Background: Childhood is an important period for developing maturity in thinking. Accumulating evidence shows the association between physical activity and cognitive function. Although both the intelligence quotient and emotional quotient have been reported to be associated with physical activity, there is a limited amount of published research regarding the association between physical activity and cognitive function in children and youths. With respect to creativity, an important skill for the twenty-first century, little evidence on the creative quotient promotion in childhood is available. The present study, therefore, is designed to explore the correlation between physical activity and creativity. Methods: The participants included 1447 students with different age groups in 34 schools from Southern Thailand. Age groups were categorized according to Thailand’s 2016 Report Card on Physical Activity for Children and Youth, where 521 students were aged 6–9 years, 487 students were aged 10–13 years, and 439 students were aged 14–17 years. Creativity was measured through the use of the Test for Creative Thinking-Drawing Production (TCT-DP). Active play, time with family and peers, and sedentary behavior were monitored by the Thailand Physical Activity Children Survey-the Student Questionnaire (TPACS-SQ). Results: The correlation between the TCT-DP score representing creativity and active play was noticed in adolescents (r = 0.148, p = 0.001), but not found in participants aged 6–13 years. Active play was associated with time with family and peers in all age groups (r = 0.485, p < 0.001). Conclusions: The present data supports the idea that optimal physical activity is required during childhood for developing thinking process. Promotion of active play with family and peers may facilitate creativity skills.

Teacher burnout is a barrier to improving the quality of the educational system, and research focusing on this issue is still required. The present study aimed to investigate the prevalence of burnout among higher education teachers in Thailand. The association between burnout and well-being was determined. The affecting factors of each burnout dimension were also clarified. There were 410 participants across all regions in Thailand who participated in this cross-sectional study. The scores from the Maslach Burnout Inventory, the National Aeronautics and Space Administration Task Load Index, the Pittsburgh Sleep Quality Index, the Depression Anxiety Stress Scale, and the World Health Organization Quality of Life were reported. Musculoskeletal symptoms were also observed to affirm burnout. A high prevalence of burnout among the teachers was observed, which was also associated with their well-being. Age and workload were found to affect emotional exhaustion. Higher working hours as well as work experience also affected the depersonalization domain. Reduced personal accomplishment was dependent on salary. The present study supported the idea that monitoring burnout and risks at both personal and organizational levels may promote precise self-care and welfare for preventing and relieving burnout holistically.

The COVID-19 global pandemic has had a socioeconomic effect, including many people suffering from stress and mental disorders. Health professional students are at risk of health issues as well when compared to their age-matched counterpart in the population. The present study aimed to find out the impact of COVID-19 awareness on the wellness of Thai health professional students. The awareness of COVID-19 and wellness among Thai health professional students, such as medical, physical therapy, nursing, pharmacy, and medical technology students were surveyed during the early “new normal” informing policy. The participants included 1,001 students, aged 17 to 25 years old, who responded to a Google form questionnaire set by request. The results showed that the prominent health risks among the Thai health professional students included sedentary behavior, obesity, and mental symptoms. A positive rating in attitude towards the COVID-19 epidemic was mostly observed. There was a negative influence on anxiety symptoms (standardized coefficient beta = -0.079, p-value = 0.012), but a positive impact on social well-being (standardized coefficient beta = 0.158, p-value < 0.001) and quality of life (standardized coefficient beta = 0.136, p-value < 0.001) among the students even when the situation was improving. To relieve the domino effect of the COVID-19 pandemic on students’ wellness, an updated policy for enhancing awareness and providing updated information is continuously required. Improvements on self and situational awareness may help prevent health risk behaviors and promote health among Thai health professional students.

The Nijmegen questionnaire is a screening tool for detecting hyperventilation syndrome. The present study aimed to cross-culturally adapt the questionnaire to Thai language and test its psychometric properties for screening hyperventilation syndrome, in which the prevalence is increasing due to the impacts of the COVID-19 pandemic. Design/methodology/approach: The Thai version of the Nijmegen questionnaire (NQ-TH) was generated following a cross-cultural adaptation guideline including initial translation, synthesis of forward translation, back translation, expert committee review, and prefinal testing. Fifty control participants and one-hundred patients with symptoms related to hyperventilation syndrome were enrolled in this study for the determination of psychometric properties. Content validity, construct validity, internal consistency reliability, and test-retest reliability of the NQ-TH were assessed. Its discriminant ability and cutoff point for screening hyperventilation syndrome were also revealed. The obtained IOC and disappeared floor and ceiling effects indicated excellent content validity of the questionnaire. There were significant correlations between the total scores of the NQ-TH and other questionnaires and recorded respiratory measurements obtained from the patients, i.e., SF-36-TH (r = −0.257), HADS-TH (r = 0.331), RR (r = 0.377), and BHT (r = −0.444). This supported the construct validity of the NQ-TH. An acceptable internal consistency was also observed (Cronbach's alpha = 0.789). Test-retest repeatability of the questionnaire was high (ICC = 0.90). Moreover, the NQ-TH reliability was also ensured by calculated MDC (2.68). The cutoff point of the NQ-TH was at 20 with 98% sensitivity and 94% specificity. Originality/value: The NQ-TH established by the present study is a valid and reliable tool for screening hyperventilation syndrome among Thais.

Home-based pulmonary rehabilitation can decrease symptoms in chronic obstructive pulmonary disease (COPD) patients. The purpose of this study was to compare the effects of a home-based pulmonary rehabilitation by instructive multimedia in the form of videos and flip charts on clinical symptoms and exercise performance in COPD patients. An eight-week home-based pulmonary rehabilitation program was performed with twenty COPD patients older than 60 years of age with moderate to severe stages. They were separated into two groups: a multimedia group (n = 10) and a control group, which was only provided with telephone monitoring (n = 10). Clinical symptoms were measured by using the clinical COPD questionnaire (CCQ), and exercise performance was measured using a six-minute walk test (6MWT) and an upper-lower limb muscle strengthening test. After 8 weeks, the results showed that both groups showed a statistically significant decrease in the CCQ (p < 0.05). The multimedia group showed a statistically significant increase in the lower-limb muscle strengthening (p < 0.05), while the control group was not found to show a statistically significant increase in the lower-limb muscle strengthening. Therefore, a pulmonary rehabilitation program using multimedia at home can lessen symptoms and improve exercise performance in COPD patients.

Introduction: Fatigue is a universal complaint among university students. It has contributed to poor academic outcomes and unhealthy conditions. The modification of teaching and learning modalities in response to the COVID-19 pandemic has been identified as a key contributor to increased fatigue among students, which is linked to rising mental health concerns in this population. These changes have also influenced students' health behaviors. Despite these challenges, online and hybrid classrooms have become increasingly prevalent due to their advantages. This study aimed to systematically assess fatigue and related health behavior issues among undergraduates in the context of educational disruptions.Methods: Purposive sampling was applied, and an analytical observational study was conducted among 1,108 undergraduate healthcare professional students, including those enrolled in nursing, physical therapy, and public health programs. The severity of fatigue, history of musculoskeletal complaints, body mass index, and daily sedentary time were assessed using self-administered questionnaires delivered via Microsoft forms, and correlation analyses were conducted among these variables.Results and discussion: Fatigue was commonly observed among students in post-COVID-19 learning, with online, face-to-face, and hybrid classroom settings, and its severity was also associated with higher musculoskeletal complaint and higher body mass index. In conclusion, university students are vulnerable to higher education-related fatigue, which may be linked to educational disruptions and lifestyle changes. They also face elevated risks of obesity and sedentary behavior. Moreover, fatigue was associated with students' self-reported health conditions, underscoring its multifaceted impact. Therefore, early detection of fatigue and continuous support through lifestyle modifications should be prioritized to promote both learning capacity and health among undergraduates.