28 research outputs found

    Greenhouse Gas Emissions from Rubber Industry in Thailand

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    Rubber production has been taking place in Thailand for many decades. Thailand is currently the world's largest natural rubber producer. We present emissions of greenhouse gases associated with the production of fresh latex, and three primary rubber products, including concentrated latex, block rubber (STR 20), and ribbed smoked sheet (RSS) in Thailand. Besides industrial activities in the rubber mills, the agricultural activities in rubber tree plantation are taken into account. The overall emissions from the production of concentrated latex, STR 20, and RSS amount to 0.54, 0.70, and 0.64 ton CO2-eq/ton product, respectively. This is for the case that rubber plantations have been located on cultivated lands for more than 60 years, which is current practice in most of Thailand. Emissions are largely associated with energy use and the use of synthetic fertilizers. We also quantify emissions for the case that tropical forests have been converted to rubber plantations relatively recently, which is a recent trend in Thailand. In this case the emissions are much higher because of carbon loss from land conversion: 13, 13, and 21 ton CO2-eq/ton product for concentrated latex, STR 20, and RSS, respectively. We discuss the implications of our results for strategies to reduce greenhouse gas emissions from rubber productio

    Sharps injuries among nurses in a Thai regional hospital : prevalence and risk factors

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    Background: Sharps injuries (SIs) are one of the most serious occupational accidents among nurses due to the possible severe consequences, such as the transmission of infectious diseases and inducing of mental impairment. Objective: To discover the prevalence of SIs among nurses in a regional hospital in Thailand and to identify factors associated with SIs. Methods: A cross-sectional study was conducted in 2011. Stratified random sampling was used to select the respondents, with wards as the strata and the number of nurses selected proportional to the size of the ward nurse population. 261 self-administered questionnaires were distributed to nurses who used needles, syringes or other sharp medical equipment in their work. Data were analyzed using chi-square tests, correlation analysis and multiple logistic regression analysis. Results: The prevalence of SIs for the previous 12 months was 55.5% among the 250 nurses who returned a completed questionnaire. Of these, 91.1% were with blood. Needles (52.8%) were the main cause of SIs. The reporting rate of SIs to the hospital was 23.8%. SIs had a significant association with each of marital status, work duration, work department, attitude regarding SI prevention, and preventive management. Using multiple logistic regression analysis, attitude was found to be the strongest predictor of SIs when adjusted for other factors. Nurses who had negative attitudes towards prevention of SIs were nearly two times more likely to have SIs than those with positive attitudes (adjusted odds ratio=1.86; 95% CI: 1.03-3.38). Conclusion: The study showed a high prevalence of SIs, but a low reporting rate. This suggests the reporting system requires simplification and also should include a quick response management component. Promoting positive attitudes to SI prevention, and improving the reporting system would reduce SIs.9 page(s

    Healthcare utilization and cost of Stevens-Johnson syndrome and toxic epidermal necrolysis management in Thailand

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    Background: Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are life-threatening dermatologic conditions. Although, the incidence of SJS/TEN in Thailand is high, information on cost of care for SJS/TEN is limited. This study aims to estimate healthcare resource utilization and cost of SJS/TEN in Thailand, using hospital perspective. Methods: A retrospective study using an electronic health database from a university-affiliated hospital in Thailand was undertaken. Patients admitted with SJS/TEN from 2002 to 2007 were included. Direct medical cost was estimated by the cost-to-charge ratio. Cost was converted to 2013 value by consumer price index, and converted to USusing31Baht/1US using 31 Baht/ 1 US. The healthcare resource utilization was also estimated. Results: A total of 157 patients were included with average age of 45.3±23.0 years. About 146 patients (93.0%) were diagnosed as SJS and the remaining (7.0%) were diagnosed as TEN. Most of the patients (83.4%) were treated with systemic corticosteroids. Overall, mortality rate was 8.3%, while the average length of stay (LOS) was 10.1±13.2 days. The average cost of managing SJS/TEN for all patients was 1,064±1,064±2,558. The average cost for SJS patients was 1,019±1,019±2,601 while that for TEN patients was 1,660±1,660±1,887. Conclusions: Healthcare resource utilization and cost of care for SJS/TEN in Thailand were tremendous. The findings are important for policy makers to allocate healthcare resources and develop strategies to prevent SJS/TEN which could decrease length of stay and cost of care
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