The aim of this study is to assess the effect of diabetes self-management education (DSME) on lowering blood glucose level, stress, and quality of life (QoL) among female patients with type 2 diabetes mellitus (T2DM) in Thailand.

The burden of noncommunicable diseases has increased globally, and it has negatively affected the QoL of diabetic patients.

A quasi-experimental study was conducted by including 77 T2DM patients selected from 2 public health centers in Thailand. The respondents were randomly selected 38 in control group and 39 in intervention group. Pretested, piloted, and validated tool were used during this study. Knowledge on blood glucose level, stress, and QoL was measured at baseline and then compared to end line after 3 months of the intervention. The effects of intervention were estimated by regression coefficient of intervention on blood glucose level and QoL. The study was ethically approved by the Chulalongkorn University, Thailand.

Baseline characteristics of both the groups were similar before the start of the intervention and there were no significant differences observed in age, education, blood sugar monitoring behavior, medical checkup, knowledge, self-care, stress, and hemoglobin HbA1c (>0.05). However, blood HbA1c, stress level, and QoL among the T2DM patients had significant changes (<0.05) after the intervention. The control group was remained same and there was no statistically significant difference reported (>0.05).

The study concluded that the designed intervention of DSME has proved effective in lowering the blood sugar level, HbA1c level, stress level, and improved QoL among T2DM patients during this limited period of time. Hence, policy-makers can replicate this intervention for diabetic patients in a similar context.

The aim of this project was to develop a Web-based, inter-professional education program on chemical, biological, radiological, or nuclear (CBRN) disasters, focusing on making cooperative, on-site efforts during the initial 15 minutes after the event more effective. The program should secure that intervening personnel from the police, health, medical, and rescue services have knowledge and understanding of the initial tasks and strategies of each respective organization in case of CBRN disasters.

Using tabletop seminars based on five scenarios, the strengths and weaknesses regarding accomplishing tasks in case of the CBRN disaster were identified for each organization. Putting further strain on each scenario, the critical levels for satisfactory accomplishment were crystallized. Based on this vital information, all cooperating authorities have, in consensus, decided on the on-site organization.

The project has promoted the development of a profound national cooperation between the police, rescue, medical, and health services. The Web-based program has made the on-site efforts more efficient, focusing on personal and third-party security, on-site organization, zoning, levels of protection, and life-saving decontamination.

This program provides an increased interprofessional understanding of the responsibilities, authority, and capacities of different sectors. This pedagogical program is cost-efficient, applicable at all levels within organizations, secures that everyone receives the same information, available whenever and wherever it is needed, and adjustable. When a participant passes a level, they attain a certificate, thus providing a secure evaluation system where die employer can appreciate the employee's competence.