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Full-Text Articles in Medicine and Health Sciences

Role Commitment And Coping Strategies In Female Patients With Depressive Disorders At King Chulalongkorn Memorial Hospital, Peeraphon Lueboonthavatchai Mar 2024

Role Commitment And Coping Strategies In Female Patients With Depressive Disorders At King Chulalongkorn Memorial Hospital, Peeraphon Lueboonthavatchai

Chulalongkorn Medical Journal

Background: Role commitment, coping strategies, and social support were factors associated with depression in female depressed patients. However, studies concerning these factors in Thai female depressed patients were still limited.

Objective: To determine the severity and associated factors of depression in female patients with depressive disorders. The associated factors included role commitment, coping strategies, and social support.

Methods: One hundred and fifty two patients aged 18 years and above diagnosed as major depressive disorder or persistent depressive disorder or double depression using DSM-5 criteria were recruited. All subjects completed five questionnaires, namely: 1) Demographic Questionnaire; 2) Beck Depression Inventory-II (BDIII) …


Clinical Outcomes Of Spinal Schwannoma Microsurgery, Nattawut Niljianskul Mar 2024

Clinical Outcomes Of Spinal Schwannoma Microsurgery, Nattawut Niljianskul

Chulalongkorn Medical Journal

Background: Gross total resection of solitary spinal schwannomas (SS) and preservation of neurological functions are the gold standard of treatment for symptomatic patients; however, some patients present with postoperative neurological deficit.

Objective: This study is aimed to evaluate the neurological outcomes of SS microsurgery and identify the risk factors of postoperative neurological deficit among patients at the Vajira Hospital.

Methods: The following preoperative and postoperative neurological outcome measurements were reviewed at 1, 6, and 12 months according to the following procedure: Frankel Grading, McCormick Score, American Spinal Injury Association Grading, Karnofsky Performance Status Scale, and Japanese Orthopedic Association Score. The …


Accuracy Of Ultrasonography In Diagnosis Of Acute Appendicitis At King Chulalongkorn Memorial Hospital, Thitinan Chulroek Mar 2024

Accuracy Of Ultrasonography In Diagnosis Of Acute Appendicitis At King Chulalongkorn Memorial Hospital, Thitinan Chulroek

Chulalongkorn Medical Journal

Background: Acute appendicitis is one of the most common emergency abdominal surgical condition with a yearly incidence rate of approximately 140 per 100,000 persons in Thailand between 2014 to 2017. The diagnosis of appendicitis is mainly relied on clinical manifestations, but these diagnostic approaches are not always accurate. Imaging tests such as graded compression ultrasonography (US) and computed tomography (CT) have become more commonly used to improve the diagnostic performance.

Objective: To evaluate the sensitivity, specificity and predictive values of US in the diagnosis of acute appendicitis at King Chulalongkorn Memorial Hospital (KCMH).

Methods: We retrospectively gathered data from the …


Prevalence Of Preoperative Delirium And Associated Factors In Elderly Hip Fracture Patients At King Chulalongkorn Memorial Hospital, Paul Thisayakorn Mar 2024

Prevalence Of Preoperative Delirium And Associated Factors In Elderly Hip Fracture Patients At King Chulalongkorn Memorial Hospital, Paul Thisayakorn

Chulalongkorn Medical Journal

Background: Preoperative delirium in hip fracture is under-studied. Effective diagnosis, prevention, and management of preoperative delirium may be able to reduce the incidence of the postoperative complications.

Objective: To study the prevalence of preoperative delirium and its associated factors in elderly patients who underwent hip fracture surgery.

Methods: This is a cross-sectional study which collected the data from patients aged more than 65 years who underwent hip surgery at King Chulalongkorn Memorial Hospital. Preoperative cognitive status assessment was done by using the Thai Mental State Examination (TMSE) and The Confusion Assessment Method-Thai (CAM-T) on the day before surgery. The DSM-V …