Royal Thai Air Force Medical Gazette

A Study of Relationship between the Components of Mobile Applications for Children with Food Allergies and the Perceived Benefits and Usage Needs of Their Caregivers.

Kulyaporn Cheypho — 2025-06-30

This study aimed to explore the relationship between the components of mobile applications for children with food allergies and the perceived benefits and usage needs of their caregivers, using Bandura’s self-efficacy framework. The sample consisted of 100 caregivers of children with food allergies. Data were collected through a questionnaire and analyzed using descriptive statistics, Pearson correlation, and multiple regression analysis.

The results revealed that caregivers with higher education levels were less likely to prioritize the application (r = -0.240, p = 0.016). Additionally, the age of the child with food allergies (r = -0.259,

p = 0.009) and the type of allergenic food (r = -0.266, p = 0.007) were negatively correlated with the demand for the application. Key components positively correlated with the demand for the application included barcode scanning to check for allergens (r = 0.280, p = 0.005), creating a social network for app users (r = 0.307, p = 0.002), and providing first aid guidance during allergic reactions (r = 0.304, p = 0.002).

Multiple regression analysis indicated that the creation of a social network was a significant predictor of the demand for the application (b = .162, p < 0.001). These findings can serve as guidelines for developing mobile applications that effectively address the needs of caregivers of children with food allergies.

The Role of Nurses in Reducing Depressive Symptoms by Problem-Solving Therapy in Major Depressive Disorder patients

Rattikan Sringam — 2025-06-30

Major depressive disorder is a significant mental health issue that affects patients’ quality of life and society, particularly among adults who are at high risk of complications such as decreased work performance and an increased risk of suicide. This article discusses major depressive disorder (MDD), depressive symptoms, the progression of depressive disorder about risk factors associated with depressive symptoms, and the overall impact of depression. It also highlights the role of psychiatric nurses in the treatment of depressive disorders and the use of psychosocial interventions to alleviate depressive symptoms. Especially emphasis is on the role of psychiatric nurses in reducing depressive symptoms through Problem-Solving Therapy (PST), to help patients develop coping skills and reduce depressive symptoms. In addition, Problem-Solving Therapy is a continuous and comprehensive care that help patients recover and return to normal life.

The Effects of Interactive Video Animation “Active Knowledge Stress of Flight” on Knowledge Stress of Flight among Third Year Air Force Student Nurses, Academic Year 2024

Tuangthip Ladawan — 2025-06-30

This quasi-experimental study aimed to compare the knowledge scores on stress of flight among Air Force student nurse before and after using the interactive animation “Active Knowledge Stress of Flight” and to compare the knowledge scores between students who used the animation and those who engaged in self-directed learning. The sample consisted of 60 third-year Air Force student Nurse enrolled in the academic year 2024 who had received training on stress of flight from aviation medicine nurses at the Institute of Aviation Medicine, Royal Thai Air Force. The research instruments included the interactive animation video “Active Knowledge Stress of Flight,” covering 11 aspects of stress of flight, and a 30-item knowledge test administered as a pre-test and post-test. Descriptive statistics, including frequency

distribution, mean, and percentage, were used for demographic data analysis. A paired t-test was used to analyze pre-test and post-test knowledge scores, with a significance level of 0.05. Results indicated that the mean post-test knowledge scores were 22.63 (S.D. = 2.76) for the animation group and 19.63 (S.D. = 4.39) for the self-directed learning group. An independent t-test revealed a statistically significant difference in knowledge scores between the two groups (t = 3.17, p < 0.05). In conclusion, the “Active Knowledge Stress of Flight” animation effectively enhanced knowledge and comprehension of stress of flight and can be utilized as a learning tool for knowledge reinforcement in aviation nursing education.

Experts’ Perspectives on a Frontier in Cancer Prevention: A Qualitative Study

Soparn Potaya — 2025-06-30

Cancer is a leading cause of death in Thailand. Approximately 40 % of cancer can be prevented by changing behaviors or avoiding cancer risk factors. This qualitative research aims to explore experts’ perspectives on a frontier in preventable cancers prevention. Individual, in-depth interviews with thirty experts on cancer were selected using stratified purposeful sampling. A qualitative content analysis of the data revealed that the frontier in cancer prevention was determined by seven factors, including 1) setting clear policies and goals; 2) local area data utilization; 3) reaching the target audience; 4) promoting health literacy; 5) working with the local community; 6) vaccination; and 7) monitoring, evaluating the results, and improving the plan. These findings can be used to determine strategy for cancer prevention according to needs and suitable for the context of Thailand.

Editorial Notic

Pongsathorn Gojaseni — 2025-06-30

Anesthetic management in Jehovah’s Witness patient underwent acetabular fractures surgery

Alisara Koomwong — 2025-06-30

Acetabular fractures surgery is a complex procedure with a high risk of significant blood loss. Anesthesia management for Jehovah's Witness patients, who hold a core belief of refusing blood transfusions, presents a challenging task for anesthesiologists. The role of the anesthesiologist extends beyond just providing anesthesia; it also involves important responsibilities such as monitoring, controlling blood pressure, maintaining the function of vital organs, and addressing any complications that arise during the surgery. This case report aims to present a study highlighting the dilemma between healthcare professionals' concerns about patient safety and respecting the patient's rights, along with approaches to minimizing perioperative blood loss, which requires multidisciplinary collaboration since preoperative preparation, special techniques during the surgery, and postoperative care.

Keywords: acetabular fractures, anesthesia, Jehovah’s Witness

Injectable Lipid-Lowering Agents and Their Public Health Benefits

Natee Leegchur — 2025-06-30

Cardiovascular disease remains a leading cause of mortality worldwide, with elevated levels of low-density lipoprotein cholesterol (LDL-C) and lipoprotein(a) identified as key modifiable risk factors. Effective lipid management is a cornerstone of both primary and secondary prevention strategies. While oral lipid-lowering therapies, such as statins and ezetimibe, are considered the standard of care, their efficacy may be limited in certain high-risk or treatment-resistant populations. In this context, injectable lipid-lowering agents—particularly PCSK9 inhibitors and inclisiran—have emerged as potent alternatives, offering sustained LDL-C reduction and the potential for long-term public health benefits. This article reviews their mechanisms of action, clinical effectiveness, trends in public health implementation, and considerations for reimbursement under national health coverage schemes, supported by current scientific evidence.

Awareness of the Dangers of E-Cigarettes for Royal Thai Air Force Personnel

Wikanda Wiriyanupappong — 2025-06-30

Electronic cigarettes (e-cigarettes) have emerged as a widely adopted alternative to traditional tobacco products among the Thai population, with notable prevalence among youth and individuals of working age. Despite their growing popularity, the use of e-cigarettes presents significant health risks, impacting the respiratory, cardiovascular, and nervous systems. Moreover, e-cigarette consumption may hinder physical performance and impair cognitive functions essential for tasks demanding both physical and mental acuity. This article seeks to provide Royal Thai Air Force (RTAF) personnel with comprehensive, evidence-based information on the composition of e-cigarettes, the associated health risks, and relevant legal frameworks. Additionally, it proposes strategies to prevent and manage e-cigarette use within the Air Force, aiming to foster greater awareness and promote abstention from these products, thereby supporting the long-term health and operational performance of RTAF personnel.