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Articles 1 - 30 of 72
Full-Text Articles in Medicine and Health Sciences
ดรรชนีผู้แต่งจุฬาลงกรณ์เวชสาร 2012, N/A
ดรรชนีผู้แต่งจุฬาลงกรณ์เวชสาร 2012, N/A
Chulalongkorn Medical Journal
No abstract provided.
ดรรชนีบทความจุฬาลงกรณ์เวชสาร 2012, N/A
ดรรชนีบทความจุฬาลงกรณ์เวชสาร 2012, N/A
Chulalongkorn Medical Journal
No abstract provided.
Development Of Disease-Specific Health-Related Quality Of Life Questionnaire For Thai Adolescents With Systemic Lupus Erythematosus (Sle), A Pattaragarn, S. Eiam-Ong
Development Of Disease-Specific Health-Related Quality Of Life Questionnaire For Thai Adolescents With Systemic Lupus Erythematosus (Sle), A Pattaragarn, S. Eiam-Ong
Chulalongkorn Medical Journal
Introduction : Most instruments used for QOL evaluation are not developed specifically for SLE; hence, they present limited features when overall aspects of pediatric SLE and the responses to clinical changes are considered. Objective : To develop a quality of life questionnaire for adolescent with lupus (QoLMEAL). A disease-specific QOL questionnaire appropriate for evaluation of Thai adolescents diagnosed with SLE. Settings : University Hospitals in Bangkok. Research design : Multi-center descriptive study. Patients Thai adolescents aged 10 - 18 years old with SLE. Methods : The items were generated after an extensive review of the existing childhood and adolescent SLE, …
The Thai Violence Risk Scale (Tvrs) Persons With Schizophrenia: Development And Initial Validation, U Nakcharoen, J Yunibhand, W. Chaiyawat
The Thai Violence Risk Scale (Tvrs) Persons With Schizophrenia: Development And Initial Validation, U Nakcharoen, J Yunibhand, W. Chaiyawat
Chulalongkorn Medical Journal
Introductions : Persons with schizophrenia have a clear association with increased violence in community than the general population. At present, there has not been any scale developed to estimate risk of violence, particularly in persons with schizophrenia. Objectives : To develop a clinically useful for evaluation violence risk among persons with schizophrenia, and to carry out an initial validation of the scale. Setting : Out patient department of a psychiatric hospital Research design : Instrument development Sample : Persons with schizophrenia who had committed violence (n = 300) Methods : A 29-item Thai Violence Risk Scale (TVRS) was constructed on …
Expectant Management Of Superimposed Preeclampsia On Chronic Hypertension At The Onset Of 22 Weeks' Gestation: A Case Report, W Yamasmit, S. Chaithongwongwatthana
Expectant Management Of Superimposed Preeclampsia On Chronic Hypertension At The Onset Of 22 Weeks' Gestation: A Case Report, W Yamasmit, S. Chaithongwongwatthana
Chulalongkorn Medical Journal
Conservative management in chronic hypertensive women superimposed with preeclampsia poses a threat of grave maternal complications, but may not improve perinatal survivals particularly in cases with preeclampsia in early gestations. This report presents a case of surviving baby after expectant management although the pregnancy complicated with superimposed preeclampsia at the onset of pre-viable gestational age. A 35-year-old Thai pregnant woman, underlying with pregestational diabetes mellitus class F and chronic hypertension, was diagnosed as superimposed preeclampsia at 22 weeks of gestation. She refused elective termination and continued her pregnancy until 32 weeks of gestation. Cesarean section was performed and delivered a …
Preventive One Million Steps : Walk For Health, S Urith, W Jiamjarasrangsi, V. Lohsoonthorn
Preventive One Million Steps : Walk For Health, S Urith, W Jiamjarasrangsi, V. Lohsoonthorn
Chulalongkorn Medical Journal
Background : Employees are important forces in driving the organization. Their proper physical and mental health is thus imperative for effectively pushing the organization toward success. Objective : To enhance health promoting behavior by using easily accommodated activity into individuals’ daily and working life. Setting : Department of Preventive and Social Medicine, Faculty of Medicine Chulalongkorn University Research Design : A single group with pre- and post-test design pilot study. Material and Methods : Participants are employees of the Department. The intervention was an activity to promote individual’s walks of one-million steps within one hundred days (or ten thousand steps …
Correlation Between Activities Of Daily Living, Social Supports For Stress Of Hypertensive Patients At Lomsak Hospital, Petchabun Province, B Jankham, D. Lalitanantpong
Correlation Between Activities Of Daily Living, Social Supports For Stress Of Hypertensive Patients At Lomsak Hospital, Petchabun Province, B Jankham, D. Lalitanantpong
Chulalongkorn Medical Journal
Background : The study of stress and related factors may help decrease stress and support treatments in hypertensive patients. Objective : To study stress level, levels of social supports and daily activities and to study the correlation between activities of daily living and social supports for stress management of hypertensive patients at Outpatient Unit Care of Lomsak Hospital, Petchabun Province and its related factors. Design : A cross – sectional descriptive study. Setting : Lomsak Hospital, Petchabun Province. Materials and Methods : 380 hypertensive patients were requested to answer four questionnaires: 1) Demographic data form; 2) Suanprung Stress Test; 3) …
การเปลี่ยนผ่านทางระบาดวิทยา(Epidemiologic Transition), วิฑูรย์ โล่ห์สุนทร
การเปลี่ยนผ่านทางระบาดวิทยา(Epidemiologic Transition), วิฑูรย์ โล่ห์สุนทร
Chulalongkorn Medical Journal
No abstract provided.
Psychological Rehabilitation Of Cognitive Function In Stroke Patients, S. Taveemanoon
Psychological Rehabilitation Of Cognitive Function In Stroke Patients, S. Taveemanoon
Chulalongkorn Medical Journal
Cognitive rehabilitation is a treatment to assist patients who have sustained cognitive, emotional and behavioral impairment. The process is aimed to help the cognitive impaired individuals to progress to the most possible independent level of function. Regardless of specific treatment used, the patients are likely need to have comprehensive neuropsychological assessment performed. This will help them to understand the strengths and weakness of the patient and this becomes the starting point for designing a program to fit in for the patients. The treatment typically involves four therapeutic modalities, namely; reality orientation therapy, cognitive stimulus therapy, compensation methods and psychotherapy.
คำขอบคุณ, N/A
Endovascular Treatment In Hemodialysis-Related Central Venous Obstruction: Angiographic Findings, Both Before And After Treatment, Outcome And Complications, M Jongjaroonrangsun, P. Kranokpiraksa, J. Tantivatana
Endovascular Treatment In Hemodialysis-Related Central Venous Obstruction: Angiographic Findings, Both Before And After Treatment, Outcome And Complications, M Jongjaroonrangsun, P. Kranokpiraksa, J. Tantivatana
Chulalongkorn Medical Journal
Problem/background : The incidence of patients with end-stage renal disease (ESRD) has been increasing and the complications related to hemodialysis vascular access is the cause of prolonged hospitalization. The most common complication after vascular access is venous thrombosis. There are two effectively interventional treatment procedures of central venous obstruction; (1) Percutaneous transluminal angioplasty (PTA) and (2) endovascular stent placement. Objective : This research was performed to describe angiographic imaging of hemodialysis-related central venous obstruction, both before and after endovascular treatment and the outcomes and complications of endovascular treatment in patients with hemodialysis-related central venous obstruction. Design : Descriptive study. Setting …
แนะนำหนังสือ, N/A
ย่อวารสาร, N/A
Peer Support For Type 2 Diabetes Self-Management, W. Jiamjarasrangsi
Peer Support For Type 2 Diabetes Self-Management, W. Jiamjarasrangsi
Chulalongkorn Medical Journal
Self-management support is considered to be the main-stay of chronic disease management, particularly type 2 diabetes. However, as the disease prevalence is rapidly increase, existing healthcare systems are not able to adequately provide self-management support for all patients. Utilizing peer support system in diabetes self-management support has high potential to fill this gap. Furthermore, peer support also has some advantages over professional-led self management support. This report describes topic relating to utilization of peer for self-management support including (a) background, (b) evidence about self management support and peer support, (c) role of peer in self management support, (d) models of …
Colorectal Cancer Tumoral And Nodal Staging : Comparison Between Ct Findings And Pathological Findings, J Busaman, B Chaopathomkul, N Wisedopas, L. Vajragupta
Colorectal Cancer Tumoral And Nodal Staging : Comparison Between Ct Findings And Pathological Findings, J Busaman, B Chaopathomkul, N Wisedopas, L. Vajragupta
Chulalongkorn Medical Journal
Background and Rationale : Colorectal cancer is a common malignancy of the gastrointestinal tract. In Thailand, colorectal cancer is the third most common cancer in males and fifth most common in females. Incidence rate of colorectal cancer has been rising in Thailand. Pathologic staging is the gold standard for colorectal cancer. However, it is followed by post-operative procedure. Computed tomography (CT) is noninvasive and preoperative assessment. Preoperative CT is useful for planning therapy by which local extension of the tumor into the adjacent organs or distant metastases are demonstrated. Differentiation between T2 and T3 colon cancer is important for consideration …
Factors Associated With Quality Of Life Of Breast Cancer Patients, S Thanasilp, M. Wongpromchai
Factors Associated With Quality Of Life Of Breast Cancer Patients, S Thanasilp, M. Wongpromchai
Chulalongkorn Medical Journal
Background : To improve the quality of life (QOL) of breast cancer patients is an important issue for nursing staff. Therefore, understanding the associated factors with QOL is a crucial knowledge for developing nursing intervention. Objective : To examine the associated factors with QOL and the effected factors on the QOL of breast cancer patients. Design : A cross-sectional descriptive design. Patients : One hundred and fifty female patients with breast cancer receiving chemotherapy. Material and Method : The participants were asked to respond to a set of seven questionnaires: The Personal Data Form, Piper Fatigue Scale, Pain Scale, Depression …
Peak Flow Meter กับผู้ป่วยเด็กโรคหืด (Peak Flow Meter And Childhood Asthma), นวลจันทร์ ปราบพาล
Peak Flow Meter กับผู้ป่วยเด็กโรคหืด (Peak Flow Meter And Childhood Asthma), นวลจันทร์ ปราบพาล
Chulalongkorn Medical Journal
No abstract provided.
Pneumonia Due To 2009 Influenza A (H1n1) Infection In Thai Children: Chulalongkorn Experience, R Uppala, N Prapphal, J Deerojanawong, S Sritippayawan, R Samransamruajkit, K. Pongsanon
Pneumonia Due To 2009 Influenza A (H1n1) Infection In Thai Children: Chulalongkorn Experience, R Uppala, N Prapphal, J Deerojanawong, S Sritippayawan, R Samransamruajkit, K. Pongsanon
Chulalongkorn Medical Journal
Objective : To study the clinical presentations and outcomes of 2009 influenza A (H1N1) pneumonia children at King Chulalongkorn Memorial Hospital. Setting : Department of Pediatrics, King Chulalongkorn Memorial Hospital. Research design : Descriptive study. Patients Pediatric patients aged 1 month - 18 years who were admitted due to H1N1 influenza pneumonia between June 2009 - March 2010. Methods : All the pediatric patients with pneumonia who had laboratory confirmation of 2009 influenza A (H1N1) infection by positive real-time reverse-transcriptase polymerase chain reaction (RT-PCR) assay for H1N1 influenza A virus in their nasopharyngeal aspirates or combined nasal and throat swabs …
Effectiveness Of Peak Flow Meter In Management Of Childhood Asthma, T Tunnitisupawong, N Prapphal, J Deerojanawong, S Sritippayawan, R. Samransamraujkit
Effectiveness Of Peak Flow Meter In Management Of Childhood Asthma, T Tunnitisupawong, N Prapphal, J Deerojanawong, S Sritippayawan, R. Samransamraujkit
Chulalongkorn Medical Journal
Objective : To assess the effectiveness of routine use of peak flow meter (PFM) in addition to symptom-based guided self-management of children with asthma. Materials and Method : A prospective randomized controlled trial was performed in patients aged 6 - 15 years with persistent asthma who had been treated with inhaled corticosteroid (ICS) for at least 1 month. The recruited patients were randomized into 2 groups. The first group used PFM in addition to the symptoms assessment in self-management plan (PFM group) while the other group used only symptoms-based management plan (non-PFM group). All patients were evaluated in terms of …
Serum Levels Of Estradiol And Follicle Stimulating Hormone, And Vasomotor Symptoms In Thai Women Receiving Gnrh Analogue Before Laparoscopic Enucleation Of Endometriotic Cysts, S Bunyavejchevin, W. Wisawasukmongchol
Serum Levels Of Estradiol And Follicle Stimulating Hormone, And Vasomotor Symptoms In Thai Women Receiving Gnrh Analogue Before Laparoscopic Enucleation Of Endometriotic Cysts, S Bunyavejchevin, W. Wisawasukmongchol
Chulalongkorn Medical Journal
Background : GnRH analogue can suppress serum estradiol (E2) and follicle stimulating hormone (FSH) to menopause level before laparoscopic enucleation of endometriotic cysts. Objective : To study the levels of E2 and FSH, and vasomotor symptoms after GnRH analogue treatment in Thai women with endometriotic cysts. Materials and Methods : During January, 2006 - December, 2007. Sixty women diagnosed as having endometriotic cysts, aged 15 - 44 years, were recruited into the study. Leuprolide acetate 3.75 mg was given intramuscularly at one month interval for 3 months. Serum levels of E2 and FSH were tested at 0, 1, 2 and …
Anxiety And Depression In Stroke Patients At The Thai Red Cross Rehabilitation Center, S Taveemanoon, K. Sukonthamarn
Anxiety And Depression In Stroke Patients At The Thai Red Cross Rehabilitation Center, S Taveemanoon, K. Sukonthamarn
Chulalongkorn Medical Journal
Background : Post - stroke depression is a common complication and it impedes the recovery and interrupts rehabilitation programs. The study of emotional symptoms in stroke patients on the rehabilitation phase in the rehabilitation center should be evaluated. Objectives : 1. To determine the anxiety and depression symptoms in stroke patients before and after rehabilitation program 2. To identify the associating factors that influence emotional symptoms. Design : Retrospective analytical study Setting : The Thai Red Cross Rehabilitation Center, Samutprakarn Province. Patients : All stroke patients who were admitted to the Thai Red Cross Rehabilitation Center between June 2008 – …
Attitudes And Childcare Functions Of Caregivers In Private Childcare Centers In Lamphun Province, P Sombatmai, P. Chandarasiri
Attitudes And Childcare Functions Of Caregivers In Private Childcare Centers In Lamphun Province, P Sombatmai, P. Chandarasiri
Chulalongkorn Medical Journal
Background : In modern society, a child caregiver has become the main person for giving care to children that performs childcare function like family function. It must be realized in the characteristics of caregivers, especially, the attitudes and childcare functions, which can be influential to the child. So there has been limited that researchers are interested to study on attitude and childcare functions. Objective : To examine the attitude, childcare functions and associated factors among attitudes and performance in the care of children who work in childcare centers of Lamphun Province. Design : A cross – sectional descriptive study. Setting …
Frequency And Following Study Of Uterine Leiomyoma Variants In Patients Having Surgery At Charoenkrung-Pracharak Hospital, W Anansakunwat, S Yodavudh, Tangjitgamol S, S. Jesadapatarakul
Frequency And Following Study Of Uterine Leiomyoma Variants In Patients Having Surgery At Charoenkrung-Pracharak Hospital, W Anansakunwat, S Yodavudh, Tangjitgamol S, S. Jesadapatarakul
Chulalongkorn Medical Journal
Background : The frequency of uterine leiomyoma variants and smooth muscle tumor of uncertain malignant potential (STUMP) are low. No previously study about them has been done at Charoenkrungpracharak Hospital and in Thailand. Their clinical behaviors are uncertain with some controversies regarding the prognosis including the risk of recurrence. Objective : To investigate the frequency of uterine leiomyoma variants and STUMP and to compare the clinicopathological features and recurrence rate of these variants to typical leiomyoma (LM). Design : A retrospective study. Setting : Charoenkrung-pracharak Hospital, Bangkok Metropolitan Administration. Subjects : One thousand and fifty-two patients with smooth muscle tumor …
Concepts Of Communication Concerning Medical Services, C. Pancharoen
Concepts Of Communication Concerning Medical Services, C. Pancharoen
Chulalongkorn Medical Journal
Communication is an important tool in solving problems concerning medical services. Concepts include patient-centered approach, appropriate use of communication skills, using open questions, avoid bias and routine practice, and caring patients with holistic and humanized concepts.
The Effective Dose And Image Noise In Pediatric Ct Brain At King Chulalongkorn Memorial Hospital, B. Navanopparatskul, P. Trinavarat, A. Krisanachinda
The Effective Dose And Image Noise In Pediatric Ct Brain At King Chulalongkorn Memorial Hospital, B. Navanopparatskul, P. Trinavarat, A. Krisanachinda
Chulalongkorn Medical Journal
Background : CT is the standard equipment for assessing a variety of disorder in children. More than half of pediatric CT examinations at King Chulalongkorn Memorial Hospital (KCMH) are related to the brain. Nevertheless, there is no available data of pediatric radiation dose from CT brain at KCMH. Objective : To investigate the radiation dose when CT brain is performed and compare with the previously published dose reference levels (DRLs) in order to minimize or eliminate the amount of unnecessary radiation exposure. Design : Retrospective descriptive data. Setting : Department of Radiology, Faculty of Medicine, Chulalongkorn University Materials and Methods …
Nephrotic Syndrome Associated With Plasmodium Malariae In Infancy : A Case Report, T Deekajorndech, S Boonyasuwat, A Chanakul, P Rianthavorn, P Kingwattanakul, W. Kittikowit
Nephrotic Syndrome Associated With Plasmodium Malariae In Infancy : A Case Report, T Deekajorndech, S Boonyasuwat, A Chanakul, P Rianthavorn, P Kingwattanakul, W. Kittikowit
Chulalongkorn Medical Journal
A progressive glomerulonephritis associated with Plasmodium malariae infection is known as quartan malarial nephropathy. This condition occurs only in a small number of patients. We report an 11-month-old infant presenting with generalized edema and proteinuria after having Plasmodium malariae infection.
Correlation Of Analytical Performance Of Automated Chemistry Analyzer Between Abbott Architect C8000 And Roche Cobas C501, S Suwannaboot, C Ketloy, P Ganokroj, P. Ujjin
Correlation Of Analytical Performance Of Automated Chemistry Analyzer Between Abbott Architect C8000 And Roche Cobas C501, S Suwannaboot, C Ketloy, P Ganokroj, P. Ujjin
Chulalongkorn Medical Journal
Background : Since clinical chemistry testing has been taken as crucial in healthcare management, a good laboratory quality assurance system with the fastest turnaround time is therefore highly valued for physicians to assess patient's conditions and treatment options. Although, several high throughput automated chemistry analyzers are available, the analytical performance of these analyzers should be considered for selecting in routine laboratory services. Objective : To compare the analytical performances of the high automated chemistry analyzers between Abbott Architect c8000 and Roche Cobas c501 (Cobas 6000 series). Method : Twenty-five chemistry laboratory parameters were evaluated in both analyzers. Imprecision studies were …
Quality Of Life Among Ruamkatanyu Rescue Workers In Bangkok Metropolis, P Worakul, C. Roomruangwong
Quality Of Life Among Ruamkatanyu Rescue Workers In Bangkok Metropolis, P Worakul, C. Roomruangwong
Chulalongkorn Medical Journal
Background : Ruamkatanyu rescue workers are working in pressure of emergency situation with severely injured patients or corpses. The quality of life in this group of subject has not been studied. Objective : To study quality of life and associated factors among Ruamkatanyu rescue workers. Design : A cross – sectional descriptive study. Setting : Ruamkatanyu rescue foundation in Bangkok Metropolis. Materials and Methods : All of current Ruamkatanyu rescue workers (during September- December 2009, without sampling) in Bangkok Metropolis (N = 236) were approached for informed consent. The questionnaire assessed for demographic data, quality of life questionnaire (WHOQOL-BREF-THAI), stress …
Effects Of Aquatic Exercise On Trunk Flexibility, Back Muscle Strength, And Pain Scale In Chronic Nonspecific Low Back Pain Patients, T Janyacharoen, J Chaichanawongsa, S Namsiri, Y Thongduang, P Arayawichanond, J. Kanpittaya
Effects Of Aquatic Exercise On Trunk Flexibility, Back Muscle Strength, And Pain Scale In Chronic Nonspecific Low Back Pain Patients, T Janyacharoen, J Chaichanawongsa, S Namsiri, Y Thongduang, P Arayawichanond, J. Kanpittaya
Chulalongkorn Medical Journal
Background : Aquatic exercise is an important exercise for people who want to be strong. The warmth and pressure of the water may further assist pain relief and ease the physical movement of chronic low back pain patients. Objective : This study is aimed to compare the change of trunk flexibility, back muscle strength and pain scale before (week 0) and immediately after aquatic exercise (week 6) in patients with chronic low back pain. Setting : Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand. Design : Experimental research. Methodology : The study was done on 48 subjects …
Asian's Conservative Attitudes Toward Sex And Its Impacts On Women's Sexual Practices And Reproductive Health, C Roomruangwong, Cn. Epperson
Asian's Conservative Attitudes Toward Sex And Its Impacts On Women's Sexual Practices And Reproductive Health, C Roomruangwong, Cn. Epperson
Chulalongkorn Medical Journal
Asians, in general, are more conservative about sexual and reproduction-related issues than individuals from Western countries. These conservative attitudes often lead to reticence to communicate about sexual and reproductive issues, hindering attempts to promote sex education or contraceptive knowledge, which can heighten the risk for sexually transmitted disease, unintended pregnancy, induced abortion, and emotional problems. It is critical for health care providers working with Asian women to understand them within this cultural context in order to provide gynecologic and reproductive care with sensitivity and compassion. Although this issue has been mentioned in some studies conducted in Asia or with Asian …