• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5525-5529
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• 2015

Background: Currently it is believed that human papillomaviruses (HPV) are associated with the development of some oral/oropharyngeal cancers. It has been suggested that these viruses influence carcinogenesis in both smokers and non-smokers. Data on the prevalence of HPV in healthy adults are thus needed to estimate the risk of oral/oropharyngeal cancer. The aim of this study was to assess the prevalence of oral HPV in healthy female adults in Indonesia and Thailand. Materials and Methods: Healthy female students from the Faculties of Dentistry of Universitas Indonesia and Chiang Mai University were asked to participate in this pilot study. DNA was extracted from saliva specimens and screened for HPV16 and HPV18 using PCR. Results: The age, marital status and sexual experience of the subjects between the two countries were not significantly different. Eight (4%) and 4 (2%) samples were positive for HPV16 and HPV18, respectively. Fisher's Exact test found a significant difference between HPV16 positivity in subjects who were married and had sexual intercourse but not for HPV18. Conclusions: This study successfully detected presence of HPV16 and HPV18 DNA in a number of saliva samples from female dental school students. Marital status, experience of sexual intercourse and safe sexual practice are related to the possibility of finding HPV DNA finding in saliva. Dentists, physicians and other health care professionals may gain significant value from the findings of this study, which provide an understanding of the nature of HPV infection and its risk to patient health and disease.

• Asian Pacific Journal of Cancer Prevention
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• 제15권20호
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• pp.8993-9004
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• 2014

Background: The incidence rate and the treatment costs of hepatocellular carcinoma (HCC) are high, especially in Thailand. Previous studies indicated that early detection by a surveillance program could help by down-staging. This study aimed to compare the costs and health outcomes associated with the introduction of a HCC surveillance program with no program and to estimate the budget impact if the HCC surveillance program were implemented. Materials and Methods: A cost utility analysis using a decision tree and Markov models was used to compare costs and outcomes during the lifetime period based on a societal perspective between alternative HCC surveillance strategies with no program. Costs included direct medical, direct non-medical, and indirect costs. Health outcomes were measured as life years (LYs), and quality adjusted life years (QALYs). The results were presented in terms of the incremental cost-effectiveness ratio (ICER) in Thai THB per QALY gained. One-way and probabilistic sensitivity analyses were applied to investigate parameter uncertainties. Budget impact analysis (BIA) was performed based on the governmental perspective. Results: Semi-annual ultrasonography (US) and semi-annual ultrasonography plus alpha-fetoprotein (US plus AFP) as the first screening for HCC surveillance would be cost-effective options at the willingness to pay (WTP) threshold of 160,000 THB per QALY gained compared with no surveillance program (ICER=118,796 and ICER=123,451 THB/QALY), respectively. The semi-annual US plus AFP yielded more net monetary benefit, but caused a substantially higher budget (237 to 502 million THB) than semi-annual US (81 to 201 million THB) during the next ten fiscal years. Conclusions: Our results suggested that a semi-annual US program should be used as the first screening for HCC surveillance and included in the benefit package of Thai health insurance schemes for both chronic hepatitis B males and females aged between 40-50 years. In addition, policy makers considered the program could be feasible, but additional evidence is needed to support the whole prevention system before the implementation of a strategic plan.

• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2889-2894
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• 2016

This study aimed to modify behavior regarding liver fluke and cholangiocarcinoma prevention in Chumphuang district, Nakhon Ratchasima province, Thailand through integrated learning. A total of 180 participants were included through purposive selection of high-risk scores on verbal screening. Participants attended the health education program which applied the health belief model included family based, knowledge station based, academic merit based and community based learning. Data were collected using a questionnaire composed of 4 parts: 1) personal information, 2) knowledge, 3) perceived susceptibility, severity, benefits, and barriers, 4) practice regarding liver fluke and cholangiocarcinoma prevention. The result revealed that the majority were female (79.9%), age ${\geq}60$ years old (33.2%), primary school educational level (76.1%), and agricultural occupation (70.1%). The mean scores of knowledge, perception, and practice to liver fluke and cholangiocarcinoma prevention, before participated the integrative learning were low, moderate, and low, respectively. Meanwhile, the mean score of knowledge, perceived susceptibility, severity, benefits, and barriers, and practice regarding liver fluke and cholangiocarcinoma prevention, were higher with statistical significance after participation in the integrated learning. This finding indicates that health education programs may successfully modify health behavior in the rural communities. Therefore they may useful for further work behavior modification in other epidemic areas.

• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3339-3344
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• 2015

Background: This case-control study aimed to determine if there were any associations between the two single nucleotide polymorphisms (SNPs) in Gc, rs7041 (Asp416Glu) and rs4588 (Thr420Lys) and 3 common cancers (breast, lung and colorectal) in Thai patients. Materials and Methods: Two hundred and eighty two colorectal, 101 breast and 113 lung cancer patients were recruited from one institute during 2011-2013. The controls were age-matched volunteers who had a negative history of index cancers. In addition, vitamin D levels were compared among different genotypes in the 2 SNPs. Results: The minor allele frequencies of rs7041 (G) and rs4588 (A) were 0.32 and 0.24, respectively. Under the dominant model, the study found significant associations between minor-allele genotypes of the SNP rs7041 (TG/GG) and lung cancer (odds ratio [OR] 1.78, 95% CI 1.05-3.03). When subgroup analysis was performed according to sex and age at diagnosis, the study found that the minor-allele genotypes of rs7041 (TG/GG) were significantly associated with colorectal cancer in patients whose age at diagnosis was more than 60 years (OR 1.67, 95%CI 1.06-2.61) and the minor-allele genotypes of rs4588 (CA/AA) were significantly associated with colorectal cancer in males aged 60 years or less (OR 2.34, 95%CI 1.25-4.37). When SNP combinations (rs7041-rs4588) were examined, the TT-CA combination had a significant protective association with lung cancer (OR 0.44, 95% CI 0.22-0.85). On evaluation of serum 25(OH)D levels in 205 individuals without cancer (males 144, females 61), the proportion of subjects with low serum vitamin D (< 20 ng/ml) in those harboring CA or AA genotypes of rs4588 (41.7%) was significantly higher than the CC genotype (15.5%, p-value < 0.01). Conclusions: Genetic polymorphisms in Gc were associated with lung and colorectal cancers in Thai patients. Lower serum 25(OH)D in minor variants of rs4588 may explain this association.

• Asian Pacific Journal of Cancer Prevention
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• 제16권10호
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• pp.4339-4345
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• 2015

Occupational exposure to wood dust is one cause of nasopharyngeal cancer (NPC); however, assessing this exposure remains problematic. Therefore, the objective of this study was to develop a semi-quantitative exposure assessment method and then utilize it to evaluate the association between occupational exposure to wood dust and the development of NPC. In addition, variations in risk by histology were examined. A case-control study was conducted with 327 newly diagnosed cases of NPC at the National Cancer Institute and regional cancer centers in Thailand with 1:1 controls matched for age, gender and geographical residence. Occupational information was obtained through personal interviews. The potential probability, frequency and intensity of exposure to wood dust were assessed on a job-by-job basis by experienced experts. Analysis was performed by conditional logistic regression and presented in odds ratio (ORs) estimates and 95% confidence intervals (CI). Overall, a non significant relationship between occupational wood dust exposure and NPC risk for all subjects was observed (ORs=1.61, 95%CI 0.99-2.59); however, the risk became significant when analyses focused on types 2 and 3 of NPC (ORs=1.62, 95%CI 1.03-2.74). The significant association was stronger for those exposed to wood dust for > 10 year (ORs=2.26, 95%CI 1.10-4.63), for those with first-time exposure at age > 25 year (ORs=2.07, 95%CI 1.08-3.94), and for those who had a high cumulative exposure (ORs=2.17, 95%CI 1.03-4.58) when compared with those considered unexposed. In conclusion, wood dust is likely to be associated with an increased risk of type 2 or 3 NPC in the Thai population. The results of this study show that semi-quantitative exposure assessment is suitable for occupational exposure assessment in a case control study and complements the information from self-reporting.

• Asian Journal of Atmospheric Environment
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• 제6권4호
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• pp.246-258
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• 2012

Particulate matter deposited on leaf surfaces may cause erosion/abrasion of epicuticular wax and the malfunction of stomata. However, the deposition processes of particulate matter, such as elemental carbon (EC), has not been studied sufficiently in Asian forest ecosystems. Deposition processes for particulate ${SO_4}^{2-}$ and EC were studied in a Japanese cedar forest in Kajikawa, Niigata Prefecture, Japan, and in a dry evergreen forest and a dry deciduous forest in Sakaerat, Nakhon Ratchasima province, Thailand. The ${SO_4}^{2-}$ fluxes attributed to rainfall outside the forest canopy (RF), throughfall (TF), and stemflow (SF) showed distinct seasonalities at both sites, increasing from November to February at the Kajikawa site and in March/April at the Sakaerat site. Seasonal west/northwest winds in winter may transport sulfur compounds across the Sea of Japan to the Kajikawa site. At the Sakaerat site, pollutants suspended in the air or dry deposits from the dry season might have been washed away by the first precipitations of the wet season. The EC fluxes from RF and TF showed similar variations by season at the Kajikawa site, while the flux from TF was frequently lower than that from RF at the Sakaerat site. Particulate matter strongly adsorbed onto leaf surfaces is not washed away by rainfall and contributes to the EC flux. At the Kajikawa site, Japanese cedar leaf surfaces accumulated the highest levels of particulate matter and could not be neglected when calculating the total flux. When such leaf-surface particles were considered, the contribution of dry deposition to the total EC flux was estimated to be 67%, 77%, and 82% at the Kajikawa site, and at the evergreen and deciduous forests of the Sakaerat site, respectively. Leaf-surface particles must be included when evaluating the dry and total fluxes of particulate matter, in particular for water-insoluble constituents such as EC.

• Asian-Australasian Journal of Animal Sciences
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• 제30권11호
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• pp.1651-1659
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• 2017

Objective: Lao PDR's recent accession to the World Trade Organization necessitates a greater understanding of the patterns and risk of livestock production in order to better align national policy with the Agreement on the Application of Sanitary and Phytosanitary Measures. This eco-health study was conducted to improve understanding of the interrelations between market chains and zoonotic infection risks at two strategic cross border points between Lao PDR, Thailand and Viet Nam. Methods: Information gained from smallholder farmer/trader interviews was integrated with serological surveys for pig-associated zoonoses-including hepatitis E virus (HEV), Taenia solium (T. solium) and trichinella-to identify potential linkages between disease risk and pig production and slaughter in low input systems common across the country. Results: Trichinella and HEV exposure was high in both humans and pigs in both study areas, significantly associated with pig slaughter and the subsequent consumption and handling of raw pork products. T. solium demonstrated a strong geographical and ethnic association with the northern study area bordering Vietnam. With the right knowledge and accessible, affordable inputs, the majority of smallholder farmers indicated a willingness to invest more in pig production, which could simultaneously improve livelihoods and decrease exposure to HEV, Trichinella, and T. solium through increased access to formal markets and an improved slaughter processes. Conclusion: The linkages identified when assessing disease risk in the context of potential economic and cultural drivers of transmission highlight the importance of a systems-based approach for the detection and control of zoonotic disease, and contributes to an improved understanding of the Lao PDR livestock sector.

• Asian Pacific Journal of Cancer Prevention
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• 제14권9호
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• pp.5519-5525
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• 2013

Background: Cervical cancer is the second most common cancer in Thai women after breast cancer. Currently, the Papanicolaou (Pap) smear is the recommended procedure for cervical cancer screening in Thailand, but only a relatively small percentage of women follow this screening program. An alternative method to detect HPV genotypes associated with cervical cancer is self-sampling of urine, which is a more widely accepted method. Our study aimed to evaluate the prevalence of HPV in Thai women using urine and cervical swabs and prevalence of HPV in Thai men using urine samples. Materials and Methods: Tumorigenic HPV detection was accomplished by electrochemical DNA chip and PCR/direct sequencing. In addition to HPV prevalence, we report the concordance between different methods and sample types. One-hundred and sixteen women and 100 men were recruited. Histological examination revealed normal cytology in 52 women, atypical squamous cells of undetermined significance (ASCUS) in 9, low-grade squamous intraepithelial lesions (LSIL) in 24, and high-grade squamous intraepithelial lesions (HSIL) in 31. One-hundred men were classified as heterosexuals (n=45) and homosexuals (n=55). Results: The most prevalent HPV genotype in our study was HPV16. The HPV detection rate was generally lower in urine samples compared with cervical samples. Overall, there was good agreement for the detection of carcinogenic HPV from female cervical samples between the DNA chip and PCR/sequencing, with 88.8% total agreement and a kappa value of 0.76. In male urine samples, the level of agreement was higher in heterosexuals compared with homosexuals. Conclusions: Further improvement is required to increase an overall yield of HPV DNA detection in urine samples before clinical application of a urine-based HPV screening program. The electrochemical DNA chip test is a promising technique for carcinogenic HPV detection.

• 한국산학기술학회논문지
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• 제21권9호
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• pp.509-517
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• 2020

이 연구는 중국인이 세계화로 편입되는 상황에서 나타나는 이민자, 유학생, 여행자의 네트워크 분석을 통해 중국 세계화 현황을 살펴보는 것을 목적으로 한다. 글로벌 네트워크에서 중국 이민자, 유학생, 여행자의 연관성을 제시하였다. 분석 방법은 UN의 이민자 데이터와 UNESCO의 유학생 데이터, 중국문화여행부의 여행자 데이터를 이용하여 중국 세계화의 관점에서 네트워크 및 QAP분석을 이용하였다. 분석결과 첫째, 이민이나 유학은 선진국으로 향하는 경향이 강했고, 여행은 아시아 지역에 대한 선호도가 높은 것으로 나타났다. 국가별로 태국은 여행자 네트워크에서, 미국은 이민자와 유학생 네트워크의 주요 목적지로 나타났다. 둘째, QAP 기반 통계적 상관관계 분석결과 중국 이민자들과 유학생들로 구성된 매트릭스 간 상관관계가 유의미한 것으로 나타났다. MR-QAP 분석을 통해 유학생과 이민자 네트워크가 높은 결정계수를 보여 두 변수 간 인과관계가 높은 것으로 나타났다. 이 분석을 통해 중국의 세계화에 따른 기회와 문제점을 검토하고 각국별 정책적 대책을 마련할 수 있는 실증적 근거를 제시하였다. 후속 연구에서는 중국 유학생과 중국 이민자의 국가 선택 요인, 중국의 세계화가 다른 나라들에 미치는 경제적, 사회적, 문화적 영향을 다각도로 분석하여 이 연구의 제한점을 보완할 것이다.

• 만화애니메이션 연구
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• 통권45호
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• pp.367-396
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• 2016

나는 태국 방콕에 소재한 Mahidol 대학교 국제학부에서 애니메이션 교육자로서 지난 8년동안 태국의 신 세대 애니메이터의 작은 집단을 교육하는 특권을 지닌 위치에 있었다. 태국은 태국 고유의 애니메이션 실험적용이 그 동안 거의 없었으며, 그런 다양성에 접근도 인터넷 이전 시대에는 제한이 있었다. 이런 이유로 나의 연구 배경이 되는 특히 영국과 유럽의 풍요로운 애니메이션 역사를 강의실로 가져와 소개하려는 시도를 해왔다. 특히, 내가 가르치는 데 있어서 둔 목적은 초기의 (또한 현재의) 실험적/독립 애니메이터들이 탐구했던 매체, 양식과 텍스트 네러티브(서사) 선택에 관한 다양한 가능성을 소개하는 것이었다. 최초의 장편 상업 영화 "Khun Kluay"가 2006년에 출시된 이래로, 태국의 애니메이션 산업은 그간 외국에서 훈련 받고 일하고 돌아온 숙련된 인력을 형성하면서 상업적인 부면에서 여러 기복을 겪어왔다. 현재는 독립 애니메이션이 출현하기 시작하는 확실한 증거가 보인다. 태국 애니메이션에 관한 나의 연구의 연장으로, 본 논문은 선정된 독립작품에 대해서 그 주제를 비롯해 사용된 양식과 테크놀로지를 탐구하면서 세밀하게 분석하고자 한다. 그러나 동시에 해석에 대한 오류의 가능성도 인정할 수 밖에 없을 것이다. 나의 문화적 언어와 해석은 아웃사이더의 관점이기 때문에 본래 크리에이터의 경험을 초월할 수도 있고 대안적인 해석을 추가할 수도 있을 것이다. 본 논문은 작품의 내용과 아이디어와 문화적인 관점을 맥락화하고, 더 많은 태국의 작품들이 애니메이션 연구 학계에 시선을 모을 수 있는 것을 목적으로 한다.