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Articles 61 - 72 of 72
Full-Text Articles in Medicine and Health Sciences
Characterization Of Human Dermal Solutions: New Raw Material For Tissue Engineering, K Theerakittayakorn, U Bunworasate, T. Bunprasert
Characterization Of Human Dermal Solutions: New Raw Material For Tissue Engineering, K Theerakittayakorn, U Bunworasate, T. Bunprasert
Chulalongkorn Medical Journal
Background : Tissue engineering requires scaffold for supporting tissue construction. The scaffold materials affect the scaffold properties and the achievement of tissue construction. Human skin, which is abundant of extracellular matrix, is a promising source for fabricating tissue engineering scaffolds. Objective : To determine extracellular matrix components in human dermal solutions, and characterize fundamental physical and biological properties of the scaffolds made from the human dermal solutions. Methods : Cadaveric human skin was prepared to be 3 fractions of dermal solutions, denoted as DS-1, DS-2 and DS-3. These dermal solutions were determined for the content of collagen and sulfated glycosaminoglycans …
Preliminary Study Of Factors That Influence The Length Of Stays In Intensive Care Unit And Hospital After Open Heart Surgery With Cardiopulmonary Bypass At King Chulalongkorn Memorial Hospital, P Thaweechaiyapak, P Pulsawat, W. Sindhvananda
Preliminary Study Of Factors That Influence The Length Of Stays In Intensive Care Unit And Hospital After Open Heart Surgery With Cardiopulmonary Bypass At King Chulalongkorn Memorial Hospital, P Thaweechaiyapak, P Pulsawat, W. Sindhvananda
Chulalongkorn Medical Journal
Background : Factors indicated length of intensive care unit and hospital might be useful for improving ICU management. Objective : To identify factors that influence ICU and hospital stays after open heart surgery with cardiopulmonary bypass at King Chulalongkorn Memorial Hospital. Design : Retrospective descriptive study. Methods : Adult patients who underwent elective open heart surgery with cardiopulmonary bypass in 2009 were recruited population. Medical records were reviewed in terms of pre-operative conditions (patient characteristics, underlying diseases and laboratory data) and intraoperative events (type of operation, anesthetic technique, cardiopulmonary bypass time and aortic cross-clamp time). Multiple regressions were analyzed for …
Validation Of Thai Version Of The Urogenital Distress Inventory And Incontinence Impact Questionnaires, T Manchana, S. Bunyavejchevin
Validation Of Thai Version Of The Urogenital Distress Inventory And Incontinence Impact Questionnaires, T Manchana, S. Bunyavejchevin
Chulalongkorn Medical Journal
Objective : To validate the Thai version of the Urogenital Distress Inventory (UDI) and Incontinence Impact Questionnaire (IIQ) for Thai women. Materials and Methods : The UDI and IIQ have been translated into Thai. Test - retest reliability and internal consistency were tested. Two hundred and eighteen patients who visited the urogynecologic clinic at King Chulalongkorn Memorial Hospital between March 2008 and April 2010 completed the Thai version of UDI and IIQ. A higher score indicates a greater impairment on the quality of life (QOL) but a lower score indicates a better QOL. Results : There were 86 asymptomatic and …
The Efficacy Of Dermal Extracted - Bone Powder Scaffold On The Healing Of Rat 'S Calvarial Bone Defects, A Hanworawong, T. Bunaprasert
The Efficacy Of Dermal Extracted - Bone Powder Scaffold On The Healing Of Rat 'S Calvarial Bone Defects, A Hanworawong, T. Bunaprasert
Chulalongkorn Medical Journal
Background : The bone substitute materials are expensive and imported. Objective : This study aimed to study the properties of the human dermalextracted solution mixed with bone powder shaped into scaffold on the healing of rat’s calvarial bone defects which are determined by radiopaque area in computed tomography (CT scan) and new bone formation in histological study. Design : Experimental study. Materials and Methods : Dermal-extracted solution, dermal-extracted solution mixed with bone powder, bovine collagen type I, and bovine collagen type I mixed with bone powder were structured into scaffolds and embedded into 24 female rats, aged between 12 - …
Effects Of Mental Health Promotion Program On Mathayom 5 Students Of Triam Udom Suksa School, S Petkum, N. Pityarstian
Effects Of Mental Health Promotion Program On Mathayom 5 Students Of Triam Udom Suksa School, S Petkum, N. Pityarstian
Chulalongkorn Medical Journal
Objective : To study the effect of mental health promotion program on Mathayom 5 students of Triam Udom Suksa School. Design : This is an experimental research: before-after-experimental with one control group that will also receive mental health promotion programs after the completion of the trial. Setting : Mathayom 5 (Grade5) students of Triam Udom Suksa School, Phaya Thai, Bangkok, academic year 2552 (AD 2009). Materials and Methods : This research is aimed to study the effect of mental health promotion program on Mathayom 5 (Grade5) students. Tools used in this study were divided into 3 parts: 1) Questionnaire of …
Surgical And Anesthetic Managements Of An Adult Patient With A Giant Mediastinal Mass, W Sindhvananda, K. Luengtaviboon
Surgical And Anesthetic Managements Of An Adult Patient With A Giant Mediastinal Mass, W Sindhvananda, K. Luengtaviboon
Chulalongkorn Medical Journal
A 22-year-old male with a giant anterior mediastinal mass underwent general anesthesia and tumor removal through Clamshell incision. The mass (approximately 4 kg) that occupied the plural cavity with retarded venous drainage of the chest caused the symptoms and signs of SVC obstruction. Due to no sign of upper thoracic airway obstruction, the operation plan was not included CPB standby. Anesthesia in this case was difficult from the beginning. However, it was smoothed out with subsequent intravenous thiopental induction, followed by atracurium and sevoflurane in maintenance of the anesthesia. During the operation, accidental tear of the right atrium occurred; controls …
ภาวะอักเสบกับผู้ป่วยที่เข้ารับการผ่าตัด, วัชริน สินธวานนท์
ภาวะอักเสบกับผู้ป่วยที่เข้ารับการผ่าตัด, วัชริน สินธวานนท์
Chulalongkorn Medical Journal
No abstract provided.
Factors Associated With 1-Year Mortality Of Patients Undergoing Coronary Artery Bypass Grafting At King Chulalongkorn Memorial Hospital, K Phisaiphun, O. Kyokong
Factors Associated With 1-Year Mortality Of Patients Undergoing Coronary Artery Bypass Grafting At King Chulalongkorn Memorial Hospital, K Phisaiphun, O. Kyokong
Chulalongkorn Medical Journal
Objective : This study was conducted to investigate predictors of mortality after isolated coronary artery bypass grafting (CABG). Design : Retrospective study Setting : King Chulalongkorn Memorial Hospital. Methods : Retrospective single-institutional data on risk factors and mortality were collected from 196 patients who underwent isolated CABG by the same group of surgeons from November 2007-October 2008. The relationship between risk factors and outcome was assessed using univariate and multivariate analyses. Results : The mean age of the patients (30.1% women and 69.9% men) was 61.1 +/- 9 years. Hypertension was the most common comorbidity factor (82.7%), followed by diabetes …
Acute Effects Of Aquatic Exercise On Trunk Flexibility And Low Back Muscle Strength In Healthy Thai Subjects, T Janyacharoen, S Sa-Nguanram, P Sarasuk, P Kaewlamul, L. Mato
Acute Effects Of Aquatic Exercise On Trunk Flexibility And Low Back Muscle Strength In Healthy Thai Subjects, T Janyacharoen, S Sa-Nguanram, P Sarasuk, P Kaewlamul, L. Mato
Chulalongkorn Medical Journal
Background : Aquatic exercise can increase the degree of movements of various joints, resulting in nimbleness and flexibility. Previous studies were carried out on long-term programs of aquatic exercise. There has not been any research work on acute effects of aquatic exercise. Objectives : To study the acute effects of aquatic exercise on the change of the trunk flexibility and strength of the lower back muscles of healthy subjects. Setting : Faculty of Associate Medical Sciences, Khon Kaen University. Design : Experimental research. Methodology : Ninety-eight healthy Thai persons who were divided into two groups: control and experimental. The control …
Esophageal Necrosis After Resection Of Descending Thoracic Aorta Aneurysm: A Case Of Successful Treatment, K Luengtaviboon, W. Sindhvananda
Esophageal Necrosis After Resection Of Descending Thoracic Aorta Aneurysm: A Case Of Successful Treatment, K Luengtaviboon, W. Sindhvananda
Chulalongkorn Medical Journal
Esophageal necrosis is a rare complication of treatment of the descending thoracic or thoraco-abdominal aortic aneurysm. It is almost always fatal. Sepsis and bleeding secondary to dehiscence of the aortic- graft suture line are main mechanisms of death. However, these patients can be saved by aggressive medical and surgical treatment. A 40-year-old male was transferred to this hospital because of severe epigastric pain secondary to concealed rupture of a descending aortic aneurysm. Urgent aneurysmectomy and bypass graft was done using "clamp-and-go technique". He was in septic conditions approximately a week later. An abscess around the graft was confirmed by CT …
Forensic Aspects Of Injuries Resulting From Cardiopulmonary Resuscitation, W. Charaschaisri
Forensic Aspects Of Injuries Resulting From Cardiopulmonary Resuscitation, W. Charaschaisri
Chulalongkorn Medical Journal
In 1960, Kouwenhoven observed that forceful compressions on the chest could produce an arterial pulse. Over the following years, cardiopulmonary resuscitation (CPR) became continuously advanced. Currently, experts at the conference on International Guidelines 2010 strongly recommend development of in-school CPR programs as a primary educational strategy to ensure wide-spread learning of CPR. During CPR the physician always gives priority to dealing with the life-threatening condition first. While CPR can save lives, it may also expose a high risk of injury to the patient. As a result, forensic pathologists often find CPR-related injuries during autopsies that are unrelated to the patients' …
Identification Of Forensically Important Blowflies In Thailand Based On The Second Internal Transcribed Spacer Region Of Ribosomal Dna And The Nadh Dehydrogenase Subunit 5 Gene, R Jantorn, P Siriyasatien, A Tawatsin, U Thavara, K. Preativatanyou
Identification Of Forensically Important Blowflies In Thailand Based On The Second Internal Transcribed Spacer Region Of Ribosomal Dna And The Nadh Dehydrogenase Subunit 5 Gene, R Jantorn, P Siriyasatien, A Tawatsin, U Thavara, K. Preativatanyou
Chulalongkorn Medical Journal
Problem/Background: Estimation of postmortem interval (PMI) is essential for supporting justice especially in legal cases. At early stage of death, the PMI can be evaluated using data from physical changes of the corpses. In case of the corpses that have died more than 48 hours, the physical change may be less accurate for prediction. The species identification of blowflies, early found on corpses, as well as the specific developmental stage are required for PMI estimation. However, it is not yet practical for morphological identification. To surpass these problems, DNAbased identification is preferentially applied.