Browsing by Author "Thinkhamrop, B"
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Publication Child-Rearing Practices and its Effect on Cognitive Development of Children at the First Year of Age: The Prospective Cohort Study of Thai Children(Kathmandu University, 2018) Kansin, S; Thinkhamrop, B; Mongkolchati, A; Laohasiriwong, WABSTRACT Background Child-rearing during the first year of age has long been known as a strong predictor of child cognitive development, particularly cognitive development. Most studies investigated styles and factors related to child-rearing, but the study of impact of child-rearing practices on child development is limited and unclear. Objective To investigate the child-rearing practices and its effect on cognitive development of children at the age of 12 months, in Thailand. Method This study is part of the prospective cohort study of Thailand. The data were collected via face-to-face interviews and child cognitive development assessment using Capute scale. The multivariable linear regression was used to determine the effect of child rearing practices on child cognitive development. Result Among the total of 4,116 infants. The most common child rearing practices mostly performed by care givers for the responsiveness domains were warmth (96.60%). Concerning demandingness, only proper confrontation was perform by (39.94%). Factor influencing the cognitive development were: Total score; the children who were not reared warmly, had lower Capute score with the mean difference of -7.69, 95% CI: -12.25 to-3.14. For Cognitive Adaptive Test score; the children who were not reared with warmly, had a lower Capute score with the mean difference of -8.11, 95% CI: -14.37 to -1.85. For Clinical Linguistic and Auditory Milestone Scales score; the children who were not reared warmly, had a lower cognitive score with the mean difference of -8.72, 95% CI: -14.74 to -2.69. Do not giving children in proper confrontation had a lower cognitive score than those who were, with the mean difference of -3.06, 95% CI: -5.26 to -0.86. Conclusion When controlled the influence of other variables, raring with warmth was the strongest predictor of child cognitive development. KEY WORDS Child rearing, Cognitive development, Linear regression model, Prospective cohort study of ThailandPublication Prevalence of Suspected Cholangiocarcinoma Based on Ultrasonography Screening and its Associated Factors in Northeastern Thailand(Kathmandu University, 2022) Rayubkul, J; Laohasiriwong, W; Thinkhamrop, B; Mahato, RK; Khantikeo, N; Pongpanich, SABSTRACT Background Ultrasonography of the liver allows detection of liver mass and bile duct dilatation which are findings of suspected Cholangiocarcinoma so that early stage Cholangiocarcinoma can be detected. Objective To estimate the prevalence of suspected Cholangiocarcinoma as well as its associated factors. Method These reported results were obtained from the baseline screening for Cholangiocarcinoma as of July 2013 of an ongoing project the Cholangiocarcinoma Screening and Care Program conducted in Northeastern Thailand. Participants were northeasterners who were at least one of the followings: 40 years or older, ever been infected with liver fluke, ever been treated with praziquantel, or ever been consumed raw fresh water fish. Ultrasonography was done by well-trained medical radiologists. Result Of the total 1,196,685 participants, 58.9% were females with a mean age of 58.2 (standard deviation ± 9.9) years. Suspected Cholangiocarcinoma was found in 15,186 (2.6%; 95% CI: 2.56 to 2.65) individuals. The results observed that the participants with higher age group had high association as compared to younger age group (AOR=1.98; 95% CI: 1.77 to 2.21; p-value < 0.001), hepatitis B infected participants were highly significant as compared to the non- hepatitis B infected (AOR=1.22; 95% CI: 1.07 to 1.39; p-value = 0.002) and participants having Hepatitis C were also significantly associated with Cholangiocarcinoma infection (AOR=1.46; 95% CI: 1.04 to 2.05; p-value = 0.029) based on ultra-sonographic screening respectively. However, patients having diabetes were less likely to be associated with Cholangiocarcinoma (AOR=0.87; 95% CI: 0.81 to 0.93; p-value < 0.001). Conclusion About one out of a hundred cases required further investigations such as Magnetic resonance imaging or Computed Tomography. Early age of ultrasonography screening for Cholangiocarcinoma enhanced the opportunities for early detection of Cholangiocarcinoma and might reduce irrational requests for expensive or invasive methods of diagnosis. KEY WORDS Cholangiocarcinoma, Suspected case, Ultrasonography screeningPublication Self-Efficacy in Child Rearing and Quality of Life among Adolescent Mothers in the Northeast of Thailand(Kathmandu University, 2017) Sungworawongpana, K; Laohasiriwong, W; Thinkhamrop, BABSTRACT Background Incidence of adolescent pregnancy has been increasing continuously in Thailand. These adolescent mothers might face various problems such as social acceptance, poor knowledge of child rearing with affect their quality of life. However, there are insufficient studies quality of life and the associated factors of the adolescent mothers in the biggest region, the Northeast of Thailand. Objective To identify the level of quality of life and the association between self-efficacy, ability in child rearing and quality of life of adolescent mothers in the Northeast of Thailand. Method Cross-sectional study with systematic randomization 232 adolescents who gave a first singleton live birth in a hospital, with data collection done through a structured questionnaire administration. The multiple logistic regressions were used to determine the association. Result The majority of postpartum adolescent mothers were age 18 years old (52.59%). All participants were primiparous mothers. Almost all of adolescent mothers had senior relative within family assisting in child rearing (90.95%). Nearly half of them (46.98%) had high scores of quality of life on living and child rearing. Most of the mothers perceived self-efficacy during pregnancy or pre-childbearing in moderate level (87.93%). However, only 36.64% had high level of self-efficacy on living and child rearing. Majority had moderate to high scoring of stress on living and child rearing (65.52%). Only 32.06% received high scoring of social support on living and child rearing. The multiple logistic regressions were used to measure association of significant factors by backward elimination. Factors associated with quality of life in postpartum adolescent mothers were no stress (adjusted odds ratio: AOR = 4.37, 95% CI; 2.29 to 8.30, p-value < 0.001), high level of self-efficacy (AOR = 4.01, 95% CI; 2.04 to 7.88, p-value < 0.001), and high level of social support (AOR = 3.31, 95% CI; 1.74 to 6.31, p-value < 0.001). Conclusion Social support, self-efficacy and stress have strong influences on quality of life of the postpartum adolescent mothers. Therefore relevant sectors should develop system to improve social support and child rearing competency of adolescent since pregnancy and postpartum. KEY WORDS Adolescent, child rearing, postpartum, quality of life, self-efficacy