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Articles 751 - 780 of 4154
Full-Text Articles in Medicine and Health Sciences
Management Of Persistent Bile Leak After Complex Liver Injury With A Rendezvous Procedure: Report Of A Case, S Prichayudh, S Pungpapong, P Kranokpiraksa, S Sriussadaporn, P Samorn, R Pak-Art, S Sriussadaporn, K. Kritayakirana, P Limpavitayaporn, A. Rongviriyapanich
Management Of Persistent Bile Leak After Complex Liver Injury With A Rendezvous Procedure: Report Of A Case, S Prichayudh, S Pungpapong, P Kranokpiraksa, S Sriussadaporn, P Samorn, R Pak-Art, S Sriussadaporn, K. Kritayakirana, P Limpavitayaporn, A. Rongviriyapanich
Chulalongkorn Medical Journal
Bile leak after liver injury is not uncommon, especially in complex liver injury.Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and biliarystent insertion is an effective treatment of bile leak after liver injury. However, ERCP is notalways successful, resulting in the need of alternative interventions. We report a case withpersistent bile leak after complex liver injury who had had a failed ERCP and subsequentlyunderwent a successful rendezvous procedure for internal biliary stent placement.
Contrast Enhanced Magnetic Resonance Cholangiography (Ce-Mrc), P Ratasirayakorn, N. Tanpowpong
Contrast Enhanced Magnetic Resonance Cholangiography (Ce-Mrc), P Ratasirayakorn, N. Tanpowpong
Chulalongkorn Medical Journal
Hepatocyte specific contrast agent has been developed to detect and characterize liver lesions by magnetic resonance imaging (MRI). As this contrast agent is taken up into the functional hepatocyte and is excreted via the biliary system, it has potential to be an intrabiliary contrast agent. There has been increased diagnostic confidence when it is used in combination with conventional T2 magnetic resonance cholangiography (MRC) by giving both morphologic and functional informations of the biliary system. This article reviews clinical applications of contrast enhanced magnetic resonance cholangiography (CE-MRC) with two available hepatocyte specific contrast agents in Thailand, i.e. Gd-BOPTA and Gd-EOB-DTPA. …
Behavior Modification By Parents In Children With Attention Deficit Hyperactivity (Adhd) Attending Child Psychiatric Unit At King Chulalongkorn Memorial Hospital And Nakhon Ratchasima Rajanagarindra Psychiatric Hospital, W Pattanaworapong, N. Pittayarattanasatern
Behavior Modification By Parents In Children With Attention Deficit Hyperactivity (Adhd) Attending Child Psychiatric Unit At King Chulalongkorn Memorial Hospital And Nakhon Ratchasima Rajanagarindra Psychiatric Hospital, W Pattanaworapong, N. Pittayarattanasatern
Chulalongkorn Medical Journal
Background : Thailand has many medical treatments of behavior modification in children with ADHD but there is still no research on behavior modification in ADHD children by their guardians. With these reasons the researcher has taken interest to study whether or not the guardian has roles in behavior modification in a child with ADHD or not since parents and guardians play important roles in preventing ADHD from developing into bad behaviors. Objective : To study of behavior modification and factors related to behavior modification by parent in ADHD children which in this research behavior modification of the guardian means the …
Effects Of Sauna On Flexibility, Muscle Strength And Cortisol Level In People With Allergic Rhinitis, N Kunbootsri, P Arayawichanond, S Chainunsmith, J Kanpittaya, K Sawanyawisut, P Auvichayapat, T. Janyacharoen
Effects Of Sauna On Flexibility, Muscle Strength And Cortisol Level In People With Allergic Rhinitis, N Kunbootsri, P Arayawichanond, S Chainunsmith, J Kanpittaya, K Sawanyawisut, P Auvichayapat, T. Janyacharoen
Chulalongkorn Medical Journal
Backgrounds : Nowadays, the role of thermotherapy has been increase for therapeutic purposes. Sauna is known as a heat modality for relaxation, skin circulation, flexibility and pain reduction. It should be useful to alter muscle activity and reduce stress in people with allergic rhinitis. The advantage of sauna is muscle relaxation and increase of blood flow. It would be useful to know the effects of sauna in altering muscle and cortisol level in people with allergic rhinitis in order to determine suitable alternative treatment. However, none of studies has reported the effect of sauna on flexibility, muscle strength and cortisol …
Prevalence Of Ugt1a4 And Ugt2b7 Polymorphisms In Thai Patients, N Singkham, S Towanabut, S Lertkachatarn, B. Punyawudho
Prevalence Of Ugt1a4 And Ugt2b7 Polymorphisms In Thai Patients, N Singkham, S Towanabut, S Lertkachatarn, B. Punyawudho
Chulalongkorn Medical Journal
Background : UGT1A4 and UGT2B7 play an important role in the metabolism of several endogenous substrates and xenobiotics including clozapine, morphine and lamotrigine. The polymorphisms of UGT1A4 and UGT2B7 may be associated with the variability of glucuronidation activity which leads to the interindividual variability of lamotrigine concentrations among patients. Even though, there is an evidence of the variation of UGT polymorphisms between races, the information of UGT polymorphisms in Thai population is limited. Objective : To investigate the frequencies of UGT1A4 and UGT2B7 polymorphisms in Thai patients. Setting : Prasat Neurological Institute, Bangkok. Research design : Prospective descriptive study. Patients …
Quality Of Life Of Registered Nurses In Private International Hospital., K Toojinda, S. Suppapitiporn
Quality Of Life Of Registered Nurses In Private International Hospital., K Toojinda, S. Suppapitiporn
Chulalongkorn Medical Journal
Background : Nurse are a healthcare professionals who are responsible for medical clinics and public health. Therefore, the quality of life of registered nurses is vital to perceive on satisfaction towards their life and works. Objective : To study the quality of life and related factors of registered nurses in private international hospital. Design : A cross – sectional descriptive study. Setting : Private International Hospital. Materials and Methods : The research data collected from 281 samples of full-time registered nurses who worked from April 2010 – October 2010, not include the samples who’s under took leave exceed than 3 …
Recurrence Ptosis After Frontalis Suspension: Evaluation Of Associated Factors, V Layanun, U Tinnangwattana, S. Tirakunwichcha
Recurrence Ptosis After Frontalis Suspension: Evaluation Of Associated Factors, V Layanun, U Tinnangwattana, S. Tirakunwichcha
Chulalongkorn Medical Journal
Background : Congenital blepharoptosis is a common eyelid problem. The treatment mostly used is frontalis suspension due to poor development of levator muscle. Frontalis suspension can be achieved in many ways such as autogenous fascia lata suspension, frontalis muscle transfer, synthetic material suspension including suture materials. Recurrence can be anticipated anyway in all procedures. Frontalis suspension using suture materials has been done for a long time in King Chulalongkorn Memorial Hospital since most patients were too young to use autogenous fascia lata. We would like to evaluate the recurrence rate and associated factors that influence the outcome. Objective : To …
Extrahepatic Collateral Blood Supply Of Hepatocellular Carcinoma : Prevalence And Success Rate Of Chemoembolization In King Chulalongkorn Memorial Hospital, K Ekajchariya, N Pinjaroen, P. Kosolpun
Extrahepatic Collateral Blood Supply Of Hepatocellular Carcinoma : Prevalence And Success Rate Of Chemoembolization In King Chulalongkorn Memorial Hospital, K Ekajchariya, N Pinjaroen, P. Kosolpun
Chulalongkorn Medical Journal
Background : Extrahepatic collaterals that supply hepatocellular carcinoma (HCC) were frequently encountered. Transarterial chemoembolization (TACE) of these vessels increased the efficiency control of tumor. Impact of these collaterals in term of prevalence, success rate of TACE and complication were described. Objective : To find the prevalence of each extrahepatic collateral that supplied HCC and clarify technical success rates and postprocedural complications following TACE of these vessels. Design : Retrospective descriptive study. Materials and Methods : We retrospectively reviewed angiograms and angiographic reports of 1,351 TACE sessions from 602 HCC patients between 2008 - 2010. Patients with tumor supply from extrahepatic …
Effect Of Kinesio Taping Combined With Stretching On Heel Pain And Foot Functional Ability In Persons With Plantar Fasciitis: A Preliminary Study., C Yamsri, P Pensri, P Janwattanakul, S Boonyong, W Romsai, N. Rattanapongbundit
Effect Of Kinesio Taping Combined With Stretching On Heel Pain And Foot Functional Ability In Persons With Plantar Fasciitis: A Preliminary Study., C Yamsri, P Pensri, P Janwattanakul, S Boonyong, W Romsai, N. Rattanapongbundit
Chulalongkorn Medical Journal
Background : Kinesio taping has been used in conjunction with physical modalities for the treatment of plantar fasciitis. However, there is a lack of evidence to support this benefit. Objective : To investigate the effects of kinesio taping plus stretching compared with stretching alone in patients with plantar fasciitis. Design : Repeated measures experimental design. Setting : Physical Therapy Clinic, the Faculty of Allied Health Sciences, Chulalongkorn University. Materials and Methods : A total of 19 patients with plantar fasciitis were studied. Ten patients received a program of kinesio taping plus stretching, while nine patients received only stretching program. Initially, …
Factors Related To Depression In Elderly Monks In Bangkok Metropolis, T Sriwilas, N. Thavichachat
Factors Related To Depression In Elderly Monks In Bangkok Metropolis, T Sriwilas, N. Thavichachat
Chulalongkorn Medical Journal
Background : Depression is a significant mental health problem in the elderly. Its impacts are physical, psychological, emotional and social. Depression can also be found in elderly monks. The study of depression and related factors may help decrease depression in elderly monks. Objective : To examine the depression and associated factors among elderly monks in Bangkok Metropolis. Design : A cross – sectional descriptive study. Setting : Buddhist monasteries in Bangkok Metropolis. Materials and Methods : The data were collected from 214 elderly monks in Bangkok Metropolis. They were selected by Multi-stage Cluster Sampling to respond to a questionnaire. The …
Reliability And Validity Of International Personality Item Pool- Thai Version (Ipip-Thai), J Jatupornphan, C. Nimnuan
Reliability And Validity Of International Personality Item Pool- Thai Version (Ipip-Thai), J Jatupornphan, C. Nimnuan
Chulalongkorn Medical Journal
Background : In Thailand, there are many personality questionnaires being translated. IPIP which is the personality inventory freely used without authorization or cost; it is also translated into more than 25 languages. However, it has never been translated into Thai language and validated. Objective : To translate and validate the IPIP Personality Inventory for its validity and reliability and also usability. Design : Study of measurement. Setting : Faculty of Medicine, Chulalongkorn University and Kasem Bundit University. Materials and Method : Data were collected from medical students of the Faculty of Medicine, Chulalongkorn University and students at Kasembandit University using …
Utility Of Real-Time Ultrasound-Guided Central Venous Catheterization In Infant Patients In Interventional Radiology At Kcmh, P Kiatrungruangdee, N Pinjaroen, J. Tantivattana
Utility Of Real-Time Ultrasound-Guided Central Venous Catheterization In Infant Patients In Interventional Radiology At Kcmh, P Kiatrungruangdee, N Pinjaroen, J. Tantivattana
Chulalongkorn Medical Journal
Background : Central venous catheterization (CVC) is an essential procedure in critical care of pediatric patients.Ultrasound-guided CVC shows higher success rate and lower complication rate than conventional anatomical landmark guidance, and has been routinely performed in Interventional Radiology unit, King Chulalongkorn Memorial Hospital (KCMH) for many years. Focusing on infant patient, we want to know the outcomes at our hospital. Objective : To study the outcomes (success rate, complications and complication rate) of using real-time ultrasound-guided CVC in infant patients at KCMH. Design : Retrospective study. Setting : Department of Radiology, Faculty of Medicine, Chulalongkorn University. Methods : We retrospectively …
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.
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 …
คำขอบคุณ, N/A
ดรรชนีผู้แต่งจุฬาลงกรณ์เวชสาร 2012, N/A
ดรรชนีผู้แต่งจุฬาลงกรณ์เวชสาร 2012, N/A
Chulalongkorn Medical Journal
No abstract provided.
การเปลี่ยนผ่านทางระบาดวิทยา(Epidemiologic Transition), วิฑูรย์ โล่ห์สุนทร
การเปลี่ยนผ่านทางระบาดวิทยา(Epidemiologic Transition), วิฑูรย์ โล่ห์สุนทร
Chulalongkorn Medical Journal
No abstract provided.
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 …
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, …
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 …
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 …
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 …
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 …
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) …
ย่อวารสาร, N/A
แนะนำหนังสือ, N/A
ดรรชนีบทความจุฬาลงกรณ์เวชสาร 2012, N/A
ดรรชนีบทความจุฬาลงกรณ์เวชสาร 2012, N/A
Chulalongkorn Medical Journal
No abstract provided.
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.
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 …