Prevalence and predictors of depression, anxiety, and stress among recovered COVID-19 patients in Vietnam

Background. During the COVID-19 pandemic, a high prevalence of mental health distress has been reported among people who have recovered from the disease. Objectives. To assess the prevalence of depression, anxiety, and stress as well as identify predictors among recovered COVID-19 patients after more than six months of being discharged in Dong Thap Province, Vietnam. Material and methods. The cross-sectional study was conducted among 549 eligible participants recruited by stratified sampling. Data was collected using the depression, anxiety and stress scale – 21 items had Content Validity Index = 0.9, and Cronbach’s alpha for depression, anxiety and stress sub-scales were 0.95, 0.81, and 0.86, respectively. Descriptive statistics were used to measure the prevalence levels and distribution of characteristics of the participant, while factors influencing depression, anxiety, and stress were predicted using binary logistic regression. Results. The overall prevalence of depression, anxiety, and stress were 24.8% (95% CI: 21.2-28.6), 41.5% (95% CI: 37.4-45.8), and 25.3% (95% CI: 21.7-29.2), respectively. The predictors of depression were living in urban area (OR = 1.97; 95% CI: 1.27-3.08), holding a bachelor’s degree (OR:3.51; 95% CI: 1.13-10.8), having a high monthly income (OR: 2.57; 95% CI: 1.03-6.38), diabetes (OR: 2.21; 95% CI: 1.04-4.68), heart disease (OR: 3.83; 95% CI: 1.79-8.17), respiratory disease (OR: 3.49; 95% CI: 1.24-9.84), and diarrhea (OR: 4.07; 95% CI: 1.06-15.6). Living in the urban area (OR: 1.57; 95% CI: 1.07-2.29), having sleep disturbance (OR: 2.32; 95% CI: 1.56-3.46), and fatigue (OR: 1.57; 95% CI: 1.03-2.39) were predictors for anxiety. Having respiratory disease (OR: 3.75; 95% CI: 1.47-9.60) or diarrhea (OR: 4.34; 95% CI: 1.18-15.9) were predictors of stress. Conclusion. People who have recovered from COVID-19 should be assessed for symptoms of depression, anxiety, and stress. Primary healthcare providers should develop interventions to support their recovery

Exercise Motivation among Fitness Center Members: A Combined Qualitative and Q-Sorting Approach

This study aimed to explore the components of Exercise Maintenance Motivation (EMM) and identify its consensus and distinguishing aspects among members of fitness centers (FCs) in Vietnam. The study incorporated both qualitative and Q-sorting methodologies across two stages. The first stage involved conducting ten in-depth and four focus-group interviews with 39 members of six different FCs in Vietnam, resulting in the generation of 40 EMM statements. In the second stage, these statements were subjected to Q-sorting by 39 participants. The KADE application for the Q method was used for data analysis, and Principal Component Analysis was employed to determine the optimal number of factors. The analysis yielded four factors, encompassing 34 statements and accounting for 86% of the variance in EMM components among participants. These components, labeled “F1. Exercise achievements”, “F2. Exercise environments”, “F3. Exercise enjoyment”, and “F4. Workout-aholic”, achieved consensus among 17 (37%), 14 (30%), 5 (12%), and 3 (7%) participants, respectively. The leading motivational expressions were “get to be healthier”, “a better-looking appearance”, and “get a fit body appearance”. These were followed by FC-based supportive exercise conditions, positive feelings, and exercise addiction. There were five consensus statements that spanned all four factors. The numbers of distinguishing statements varied across factors, with F1, F3, and F4 each contributing 11 (28.2%) and F2 contributing 15 (38.5%). This study contributed to the four central drivers of EMM. To facilitate the development of a comprehensive EMM scale, future research should incorporate larger samples, allowing for a dissection of motivational paradigms.   Doi: 10.28991/HEF-2023-04-03-07 Full Text: PD

A systematic review on integration mechanisms in human and animal health surveillance systems with a view to addressing global health security threats

Lymphatic filariasis and onchocerciasis are neglected tropical diseases (NTDs) targeted for elimination by mass (antifilarial) drug administration. These drugs are predominantly active against the microfilarial progeny of adult worms. New drugs or combinations are needed to improve patient therapy and to enhance the effectiveness of interventions in persistent hotspots of transmission. Several therapies and regimens are currently in (pre-)clinical testing. Clinical trial simulators (CTSs) project patient outcomes to inform the design of clinical trials but have not been widely applied to NTDs, where their resource-saving payoffs could be highly beneficial. We demonstrate the utility of CTSs using our individual-based onchocerciasis transmission model (EPIONCHO-IBM) that projects trial outcomes of a hypothetical macrofilaricidal drug. We identify key design decisions that influence the power of clinical trials, including participant eligibility criteria and post-treatment follow-up times for measuring infection indicators. We discuss how CTSs help to inform target product profiles

นวัตกรรมการพัฒนาการจัดการระบบโลจิสติกส์ 5.0 เพิ่มขีดความสามารถ การแข่งขันสินค้าชุมชนเชิงสุขภาพและพัฒนาเศรษฐกิจฐานราก

รายงานวิจัย -- มหาวิทยาลัยเทคโนโลยีราชมงคลพระนคร, 2564The objectives of this research seek to desired factors for established of model on innovative development of logistics management 5.0 to increased competitiveness of local herb product and local economic development. Theoretically, the future research method using Delphi Technique approached to consensus from is purposive key informants. Who were relevance experts, involving three rounds of in-depth interviews and questionnaire and the descriptive statistics included median and interquartile range (IR) were used to analyses Delphi consensus. The research findings indicated that demand chain factors consisted of 1) innovative development of customer engagement 2) innovative development of customer services 3) innovative development of customer responses and 4) innovative of manufacturing flow management. It combined with supply chain factors consisted of 1) innovative development of adaption 2) innovative development of value engineering 3) innovative development of value chain for logistics management and 4) innovative development of strategic alliance. Ultimately, this above research results can be using to established model of innovative development of logistics 5.0 management to increase competitiveness of local herb products and grassroot economics development. (husband/wife/children) after retirement, most of them do not have credit cards is the same sample group that has the highest level of planning for life after retirement. However, the researcher tested the hypothesis and found that the majority of people are aware of the rise of an aging society and has increased investments before retirement age. Relying on government’s policy for the elderly is no longer the real answer for the people as working age groups are well prepared to plan and manage their retirement living. Moreover, the educational level of the sample population is related to financial education and investment to prepare for retirement. Lastly, the researcher found that working age people still need a lot of support for knowledge about sustainable retirement life management.Rajamangala University of Technology Phra Nakho

รูปแบบทรัพยากรมนุษย์ 2030 เพื่อพัฒนาสมรรถนะผู้ทำบัญชีของวิสาหกิจชุมชนขนาดกลางและขนาดย่อมชุมชน

รายงานวิจัย -- มหาวิทยาลัยเทคโนโลยีราชมงคลพระนคร, 2563The purpose of the study was set to analyze the current situation of the competency of accountants model of small and micro community enterprise of central region in 2030.The study was examined through the perspective of a group of experts scrutinizing future feasibility the competency of accountants of of small and micro community enterprise of central region in 2030. The data were examined by delphi techniques with the data collected through the interviews and questionnaires from three different data collections. The data analysis was completed using median and consistency then confirmed the result with by the interquartile range calculation. It was found that the key components included 1. Knowledge and understanding of accounting and other fields 2. Experience skills and linking knowledge in many dimensions 3. Ethics 4. Soft skills of future forms of the competency of accountants model of small and micro community enterprise of central region in 2030 as examined and approved by the experts in all four skills for the feasibility of the future application.Rajamangala University of Technology Phra Nakho

Risk factors related to dengue infections in primary school students: Exploring students’ basic knowledge of dengue and examining the larval indices in southern Thailand

Summary: Dengue is a major problem in southern Thailand. Objectives: (1) To determine students’ basic knowledge of dengue and (2) to examine the larval indices in primary schools and in the students’ households. Methods: This study employed a cross-sectional quantitative and qualitative approach involving meetings with students, discussions with groups of teachers, a questionnaire investigating students’ basic knowledge of dengue, and a survey of the larval indices in primary schools and in the students’ households. The study consisted of three stages: (1) community preparation, (2) data collection and analysis, and (3) feedback. Results: A total of 306 students (from primary education levels 4–6) from five primary schools in the community were included in the study. Of a total of 15 items on the basic dengue questionnaire, only five were answered correctly by more than 80% of the students. Most of the knowledge items showed statistically significantly different distributions of correct, incorrect, and unknown answers (P ≤ 0.05, P ≤ 0.01, and P ≤ 0.001). The larval indices surveyed in the five schools and in 302 student households showed a high risk of dengue, with high indices in the five schools (Breteau Index: BI = 200; House Index: HI = 60; and Container Index: CI = 7.94) and in the students’ households (BI = 754; HI = 77; and CI = 35). Conclusion: Risk factors for dengue were related to the students’ basic knowledge of dengue and to the larval indices in both the schools and the students’ households. Additionally, a coordinated effort will be required to eliminate Aedes aegypti mosquito breeding sites in the community. Keywords: Risk factors, Dengue, Primary school, Basic knowledge of dengue, Southern Thailan

Health workers’ capability, opportunity, motivation, and behavior to prevent and control COVID-19 in a high-risk district in Thailand

Background. Village health volunteers have been an important group who plays the role in prevention and control of COVID-19 pandemic situations at primary care units, Thailand. Objective. The objective of this cross-sectional analytic study was to assess the level and analyze the association between personal information, capability, opportunities, motivations, and behaviors to prevent and control COVID-19 among Village healthy volunteers in a high risk district, Southern Thailand. Material and Methods. G*power program was used to calculate the sample size of 145 VHVs recruited for this study. Data collection was done using a well-structured questionnaire with 5-point Likert scale for capability, opportunities, motivations, and behaviors component, and multi-stage sampling of 18 sub-district health promoting hospitals was carried out. Data analysis was done using descriptive, Chi-square and Fisher Exact test. Results. Majority (89.7%) of the VHVs were female, and 62.8% were 28-59 years old. More than half, 55.9% (81) have been VHVs for 11-36 years. Generally, higher capacity was found among 59.3% (86) of the VHVs, low opportunity level among 81.4% (118), high motivation among 53.8% (78) and a good behavior towards the prevention and control of COVID-19 among 72.4% (105). The VHVs’ age and duration of practicing were significantly (P< 0.01 and P < 0.05 respectively) associated with COVID-19 prevention behavior (x2 =6.894 and 5.255 respectively). Likewise, there are significant association between capacity (p ≤ 0.001 and x2 = 31.014), opportunity (p≤ 0.05 and x2 = 9.473), motivation (p ≤ 0.001 and x2 = 0.0001) and VHVs' behaviour to prevent and control COVID-19. Conclusion. HVHs’ opportunity is very low in the study area and it negatively affects good behavior for the prevention and control of COVID-19. All stakeholders in the district can use the association among the capability, opportunity, motivation and behavioral model to develop practice guideline and set policy for preventing COVID-19 in the community