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Game Addiction And Severity Of Adhd Symptoms Among Adolescent Adhd Patients, Nuttawut Suksamai, Napakkawat Buathong, Sasithorn Preechawuttidach

Chulalongkorn Medical Journal

Background: Children and adolescents who use the Internet and play games are at risk for the Internet and game addiction because they are still developing and learning new things. Problematic game players are more likely to have attention-deficit hyper activity disorder (ADHD) compared with the general population. The data about game addiction in Adolescents with ADHD in Thailand are still limited. Objectives: To examine the prevalence of game addiction and its association with the severity of ADHD symptoms and other factors in adolescent ADHD patients attending the Child and Adolescents Outpatient Psychiatric Clinic, King Chulalongkorn Memorial Hospital. Methods: This cross-sectional …

Spiritual Perspectives Of Thai Psychiatrists On Mental Health, Vasin Kosolsak, Buranee Kanchanatawan

Chulalongkorn Medical Journal

Background: Although the positive impact of spirituality on mental health has become more widely accepted in the past decade, it is a challenging subject due to its distinctive nature between beliefs and cultures. Objectives: This study aimed to define the term spirituality and its influence on mental health based on the viewpoint of Thai psychiatrists. Methods: This qualitative research was conducted in 20 Thai psychiatrists recruited from all regions across Thailand using a semi-structured in-depth interview, based on literature reviews. The collected data were analyzed via content analysis. Results: We found that Thai psychiatrists define spirituality as a belief, reliance, …

Diagnostic Accuracy Of Dual-Energy Ct To Determine Urinary Tract Stone Composition: Differentiating Between Uric Acid And Non-Uric Acid Urinary Tract Stone, Pawanaporn Rojanavijitkul, Pattama Tantigate, Supoj Ratchanon, Manint Usawachintachit, Krit Pongpirul, Bundit Chaopathomkul

Chulalongkorn Medical Journal

Background: The urinary tract stone is a worldwide condition with various clinical significances. Optimal treatment requires multiple considerations including stone composition. Dual-energy computed tomography (DECT) has been used to determine uric acid and non-uric acid urinary tract stones. Objective: To evaluate the diagnostic accuracy of rapid-kilovoltage (kV) switching DECT in differentiating between uric acid and non-uric acid stones compared with reference standard infrared spectroscopy (IRS). Methods: A prospective study enrolled patients from February 2018 to March 2020 who underwent a DECT scan for urinary tract stone with 3-mm stone (s). Post-processed material-density (MD) images were used to differentiate between uric …

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, …

Quality Of Sleep In Stroke Patients At Phramongkutklao Hospital, Jirat Lothaka, Chavit Tunvirachaisakul, Naratorn Soponprapakorn

Chulalongkorn Medical Journal

Background: Stroke is one of the leading causes of death and serious long-term disability worldwide. A common consequence of stroke is reduced quality of sleep. Objective: To study the quality of sleep in patients with stroke, related factors and the compatibility of wearable tracker device for collecting sleep data. Methods: This cross-sectional study included 66 subjects with stroke at Phramongkutklao Hospital using questionnaires including demographic questions, sleep quality assessment (PSQI), and the satisfaction of Wearable tracker tool assessments. Each subject received a wearable tracker to examine the sleep quality. Results: According to the PSQI assessment, the majority of subjects had …

Validity And Reliability Of The Thai-Version Of Post Stroke Depression Scale (Psds-T), Kuankidnuttha Arunsri, Aurauma Chutinet, Sookjareon Tangwongchai

Chulalongkorn Medical Journal

Background: Currently, there has been limited effective and practical instruments for screening post-stroke depression (PSD) in Thailand. In 2014, Post-Stroke Depression Scale (PSDS) has been testified to be a valid and reliable self-rated questionnaire for evaluating Chinese patients with PSD. Objective: This study proposed to validate the Thai version of PSDS (PSDS-T) in Thai patients with acute ischemic stroke. Methods: The PSDS was translated into Thai language (PSDS-T). The validity and reliability were tested in 145 acute ischemic stroke patients. Subjects were consecutively recruited to complete PSDS-T; they were clinically evaluated for PSD using DSM-5 diagnosis of adjustment disorder with …

Comparative Accuracy Of Unenhanced And Iv-Contrast Enhanced Mdct In Detection Of Acute Appendicitis In Adult Patients, Sirivipa Charuswattanakul, Thitinan Chulroek

Chulalongkorn Medical Journal

Background: Computed tomography (CT) is the preferred imaging modality for suspected acute appendicitis. However, optimal CT technique remains controversial. Objectives: To compare the diagnostic accuracy of unenhanced CT with standard IV-contrast enhanced CT in the diagnosis of acute appendicitis in adult patients and whether body mass index (BMI) affects the diagnosis. Methods: A total of 209 patients (70 males and 139 females) with clinically suspected acute appendicitis underwent both unenhanced and IV-contrast enhanced CT with rectal contrast administration. We retrospectively reviewed radiographic findings of appendicitis, appendiceal visualization, likelihood of appendicitis and alternative diagnoses. Receiver operating characteristic (ROC) analysis, unpaired t …

Correlation Between Leg Length Discrepancy And Asymptomatic Sacroiliac Joint Dysfunction In Young Males, Taweewat Wiangkham, Pattamaporn Rinrit, Mananya Choprateep, Ralita Thamrongthanakul, Weerapong Chidnok

Chulalongkorn Medical Journal

Background: Sacroiliac joint dysfunction (SJD) is an important cause of low back pain (LBP), commonly overlooked. Although the association of leg length discrepancy (LLD) and LBP was established, no study has examined the association between LLD and asymptomatic SJD (ASJD). Objective: To examine the correlation between LLD and ASJD in young males. Methods: One hundred subjects wearing a comfortable and thin uniform were randomized into three rooms (consisting of leg length measurement, palpation and special test rooms). One high valid and reliable assessor was allocated in each room. All subjects were assessed three times (one time a room and then …

Relationships Between Activities Of Daily Living Capabilities, Family Support, And Quality Of Life And Mental Health In The Elderly In Laplae District, Uttaradit Province, Tanyarat Jeenheng, Siriluck Suppapitiporn

Chulalongkorn Medical Journal

Background: Due to the sociocultural context of Laplae District, Uttaradit Province as the example district of long-term care services for dependent elderly project. To improve public health, quality of life and mental health of elderly in this district would be interesting and useful. Objective: To explore the abilities of activities of daily living (ADL), the family support, the quality of life, and the mental health of the elderly and relationships among them. Methods: This cross-sectional study with participation of 381 elderly used structured questionnaires included demographic questions, ADL assessment (Barthel of Activities of Daily Living: ADL), family support and quality …

Stress And Associated Factors Of Caregivers Of Elderly Medical Inpatients At King Chulalongkorn Memorial Hospital, Rattanaporn Chumnisart, Chavit Tunvirachaisakul

Chulalongkorn Medical Journal

Background: Parallel with the increasing number for elderlies, the need of care when they were acutely ill has multiplied, with caregivers being tasked from the beginning to the end of the illness. A family member was often a primary person to take care of the elderly. This role might affect their mental health and quality of life. Objective: To explore the progression of stress and the associated factors among caregivers of the elderlies admitted with acute illness. Methods: This longitudinal descriptive study examined various factors associated with caregivers of the elderlies who were admitted to the medical wards of King …

Cpap Acceptance And Adherence In Osa Patients In Lower Northern Region Part Of Thailand, Mantana Prakassajjatham

Chulalongkorn Medical Journal

Background: Continuous positive airway pressure (CPAP) is the mainstay in obstructive sleep apnea (OSA) treatment. Good CPAP adherence reduces many risks of diseases and improves the overall quality of life.

Objective: The purpose of this study was to determine the acceptance and adherence to CPAP therapy among Thai patients with OSA who attend an otorhinolaryngology sleep clinic.

Methods: This retrospective study was conducted at the otorhinolaryngology sleep clinic, Naresuan University Hospital, Thailand between January 2015 and October 2021. The study enrolled all patients over 18 years old with OSA diagnosis. The patients were scheduled for follow-up appointments at least two …

Treatment Of Eyelid Divided Nevus Using Shave And Graft: An Alternative Technique, Suppapong Tirakunwichcha

Chulalongkorn Medical Journal

Divided nevus of the eyelid is an uncommon feature among congenital melanocytic nevi. To report the outcome after treatment of eyelid divided nevus using shave and graft technique. Two cases of small to moderate size divided nevus at the eyelids were demonstrated, one on medial part including upper and lower punctal area and the other on lateral part. Shave and graft were done to alleviate the nevus in one or two-staged of operation. Patients underwent the uneventful operation. Pathologic results found nevus, free surgical margin without malignant transformation. Cosmetic result was satisfactory. In patient with medial divided nevus, no epiphora …

Analysis Of Breast Mri Performed On Patients With Axillary Nodal Metastasis And Negative Mammogram And Ultrasound, Palita Hansakul

Chulalongkorn Medical Journal

Background: Occult breast cancer is a rare type of breast cancer which magnetic resonance imaging (MRI) has an immense role to confirm diagnosis and disclose non-demonstrable finding on initial modality. Objectives: To analyge breast MRI findings in patients with axillary nodal metastasis and negative mammo gram and ultrasound and retrospectively review the initial mammography and second-look ultrasound. Methods: From January 2010 to January 2023, women who diagnosed occult breast cancer by presenting metastatic axillary lymph node on pathological report with negative mammography and ultrasonography, underwent breast MRI to identify occult breast carcinoma. Their breast MRI were retrospectively reviewed. The imaging …

The Arts In Times Of Crisis, Bussakorn Binson

Journal of Urban Culture Research

No abstract provided.

Living With Inundation And Dehydration : Comparison Of The Adaptive Landscape In The Chao Phraya And The Bangpakong River Deltas, Ariya Aruninta, Hajime Matsushima

Journal of Urban Culture Research

This paper compares the research outcomes regarding the two river deltas in the central part of Thailand: the Chao Phraya River – CPR and the Bangpakong River – BPR. The most common feature of the river deltas in this region is an ecosystem landscape that fluxuates throughout the year. These river dynamics are known as the pulse flow, which influences the way of life of riverfront communities and agriculture. The pulse differences are high and low in magnitude on the scale of a day, a lunar calendar month, annual seasons, a century, or even a longer period. The objectives of …

Surviving Festival Disruptions : The Transformation Of The New Life | Performance Cultural Ecosystem In Contemporary Bangkok Due To The 2020 Covid-19 Pandemic, Pornrat Damrhung

Journal of Urban Culture Research

This article examines how COVID-19 disrupted the Life | Performance festival in Bangkok in 2020; focusing on changes in three festival components. Viewing the festival as a cultural ecosystem interrupted by the 2020 novel coronavirus, the article will focus on the disruptions forced on three pieces: Eko Supriyanto’s Urban Movement Laboratory, Gecko Parade’s Lindbergh’s Flight and Pichet Klunchun’s No. 60: Exhibition, Lecture | Demonstration. The pandemic-induced disruptions in these performances highlight several important ways that the COVID-19 pandemic transformed the Life | Performance urban festival. Changes occurred in the timing/scheduling, spacing/location, relationship with audiences/viewers and their mode of performance for …

Mobility Revisited : The Illusion In Bangkok & Tokyo Transportation – A Comparative Analysis, Chai Skulchokchai

Journal of Urban Culture Research

This paper argues against the traditional notion of mobility by reinterpreting it through three concepts: Margin of Indeterminacy, Governmobility and Lefebvre’s Production of Space. The author chooses to compare the transportation of Bangkok and Tokyo based on direct experience and the city transportation’s respective notability. The paratransportation and decentralized transportation in Bangkok allows the city to have a wider margin of indeterminacy than Tokyo. By that, people in Bangkok has other alternatives when a major transportation has an issue. Tokyo depends primary on its railway. Foucauldian governmentality argued that mobility is another way where the government governs over the people. …

Chiang Mai’S Intangible Cultural Heritage : Urban Revitalization And Cultural Identity In A Northern Thai City, Alexandra Denes, Ajirapa Pradit

Journal of Urban Culture Research

Founded in 1296 CE, the walled city of Chiang Mai, Thailand was once the capital of the Lanna kingdom. In the sixteenth century, Chiang Mai’s fortunes waned, and it became a tributary state under the Burmese. This was followed by its incorporation into the Thai nation-state in the twentieth century. One outcome of Chiang Mai’s administrative integration into the Thai nation was the erosion of its distinctive cultural identity. Beginning in the 1980s, key local figures began to collaborate with communities and academic institutions to revitalize Chiang Mai’s intangible cultural heritage, including its craft traditions, rituals, textiles, and dance performances. …

Exploring Sound Emission In Shanghai Zoo As A Public Space, Gisa Jähnichen, Paula Stefanini

Journal of Urban Culture Research

The existence of zoos in cities provokes different reactions in people. Some view it to be an entertaining place to visit on an off day. Now, more often that people are not in favor of zoos anymore, for even though the idea of seeing wildlife in person is attractive, it is also sad to see these animals encaged and even more so under less optimal conditions. The purpose with this article is to investigate the impact of music and other human sounds in animals subject to captivity in the zoo, and if and how it creates changes in their behavior. …

Composition Plus : A Process-Compositional Approach In Music Therapy To Empower Creative Potential, Jos De Backer, Birgit Sebreghts, Katrien Foubert

Journal of Urban Culture Research

This paper presents a music therapy method Composition Plus, a process-compositional approach that is rooted in the music therapeutic improvisational practice. Composition Plus arose from an increasing need in today’s field of music therapy for short-term treatment models that are approachable and accessible, to guide and empower individuals in their creative capacities. The purpose of this paper is to present the therapeutic and theoretical framework and to illustrate this with (musical) impressions from two cases. Composition Plus exists of a predetermined number of sessions with clearly predefined objectives, split in three subsequent phases. Three core features are underpinning these sessions: …

City Of The Future Theories : A Diachronic Comparative Study, Gildis Tachir, Ayşe Nilay Evcil

Journal of Urban Culture Research

This paper strives to interpret the future city or the future of the city by searching published articles. To do this, a review of literature had been made and articles from urban planning and architecture perspectives were studied. We collected information on the time-varying indicators that make up the cities of the future. In this study, it is investigated how the problems arise periodically and the indicators in the formation of the city plans of the future. It concludes with some foresights about next fifty years’ city futures of the millennium.

Comparison Of International Classification Of Orofacial Pain (Icop) And Diagnostic Criteria For Temporomandibular Disorders (Dc/Tmd) Algorithms For Diagnosing Myofascial Orofacial Pain, Thi Thu Hang Phung

Chulalongkorn University Theses and Dissertations (Chula ETD)

The International Classification of Orofacial Pain (ICOP) is a new classification system for orofacial pains, which was published in February 2020. However, this clinical diagnostic criteria has not been validated or tested to be reliable for diagnosing myofascial orofacial pain (MOP). This study aimed to determine whether the ICOP diagnostic algorithm can effectively identify MOP when compared with the gold standard, Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) algorithm. This retrospective cross-sectional study constructed the diagnostic algorithm from the ICOP and the DC/TMD criteria. The clinical data of MOP patients was extracted from clinical charts in the Occlusion and Orofacial Pain …

Comparative Effectiveness Of Tongue Exercises On Tongue Strength, Endurance, And Movement In Healthy Young Adults : A Randomized Controlled Trial Study, Janistar Lekvichittada

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background and rationale: Tongue strengthening exercise (TSE) is a program to re-educate the neuromuscular pattern of the tongue muscle to improve tongue posture and swallowing function. Various TSEs have been introduced. However, most studies have been conducted on TSEs focusing on instruments such as tongue blade, Iowa oral performance instrument (IOPI) and JMS tongue pressure measuring device. Only a few have focused on self-tongue strengthening exercises, which has yet to show which method is the best for improving tongue strength, endurance, and movement. Objective: This study aimed to investigate tongue-strengthening exercise methods that had the most significant impact on increasing …

Identification Of Chemical Components Of Fuel Derived From Two-Phase Electrolysis, Nafisat Lawal

Chulalongkorn University Theses and Dissertations (Chula ETD)

In this research, two-phase electrocoagulation approach was developed and used to investigate blend of bio-diesel and petro-diesel (B10) stability under the electrochemical treatment. Gas chromatography-mass spectrometry (GC-MS) was used to analyze the aliquots before and after the reaction. It was observed that major compounds were alkanes and aromatic compounds with the minor contents of aldehydes, ketones, esters, alkenes, alkynes, halogens, oxygenated compounds, and heterocyclic compounds. Compounds with both smaller and larger carbon numbers were identified after the treatment. The optimum condition for the reaction was 10 V and 60 min which resulted in about 9.8x109 (counts s) total peak area …

ตัวกรองชีวภาพจุลสาหร่าย-แบคทีเรียที่มีชีวิตสําหรับการนํากลับสารอาหารทางการเกษตรจากน้ำเสียสังเคราะห์, ชลัมพล จันทร์พุ่ม

Chulalongkorn University Theses and Dissertations (Chula ETD)

ปัจจุบันน้ำเสียกลายเป็นปัญหาใหญ่ที่ผู้คนต้องเผชิญในชีวิตประจำวัน แหล่งน้ำเสียประมาณ 70% มาจากน้ำเสียครัวเรือน ซึ่งมีสารประกอบไนโตรเจน (N) และฟอสฟอรัส (P) ที่มีความเข้มข้นสูง แต่กลับไม่ได้นำมาใช้ให้เกิดประโยชน์ งานวิจัยนี้จึงขอเสนอการพัฒนาตัวกรองชีวภาพที่มีชีวิตแบบจุลินทรีย์ผสมระหว่างจุลสาหร่ายและแบคทีเรียที่ส่งเสริมการเจริญเติบโตของพืชในการบำบัดน้ำเสียสังเคราะห์เพื่อศึกษาประสิทธิภาพในการกำจัดสารประกอบ N P และค่าความต้องการออกซิเจนทางเคมี (COD) จากน้ำเสียสังเคราะห์ระหว่างระบบแขวนลอยและตัวกรองชีวภาพที่มีชีวิต ตัวกรองชีวภาพที่มีชีวิตได้รับการพัฒนาโดยใช้เทคนิคการตรึงเซลล์ด้วยสารยึดเกาะบนพื้นผิวของผ้าฝ้ายที่ใช้เป็นวัสดุรองรับ จากการทดลองพบว่าสารยึดเกาะกัวร์กัม/คาราจีแนน (GG/CG) แสดงเปอร์เซ็นต์ความเสื่อมสภาพน้อยกว่า 5 % ซึ่งต่ำกว่าสารยึดเกาะอื่น ๆ และไม่เป็นพิษต่อเซลล์ หลังจากการบำบัดน้ำเสียสังเคราะห์เป็นเวลา 7 วัน พบว่าระบบตัวกรองชีวภาพที่มีชีวิตมีประสิทธิภาพการกำจัดสารอาหารและ COD สูงกว่าระบบแขวนลอย โดยเฉพาะอย่างยิ่งตัวกรองชีวภาพที่มีชีวิตในอัตราส่วนการผสม 3:1 ของจุลสาหร่าย Chlorella sp. และแบคทีเรีย Bacillus subtilis TISTR1415 ที่ตรึงด้วยสารยึดเกาะ GG/CG มีประสิทธิภาพในการกำจัด NH4+ PO43- และ COD สูงสุดมากถึง 91.81 % 99.44 % และ 83.15 % ในขณะที่ระบบแขวนลอยแสดงประสิทธิภาพในการกำจัดเพียงแค่ 56.75 % 58.71 % และ 69.57 % ตามลำดับ นอกจากนี้ ค่า pH ในระบบตัวกรองชีวภาพที่มีชีวิต (จาก 8.81 เหลือ 7.26) ลดลงมากกว่าระบบแขวนลอย (จาก 8.81 เหลือ 8.13)

Factors Associated With Unsafe Children's Stool Disposal: An Analysis From 2015-2016 Myanmar Demographic And Health Survey, Naw Lah Say Wah

Chulalongkorn University Theses and Dissertations (Chula ETD)

Introduction: Safe sanitation is essential for preventing the transmission of diarrhoeal diseases and other infections. Sanitation projects and programs targeted at household sanitation have paid little focus to the disposal of children's stools. Due to the common misconception of children’s stool as less infectious, parents improperly manage children's stools for disposal. Unsafe disposal of children's stools has become an unhindered part of public health problems primarily in low and middle-income countries. Objective: To identify the association between children's stool disposal methods and factors associated with unsafe children’s stool disposal methods in Myanmar Method: This study is the cross-sectional secondary data …

Device Ownership, Accessibility, And University Students’ Perceptions Of An Online Foundation English Course In Thailand, Kriengkrai Sakulprasertsri

PASAA

This study explored device ownership and accessibility, and perceptions of Thai university students toward online teaching and learning of a foundation English course during the COVID-19 pandemic. Five hundred and fifty-two university students were randomly selected to complete an online questionnaire, and 20 were randomly selected to participate in semi-structured interviews. The findings of both quantitative and qualitative data analysis are that most university students in the study own a smartphone and iPad with Internet access that enabled them to study the online foundation English course. Students’ perceptions towards online classroom engagement and interaction, online lesson tasks and activities, online …

The Effects Of Multimedia-Enhanced Instruction On Knowledge Gain And Retention Of Esl Learners: An Assessment Of Mayer’S Redundancy Principle, Araya Ramsin

PASAA

This quasi-experimental quantitative study investigated the effects of different formats of multimediaenhanced instruction on knowledge gain and retention of second language learners. The study focused specifically on assessing Mayer’s redundancy principle. Second language learners were randomly assigned into two groups and were presented with two formats of a multimedia-enhanced lesson: (1) images with audio and (2) images with audio and on-screen text. A repeatedmeasures analysis of covariance (ANCOVA) was carried out to evaluate change between pretest and immediate posttest, mean differences in knowledge gain between the two groups, group differences in growth from pretest to immediate posttest, change between immediate …

Exploring And Analysis Of Student Engagement In English Writing Grammar Accuracy Based On Teacher Written Corrective Feedback, Thanakorn Santanatanon, Sumalee Chinoku

PASAA

Whether students benefit from written corrective feedback (WCF) may depend on their level of engagement with the feedback. To date, student engagement with written corrective feedback has been investigated qualitatively. However, the association between student engagement with feedback and learning outcomes that result from that engagement has not been thoroughly examined. Moreover, little attention has been paid to secondary students’ engagement with written corrective feedback because most studies have focused on university students. Therefore, this mixed-method experimental study was conducted to discern if there was an association between student engagement with feedback and English writing grammar accuracy and to explore …

Intercultural Pragmatic Analysis Of “Sorry” In In-Flight Service Refusals By Flight Attendants: A Case Study Of A Thai Airline, Sompong Khanapornvorakarn, Savitri Gadavanij

PASAA

In seeking to investigate the use of “sorry” in interlanguage refusal by Thai EFL users in an intercultural communication context, the present study collected data from Thai flight attendants who served passengers on international flights for a Thai airline, so as to examine how “sorry” is adopted in refusals in the context of in-flight services. A discourse completion task (DCT) questionnaire was employed to solicit responses from ten male and ten female participants. Through Weerachairattana and Wannaruk’s (2016) classification of refusals and the syntactical construction of “sorry” by Arizavi and Choubsaz (2018), the data gathered were coded and analyzed in …