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Migration, Remittances, And Child Growth: Evidence From Cambodia, Vatana Chea, Patcharawalai Wongboonsin

Journal of Demography

Remittances have become a main resource for development in low- and middle-income countries around the world. With impressive growth in remittances over the decades comes interest in their importance to development. Using data from the 2009 Cambodian Socio-Economic Survey with a sample of 2,767 children under 5 years of age, this study investigates the impact of migration and of remittances on children's quality of health, and tests whether or not the so-called permanent income hypothesis holds for remittances relative to other income. Also employed is two-stage least squares analysis to account for potential endogeneity problems. In short, it was found …

Children's Self-Report And Caregivers' Perception Of Chemotherapy Symptoms In Children Receiving Chemotherapy For Cancer Treatment, Lita Sherdsang, Sudaporn Payakkaraung, Wanlaya Thampanichawat

Journal of Health Research

Background: Chemotherapy is the common cancer treatment in childhood. During chemotherapy, symptoms may vary in severity each day. This study aimed to compare children's self-reports and caregivers' perceptions of symptoms of children with cancer on their first day and the third day of chemotherapy.

Methods: This study was a comparative descriptive study. The convenience sampling method was used to recruit 51 children with cancer, aged 8 to 15 years old, who received chemotherapy at a super-tertiary hospital in Bangkok, Thailand, and their caregivers. Data were collected using the Thai version of the Symptom Screening in Pediatrics Tool (SSPedi) for …

Primary Lung And Pleural Malignancies In Children: Imaging Of A Case Series, Teerasak Phewplung, Tanitha Phruksahirun

Chulalongkorn Medical Journal

Early diagnosis of primary lung and pleural malignancies is a challenge because it is extremely rare in children. The patient often presents with metastatic disease and non-neoplastic lesions. Clinical detection and imaging studies are nonspecific findings and may be indistinguishable from other lung malformations, resulting in a delay in diagnosis and treatment and an increase in tumor morbidity and mortality.

We present four cases of children whose clinical presentation and initial imaging had suspicious abnormalities and were eventually revealed to be primary lung and pleural malignancies. The literature on primary lung and pleural malignancies is also reviewed.

The Symptoms And Management Of Children With Attention-Deficit/Hyperactivity Disorder During Covid-19 Pandemic At The Child And Adolescent Psychiatry Clinic, King Chulalongkorn Memorial Hospital, Nuttorn Pityaratstian

Chulalongkorn Medical Journal

Background: The coronavirus disease 2019 (COVID-19) pandemic has caused abrupt changes in almost everybody’s life, particularly children. Children and adolescents with attention-deficit hyperactivity disorder (ADHD) have difficulties in many aspects in lives and may have worsening of the symptoms during the pandemic.

Objectives: This cross-sectional descriptive study aimed to investigate the changes of the ADHD symptoms and managements of children with ADHD during the first lockdown and after-lockdown period.

Methods: Parent-reported questionnaires i.e. the Swanson, Nolan, and Pelham Rating Scale-IV (SNAP-IV) and a demographic questionnaire, were applied to collect data from 109 children with ADHD aged between 4 -18 years …

Changes In Brain Structural Volume And White Matter Abnormalities In Young Perinatally-Acquired Hiv Infected Children Treated With Antiretroviral Therapy, Netsiri Dumrongpisutikul, Kultida Chaiyagool

Chulalongkorn Medical Journal

Background: Several studies have reported human immunodeficiency virus (HIV) effects on brain volume and found white matter signal abnormality (WMSA) on brain magnetic resonance imaging (MRI). Objective: To evaluate brain volume and WMSA of antiretroviral therapy (ART)-treated perinatally-acquired HIV infected (PHIV) young children. Methods: From November 2016 to March 2018, MRI of 19 ART-treated PHIV young children, aged 12 - 56 months, were analyzed for structural brain volume using FreeSurfer software with manual correction. WMSA were classified into 4 grades. Comparison between the brain volumes and WMSA between early and late ART-treated groups as well as changes of the brain …

Surgical Perspectives Of Primary Liver Tumors In Children: A Series Of 76 Consecutive Cases, Pailin Arunsopha, Kanokrat Thaiwatcharamas, Sinobol Chusilp, Patchareeporn Tanming, Pongserath Sirichindakul, Nimmita Srisan, Katawaetee Decharun, Soottiporn Chittmittrapap, Paisarn Vejchapipat

Chulalongkorn Medical Journal

Background: Primary liver tumors in children are rare. The objective of this study was to review cases of primary liver tumors in children who underwent tumor removal. Methods: Children (0 - 15 years old) who underwent surgery for primary liver tumors between 2006 and 2019 were studied. Their clinical data and pathological reports were reviewed. Demographic data, types of procedures, operative time, and post-operative complications were described. Data are expressed as mean  standard deviation. Results: There were 76 children (male/female = 39/37), who underwent resection for primary liver tumors. Their average age was 27.9  32.0 months. Asymptomatic abdominal …

Population Pharmacokinetics Of Phenytoin In Epileptic Children And Dosage Regimens Using Monte Carlo Simulation, Leena Mekloy, Wanchai Treyaprasert

The Thai Journal of Pharmaceutical Sciences

Objective: The study aimed at a population pharmacokinetic analysis of phenytoin in epileptic children so as to determine optimal dosage regimen for achieving the therapeutic range. Materials and Methods: A total of 370 blood level concentrations from 225 patients were collected retrospectively from clinical routine therapeutic drug monitoring data. The data were analyzed based on population pharmacokinetics using NONMEM software.A base model was developed to handle covariates, including age, gender, weight, liver function test results, and co-anticonvulsants. The final model was done until the precision of parameters with minimum objective function value achieved. Monte Carlo simulation was utilized to determine …

Surgical Aspects Of Adrenal Tumors In Children, Sirima Liukitithara, Paisarn Vejchapipat, Katawaetee Decharun, Apirak Santingamkun

Chulalongkorn Medical Journal

Background: Adrenal tumors are uncommon in children. They can be divided into 2 categories, namely: adrenomedullary tumor and adrenocortical tumor. Surgical aspects of these conditions receive little attention. Objective: The objective of this study was to describe clinical data, operative findings, and operative complications in children with adrenal tumors. Methods: Patients, aged 0 - 15 years, undergoing adrenalectomy between January 2007 and December 2016 were retrospectively reviewed. Results: Thirty-seven patients underwent adrenalectomies. Male to female ratio was 1.31 to 1. Median age of the patients was 44 months (range, 2 months-14 years). Pathological examination revealed 27 adrenomedullary tumors (19 neuroblastomas, …

Atypical Presentations Of Alimentary Tract Duplications In Children: Two Case Reports, Nimmita Srisan, Palittiya Sintusek, Teerasak Phewplung, Paisarn Vejchapipat

Chulalongkorn Medical Journal

Alimentary tract duplication is a rare congenital anomaly. We present herein, two cases of different types of alimentary tract duplications that have entirely different clinical presentations. The first case was a girl presented with chronic constipation was finally diagnosed with tubular duplications of the entire colon. The other was a toddler with acute intestinal obstruction diagnosed with cystic duplication at terminal ileum. These two cases remind us of the difficulty in preoperative diagnosis. High suspicion of the disease and multimodality approaches were beneficial for accurate preoperative diagnosis. Surgery was the mainstay of the treatment.

Clinical Features And Treatment Outcomes In Obese Children With Appendicitis, Kanokrat Thaiwatcharamas, Paisarn Vejchapipat, Prapapan Rajatapiti, Katawaetee Decharun

Chulalongkorn Medical Journal

Background: Even developing countries are facing problems of childhood obesity. Diagnosis and treatment of appendicitis in obese children can sometimes be challenging. This study compared clinical features and treatment outcomes between non-obese and obese children clinically diagnosed as appendicitis.Methods: Children (0 - 15 years) diagnosed as appendicitis between 2007 and 2013 were reviewed. Children were categorized into non-obese and obese groups using weight for height (> 140.0% of ideal body weight) based on the data of the Ministry of Public Health. Demographic data, clinical data, and treatment outcome were studied. Comparisons between non-obese and obese children were carried out. SPSS …

Fundoplication For Gastroesophageal Reflux In Neurologically Impaired Children: Surgical Perspectives, Furida Salam, Paisarn Vejchapipat, Katawaetee Decharun, Prapapan Rajatapiti, Somboon Roekwibunsi

Chulalongkorn Medical Journal

Background: Gastroesophageal reflux is common in neurologically impaired children due to foregut dysmotility. Most of the patients eventually underwent fundoplication.Objective: This study aimed to describe clinical data and outcome in children with neurological impairment who underwent fundoplication.Methods: Patients (0 - 15 years) with neurological impairment undergoing fundoplication between January 2007 and December 2016 were retrospectively reviewed. Demographic data, surgical complications and short-term outcomes were collected and analyzed.Results: Sixty-five patients (41 boys and 24 girls) underwent open fundoplication over the studied period. There were 21 infants (0 - 1 year, 32.0%), 41 children (1 - 10 years, 63.0%), and 3 adolescents …

Solid Pseudopapillary Neoplasms Of The Pancreas In Children, Sinobol Chusilp, Katawaetee Decharuna, Paisarn Vejchapipata

Chulalongkorn Medical Journal

Solid pseudopapillary neoplasms (SPNs) are very rare pancreatic tumors in children. We present clinical presentation, tumor characteristic, surgical management and outcome of SPNs at our institute. There were four patients (3 males, 1 female) undergoing pancreatectomy for SPNs with median age of 11.5 years (10 - 14 years). Presenting symptoms were abdominal pain (n = 4), palpable abdominal mass (n = 2) and vomiting (n = 2). All patients had tumor located in the pancreatic body, and in two of them, the tumor also involved the pancreatic tail. Three patients underwent distal pancreatectomy and one patient underwent central pancreatectomy. The …

Hypertension In The Young, A Chanakul, T. Deekajorndech

Chulalongkorn Medical Journal

Hypertension in childhood and adolescent is increasing and it is not a benign condition. Obesity and other lifestyle factors, such as physical inactivity, increased-intake of high calories and high salt food, are major determinants for this trend. Body mass index, hypertension, left ventricular hypertrophy and early coronary disease appear to be a correlation in adolescence. There are the evidences that high blood pressure can be tracked from childhood into adulthood, increasing the risks of coronary heart disease, stroke and end-stage renal disease. The early identification, proper evaluation and appropriate management of hypertension in children can reduce the associated long-term morbidity …

Pediatric Flexible Bronchoscopy, N. Prapphal

Chulalongkorn Medical Journal

No abstract provided.

Thai Medicla Service Under Imf Era., B. Uerpairojkit

Chulalongkorn Medical Journal

No abstract provided.

ความชุกของโรคฟันผุของเด็กอายุ 2-12 ปี ที่มารับการรักษาที่คณะทันตแพทยศาสตร์จุฬาลงกรณ์มหาวิทยาลัย ในปี พ.ศ. 2536 เปรียบเทียบกับปี 2513 - 2531, วัชราภรณ์ ทัศจันทร์, พรรณิภา ศรีวณิชย์, สุภัทรา ชมรูปสวย

Chulalongkorn University Dental Journal

วัตถุประสงค์ เพื่อศึกษาค่าเฉลี่ยฟันผุ ถอน อุด และความสัมพันธ์ระหว่างค่าเฉลี่ยฟันผุ ถอน อุด ของฟันน้ํานม และฟันถาวร กับอายุและเพศของเด็กที่มารับการรักษาที่ภาควิชาทันตกรรมสําหรับเด็ก คณะทันตแพทยศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ในปี พ.ศ. 2536 เปรียบเทียบกับการศึกษาใน ปี พ.ศ. 2513, 2518, 2523, 2528 และ 2531 วิธีการ บันทึกค่าเฉลี่ยฟันผุ ถอน อุด ของเด็กอายุ 2-6 ปี และอายุ 7-12 ปี จํานวน 274 คนที่เข้ามารับการตรวจ ทางคลินิก และได้รับการถ่ายภาพรังสีชนิดไบท์วิ่ง ที่ภาควิชาทันตกรรมสําหรับเด็ก คณะทันตแพทยศาสตร์ จุฬา ลงกรณ์มหาวิทยาลัย ในปี พ.ศ. 2536 เป็นการศึกษาต่อเนื่องทุก 5 ปี ผลการศึกษาและสรุปผล ค่าเฉลี่ยฟันผุ ถอน อุดในปี พ.ศ. 2536 ของฟันน้ํานมมีค่า 6.44 ซี่ คน และ 14.53 ด้าน/คน ฟันถาวรมีค่า 2.69 คน และ 4.09 ด้าน/คน ความแตกต่างระหว่างเพศกับค่าเฉลี่ยฟันผุ ถอน อุด ของ ฟันน้ํานมและฟันถาวร เมื่อทดสอบ ค่าสถิติด้วย t-test พบว่าไม่มีความแตกต่างอย่างมีนัยสําคัญทางสถิติ (p>0.05) ค่าเฉลี่ยฟันผุ ถอน อุด เป็นซี่/คน ด้าน/คน ของฟันน้ํานม เด็กอายุ 2-6 ปี และฟันถาวรเด็กอายุ 7-12 ปี จะมีค่า ลดลงจากการทําวิจัยผู้ป่วยเด็กที่มารับการรักษาในปีพ.ศ. 2513, 2518 และ 2523 แต่มีค่าสูงกว่าในปี พ.ศ. 2528 …

Suicidal Behavior In Children, Umaporn Trangkasombat

Chulalongkorn Medical Journal

No abstract provided.

Risk Factors Of Acute Respiratory Infectionin Thai Children, Nuanchan Prapphal, Supatra Limudomporn, Saowani Chumdermpadetsuk

Chulalongkorn Medical Journal

No abstract provided.

Family Therapy: Another Choice For Helping Children, U. Trangkasombat

Chulalongkorn Medical Journal

No abstract provided.