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

Community capacity for sustainable community–based dengue prevention and control: domain, assessment tool and capacity building model

AbstractIn order to understand the community capacity for sustainable community-based dengue prevention and control, this paper proposes the approach of a previous study about meaning and domains of dengue prevention and control, an assessment tool and a community capacity building model for sustainable community-based dengue prevention and control in the Southern Thailand. A study of dengue community capacity domains was conducted by utilizing a qualitative method, whereby ten initial community domains were identified by means of a literature review, in-depth interviews of sixty community leaders, and eight focus group discussions with sixty non-leaders in four sub-districts of southern Thailand. In the final study, there were 14 identifiable domains in leaders group and 11 domains in non-leaders. The resulting dengue community capacity-assessment tool (DCCAT) consisted of two parts: one for leaders (DCCAT-L) and the other for non-leaders (DCCAT-NL). DCCAT-L was composed of 115 items within 14 domains and 83 items within 11 domains for the DCCAT-NL. The key domains of leaders and non-leaders had a partial overlap of domains such as critical situation management, personal leadership, health care provider capacity, needs assessment, senses of community, leader group networking, communication of dengue information, community leadership, religious capacity, leader group and community networking, resource mobilization, dengue working group, community participation, and continuing activities. The application of the new tool consisted of five steps: 1) community preparation, 2) assessment, 3) a community hearing meeting, 4) interventions, and 5) conclusion and improvement step. All stakeholders in the community should use the new tool based on a clear understanding of the measurement objectives, the desired outcomes, resources available and characteristics of their community. If communities need to develop and build dengue community capacity, then the designed pre-post intervention assessments or serial assessments are essential

Public Health Students’ Reflection regarding the First Case of Coronavirus Disease 2019 in a University, Southern Thailand

Background: The coronavirus disease 2019 (COVID-19) is a pandemic disease. In Thailand, public health professionals are the main stakeholder for risk management. The aim was to explore the reflections of the public health students regarding the first case of a COVID-19 patient near a university area, southern Thailand. Study design: The cross-sectional qualitative study. Methods: The study was conducted written on one page which contained four elements of the reflection concept. Students’ reflections were collected by the researcher after oral consent. The data analysis used the thematic analysis technique and included the following five steps: 1) reading and rereading to understand reflections, 2) identifying the coding, 3) setting the category of the coding in relation to meanings, 4) interpreting the theme based on their meaning and related phenomena, and 5) setting the main themes. Results: Ninety public health students that studied at a 3rd level classification of a community public health program. Almost all (77) were women (85.6%), were 20-21 years old, and had received information regarding the coronavirus outbreak from social media, family members, other students, lecturers, and other people. The 17 themes and 35 sub-themes of the reflection concept included three themes’ regarding the seven sub-themes of “What I faced”, five themes regarding the six sub-themes of “What I did”, four themes regarding the seven sub-themes of “What Happened”, and five themes regarding the 19 sub-themes of “So what or now what” elements. Conclusions: The reflections of the public health students are important for lecturers, the university, and their parents for supporting and guiding them to prevent the transmission of COVID-19.</jats:p

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