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Objective : The objective of the study is to investigate the unit cost of the mobile renal calculi case detection project of the Faculty of medicine Khon Kaen University during September 1993 to June 1995.Method : This was a descriptive study. Data was collected retrospectively from routine records of the project expenditure and from records of observation on all activities. A mobile team comprises two trained general practitioners, a nurse, two assistants and two drivers using two trained general practitioners. A nurse, two assistants and two drivers using two ultrasounds, THOSHIBA SAL 326 linear probe 3.5 Mhz as the screening method. Costing method includes1) Identification of screening activities involved2) Identification of input resources in terms of capital cost and recurrent cost 3) Cost allocation to each activity and resources utilized4) Calculation of unit costResults : The findings reveal that were 28,440 people screened and 2,617 renal calculi cases were detected. Cost per person screened was 71.34 Baht and cost per renal calculi case detected was 775.36 Baht. Labour cost was the highest component (67.03%) of the total cost.Discussion : The ingestions suggest that the project could reduce the cost by using special trained mon – MD personnels, ultrasonographer, instead of MD personnels.
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A file for each student who had a poor study result in 1989 was created. The file contained the student’s background data related information. There was a tatal of 75 files. Half of theem were randomly selected to be he study group and the rest were the control group. The files of the study group were distributed to the study group and the rest were the control group. The files of the A set of quedtionnaires for the staff was went to the department as son as the students left the department. Students’ opinions were collected by questionnaires at the beginning and the end of the academic year. The numbers of re – examinations of each student in 1989 and 1990 were collected and served as indicator for the sudent’s study achievements. This randomized control study revealed that there was no significant difference in staff attitudes to both groups. The students in both group had no difference in the number of re – examination. The opinions of both groups as a result of the response to 32 questions, are not statistically different. The major problem in this study was the low response rate. Only one – hied of he staff used the circulated file, and 61.5% of them responded to the questionnaires. No negative effect was found in this study . Most of the staff who replied to questions supported the continuation of the file rotation. To improve the effectiveness, we suggest that the file should be sent to the staff who are really interested in student’s problems.
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Background: Subjective health complaints include variety of subjective illnesses with few or no objective finding. They are the major reasons for granting sickness compensation, and frequent reasons for encounter with the general practitioners. Determining the prevalence of such problems can help in obtaining the magnitude of the problemObjective: To determine the prevalence of people with subjective health complaints.Design: Descriptive studySetting: The rural communities in Khon Kaen ProvincePopulation and samples: The totals of 1,600 people with aged 15-65 years were selected by multi stage sampling method.Method: The Thai version of subjective health complaint inventory was employed. Main outcome measure: Prevalence of people with subjective health complaints.Results: The response rate was 70.5%. Prevalence of people with subjective health complaints was 87.4% (95%CI: 87.1 to 87.7). The complains included 69.0 % musculoskeletal, 48.9% gastrointestinal, 48.0% pseudoneurological complaints, 36.0% flu-like and 27.4% allergic like symptom. Their health seeking behaviours included 66.2% do nothing/self-observation, 48.9% made self-prescription, 46.1% reformed self-care, 30.5% went to the public health centers, 13.3% went to the community hospitals, 9.8% went to private clinic, 2.5% went to Khon Kaen Regional hospital and 0.8% went to Srinagarind hospital. Conclusion: In Khon Kaen province, prevalence of people with subjective health complaints in rural community was 87.4%. They tended to choose self care more than other treatment resorts. Most of them chosed primary health care before went to hospital.The prevalence was similar to that of the studies in the Western countries.key words : subjective health complaints, health seeking behaviour
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Background: I-sarn syndrome (ISS) consists of multiple chronic complaints including: myofascial pain, back pain or lower abdominal pain, dyspepsia, poly-arthralgia, headaches, fatigue, history of dysuria, and/or any of these made worse by consuming bamboo shoot.Objectives: To determine the prevalence of ISS and their associated factors in rural community, Khon Kaen Province.Methods: A cross-sectional analytic study in 16 rural villages from 4 districts. Subjects, between 15 and 60 years of age, were randomly selected by multistage sampling.Results: 1,128 individuals were participated, 38% were male, 45% were older than 45 years and most of them were farmers (71.1%). Age-sex adjusted prevalence of ISS was 29.4%. Prevalence of myofascial pain, back pain/lower abdominal pain, dyspepsia, poly-arthralgia, headaches, fatigue, and dysuria was 33.7, 37.7, 29.9, 11.4, 39.8, 30.9 and 18.5%, respectively. The prevalence of people whose symptoms aggravated by bamboo shoot was 33.5%. ISS patient was significantly older, more debt, higher creatinine level, more frequent visited at health center and community hospital (p
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This mutually collaborative action research aimed to develop age-friendly primary health care (AFPHC) for older people at one primary care unit (PCU), under the supervision of the university hospital, Khon Kaen province, Thailand. The participants were older people and their family members, nurses, the staff of the primary care unit, community health volunteers (CHVs), and community leaders. Data were collected by participatory observations, natural interviews, in-depth interviews, focus group discussions, and document reviews. Qualitative data were analyzed by content analysis. Quantitative data were analyzed by using frequencies and percentages.The findings of six concepts of AFPHC: Respect, direct services, equity in elders group, good death, family care, and age-friendly environment, led to the process of developing age-friendly primary health care for the elders in four phases. These were: 1) awareness of AFPHC concepts, 2) changes in health service behaviors and age-friendly environments, 3) developing age-friendly services and activities, and 4) building age-friendly service networks. The results of this study suggested that age-friendly primary care comprised of three components: age-friendly behaviors, age-friendly services, and an age-friendly environment.Factors contributing to the development of AFPHC were: 1) positive thinking of participants, 2) management for mutual benefits, 3) social capital of local stakeholders, and 4) input from gerontological advanced practice nurses in the community. Barriers to the development of AFPHC were: 1) the changed policies of the PCU administration, 2) the personnel outcome evaluation system that focused more on individual than groups or project based.
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Background: Many patients in clinical practice of one of the authors had various symptoms after eating bamboo shoots e.g. headaches, back/waist/leg pains and/or dyspepsia. This study could establish a part of baseline data to solve the other related problems. Objective: The aim of this study was to determine the frequency of bamboo shoot consumption and prevalence of various symptoms particularly those with a hereditary link.Method: A descriptive study. Data were collected using a structured questionnaire completed through an in-depth interview.Setting: Bandong subdistrict, Ubonrat district, Khon Kaen province and Phosrisumran subdistrict, Nonesaard district, Udornthani province, Thailand. Population: married women, of at least 20 years of age.Results: Two hundred and five married women were interviewed. Most of them (77%) were 31 to 50 years of age. The majority (75% of the 153 cases) ate bamboo shoots often. Among those who urinated in a bowl at night, 61% observed a turbid white precipitate. Ninety cases (44%) had other symptoms after eating bamboo shoots, such as, stomach pain and dyspepsia, leg/arm pains, back pain, joint pain, fatigue and headaches. Half (53%) of respondents remembered their predecessors having similar symptoms after eating bamboo shoots, however, there was no statistically significant association of the symptoms between the respondents and their known forebears. Suggestions: Further research should be conducted into the dietary habits of rural Northeast Thais including cooking techniques for detoxifying bamboo shoots as techniques may help prevent the gall stones endemic among them.Key words: symptom prevalence, bamboo shoots, bamboo-meal syndrome.
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Background: Traffic accident is an important problem which causes mortality every year in Khon Kaen University Campus. Campaigns for helmet-usage has been done, but many students don’t use. Some of them complain about the loss of helmet.Objectives: To determine the rate of helmets loss and the rate of being arrest for riding without wearing the helmet and the financial loss by these problems.Methods: Descriptive study was done. The study population comprised of student who owns motorcycle. Subjects were randomly selected by systematic random sampling from the time-location sampling from 5 common parking places. Self-administered questionnaire was employed and the in-depth interview was also used in this study.Results: From 350 subjects, 99.1% of them were response, 56.5% were female, and 31% and 28.4% were the first and second year students, respectively. The engineering student and management science student accounted for 18% and 10.8%, respectively. About 3.7% of the subjects never own the helmet. The rate of helmets loss is 0.4 helmet/person-year (95%CI: 0.4, 0.5) and the rate of being arrested is 0.4 time/ person-year (95%CI: 0.4, 0.5), which cost 165.6 Baht/person-year or 3,949,891.2 Baht for total KKU Students in a year. Most of the helmets were stolen at the owner’s dormitory (26.1%) and at the owner’s faculty (25.6%). Most of the students did not know the exact time of the stealing (37.2%), while 28.9% happened in the afternoon. When study the securing the helmets on the day it was stolen, 90% of them were left unlocked at the motorcycles and 3.9% were locked. For prevention of the helmet lost, 66% of the subjects asking the university to build the lockers for the students.Conclusions: Two helmets were stolen and 2 were arrested because of not wearing helmet for each 5 KKU students during one year.Keywords: helmet, loss, KKU, stealing, locker