• Title/Summary/Keyword: Ubon Ratchathani

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Evaluation of Cholangiocarcinoma Risk and its Related Factors In Wetland Geographical Communities of Ubon Ratchathani, Thailand

  • Songserm, Nopparat;Woradet, Somkiattiyos;Bureelerd, Onanong;Charoenbut, Pattaraporn
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.1811-1815
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    • 2016
  • Wetland geographical areas have a higher incidence of Opisthorchis viverrini-associated cholangiocarcinoma (CCA), confirmed by data from geographic information systems, than other areas. Behavioral data also indicate that people in these areas traditionally eat uncooked freshwater fish dishes, a vehicle for O. viverrini infection. The best approach to reducing CCA incidence is decreasing risk factors together with behavior alteration. Evaluation of CCA risk and its related factors are first needed for planning the prevention and control programs in the future. We therefore aimed to evaluate the CCA risk and explore its related factors among people in wetland communities of Ubon Ratchathani, Thailand. A cross-sectional study was conducted between July and August 2014. In total 906 participants, with informed consent, completed questionnaires. Overall risk of CCA was determined by multiplying odds ratios (ORs) of the risk factors for CCA from literature reviews. A mean score of 5.95 was applied as the cut-off point. Assessment of factors related to overall risk of CCA was accomplished using conditional logistic regression. Of all participants, 60.15% had a high level of the overall risk of CCA. Factors related to the overall risk of CCA were gender (p<0.001), marital status (p<0.001), perceived susceptibility (p=0.043) and prevention behavior for CCA (p<0.001). In conclusion, most participants in this community had a high level of overall risk of CCA. Therefore, integrated prevention and control programs continue to be urgently required.

Community Participation in Cholangiocarcinoma Prevention in Ubon Ratchathani, Thailand: Relations with Age and Health Behavior

  • Songserm, Nopparat;Bureelerd, Onanong;Thongprung, Sumaporn;Woradet, Somkiattiyos;Promthet, Supannee
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.7375-7379
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    • 2015
  • A high prevalence of Opisthorchis viverrini infection is usually found in wetland geographical areas of Thailand where people have traditional behavior of eating uncooked freshwater fish dishes which results in cholangiocarcinoma (CCA) development. There were several approaches for reducing opisthorchiasis-linked CCA, but the prevalence remains high. To develop community participation as a suitable model for CCA prevention is, firstly, to know what factors are related. We therefore aimed to investigate factors associated with the community participation in CCA prevention among rural residents in wetland areas of Ubon Ratchathani, Thailand. This was a cross-sectional analytic study. All participants were 30-69 years of age, and only one member per house was invited to participate. A total of 906 participants were interviewed and asked to complete questionnaires. Independent variables were socio-demographic parameters, knowledge, health belief and behavior to prevent CCA. The dependent variable was community participation for CCA prevention. Descriptive statistics were computed as number, percentage, mean and standard deviation. Associations were assessed using logistic regression analysis with a P-value <0.05 considered statistically significant. Of all the participants, more than 60% had regularly participated in activities to prevent CCA following health officials advice. Age and health behavior to prevent CCA were factors associated with community participation for CCA (p<0.001). Both factors will be taken into consideration for community participation approaches for CCA prevention through participatory action research (PAR) in future studies.

USING ASTRONOMY AND BOTANY TO IMPROVE WRITING SKILLS

  • NUTARO, SUKANYA;NITHITAKKHARANON, PIYAPHAT
    • Publications of The Korean Astronomical Society
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    • v.30 no.2
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    • pp.745-747
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    • 2015
  • Astronomy is one of the interesting but difficult topics in science for elementary education. Therefore, it is interesting to create astronomy activities that children can understand clearly. The researchers developed activities by using astronomy and botany to improve writing skills. They have to glue the local flowers on the star pictures then write the name of those flowers, the name of the constellation and write an essay describing their work. The participants are into two groups. 71 $3^{rd}$ year undergraduate students who registered for teaching and are learning science as an elementary education subjec, and 10 $1^{st}$ grade student from the laboratory school of Ubon Ratchathani Rajabhat university. We can conclude that both groups were more interested in astronomy, they can tell the name of local flowers and not only used their imagination to create their work, but also to write great essays.

Differential Evolution Algorithms Solving a Multi-Objective, Source and Stage Location-Allocation Problem

  • Thongdee, Thongpoon;Pitakaso, Rapeepan
    • Industrial Engineering and Management Systems
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    • v.14 no.1
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    • pp.11-21
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    • 2015
  • The purpose of this research is to develop algorithms using the Differential Evolution Algorithm (DE) to solve a multi-objective, sources and stages location-allocation problem. The development process starts from the design of a standard DE, then modifies the recombination process of the DE in order improve the efficiency of the standard DE. The modified algorithm is called modified DE. The proposed algorithms have been tested with one real case study (large size problem) and 2 randomly selected data sets (small and medium size problems). The computational results show that the modified DE gives better solutions and uses less computational time than the standard DE. The proposed heuristics can find solutions 0 to 3.56% different from the optimal solution in small test instances, while differences are 1.4-3.5% higher than that of the lower bound generated by optimization software in medium and large test instances, while using more than 99% less computational time than the optimization software.

Effects of Application of Social Marketing Theory and the Health Belief Model in Promoting Cervical Cancer Screening among Targeted Women in Sisaket Province, Thailand

  • Wichachai, Suparp;Songserm, Nopparat;Akakul, Theerawut;Kuasiri, Chanapong
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3505-3510
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    • 2016
  • Cervical cancer is a major public health problem in Thailand, being ranked second only to breast cancer. Thai women have been reported to have a low rate of cervical cancer screening (27.7% of the 80% goal of WHO). We therefore aimed to apply the social marketing theory and health belief model in promoting cervical cancer screening in Kanthararom District, Sisaket Province. A total of 92 from 974 targeted women aged 30-60 years were randomly divided into two groups. The experimental group underwent application of social marketing theory and a health belief model program promoting cervical cancer screening while the control group received normal services. Two research tools were used: (1) application of social marketing theory and health belief model program and (2) questionnaire used to evaluate perceptions of cervical cancer. Descriptive and inferential statistics including paired sample t-test and independent t-test were used to analyze the data. After the program had been used, the mean score of perception of cervical cancer of experimental group was at a higher level (${\bar{x}}=4.09$; S.D.=0.30), than in the control group (${\bar{x}}=3.82$; S.D.=0.20) with statistical significance (p<0.001). This research demonstrated an appropriate communication process in behavioral modification to prevent cervical cancer. It can be recommended that this program featuring social marketing and the health belief model be used to promote cervical cancer screening in targeted women and it can be promoted as a guideline for other health services, especially in health promotion and disease prevention.

Determination of X-ray and gamma-ray shielding capabilities of recycled glass derived from deteriorated silica gel

  • P. Sopapan;O. Jaiboon;R. Laopaiboon;C. Yenchai;C. Sriwunkum;S. Issarapanacheewin;T. Akharawutchayanon;K. Yubonmhat
    • Nuclear Engineering and Technology
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    • v.55 no.9
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    • pp.3441-3449
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    • 2023
  • We determined the radiation shielding properties for 10CaO-xPbO-(90-x) deteriorated silica gel (DSG) glass system (x = 20, 25, 30, 35, 40, and 45 mol.%). The mass attenuation coefficient (MAC) has been estimated at photon energies of 74.23, 97.12, 122, 662, 1173, and 1332 keV using a narrow beam X-ray attenuation and transmission experiment, the XCOM program, and a PHITS simulation. The obtained MAC values were applied to estimate the half value layer (HVL), mean free path (MFP), effective atomic number, and effective electron density. Results show that the MAC value of the studied glasses ranges between 0.0549 and 1.4415 cm2/g, increases with the amount of PbO, and decreases with increasing photon energy. The HVL and MFP values decrease with increasing PbO content and increase with increasing photon energy. The recycled glass, with the addition of PbO content (20-45 mol.%), exhibited excellent radiation shielding capabilities compared to standard barite and ferrite concretes and some glass systems. Moreover, the experimental radiation shielding parameters agree with the XCOM and PHITS values. This study suggests that this new waste-recycled glass is an effective and cost-saving candidate for X-ray and gamma-ray shielding applications.

Risk Factors for Cholangiocarcinoma in the Lower Part of Northeast Thailand: a Hospital-based Case-control Study

  • Manwong, Mereerat;Songserm, Nopparat;Promthet, Supannee;Matsuo4, Keitaro
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.10
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    • pp.5953-5956
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    • 2013
  • Background: Cholangiocarcinoma (CCA) is the most common cancer in Northeast Thailand. It is also a crucial health problem for Thai people. Various risk factors for CCA have been identified in the upper part of Northeast Thailand, but no similar studies of risk factors have been conducted in the lower parts of the region. This study aimed to investigate factors associated with CCA in the resident population. Materials and Methods: A hospital-based case-control study was conducted during 2009-2012 with the recruitment of 123 CCA cases and 123 non-CCA patient controls, matched for sex, age and residential area. Information was collected by interview with a structured questionnaire. Blood samples were collected for assays of anti-OV antibodies. Associations between various personal factors, dietary habits, family history, the presence of anti-OV antibodies and CCA were analyzed using multiple conditional logistic regression. Results: Patients who consumed raw meat (beef, pork) and alcoholic beverages ${\geq}3$ times per week had a higher risk of CCA than non-consumers ($OR_{adj}$=4.33; 95%CI=1.14-16.35 and $OR_{adj}$=2.13; 95%CI=1.00-4.55, respectively). Patients who had a family history of cancer had a higher risk than those who did not ($OR_{adj}$=4.34; 95%CI=1.80-10.43). Also, patients who had anti-OV antibodies (AU>23.337) had a higher risk than those whose anti-OV antibodies were below the cut-off ($AU{\leq}23.34$) ($OR_{adj}$=3.09; 95%CI=1.04-9.16). Conclusions: As is the case in the upper part of Northeast Thailand, OV infection is a crucial risk factor for CCA in people who live in lower part of the region. Similarly, a family history of cancer and the consumption of alcohol are risk factors for CCA.

Investigations on borate glasses within SBC-Bx system for gamma-ray shielding applications

  • Rammah, Y.S.;Tekin, H.O.;Sriwunkum, C.;Olarinoye, I.;Alalawi, Amani;Al-Buriahi, M.S.;Nutaro, T.;Tonguc, Baris T.
    • Nuclear Engineering and Technology
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    • v.53 no.1
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    • pp.282-293
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    • 2021
  • This paper examines gamma-ray shielding properties of SBC-Bx glass system with the chemical composition of 40SiO2-10B2O3-xBaO-(45-x)CaO- yZnO- zMgO (where x = 0, 10, 20, 30, and 35 mol% and y = z = 6 mol%). Mass attenuation coefficient (µ/ρ) which is an essential parameter to study gamma-ray shielding properties was obtained in the photon energy range of 0.015-15 MeV using PHITS Monte Carlo code for the proposed glasses. The obtained results were compared with those calculated by WinXCOM program. Both the values of PHITS code and WinXCOM program were observed in very good agreement. The (µ/ρ values were then used to derive mean free path (MFP), electron density (Neff), effective atomic number (Zeff), and half value layer (HVL) for all the glasses involved. Additionally, G-P method was employed to estimate exposure buildup factor (EBF) for each glass in the energy range of 0.015-15 MeV up to penetration depths of 40 mfp. The results reveal that gamma-ray shielding effectiveness of the SBC-Bx glasses evolves with increasing BaO content in the glass sample. Such that SBC-B35 glass has superior shielding capacity against gamma-rays among the studied glasses. Gamma-ray shielding properties of SBC-B35 glass were compared with different conventional shielding materials, commercial glasses, and newly developed HMO glasse. Therefore, the investigated glasses have potential uses in gamma shielding applications.

A Multicenter Pilot Study of Biliary Atresia Screening Using Digital Stool Color Imaging

  • Kannamon Waitayagitgumjon;Wannisa Poocharoen;Suchin Trirongjitmoah;Kriengsak Treeprapin;Arada Suttiwongsing;Thetiya Wirifai;Chira Trirongchitmoh;Pitiporn Tangkabuanbutr
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.27 no.3
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    • pp.168-175
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    • 2024
  • Purpose: The presence of alcoholic stool in biliary atresia (BA) patients is the basis of a stool color card (SCC), a screening tool that has led to more patients receiving Kasai portoenterostomy earlier. This study aimed to evaluate the color image processing of stool images captured using smartphones. We propose that measuring digital color parameters is a more objective method for identifying BA stools and may improve the sensitivity of BA screening. Methods: A prospective study was conducted in five hospitals in Thailand between October 1, 2020, and December 31, 2021. Stools from infants presenting with jaundice, acholic stool, or dark-colored urine were photographed. Digital image color analysis was performed, and software was developed based on the color on the original SCC. Sensitivity and specificity for predicting BA stools were compared between the SCC and the software. Results: Of 33 infants eligible for data collection, 19 were diagnosed with BA. Saturation and blue were two potential digital color parameters used to differentiate BA stools. The receiver operating characteristic curve was used to determine the optimum cutoff point of both values, and when saturation ≤56 or blue ≥61 was set as a threshold for detecting BA stool, high accuracy was achieved at 81.8% and 78.8%, respectively. Conclusion: Digital image processing is a promising technology. With appropriate cutoff values of saturation in hue, saturation, value and blue in red, green, blue color models, BA stools can be identified, and equivocal-colored stools of non-BA patients can be differentiated with acceptable accuracy in infants presenting with jaundice.