Background: Non-communicable diseases pose a considerable risk for the elderly population. This study aimed to investigate the impact of incorporating bitter vegetables into the diets of elderly individuals on their nutritional status. The study involved regular consumption of northern foods, such as Malidmai (Peka), salae, neem (neem), bitter gourd, and cassia, at least once a day for three months. Materials and methods: A randomized clinical trial recruited eighty individuals aged 60 years and above. One group was allowed to eat ad libitum, while the other group followed a recommended menu that emphasized bitter flavors. The study assessed dietary intake, body composition, and blood biochemical parameters. Results: The findings revealed a significant reduction in energy, saturated fat, and cholesterol intake, with the bitter group experiencing a statistically significant decrease in sugar consumption. The bitter group also demonstrated a considerable reduction in anthropometric and metabolic parameters when compared to the control group and baseline measures. These results indicate the potential benefits of bitter substances in managing or preventing obesity and type 2 diabetes in the elderly. Conclusion: Encouraging the elderly to consume at least one bitter meal per day for 12 weeks resulted in a reduction in weight gain, adipose tissue, sugar levels, and LDL-C. The study highlights the importance of incorporating bitter vegetables into the diets of elderly individuals for better nutritional status and health outcomes.
{"title":"Effects of promoting eating foods containing bitter vegetables on nutritional status in the elderly","authors":"Wittawas Sajjapong, Kamonwan Jongsomchai, Uratcha Sadjapong, Pornchai Sooksaen","doi":"10.12982/jams.2024.015","DOIUrl":"https://doi.org/10.12982/jams.2024.015","url":null,"abstract":"Background: Non-communicable diseases pose a considerable risk for the elderly population. This study aimed to investigate the impact of incorporating bitter vegetables into the diets of elderly individuals on their nutritional status. The study involved regular consumption of northern foods, such as Malidmai (Peka), salae, neem (neem), bitter gourd, and cassia, at least once a day for three months. Materials and methods: A randomized clinical trial recruited eighty individuals aged 60 years and above. One group was allowed to eat ad libitum, while the other group followed a recommended menu that emphasized bitter flavors. The study assessed dietary intake, body composition, and blood biochemical parameters. Results: The findings revealed a significant reduction in energy, saturated fat, and cholesterol intake, with the bitter group experiencing a statistically significant decrease in sugar consumption. The bitter group also demonstrated a considerable reduction in anthropometric and metabolic parameters when compared to the control group and baseline measures. These results indicate the potential benefits of bitter substances in managing or preventing obesity and type 2 diabetes in the elderly. Conclusion: Encouraging the elderly to consume at least one bitter meal per day for 12 weeks resulted in a reduction in weight gain, adipose tissue, sugar levels, and LDL-C. The study highlights the importance of incorporating bitter vegetables into the diets of elderly individuals for better nutritional status and health outcomes.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"53 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139122132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The number of cerebral angiography procedures is increasing, resulting in higher X-ray radiation doses received by radiologists. Consequently, understanding the radiation doses received by radiologists and the accumulation of radiation in control rooms is crucial for guiding prevention strategies against radiation hazards. Objectives: This study aimed to measure and evaluate radiation doses to the hands, lenses of the eyes, and thyroids of radiologists performing cerebral angiography procedures, as well as to measure the accumulated radiation dose in the control room. Materials and methods: OSL dosimeters were placed on the eyeglass frames, thyroids, hands, and legs of radiologists performing 20 cerebral angiography procedures, as well as on the wall and window of the control room. Results: Radiologists’ average radiation doses were measured at specific body parts as follows: left eye (49 µSv), right eye (15 µSv), left hands (34 µSv), right hands (16 µSv), left legs (27 µSv), right legs (7 µSv), and thyroid glands (14 µSv). Notably, the received doses remained well within the maximum radiation dose limit established by the International Commission on Radiological Protection (ICRP). When calculating the maximum number of procedures that can be performed annually, we based it on the limit of the radiation dose that the eyes’ lenses should not exceed. Our findings revealed that the permissible number of procedures determined by the lens radiation dose limit, should not surpass 405 cases annually (equivalent to 34 cases per month). The radiation dose from therapeutic angiography procedures was discovered to be up to 5 times higher than that from diagnostic angiography procedures. The maximum accumulated radiation dose in the control room was 1.18 µSv/hr, which remained below the limit of the Department of Medical Sciences (< 3 µSv/hr). Conclusion: Radiologists receive less radiation from cerebral diagnostic angiography than therapeutic angiography. Organs on the left side were exposed to greater radiation levels than those on the right side. Wearing radiation protection devices during each procedure can reduce radiation exposure and mitigate long-term effects on radiologists. It is recommended to monitor and calculate the accumulated radiation dose of workers to ensure their exposure remains within safety limits.
{"title":"Radiation dose in radiologist from cerebral angiography using optically stimulated luminescence dosimeter","authors":"Tanyawimol Somtom, Thanakorn Somboot, Panatsada Awikunprasert, Sirikarn Kittichotwarat, Puttita Damchoo, Atithep Mongkolratnan, Tanapol Dachviriyakij","doi":"10.12982/jams.2024.004","DOIUrl":"https://doi.org/10.12982/jams.2024.004","url":null,"abstract":"Background: The number of cerebral angiography procedures is increasing, resulting in higher X-ray radiation doses received by radiologists. Consequently, understanding the radiation doses received by radiologists and the accumulation of radiation in control rooms is crucial for guiding prevention strategies against radiation hazards. Objectives: This study aimed to measure and evaluate radiation doses to the hands, lenses of the eyes, and thyroids of radiologists performing cerebral angiography procedures, as well as to measure the accumulated radiation dose in the control room. Materials and methods: OSL dosimeters were placed on the eyeglass frames, thyroids, hands, and legs of radiologists performing 20 cerebral angiography procedures, as well as on the wall and window of the control room. Results: Radiologists’ average radiation doses were measured at specific body parts as follows: left eye (49 µSv), right eye (15 µSv), left hands (34 µSv), right hands (16 µSv), left legs (27 µSv), right legs (7 µSv), and thyroid glands (14 µSv). Notably, the received doses remained well within the maximum radiation dose limit established by the International Commission on Radiological Protection (ICRP). When calculating the maximum number of procedures that can be performed annually, we based it on the limit of the radiation dose that the eyes’ lenses should not exceed. Our findings revealed that the permissible number of procedures determined by the lens radiation dose limit, should not surpass 405 cases annually (equivalent to 34 cases per month). The radiation dose from therapeutic angiography procedures was discovered to be up to 5 times higher than that from diagnostic angiography procedures. The maximum accumulated radiation dose in the control room was 1.18 µSv/hr, which remained below the limit of the Department of Medical Sciences (< 3 µSv/hr). Conclusion: Radiologists receive less radiation from cerebral diagnostic angiography than therapeutic angiography. Organs on the left side were exposed to greater radiation levels than those on the right side. Wearing radiation protection devices during each procedure can reduce radiation exposure and mitigate long-term effects on radiologists. It is recommended to monitor and calculate the accumulated radiation dose of workers to ensure their exposure remains within safety limits.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"51 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139118567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Panda, K. L. Mahanta, Jitendra kumar Pati, Soumya subhashree Satapathy, Ruchi Bhuyan
Background: Many studies employed machine learning (ML) to forecast the prognosis of breast cancer (BC) patients and discovered that the ML model showed high individualized forecasting ability. Breast cancer is the most frequent kind of carcinoma in women globally and ranks as the leading cause of death in women. Objectives: This study intends to use the Surveillance, Epidemiology, and End Results dataset to categorize breast carcinoma cases’ alive and dead conditions. Deep learning and machine learning have been extensively utilized in clinical studies to address various categorization problems due to their ability to manage massive data sets in an organized manner. Pre-processing the data allows it to be visualized and analyzed for making critical choices. This study describes a realistic machine learning-based strategy for categorizing the SEER breast cancer dataset. Materials and methods: We employed classification and machine learning algorithms to classify breast cancer mortality. Four well-known classification ML algorithms were employed in this study. To identify risk factors, we employed multivariate analysis using the data set. Results: The decision tree performed the best accuracy (0.914) among all the models. T4 stage (β=1.4, p<0.001, OR=4.22, 95% CI (2.06-8.64), N2 stage (β=0.39, p=0.008, OR= 1.49, 95% CI (1.111-1.997) found to be major risk factors for breast cancer mortality using multivariate analysis. Conclusion: The significant prognostic variables affecting the breast carcinoma survival rates reported in the current research are relevant and might be turned into decision support systems in the medical realm.
背景：许多研究利用机器学习（ML）预测乳腺癌（BC）患者的预后，发现ML模型显示出较高的个体化预测能力。乳腺癌是全球女性最常见的一种癌症，也是女性死亡的主要原因。研究目的本研究旨在利用监测、流行病学和最终结果数据集对乳腺癌病例的存活和死亡情况进行分类。深度学习和机器学习能够以有组织的方式管理海量数据集，因此已被广泛应用于临床研究，以解决各种分类问题。通过对数据进行预处理，可以对数据进行可视化分析，从而做出关键选择。本研究介绍了基于机器学习的 SEER 乳腺癌数据集分类策略。材料和方法：我们采用分类和机器学习算法对乳腺癌死亡率进行分类。本研究采用了四种著名的分类 ML 算法。为了确定风险因素，我们使用数据集进行了多变量分析。研究结果在所有模型中，决策树的准确率最高（0.914）。多变量分析发现，T4 阶段（β=1.4，p<0.001，OR=4.22，95% CI (2.06-8.64)）、N2 阶段（β=0.39，p=0.008，OR=1.49，95% CI (1.111-1.997)）是乳腺癌死亡率的主要风险因素。结论当前研究中报告的影响乳腺癌存活率的重要预后变量具有相关性，可转化为医学领域的决策支持系统。
{"title":"Development of prognostic model and multivariate analysis for breast cancer survival patients using SEER database","authors":"N. Panda, K. L. Mahanta, Jitendra kumar Pati, Soumya subhashree Satapathy, Ruchi Bhuyan","doi":"10.12982/jams.2024.008","DOIUrl":"https://doi.org/10.12982/jams.2024.008","url":null,"abstract":"Background: Many studies employed machine learning (ML) to forecast the prognosis of breast cancer (BC) patients and discovered that the ML model showed high individualized forecasting ability. Breast cancer is the most frequent kind of carcinoma in women globally and ranks as the leading cause of death in women. Objectives: This study intends to use the Surveillance, Epidemiology, and End Results dataset to categorize breast carcinoma cases’ alive and dead conditions. Deep learning and machine learning have been extensively utilized in clinical studies to address various categorization problems due to their ability to manage massive data sets in an organized manner. Pre-processing the data allows it to be visualized and analyzed for making critical choices. This study describes a realistic machine learning-based strategy for categorizing the SEER breast cancer dataset. Materials and methods: We employed classification and machine learning algorithms to classify breast cancer mortality. Four well-known classification ML algorithms were employed in this study. To identify risk factors, we employed multivariate analysis using the data set. Results: The decision tree performed the best accuracy (0.914) among all the models. T4 stage (β=1.4, p<0.001, OR=4.22, 95% CI (2.06-8.64), N2 stage (β=0.39, p=0.008, OR= 1.49, 95% CI (1.111-1.997) found to be major risk factors for breast cancer mortality using multivariate analysis. Conclusion: The significant prognostic variables affecting the breast carcinoma survival rates reported in the current research are relevant and might be turned into decision support systems in the medical realm.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"50 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139118569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Specific language impairment (SLI) delays language development without any neurological damage or disease. This impairment extends to nonlinguistic tasks, such as music perception skills. In recent years, speech-language pathologists (SLPs) and music therapists (MTs) have collaborated to develop and improve approaches for children with communication disorders (CDs), including global developmental delay (GDD), SLI, mild developmental delay (DD), and the risk of developing reading difficulties, by integrating music therapy (MT) and speech therapy (ST). MT could be considered as one of the alternative methods offered to children with SLI to enhance their language skills. Objectives: The purpose of this study was to investigate the effectiveness of MT interventions on language skills in children with SLI and to investigate the characteristics of other intervention features in these studies, such as interventionists, intervention, settings, session type, and music methods. Materials and methods: The study was a systematic review conducted within the framework of the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA). The quality of the research results was assessed using the critical appraisal tools provided by the Joanna Briggs Institute (JBI). Results: Two studies met the inclusion criteria and were included in this systematic review. The two main types of MT employed were song cues and creative music therapy based on the Nordoff-Robbins approach. Current evidence suggests that music therapy improves components of language, including phonology, syntax, morphology, and other aspects of speech development, such as understanding sentences and memory for sentences, in children with SLI. Conclusion: MT can be a valuable and effective intervention for children with SLI. The introduction of transdisciplinary programs that integrate MT and ST could be recommended. However, MT training courses are required for SLPs.
{"title":"Effect of music therapy on language skills in children with specific language impairment: A systematic review","authors":"Natwipa Wanicharoen, Vich Boonrod","doi":"10.12982/jams.2024.011","DOIUrl":"https://doi.org/10.12982/jams.2024.011","url":null,"abstract":"Background: Specific language impairment (SLI) delays language development without any neurological damage or disease. This impairment extends to nonlinguistic tasks, such as music perception skills. In recent years, speech-language pathologists (SLPs) and music therapists (MTs) have collaborated to develop and improve approaches for children with communication disorders (CDs), including global developmental delay (GDD), SLI, mild developmental delay (DD), and the risk of developing reading difficulties, by integrating music therapy (MT) and speech therapy (ST). MT could be considered as one of the alternative methods offered to children with SLI to enhance their language skills. Objectives: The purpose of this study was to investigate the effectiveness of MT interventions on language skills in children with SLI and to investigate the characteristics of other intervention features in these studies, such as interventionists, intervention, settings, session type, and music methods. Materials and methods: The study was a systematic review conducted within the framework of the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA). The quality of the research results was assessed using the critical appraisal tools provided by the Joanna Briggs Institute (JBI). Results: Two studies met the inclusion criteria and were included in this systematic review. The two main types of MT employed were song cues and creative music therapy based on the Nordoff-Robbins approach. Current evidence suggests that music therapy improves components of language, including phonology, syntax, morphology, and other aspects of speech development, such as understanding sentences and memory for sentences, in children with SLI. Conclusion: MT can be a valuable and effective intervention for children with SLI. The introduction of transdisciplinary programs that integrate MT and ST could be recommended. However, MT training courses are required for SLPs.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139122384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kanyaruck Jindaphun, Nuchjira Takheaw, Witida Laopajon, S. Pata, W. Kasinrerk
Background: Cannabis extract has a long history of being used in the treatment and prevention of several medical conditions. The utilization of cannabis extracts, whether for medical or localized purposes, is widely observed. In cannabis extract, cannabidiol (CBD) is one of the most important non-psychoactive compounds. Several studies have demonstrated that CBD has several benefits in the treatment of various medical conditions. Nevertheless, CBD has also been demonstrated to suppress both innate and adaptive immune responses. Despite CBD has claimed to have many benefits, the toxicity of CBD is often pointed out and discussed. Nonetheless, the data on the toxicity effects of CBD on immune cells are limited. Objectives: In this study, we aimed to investigate the toxicity effects of various concentrations of CBD on immune cells, including CD4 T cells, CD8 T cells, B cells, NK cells, and monocytes. Materials and methods: Various concentrations of peripheral blood mononuclear cells (PBMCs) were treated with various concentrations of CBD or relative concentrations of methanol as a diluent control for 12, 24, and 48 hrs. Cell morphology was observed using flow cytometry. The percentage of cell death in the treated cells was determined by cell viability assay. In addition, the toxic effects of CBD on PBMC sub-populations were determined by staining with fluorochromeconjugated zombie viability dye and fluorochrome-conjugated monoclonal antibodies specific to each cell sub-population. Then, the percentage of cell death in each sub-population was assessed using flow cytometry. Results: CBD at concentrations of 40 and 80 µM showed toxicity effects on PBMCs. At these concentrations, CBD induced both cell morphological changes and cell death. While 20 µM CBD induced different effects, ranging from none to mild and high toxicity. The toxicity of CBD at 20 µM concentration depends on the individual. In contrast, CBD at ten µM and below showed no toxicity to PBMCs. The observed toxic effects of CBD occurred in all sub-populations of PBMCs, including CD4 T cells, CD8 T cells, B cells, NK cells, and monocytes. Conclusion: CBD has toxicity effects on immune cells. These effects depend on CBD concentrations, PBMC concentrations, and the duration of CBD exposure. Our findings emphasize the importance of awareness for CBD users when consuming CBD.
{"title":"Toxicity effects of Cannabidiol (CBD) on immune cells","authors":"Kanyaruck Jindaphun, Nuchjira Takheaw, Witida Laopajon, S. Pata, W. Kasinrerk","doi":"10.12982/jams.2024.010","DOIUrl":"https://doi.org/10.12982/jams.2024.010","url":null,"abstract":"Background: Cannabis extract has a long history of being used in the treatment and prevention of several medical conditions. The utilization of cannabis extracts, whether for medical or localized purposes, is widely observed. In cannabis extract, cannabidiol (CBD) is one of the most important non-psychoactive compounds. Several studies have demonstrated that CBD has several benefits in the treatment of various medical conditions. Nevertheless, CBD has also been demonstrated to suppress both innate and adaptive immune responses. Despite CBD has claimed to have many benefits, the toxicity of CBD is often pointed out and discussed. Nonetheless, the data on the toxicity effects of CBD on immune cells are limited. Objectives: In this study, we aimed to investigate the toxicity effects of various concentrations of CBD on immune cells, including CD4 T cells, CD8 T cells, B cells, NK cells, and monocytes. Materials and methods: Various concentrations of peripheral blood mononuclear cells (PBMCs) were treated with various concentrations of CBD or relative concentrations of methanol as a diluent control for 12, 24, and 48 hrs. Cell morphology was observed using flow cytometry. The percentage of cell death in the treated cells was determined by cell viability assay. In addition, the toxic effects of CBD on PBMC sub-populations were determined by staining with fluorochromeconjugated zombie viability dye and fluorochrome-conjugated monoclonal antibodies specific to each cell sub-population. Then, the percentage of cell death in each sub-population was assessed using flow cytometry. Results: CBD at concentrations of 40 and 80 µM showed toxicity effects on PBMCs. At these concentrations, CBD induced both cell morphological changes and cell death. While 20 µM CBD induced different effects, ranging from none to mild and high toxicity. The toxicity of CBD at 20 µM concentration depends on the individual. In contrast, CBD at ten µM and below showed no toxicity to PBMCs. The observed toxic effects of CBD occurred in all sub-populations of PBMCs, including CD4 T cells, CD8 T cells, B cells, NK cells, and monocytes. Conclusion: CBD has toxicity effects on immune cells. These effects depend on CBD concentrations, PBMC concentrations, and the duration of CBD exposure. Our findings emphasize the importance of awareness for CBD users when consuming CBD.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"50 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139122390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Pootong, Priyoth Kittiteerasack, Parichart Pattarapanitchai, Sirinart Choomean
Background: Dyslipidemia is regarded as a significant risk factor for atherosclerotic cardiovascular diseases (ASCVDs). Currently, there is limited data regarding dyslipidemia among Thai university students. Objective: This study aimed to examine the prevalence of dyslipidemia and its related factors among university students in the central region of Thailand. Materials and methods: In this cross-sectional study, a total of 434 students aged 18-25 years at Thammasat University and Kasetsart University were recruited using simple random sampling. Fasting venous blood samples were obtained, and plasma lipid profiles were assessed by an automated analyzer. Dyslipidemia was formally characterized according to the National Cholesterol Education Program Adult Treatment Panel (NCEP-ATP III) guidelines. Demographic information, dietary behavior, and physical activity were collected using questionnaires. Anthropometric measures were also performed according to a standard protocol. Results: The prevalence of elevated total cholesterol, high-risk HDL-C, elevated LDL-C, and elevated triglycerides was 30.4, 18.2, 20.0, and 11.8%, respectively. The most common adverse lipid parameter was total cholesterol in both genders. Obesity and high fat intake were significantly associated with dyslipidemia (p<0.05). Conclusion: This research revealed a significant occurrence of dyslipidemia, primarily driven by elevated total cholesterol, among university students in Thailand. Obesity and high fat intake are significant risk contributors to dyslipidemia. These findings emphasize the need for awareness, prevention, and management strategies targeting this population.
{"title":"Prevalence and associated factors of dyslipidemia among university students in Central Thailand: a cross-sectional study","authors":"A. Pootong, Priyoth Kittiteerasack, Parichart Pattarapanitchai, Sirinart Choomean","doi":"10.12982/jams.2024.018","DOIUrl":"https://doi.org/10.12982/jams.2024.018","url":null,"abstract":"Background: Dyslipidemia is regarded as a significant risk factor for atherosclerotic cardiovascular diseases (ASCVDs). Currently, there is limited data regarding dyslipidemia among Thai university students. Objective: This study aimed to examine the prevalence of dyslipidemia and its related factors among university students in the central region of Thailand. Materials and methods: In this cross-sectional study, a total of 434 students aged 18-25 years at Thammasat University and Kasetsart University were recruited using simple random sampling. Fasting venous blood samples were obtained, and plasma lipid profiles were assessed by an automated analyzer. Dyslipidemia was formally characterized according to the National Cholesterol Education Program Adult Treatment Panel (NCEP-ATP III) guidelines. Demographic information, dietary behavior, and physical activity were collected using questionnaires. Anthropometric measures were also performed according to a standard protocol. Results: The prevalence of elevated total cholesterol, high-risk HDL-C, elevated LDL-C, and elevated triglycerides was 30.4, 18.2, 20.0, and 11.8%, respectively. The most common adverse lipid parameter was total cholesterol in both genders. Obesity and high fat intake were significantly associated with dyslipidemia (p<0.05). Conclusion: This research revealed a significant occurrence of dyslipidemia, primarily driven by elevated total cholesterol, among university students in Thailand. Obesity and high fat intake are significant risk contributors to dyslipidemia. These findings emphasize the need for awareness, prevention, and management strategies targeting this population.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"54 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139122457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Cleft palate is a congenital disability affecting the palate’s structure and function, which may lead to delayed speech and language development and communication disorders. There is a shortage of speech therapists in Thailand. Therefore, developing a manual for speech and language treatment for the parents of children with a cleft palate would be an essential early intervention that parents could perform. Objectives: This research aimed to develop a speech and language treatment manual for parents of children with cleft palate ages 0-3 years old and evaluate the manual’s effectiveness, satisfaction, and feedback. Materials and methods: This research was divided into Phase 1, which involved developing a speech and language treatment manual for parents of children with cleft palate ages 0-3 years old and assessing its validity and reliability. Phase 2 tested the manual’s effectiveness by conducting a three-month of 16 participants, who were divided into two groups: A control group without the manual and an experimental group with the manual and phase 3 data analysis. Results: The content validity of the manual and satisfaction of the questionnaires were found to have a content validity index of 0.87 and 0.92, respectively. The total language and speech development scores before and after participating between groups found a statistically significant difference. After participating, the number of the experimental group who passed the 90th percentile of language development was higher than the control group. The language between the children and parents showed that the experimental group displayed more communication skills than the control group. Conclusion: The speech and language treatment manual for parents of children with cleft palate ages 0-3 years old could stimulate the language and speech development of the experimental group more effectively than the control group that did not receive the manual.
{"title":"The Development of manual for speech and language treatment for parents of children with cleft palate ages 0-3 years old","authors":"Pechcharat Jaiyong, Phuanjai Rattakorn, Supaporn Chinchai","doi":"10.12982/jams.2024.007","DOIUrl":"https://doi.org/10.12982/jams.2024.007","url":null,"abstract":"Background: Cleft palate is a congenital disability affecting the palate’s structure and function, which may lead to delayed speech and language development and communication disorders. There is a shortage of speech therapists in Thailand. Therefore, developing a manual for speech and language treatment for the parents of children with a cleft palate would be an essential early intervention that parents could perform. Objectives: This research aimed to develop a speech and language treatment manual for parents of children with cleft palate ages 0-3 years old and evaluate the manual’s effectiveness, satisfaction, and feedback. Materials and methods: This research was divided into Phase 1, which involved developing a speech and language treatment manual for parents of children with cleft palate ages 0-3 years old and assessing its validity and reliability. Phase 2 tested the manual’s effectiveness by conducting a three-month of 16 participants, who were divided into two groups: A control group without the manual and an experimental group with the manual and phase 3 data analysis. Results: The content validity of the manual and satisfaction of the questionnaires were found to have a content validity index of 0.87 and 0.92, respectively. The total language and speech development scores before and after participating between groups found a statistically significant difference. After participating, the number of the experimental group who passed the 90th percentile of language development was higher than the control group. The language between the children and parents showed that the experimental group displayed more communication skills than the control group. Conclusion: The speech and language treatment manual for parents of children with cleft palate ages 0-3 years old could stimulate the language and speech development of the experimental group more effectively than the control group that did not receive the manual.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"50 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139122555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The number of cerebral angiography procedures is increasing, resulting in higher X-ray radiation doses received by radiologists. Consequently, understanding the radiation doses received by radiologists and the accumulation of radiation in control rooms is crucial for guiding prevention strategies against radiation hazards. Objectives: This study aimed to measure and evaluate radiation doses to the hands, lenses of the eyes, and thyroids of radiologists performing cerebral angiography procedures, as well as to measure the accumulated radiation dose in the control room. Materials and methods: OSL dosimeters were placed on the eyeglass frames, thyroids, hands, and legs of radiologists performing 20 cerebral angiography procedures, as well as on the wall and window of the control room. Results: Radiologists’ average radiation doses were measured at specific body parts as follows: left eye (49 µSv), right eye (15 µSv), left hands (34 µSv), right hands (16 µSv), left legs (27 µSv), right legs (7 µSv), and thyroid glands (14 µSv). Notably, the received doses remained well within the maximum radiation dose limit established by the International Commission on Radiological Protection (ICRP). When calculating the maximum number of procedures that can be performed annually, we based it on the limit of the radiation dose that the eyes’ lenses should not exceed. Our findings revealed that the permissible number of procedures determined by the lens radiation dose limit, should not surpass 405 cases annually (equivalent to 34 cases per month). The radiation dose from therapeutic angiography procedures was discovered to be up to 5 times higher than that from diagnostic angiography procedures. The maximum accumulated radiation dose in the control room was 1.18 µSv/hr, which remained below the limit of the Department of Medical Sciences (< 3 µSv/hr). Conclusion: Radiologists receive less radiation from cerebral diagnostic angiography than therapeutic angiography. Organs on the left side were exposed to greater radiation levels than those on the right side. Wearing radiation protection devices during each procedure can reduce radiation exposure and mitigate long-term effects on radiologists. It is recommended to monitor and calculate the accumulated radiation dose of workers to ensure their exposure remains within safety limits.
{"title":"Radiation dose in radiologist from cerebral angiography using optically stimulated luminescence dosimeter","authors":"Tanyawimol Somtom, Thanakorn Somboot, Panatsada Awikunprasert, Sirikarn Kittichotwarat, Puttita Damchoo, Atithep Mongkolratnan, Tanapol Dachviriyakij","doi":"10.12982/jams.2024.004","DOIUrl":"https://doi.org/10.12982/jams.2024.004","url":null,"abstract":"Background: The number of cerebral angiography procedures is increasing, resulting in higher X-ray radiation doses received by radiologists. Consequently, understanding the radiation doses received by radiologists and the accumulation of radiation in control rooms is crucial for guiding prevention strategies against radiation hazards. Objectives: This study aimed to measure and evaluate radiation doses to the hands, lenses of the eyes, and thyroids of radiologists performing cerebral angiography procedures, as well as to measure the accumulated radiation dose in the control room. Materials and methods: OSL dosimeters were placed on the eyeglass frames, thyroids, hands, and legs of radiologists performing 20 cerebral angiography procedures, as well as on the wall and window of the control room. Results: Radiologists’ average radiation doses were measured at specific body parts as follows: left eye (49 µSv), right eye (15 µSv), left hands (34 µSv), right hands (16 µSv), left legs (27 µSv), right legs (7 µSv), and thyroid glands (14 µSv). Notably, the received doses remained well within the maximum radiation dose limit established by the International Commission on Radiological Protection (ICRP). When calculating the maximum number of procedures that can be performed annually, we based it on the limit of the radiation dose that the eyes’ lenses should not exceed. Our findings revealed that the permissible number of procedures determined by the lens radiation dose limit, should not surpass 405 cases annually (equivalent to 34 cases per month). The radiation dose from therapeutic angiography procedures was discovered to be up to 5 times higher than that from diagnostic angiography procedures. The maximum accumulated radiation dose in the control room was 1.18 µSv/hr, which remained below the limit of the Department of Medical Sciences (< 3 µSv/hr). Conclusion: Radiologists receive less radiation from cerebral diagnostic angiography than therapeutic angiography. Organs on the left side were exposed to greater radiation levels than those on the right side. Wearing radiation protection devices during each procedure can reduce radiation exposure and mitigate long-term effects on radiologists. It is recommended to monitor and calculate the accumulated radiation dose of workers to ensure their exposure remains within safety limits.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"51 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139118917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamaporn Hancharoenkul, Peanchai Khamwong, Ubon Pirunsan, Leonard Joseph
Background: The prevalence rate of work-related musculoskeletal pain (WMSP) among poultry slaughterhouse workers (PSW) has been reported in the shoulder, arm, and hand due to the involvement of repetitive and forceful upper limb movements. An intervention program is needed to reduce upper limb pain and improve upper limb functions among PSW. Objectives: This study aimed to investigate the effectiveness of workplace intervention programs on musculoskeletal pain, upper limb functions, and work ability among PSW. Materials and methods: A total of 48 participants (21 males and 27 females) who met the inclusion criteria were recruited into the study. The participants were allocated into two groups: The workplace intervention group (WIG, N=24; 10 males; 14 females) and the control group (CG, N=24; 11 males; 13 females). The WIG performed the exercise training with elastic resistance bands (ERB) and stretching exercises for eight weeks, and the CG did not perform any activity. The Visual Analogue Scale (VAS), shoulder reach flexibility test, active range of motion (AROM), the disability of the Arm, Shoulder, and Hand (KKU-DASH), and Thai Work Ability Index (Thai WAI) were used as outcome evaluations. The two-way analyses of variance (ANOVAs) with repeated measures (group x time) were used for statistical analyses, and the statistical significance was set at p<0.05. Results: Approximately 79.1% (N=19) of the participants in WIG reported significantly decreased pain intensity of upper limb 3.06 (0.83 to -5.4) in the right side (p<0.01) and 1.96 (1.6 to -5.6) in the left side (p<0.001) after the 8-week intervention. Meanwhile, shoulder flexibility in WIG significantly increased (p<0.001) to around 3.55 cm. (0.67 to 8.20) on the right side and 5.61 cm. (2.0 to 10.67) on the left side. For AROM in WIG, neck flexion, lateral neck flexion, neck rotation, and left shoulder flexion significantly increased (p<0.05), as well as KKU-DASH and Thai WAI scores (p<0.001). There was no significant difference within-group in all variables in CG. Conclusion: The workplace intervention program significantly reduced upper limb pain and increased neck movement and shoulder flexion among PSW. The training programs also improved work ability and reduced disability with upper extremity musculoskeletal conditions among PSW.
{"title":"The effects of workplace intervention programs to manage work-related musculoskeletal pain among poultry slaughterhouse workers: A randomized controlled trial","authors":"Benjamaporn Hancharoenkul, Peanchai Khamwong, Ubon Pirunsan, Leonard Joseph","doi":"10.12982/jams.2024.002","DOIUrl":"https://doi.org/10.12982/jams.2024.002","url":null,"abstract":"Background: The prevalence rate of work-related musculoskeletal pain (WMSP) among poultry slaughterhouse workers (PSW) has been reported in the shoulder, arm, and hand due to the involvement of repetitive and forceful upper limb movements. An intervention program is needed to reduce upper limb pain and improve upper limb functions among PSW. Objectives: This study aimed to investigate the effectiveness of workplace intervention programs on musculoskeletal pain, upper limb functions, and work ability among PSW. Materials and methods: A total of 48 participants (21 males and 27 females) who met the inclusion criteria were recruited into the study. The participants were allocated into two groups: The workplace intervention group (WIG, N=24; 10 males; 14 females) and the control group (CG, N=24; 11 males; 13 females). The WIG performed the exercise training with elastic resistance bands (ERB) and stretching exercises for eight weeks, and the CG did not perform any activity. The Visual Analogue Scale (VAS), shoulder reach flexibility test, active range of motion (AROM), the disability of the Arm, Shoulder, and Hand (KKU-DASH), and Thai Work Ability Index (Thai WAI) were used as outcome evaluations. The two-way analyses of variance (ANOVAs) with repeated measures (group x time) were used for statistical analyses, and the statistical significance was set at p<0.05. Results: Approximately 79.1% (N=19) of the participants in WIG reported significantly decreased pain intensity of upper limb 3.06 (0.83 to -5.4) in the right side (p<0.01) and 1.96 (1.6 to -5.6) in the left side (p<0.001) after the 8-week intervention. Meanwhile, shoulder flexibility in WIG significantly increased (p<0.001) to around 3.55 cm. (0.67 to 8.20) on the right side and 5.61 cm. (2.0 to 10.67) on the left side. For AROM in WIG, neck flexion, lateral neck flexion, neck rotation, and left shoulder flexion significantly increased (p<0.05), as well as KKU-DASH and Thai WAI scores (p<0.001). There was no significant difference within-group in all variables in CG. Conclusion: The workplace intervention program significantly reduced upper limb pain and increased neck movement and shoulder flexion among PSW. The training programs also improved work ability and reduced disability with upper extremity musculoskeletal conditions among PSW.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139122637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Smily Jesu Priya Victor Paulra, Supaporn Chinchai, Peeraya Munkhetvit, Sarinya Sriphetcharawut
Background: Facial expression, tone of voice, body language, and context are unrecognizable to children with autism. Emotional arousal and emotion recognition (required emotion empathy and cognitive processing empathy) induce downstream illnesses in children with ASD. Thus, the proposed study aimed to develop a computer-based Emotional Recognition Memory Training Program (ERMTP) for ASD. Objective: Firstly, to develop and validate the ERMTP for social cognitive abilities in children with ASD and secondly, to conduct pilot-tested it in typically developing children and children with ASD. Materials and methods: This study consisted of 3 phases. The first phase was developing the ERMTP from the literature review. The second phase was analyzed for content validity with five experts about Task 1 (two activities) and Task 2 (nine activities) comprising ERMTP. Computer-based learning of six fundamental facial emotions (happy, sad, angry, fear, disgusted, and surprised) improves social cognition. Finally, the pilot test was analyzed to discover the ERMTP’s challenges for five children with typical development and ASD. Results: The ERMTP’s activity items have good content validity, especially regarding clarity and relevance. All five raters gave the intervention a 1.0 IOC for its distinct components. In the training program, we followed the expert instructions regarding background music or voice and the generalization task. Descriptive analysis indicated that all five normal-developing children followed emotional expressions and instructions (100%). All five parents reported there were changes in focus and memory skills. Emotion regulation, memory abilities, and the social cognition index demonstrated statistically significant (p<0.05) effects before and after ERMTP treatment in ASD. Conclusion: ERMTP seeks to improve the social cognition of children with ASD by the use of feedback from both specialists and the children themselves. However, further research will be necessary to investigate ASD using a randomized control trial.
{"title":"The development and content validity of the emotional recognition memory training program (ERMTP) for children with autism spectrum disorder: A trial phase","authors":"Smily Jesu Priya Victor Paulra, Supaporn Chinchai, Peeraya Munkhetvit, Sarinya Sriphetcharawut","doi":"10.12982/jams.2024.020","DOIUrl":"https://doi.org/10.12982/jams.2024.020","url":null,"abstract":"Background: Facial expression, tone of voice, body language, and context are unrecognizable to children with autism. Emotional arousal and emotion recognition (required emotion empathy and cognitive processing empathy) induce downstream illnesses in children with ASD. Thus, the proposed study aimed to develop a computer-based Emotional Recognition Memory Training Program (ERMTP) for ASD. Objective: Firstly, to develop and validate the ERMTP for social cognitive abilities in children with ASD and secondly, to conduct pilot-tested it in typically developing children and children with ASD. Materials and methods: This study consisted of 3 phases. The first phase was developing the ERMTP from the literature review. The second phase was analyzed for content validity with five experts about Task 1 (two activities) and Task 2 (nine activities) comprising ERMTP. Computer-based learning of six fundamental facial emotions (happy, sad, angry, fear, disgusted, and surprised) improves social cognition. Finally, the pilot test was analyzed to discover the ERMTP’s challenges for five children with typical development and ASD. Results: The ERMTP’s activity items have good content validity, especially regarding clarity and relevance. All five raters gave the intervention a 1.0 IOC for its distinct components. In the training program, we followed the expert instructions regarding background music or voice and the generalization task. Descriptive analysis indicated that all five normal-developing children followed emotional expressions and instructions (100%). All five parents reported there were changes in focus and memory skills. Emotion regulation, memory abilities, and the social cognition index demonstrated statistically significant (p<0.05) effects before and after ERMTP treatment in ASD. Conclusion: ERMTP seeks to improve the social cognition of children with ASD by the use of feedback from both specialists and the children themselves. However, further research will be necessary to investigate ASD using a randomized control trial.","PeriodicalId":298884,"journal":{"name":"Journal of Associated Medical Sciences","volume":"50 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139122820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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