• 제목/요약/키워드: Lampang

검색결과 26건 처리시간 0.031초

Breast Cancer in Lampang, a Province in Northern Thailand: Analysis of 1993-2012 Incidence Data and Future Trends

  • Lalitwongsa, Somkiat;Pongnikorn, Donsuk;Daoprasert, Karnchana;Sriplung, Hutcha;Bilheem, Surichai
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8327-8333
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    • 2016
  • Background: The recent epidemiologic transition in Thailand, with decreasing incidence of infectious diseases along with increasing rates of chronic conditions, including cancer, is a serious problem for the country. Breast cancer has the highest incidence rates among females throughout Thailand. Lampang is a province in the upper part of Northern Thailand. A study was needed to identify the current burden, and the future trends of breast cancer in upper Northern Thai women. Materials and Methods: Here we used cancer incidence data from the Lampang Cancer Registry to characterize and analyze the local incidence of breast cancer. Joinpoint analysis, age period cohort model and Nordpred package were used to investigate the incidences of breast cancer in the province from 1993 to 2012 and to project future trends from 2013 to 2030. Results: Age-standardized incidence rates (world) of breast cancer in the upper parts of Northern Thailand increased from 16.7 to 26.3 cases per 100,000 female population which is equivalent to an annual percentage change of 2.0-2.8%, according to the method used. Linear drift effects played a role in shaping the increase of incidence. The three projection method suggested that incidence rates would continue to increase in the future with incidence for women aged 50 and above, increasing at a higher rate than for women below the age of 50. Conclusions: The current early detection measures increase detection rates of early disease. Preparation of a budget for treatment facilities and human resources, both in surgical and medical oncology, is essential.

Cervical Pathology in Cytology-Negative/HPV-Positive Women: Results from Lampang Cancer Hospital, Thailand

  • Paengchit, Kannika;Kietpeerakool, Chumnan;Wangchai, Warunee;Pouraeng, Saifon;Lalitwongsa, Somkiet
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권18호
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    • pp.7951-7954
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    • 2014
  • Background: To evaluate the cervical pathology of cytology-negative/high-risk human papillomavirus (HR-HPV) positive-women. Materials and Methods: This study recruited 4,583 women aged 30-70 years who had undergone cervical screening by liquid-based cytology and HR-HPV test (14 HR-HPV types) at Lampang Cancer Hospital during October 2012 to July 2013. Colposcopy was carried out in all women. Results: One hundred and ninety-two (4.19%) women were found to be cytology-negative/HR-HPV-positive. However, 23 cases were excluded because of incomplete information, leaving 169 women for further analyses. Of these 169, 45 (26.6%) were infected with HPV 16/18 and 49 (29.0%) with multiple genotypes of HR-HPV. Nineteen of 169 (11.24%) women were found to have CIN 2-3. No women in the present study had AIS or invasive cervical lesions. Prevalence of CIN 2-3 among women infected with HPV 16/18 was 15.6% which was higher than the 9.68% in those with non-HPV 16/18 oncogenic types. Conclusions: Overall, 11% of cytology-negative/HR-HPV-positive women had significant cervical lesions. Risk of harboring such lesions was substantially increased among those who were HPV 16/18 positive.

Health Status of Dependent Older People and Pattern of Care among Caregivers: A Case Study of Hong Ha Health Promoting Hospital, Lampang, Thailand

  • Wicha, Sumitra;Saovapha, Benjaporn;Sripattarangkul, Sirirat;Manop, Natchapan;Muankonkaew, Thanakrit;Srirungrueang, Supha
    • Asian Journal for Public Opinion Research
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    • 제5권3호
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    • pp.228-249
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    • 2018
  • In 2015, the population of elderly people in Thailand was 16% of the total population and is predicted to be over 20% by 2021 and nearly 28% by 2031. The increase of the elderly population in Thailand has also increased the proportion of dependent elderly people, and caring for them poses many challenges for both families and the government. This descriptive method research aimed to survey the health status of dependent older people in the rural community of Lampang province in northern Thailand. The participants consisted of 62 older people and 62 primary family caregivers from Hong Ha Health Promoting Hospital, Lampang, Thailand (totaling 124 people). The researchers assessed the health status of older people and their activities of daily living (ADL). In addition, researchers assessed the health status and stress of caregivers. All the participants were interviewed about their experiences with caregiving. The results showed that most of the older respondents were female with an average age of 78.15 years. Based on the ADL assessment, 50 of the 62 older persons were homebound while the rest were bedridden. The majority of older people had chronic or long-term conditions that required hospitalization from time to time. Their frequent health problems included oral disorders such as tooth decay or caries/gum disease/no teeth, reduced sight, psychological disorders, knee pain and risk of falling, low BMI, risk of malnutrition, and urinary leakage and incontinence (58.06%, 66.13%, 62.90%, 70.97%, 38.71%, 66.13%, and 37.10%, respectively). Usual care provided by the family members included personal hygiene care, food preparation and feeding, medication management, housekeeping and organizing necessary equipment, supply of needed equipment, prevention of falls, helping with travel for medical checkups and treatment, and providing companionship. Families experienced shortages of medical supplies, daily use equipment, lack of employment, inadequate income, and difficulty accessing health care services due to lack of transportation. Some caregivers experienced caregiving stress related to a lack of social interactions as well as routine caregiving activities. Families need different types of support in order to promote the well-being of older people and caregivers. This highlights the need for a community participation model for the care of older people in order to reflect sustainable long-term outcomes.

Prevalence and Genotype Distribution of HPV among Women Attending a Cervical Cancer Screening Mobile Unit in Lampang, Thailand

  • Paengchit, Kannika;Kietpeerakool, Chumnan;Lalitwongsa, Somkiet
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권15호
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    • pp.6151-6154
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    • 2014
  • A growing body of literature is evidence that identifying subtypes of high-risk human papillomavirus (HR-HPV) has impacted on various steps of cervical cancer prevention.Thus, it is mandatory to determine the background prevalence and distribution of HPV subtypes for designing and implementing area-specific management. The present study was conducted to evaluate prevalence and distribution of HPV subtypes among women aged 30-70 years living in Lampang, an area with a high incidence of cervical cancer, through use of a mobile screening unit. Of 2,000 women recruited in this study, 108 (5.40%, 95%CI: 4.45-6.48) were found to have HR-HPV infection. Risk was significantly correlated with age and number of partners. Singly or in combination, the most common genotype was HPV 52 (17.6%), followed by HPV 16 (14.81%), HPV 58 (13.89%), HPV 33 (11.11%), HPV 51 (11.11%), and HPV 56 (9.26%). HPV 18 was found in only 5.6% of cases. Together, HPV 16/18 were noted in approximately 20.4% of cases. Eighteen(16.67%) women were positive with multiple subtypes of HR-HPV. Co-infection most frequently involved HPV 16 or HPV 58. These findings have obvious implications for vaccine policy.

English Anxiety among Thai Nursing Students of Boromarajonani College of Nursing, Nakhon Lampang, Thailand

  • Palaleo, Jona Jean Pinas;Srikrajang, Janthila
    • Asian Journal for Public Opinion Research
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    • 제5권3호
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    • pp.250-265
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    • 2018
  • Thailand is one of the ASEAN countries and is said to be the most visited country in Southeast Asia. Despite its development, Thailand falls as one of the countries with the lowest rates of English proficiency. This article is written to describe one of the possible factors of Thailand's low English proficiency, which is the foreign language anxiety of students. This article outlines references regarding the English language anxiety of Thai students and uses them as a basis in distinguishing English language anxiety among nursing students in Boromarajonani College of Nursing Nakhon Lampang, Thailand (BCNLP). A survey was conducted using a questionnaire based on the FLCA Scale by Horwitz, Horwitz, and Cope, (1986) with a focus group consisting of 80 participants randomly selected from $1^{st}$ year to $4^{th}$ year nursing students of BCNLP. As found in the survey there were two sources of English language anxiety among nursing students: 1. Fear of negative evaluation due to unpreparedness, and feeling and thinking that others are better in language learning as the main factors; and 2. Communicating apprehension, where in speaking without preparation, speaking in the foreign language in front of other students, and self-doubt about one's ability to speak in the foreign language are the highest ranked causes of anxiety. The results indicate two main problems: unpreparedness and self-concept. Therefore, it is recommended that English Language classes should be taught with the learner-centered approach and that instructors should put importance in preparing the students during class, and encouraging them to increase a positive self-concept towards English language learning.

High Prevalence of Haplorchiasis in Nan and Lampang Provinces, Thailand, Proven by Adult Worm Recovery from Suspected Opisthorchiasis Cases

  • Wijit, Adulsak;Morakote, Nimit;Klinchid, Jaewwaew
    • Parasites, Hosts and Diseases
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    • 제51권6호
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    • pp.767-769
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    • 2013
  • Opisthorchiasis, a risk factor for cholangiocarcinoma in humans, is of public health importance in Thailand. The Annual Surveillance Reports from Nan and Lampang Provinces, Thailand, for the year 2011 showed an opisthorchiasis prevalence of over 70% by recovery of eggs in the feces. This study investigated whether most cases are actually due to minute intestinal flukes (MIF) rather than Opisthorchis viverrini, as the eggs of both can hardly be differentiated by morphology. Fifty and 100 cases from residents in Nan and Lampang, respectively, had stools positive for eggs initially assumed to be those of O. viverrini. Each patient was given praziquantel at 40 mg/kg in a single dose. After 2 hr, 30-45 ml of the purgative magnesium sulfate was given, and stools were collected up to 4 times sequentially. The stools were examined for adult worms by simple sedimentation. It was found that 39 of 50 cases (78.0%) from Nan Province had Haplorchis taichui, with intensities ranging from 5 to 1,250 with an average of 62 worms/case. Taenia saginata (7 cases) and Enterobius vermicularis (1 case) were other helminths recovered as the co-infectants. In Lampang Province, H. taichui was recovered from 69 cases (69.0%). The number of flukes recovered ranged from 1 to 4,277, with an average of 326 worms/case. Four cases had Phaneropsolus bonnei, and 10 T. saginata as the co-infectants. Adult specimens of O. viverrini were not recovered from any stool. Clearly, MIF infection, especially haplorchiasis, is more common in northern Thailand. These findings should encourage the Public Health Office to employ more specific tools than Kato's method for surveillance of opisthorchiasis in Thailand.

Age-Standardized Incidence Rates and Survival of Osteosarcoma in Northern Thailand

  • Pruksakorn, Dumnoensun;Phanphaisarn, Areerak;Pongnikorn, Donsuk;Daoprasert, Karnchana;Teeyakasem, Pimpisa;Chaiyawat, Parunya;Katruang, Narisara;Settakorn, Jongkolnee
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권7호
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    • pp.3455-3458
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    • 2016
  • Osteosarcoma is a common primary malignant bone tumor in children and adolescents. Recent worldwide average incidences of osteosarcoma in people aged 0 to 24 years were 4.3 and 3.4 per million, respectively, with a ratio of 1.4:1. However, data on the incidence of osteosarcoma in Thailand are limited. This study analyzed the incidence of osteosarcoma in the upper northern region of Thailand, with a population of 5.85 million people (8.9% of the total Thai population), using data for the years 1998 to 2012, obtained from the Chiang Mai Cancer Registry (CMCR) at Chiang Mai University Hospital and the Lampang Cancer Registry (LCR) at the Lampang Cancer Hospital, a total of 144 cases. The overall annual incidence of osteosarcoma was 1.67 per million with a male:female ratio of 1.36:1. Incidences by age group (male and female) at 0 to 24, 25 to 59 and over 60 years were 3.5 (3.9 and 3.0), 0.8 (0.9 and 0.6), and 0.7 (0.8 and 0.5), respectively. The peak incidence occurred at 15 to 19 years for males and at 10 to 14 years for females. The median survival time was 18 months with a 5-year survival rate of 43%. Neither the age group nor the 5-year interval period of treatment was significantly correlated with survival during the 15-year period studied.

Flowering and fruiting phenology of herbs, climbers, shrubs, and trees in the deciduous dipterocarp forest of Northern Thailand

  • Janejaree Inuthai
    • Journal of Ecology and Environment
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    • 제47권3호
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    • pp.134-145
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    • 2023
  • Background: The flowering and fruiting periods play an important role in biological processes. The deciduous dipterocarp forest is an important forest type in Thailand, however the phenological studies are still limited, particularly in different plant life forms. Thus, the present study focused on the flowering and fruiting phenology of herbs, climbers, shrubs, and trees in the deciduous dipterocarp forest at Lampang province of Northern Thailand. Field visits were made to record plant life forms and observe reproductive phenological events at monthly intervals from November 2018 to October 2019 and September to December 2020. Results: The phenological observations were based on 126 species of 45 families and 102 genera. Flowering and fruiting periods showed similar patterns in herbaceous plants, climbers, and shrubs. Most of these species produced flowers and fruits from the end of the rainy season (October) to the winter season (November-January). Whereas most of flowering and fruiting trees were found from the summer season (March-April) to the beginning of the rainy season (May-June). Most of the dry-fruited species occurred during the dry period (winter and summer seasons), while the majority of fleshy-fruited species dominated in the wet period (rainy season). The statistical analysis supported the phenological patterns of flowering and fruiting in the present study. There were significant negative correlations between the number of flowering and fruiting species and temperature. The number of flowering and fruiting species is significantly impacted by the interaction between seasons and plant life forms. Conclusions: Plant life form seems to be the important factor that affects the different phenological patterns in the studied plants. The abiotic and biotic factors play major roles in reproductive phenology. However, long-term study and in-depth phenological observations are necessary for better understanding.

ITERATIVE PROCESS FOR FINDING FIXED POINTS OF QUASI-NONEXPANSIVE MULTIMAPS IN CAT(0) SPACES

  • Pitchaya Kingkam;Jamnian Nantadilok
    • Korean Journal of Mathematics
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    • 제31권1호
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    • pp.35-48
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    • 2023
  • Let 𝔼 be a CAT(0) space and K be a nonempty closed convex subset of 𝔼. Let T : K → 𝓟(K) be a multimap such that F(T) ≠ ∅ and ℙT(x) = {y ∈ Tx : d(x, y) = d(x, Tx)}. Define sequence {xn} by xn+1 = (1 - α)𝜈n⊕αwn, yn = (1 - β)un⊕βwn, zn = (1-γ)xn⊕γun where α, β, γ ∈ [0; 1]; un ∈ ℙT (xn); 𝜈n ∈ ℙT (yn) and wn ∈ ℙT (zn). (1) If ℙT is quasi-nonexpansive, then it is proved that {xn} converges strongly to a fixed point of T. (2) If a multimap T satisfies Condition(I) and ℙT is quasi-nonexpansive, then {xn} converges strongly to a fixed point of T. (3) Finally, we establish a weak convergence result. Our results extend and unify some of the related results in the literature.