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Articles 1 - 30 of 57
Full-Text Articles in Medicine and Health Sciences
Creativity Thinking Of Chulalongkorn Medical Students, J Nakniyom, C. Nimnuan
Creativity Thinking Of Chulalongkorn Medical Students, J Nakniyom, C. Nimnuan
Chulalongkorn Medical Journal
Background : Creativity is an important attribute of physicians. Creativity helps improve and enhance medical students' ability to think and provide qualified and effective services. Objective : To study the level of creative thinking and factors affecting the creative thinking of Chulalongkorn Medical students. Design : A cross – sectional descriptive study. Setting : Faculty of Medicine, Chulalongkorn University. Materials and Methods : The data were collected by questionnaires from 434 medical students of Chulalongkorn University who were in the first to the fifth year in 2010. Questionnaire consisted of demographic data, creative thinking and achievement motivation measures. The data …
An Experience With 53 Patients Of Transanal Endorectal Pull-Through For Hirschsprung's Disease, V Buranakitjaroen, V. Mahatharadol
An Experience With 53 Patients Of Transanal Endorectal Pull-Through For Hirschsprung's Disease, V Buranakitjaroen, V. Mahatharadol
Chulalongkorn Medical Journal
Background : Transanal endorectal pull-through (TEPT) has been widely used in the treatment of Hirschsprung's disease (HD). We have been using this technique as described by Mondrag n and Ortega - Salgado in our hospital since January 2004. Objective : To evaluate the results of TEPT in the management of HD. Design : Retrospective study. Setting : Queen Sirikit National Institute of Child Health. Method : Fifty - three patients underwent TEPT for HD from January 2004 to March 2011. Patients' hospital records were retrospectively analysed. The collected data included associated anomalies, age at diagnosis, enterocolitis before TEPT, weight at …
ดรรชนีผู้แต่งจุฬาลงกรณ์เวชสาร 2011, N/A
ดรรชนีผู้แต่งจุฬาลงกรณ์เวชสาร 2011, N/A
Chulalongkorn Medical Journal
No abstract provided.
ดรรชนีบทความจุฬาลงกรณ์เวชสาร 2011, N/A
ดรรชนีบทความจุฬาลงกรณ์เวชสาร 2011, N/A
Chulalongkorn Medical Journal
No abstract provided.
Differentiating Renal Cell Carcinoma Clear Cell Subtype From Other Subtypes On Multiphasic Multidetector Computed Tomography, N Lertlarpwasin, K Sasiwimonphan, W. Kittikowit
Differentiating Renal Cell Carcinoma Clear Cell Subtype From Other Subtypes On Multiphasic Multidetector Computed Tomography, N Lertlarpwasin, K Sasiwimonphan, W. Kittikowit
Chulalongkorn Medical Journal
Background : Renal cell carcinomas (RCC) represent about 1 - 3% of all visceral cancers and 85% of renal cancers in adults. The tumors occur most often in old age, usually in sixth and seventh decades of life, and more predominantly in males. There are different prognosis between each subtype of RCC and different targeted therapy of choice for clear cell and non-clear cell subtypes of RCC. Subtype differentiation of RCC is quite important for guided treatments and predicted prognosis. (according to the NCCN's Clinical Practice Guideline for Renal Cancer 2009). Objective : This study aims to differentiate clear cell …
The Patient Dose From Digital Mammography Systems Using Molybdenum And Tungsten Targets, K Theerakul, A. Krisanachinda
The Patient Dose From Digital Mammography Systems Using Molybdenum And Tungsten Targets, K Theerakul, A. Krisanachinda
Chulalongkorn Medical Journal
Background : Two digital mammographic systems of different targets and filters offer different radiation doses to patients. Objective : To determine the average glandular dose (AGD), the entrance surface air kerma (ESAK) from cranio-caudal (CC) and medio-lateral oblique (MLO) projections and the dose reference level (DRL) from CC projection at both breasts when two digital mammogram systems of molybdenum (Mo) target and molybdenum or rhodium (Rh) filters of one system and tungsten (W) target and rhodium filter of the other system were clinically used. Methods : Patients' data from two digital mammography systems were analyzed in terms of the compressed …
ความก้าวหน้าของภาควิชารังสีวิทยา, สุภัทรพร เทพมงคล
ความก้าวหน้าของภาควิชารังสีวิทยา, สุภัทรพร เทพมงคล
Chulalongkorn Medical Journal
No abstract provided.
พระราชกรณียกิจด้านการแพทย์และสาธารณสุขของ พระบาทสมเด็จพระจุลจอมเกล้าเจ้าอยู่หัว, สมรัตน์ จารุลักษณานันท์, อรนุช เกี่ยวข้อง
พระราชกรณียกิจด้านการแพทย์และสาธารณสุขของ พระบาทสมเด็จพระจุลจอมเกล้าเจ้าอยู่หัว, สมรัตน์ จารุลักษณานันท์, อรนุช เกี่ยวข้อง
Chulalongkorn Medical Journal
No abstract provided.
Ct Features Using In Differentiating Pleural Exudates From Transudates, N Piyavisetpat, K. Kittisatra
Ct Features Using In Differentiating Pleural Exudates From Transudates, N Piyavisetpat, K. Kittisatra
Chulalongkorn Medical Journal
Background : Pleural effusion is one of the most frequent findings of thoracic abnormality, detected by computed tomography (CT). Differentiation between exudative from transudative effusions is crucial for diagnosis of various pathologies. Objective : To determine the accuracy of computed tomography in enabling differentiation of pleural exudates from transudates. Setting : King Chulalongkorn Memorial Hospital. Research design : A retrospective study. Patients : Patients who had pleural effusions and underwent CT of thorax and thoracentesis within 14 days of each other from March 2005 to August 2007 were recruited. Methods : We analyzed 41 pleural effusions in 41 patients. Effusions …
Sclerosing Adenosis And Radial Scar Of Breast :Imaging Findings And Breast Cancer Association, M Sakolnurak, D. Boonjunwetwat
Sclerosing Adenosis And Radial Scar Of Breast :Imaging Findings And Breast Cancer Association, M Sakolnurak, D. Boonjunwetwat
Chulalongkorn Medical Journal
Background : Sclerosing adenosis and radial scar of the breast are benign conditions that may be mistaken for carcinoma on imaging and they are also considered independent risk for breast cancer. Objective : To demonstrate mammographic and ultrasonographic patterns of sclerosing adenosis and radial scar and to determinate the coexisting of both diseases to synchronous breast cancer. Material and Methods : Retrospective analysis of the pathology confirmed 80 sclerosing adenosis foci and 23 radial scar foci was performed. The mammographic and ultrasound features of each focus were analyzed. Coexisting of breast malignancy is also recorded. The result was reported descriptively. …
Anxiety Over Living In Society In Juvenile Delinquents Being Prepared For Discharge From Observation And Protection Centers, D Somboonpong, P. Chandarasiri
Anxiety Over Living In Society In Juvenile Delinquents Being Prepared For Discharge From Observation And Protection Centers, D Somboonpong, P. Chandarasiri
Chulalongkorn Medical Journal
Background : Anxiety or nervousness originated from anticipations is formed in thoughts of each person that they would be in danger. This causes him/her to feel inefficient, it is unnecessarily wasting of mental health. In addition, anxiety is one of most the serious obstacles to success in life or occupation achievement. Thus, the studying of anxiety level and other factors causing anxiety to a juvenile delinquents preparing to discharge are necessary in order to be a guideline in deducing and preventing the anxiety is necessary. This helps the juvenile who are about to be discharged can take normal steps in …
Prevalence Of Postpartum Depression And Associated Factors Among Nursing Mothers At King Chulalongkorn Memorial Hospital, S Withayavanitchai, C. Roomruangwong
Prevalence Of Postpartum Depression And Associated Factors Among Nursing Mothers At King Chulalongkorn Memorial Hospital, S Withayavanitchai, C. Roomruangwong
Chulalongkorn Medical Journal
Background : There are evidences that postpartum depression (PPD) has major impacts on child-rearing capacities as well as disrupts mother-child bonding. Breastfeeding has been believed to have a role on increased positive mood, intensified bonding, and attenuated stress via the release of oxytocin, which has long been recognized as “love hormone”. However, the prevalence of PPD among breastfeeding women has not been studied. Objective : To examine the prevalence of postpartum depression as well as associated factors among nursing mothers at King Chulalongkorn Memorial Hospital. Design : A cross – sectional descriptive study. Setting : King Chulalongkorn Memorial Hospital. Materials …
Ct Appearances Of Responsive Gastrointestinal Stromal Tumors (Gists) After Imatinib Mesylate Treatment, S Sriariyametta, V Sriuranpong, K Arjhansiri, B. Chaopathomkul
Ct Appearances Of Responsive Gastrointestinal Stromal Tumors (Gists) After Imatinib Mesylate Treatment, S Sriariyametta, V Sriuranpong, K Arjhansiri, B. Chaopathomkul
Chulalongkorn Medical Journal
Background : Gastrointestinal stromal tumors (GISTs) have their specific receptor that allows the use of specific target drug. CT scan is the imaging technique of choice to evaluate the response of the tumor. There are some conflicts about CT parameter such as size and density that confuse radiologists in the evaluation of the tumor response. Objective : Our objective is to evaluate CT appearances in patients with GISTs who have response after imatinib treatment by combination of RECIST criteria and density, vascularity, solid nodule and cystic change of the tumor. Design : Retrospective study Setting : King Chulalongkorn Memorial Hospital, …
Cancer Risk From Pediatric Diagnostic Radiology; Should We Be Concerned ?, P Trinavarat, S Manaphol, N Yimpraphan, S. Assawakulkamnurd
Cancer Risk From Pediatric Diagnostic Radiology; Should We Be Concerned ?, P Trinavarat, S Manaphol, N Yimpraphan, S. Assawakulkamnurd
Chulalongkorn Medical Journal
Diagnostic radiology has an important role in pediatrics. Some imaging modalities give high radiation doses and there is a rising concern on the safety of radiation. This article aims to provide information on the increased risk of cancer from radiation used in diagnostic radiology. The information may help in the process of decision making in referring pediatric patients to CT and in communicating with their parents. Radiation doses in diagnostic radiology in pediatrics are mostly low, but some may reach the moderate level. From the recent knowledge, many believe that even a low-dose radiation has a certain risk of cancer …
แนะนำหนังสือ, บัณฑิต เจ้าปฐมกุล
คำขอบคุณ, N/A
Effect Of The Art Therapy On Self-Esteem Of Male Substance Dependent Patients At Thanyarak Institute, R Loysongkroa, P. Worakul
Effect Of The Art Therapy On Self-Esteem Of Male Substance Dependent Patients At Thanyarak Institute, R Loysongkroa, P. Worakul
Chulalongkorn Medical Journal
Background : Nowadays substance dependence is a major problem because it influences the mental health of substance abusers themselves and creating a lot of social problems. To develop the various and qualified treatments for substance dependent patients is important to make them quit the substance usage and be recovered. Self-esteem is a significant factor in the treatment of substance dependent behavior and art therapy is an alternative activity to create patients’ self-esteem which is a factor to make them strong enough to finally quit substance abuse. Objectives : 1. To compare the effect of art therapy on self-esteem in experimental …
Incidence Of Injuries And Sport Specific Physical Fitness Of Thai National Women’S Rugby Sevens Players, K Choochate, D Chaiwanichsiri, S. Sanguanrungsirikul
Incidence Of Injuries And Sport Specific Physical Fitness Of Thai National Women’S Rugby Sevens Players, K Choochate, D Chaiwanichsiri, S. Sanguanrungsirikul
Chulalongkorn Medical Journal
Background : Rugby sevens is a collision sport with high risk of injury. Research design : Prospective descriptive study. Setting : Training field at Vajiravudh College, competition fields at Hong Kong and the People’s Republic of China. Methods : Eighteen Thai national women’s rugby sevens players were studied for incidence of injuries and physical fitness during 8 month period. Results : A total of 178 injuries = 37.03 injuries/ 1000 hours of exposure were recorded: 110 = 23.01 per 1000 training hours, and 68 = 2602.37 per 1000 match hours. During training, the most common diagnoses were sprain; most injuries …
Angiographic Findings Of Moyamoya, O Topanthanont, J. Tantivatana
Angiographic Findings Of Moyamoya, O Topanthanont, J. Tantivatana
Chulalongkorn Medical Journal
Background : Moyamoya is a rare cerebrovascular occlusive condition ofunknown etiology which has rarely been described in Thaipopulation. We report angiographic findings and clinicalfeatures from a single institution in Thailand.Objective : Describe angiographic findings and clinical features of moyamoyain patients.Design : Retrospective descriptive study.Setting : Department of Radiology, Faculty of Medicine, ChulalongkornUniversity.Materials and Methods : Twenty-five patients diagnosed with moyamoya and moyamoyalikeby cerebral angiography between 2003-2009 wereretrospectively reviewed for clinical manifestation andstenoocclusive lesions according to Suzuki Grading System.Results : Of the total 25 patients,19 were female (76%), 6 were male (24%),F:M = 3:1. Their median age was 38 years. Five …
Assessment Of The Environmental Support For Physicalactivity Scale Among Thai Elderly, M Leethong-In, J Yunibhand, Y Aungsuroch, Jk. Magilvy
Assessment Of The Environmental Support For Physicalactivity Scale Among Thai Elderly, M Leethong-In, J Yunibhand, Y Aungsuroch, Jk. Magilvy
Chulalongkorn Medical Journal
Introduction : The Environmental Support for Physical Activity Questionnaire (ESPA)was developed for older people in western country. However, due todifferent geographical features and lifestyle between countries,modification to the ESPA has been made to create “the ThaiEnvironmental Support for Physical Activity (TESPA)”.Objective : To verify the reliability and validity of TESPA.Settings : Twelve communities in six provinces of ThailandResearch design : Cross-sectional design.Patients : Three hundred and twenty older people were randomly selected usingmultistage random sampling.Methods : The content validity was determined by three geriatric experts.The construct validity was approached by structural equation modelingand known-group method. The reliability was analyzed using …
Relationship Between Changes Of Calcineurin Inhibitorlevels And Serum Creatinine And Cystatin C Levelsin Kidney Transplant Patients, S Hasatsri, A Chaiprasert, P. Aramwit
Relationship Between Changes Of Calcineurin Inhibitorlevels And Serum Creatinine And Cystatin C Levelsin Kidney Transplant Patients, S Hasatsri, A Chaiprasert, P. Aramwit
Chulalongkorn Medical Journal
Background : Calcineurin inhibitors (CNI: cyclosporine, tacrolimus) are majorimmunosuppressants used in kidney transplant (KT) patients.Nephrotoxicity is an important side effect of CNI. The elevationof serum creatinine (Scr) is a biomarker for nephrotoxicity.However, there are several factors that affect changes of Scr.It is believed that serum cystatin C (Scys C) would be a betterbiomarker.Objective : To investigate the relationship between changes of CNI levelsand Scr and Scys C levels in KT patients.Design : Descriptive studySetting : Division of Nephrology, Department of Medicine, PhramongkutklaoHospitalPatients and Methods : Patients who received KT for at least 3 months, and duringsteady state. Blood samples were …
Five-Year Survival Rate In 2002 Of Head And Neck Cancerpatients Treated At Lopburi Cancer Center, J. Sukhaboon
Five-Year Survival Rate In 2002 Of Head And Neck Cancerpatients Treated At Lopburi Cancer Center, J. Sukhaboon
Chulalongkorn Medical Journal
Background : Head and neck cancer is a leading type of cancer in Thailand.According to clinical data base from the Lopburi Cancer Center,head and neck cancer ranks first among all cancer types in menand ranks the third among all cancer types in women. Unfortunately,there has been a lack of information of five-year survival rate ofhead and neck cancer patients treated at Lopburi Cancer Center.Objective : To determine 5-year survival rate and prognostic factors for survivalof patients with head and neck cancer treated with combinedmodalitytherapy at Lopburi Cancer Center.Setting : Lopburi Cancer Center.Material and Method : The author retrospectively analyzed the …
Relationship Between Regimen Complexity And Medication Adherence Behavior In Thai Elderly With Hypertension, S Tepsuriyanont, V Jirapaet, S Luangamornlert, R. Praditsuwan
Relationship Between Regimen Complexity And Medication Adherence Behavior In Thai Elderly With Hypertension, S Tepsuriyanont, V Jirapaet, S Luangamornlert, R. Praditsuwan
Chulalongkorn Medical Journal
Background : Only 22 - 25 percent of Thai elderly with hypertension can control their blood pressure. Such failure has been largely ascribed to poor adherence with antihypertensive medication. The regimen complexity is an important factor that influences medication adherence in the elderly. Objectives : To examine the relationship between regimen complexity and medication adherence behavior in Thai elderly with hypertension. Setting : Out-patient department of five general hospitals in Thailand. Research design : Cross-sectional study. Patients There were 422 elderly with hypertension who participated in this study. Methods : The samples were selected based on multi-stage sampling. Data were …
Calciphylaxis, C Kulapatrapa, S. Eiam-Ong
Calciphylaxis, C Kulapatrapa, S. Eiam-Ong
Chulalongkorn Medical Journal
Calciphylaxis or calcific uremic arteriolopathy (CUA) is a serious skin disorder of arteriolar calcification that can produce subcutaneous plaques, nodules, and subsequently necrotic ulcers skin lesions. CUA is usually associated with chronic kidney disease and endstage renal failure. The risk factors of CUA include obesity, diabetes mellitus, female gender, high product of calcium and phosphate, and use of coumadin anticoagulant. Furthermore, it is associated with high mortality rate. Therefore, early identification, proper evaluation, appropriate salvage therapy, and prevention can minimize long-term morbidity and mortality.
The Association Between Thiopurine S-Methyltransferase *3c Polymorphism And Azathioprine Induced Myelosuppression In Thai Patients With Systemic Lupus Erythematosus, J Kongpunvijit, Y Avihingsanon, N Hirankarn, S Vannaprasaht, J. Wongchinsri
The Association Between Thiopurine S-Methyltransferase *3c Polymorphism And Azathioprine Induced Myelosuppression In Thai Patients With Systemic Lupus Erythematosus, J Kongpunvijit, Y Avihingsanon, N Hirankarn, S Vannaprasaht, J. Wongchinsri
Chulalongkorn Medical Journal
Objective : To investigate the correlation between Thiopurine S-methyltransferase (TPMT) *3C polymorphism and azathioprine (AZA)-induced myelosuppression in Thai patients with systemic lupus erythematosus (SLE). Methods : A total of 40 SLE patients taking AZA at King Chulalongkorn Memorial Hospital were included in this study. Blood samples from volunteers were collected in 3 ml EDTA tubes. TPMT*3C genotype was determined using PCR-RFLP assay and erythrocyte TPMT activity using HPLC method. Biochemical and clinical data were retrospectively evaluated after initiation of AZA therapy. Results : Gene frequency of heterozygous TPMT*1/*3C was 10% (4/40) and *3C allele frequency was 5.0%. TPMT*1/*3C polymorphism was …
Demographic Factors Associated To Survival Of Hiv/Aids Patients In Southernmost Province Of Thailand, B Chaimay, S Woradet, K. Sukkasem
Demographic Factors Associated To Survival Of Hiv/Aids Patients In Southernmost Province Of Thailand, B Chaimay, S Woradet, K. Sukkasem
Chulalongkorn Medical Journal
Introduction : HIV/AIDS is a serious public health problem that has globally caused severe illnesses and deaths within the past two decades. However, a little is known about the impact on demographic factors which is changed over time. Objective : To investigate the demographic factors associated to survival of HIV/AIDS patients. Setting : Provincial and community hospitals. Research design : A prospective, hospital-based cohort study. Patients : HIV/AIDS patients registered in both provincial and community hospitals between January 1992 and April 2010. Methods : In total, 1,575 patients with HIV/AIDS infection were observed and followed-up in one regional and other …
Interests In Medical Specialties, Personalities And Correlated Factors In Choosing Future Training Of Sixth Year Medical Students, Faculty Of Medicine, Chulalongkorn University, T Kaewyod, B. Kanchanatawan
Interests In Medical Specialties, Personalities And Correlated Factors In Choosing Future Training Of Sixth Year Medical Students, Faculty Of Medicine, Chulalongkorn University, T Kaewyod, B. Kanchanatawan
Chulalongkorn Medical Journal
Background : Medical specialties are expertise in the fields of medicine that cause public expectations and better quality of life of the patients. However, training in each field of medical specialty is an odyssey. Success in the practice of a specialist depends on several factors such as interest in the field of specialty, personality and psychological background of the trainee. Objective : To study interest in medical specialties personalities and correlated factors in choosing future training of the sixth year medical students of the Faculty of Medicine, Chulalongkorn University. Design : A cross – sectional descriptive study. Setting : The …
Prediction Of Contrast-Induced Nephropathy After Percutaneous Coronary Intervention: Role Of Contrast Volume/Body Weight Ratio, T Chaemchoi, B Punyawudho, S. Srimahachota
Prediction Of Contrast-Induced Nephropathy After Percutaneous Coronary Intervention: Role Of Contrast Volume/Body Weight Ratio, T Chaemchoi, B Punyawudho, S. Srimahachota
Chulalongkorn Medical Journal
Background : The use of contrast media has been closely related to contrast-induced nephropathy (CIN) in several studies. However, there is no firm description of the association. The volume of contrast media and patient characteristics may be important risk factors for CIN. Identifying and quantifying these risk factors may be useful in predicting risk of CIN. Objective : To identify important risk factors of CIN after percutaneous coronary intervention (PCI). Design : Prospective analytical study Setting : King Chulalongkorn Memorial Hospital Method : A total of 181 consecutive patients who underwent PCI were enrolled. Patient- and procedure-related factors including calculated …
Effect Of Phenytoin, Phenobarbital And Valproic Acid On Carbamazepine Clearance And Therapeutic Out Come: Derived From Routine Therapeutic Drug Monitoring Data At Prasat Neurological Institute, T Traiyawong, D Panomvanna, S. Towanabut
Effect Of Phenytoin, Phenobarbital And Valproic Acid On Carbamazepine Clearance And Therapeutic Out Come: Derived From Routine Therapeutic Drug Monitoring Data At Prasat Neurological Institute, T Traiyawong, D Panomvanna, S. Towanabut
Chulalongkorn Medical Journal
Background : Pharmacokinetics (PK) of carbamazepine (CBZ) are highly variable and further complicated by concomitant use of other antiepileptic drugs with induction or inhibition properties. Objective : To determine the pharmacokinetics of CBZ when used as monotherapy or co-administrated with phenytoin (PHT), phenobarbital (PB) or valproic acid (VPA) along with the related therapeutic outcome. Design : A descriptive study. Setting : Prasat Neurological Institute, Bangkok. Patients : Patients aged more than 13 years old with epilepsy or other neurological disease who used CBZ as monotherapy or co-administrated with PHT, PB or VPA and their therapeutic drug monitoring data (TDM) had …
Impact Of Different Ct Slice Thickness On Clinical Target Volume For Intensity Modulated Radiation Therapy : A Phantom Study, P Siripachot, N Asavametha, S. Oonsiri
Impact Of Different Ct Slice Thickness On Clinical Target Volume For Intensity Modulated Radiation Therapy : A Phantom Study, P Siripachot, N Asavametha, S. Oonsiri
Chulalongkorn Medical Journal
Purpose : To assess the accuracy of target volume with different computed tomography (CT) slice thickness-interval and the impact of different CT slice thickness on intensity modulated radiation (IMRT) treatment planning. Objectives : To correlate the different CT slice thickness/interval with the variation of target volume on IMRT planning. Design : Experimental study Setting : Department of Radiology, Faculty of Medicine, Chulalongkorn University. Materials and Methods : The IMRT thorax phantom (30 cm wide, 30 cm long and 20 cm thick), containing a tissue equivalent rod (2.5 cm diameter and 16 cm long) underwent CT scan with five different slice …