Prevalence of Congenital Heart Diseases (CHD) among Elementary School Students in Thailand and the Capacity Self-assessment for Children with CHD Screening.
Piraya Aungudornpukdee Phudit Tejativaddhana Boonchob Pongpanich

ABSTRACT
This study was a descriptive study aimed to explore prevalence of congenital heart diseases (CHD) among elementary school students in Thailand and to compare a capacity selfassessment for children with heart disease screening before and after training. The secondary data and retrospective data of 1,572 health care providers who were trained on CHD screening were conducted using questionnaire. The study was found that 225 out of 542,820 children had CHD. They were studying in elementary school in the year of 2010 located in the provinces where health care providers participated in training program. The prevalence rate of CHD was 0.41 per 1,000 children. In terms of training on CHD screening, the study was found that most participants of training were females, nurses, and most of them worked at health care centres. Also, they had experiences in public health field approximately 15.7 years. With regard to the comparison of capacity selfassessment, there was statistical difference between before and after with confidence level of 95% (P-value < 0.001) The results indicated that the prevalence rate of CHD was slightly low. Due to this rate, one fourth of elementary school students who were screened by trained health care providers did not participate in confirmed diagnosis by pediatricians, and they might or might not have CHD. On the other hand, the proportion between trained health care providers and the students was slightly high (1:345). This proportion might affect the screening coverage and led to degradation of screening. However, this study demonstrated that the training on capacity self-assessment for children with CHD screening was successful according to the mean scores after training which were higher than those before training.

Keywords: Prevalence/ Congenital Heart Diseases/ Screening of Congenital Heart Diseases Capacity self-assessment

Factors Related to Health Protecting behaviors Against Chemical Hazards among Workers in Small Scale Footwear Industry in Bangkok
Tuanjai Wongraksa Surintorn Kalampakorn Ann Jirapongsuwan

ABSTRACT
Most footwear employees are exposed to chemical hazards from their work. Health protecting behaviors against chemical hazards of footwear employees are crucial to prevent their health risks. This cross- sectional research aimed to examine health protecting behaviors against chemical hazards among workers in small scale footwear industry in Bangkok and its related factors. PRECEDE Framework was used as the conceptual basis to explore relationship between health protecting behaviors against chemical hazards and personal factors, predisposing factors, enabling factors and reinforcing factors. Subjects were 260 footwear employees selected by multistage random sampling process. Data were collected by selfadministered questionnaire and analyzed by using descriptive statistics, Person's product moment correlation coefficient and the stepwise multiple regressions. The results revealed that most of the workers had the overall health protecting behaviors against chemical hazards of the footwear employees was at the moderate level (84.6 %). The social support from their employers, the task related to sticking point using adhesives and heat, age, policy for safety management and safety training could altogether predict 41.6 percent of variance in health protecting behaviors against chemical hazards. It is suggested that employers should provide information, increase awareness about health protection against for their employees chemicals. A policy for safety management and safety training in the workplace should be in place especially for younger workers and those expose to chemical during their work Keywords: Behavioral protection/ Industrial workers producing shoes/ Hazardous chemicals

Keywords: Behavioral protection/ Industrial workers producing shoes/ Hazardous chemicals

Factors Influencing Participation in Village Health Management Practices of Village Health Volunteers Ubon Ratchathani Province
Thanin Chaiyanugoo

ABSTRACT
The study was cross-sectional analytical study design. The objective was to study the factors that influence participation in the operation Village Health Management of village health volunteers in Ubon Ratchathani Province. 490 village health volunteers participants were randomly selected from a number of steps. The research instrument was the questionnaire whose confidence value ranged between .81-.96. Data collected during the month January - March2015 with a descriptive analysis of the percentage and standard deviation. The statistical test used to analyze the correlation of Pearson. And stepwise multiple regression analysis. The results found that the sample of participants, mostly female 76.12 percent, most were married 90.20 percent, and the most elementary level of education was 50.82 percent. Mostly no social position 46.94 percent. The average monthly income of most 5,001-10,000 Baht 29.18 percent. The average age of 44.60 years. The average duration in the role of village health volunteers for 9.79 years. The performance level in the participation in the operation in Village Health Management of village health volunteers in Ubon Ratchathani Province was at a high level (X = 3.85, SD = .50). Variables that were studied could predict participation in the best model was 54.30 percent (R 2 =0.55, R2 adjusted= 0.54, F=83.97, p-vlaue The variables were factors as predictors in the best model as Attitude to participation, Work in progress, relationship to work, motivational toward successfulness project, Income 15,001-20,000 baht following age, supported the policy, supported the policy, and compensationand welfare. The findings suggest that with a role in the development of village health management system. Will be focused on the involvement of volunteers to the enhancement. Through the development and upgrading of factors which are predictors of participation from this study.

Keywords:Factors/ Influencing participation/ Volunteers/Village health management

Violence Preventivebehavior Program for Male Early Adolescents
Pornsiri Jiwjaroen Naruemon Auemaneekul Sunee Lagampan Kanitta Chamlusawas

ABSTRACT
This research was a quasi-experimental research design, which aimed to study the effectiveness of a prevention of violent behavior program in early adolescent males regarding attitude towards violence, the perception of subjective norms of violence, the perception of protection from violent behavior, the intention of violent behavioral expression, and violent behavior. The participants were 80 students who studied in Mathayomsuksa 2 (Grade 8) in municipal schools in Suphanburi Province divided into the experimental group (40 students) and the control group (40 students). The experimental group received the prevention of violent behavior program for early adolescent males for four weeks. Data collection was by questionnaire in the pre-trail phase, the after-trial phase (week 5) and the follow-up phase (week 7). Data analysis used frequency, mean, standard deviation, chi-square, independent sample t-test, and repeated measures ANOVA. The research found that in the posttest and follow-up phases, the experimental group had a statistically significant lower score of attitude towards violence than at pretest and the control group (p-value < .01) whereas the results showed no statistically significant differences in the perception of subjective norms of violence and the perception of protection from violent behavior both within and between groups. For intention to commit violence and violent behavior, there was found statistically significant lower scores than at pretest and in the control group (p-value In conclusion, the prevention of violent behavior program using the theory of planned behavior was able to influence attitude towards violence, intention to commit violence, and violent behavior among early adolescent males. Therefore, school health nurses or teachers should adopt the program for protection violent behavior.

Keywords: Violent behavior/ Early adolescent male/ Theory of planned behavior

Factors Influencing Preventive Accidental Working Behaviors Among Construction Workers In Industrial Sector
Kanokon Charoenpol Chantana Chantawong Yuwadee Leelukkanaveera

ABSTRACT
This study was aimed to determined factors related to and influencing accidental preventive working behaviors of construction workers in industrial sectors. The participants were recruited from shop floor construction worker in oil refinery, Chon Buri Province, Thailand. The participants consisted of 359 construction workers were recruited by using a proportionate simple random sampling method. Data were collected through the questionnaires with 100 percent return. The reliabilities of knowledge, perception, supporting Personal Protective Equipment, social support and resource accessibility questionnaires yielded values = 0.75 - 0.88. Descriptive statistic analysis, Pearson's Product Moment Correlation, and Stepwise Multiple Regression Analysis were used for data analysis. The results revealed that accidental preventive working behaviors related to eight factors, i.e., (1) knowledge (r = .334, p-value < .001) (2) risk perception (r = .263, p-value < .001) (3) benefit perception (r = .259, p-value < .001) (4) severity perception (r = .211, p-value < .001) (5) supporting Personal Protective Equipment (PPE) (r = .206, p-value < .001) (6) education (r = .137, p-value < .01 ) (7) social support (r = .150, p-value < .01) (8) work experience (r = .089, p-value < .05). It was found that, knowledge, risk perception, benefit perception, supporting PPE and education could predict preventive accidental working behaviors among construction worker in industrial sector at the level of 21.6% (F = 19.093, p-value < .05) The results of this study could recommend that nurse should educate workers concerning PPE using that fit for work. Educating workers for enhancing risk perception, benefit perception, severe perception in order to become aware of accidental preventive working behaviors resulting in reducing the incident of accident and coordinate with safety manager of construction company for setting up the safety work procedures.

Keywords: Preventive accidental working behavior/ Construction worker

Association of Alcohol Consumption Behaviors and Clinical Outcomes in Persons with Hypertension in Communities
Manachaya Serewiwattana Noppawan Piaseu Suchinda Jarupat maruo

ABSTRACT
This study was descriptive correlational research. The purpose of this research was to examine factors related to alcohol consumption behaviors and clinical outcomes in persons with hypertension in communities in AmphoeMuangNonthaburi, Nonthaburi province. Through purposive sampling, 213 people with hypertension who drink alcohol were selected. The ecological system theory was used as the conceptual framework. Data were collected using structured interview, nutritional assessment, and laboratory test. Data were analyzed using descriptive statistics, Pearson's Product Moment Correlation, and Chi Square test Results revealed that the majority of the sample were male (69.5%), with mean age of 56.24 years, were married (76.4%), obtained primary education (49.2%) and were employed (43.7%). Colleagues were found at the highest frequency (55.9%) among close persons who have alcohol consumption behavior. In addition their beliefs about alcohol and health behaviors were moderate (66.7%). However their family relationships were good (52.6%) and social support was high (54.0%). The alcohol consumption behaviors over one year was at an average of 2.58 drinks with a frequency of about 2-3 days per month (30.5%). As a result, the clinical outcomes showed that their systolic blood pressure was higher than normal (31.19%) and the diastolic blood pressure was higher than normal (27.2%). Proteinuria was 16.3% and abnormal microalbuminuria was 25.8%. The glomerular filtration rate indicated renal dysfunction stage 3 (10.3%). Factors related to alcohol consumption behaviors were gender (x2 = 15.338, p-value < .001) and beliefs of alcohol and health behavior (r = -. 235, p-value = .001). The alcohol consumption behaviors related with clinical outcomes including microalbuminuria (r = .140, p-value = .041) and proteinuria (r = .164, p-value = .016). The results of this study suggest that community nurse practitioners assess factors related to alcohol consumption behaviors and develop approaches to provide primary care for those who have hypertension and alcohol consumption behaviors, along with clinical outcomes disorder, especially in males who have inappropriate belief of relaxation in order to prevent complications.

Keywords: alcohol consumption behaviors/ clinical outcomes/ hypertension/ ecological system theory framework

A Biography of the Outstanding Precursor in Public Health Nursing Profession: Assistant Professor Dr. Ancana Hemindra
prabha Lymprasutr Sulee Tongvichian Chanya Siengsanor Punyarat Lapvongwatana Pimpan Silpasuwan

ABSTRACT
Public health nursing is a valuable profession which has played a powerful role in promoting Thailand's public health. Nursing professionals have been supporting and propelling the country's public health system for a long time; however, little is known about notable professional nurses. Hence, this research aims to study about the personal and working life of Assist. Prof. Dr. Ancana Hemindra, a leader who help established and developed nurse profession in Thailand. This research adopted the qualitative method by interviewing 3 family members, 3-5 colleagues, 16 alumni and familiar people, as well as, 5 inspectors who were monitoring the work of Assist. Prof. Dr. Ancana Hemindra via documents and other evidence in exact locations during 2013-2014, the researchers analyzed the data using the Inductive content analysis and also applied Semiotic theory to analyze the meaning of sign based on empirical evidence, persons, objects, texts, and conversations The results showed that with the support and loving family, she was prompt to be the leader of nursing profession, as well as, the role model for nursing professionals due to her adhering to the Buddhist religion, wisdom and expertise which were the results of hard study and hard work, intelligence and perseverance in improving Thai public health nursing education to meet international standards, establishing of academic and training networks internationally. In addition, she initiated the wearing of blue uniform as a symbol of public health nurses and practitioners to provide health services at home for all people in the community, especially among children and women. This study suggested that more biographies of the notable precursor nursing professionals should be studied in order to increase the efficiency of nursing education and services in the future.

Keywords: Public health nursing/ outstanding precursor/ Biography