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Hemoglobin | 2018

Preventable Severe Thalassemia among Children

Chaiwat Rerkswattavorn; Nongnuch Sirachainan; Duantida Songdej; Praguywan Kadegasem; Ampaiwan Chuansumrit

Abstract This retrospective study analyzed 27 children with preventable severe thalassemia born to 24 at-risk couples between 1997 and 2017. The couples were categorized into two groups: the prenatal diagnosis (PND) group (n = 8) and the non PND group (n = 16). In the PND group, following comprehensive counseling on having a fetus with thalassemia, six couples decided to continue the pregnancy (n = 6). Termination of the two remaining fetuses was excluded as the thalassemia status was reported at a gestational age of 24 weeks. In the non PND group, medical errors were found in the misdiagnosis of couples as non thalassemia carriers (n = 4) and not offering PND to couples with known thalassemia carrier status when attending the antenatal clinic (ANC) (n = 2). Additionally, parental ignorance was found in parents experiencing their own thalassemia, or that of their spouse or child (n = 6). The remaining couples (n = 4) with known carrier status either directly refused PND or were ineligible for it. A total of five divorces (5/24 = 20.8%) occurred in the PND (n = 2) and the non PND (n = 3) groups. Knowledge, beliefs, religion, experience of thalassemia, as well as the sex of the at-risk fetus all influenced parental decisions. Therefore, both medical personnel and parents are key in preventing new cases of thalassemia. Parents should be aware of the consequences of having children with severe thalassemia, while medical personnel should provide accurate carrier detection and PND.


Injury Prevention | 2016

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Chatchai Im-arom; Chaiwat Rerkswattavorn; Adisak Plitponkarnpim

Background Several studies reveal that corporal punishment does not facilitate moral internalisation and it has been implicated in the aetiology of criminal and antisocial behaviours. In Thai society, corporal punishment seems to be an acceptable tool for discipline in child rearing. The previous study for children in child care centres of urban poor communities in Bangkok found that the prevalence of corporal punishment by spanking is 83.4% of all children. Methods An anti-corporal punishment program was developed. It consists of two group conferences. The first group conference was done in the community using the educational package (VDO multimedia, leaflet, and role play). Then 1 month later, a group conference was done, aimed to empower all parents by reviewing all knowledge, and sharing opinions, their stories. The program was implemented in parents and their children in 4 child centres in Bangkok (n = 351). The intervention group is those from 2 child centres (n = 200) and the control group is those from another 2 child centres (n = 151). Three measurements were done for pre and post intervention; punishment incidences using Punishment Incidence Questionnaire (PIQ) modified from Parent-Child Conflict Tactics Scale, injury incidences using Injury Record Form, and child behaviour and emotion using Strengths and Difficulties Questionnaire (SDQ). Results 52.4% of parents use the severe corporal punishment (SCP) as discipline strategies, 79.5% using minor corporal punishment (MCP), 89.7% using non-violent punishment (NVP), and 90.3% using psychological aggressive punishment (PAP). SCP and PAP in intervention group was significantly more than control group. Our anti-corporal punishment program was shown effectiveness in reducing parental use of all violent discipline strategies (20% reduction in SCP, 7% in PAP, and 12% in MCP). Conclusions This study demonstrated that our anti-corporal punishment program decreased the corporal punishment in the urban poor communities.


Injury Prevention | 2016

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Chatchai Im-arom; Chaiwat Rerkswattavorn; Adisak Plitponkarnpim

Background Several studies reveal that corporal punishment does not facilitate moral internalisation and it has been implicated in the aetiology of criminal and antisocial behaviours. In Thai society, corporal punishment seems to be an acceptable tool for discipline in child rearing. The previous study for children in child care centres of urban poor communities in Bangkok found that the prevalence of corporal punishment by spanking is 83.4% of all children. Methods An anti-corporal punishment program was developed. It consists of two group conferences. The first group conference was done in the community using the educational package (VDO multimedia, leaflet, and role play). Then 1 month later, a group conference was done, aimed to empower all parents by reviewing all knowledge, and sharing opinions, their stories. The program was implemented in parents and their children in 4 child centres in Bangkok (n = 351). The intervention group is those from 2 child centres (n = 200) and the control group is those from another 2 child centres (n = 151). Three measurements were done for pre and post intervention; punishment incidences using Punishment Incidence Questionnaire (PIQ) modified from Parent-Child Conflict Tactics Scale, injury incidences using Injury Record Form, and child behaviour and emotion using Strengths and Difficulties Questionnaire (SDQ). Results 52.4% of parents use the severe corporal punishment (SCP) as discipline strategies, 79.5% using minor corporal punishment (MCP), 89.7% using non-violent punishment (NVP), and 90.3% using psychological aggressive punishment (PAP). SCP and PAP in intervention group was significantly more than control group. Our anti-corporal punishment program was shown effectiveness in reducing parental use of all violent discipline strategies (20% reduction in SCP, 7% in PAP, and 12% in MCP). Conclusions This study demonstrated that our anti-corporal punishment program decreased the corporal punishment in the urban poor communities.


Injury Prevention | 2016

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Chatchai Im-arom; Chaiwat Rerkswattavorn; Adisak Plitponkarnpim

Background Several studies reveal that corporal punishment does not facilitate moral internalisation and it has been implicated in the aetiology of criminal and antisocial behaviours. In Thai society, corporal punishment seems to be an acceptable tool for discipline in child rearing. The previous study for children in child care centres of urban poor communities in Bangkok found that the prevalence of corporal punishment by spanking is 83.4% of all children. Methods An anti-corporal punishment program was developed. It consists of two group conferences. The first group conference was done in the community using the educational package (VDO multimedia, leaflet, and role play). Then 1 month later, a group conference was done, aimed to empower all parents by reviewing all knowledge, and sharing opinions, their stories. The program was implemented in parents and their children in 4 child centres in Bangkok (n = 351). The intervention group is those from 2 child centres (n = 200) and the control group is those from another 2 child centres (n = 151). Three measurements were done for pre and post intervention; punishment incidences using Punishment Incidence Questionnaire (PIQ) modified from Parent-Child Conflict Tactics Scale, injury incidences using Injury Record Form, and child behaviour and emotion using Strengths and Difficulties Questionnaire (SDQ). Results 52.4% of parents use the severe corporal punishment (SCP) as discipline strategies, 79.5% using minor corporal punishment (MCP), 89.7% using non-violent punishment (NVP), and 90.3% using psychological aggressive punishment (PAP). SCP and PAP in intervention group was significantly more than control group. Our anti-corporal punishment program was shown effectiveness in reducing parental use of all violent discipline strategies (20% reduction in SCP, 7% in PAP, and 12% in MCP). Conclusions This study demonstrated that our anti-corporal punishment program decreased the corporal punishment in the urban poor communities.


Injury Prevention | 2016

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Chatchai Im-arom; Chaiwat Rerkswattavorn; Adisak Plitponkarnpim

Background Several studies reveal that corporal punishment does not facilitate moral internalisation and it has been implicated in the aetiology of criminal and antisocial behaviours. In Thai society, corporal punishment seems to be an acceptable tool for discipline in child rearing. The previous study for children in child care centres of urban poor communities in Bangkok found that the prevalence of corporal punishment by spanking is 83.4% of all children. Methods An anti-corporal punishment program was developed. It consists of two group conferences. The first group conference was done in the community using the educational package (VDO multimedia, leaflet, and role play). Then 1 month later, a group conference was done, aimed to empower all parents by reviewing all knowledge, and sharing opinions, their stories. The program was implemented in parents and their children in 4 child centres in Bangkok (n = 351). The intervention group is those from 2 child centres (n = 200) and the control group is those from another 2 child centres (n = 151). Three measurements were done for pre and post intervention; punishment incidences using Punishment Incidence Questionnaire (PIQ) modified from Parent-Child Conflict Tactics Scale, injury incidences using Injury Record Form, and child behaviour and emotion using Strengths and Difficulties Questionnaire (SDQ). Results 52.4% of parents use the severe corporal punishment (SCP) as discipline strategies, 79.5% using minor corporal punishment (MCP), 89.7% using non-violent punishment (NVP), and 90.3% using psychological aggressive punishment (PAP). SCP and PAP in intervention group was significantly more than control group. Our anti-corporal punishment program was shown effectiveness in reducing parental use of all violent discipline strategies (20% reduction in SCP, 7% in PAP, and 12% in MCP). Conclusions This study demonstrated that our anti-corporal punishment program decreased the corporal punishment in the urban poor communities.


Injury Prevention | 2016

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Chatchai Im-arom; Chaiwat Rerkswattavorn; Adisak Plitponkarnpim

Background Several studies reveal that corporal punishment does not facilitate moral internalisation and it has been implicated in the aetiology of criminal and antisocial behaviours. In Thai society, corporal punishment seems to be an acceptable tool for discipline in child rearing. The previous study for children in child care centres of urban poor communities in Bangkok found that the prevalence of corporal punishment by spanking is 83.4% of all children. Methods An anti-corporal punishment program was developed. It consists of two group conferences. The first group conference was done in the community using the educational package (VDO multimedia, leaflet, and role play). Then 1 month later, a group conference was done, aimed to empower all parents by reviewing all knowledge, and sharing opinions, their stories. The program was implemented in parents and their children in 4 child centres in Bangkok (n = 351). The intervention group is those from 2 child centres (n = 200) and the control group is those from another 2 child centres (n = 151). Three measurements were done for pre and post intervention; punishment incidences using Punishment Incidence Questionnaire (PIQ) modified from Parent-Child Conflict Tactics Scale, injury incidences using Injury Record Form, and child behaviour and emotion using Strengths and Difficulties Questionnaire (SDQ). Results 52.4% of parents use the severe corporal punishment (SCP) as discipline strategies, 79.5% using minor corporal punishment (MCP), 89.7% using non-violent punishment (NVP), and 90.3% using psychological aggressive punishment (PAP). SCP and PAP in intervention group was significantly more than control group. Our anti-corporal punishment program was shown effectiveness in reducing parental use of all violent discipline strategies (20% reduction in SCP, 7% in PAP, and 12% in MCP). Conclusions This study demonstrated that our anti-corporal punishment program decreased the corporal punishment in the urban poor communities.


Injury Prevention | 2016

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Chatchai Im-arom; Chaiwat Rerkswattavorn; Adisak Plitponkarnpim

Background Several studies reveal that corporal punishment does not facilitate moral internalisation and it has been implicated in the aetiology of criminal and antisocial behaviours. In Thai society, corporal punishment seems to be an acceptable tool for discipline in child rearing. The previous study for children in child care centres of urban poor communities in Bangkok found that the prevalence of corporal punishment by spanking is 83.4% of all children. Methods An anti-corporal punishment program was developed. It consists of two group conferences. The first group conference was done in the community using the educational package (VDO multimedia, leaflet, and role play). Then 1 month later, a group conference was done, aimed to empower all parents by reviewing all knowledge, and sharing opinions, their stories. The program was implemented in parents and their children in 4 child centres in Bangkok (n = 351). The intervention group is those from 2 child centres (n = 200) and the control group is those from another 2 child centres (n = 151). Three measurements were done for pre and post intervention; punishment incidences using Punishment Incidence Questionnaire (PIQ) modified from Parent-Child Conflict Tactics Scale, injury incidences using Injury Record Form, and child behaviour and emotion using Strengths and Difficulties Questionnaire (SDQ). Results 52.4% of parents use the severe corporal punishment (SCP) as discipline strategies, 79.5% using minor corporal punishment (MCP), 89.7% using non-violent punishment (NVP), and 90.3% using psychological aggressive punishment (PAP). SCP and PAP in intervention group was significantly more than control group. Our anti-corporal punishment program was shown effectiveness in reducing parental use of all violent discipline strategies (20% reduction in SCP, 7% in PAP, and 12% in MCP). Conclusions This study demonstrated that our anti-corporal punishment program decreased the corporal punishment in the urban poor communities.


Injury Prevention | 2016

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Chatchai Im-arom; Chaiwat Rerkswattavorn; Adisak Plitponkarnpim

Background Several studies reveal that corporal punishment does not facilitate moral internalisation and it has been implicated in the aetiology of criminal and antisocial behaviours. In Thai society, corporal punishment seems to be an acceptable tool for discipline in child rearing. The previous study for children in child care centres of urban poor communities in Bangkok found that the prevalence of corporal punishment by spanking is 83.4% of all children. Methods An anti-corporal punishment program was developed. It consists of two group conferences. The first group conference was done in the community using the educational package (VDO multimedia, leaflet, and role play). Then 1 month later, a group conference was done, aimed to empower all parents by reviewing all knowledge, and sharing opinions, their stories. The program was implemented in parents and their children in 4 child centres in Bangkok (n = 351). The intervention group is those from 2 child centres (n = 200) and the control group is those from another 2 child centres (n = 151). Three measurements were done for pre and post intervention; punishment incidences using Punishment Incidence Questionnaire (PIQ) modified from Parent-Child Conflict Tactics Scale, injury incidences using Injury Record Form, and child behaviour and emotion using Strengths and Difficulties Questionnaire (SDQ). Results 52.4% of parents use the severe corporal punishment (SCP) as discipline strategies, 79.5% using minor corporal punishment (MCP), 89.7% using non-violent punishment (NVP), and 90.3% using psychological aggressive punishment (PAP). SCP and PAP in intervention group was significantly more than control group. Our anti-corporal punishment program was shown effectiveness in reducing parental use of all violent discipline strategies (20% reduction in SCP, 7% in PAP, and 12% in MCP). Conclusions This study demonstrated that our anti-corporal punishment program decreased the corporal punishment in the urban poor communities.


Injury Prevention | 2016

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Chatchai Im-arom; Chaiwat Rerkswattavorn; Adisak Plitponkarnpim

Background Several studies reveal that corporal punishment does not facilitate moral internalisation and it has been implicated in the aetiology of criminal and antisocial behaviours. In Thai society, corporal punishment seems to be an acceptable tool for discipline in child rearing. The previous study for children in child care centres of urban poor communities in Bangkok found that the prevalence of corporal punishment by spanking is 83.4% of all children. Methods An anti-corporal punishment program was developed. It consists of two group conferences. The first group conference was done in the community using the educational package (VDO multimedia, leaflet, and role play). Then 1 month later, a group conference was done, aimed to empower all parents by reviewing all knowledge, and sharing opinions, their stories. The program was implemented in parents and their children in 4 child centres in Bangkok (n = 351). The intervention group is those from 2 child centres (n = 200) and the control group is those from another 2 child centres (n = 151). Three measurements were done for pre and post intervention; punishment incidences using Punishment Incidence Questionnaire (PIQ) modified from Parent-Child Conflict Tactics Scale, injury incidences using Injury Record Form, and child behaviour and emotion using Strengths and Difficulties Questionnaire (SDQ). Results 52.4% of parents use the severe corporal punishment (SCP) as discipline strategies, 79.5% using minor corporal punishment (MCP), 89.7% using non-violent punishment (NVP), and 90.3% using psychological aggressive punishment (PAP). SCP and PAP in intervention group was significantly more than control group. Our anti-corporal punishment program was shown effectiveness in reducing parental use of all violent discipline strategies (20% reduction in SCP, 7% in PAP, and 12% in MCP). Conclusions This study demonstrated that our anti-corporal punishment program decreased the corporal punishment in the urban poor communities.


Injury Prevention | 2016

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Chatchai Im-arom; Chaiwat Rerkswattavorn; Adisak Plitponkarnpim

Background Several studies reveal that corporal punishment does not facilitate moral internalisation and it has been implicated in the aetiology of criminal and antisocial behaviours. In Thai society, corporal punishment seems to be an acceptable tool for discipline in child rearing. The previous study for children in child care centres of urban poor communities in Bangkok found that the prevalence of corporal punishment by spanking is 83.4% of all children. Methods An anti-corporal punishment program was developed. It consists of two group conferences. The first group conference was done in the community using the educational package (VDO multimedia, leaflet, and role play). Then 1 month later, a group conference was done, aimed to empower all parents by reviewing all knowledge, and sharing opinions, their stories. The program was implemented in parents and their children in 4 child centres in Bangkok (n = 351). The intervention group is those from 2 child centres (n = 200) and the control group is those from another 2 child centres (n = 151). Three measurements were done for pre and post intervention; punishment incidences using Punishment Incidence Questionnaire (PIQ) modified from Parent-Child Conflict Tactics Scale, injury incidences using Injury Record Form, and child behaviour and emotion using Strengths and Difficulties Questionnaire (SDQ). Results 52.4% of parents use the severe corporal punishment (SCP) as discipline strategies, 79.5% using minor corporal punishment (MCP), 89.7% using non-violent punishment (NVP), and 90.3% using psychological aggressive punishment (PAP). SCP and PAP in intervention group was significantly more than control group. Our anti-corporal punishment program was shown effectiveness in reducing parental use of all violent discipline strategies (20% reduction in SCP, 7% in PAP, and 12% in MCP). Conclusions This study demonstrated that our anti-corporal punishment program decreased the corporal punishment in the urban poor communities.

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