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Articles 31 - 60 of 72
Full-Text Articles in Medicine and Health Sciences
Attitude Of Medical Students For Graphical Recording Technique As A Critical Thinking And Creativity Expression Tool In Medical Teaching, T. Woratanarat
Attitude Of Medical Students For Graphical Recording Technique As A Critical Thinking And Creativity Expression Tool In Medical Teaching, T. Woratanarat
Chulalongkorn Medical Journal
Background : Faculty of Medicine, Chulalongkorn University, has been approached by WHO SEARO to lead a mission of health mind teaching in verifying an innovative ways to train people to be promptly responsive to a situation of rapid socio-cultural changes. "Graphical recording technique" is a tool used in brainstorming session in business sector that might be of value to new generations of students. Objective : To demonstrate the application of graphical recording technique in the curriculum of preventive medicine for 2nd year medical students. Study design : Action research. Setting Faculty of Medicine, Chulalongkorn University Materials and Methods : We …
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 …
Evaluation Of Dna Extraction By Boiling Method For Pcr-Based Detection Of Pneumocystis Jirovecii In Sputum Samples From Immunocompromised Patients, T Tia, U Pattanawong, N Kongpolprom, C. Putaporntip
Evaluation Of Dna Extraction By Boiling Method For Pcr-Based Detection Of Pneumocystis Jirovecii In Sputum Samples From Immunocompromised Patients, T Tia, U Pattanawong, N Kongpolprom, C. Putaporntip
Chulalongkorn Medical Journal
Problem/background : Pneumocystis jirovecii can be detected by staining methods but the sensitivity is low. Polymerase chain reaction (PCR) technique is more sensitive and accurate but it requires high quality of DNA template. Although DNA prepared by boiling method may not generate high quality of DNA, it has been used for extraction of DNA from several organisms such as malaria, several bacteria and fungi for PCR detection with favorable results. Because boiling method is not time-consuming and inexpensive, we evaluated whether or not DNA of P. jirovecii could be prepared from sputum samples and amplifiable by diagnostic PCR. Results were …
ย่อวารสาร, N/A
ห้องปฏิบัติการอัตโนมัติ (Total Laboratory Automation: Tla), พรรธนมณฑน์ อุชชิน
ห้องปฏิบัติการอัตโนมัติ (Total Laboratory Automation: Tla), พรรธนมณฑน์ อุชชิน
Chulalongkorn Medical Journal
No abstract provided.
Correlation Between Health-Related Quality Of Life Using St. George's Respiratory Questionnaire And Pulmonary Function Testing In Thai Patients With Chronic Obstructive Pulmonary Disease, K Kawkitinarong, T Yingchutrakul, C Sittipunt, S. Wongtim
Correlation Between Health-Related Quality Of Life Using St. George's Respiratory Questionnaire And Pulmonary Function Testing In Thai Patients With Chronic Obstructive Pulmonary Disease, K Kawkitinarong, T Yingchutrakul, C Sittipunt, S. Wongtim
Chulalongkorn Medical Journal
Background : Chronic obstructive pulmonary disease (COPD) is characterized by progressive worsening of airway obstruction. The patients usually present with cough, breathlessness on and limited activities, which adversely affects their quality of life. Severity of COPD is traditionally classified by using spirometry. However, the relationship between quality of life and lung function parameters is unclear. Objective : To study the effects of COPD on the health-related quality of life of patients in the Outpatient Clinic, King Chulalongkorn Memorial Hospital (KCMH) using Thai version of the St. George's Respiratory Questionnaire (SGRQ) and to evaluate correlation of FEV1% predicted value and the …
Working Condition And Stress Among Staff Members Of The Department Of Dietetics And Diet Therapy, King Chulalongkorn Memorial Hospital, P Muangcharoen, A. Sughondhabirom
Working Condition And Stress Among Staff Members Of The Department Of Dietetics And Diet Therapy, King Chulalongkorn Memorial Hospital, P Muangcharoen, A. Sughondhabirom
Chulalongkorn Medical Journal
Background : Occupational stress was unavoidable in work life. The staff members can work more effectively. In addition to development of knowledge and abilities, the staff should have good physical and mental health. If the staff members have stress, and yet they and cannot cope with the situation, this condition may affect them and the organization. Objective : To study the relationship between the working condition and stress among staffs members of the Department of Dietetics and Diet Therapy, King Chulalongkorn Memorial Hospital. Design : A cross – sectional descriptive study. Setting : The Department of Dietetics and Diet Therapy, …
Expression Of Matrix Metalloproteinase-1 In Knee Osteoarthritis: Association With Disease Severity, S Honsawek, J Poonphakdi, B Deepaisarnsakul, A Tanavalee, P Yuktanandana, S Ngarmukos, S. Tantavisut
Expression Of Matrix Metalloproteinase-1 In Knee Osteoarthritis: Association With Disease Severity, S Honsawek, J Poonphakdi, B Deepaisarnsakul, A Tanavalee, P Yuktanandana, S Ngarmukos, S. Tantavisut
Chulalongkorn Medical Journal
Background : Osteoarthritis (OA) is characterized by the progressive loss of articular cartilage and osteophyte formation resulting in pain, stiffness, reduced motion, swelling, crepitus, and disability. The aim of this study is to investigate plasma and synovial fluid matrix metalloproteinase-1 (MMP-1) levels of patients with primary knee OA and to examine their relationship with disease severity. Methods : Thirty-two patients aged 53 - 83 years old with knee OA and 10 healthy individuals were recruited into this study. Disease severity was determined using weight-bearing anteroposterior radiographs of the affected knee. The radiological grading of knee OA was performed according to …
Injury To The Epiphyseal Plate, N. Limpaphayom
Injury To The Epiphyseal Plate, N. Limpaphayom
Chulalongkorn Medical Journal
Epiphyseal plate or physis is a unique structure of the immature skeleton. It comprises chondrocytes in columnar formation. The chondrocyte maturation process in the physis is the responsible mechanism for longitudinal bone growth through endochondral ossification process. The blood supply to the physis can be divided to two major systems. Understanding of the injury to the physis and the blood supply is crucial for clinicians to effectively treat this particular injury in the childhood and adolescence. Injury classification scheme is based on radiographic appearances which lead to treatment planning and possible subsequent complications. Treatment of the physis injury requires the …
Impingement Syndrome Of The Shoulder, J Apinun, S. Kuptniratsaikul
Impingement Syndrome Of The Shoulder, J Apinun, S. Kuptniratsaikul
Chulalongkorn Medical Journal
Impingement syndrome of the shoulder is a common cause of shoulder pain. There are three types of shoulder impingement, namely, subacromial, subcoracoid, and internal impingement. They are described according to the location that impingement occurs. Each can present in isolation or combined with the others. Understanding in pathophysiology and pathomechanics of the impingement syndrome is essential in the treatment of the patient. Both static and dynamic factors play certain roles in the etiology of impingement. Clinical evaluation of the syndrome requires thorough physical examination and appropriate investigations. Goals of treatment include pain relief and restoration of the shoulder function. Any …
Acromioclavicular Joint Injury, T. Tanpowpong
Acromioclavicular Joint Injury, T. Tanpowpong
Chulalongkorn Medical Journal
Acromioclavicular joint injury is common among young active individuals. Stability of this complex structure composes of muscles (deltoid and trapezius), ligaments (acromioclavicular and coracoclavicular) and joint capsule. Clinical and radiographic examinations are crucial for the diagnosis of this injury. Non operative treatment is indicated for type I and II injury. Surgical treatment is, however, indicated for type IV, V and VI injury. Treatment for type III injury is still controversy. Methods of treatment fall into 3 categories, namely: fixation of the acromioclavicular joint, fixation of the coracoclavicular joint and ligament reconstruction. The trend of treatment goes to minimal invasive anatomic …
Economic Evaluation Of Nucleoplasty Compared With Conventional Opened Diskectomy In Treatment Of Contained Herniated Lumbar Disk, C Charoenlap, T Tejapongvorachai, S. Kuptniratsaikul
Economic Evaluation Of Nucleoplasty Compared With Conventional Opened Diskectomy In Treatment Of Contained Herniated Lumbar Disk, C Charoenlap, T Tejapongvorachai, S. Kuptniratsaikul
Chulalongkorn Medical Journal
Introduction : Nucleoplasty is a minimally invasive percutaneus lumbar intervertebral disk decompression using coblation energey. The technique is indicated for patients with contained herniated lumbar disk who are unresponsive to conservative management as an alternative treatment. Many recent literatures proved that nucleoplasty is an effective procedure comparable to the standard treatment, but its long-term result is still controversial. Objective : To compare effectiveness between nucleoplasty and conventional opened diskectomy and to evaluate the economical aspects of nucleoplasty Setting : Department of Orthopaedics, King Chulalongkorn Memorial Hospital. Research Design : A non-randomized prospective clinical trial with full economic evaluation Patients : …
Magnetic Resonance Imaging Based Lumbar Interspinous Distance Measurements In Thai Subjects, S Tantavisut, P Ittiravivong, P Tangpornprasert, C Virulsi, T. Tejapongvorachai
Magnetic Resonance Imaging Based Lumbar Interspinous Distance Measurements In Thai Subjects, S Tantavisut, P Ittiravivong, P Tangpornprasert, C Virulsi, T. Tejapongvorachai
Chulalongkorn Medical Journal
Background : There is no previous report regarding normal lumbar interspinous distance in Thai subjects. The measurement of the lumbar interspinous distance is made based on the magnetic resonance imaging images. Objective : To measure the distance of the lumbar interspinous process in Thai subjects and compare with the size of the currently available interspinous device in Thai market. Methods : Sixty healthy subjects (30 males and 30 females) age 20 - 55 years were enrolled into this study. All of the subjects were underwent the lumbar spine magnetic resonance imaging (MRI). The interspinous distance was measured at the most …
Hyperflexion Trauma In The Posttraumatic Nonunion Odontoid Process Fracture: A Case Study, C Chaichankul, W Limthongkul, W. Yingsakmongkol
Hyperflexion Trauma In The Posttraumatic Nonunion Odontoid Process Fracture: A Case Study, C Chaichankul, W Limthongkul, W. Yingsakmongkol
Chulalongkorn Medical Journal
Os odontoideum is a small round or oval corticated ossicle with a smooth cortical border and no body union to the body of the axis. Posttraumatic injury of the cervical spine is one of the etiologies. We reported a 28-year-old man patient with os odontoideum presented with a trivial hyperflexion cervical trauma. He developed neurogenic shock and central cord syndrome. This case supports the theory that previous trauma is the etiology of the abnormality. Surgical management alleviated his symptom. Occipitocervical fusion with C1 laminectomy was successfully achieved in this case. Odontoid nonunion is a potentially a serious situation. Patients can …
แนะนำหนังสือ, N/A
Efficacy And Safety Of Diacerein In The Treatment Of Patients With Painful Knee Osteoarthritis: A Modified Regimen, P Yuktanandana, W. Suravech
Efficacy And Safety Of Diacerein In The Treatment Of Patients With Painful Knee Osteoarthritis: A Modified Regimen, P Yuktanandana, W. Suravech
Chulalongkorn Medical Journal
Background : Recent systematic meta-analyses provide evidence for the efficacy of diacerein 100 mg/day in the treatment of knee and hip osteoarthritis (OA). However, as diacerein may cause acceleration in intestinal transit time during the first 2 weeks of treatment, it is recommended to start with 50 mg/day for 4 weeks then increase the dose to 100 mg/day. However, no study has been performed on the treatment regimen. This study was conducted in order to assess the efficacy of diacerein according to the recommended regimen. Objective : To assess the efficacy and safety of diacerein in reducing pain and functional …
Efficacy And Safety Of Prosulf-Forte In The Treatment Of Osteoarthritis Of The Knee At King Chulalongkorn Memorial Hospital, P Kitidumrongsook, P Luengjamikorn, Y Wangroongsub, P. Tienboon
Efficacy And Safety Of Prosulf-Forte In The Treatment Of Osteoarthritis Of The Knee At King Chulalongkorn Memorial Hospital, P Kitidumrongsook, P Luengjamikorn, Y Wangroongsub, P. Tienboon
Chulalongkorn Medical Journal
Background : Glucosamine has long been used for the treatment of osteoarthritis because of its safety. Efficacy of each product may vary from their crystallinity and salt composition. Increase of blood glucose may occurred from high dose preparation. Objective : To test the efficacy and safety of glucosamine sulfate 500 mg capsule (Prosulf-Forte, Aerocare) in mild to moderate degree of knee osteoarthritis. Design : Double-blind cross- over design study. Setting : Department of Orthopaedic Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital Material and Methods : The trial recruited two groups of patients with knee osteoarthritis of …
ย่อวารสาร, N/A
Improving Behaviors Of Autistic Children By Social Stories, P Suphakwattana, N Pityaratstian, P. Suphamahitorn
Improving Behaviors Of Autistic Children By Social Stories, P Suphakwattana, N Pityaratstian, P. Suphamahitorn
Chulalongkorn Medical Journal
Background : Telling social stories is a new intervention for autistic children drawing them from the world of themselves to improve their social skills and to promote their appropriate behaviors so that they can live in the society and have the interaction with friends and others. The researcher was interested to study this new intervention to improve behaviors of autistic children. The data obtained could pave the way to arrange suitable activities for the improvement of autistic children. Objectives : The purposes of these study were to explore and to compare behaviors of autistic children before and after receiving social …
Histaminergic Neurotransmission And Tourette’S Syndrome, K. Krusong
Histaminergic Neurotransmission And Tourette’S Syndrome, K. Krusong
Chulalongkorn Medical Journal
Tourette’s Syndrome (TS) is a neuropsychiatric disorder, with onset in children. It is characterized by multiple motor and phonic tics. The pathophysiology of TS is not well understood. Previous studies suggested the etiology involving the abnormal dopaminergic neurotransmission, abnormalities in basal ganglia-related circuits and genetics in TS. In 2010, Ercan-Sencicek G, et al has identified a rare functional mutation in the Histidine Decarboxylase (HDC) gene in the family with high density of TS. HDC gene encodes L-Histidine decarboxylase, which is a rate-limiting step enzyme in histamine biosynthesis. HDC was found at high levels in mouse’s hypothalamus and striatum. Histamine receptors …
Stress And Associated Factors Among Teachers Who Teach Learning Disabled Kindergartners And Elementary Students In Schools Under Supervision Of The Office Of Private Education Commission, C Benyasri, C. Roomruangwong
Stress And Associated Factors Among Teachers Who Teach Learning Disabled Kindergartners And Elementary Students In Schools Under Supervision Of The Office Of Private Education Commission, C Benyasri, C. Roomruangwong
Chulalongkorn Medical Journal
Background : Rules prescribed in the National Education Act of 2542 BE specify that every school must provide inclusive education for learning disabled students. Practices in order to comply with the Act and related rules without sufficient readiness may have stress effects on the workplace especially teachers who lack knowledge and skills to provide such education for this special group of students. Objective : To study the levels of stress and associated factors among Teachers who teach learning disabled kindergartners and elementary students in schools under the supervision of the Office of Private Education Commission in Bangkok Metropolitan. Design : …
Factors Related To Stress And Stress Management Behaviors Of Border Patrol Police Company 446 In Narathiwat Province, M Preecha, N. Thavichachart
Factors Related To Stress And Stress Management Behaviors Of Border Patrol Police Company 446 In Narathiwat Province, M Preecha, N. Thavichachart
Chulalongkorn Medical Journal
Background : Stress and stress management behavior are important mental health problems and were mostly caused by work or professional problems. It was found that the complicated and too wide framed character of work and responsibility caused the man power shortage problem in the border patrol police company which further led to their stress and stress management behavior. However, there was no data about stress, stress management behavior and the related factors in border patrol police company, so the researcher was interested in studying them. Objective : To study stress, stress management behavior and related factors of stress and stress …
แนะนำหนังสือ, ภุชงค์ เหล่ารุจิสวัสดิ์
แนะนำหนังสือ, ภุชงค์ เหล่ารุจิสวัสดิ์
Chulalongkorn Medical Journal
No abstract provided.
Effects Of Video Cues On Inhalants Craving In Individuals Receiving Inhalants Substance-Dependency Treatment, W Maneesang, V Verachai, R. Kalayasiri
Effects Of Video Cues On Inhalants Craving In Individuals Receiving Inhalants Substance-Dependency Treatment, W Maneesang, V Verachai, R. Kalayasiri
Chulalongkorn Medical Journal
Background : Subjective craving, a desire to take a substance, occurs when individuals with substance dependence are exposed to specific cues. However, effects of cue exposure on inhalant craving have not been studied. Objective : The objective of this study is to study craving responses when individuals who are receiving inhalant dependency treatment at Thanyarak Institute are watching inhalant video cues. Method : Subjective inhalant craving responses of the thirty-four male inhalant dependent patients were measured by the modified version of Penn Alcohol Craving Scale for Inhalants (PACS-inhalants) and the Visual Analog Scale (VAS). The instruments were shown every five …
Effects Of Comprehensive Cardiac Nursing Program On Health-Related Quality Of Life In Patients With Coronary Heart Disease, P Pragodpol, Y Aungsuroch, S. Thanasilp
Effects Of Comprehensive Cardiac Nursing Program On Health-Related Quality Of Life In Patients With Coronary Heart Disease, P Pragodpol, Y Aungsuroch, S. Thanasilp
Chulalongkorn Medical Journal
Introductions : Initially diagnosed coronary heart disease (CHD) patients experience new form of life-threatening illness which includes various health problems that significantly contribute to low health-related quality of life (HRQOL). Low HRQOL impacts the recovery process, decrease compliance with treatments, and causes a higher rate of hospital readmission for numerous complications and/or death. Selfmanagement intervention is most successful in promoting outcome of health including HRQOL. Comprehensive cardiac nursing program (CCNP) has been developed with its emphasis on patient's management of risky health behavior, in order to improve their HRQOL. Objectives : To evaluate the effectiveness of CCNP on HRQOL in …
ย่อวารสาร, ไพโรจน์ เสรีเด่นชัย
การทำงานกับสุขภาพจิต (Working And Mental Health), รัศมน กัลยาศิริ
การทำงานกับสุขภาพจิต (Working And Mental Health), รัศมน กัลยาศิริ
Chulalongkorn Medical Journal
No abstract provided.
Psychotropic Medications And Psychotherapies In Current Clinical Psychiatric Practice, S. Suppapitiporn
Psychotropic Medications And Psychotherapies In Current Clinical Psychiatric Practice, S. Suppapitiporn
Chulalongkorn Medical Journal
According to the development of treatment and prevention of mental disorders in the past 10 - 20 years, several new psychotropic drugs in four categories of antipsychotics, antidepressants, mood stabilizers and anxiolytics have been introduced for the treatment and found to improve efficacy and response to treatment. Regarding psychotherapies, there are many forms and techniques that have been developed and successfully applied to treatment such as psychodynamic psychotherapy, interpersonal psychotherapy, interpersonal and social rhythm therapy, satir model and cognitive-behavioral therapy. For some mental disorders, dual treatment combines the unique advantages of each therapeutic modality. Clinicians should consider treatment decision in …
Does Quality Of Life Of Schizophrenia Different From Other Mental Disorder? Quality Of Life : A Study In Outpatient Psychiatric Disorders At King Chulalongkorn Memorial Hospital, Thai Red Cross Society, D. Lalitanantpong
Chulalongkorn Medical Journal
Background : Quality of life (QOL) can be used to assess the treatment outcomes. No ranking of quality of life of Thai outpatients based on psychiatric diagnosis was studied before. Objective : To study the quality of life of psychiatric outpatients of King Chulalongkorn Memorial Hospital and ranking of quality of life by diagnosis. Setting : Psychiatric Outpatient Clinic at King Chulalongkorn Memorial Hospital, Thai Red Cross Society of Thailand Research design : Descriptive study. Material and Method : In this research, the quality of life of 113 psychiatric outpatient of King Chulalongkorn Memorial Hospital, the Red Cross Society of …
A Female Teenager With Methamphetamine Dependence And Antisocial Behaviors Following Childhood Major Depressive Disorder: A Case Report, R Kalayasiri, W Hasook, J. Pruttipurk
A Female Teenager With Methamphetamine Dependence And Antisocial Behaviors Following Childhood Major Depressive Disorder: A Case Report, R Kalayasiri, W Hasook, J. Pruttipurk
Chulalongkorn Medical Journal
A Thai law for drug addict rehabilitation has been in force for almost 10 years. In 2000, Thailand and China accounted for over 70% of global MA seizures and over 100,000 individuals received treatment for MA dependency treatment each year in Thailand. Reported here is a case of female teenager who had a history of major depressive disorder and, according to the law, was hospitalized for methamphetamine dependency treatment. The patient was engaged in a number of antisocial behaviors before admission, including running away from home, starting fights with friends, lying, and using illegal substance. A physical and mental status …