQOL-BREF).
      Material and Methods: A cross-sectional study was performed in the Radiology Department between January 2014 and October 2016. Inclusion criteria: nasopharyngeal carcinoma patients aged greater than 18 years. Exclusion criteria: no comprehension of the Thai language, had other cancers (except for skin cancer and diagnosed with impaired cognition and/or overt psychosis), major depression or delirium. After signing the consent form, participants were interviewed and self-completed FACT-NP and WHOQOL-BREF. The structure of the FACT-NP was determined with exploratory factors analysis. The internal reliability of identified domains was evaluated using Cronbach’s alpha. The correlation between domains of the modified FACT-NP and the domains of WHOQOL-BREF were examined with Spearman’s correlation. Known-group validity was determined by comparing patients with different sociodemographic and clinical characteristics using the T-test, Ranksum test and analysis of variance. A p-value of less than 0.05 was considered significant.
      Results: This study was terminated early due to a long accrual period. Of the 230 patients included in the study, only 220 completed both FACT-NP and WHOQOL-BREF. Exploratory factor analysis showed an accumulative variance of 0.56 with 4 factors. The internal reliability of modified FACT-NP was 0.92. There was moderate correlation between modified FACT-NP and WHOQOL-BREF. Both the modified FACT-NP and WHOQOL-BREF could identify differences between the groups.
      Conclusion: The Thai modified FACT-NP was found to be both valid and reliable for measuring the quality of life in Thai nasopharyngeal cancer patients.
      PubDate: 2019-07-09
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Heriot-Watt University
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