https://he02.tci-thaijo.org/index.php/jcra/issue/feedThe Journal of Chulabhorn Royal Academy2024-12-26T00:00:00+07:00ศาสตราจารย์เกียรติคุณ นายแพทย์รัชตะ รัชตะนาวินjournal.cra@cra.ac.thOpen Journal Systems<p>วารสารวิชาการราชวิทยาลัยจุฬาภรณ์ เป็นวารสารของ ราชวิทยาลัยจุฬาภรณ์ (Chulabhorn Royal Academy) รับตีพิมพ์บทความวิจัย และบทความวิชาการ ในสาขา Health Science (วิทยาศาสตร์สุขภาพ) Science and Technology (วิทยาศาสตร์และเทคโนโลยี) Health Professional Education (การศึกษาด้านวิชาชีพทางสุขภาพ) และ Health Technology (เทคโนโลยีด้านสุขภาพ)</p>https://he02.tci-thaijo.org/index.php/jcra/article/view/269988Characteristics of Hospitalized COVID-19 Patients at Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Thailand 2024-11-12T13:28:02+07:00Kitchawan Hengkrawitkritakarn@g.swu.ac.thChirawat Chiewchalermsrikritakarn@g.swu.ac.thKritakarn Telapolkritakarn@g.swu.ac.thJuthamas Thananonkritakarn@g.swu.ac.th<p><strong>Background:</strong> COVID-19 is an emerging disease that emerged in late 2019, causing great losses to the global health system. As a result, many patients require hospitalization due to complications and leading to a significant number of fatalities. There were previous studies about the characteristics of COVID-19 patients in many populations’ groups around the world. However, the data was still limited in Thailand. <strong>Objective:</strong> To study the characteristics of COVID-19 patients hospitalized <strong>Method:</strong> The retrospective study, that collected hospitalize patients’ data from January 2020 to December 2023 at the Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University. All patients were confirmed diagnosis of COVID-19 from polymerase chain reaction (PCR). The data were analyzed using descriptive statistics. <strong>Results:</strong> A total of 1,084 patients were found, of which 621 cases (57.29%) were female, 463 cases (42.71%) were male. Patients older than 75 years were most common found at 329 cases (30.35%), The patients had underling diseases were 981 cases (82.65%), the most patients with hypertension 634 cases (58.49%), dyslipidemia 504 cases (46.49%), diabetes mellitus 347 cases (32.01%). The majority of patients had moderately severe symptoms, found 521 cases (50.05%). Cough was the most common symptom, found at 718 cases (66.24%), followed by phlegm, fatigue, sore throat/itchy throat, runny nose, stuffy nose, loss of smell or taste, 573 cases (52.86%), 375 cases (34.59%), 258 cases (23.80%), 246 cases (22.69 %), 176 cases (16.24%) 59 cases (5.44%) respectively. The mortality rate was 175 cases (16.14%) and the complications found 737 cases (67.98%), the main of complication was pneumonia fellow to septic shock, acute respiratory distress syndrome (ARDS) and congestive heart failure were 732 cases (67.63%), 50 cases (4.61%), 31 cases (2.86 %), 9 cases (0.83%) respectively. <strong>Conclusion:</strong> Characteristics of COVID-19 patients In Thailand, the majority are elderly. Mortality and complications rates, especially in ARSD, are lower than in past studies. However, more studies are needed. To lead to appropriate treatment and prevention plans for Thai people in the future. <strong>Results:</strong> A total of 1,084 patients were found, separated into 57.29% women, 42.71% men. The most were people over 75 years old, 30.35%, and the least patients were found were those aged < 15 years, 5.17%. The patients with underling diseases were total 82.65%, separated into hypertension 58.49%, dyslipidemia 46.49%, diabetes mellitus 32.01%, heart disease 8.86%, asthma/Allergic rhinitis 4.70%, immunocompromised 1.57%, cirrhosis 1.48%, The median of body mass index: BMI was 24.57(IQR;7.01; [10.96, 49.48]. The patients show moderate symptoms 50.05%. Cough is the most common of symptoms, that found 66.24%and phlegm, fatigue, sore throat/itchy throat, runny nose, stuffy nose, loss of smell or taste, 52.86%, 34.59%, 23.80%, 22.69 %, 16.24% 5.44% respectively. The patients died 16.14%, Patients with complications found 67.98%, the most complication was pneumonia, septic shock, acute respiratory distress syndrome (ARDS), congestive heart failure were 67.63%, 4.61%, 2.86 %, 0.83% respectively. <strong>Conclusion:</strong> COVID-19 is a serious emerging disease that results in death and many complications in patients. Symptoms and complications found in Thai people are different from studies abroad, which requires further study.</p>2024-12-25T00:00:00+07:00Copyright (c) 2024 Chulabhorn Royal Academyhttps://he02.tci-thaijo.org/index.php/jcra/article/view/268412Factors Affecting Intension to Use Medical Cannabis Among People in Sukhothai Province2024-10-02T08:33:36+07:00Wilasinee Hongsanundoctorpharm56@gmail.comJitanuwat Pummaungdoctorpharm56@gmail.comYutthana Yaebkaidoctorpharm56@gmail.com<p><strong>Introduction</strong>: Cannabis is utilized for medicinal purposes in numerous countries. In the present, Thailand has established policies concerning the utilization of cannabis in healthcare procedures. However, people's accessing to medical cannabis services remains are incomplete. <strong>Method</strong>: This research is descriptive study. The sample group consisted 572 people in Sukhothai province. The sample was selected by multi-stage random sampling. The data was collected <em>via</em> questionnaires. Content validity of questionnaires was verified by three experts, with a content validity index ranging from 0.67 to 1.00. Analyze the reliability of the questionnaire using Cronbach’s alpha coefficients, which were 0.81, 0.78, 0.84, and 0.80, respectively. The data were analyzed using descriptive statistics and stepwise multiple regression analysis. <strong>Result</strong>: The research revealed that mean of the intention of using medical cannabis was in moderate level. Factors of affecting intension to use medical cannabis among people in Sukhothai province showed knowledge of medical cannabis attitude towards the use of medical cannabis and Subjective Norm. These 3 variables might predict the intention of using medical cannabis in a range of 52.9% with a significance level of 0.05. <strong>Conclusion</strong>: The results of this study should be used to organize activities to encourage increased intension to use medical cannabis among people in Sukhothai province.</p>2024-12-25T00:00:00+07:00Copyright (c) 2024 Chulabhorn Royal Academyhttps://he02.tci-thaijo.org/index.php/jcra/article/view/268673Job Safety Analysis of Drainage Pipe Cleaning Tasks Performed by Inmate Workers: Insights and Recommendations 2024-09-13T13:46:39+07:00Worrawit Nakpansaisattha.noo@mahidol.ac.thSaisattha Noomnualsaisattha.noo@mahidol.ac.th<p><strong>Background:</strong> Inmate workers are considered a vulnerable group within society, and they engage in public work initiatives in Thailand, including sewage network cleaning, which may be associated with several hazards. <strong>Objectives:</strong> This study aims to systematically observe and identify potential hazards connected with the excavation and cleaning of drainage pipes, as performed by inmate workers. <strong>Methods:</strong> Job safety analysis (JSA) is employed to identify and quantify risks across six main tasks using a risk matrix to provide a detailed hazard evaluation. <strong>Results:</strong> The findings reveal significant occupational hazards, encompassing environmental and traffic safety risks during area preparation and physical and ergonomic challenges during waste retrieval and pipe cleaning tasks. These risks are heightened by the use of tools, the physical strain of manual labor, and challenging environmental conditions. <strong>Conclusions:</strong> There is a need for safety protocols and training specifically designed for the unique circumstances of inmate workers. Recommendations include appropriate personal protective equipment, regular risk assessments, and policy reforms that align inmate labor practices with established occupational health and safety standards. This study reveals the specific risks associated with inmate labor in public works, supports the development of targeted safety measures, and promotes the adoption of continual risk evaluations and ethical concerns in policy formulation, thus ensuring the well-being and safety of this unique workforce.</p>2024-12-25T00:00:00+07:00Copyright (c) 2024 Chulabhorn Royal Academyhttps://he02.tci-thaijo.org/index.php/jcra/article/view/268735Effectiveness of the Model for Performance Development among Village Health Volunteers2024-11-13T11:40:32+07:00Yutthana Yaebkaiyutthanaya@scphpl.ac.thPramote Wongsawatyutthanaya@scphpl.ac.th<p><strong>Background: </strong>Village Health Volunteers (VHVs) employ various performance models that vary depending on the context of the area. However, there is still a lack of a standardized performance model for VHVs that encompasses all aspects of their competencies. <strong>Objectives:</strong> To study the model's effectiveness for performance development among VHVs. <strong>Methods:</strong> This quasi-experimental research with the two-group pretest-posttest design involved 76 VHVs, equally assigned to experimental and control groups. The experimental group participated in activities based on the model for performance development among VHVs, which included voluntary, role perception, intention, teamwork, association network, participation, social support, motivation, and recognition, whereas the control group followed usual practices. Data were collected using a self-administered questionnaire and then analyzed using frequency distribution, percentage, chi-square test, Mann-Whitney U-test, Wilcoxon sign rank test, and analysis of covariance. <strong>Results:</strong> The model of performance development for VHVs showed that the median performance of the experimental group after the intervention was higher than it was before the intervention. Also, the median performance of the experimental group was higher than that of the control group after the intervention (p<0.05). <strong>Conclusions:</strong> Implementing a performance development model for VHVs could enhance their effectiveness. Relevant agencies should be engaged to ensure coverage of all targeted groups and its appropriate application in different areas.</p>2024-12-25T00:00:00+07:00Copyright (c) 2024 Chulabhorn Royal Academyhttps://he02.tci-thaijo.org/index.php/jcra/article/view/269420Prevalence and Factors Associated with Work-related Musculoskeletal Disorders among Central Sterile Supply Technicians in Hospitals under the Ministry of Public Health, Nakhon Si Thammarat Province2024-11-04T08:35:00+07:00Ratree Nacgludwithaya.cha@siam.eduKeatkongkrai Bunnumwithaya.cha@siam.eduNureeya Promsornwithaya.cha@siam.eduLaddawan Duangmusikwithaya.cha@siam.eduWarunee Suwanratwithaya.cha@siam.eduKritsana Thonnanwithaya.cha@siam.eduJinthapha Thasiriwithaya.cha@siam.eduWithaya Chanchaiwithaya.cha@siam.edu<p><strong>Introduction:</strong> Work-related Musculoskeletal Disorders are a significant issue among healthcare professionals in various multidisciplinary professions. <strong>Objective:</strong> To investigate the prevalence and risk factors associated with musculoskeletal disorders (MSDs) among Central Sterile Supply Technicians (CSSTs) in hospitals under the Ministry of Public Health, Nakhon Si Thammarat Province. <strong>Methods:</strong> This cross-sectional descriptive study involved 142 workers from 23 hospitals. Data collection was conducted using a modified version of the Standardized Nordic Questionnaire. <strong>Results:</strong> The prevalence of musculoskeletal disorders over the past 12 months was 70.4%. The most commonly affected areas were the lower back (86.6%) and upper back (66.9%). Factors associated with musculoskeletal discomfort included being female, which posed a 6.04 times higher risk than being male (95% CI: 2.40–15.18). <strong>Conclusion:</strong> This study revealed a high prevalence of musculoskeletal discomfort among CSSTs. Multidisciplinary professionals should utilise these findings to develop ergonomic programs aimed at preventing and reducing work-related musculoskeletal disorders in the Central Sterile Supply Department</p> <p> </p>2024-12-25T00:00:00+07:00Copyright (c) 2024 Chulabhorn Royal Academyhttps://he02.tci-thaijo.org/index.php/jcra/article/view/268272DOCUMENTARY RESEARCH TO REVIEW THE SITUATION OF CHEMICAL ACCIDENTS IN THAILAND FROM 2017-20222024-11-14T11:02:54+07:00Saijai Pinijvechakarnpinijs2006@yahoo.comSamroeng Saliwattanpongkulpinijs2006@yahoo.com<p><strong>Introduction:</strong> Document research is a method of research that uses data from existing documents or sources. To study, analyze and summarize the results of the topic to be researched. This study will analyze the trends and situations of chemical accidents that occurred from 2017 to 2022 in Thailand. <strong>Objective:</strong> Know the types of chemicals and activities related to chemical accidents, and give suggestions on the direction that should be taken to determine the future picture or desirable picture. <strong>Study Method:</strong> Data collection can be obtained from many sources with reliable and complete information, including the Department of Disease Control. Department of Industrial Works, Department of Disaster Prevention and Mitigation, Department of Pollution Control. It is collected from the operation and notification of chemical accidents and is continuously compiled as statistics as well as published on the website and academic journals. News & Event Reports Past studies and research reports and others. <strong>Study Results:</strong> synthesis results in the past 6 years have found that chemical accidents occur every year with a greater number of occurrences in some causes and a decrease in some causes, such as in the early stages of the target time, caused by fire, and chemical leakage. The most common materials are plastic/rubber/foam, and in the last two years, there have been more fires in landfills. The place of the chemical accident was found to be a fire from an industrial factory in Chonburi Province. It is a province with chemical accidents every year. In 2021, there were 4 occurrences in Bangkok. In 2022. found smuggling of industrial waste. 10 times and 22 times discharge wastewater, mostly in dense industrial areas such as the Eastern Economic Corridor (EEC).<strong> Conclusion:</strong> It was found that the analysis of the situation requires technical knowledge, academics and communication with the public. Assessing a situation requires lessons from past experience. The main cause of chemical accidents is the inefficiency of the safety management system. The development of systematic measures to prevent and manage chemical accidents, as well as increasing the strictness of law enforcement and surveillance, will help prevent impacts on the environment and public health. The lessons learned are that the preparation of accident investigation reports. However, it is important to accelerate the integration of information and experience in accident investigation between government agencies and private sector entrepreneurs who are the main producers and users of these chemicals.</p>2024-12-26T00:00:00+07:00Copyright (c) 2024 Chulabhorn Royal Academy