Medicine and Health Sciences Commons^™

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 …

Symptom Cluster Management Strategies And Outcomes In Patients With Heart Failure, Weena Yodying, Apinya Siripitayakunkit, Bualuang Sumdeangrit, Sarinya Puwanant

Chulalongkorn Medical Journal

Background: Patients with heart failure have to endure different symptoms of heart failure, and the prognosis of the disease is continuous and very difficult to predict the symptoms that will happen in advance. Objective: The present descriptive research aimed to investigate symptom cluster management strategies and outcomes of symptom cluster management strategies in patients with heart failure. Methods: Dodd’s symptom management model was used as the conceptual framework of the present descriptive research. One hundred and ten patients with heart failure who sought treatment at the heart failure clinic and heart clinic of King Chulalongkorn Memorial Hospital were recruited by …

Impact And Trend Of Factors Affecting The Prevalence Of Head Lice (Pediculus Capitis) Infestation In Primary School Students, Amirhossein Zahirnia, Mohammad Ali Aminpoor, Hassan Nasirian

Chulalongkorn Medical Journal

Background: Among arthropod-associated diseases or arthropods-pests of medical importance, Pediculus capitis is mentioned as one of the most common human obligate ectoparasites. Objective: The aim of this study was to determine the impact and trend of factors affecting the prevalence of P. capitis infestation among primary school students in Gilan-e Gharb County. Methods: Epidemiological information of students was completed using a questionnaire. To detect head lice or nits, the hair on scalp, the back of neck and around the student’s ears was carefully examined by experienced individuals (males and females according to the gender of the students). In order to …

Prevalence And Associated Factors Of Social Skills Deficits In Patients With Depressive Disorders At Psychiatric Outpatient Department, King Chulalongkorn Memorial Hospital, Pitima Kurimoto, Peeraphon Lueboonthavatchai

Chulalongkorn Medical Journal

Background: Social skills deficits are present in 43.3% of the depressed patients, significantly impact the quality of life and may result in severe and chronic depression. However, studies concerning social deficits in Thai depressed patients were still limited. Objective: To determine the prevalence and associated factors of social skills deficits of Thai patients with depressive disorders. The associated factors included severity of depression, satisfaction with family function, self-esteem, and personality characteristics. Methods: We recruited 150 patients aged 18 years and above diagnosed with major depressive disorder or persistent depressive disorder (dysthymia) using DSM-5 criteria. All subjects completed 5 questionnaires: 1) …

School Bullying Behavior In Attention-Deficit Hyperactivity Disorder Patients With And Without Comorbid Autism Spectrum Disorder At King Chulalongkorn Memorial Hospital, Warunya Pongparadorn, Nuttorn Pityaratstian, Napakkawat Buathong, Jirada Prasartpornsirichoke

Chulalongkorn Medical Journal

Background: Children and adolescents with attention-deficit hyperactivity disorder (ADHD) are at high-risk of being involved in school bullying behavior. Studying the situation of bullying behavior and the factors affecting school bullying behavior of children with ADHD will lead to understanding and promote guideline development for school bullying behavior in these population. Objectives: The purposes of present study were to study the prevalence, role, pattern, frequency and behavior of school bullying and victimization in children and adolescents with ADHD, including the other related factors to school bullying behavior, such as, personal factors and the severity of ADHD with comorbidities, especially ASD. …

Factors Predicting Preventive Behaviors Of Pulmonary Tuberculosis Among High School Students In Bangkok, Chanyaruk Sawangsuk, Piyatida Nakagasien

Chulalongkorn Medical Journal

Background: The incidence of pulmonary tuberculosis patiens in children and adolescents among High school students in Bangkok is increasing. Current reports indicate that tuberculosis epidemics are more prevalent and literature review found that no studied were conducted so far about factors with correlations with and influence on tuberculosis preventive behaviors in high school adolescents in Bangkok. Objectives: This correlation research aimed to determine predictive power of gender, health literacy and social support on preventive behaviors of pulmonary tuberculosis among high school students in Bangkok based on Nutbeam (2008)’s framework. Methods: The sample of this study was 182 high school students …

Validity And Reliability Of The Thai 3-Minute Diagnostic Interview For Cam-Defined Delirium (Thai 3d-Cam), Yanin Thipakorn, Paul Thisayakorn

Chulalongkorn Medical Journal

Background: Delirium is a common complication of hospitalized patients leading to worse outcomes. Screening tools can improve detection and prompt treatment. The 3-minute Diagnostic Interview for Confusion Assessment Method (CAM)-defined Delirium (3D-CAM) is a practical, valid, and reliable screening tool developed by Dr. Edward R. Marcantonio in 2014. The 3D-CAM was translated into Thai language. Objective: To demonstrate the validity and reliability of the Thai 3D-CAM compared to psychiatrist diagnosis based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5). Methods: One hundred and forty-two patients were recruited with consent from the patients or a caregiver from …

Comparing Effects Of Nordic Hamstring Exercise In Combination With Electrical Stimulation And In Combination With The Fifa 11+ Program On Footballers With Strained Hamstring Muscles, Amornrat Kaewsri, Onuma Boonyarom, Kanokwan Srisupornkornkool

Chulalongkorn Medical Journal

Background: Football is a popular sport with many subjects. Hamstring muscle strain injury is one of the most common injuries. This type of injury occurs at a high rate and has a high re-injury rate, which results in a loss of training and competition time. However, an efficient prevention and rehabilitation program could help to reduce the impact of injuries on football athletes. Objectives: This study aimed to investigate and compare the effects of Nordic hamstring exercise in combination with electrical stimulation and in combination with the Federation International de Football Association 11+ program on football athletes with hamstring muscle …

Work Addiction, Workplace Stress, And Burnout Syndrome Among Teachers In The Armed Forces Academies Preparatory School, Sunansa Nithivasin, Rasmon Kalayasiri

Chulalongkorn Medical Journal

Background: Teachers have many aspects roles of responsibilities which consume more time than usual and could lead to work addiction and burnout syndrome. However, there has never been any study on work addiction and burnout syndrome among teachers in Thailand in order to raise awareness and seek for prevention measures of these work addiction and burnout of teachers in the future. Objective: The purpose of this study was to determine the prevalence and associated factors of work addiction and burnout syndrome in teachers. Methods: This cross-sectional descriptive study was conducted by 113 teachers of the Armed Forces Academies Preparatory School …

Anxiety And Depression In Patients With Knee Osteoarthritis, Nuntagan Chumpupan, Rasmon Kalayasiri

Chulalongkorn Medical Journal

Background: Anxiety and depression is currently a leading health problem worldwide. The etiology of anxiety and depression involves multiple factors and the literature indicated that patients with osteoarthritis of the knee are likely to experience anxiety and depression. Objective: To study the prevalence of anxiety and depression and associated factors in patients with knee osteoarthritis. Methods: A total of 343 participants receiving treatment at the out-patient department (OPD) of Bang Bua Thong Hospital were recruited in line with the inclusion and exclusion criteria. The following four evaluation forms were used: 1) the demographic data questionnaire; 2) the Thai version of …

Relationships Of Stress, Anxiety, And Related Factors With The Comfort Of Caregivers Of Patients With Brain Tumor In The Preoperative Phase, Chotika Kiattiweerasak, Sirirat Leelacharas, Suporn Wongvatunyu

Chulalongkorn Medical Journal

Background: Brain tumors is a disease that seriously threatens life. It directly impacts patients with brain tumors and caregivers. Previous literature examined the relationship between stress and anxiety in caregivers of patients with a brain tumor. However, to date, the relationships of stress, anxiety, and related factors with comfort for caregivers of patients with brain tumors in the preoperative phase, using a framework derived from the Commonsense Model of Illness Representation, had not yet been examined. Objective: This study aimed to examine the relationships of stress, anxiety, and related factors with comfort of caregivers for patients with a brain tumor …

Malaria Knowledge, Prevention Practices, And Insecticide-Treated Net Ownership And Use Among Foreign Migrants: A Survey In Four Malaria Transmission Districts Of Yala Province, Southern Thailand, Tinzar Naing, Thanapoom Rattananupong, Narin Hiransuthikul

Chulalongkorn Medical Journal

Background: Increased malaria caseload is a public health threat to malaria elimination in Southern Thailand. Yala Province has the second highest malaria caseload in the country. Cross-border migration may be an underlying reason for the malaria outbreaks in Yala. Objectives: In this study, we aimed to assess the malaria knowledge, prevention practices, and insecticidetreated net (ITN) ownership and use among migrants in four malaria transmission districts of Yala Province. Methods: We conducted a cross-sectional survey with two-stage cluster sampling recruiting 414 migrants. We identified migrants’ locations with the help of key informants. Migrants aged 18 years and older were interviewed …

Atypical Presentations Of Alimentary Tract Duplications In Children: Two Case Reports, Nimmita Srisan, Palittiya Sintusek, Teerasak Phewplung, Paisarn Vejchapipat

Chulalongkorn Medical Journal

Alimentary tract duplication is a rare congenital anomaly. We present herein, two cases of different types of alimentary tract duplications that have entirely different clinical presentations. The first case was a girl presented with chronic constipation was finally diagnosed with tubular duplications of the entire colon. The other was a toddler with acute intestinal obstruction diagnosed with cystic duplication at terminal ileum. These two cases remind us of the difficulty in preoperative diagnosis. High suspicion of the disease and multimodality approaches were beneficial for accurate preoperative diagnosis. Surgery was the mainstay of the treatment.

Four-Week Induction Of Type 2 Diabetes Mellitus In Rats By Streptozotocin And High-Fat Diet, Wirin Bowonsomsarit, Weerapat Anegkamol, Natthaya Chuaypen, Maroot Kaewwongse, Piyaratana Tosukhowong, Phisit Prapunwattana, Thasinas Dissayabutra

Chulalongkorn Medical Journal

Background: Current rodent models for diabetes mellitus type 2 could be divided into genetic-engineered and environmental-induced. Since genetic-modified rodents are difficult to acquire and costly for Thai researchers, we tried to develop a protocol for food-induced diabetic rats. Objectives: To develop a convenient and economical type 2 diabetic mellitus rats with a short course (4 - week) of induction for research purpose. Methods: Eight-week-old male Wistar rats were divided into two groups: control group and streptozotocin with high-fat diet (STZ-HFD) group (n = 4 each). The control group received normal chow (c.p.082 diet with 20.0% energy from fat). For the …

Usefulness Of Contrast-Enhanced Computed Tomography For Diagnosing Hepatic Steatosis, Thipsumon Tangsiwong, Thitinan Chulroek

Chulalongkorn Medical Journal

Background: The diagnosis of hepatic steatosis has been well-described on unenhanced computed tomography (UECT) study. However, current UECT often discarded from the abdominal CT protocol due to radiation dose reduction. Objective: To determine accuracy of contrast-enhanced CT (CECT) for diagnosis of hepatic steatosis. Methods: A total of 1,001 patients who underwent unenhanced and portal venous phase abdominal CT studies were assessed by using region-of-interests of liver and spleen, and visual detection of focal fat sparing. UECT diagnostic criteria were used as the standard reference. Results: The optimal cut-offs on CECT images were 110 Hounsfield unit (HU) of liver attenuation and …

Anxiety For Job Application Among Undergraduate Students At Faculty Of Arts, Panitnart Tiensirirerk, Siriluck Suppapitiporn

Chulalongkorn Medical Journal

Background: Arts degrees are questioned of being useless degree for having no specific career path for new graduates. The degrees with no specific jobs combining varies subjects such as art, humanities, and social sciences may cause anxiety during the job search process upon graduation. Objective: To explore the level of anxiety of job application and factors related to anxiety of job application among undergraduate students at the Faculty of Arts at a university in Thailand. Methods: A cross-sectional design was employed with participation of 296 students in the Faculty of Arts, Chulalongkorn University. A structured questionnaire was applied to ask …

Effect Of Prewarmimg On Body Temperature And Shivering In Total Knee Arthroplasty Patients After Surgery, Ratchanee Sukanthachalathon, Usavadee Asdornwised, Orapan Thosingha, Phongthara Vichitvejpaisal

Chulalongkorn Medical Journal

Background: Inadvertent hypothermia and shivering is recognized risk in surgery. Core temperature in patients warmed with forced air warming remains poorly characterized. The incidence in patients with total knee arthroplasty (TKA) leading to intraoperative hypothermia 43.9%. Objectives: This quasi-experimental research study was conducted to compare body temperature and shivering after surgery in patients with total knee arthroplasty who received prewarming and those who received routine nursing care. Methods: Thirty-first patients were randomly assigned for experimental group and Thirty-first patients for control group. Data were collected by the following tools and methods, namely: patient demographic and clinical characteristic records, tympanic membrane …

Working Happiness And Employee Engagement At Publishing Company., Ltd, Yosaporn Punjamawat, Paul Thisayakorn

Chulalongkorn Medical Journal

Background: The purposes of this research were to study work happiness, employee engagement, and related factors in employees at a medium Publishing Co.,Ltd. Objectives: To study work happiness, employee engagement and related factors that contribute to work happiness of permanent employees at a medium Publishing Co., Ltd. in Bangkok. Methods: Data were collected from 124 employees a medium Publishing Co., Ltd. The questionnaire included general information, work happiness questionnaire, Corporate Engagement Questionnaire and the Patient Health Questionnaire - 9 (PHQ-9). The data were analyzed by Descriptive Statistics, unpaired t - test, One-way ANOVA, Spearman’s correlation co-efficiency and multiple liner regression. …

Correlation Among Pain Catastrophizing, Depressive Symptom, And Activity Of Daily Living In Older Thai Buddhist Monks With Knee Osteoarthritis, Thanakrit Jeamjitvibool, Suparb Aree-Ue, Phichpraorn Youngcharoen, Viroj Kawinwonggowit

Chulalongkorn Medical Journal

Background: Older Thai Buddhist monks are usually accustomed to a unique lifestyle that potentially relates to knee osteoarthritis (OA) such as long-standing kneeling on the hard surface. Understanding the association among pain catastrophizing, depressive symptoms, and activity of daily living (ADL) in this population with knee OA may help reduce the psychosocial problems and promote their sacred activities. Objective: To determine the relationship between pain catastrophizing, depressive symptoms, and ADL in older Thai Buddhist monks with knee OA. Methods: In all, 105 older monks with knee OA were recruited in this study. Data were collected by using a set of …

Prevalence And Associated Factors Of Anxiety And Depression Among Advanced Maternal Age Pregnancy, Kotchakorn Jeeratunyasakul, Chutima Roomruangwong

Chulalongkorn Medical Journal

Background: Advanced maternal age is associated with increased rate of various obstetrics risks. Nowadays, there is increasing prevalence of advanced maternal age in Thailand. However, there is still lack of study in anxiety and depression among this group of pregnant women. Objectives: To examine the prevalence of anxiety and depression as well as associated factors among women with advanced maternal age pregnancy Methods: We recruited 124 pregnant women age  35 years old who were in their third trimester (gestational age  28 weeks) of pregnancy. The subjects were asked to rate: The State-Trait Anxiety Inventory (STAI Form Y) - …

Chronic Paracetamol Treatment Induces Neuroinflammation And Microglia Activation In Rat Hippocampus, Laddawan Lalert, Preecha Ruangvejvorachai, Supang Maneesri-Le Grand

Chulalongkorn Medical Journal

Background: Several studies have demonstrated multidirectional effects of paracetamol (acetaminophen; APAP) treatment on the central nervous system. Recently, an alteration of learning and memory have been reported following long-term APAP exposure; however, the mechanism underlying these detrimental effects of APAP treatment is not fully clarified. Objectives: To investigate the effect of chronic APAP treatment on the microglia activation and neuroinflammation in the hippocampus. Methods: Male Wistar rats (weighting 250 - 300 g) in the APAP-treated group was once a day gavaged with 200 mg/kg bodyweight APAP for 30 days, while distilled water at the same volume was orally delivered to …

Effects Of Overweight And Smoking On Aerobic Capacity, Autonomic And Pulmonary Function In Physically Inactive Middle-Aged Male, Tharnwimol Inthachai, Natchaya Chondaen, Surinthorn Maiarin, Wannasiri Kummungkun, Kroekkiat Chinda, Naphatsorn Aroonprasertkul

Chulalongkorn Medical Journal

Background: A higher body mass index (BMI) can lead to smoking, some people believe that smoking can help them to lose their weight and also quit smoking can cause weight gain. The effects of overweight and smoking have not been studied in physically inactive middle aged males, a vulnerable group in gaining weight and being at greater risk of developing cardiovascular diseases (CVD). Objective: This study aimed to determine the effects of overweight and smoking on aerobic capacity, autonomic and pulmonary function in physically inactive middle aged male subjects. Methods: Seventy-two physically inactive subjects were divided according to normal BMI …