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Exploring Breed-Related Patterns And Diagnostic Factors In Canine Hypothyroidism: Unveiling Novel Paradigms, Narinthip Buckland, Chalermpol Lekcharoensuk, Monchanok Vijarnsorn, Smith Pongcharoenwanit, Natpreeya Premjaroen, Thanachote Tangporntawee, Narudee Kashemsant

The Thai Journal of Veterinary Medicine

Canine primary hypothyroidism is one of the most common endocrinopathy diseases in dogs affecting various body systems. In veterinary practice, the measurement of total thyroxine together with canine thyroid-stimulating hormone (TSH) was suggested to have high accuracy for diagnosing this disease. However, the changes in these recommended diagnostic parameters can be distinguished only in a hypothyroid dog with progressive deterioration or later in the disease. This study investigated the relevant predicting factors of canine primary hypothyroidism from animal characteristics and blood chemistry. Among the 672 dogs that met the inclusion criteria, 77 dogs had hypothyroidism and 179 had non-hypothyroidism. Age …

Comparison Between Surgical And Non-Surgical Treatments Of Concomitant Cranial Cruciate Ligament Rupture And Medial Patellar Luxation In Small-Breed Dogs, Ekkapol Akaraphutiporn, Chalika Wangdee, Irin Kwananocha

The Thai Journal of Veterinary Medicine

Cranial cruciate ligament rupture (CrCLR) and medial patellar luxation (MPL) are common problems that cause hindlimb dysfunction, lameness and pain in dogs. Although surgical intervention is recommended for these conditions, it may not be suitable for an individual with some underlying diseases. The objective of the present study was to compare the outcomes between surgical and non-surgical treatments for concomitant CrCLR and MPL in small-breed dogs. Seven stifles from five small-breed dogs with concomitant CrCLR and MPL were enrolled and divided into two groups. Four limbs (three dogs) in Group 1 were treated conservatively, and three limbs (two dogs) in …

สถานการณ์โรคไม่ติดต่อ และปัจจัยที่สัมพันธ์กับการใช้บริการรักษาพยาบาลในกลุ่มประชากรไทยอายุตั้งแต่ 45 ปี ที่เป็นโรคไม่ติดต่อ: ข้อค้นพบจากโครงการสำรวจด้านสุขภาพ การสูงอายุ และการเกษียณในประเทศไทย 2564 (Health, Aging, And Retirement In Thailand 2021: Hart 2021), Arnat Wannasri

Journal of Demography

บทคัดย่อ

การวิจัยนี้มีวัตถุประสงค์เพื่อการศึกษาสถานการณ์โรคไม่ติดต่อและปัจจัยที่สัมพันธ์กับการใช้บริการรักษาพยาบาลแบบผู้ป่วยนอกและผู้ป่วยใน ในประชากรไทยอายุตั้งแต่ 45 ปีขึ้นไป โดยการใช้ข้อมูลจากโครงการสำรวจด้านสุขภาพ การสูงอายุ และการเกษียณในประเทศไทย (Health, Aging, and Retirement in Thailand: HART) รอบที่ 3 ปี พ.ศ. 2564 เป็นการวิจัยเชิงวิเคราะห์แบบภาคตัดขวาง (cross-sectional analytical study) ผลการวิจัยพบว่า ปัจจัยด้านอายุ เพศ สถานภาพสมรส การศึกษา การสูบบุหรี่ สถานะสุขภาพกาย สถานะสุขภาพจิต ภูมิภาค และสิทธิหลักประกันสุขภาพ สัมพันธ์กับการเจ็บป่วยด้วยโรคไม่ติดต่อ ยกเว้นการออกกำลังกาย สำหรับการใช้บริการรักษาพยาบาล พบว่า ผู้ที่ป่วยด้วยโรคไม่ติดต่อตั้งแต่ 2 โรคขึ้นไป มีโอกาสในการใช้บริการรักษาพยาบาล จำนวนครั้ง (กรณีผู้ป่วยนอกและผู้ป่วยใน) และจำนวนวันนอนรักษาในโรงพยาบาล (กรณีผู้ป่วยใน) สูงกว่าผู้ที่ป่วยด้วยโรคไม่ติดต่อเพียง 1 โรค ปัจจัยที่สัมพันธ์กับการใช้บริการรักษาพยาบาลผู้ป่วยนอก ได้แก่ ปัจจัยด้านการออกกำลังกาย สถานะสุขภาพจิต และภูมิภาค ในขณะที่บริการรักษาพยาบาลผู้ใน พบว่า การเจ็บป่วยด้วยโรคไม่ติดต่อตั้งแต่ 2 โรคขึ้นไป อายุ และสถานะสุขภาพกาย สัมพันธ์กับการใช้บริการรักษาพยาบาลผู้ป่วยใน นอกจากนี้แล้ว การวิจัยนี้ไม่พบว่า สิทธิหลักประกันสุขภาพที่แตกต่างกันสัมพันธ์กับการใช้บริการรักษาพยาบาลทั้งผู้ป่วยนอกและผู้ป่วยในที่แตกต่างกัน ข้อค้นพบจากการวิจัยนี้สามารถนำไปใช้ประโยชน์ในการกำหนดนโยบายสาธารณสุขด้านโรคไม่ติดต่อและเพื่อพัฒนาระบบสาธารณสุขของประเทศไทยต่อไปได้

Abstract

This research aimed to study the situation on noncommunicable diseases (NCDs) and the factors associated with outpatient and inpatient care utilization among the Thai population aged 45 and older using the Health, Aging, …

Progestin-Based Non-Surgical Contraception In Dogs And Cats: A National Survey Of Practices Among Thai Veterinarians, Shanaporn Leelakajornkit, Piyaporn Kamdee, Suppawiwat Ponglowhapan

The Thai Journal of Veterinary Medicine

This cross-sectional study aimed to assess the current use of progestins as contraceptives in dogs and cats and to evaluate veterinarians' awareness of related complications across Thailand. A total of 724 veterinarians participated, predominantly female (66.3%) and aged 31-40 years (49.6%), with most working in Bangkok and its metropolitan area (52.6%) and having 6-15 years of experience in small animal practice (46.4%). Approximately 6.8% of respondents (49/724) reported using injectable progestins, mainly in female dogs (87.8%) and cats (83.7%), but also in male dogs (18.4%) and cats (14.3%). Veterinarians using progestins were mostly male (59.2%), with an average age of …

A Systematic Literature Review Of Granulocytes-Colony Stimulating Factor Treatment In Animals, Syahirah Ahmad Affandi, Nurul Hayah Khairuddin, Mohammed Sadiq Babatunde, Azalea Hani Othman, Collin Looi Seng Kim, Siti Sarah Othman, Sharifah Roohi Syed Waseem Ahmad

The Thai Journal of Veterinary Medicine

This study presents a systematic literature review (SLR) on the efficacy of granulocytes-colony stimulating factor (G-CSF) as a treatment component in relation to clinicopathological parameters and overall outcomes. Using the PICO approach, a research question development tool, the SLR was designed to identify the animals in which G-CSF had been used, the types of G-CSF utilized and their effectiveness as a therapeutic agent in stimulating haematological parameters, as well as their potential adverse effects. Three primary keywords associated with the review topic were selected and incorporated into the search query to retrieve pertinent literature from three databases: Scopus, Science Direct, …

A Critical Examination Of Attention Deficit Hyperactivity Disorder (Adhd) Disability Risk In Adolescent Mothers: A Systematic Review, Mariah Ulfah, Munawir Yusuf, Sri Mulyani, Widiyanto Widiyanto

Journal of Health Research

Background: Attention Deficit/Hyperactivity Disorder (ADHD) is a common condition in adolescent mothers and children. This systematic review examined specific disability risk associated with ADHD in adolescent mothers. The study provides a comprehensive review of related publications from 2013 to 2023 on various databases including EBSCO, Embase, Cochrane, Ovid, ProQuest, Web of Science, as well as PubMed.

Methods: The search strategy used keywords ‘adolescent,’ ‘pregnancy,’ and ‘ADHD’ aligning with the PRISMA guidelines. As many as 1,257 articles were identified and seven were incorporated in this scoping review. Six articles discussed maternal age, two reported socioeconomic factors, and one examined maternal psychopathology …

Developing A Covid-19 Health Risk Behaviour Assessment Web Application And Online Health Education To Promote A Healthy University, Wanicha Pungchompoo, Kannikar Intawong, Waraporn Boonchieng, Sirirat Pungchompoo, Warawan Udomkhwamsuk, Sirinard Deechairam

Journal of Health Research

Background: The COVID-19 pandemic has affected many aspects of life for people around the world. The goal of this survey research study was to develop online health education and a database of COVID-19 health risk behaviours exhibited by Chiang Mai University (CMU) students and staff to promote the development of CMU as a healthy university.

Methods: This study employed a descriptive survey research design to assess the COVID-19 health risk behaviour in the CMU population (n=1,266) using an online health education and web-based application. The data were analysed using Chi-square test for both the student and staff …

A Cross Cultural Comparison Of Adolescent Sexual Socialization In Family Settings In Four Thai Regions: A Cross Sectional Survey, Ampornpan T้Heeranut, Pongdech Sarakarn, Donlagon Jumparway, Arina Abdulloh, Piches Ruangsuksud, Chaiyun Sakulsriprasert, Bhunyabhadh Chaimay, Linda L. Shield, Alison Hutton, Kesinee Saranrittichai

Journal of Health Research

Background: Sexual socialization is different across cultural contexts due to norms and values including adolescents’ growth & development and characteristics. Patterns of sexual socialization across different cultural contexts and adolescents in Thailand are still unknown. This analytical cross-sectional study aimed to explain and compare 5 patterns of adolescent sexual socialization in Thailand (SSFA): trust, strict, exhaust, review, and general patterns.

Methods: The sample included 1,050 parents living in the same house with their adolescent offspring aged 13-19 years. Stratified cluster randomized sampling was performed to access participants. The instrument used for measuring adolescent sexualization in families with adolescents was …

First Serological Evidence Of Coxiella Burnetii And Mycobacterium Avium Subspecies Paratuberculosis (Map) Among Deer In An Institutional Farm In Malaysia, Bura Thlama Paul, Faez Firdaus Abdullah Jesse, Shivnraj Sundar Universiti Putra Malaysia, Nur Hanis Nadhirah Yosryhan, Yonis Ahmed Ahmed Jimale Dr, Eric Lim Teik Chung Dr, Mohd Azmi Mohd Lila Prof

The Thai Journal of Veterinary Medicine

Q fever is a zoonotic disease caused by Coxiella burnetii, which is associated with reproductive disorders such as abortion and reproductive problems in ruminants, while paratuberculosis is an underdiagnosed disease caused by Mycobacterium avium paratuberculosis (MAP) which causes chronic wasting, low fertility, and mortality in ruminants. Although both C. burnetii and MAP infections have been reported in domestic ruminants worldwide, there is no data on their seroprevalence status among deer in Selangor, Malaysia. This study investigated the seroprevalence status of C. burnetii and MAP among deer in Malaysia. Ninety-two blood sera collected from an institutional deer farm were screened …

Quantitative Assessment Of Preoperative And Postoperative Brachycephalic Airway Obstruction Syndrome Surgery Using Clinical Grading Questionnaires And 6-Minute Walk Test In French Bulldogs, Tamolwan Anyamaneecharoen, Krishaporn Kradangnga, Saikaew Sutayatram, Pasakorn Brikshavana, Sumit Durongphongtorn

The Thai Journal of Veterinary Medicine

Brachycephalic airway obstructive syndrome (BAOS) is an anatomical abnormality of the upper airway commonly found in brachycephalic breeds, leading to clinical signs and physical capacity impairment. The degree of stenotic nares was reported to be related to BAOS severity in French bulldogs. This study aimed to compare clinical signs and physical capacity in French bulldogs before and after BAOS surgery using modified Roedler questionnaires and a 6-minute walk test (6-MWT). Twenty-seven French bulldogs were enrolled in this study (non-BAOS control (n=7), non-severe stenotic nares BAOS dogs (n=8), and severe stenotic nares BAOS dogs (n=12). BAOS surgery included staphylectomy using bipolar …

Impacts Of Species, Gender Disparities, And Covid-19 Lockdowns On Population Control: Insights From 337,590 Dogs And Cats In Bangkok Metropolitan Administration (Bma), Thailand (2009-2023), Shanaporn Leelakajornkit, Natchanon Dumniem, Permsak Wataganara, Siwa Maison, Suppawiwat Ponglowhapan

The Thai Journal of Veterinary Medicine

Surgical sterilization stands as a key solution to address the overpopulation of dogs and cats, with numerous influencing factors impacting the success of population control efforts, including species, gender, and financial conditions. The emergence of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), or COVID-19, in 2020 has significantly altered human life and impacted pet animals. Lockdown restrictions were implemented in various countries, including Thailand, affecting the cumulative data of neutered animals, which was subsequently analyzed in this study. There were 337,590 dogs and cats from 2009 to 2023, and the data were systematically categorized by years, species, and gender. …

High-Speed Dental Drill May Be An Acceptable Instrument Performing Canine Laminectomy, Ziyao Zhou

The Thai Journal of Veterinary Medicine

Laminectomy is usually used in spinal cord dysfunction like intervertebral disc herniation. High-speed pneumatic surgical drill is the most common surgical instrument for canine laminectomy operation. However, since the finical problem, the professional instrument has a low installation rate in animal hospitals in developing country. In this study, we hypothesized that dental drill may replace pneumatic surgical drills in dorsal laminectomy and hemilaminectomy, observed if dorsal laminectomy and hemilaminectomy can been successfully operated by dental drill, and compared the canine dorsal laminectomy and hemilaminectomy. Operations were performed in L2-L3 of lumbar vertebra among 12 Chinese rural dogs (6 for dorsal …

Interlocking Nail Stabilization Technique For Long Bone Fractures In Calves, Mustafa Arican, Semih Altan, Kurtuluş Parlak, Fahrettin Alkan

The Thai Journal of Veterinary Medicine

The aim of this study was to report the clinical and radiographic outcome from using an interlocking nail (ILN) technique for the stabilization of long bone fractures in 15 calves. Forty-eight calves with fractures were presented to the large animal hospital. Fifteen calves of different breeds, age, sex and weight with front or hind limb fractures were considered suitable for ILN application. These included proximal or distal diaphyseal transverse and oblique fractures of the humerus, radius, femur and tibia. The third generation of six, eight, nine and 10mm diameter interlocking nails were used in this study. Interlocking pins were used …

The Effect Of Intranasal Medetomidine/Ketamine And Diazepam/Ketamine Combinations On Tear Production And Intraocular Pressure In Dogs, Osman Bulut, Rahime Yaygingul

The Thai Journal of Veterinary Medicine

To determine the effect of intranasal medetomidine/ketamine and diazepam/ketamine combinations on tear production and intraocular pressure in dogs. The animal material included 28 dogs of different breeds, ages, weights and genders that were brought to the surgery department of the Adnan Menderes University, Faculty of Veterinary Medicine for simple anesthesia indications but were otherwise healthy ocularly. In a crossover design, the dogs were randomly assigned to 4 groups of 7 dogs. Animals in the first group were given 50 μg/kg of medetomidine and 10 mg/kg of ketamine intramuscularly (MEK-IM). The second group of animals was given 50 μg/kg of medetomidine …

A Study On Stress-Induced By Anaesthesia And Surgery Training Using Live Animals In A Veterinary School, Krittee Dejyong, Jutapoln Sunghan, Nantarat Chutijiratthitikan, Chonnakarn Jatchavala

The Thai Journal of Veterinary Medicine

The veterinary curriculum includes an anesthesia and surgery course that utilizes live animal laboratories and euthanasia, potentially causing stress in students. We used a validated psychology questionnaire to assess their stress levels, confirming that live animal laboratories induce significant stress. Forty-two fourth year veterinary students, including individuals who identified as male, female, and LGBTQ, and who held religious beliefs in Buddhism and Islam, volunteered to participate in the study. The study had received ethical approval from the Human Research Ethics Committee at Prince of Songkla University. After series of stress questionnaires before and after Veterinary surgery and anaesthesia class, female …

Factors Related To Physical Activity Of Patients With Permanent Cardiac Pacemaker, Priyaporn Phruksahiran, Noraluk Ua-Kit

Chulalongkorn Medical Journal

Background: Over 1.3 million patients worldwide have permanent cardiac pacemakers (PPM). Patients with PPM, in the first to third months after implantation, still report problems with physical activity (PA), such as limitations in their lives, jobs, and exercise, inability to perform activities as before, and decreased PA.

Objectives: This study aimed to investigate the PA of patients with PPM and identify factors (age, perceived self-efficacy, perceived benefits, perceived barriers, social support, and health literacy) related to the PA of patients with PPM.

Methods: This descriptive-correlational study included 110 male and female patients with PPM from three tertiary hospitals in …

Disability Among Older Adults With Hypertension In Southeast Asia: A Scoping Review, Utoomporn Wongsin, Arnat Wannasri, Dichapong Pongpattrachai, Tuo-Yu Chen

Journal of Demography

Background: The prevalence of chronic disease and disability is expected to increase when age increases. This study aims to investigate the published articles related to disability among older adults living with hypertension in Southeast Asia.

Study Design: A scoping review

Data source: Web of science, Pubmed, CINAHL ,Cochrane and a google search, from 2000 to 2023.

Results: There were six observational studies from Indonesia, Vietnam, Malaysia, and Thailand met our inclusion criteria. The studies mainly focus on investigating the prevalence, risk factors and sex difference in risk factors associated with disabilities among the older adults.

Conclusion: Our scoping review has …

Normal Thymus Evaluation Using Radiographs And Computed Tomographic Images In Young And Adult Dogs, Yoenhee Park, Sang-Kwon Lee, Sooyoung Choi, Hojung Choi, Youngwon Lee, Kija Lee

The Thai Journal of Veterinary Medicine

The thymus generally presents as a sail-shaped soft-tissue opacity on thoracic radiographs in young, pre-pubescent dogs. After puberty, lymphatic tissue is replaced by adipose tissue and can usually no longer be identified on radiographs; however, thymic remnants have often been observed in adult dogs. The objective of this retrospective descriptive study was to investigate the incidence of thymic remnants using thoracic radiographs and to analyze the incidence in dogs by age, sex and breed. We analyzed the data from 1,464 dogs that underwent both thoracic ventrodorsal and right lateral radiography, of which 40 underwent both radiography and computed tomography (CT). …

High Carotenoid Values In People With Flexibility Training, Chanachai Lohasaptawee Mr., Ponlapat Rojnuckarin Professor Dr., Natthaya Lekhawatthanapong Miss

Chulalongkorn Medical Journal

Background: Free radicals play essential roles in the aging and various pathological processes. Antioxidants may be helpful to prevent these conditions. Therefore, the body should have high antioxidant values and carotenoids can be a representative of antioxidants.

Objectives: The purpose of the study was to use the BioPhotonic Scanner S3 and resonant Raman spectroscopy technology for comparing the skin carotenoid values between those who exercised frequently and those who did not exercised within a 6-month period.

Methods: Four equal groups of six hundred male and female volunteers, ages 20 to 60 years, who resided in Bangkok Metropolitan Region were formed, …

Determination Of Initial Hepatitis B Surface Antigen (Hbsag) Cutoff Index (Coi) Threshold For Reporting Hbsag Reactivity, Piya Wongchampa, Arkom Chaiwongkot, Rangsima Reantragoon

Chulalongkorn Medical Journal

Background: The Hepatitis B surface antigen (HBsAg) commercially-available screening test suggests a confirmatory testing in all cases that are reactive, but this will take a long time to reporting of results and increase the total test cost.

Objectives: To investigate the correlation between cutoff index (COI) values of initial HBsAg screening test and their corresponding confirmatory neutralization results in order to identify a COI value for distinguishing samples that truly need confirmatory neutralization testing.

Methods: A retrospective study of 72,496 HBsAg screening test results using the Elecsys HBsAg II kit of patients at King Chulalongkorn Memorial Hospital, the Thai Red …

Perceptions Of Emergency Physician Professionalism Among Healthcare Providers And Patients: A Multicenter Study In Thailand And The Us, Khuansiri Narajeenron Md, Mhpe, Tanawat Tarapan Md, Jasmina Dukovic, Krongkarn Sutham Md, Intanon Imsuwan Md, Ar-Aishah Dadeh Md, Tanyaporn Nakornchai Md, Deena Bengiamin Md, Bharath Chakravarthy Md, Mph, Craig Anderson Phd, Mph, Somchit Eiam-Ong Phd, Wirachin Hoonpongsimanont Md, Ms

Chulalongkorn Medical Journal

Background: Universal standards for emergency physician professionalism (EPP) amongst different groups of healthcare workers do not exist.

Objective: The aim of this study was to explore perceptions of EPP among attending physicians (APs), emergency medicine (EM) residents, first- and fourth-year medical students (MS1s and MS4s, respectively), EM nurses and emergency department (ED) patients.

Methods: A multicenter, cross-sectional study conducted at seven university-based EDs in Thailand and the US from July 2016 - January 2018. We created 39 cards (13 core elements) describing behaviors derived from a global literature review. Subjects ranked each card from the most to least important for …

Comparison Study Of Endoscopic-Guided Versus Electromyography-Guided Botulinum Toxin Injection Treatments In Adductor Spasmodic Dysphonia, Manintorn Praditthum, Premsuda Sombuntham

Chulalongkorn Medical Journal

Background: Electromyography (EMG)-guided botulinum injection is recommended in clinical practice guideline for spasmodic dysphonia. However, other alternative techniques have been practiced in absence of EMG machine. Comparison of techniques is limited in the literatures.

Objective: This pilot study aims to compare the effectiveness of treatment between the EMG-guided technique and the endoscopic-guided technique in adductor spasmodic dysphonia.

Method: Five patients who were diagnosed with Adductor spasmodic dysphonia (AdSD) were enrolled and then randomized into 2 groups. Patient data (before and after treatment) were collected. The outcome measurement included voice analysis, voice handicap index (VHI), duration aspiration, duration of breathiness, mean …

Does Asymptomatic Generalized Joint Hypermobility Influence Musculotendinous Extensibility And Knee Joint Proprioception?, Pawan Chaiparinya, Sujitra Boonyong, Chitanongk Gaogasigam

Chulalongkorn Medical Journal

Background: It is unclear whether generalized joint hypermobility (GJH) influences the musculotendinous unit (MTU) extensibility or proprioception of the knee joint in individuals with asymptomatic GJH.

Objectives: To compare the quadriceps and hamstring MTU length as well as knee joint force sense (FS) and joint position sense (JPS) between individuals with asymptomatic GJH and non-GJH controls.

Methods: Thirty-two female subjects were recruited, with 16 subjects in the GJH and non-GJH groups. The angles measured from modified prone knee bend (mPKB) and straight leg raising (SLR) tests were used to identify the quadriceps and hamstrings MTU extensibility using photographic-based angle measurements. …

Pediatric Appendicitis Or Not? A Retrospective Cohort Study From A Single Institution - Our Management And Factors Determining The Disease, Nimmita Srisan, Teerasak Phewplung, Katawaetee Decharun, Prapapan Rajatapiti, Paisarn Vejchapipat

Chulalongkorn Medical Journal

Purpose: The aims were to assess our treatment guidelines and to determine factors in differentiating children with acute appendicitis from other diseases.

Methods: Pediatric surgery consultations for suspected appendicitis from October 2019 to October 2021 was retrospectively studied. The treatment guidelines of children with suspected appendicitis were elucidated. Moreover, factors identifying the diagnosis of appendicitis were analyzed using multi-variate logistic regression.

Results: Ninety-one children were consulted for suspected appendicitis. Forty-one children (45.1%) were promptly successfully treated without observation or ultrasonography, except one negative appendectomy (2.4%). The other 50 children (54.9%), showed equivocal clinical symptoms and signs, requiring further management either …

Exonic Variants Of Gpihbp1 Gene In Thai Subjects With Severe Hypertriglyceridemia, Wanee Plengpanich

Chulalongkorn Medical Journal

Background: Hypertriglyceridemia (HTG) is one of the risk factors for cardiovascular disease and acute pancreatitis. It is associated with genetic variations in various genes involved in triglyceride metabolism. Glycosylphosphatidylinositol-anchored high-density lipoprotein-binding protein 1 (GPIHBP1) encodes a membrane protein involved in an intravascular triglyceride hydrolysis. Objective: The purpose of this study was to examine the genetic variants in the exons of GPIHBP1 gene in Thai subjects with severe HTG. Methods: All 4 exons of the GPIHBP1 gene were sequenced in 101 Thai subjects with severe HTG. All subjects had triglyceride levels e” 10 mmol/L or 886 mg/dL. Subjects with normolipidemia (n …

Association Of Pnpla3, Tm6sf2 And Hsd17b13 Variants With Nafld Risk In Hiv And Non-Hiv Individuals, Varis Ruamviboonsuk

Chulalongkorn Medical Journal

Background: Non-alcoholic fatty liver disease (NAFLD) has multiple risk factors, including genetic risk factors. Patients with certain genetic variants are more susceptible to the disease. People living with human immunodeficiency virus (PLWH) have higher prevalence of NAFLD compared to those without human immunodeficiency virus (HIV) infection. However, the evidence on genetic factors in PLWH with NAFLD is limited. Objectives: This study aimed to investigate whether carriers of PNPLA3 rs738409, TM6SF2 rs58542926, and HSD17B13 rs6834314 had association with the risk of NAFLD, and whether PLWH with NAFLD also had similar genetic risk factors as those with NAFLD alone. Methods: These single …

Attitudes Toward End-Of-Life Care And Advance Directives: A Prospective Survey In A Family Medicine Clinic, Bangkok, Thailand, Basmon Manomaipiboon

Chulalongkorn Medical Journal

Background: Advance directives (ADs) have long been legalized and advocated, still few patients complete ADs in Thailand. In our setting, advance directive information will be provided to interested patients and palliative care patients. Objectives: This study examined the attitude toward end-of-life care and ADs, the prevalence of ADs completion and identified the factors associated with advance care planning among patients who attended a family medicine clinic, Faculty of Medicine, Vajira Hospital, Navamindhradhiraj university, Bangkok, Thailand. Methods: A total of 300 subjects completed a self-administered structured questionnaire, including sociodemographic factors, individuals’ health status, healthcare experiences, and other factors influencing advance care …

Factors Related To Positive Airway Pressure Adherence In Patients With Obstructive Sleep Apnea At King Chulalongkorn Memorial Hospital, Puntarik Srisawart

Chulalongkorn Medical Journal

Background: Positive airway pressure (PAPs) is a standard and efficacious treatment for obstructive sleep apnea (OSA). Poor adherence could lead to impaired daytime performance, increasing risk of traffic accidents, hypertension, cardiovascular events, and neuropsychological disturbances. Previous studies reported rates and factors influencing PAPs adherence, but the data in Thailand was still lacking.

Objectives: To investigate the rate of PAPs adherence, the prevalence of depressive and anxiety symptoms, and the factors associated with PAPs adherence among patients with OSA.

Methods: This is a cross-sectional descriptive study that was conducted during June 2021 to September 2022. The data was collected from patients …

The Association Between Medication Use And Peri-Operative Delirium In Older Hip Fracture Adult Patients At King Chulalongkorn Memorial Hospital, Krittin Wannarong, Yanin Thipakorn, Jirada Prasartpornsirichoke, Warong Sitthisarunkul, Chumpol Suraphanphairoj, Paul Thisayakorn

Chulalongkorn Medical Journal

Background: Delirium is a common adverse consequence in the hip fracture population. Many medications can affect the emergence of the perioperative delirium but the data in older hip fracture patients is lacking.

Objective: To investigate the association between the type and amount of the selected medication classes and the occurrence of perioperative delirium in older hip fracture patients.

Methods: This is a cross-sectional study which collected data from patients aged ≥ 65 years who underwent hip surgery at King Chulalongkorn Memorial Hospital. The Delirium Rating Scale–Revised-98-Thai version (DRS-R-98-T) was used to assess the delirium one day before the surgery, and …

The Stability Of Diazepam In Authentic Blood Samples From Thai Postmortem Cases, Peerayuht Phuangphung

Chulalongkorn Medical Journal

Background: Diazepam is a common drug detected in Thai postmortem cases. The stability of diazepam in blood was previously studied using spiked blood samples. However, there is no available data for stability in authentic postmortem blood samples.

Objectives: This study aims to determine the stability of diazepam in authentic postmortem blood samples.

Methods: Postmortem blood samples were obtained from the cadavers of Thai people who were sent for medico-legal autopsies at the Department of Forensic Medicine, Siriraj Hospital, Mahidol University. Blood samples were analyzed for diazepam and nordiazepam within one week after sample reception (initial concentrations: day_0). …