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An objective of a descriptive study was to investigate health status of elderly who resided in Nam Phong, rural area. Study population were all of elderly aged 60 and over who living in 3 Villages, Nam Phong district, Khon Kaen Province. Research instruments for data collection were weighing of body weight and height measurement in order to obtain body mass index (BMI), stool examination for detecting parasites ova, included interviewing with questionnaire. A total subject was 90 elderly. Result of this study revealed that 49.4% had BMI lower than normal which found higher in males than females. Based on BMI criteria, there were chronic energy deficiency 23.5%, obesity 12.3%. Stool examination showed 30.5% of elderly found parasites. One third (33.3%) of elderly reported use of analgesic drugs and cocktail drug (a set of variety drug called “Ya-Chud”). Approximately half of this figure were drug abuse. The elderly were still at risk to chemical use in agricultural activities and 19% were smoking at work. An establishing group of elderly in rural area is recommended by the authors in order to promote recreation, helping and teaching each other, which will be effective not only physical health but also mental health of elderly as well.
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Objective1. To establish and develop personality in order to promote good leadership and member the essential merit and ethics that correlate to the social needs of students.2. To build up and create appropriate values in Thai society among the students themselves especially in terms of unity, affection and a sense of belonging to each other and to the Academic Institute.3. To develop the students in terms of Social, Emotional \& Moral behaviour so that they can adapt to the new society.4. Build up the sensitivity and responsibility of students society and to the country after graduation.Methods – Assigning the students to attend the 2 night camp,s activities. There was an Analysis lecture of the present situation, social problems and human behaviour. There was a video show about the Developemtn trends or the ‘new life’ Community Development. Example of development experiences, leadership and human relations were raised. There was a planning group meeting, arranging a project, self and family development activities, The proposal of group and other activities from evaluation by collective observations, interviews and questionaires. It has been found that to accomplish the target object. The students program needed to be supplemented \& develop in order to get better personality, leadership and member, good merit \& ethics in society. Appropriate values had to be emphasized such as unity, affection, relationships with one another, a price in the institute, adaptation to colleaques and the environment. These values also include the feeling of responsibility for society that effect the entire country in the future. The recommendation from students and lecturers who attended this program is that it should have there activities for the 2 nd year and the 3 rd year students and there should be a chane of locations for demonstration. The suggested place should be within a walking distance to the campus and provide proper accommodation and a conference room. Interesting \& effective media should be used. There main meals should be arranged and the light meal or snack could be reduced. Public relations procedure should be advertised throughroughly and lecturers should participate in the activities, The evaluation should be done regularly so as to adjust and improve the weak points and consequently become the faculty policy Further more. The academic program should include the merit and ethical teaching and the supplementary activities should be continuously administered until graduation.
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The uses of physical exercise associated with mental practice for physical healing were conducted through the mobile health service. The objective of the physical healing project were : (1) to study the behavior of villagers concerning their responsiveness to exercise and practice without drug treatment, (2) to practice the techniques which assist patients to reach tranquility, and (3) to promote and motivate patients to use physical exercise and mental practice for stress, strain and exhaustion conditions. The results revealed that the exercise and practice were accepted by the villagers. Such exercise and practice do not go against Thai culture and the faith of Buddism. Patients who suffered from muscular, nervous, digestive and respiratory system problem found relief from such sicknesses after the exercise and practice were performed.
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Studies concerning socioeconomic and medical problems of the elderlies in Khon Kaen Province, Northeast Thailand, were conducted in 1989 – 1990. The objectives of these stuidies were to out nutritional status, eating habit and parasitic infection. A tobal of 464 elderly persons from a semi – urban area and a rural area of Khon kean Province were sampled by the 30 cluster sampling technique in each area, The method was composed of an interview by structured questionnaire, an in – depth interview, a 24 – hour recall interview, stool examination and anthropometry by height and weight measurement. The results revealed theat most of elderly lived with their relatives and or children and had been taken care by their elotives. Half of the tobal elderlies were widwed and primary school educated ; and 22.4 per cent were working ; 66.3 percent were smokers and most of them were males ; 37.1 per cent were drinkers. Seventy – six per cent of the total elderly group habitually chewed areca nuts and betel leaves smeared with lime ; 36.4 per cent consumed improperly cooked food. IIIness prevalence of elderly during the previous 2 weeks, was fond that the number of sick elderly in the semi – urban area was slightly higher than those in the rural area. Curative behavior or health seeking behavior when getting ill of the elderly was found as following : 42.2 percent went to see a doctor at the health station or clinic and 39 percent had self medication. Nutritional status of the elderly, using body mass index (BMI) calculated from weight and height revealed that rural elderlies were lean significantly much more than those in semiurban aaea. (BMI
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The study was udndrtaken to obtain informaiton about food consumption, food habit and nutritional status of the food eaten by the elderly, The subjects of the study were 82 elderly people (38 men, 44 women) in Sern-Nae village and Pha-Gua village, both in Non-com District , KhonKaen Province, Northeast Thailand. All the villagers aged sixty and over were interviewed. The nutritional status of the elderly was assessed by body mass index (BMI). Semi quantitative of food comsuption in 24 hours was studied in 30 percent of the elderly group (randomly selected). The elderly were asked about foods eaten in the previous 24 hours and also interviewed about food habits. The average age of the subjects was 71 years. They generally lived with Their famillies and had meals with other members .Foods were cooked by daughters or daughters-inlaw. 43.9 percent of the subjects had a chronic illness. It is traditionally believed that the elderly should not eat raw food. Half of the group had chewing problems that the elderly should not eat raw food. Half of the group had chewing problems. 71 percent were found to have low nutritional status (the average body mass index of this percentage was 19.5 kg/m2 for men and 17.2 kg/m2 for women). Therefore , the elderly had a tendency to be unhealthy and malnurished. Although their food had a low fat content they got enough calories, rotein and iron. Larger amounts of vitamin B1 Vitamin B2 niacin and Vitamin C , which were rather low , should be recommended. Furthermore, to improve the healh of the elderly , the midwives would be a valuable group to use in compaigning and educating the public, Those who prepare food should be educated so that they can prepare appropriate foods for the elderly.
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It was believed that more highly educated mothers could take care of their children better than less educated mothers. Other factors involved the growth development of children during infant and preschool years. Two villages in Khon Kaen provinces were studied and compared. The target groups were children below five years and their mothers. Only mothers in a studied village were given health education. The result showed that children in a studied village were slightly more developed and healthier than children in a controlled village. However, when the mothers education levels were compared, data showed that mothers with lower education could look after their children better than those in a higher education group. This happened in both villages. It might be that lower educated mothers had more time for their children and tended to follow the local health worker’s teaching. In contrast the mothers in the higher educated group had more chance to work outside and left children with their cousins. There fore, this might effect children’s growth development and health.
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Background: The objective of this research was to evaluate the progressive behavior development of fourth and fifth year medical students based on their first to third year attendance at the seminars, “How to develop good personality qualities and ethics.” The research focused on: 1. Behavioral differences between trained versus previous groups of students who had not been trained. 2. Whether and how the training actually affected student behavior. 3. Development of recommendations for future course.Method: This was prospective cohort behavioral study. The data were elicited from fourth and fifth year medical students using questionnaires, direct observations, and informal interviews. They were compared with the collective subjective judgement of faculty members regarding former students who did not undergo the same training.Results: Students who passed all of the training sessions had good relationships with teachers, colleagues patients, and family. The tone of their conversation was positive. Their behavior (manners and responsiveness to patients) and ethics (capacity to use appropriate medical techniques) were judged to be better than those students who had not been trained. We concluded that since the first three years of training are formative (with eagerness and newness), training in behavior and ethics at this time is well-received; allowing students to prepare themselves for the following more interactive clinical phase of medical education. Notwithstanding, the wholly subjective nature of the comparison of trained versus untrained students, all (100%) of the department heads and head nurses agreed that medical students should attend training in ethics and personal behavior development. Similarly, 92% of the fourth and fifth year students were of the opinion that behavior and ethics training, both in class and at camp, should continue because they learned about economizing, psychology, manners, appropriate attire, public conduct, and respectfulness toward teachers, colleagues, seniors and juniorsKey words: Medical Students, Personality, Ethics
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Background: In 2004, most medical-school hospitals in Thailand stopped taking new registrations for the social security scheme because the scheme was predominantly used by persons with severe or chronic diseases. Srinagarind Hospital itself initiated a private clinic network in order to increase admissions eligible for funding under the social security scheme, but also found expenditure is increasing.Objective: To determine the proportion of the utilization of health services of the group that was new for Srinagarind Hospital, but previously registered at other hospitals(nfs group), compare to all new registrants .Design: Descriptive studySetting: Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, ThailandSubjects: Between May 1 and July 31 2004, 113 persons came for treatment at Srinagarind Hospital.Results: We found that the nfs group accounted for 57.4% (95% CI : 48.3, 66.5 )of the number of health visits of all new registrants but 84.2% (95% CI : 77.5, 90.9 ) of the total expenditures. By contrast, the new and never registered anywhere else’ group (nn group) accounted for 43% of the number of health visits of all new registrants but only 16% of the expenditures. Age and sex were not statistically significant factors when comparing the two groups. The nfs/nn ratio was 3.92 (i.e. 6,921.4 vs. 1,763.5 Baht) for the treatment cost per patient and 5.11 (i.e. 21.5 and 4.2%) for the inpatient admission rate.Conclusion: The study confirms an existing of the selection bias by patients with expensive and chronic diseases for healthcare provided by the social security scheme. Further study is needed to get the appropriate risk adjustment figures to make the scheme more efficient.
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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.