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This paper aims to assess the various impacts of tourism development in Chiang Mai on the local populace’s sense of well-being. The moderating effect of employment in and affiliation with the tourism industry on perception of tourism development is also examined.

A sequential explanatory mixed method design is adopted, beginning with the development of a conceptual model that links residents’ perceived impact of tourism development with their general and life domain-specific well-beings. The model is tested with a survey of 567 respondents who are long-term residents of Chiang Mai. The findings are subsequently used in the semi-structured in-depth interviews with selected tourism stakeholders to provide qualitative explanation and meaning to the data.

The results suggest a reciprocal relationship between perceived economic, cultural and environmental impact of tourism development and Chiang Mai residents’ general sense of well-being. It also revealed that community well-being and material well-being accounted the most and the least, respectively, on overall well-being for Chiang Mai residents. Another interesting observation was that Chiang Mai residents feel the same way about the various perceived impact of tourism development on overall sense of well-being, regardless of whether they are employed or affiliated with the tourism industry or otherwise.

With limited literature on the perceived impact of tourism development by residents in Asia, this research provides a Thai perspective of the said impact on general well-being. A sequential explanatory mixed method provides an added lens to induce insights and explain the results deduced from the earlier quantitative study.

This study aims to examine the transformation process in traditional beliefs and practices in the use of sand in the Songkran Festival in Chiang Mai, Northern Thailand.

This study uses historical and ethnographic methods to understand the transformation of the sand rituals in the Songkran Festival in Chiang Mai. The historical approach is used to investigate the past ritual practices of the sand pagoda, while the ethnographic approach is used to gather evidence about the recent practices surrounding the construction and deployment of the sand pagoda; the historical and archival research for this study has also accessed material from newspapers and photographs. Because observation and interviews are major methods of ethnographic research, participant observation at the sand pagoda rituals in the Songkran Festival was conducted, as well as interviews with the relevant interest groups to collect data on the rituals and the recent changes in these practices.

The transformation process in the traditional beliefs and practices surrounding the construction of sand pagodas in the Songkran Festival in Chiang Mai, Northern Thailand, is a result of the influence of tourism, the development of a market economy and the accompanying commoditisation process and secularisation and the decline of Buddhism in the local communities in Chiang Mai.

This study has implications for other religious practices which have become increasingly staged and reinvented in the process of tourism development. It only examines one among many other elements in the increasingly touristic secularisation of formerly religious beliefs and practices.

The paper contributes to an expanding literature on the transformation of traditional rituals as a consequence of external factors, especially tourism promotion and the ways in which formerly sacred spaces and activities become commoditised.

This is the first study which focuses on the transformation of practices surrounding sand pagodas in the Songkran Festival in Chiang Mai, in relation to the promotion of tourism, processes of commoditisation and the declining importance of Buddhism.

For decades, northern Thailand has been a hub for migration in the Greater Mekong Sub-region, particularly for migrants from Myanmar. HIV prevalence among Myanmar/Burmese migrants is higher than in the general Thai population. This study aims to focus on Shan migrants living with HIV in Chiang Mai, the metropolitan centre of northern Thailand and to examine two related aspects: migrants’ sexual risk behaviour and their HIV knowledge and beliefs. The study aims to understand circumstances in which mobility increases HIV risk behaviour and prevalence.

Using a qualitative study, the authors conducted in-depth interviews in 2017 with 43 HIV-infected Shan migrants (21 males and 22 females), and 29 health-care providers who work in district hospitals in Chiang Mai.

The authors found that social and economic vulnerability associated with migration, and AIDS-related mortality, increased migrants’ likelihood of having multiple serial partners. Confusion about HIV symptoms, stigmatization of HIV positive women and low risk perceptions, particularly among men, increased their risk behaviours.

To the best of the authors’ knowledge, this paper is the first to study the way of life, sexual behaviour and HIV knowledge and beliefs of Shan Migrants from Myanmar Living with HIV in Thailand.

Hundreds of thousands of Shan people from Myanmar have crossed the Thai border seeking employment or refuge from war, with numbers increasing following the 2021 coup in Myanmar. Still, little is known about their post-migration experiences. This study explored the ways relocating to Thailand influenced the lives and mental wellbeing of Shan men, the factors affecting their engagement with Thai society and their responses to opportunities and challenges.

Given the lack of published research on this topic, this study used a qualitative approach. Semi-structured interviews were conducted with 14 purposively selected Shan men in Chiang Mai, Thailand. Data were examined using qualitative thematic analysis.

Five themes emerged: the strength of both push and pull factors; the importance of ethnicity, community and acting transnationally; experiencing discrimination and feeling “low”; coping by forgetting problems, hiding from trouble and studying; and wanting to return when conditions allow. The findings reveal how moving to Thailand can improve but also undermine the mental wellbeing of Shan men. Results also highlight the influence of ethnic identity, community and post-migration opportunities and stressors on how these men adapt to life in Thailand and on their attitudes towards return migration. Respondents used a mix of emotion- and problem-focused coping strategies.

To the best of the authors’ knowledge, this study is one of the first to explore post-migration experiences and mental wellbeing among the Shan in Thailand.

The qualitative approach was applied the discover the optimum answers to the research objectives, which are (1) to understand the cultural and hedonistic characteristics of the (Lanna) Songkran festival; and (2) to examine the dilemma between cultural rituals and hedonistic activity for tourism.

This study used a case study of the Songkran festival in Chiang Mai to examine the dilemma between cultural rituals and hedonism for tourism, which brings lost or misperceived cultural values and identities. The semi-structured interview (SSI) with senior locals and participant observation during the festival was conducted in Chiang Mai, Thailand, to obtain the in-depth phenomena of the existing celebration pattern at the festival.

The study findings show three crucial phenomena that explain characteristics of unsynchronized cultural rituals and hedonistic activities for tourism: (1) the parallel phenomenon between cultural values and celebration practice, (2) the movement of local culture and(3) the hedonistic characteristics of the festival.

The study extends the knowledge on the interplay phenomena between cultural festivals and tourism; also, the involved stakeholders, such as local communities, public sectors and private sectors, can use the study findings in creating policies for using cultural festivals to promote a destination and urban economic development that will minimise cultural values distort while increase tourism economic values.

This study was conducted qualitatively, including SSIs and participant observation at the Songkran festival in Chiang Mai. The study findings were analysed, based on the empirical data, into significant themes representing the characteristics of dilemma phenomena within the festival.

The family caregivers play an important role in the good quality of life for the elderly, but most of them can easily have an emotional and psychological effect on caregiving. The purpose of this paper is to explore the correlation between conditions of caring for the elderly in the family and caregiver stress in a community setting, Chiang Mai Province, Thailand.

A cross-sectional exploratory descriptive research was conducted in Ban Klang Subdistrict, San Pa Tong District, Chiang Mai Province. Simple random sampling was used to collect data by using a structured interview via a questionnaire with 103 elderly caregivers. The χ² test was used to explain the conditions related to stress as being a caregiver.

Most of the caregivers were female and still in good health, but at the same time, underwent little stress. However, they did not receive any training beforehand for taking care of the elderly but mainly done by experience, relationship and gratitude. The conditions correlated with stress as being a caregiver were health status of caregivers, confidence of care, the relationship between caregiver and elderly person, and economic burden of care.

A necessary resource such as body of knowledge in elderly caregiving, long-term care system at the community level and social support from family and intimate persons will encourage confidence in taking care of the elderly in the family and also relieve caregivers’ stress.

The purpose of the study is to investigate the impact of technological pillars of Industry 4.0 based on knowledge to adopt the supply chain performance of Thai small and medium-sized enterprises (SMEs) 4.0. In addition, to increase knowledge and understanding of how to apply knowledge in technology 4.0 to improve the efficiency of supply chains and organizations.

An integrated model was developed from applying knowledge in five technological pillars of Industry 4.0 such as Internet of things (IoTs), cloud computing, big data and analytics, additive manufacturing and cyber-security. The bibliometric analysis was used to find the relationship between the technological pillars of Industry 4.0 and the literature review. The survey questionnaires were sent to Thai SME 4.0 (manufacturing aspect). Of these, 240 useable responses were received, resulting in a response rate of 65.84%, after then, the exploratory factor analysis (EFA), confirmatory factor analysis (CFA), structural equation modeling (SEM) and validity were used to evaluate the model through IBM SPSS 21 and AMOS 22.

EFA showed the four groups of the technological pillars of Industry 4.0, such as support human, automation, real-time and security. These groups positively impact supply chain performance (increase delivery reliability, increase resource efficiency, decrease costs in the supply chain and reduce delivery time). Another important finding is that supply chain performance positively impacts organizational performance in profitability, return on investment (ROI) and sale growth.

This study is a model development to support the supply chain performance and increase understanding related to applying knowledge in technology 4.0 that remains unclear for SME 4.0.

Adolescents being in a stage of growth need good sleep, but, today, they suffer from sleep deprivation due to such extrinsic factor as a smartphone which they enjoy spending time using the device. However, the effects of smartphone output power (SOP) on the duration of good sleep remains unclear. The purpose of this paper is to investigate the correlation of the SOP and sleep loss in high school students.

The time-series study was conducted among 145 high school students in Chiang Mai Province who completed a sleep diary which applied by the Pittsburg Sleep Quality Index. The SOP was corrected by a smartphone application and transmitted by e-mail to a researcher every day. The completed data set contains 12,969 entries. Headache, anxiety and depression were also assessed. Data were analyzed using the generalized estimating equation adjusted for demographic data, smartphone use and other factors.

Most of the study subjects are female, 17.4 years old on average. The prevalence of sleep loss (<8 h) was 52.9 percent with averagely 7.4 ±1.7 h of sleep duration and poor sleep at 32.1 percent. Anxiety, depression, headache had relationships with sleep loss. The daily dose, evening and nocturnal SOP in the range of ≥ 2.00 × 10^‒5 mW had stronger relationships with sleep loss than their effects in the range of ≤ 1.79 × 10^‒5 mW (OR_adj1.32; 95% CI: 1.26–1.76, OR_adj1.34; 95% CI: 1.07–1.17 and OR_adj1.41; 95% CI: 1.07–1.17, respectively). Meanwhile, morning Lag_2 and daytime Lag_1 in the range of ≥ 2.00 × 10^‒5 mW appeared to have a strong relationship with sleep loss (OR_adj1.60; 95% CI: 1.26–1.76, OR_adj1.36; 95% CI: 1.07–1.17). The relationship between Lag_4 daily dose and sleep loss took the form of a reverse dose-response.

Sleep loss in adolescents has an increasing trend of prevalence and has been found to be correlated with the highest SOP group (≥ 2.00 × 10^‒5 mW range). These results confirmed that increased and longer smartphone use result in reduced sleep time. This causes them to be exposed to smartphone electromagnetic radiation and smartphone screen lighting. This disturbs brain waves and nervous system controlling sleep balance mechanisms. The findings recommended parents setting time and boundaries around technology use at home to reduce contact with electromagnetic radiation and smartphone screen lighting, thereby increasing sleeping time in order to create good sleep quality.

Nocturnal headaches among adolescents were reported to be increased with the development of modern technology. The purpose of this paper is to investigate the smartphone electromagnetic radiation related to nocturnal headaches among high school students.

The time series study of all 12,969 records from 145 high school students Chiang Mai Province was selected from the population in the first phase by setting criteria. The samples completed a headache diary utilizing a smartphone application. The smartphone output power (SOP) was measured and recorded by the smartphone application and transmitted by e-mail to a researcher. The smartphone use, sleep quality, anxiety and depression also were assessed. Data were analyzed using Generalized Estimating Equation adjusting for demographic data, smartphone use, and sleep quality and otherwise.

The resulted showed the prevalence of repeated headaches to be 13.4 percent, nocturnal headache only 5.3 percent and the strongest effect of day time SOP at a 1.80–1.99×10⁻⁵ mW range on nocturnal headaches (OR_adj5.18; 95% CI: 3.44–7.81). Meanwhile, Lag_6 of daily SOP exposure produced a nocturnal headache effect in a reverse dose-response manner. Furthermore, the nocturnal headache also had the strongest association with age, internet use and device brand (OR_adj2.33; 95% CI: 1.08–5.05, OR_adj2.14; 95% CI: 1.07–4.2 and OR_adj1.68; 95% CI: 1.1–2.4).

The electromagnetic radiation from a smartphone is the environmental variables influences on headache. The results suggested that there should be limited times for smartphone use and older age to start using a smartphone to prevent headache attacks at night.

The purpose of this paper is to study serum lipids, lipoproteins, homocysteine (Hcy) and platelet-derived growth factor (PDGF), and to evaluate the relationship between serum lipids, lipoproteins, Hcy and PDGF in patients with hypertension.

In total, 85 patients with hypertension (34 males, 51 females) were recruited from October to December 2015 at Saraphi Hospital, Chiang Mai Province using purposive sampling. PDGF mRNA levels of the patients were analyzed using the RT-PCR method. Hcy was analyzed by high-performance liquid chromatography. An enzymatic-colorimetric method was used to measure serum cholesterol, high-density lipoprotein cholesterol and triglyceride. A low-density lipoprotein cholesterol (LDL-C) level was calculated using Friedewald’s formula. Descriptive statistics and the Pearson product moment were also used in the analysis.

Among the patients with hypertension, hypercholesterolemia, high levels of LDL-C, hypertriglyceridemia and hyperhomocysteinemia were found in 54.1, 70.7, 25.9 and 44.7 percent, respectively. In addition, PDGF was significantly correlated with Hcy (r=0.705; p<0.005). There was no association between serum lipids or lipoproteins and Hcy or PDGF in patients with hypertension.

The results of this study provide direction on how serum lipids, lipoproteins, Hcy and PDGF can be used as a guide to improving dietary management as a means of reducing cardiovascular disease, and stroke in patients with hypertension.

This manuscript is not currently under consideration, in press or published elsewhere. This manuscript is truthful original work without fabrication, fraud or plagiarism. The authors have made important scientific contributions to this study. The authors are familiar with the primary data, and have read the entire manuscript and take responsibility for it content. No benefits were received by the authors or any member of the authors’ family or the research team, from any commercial source, directly or indirectly related to this work. Moreover, no one affiliated with has any financial interest related to the subject matter of this manuscript.