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PROMOTING FUTURE HEALTH. Why are our children and what they learn in school so important? Andrew J Macnab
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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This conference celebrates advances in applied science and health research intended to benefit all sections of society, from the very young to the very old. This is the nature and strength of research inquiry. Each of us brings our own interests, expertise and experience to the research we do, and as a children’s doctor my focus in naturally on the health and future wellbeing of children. However, there are compelling practical and scientific reasons why children should be the focus for much health sciences research. And one of these is the strong economic argument that governments should invest in children as they are the future of our society, and the benefits from initiatives that improve their health will last throughout their lifetime. Often a strong economic argument is the best way to translate your research into a practical reality. Some of the best examples come from injury prevention where, because of an intervention, the cost to society of long term handicap is avoided. And now research indicates that intervening with children and young people to prevent chronic non-communicable diseases (NCDs), like Type 2 diabetes, coronary artery disease, high blood pressure and stroke, can have strong health and economic benefits. Treatment of NCDs in adult life is placing a huge financial burden on most countries. This area of research is called the Developmental Origins of Health and Disease (DOHaD); and it provides compelling evidence that fetal wellbeing in utero and growth and nutrition during infancy determine in large part, whether or not an individual goes on to develop a NCD in adult life. However, an obvious challenge for intervening with DOHaD-derived prevention strategies is how to engage and educate the ‘at risk’ population in a way that promotes healthy behaviors. Because effective intervention requires that fetal micronutrient provision and growth throughout pregnancy are optimal, and care and nutrition during infancy sustains normal growth, there is an implicit requirement that young people are engaged. Traditionally, youth are not a sub-set of the population who prioritize or even seriously consider their future health or that of their potential partners, let alone their offspring. Yet to reduce the burden of NCDs, children need to learn the facts necessary to adopt healthy behaviors before they become pregnant and give birth to children of their own. The WHO Health Promoting School (HPS) model has proven success engaging youth in the context of improving health, disseminating knowledge effectively and positively impacting future behaviors, particularly in low resource settings. The HPS model is flexible, based on a process of community engagement, and represents an avenue for health promotion aimed at impacting a range of health and lifestyle issues; so it is promising as a way to begin youth engagement regarding the DOHaD agenda. Schools provide the most efficient and effective way to reach large portions of the population, and WHO now recommends HPS strategies in low and middle income countries, as the burden of disease, disability and premature death is disproportionately high, and many of the causes are preventable. There are many examples of how imaginative school-based programs have successfully improved health issues that range from poor oral health, through loss of school due to malaria, to promoting condom use and knowledge about HIV. Challenges exist worldwide over how to educate the next generation in the context of health. Using school-based programs offers a flexible and inexpensive avenue. With informed political action, broad participation and inspired advocacy, initiatives that share ‘knowledge’ and teach ‘healthy practices’ using the WHO HPS model have great potential to offer.

OCCURRENCE OF PHARMACEUTICALS AND PERSONAL CARE PRODUCTS IN MUNICIPAL WASTEWATER TREATMENT PLANTS AND RECEIVING WATER BODIES IN BANGKOK, THAILAND Ranjna Jindal
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Pharmaceuticals and personal care products (PPCPs) have been frequently detected in aquatic environments worldwide and suspected for potential ecological consequences including adverse health effects on humans. However, occurrences, sources and potential risks of PPCPs residues have rarely been investigated in Bangkok, Thailand, one of the most densely populated cities in the world. Aims: Two separate studies were carried out to evaluate the levels of some PPCPs in domestic wastewater treatment plants as well as in receiving water bodies in Bangkok, Thailand during 2009 – 2012, including six canals, and Chao Phraya River. Methods: Solid phase extraction (SPE) followed by liquid chromatography- mass spectrometry- mass spectrometry (LC/MS/MS) technique were used to detect eight and fourteen pharmaceuticals during the two studies including acetaminophen, acetylsalicylic acid, atenolol, caffeine, ciprofloxacin, diclofenac, ibuprofen, mefenamic acid, naproxen, roxithromycin, sulfamethazine, sulfamethoxazole, sulfathiazole and trimethoprim. Results: Levels of pharmaceutical residues in WWTP influents on average were the highest for acetylsalicylic acid (4,699.4 ng/L), followed by caffeine (2,250.5 ng/L) and ibuprofen (701.9 ng/L). In effluents, the concentration of caffeine was the highest (307.1 ng/L), followed by acetylsalicylic acid (260.5 ng/L) and mefenamic acid (251.4 ng/L). In surface water, acetylsalicylic acid showed the highest levels(on average 1,355 ng/L in canals and 312.6 ng/L in the river). Conclusion: Removal efficiencies of WWTPs for roxithromycin, sulfamethoxazole and sulfamethazine were determined negligible. For several compounds, the concentrations in ambient water were higher than those detected in the effluents, implying contribution of sources other than WWTPs. While the risks in Chao Phraya River are relatively low, several pharmaceutical residues were detected at high levels in canal waters of Bangkok, clearly indicating that the canals in Bangkok area are at potential ecological risks, warranting appropriate management decisions with efforts to be made to identify the sources and implement effective measures for mitigation.

APPROACH OF HEALTH BENEFIT ASSESSMENT DUE TO AIR POLLUTION IN THAILAND Thao Pham; Savitri Garivait
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Recent studies have clearly demonstrated adverse health impacts related to pollutants such as ozone (O3), particulate matter (PM), carbon monoxide (CO), nitrogen oxides (NOX) and sulfur dioxide (SO2). Relative high concentration of such pollutants have certain link to degraded human health, for example cardiovascular and respiratory (Guo et al. 2014; Wong et al. 2008). The consequent rising mortality and hospitalization rate will also bring about economic burdens to the society. According to annual report of Pollution Control Deparment year 2015 (Pollution Control Department (PCD) 2017) (PM10) and PM that ae Bangkok Metropolitan Region - Thailand (BMR), one of the major metropolitan areas in the world, is an upper-middle class megacity composed of Bangkok city proper and five surrounding provinces. With an actual population of approximately 15 million, it is the central hub for commerce and tourism in the Southeast Asian (SEA) region. In the past decades, the BMR has experienced extraordinary economic development and urban expansion, which displaying notable concern regarding the ambient air pollution and its adverse effects on human health. In the BMR, relatively high emission are located inside Bangkok, due to on-road transport activity as well as relatively high emissions in industrial combustion and processes are located in vicinity provinces of Bangkok. Objectives of this study include 1) To assess mortality health burden using with Bangkok ambient data of PM10 and 2) To assess air benefit and health benefit due to emission reduction in transport sector from advanced environmental policy, case study for BMR, focusing on PM2.5 long-term mortality. Results indicated that there is health benefit to comply ambient air with standard. This is possible message to our policy maker “Just to enforce ambient air to Thailand standard of PM10, avoided mortality of respiratory and cardiovascular disease in Bangkok is up to 40%. And if the country reaches that, we can move forward to set higher target, of course, the benefit can be higher (up to 85%) if we successfully enforce ambient air to World Health Organization (WHO) standard. In addition, implementation of more stringent environmental policy in transport sector in the BMR indicated good example of health benefit associated to the PM2.5 reduction associated with current legislation. However, approaches to provide mitigation options for multiple sources sectors and regions should be considered to obtain better benefit”.

HEALTH PROMOTION IN LOW AND MIDDLE INCOME COUNTRIES: ‘YOUTH CHAMPIONS’ AS AGENTS OF CHANGE Ronald Mukisa; Andrew J Macnab; Lynn Stothers
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Health promotion includes a wide range of social and environmental interventions that enable people to increase control over their own health. The aim is to achieve health literacy, where people have the knowledge they need to make healthy choices and the skills and daily practices necessary to improve their health, and can access information that helps to reduce the risk of illness or injury. Health promotion programs traditionally use adult experts or teachers to deliver the information and practices promoted, but in school-based programs WHO advocates the involvement of youth to make program content and delivery relevant and interesting to school children. Aims: To summarize how youth leaders (‘champions’) can contribute to school and community based programs through their involvement in the design of school-based health promotion and by engaging and motivating the target population. Methods: Summary of the HPS literature and experience of youth involvement in our school programs in Africa Results: Schools are settings where important health knowledge and behaviours can be promoted. Teachers have a central role in creating an environment that fosters health learning, but the efficacy of health promotion is improved when youth are included in program design and delivery. Youth champions have a special ability to connect with the target audience in schools and by using the pupils ‘language’ and idioms make the knowledge and practices being shared relevant and accessible. Trained youth can champion individual messages or take on a variety of roles in health promotion initiatives. Youth champions have contributed to the success of programs that have promoted hand washing, oral health, improved nutrition, malaria prevention, sexual health and HIV/Aids prevention Youth involved as champions have an important opportunity to learn as well as to contribute; potentially, many educators, health care providers and leaders of tomorrow will emerge from among them.. Conclusion: Youth who act as champions and peer to peer counsellors have a unique contribution to make in school-based health promotion. As measured by long term retention of knowledge and sustained changes in behavior, school-based health promotion is improved when youth are included as ‘messengers’ and pupils help select the ‘messages’ promoted.

THE INTEGRATED ACTION PLAN OF NATIONAL MALARIA ELIMINATION IN THAILAND: STUDY IN THE NORTH EAST AND THE EASTERN PART OF THAILAND Chantana Sowat; Orathai Srithongtham; Kanyarach Wongphuka; Keinika Sanguansat; Direak Manmanah; Lapasrada Wiangkham; Prayuth Sudathip; Jerdsuda Kanjanasuwan; Praparat Promeiang; Suravadee Kitchakarn
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: In 2024, the National Malaria Elimination Strategy proposed to eliminate indigenous malaria cases in all districts and expected that Thailand would be certified as free a malaria case areas before 2026. Even though the national malaria elimination policy focuses on accelerating malaria elimination in Thailand by improving diagnosis & treatment, intensifying active case detection, increasing ITN coverage and ensuring DOTs & follow up and Therapeutic Efficacy Surveillance. Aims: The objective of the study on the action plan of national malaria elimination in Thailand as the area study in the Northeast and the East of Thailand is to convince all partnerships to make integrated action plans. All provinces in the Northeast and the East of Thailand were selected with significant partnerships in transmission areas. Methods: Through the community participation and strategic planning workshops, an integrated process of data collection and analysis was undertaken and descriptively presented. Strengths, Opportunities, Aspirations and Results (SOAR) analysis was employed in the context of strategic planning of eliminating malaria cases from transmission areas. The registered partners in the workshop were divided into ten groups. In each working group, there were approximately 10-12 partners who were key persons and lived in the same community. Results: The findings showed that there were practically integrated action plans from significant partnerships in each transmission area. Twenty seven action plans of all provinces were presented to the provincial level for approval before being launched in their communities. Some outcomes from strongly launched action plans have been obviously regarded as the best practices of each province. Conclusion: The study suggested that in order to manage and to convince some key partners to join relevant malaria elimination activities, regular active participation at the national level, provincial level and community level by specifically focusing on sustainably maintaining malaria-free areas is needed. Local Administrative Organization support is also required to maintain the sustainability of the malaria- free areas in Thailand.

ASSESSMENT OF ADEQUACY OF PROTEIN INTAKE IN ENTERAL FEEDING PATIENTS WITH NEUROLOGICAL PROBLEMS Su May Aung; Wantanee Kriengsinyos; Chanida Pachotikarn; Nipa Rojroongwasinkul
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Introduction: Enteral tube feeding can provide sole source of nutrients in patients who cannot eat orally. In order to get adequate nutrients, it is essential to choose enteral feeding formula correctly and provide sufficiently. Aims: Therefore this study was carried out to determine the adequacy of protein intake with blenderized tube feeding diet in comparison to traditional tube feeding diet by studying nitrogen balance. Methods: This study was conducted on 25 participants with neurogenic dysphagia who had been admitted to Kwe Ka Baw Hospital at Yangon. The participants were divided into three groups: the first group who received 1800 ml/d of traditional tube feeding diet (Group T, n = 10), the second group was supplied with 1500 ml/d of blenderized tube feeding diet (Group B1, n = 9) and the third group was supplied with 2000 ml/d of blenderized diet (Group B2, n = 6). The nitrogen balance study was done on day 4, day 5 and day 6 of enteral feeding. Results: The mean nitrogen balance of Group T was profoundly negative (-7.3 g/d) and of Group B1 was still negative (-2.6 g/d). The nitrogen balance of Group B2 improved to positive balance (0.6 g/d). In conclusion, the protein intake was inadequate with traditional tube feeding diet and 1500 ml/d of blenderized tube feeding diet. The protein intake was adequate with 2000 ml/d of blenderized tube feeding diet. Conclusion: Based on the result of this study, the blenderized tube feeding diet with 2000 ml/d intake should be recommend to use for enteral feeding patients with underlying neurological problems.

MEDICAL DOCTORS’ PROCEDURAL SKILL PERFORMANCE AND ATTITUDE TOWARD ULTRASOUND-GUIDED PERICARDIOCENTESIS MODEL Linn Htet Aung; Thasaneeya Ratanaroutai Nopparatjamjomras; Suchai Nopparatjamjomras
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Pericardiocentesis is regarded as a procedure that has the potential for saving lives. This procedure is indicated in patients with the diagnosis of cardiac tamponade and hemodynamic shock and should be done urgently to such cases. There would be severe complications if this procedure is not performed properly and skillfully. In this study, a newly developed ultrasound-guided pericardiocentesis model was used for training procedural skill with the aim to allow undergraduate medical students experience the procedure with the cheap and easily built model. Aims: The objectives of the study were to develop ultrasound-guided pericardiocentesis model, to determine its usefulness for training the procedural skill, and to evaluate the medical doctors’ attitude toward training with the model. Methods: This pilot study was conducted to try out the model with medical doctors. The practical workshop plan for the trying out the model was developed. Video recording during the procedure, the questionnaire, and the semi-structured interview were conducted after the participants performed the procedure to assess their perception regarding with the efficacy and usefulness of the model. Results: According to results, the participants could recognize the free fluid, pericardium, and heart of the model in ultrasound screen (4.2 ± 0.45, 4.6 ± 0.55, and 4.4 ± 0.55 respectively). The model was suitable for training ultrasound-guided pericardiocentesis (4.4 ± 0.55). The model was perceived to be good and useful for training ultrasound-guided pericardiocentesis. The participants also wanted to use the model for teaching the procedural skill to medical students before performing with the real patients. Conclusions: The model was considered to be useful and appropriate for training the procedural skill. Therefore, the model could be used as the effective training tool for training ultrasound-guided pericardiocentesis.

ADOLESCENT PREGNANCY WORLDWIDE: A NARRATIVE REVIEW Yuniarini Yuniarini
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Adolescent pregnancy has become a growing concern nowadays and hence it has become imperative to look into the various causes of teenage pregnancy in order to deal with this issue carefully. Adolescent pregnancies are widely discouraged because the of health risks raised for the young mothers and babies. Adolescent pregnancies create a host of other problems like incomplete education, unemployment, poverty, social embarrassment and numerous other emotional traumas. Further, early motherhood also affects the psychological development of the child adversely. Adolescent pregnancy can also have negative social and economic effects on girls, their families and communities. Besides, bodies of teenage girls are not as developed as those of adult women in terms of childbearing, therefore, they are likely to face certain complications as well. Early childbearing increases the risks for both mothers and their newborns.Moreover, the chances of maternal death can not be ruled out. Therefore, analyzing the various causes of adolesecent pregnancy can help a great deal in addressing this issue effectively and eventually reducing the cases of adolescent pregnancies.

DEVELOPMENT OF MYANMAR CARBOHYDRATE COUNTING BOOKLET Win Thida Htwe; Wantanee Kriengsinyos; Chanida Pachotikarn; Nipa Rojroongwasinkul
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Diabetes mellitus is one of the major challenging problems in Myanmar. Even with its high occurrence, the prevalence of good glycemic control was relatively low. According to Myanmar food culture, most of the foods that Myanmar people daily consumed are carbohydrate-based. Therefore, a nutrition education tool that can raise the awareness of amount of carbohydrate in foods and provide scientific but comprehensible dietary information about carbohydrate counting is necessary in all arenas to combat diabetes: prevention, promotion and management. Aim: The aim of this study was to develop Myanmar carbohydrate counting booklet. Method: The first phase developed the booklet and then the acceptance of the booklet was assessed in the second phase by an experimental study. Results: In the first phase, the booklet named “Basic Carb Counting for People Living with DM” was developed. It was 14.5 × 20.5 × 1 cm in size and of 103 pages. It contained illustrated facts and information about diabetes, about basic carb counting and carb choices of different food items along with respective food photographs. In the second phase, 36 people with diabetes participated in the study with the mean age of 48.4 ± 10.7 years, 47.2% of male and 52.8% of female. The results showed that the knowledge score of diabetes, carbohydrate and total scores increased significantly (p <0.05) between pre-test score and post-test score. The participants’ satisfaction level with the newly developed booklet was somewhere between “very satisfied” to “extremely satisfied” giving the mean and median responses of between 5 and 6 on a 6-point Likert scale. Conclusion: The developed carbohydrate counting booklet was accepted by people with diabetes in Myanmar and the contents in the booklet were understandable to witness the improvement in the knowledge of the disease and basic carbohydrate counting concept as well.

ASSOCIATION OF INFORMATION RELATED CONTRACEPTION ON YOUTH’S FUTURE WILLINGNESS IN USING CONTRACEPTIVE METHODS Andi Angki Fatimah
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Introduction: One of family planning program objectives for adolescent are informed the youth about some options that they can undertake in terms of controlling their fertility. For instance, married adolescent women in Indonesia were decide to use contraceptive methods when they already had children, and more common on those who has living child Aims: This study aims to examine the association between information related contraception to youth’s willingness to use contraceptive methods Methods: This study used secondary data from Indonesian Demographic and Health Survey (IDHS) 2012, specifically on youth sample in Sulawesi region. There were 2,975 never married youth aged 15 – 24 was analyzed. Univariate and multi variate analysis was performed with occupied binary logistic regression models to measure youth intention on contraceptive methods in the future. Results: Female youth were less likely to be more aware to use contraceptive methods in the future comparing to male youth. Youth with some secondary and higher than secondary education have intention to use contraceptive methods when they have a family, compare with those who has lower than secondary school, and also when they got family planning information from watching television. Furthermore, youth who lived in Central Sulawesi, Gorontalo, and North Sulawesi showed that they want to use contraceptive methods in the future, modern and traditional methods as well. Conclusion: The study result indicate that higher education and better accessibility on family planning information via television give contribution on youth thought in intention to use contraceptive methods in the future when they get married. Besides that, information regarding contraceptive methods should concern with region and custom or culture where youth lived. Knowledge on modern and traditional contraceptive methods also needs to be improved in terms of adding more methods that can be concern in the future for deciding the best methods to choose.

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Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

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Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

Contact Email info@inschool.id

Phone -

Journal Mail Official icash@inschool.id

Editorial Address -

Location Kota semarang, Jawa tengah INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Dyah Anantalia Widyastari, BSPH., MPH., Ph.D (Cand.)

Contact Email
info@inschool.id

Phone
-

Journal Mail Official
icash@inschool.id

Editorial Address
-

Location
Kota semarang,

Jawa tengah

INDONESIA