Medicine and Health Sciences Commons^™

Reliability Of The Thai Version Of The Modified Start Back Screening Tool In Individuals With Neck Pain, Nattawan Phungwattanakul, Uchukarn Boonyapo, Taweewat Wiangkham

Chulalongkorn Medical Journal

Backgrounds: The modified STarT Back Screening Tool in Thai version (mSBST-TH) for individuals with neck pain (NP) was adapted from the STarT Back Screening Tool in Thai version (SBST-TH) for individuals with low back pain (LBP) to classify individuals with NP into low, medium, and high risk for chronicity. Owing to a lot of individuals with NP in Thailand. It would be beneficial if the mSBST-TH was available to help primary care management in Thai individuals with NP. However, the reliability of this tool has not been investigated. Objective: The aim of this cross-sectional study was to investigate the reliability …

Acute Effect Of Low-Dose Sugar Ingestion On Forearm Blood Flow In Healthy Men, Manta Korakot, Weerapat Kositanurit, Pachara Varachotisate, Chuti Burana, Chanchai Boonla, Onanong Kulaputana

Chulalongkorn Medical Journal

Background: Hyperglycemia is a major risk factor for cardiovascular disease resulting in vascular damage in both diabetic and non-diabetic people. Objective: To determine acute effect of elevated plasma glucose from a low-dose sugar ingestion on forearm blood flow (FBF) in healthy men. Methods: Ten healthy men (aged 24.1 4.1 years) participated in two experimental conditions: 1) drinking 200 mL of water (Control), and 2) drinking 15 grams of sugar solution (Sugar). The two conditions were scheduled in random order with a minimum of three days of washout period between conditions. FBF was determined by venous occlusion plethysmography. Peak forearm blood …

Cyberbullying, Well-Being And Mental Health Of Freshmen Of A University In Bangkok, Thachira Jamnongrit

Chulalongkorn Medical Journal

Background: Cyberbullying is an electronic harassment commonly found in adolescents and affects the wellbeing and mental health of the victims. Objective: The purpose of this study was to estimate the prevalence of cyberbullying among freshman and to investigate the relationship between cyberbullying, psychological well-being, and mental health among freshmen of Chulalongkorn University. Methods: A cross-sectional design enrolled participation of 1,433 freshmen in 19 faculties of Chulalongkorn University. The subjects were requested to complete online surveys concerning demographic information, cyber-aggression victimization scale (Thai version), Thai mental health questionnaire (TMHQ: CU-modified version), and CU student psychological well-being (revised 2020). Results: Fifty-two point-seven …

Intra-Rater And Inter-Rater Reliability And Minimum Detectable Change Of Visual Analog Scale And Digital Goniometer In Patients With Subacute Unilateral Lateral Ankle Sprain, Thongchai Suksri, Chitanongk Gaogasigam, Sujitra Boonyong

Chulalongkorn Medical Journal

Background: Patients with subacute unilateral lateral ankle sprain commonly experience pain and limited range of motion (ROM). Measurement reliability should be investigated before assessing treatment effectiveness. Objective: To determine both intra-rater and inter-rater reliability and minimal detectable change (MDC) of visual analog scale (VAS) and digital goniometer in patients with subacute unilateral lateral ankle sprain. Methods: Ten subjects (7 men, 3 women; aged 29.90  12.81 years) with subacute unilateral lateral ankle sprain were recruited. Two investigators measured pain intensity and ROM using VAS and a digital goniometer, respectively, with a 30-minute break between measurements. The same protocol was repeated …

Social Media Addiction And Self-Esteem Of High School Students In Hat Yai Municipality, Secondary Educational Service Area Office 16, Thailand, Montira Muanjan, Sookjaroen Tangwongchai

Chulalongkorn Medical Journal

Background: Social media use has been increasing dramatically. Some evidences suggest that excessive use of social media may impact the level of self-esteem. Objective: To explore the level of social media addiction, self-esteem and associated factors among high school students in Hat Yai municipality. Methods: A cross-sectional descriptive design was employed with participation of 415 high school students in Hat Yai municipality. The instruments included a set of questionnaires to assess the demographic data and patterns of social media use, media addiction test (SMAT), Thai version of the Pittsburgh Sleep Quality Index (T-PSQI), Center for Epidemiological Studies-Depression Scale (CES-D) and …

Efficacy Of Digitalized Comprehensive Educational Program For Patients With Allergic Contact Dermatitis: A Randomized Controlled Trial, Wongsiya Viarasilpa, Prattana Sittiwattanawong

Chulalongkorn Medical Journal

Background: Allergic contact dermatitis (ACD) is an inflammatory skin disease resulting from exposure to allergen. The patient education is crucial to successful treatment and management of ACD. However, this process can be time consuming, requiring trained healthcare personnel resulting in increased workload and may be difficult in the setting of limited workforce or resource. Objective: To assess the effect of informative digitalized video-based educational program (iDVE) on patients’ quality of life, disease severity and knowledge of ACD compared to standard counselling (control). Methods: Patients with ACD were randomized to participate in iDVE or control group. The primary outcome was the …

Occupational Stress And Related Factors Among Registered Nurses At Relief And Community Health Bureau, The Thai Red Cross Society, Itsaraporn Palasak, Siriluck Suppapitiporn

Chulalongkorn Medical Journal

Background: Previous studies have found that occupational stress affects work performance among registered nurses and causes a high turnover rate. The study of occupational stress levels and related factors can help prevent occupational stress impacting on physical and mental health. Also, it may help increase work efficiency and enhance the commitment to the organization. Objective: To study the level of occupational stress and related factors among registered nurses at Relief and Community Health Bureau, The Thai Red Cross Society (RCHB-TRC). Methods: This was a cross-sectional study conducted at the RCHB-TRC, Thailand. Data were collected from 133 registered nurses using self-administered …

Development Of A Questionnaire To Evaluate The Attitudes Towards Home Health Visits In Applied Thai Traditional Medical Students: A Pilot Study, Sarunthorn Puttipaibool, Athippat Tantiwongsekunakorn, Kaittiyos Kuldejchaichan, Sukree Kade, Sirikan Poopong, Photnicha Jaturapat, Sasima Tongsai, Suprapath Sonjaipanich, Pravit Akarasereenont

Chulalongkorn Medical Journal

Background: Home health visits (HHV) are the new duty and development of students of applied Thai traditional medicine (ATM). We performed to develop a measuring instrument to ensure that students have positive attitudes to HHV. Objective: To develop a reliable and valid questionnaire for evaluating attitudes regarding home health visits among ATM students. Methods: There are 28 items in creating the questionnaire which is supposed to be used to assess attitudes toward HHV in four areas, including those related to the practice in HHV, the role of ATM practitioners, relationship with patients and patient’s relatives, and collaboration with the multidisciplinary …

Factors Influencing Decision Making To Use Large Private Hospitals Of Thai Patients In Bangkok After Covid-19 Outbreak, Decha Lalitanantpong, Kingporn Thongbai, Anothai Ngamvichaikit

Chulalongkorn Medical Journal

Background: The worldwide pandemic of coronavirus infections disease 2019 (COVID-19 impacts the Thai medical’s hub tourism industry. The private hospital sector needs to provide appropriate services for Thai consumers. Objectives: The objectives of this research were to study: 1) The level of decision making of use large private hospitals of Thai patients living in Bangkok after COVID-19 outbreak; 2) The marketing mix related to the level of decision making to use large private hospitals; 3) The marketing mix that influences decision making to use large private hospitals. Methods: This study was a survey research. The population was 8,757,843 Thai patients …

Changes In Brain Structural Volume And White Matter Abnormalities In Young Perinatally-Acquired Hiv Infected Children Treated With Antiretroviral Therapy, Netsiri Dumrongpisutikul, Kultida Chaiyagool

Chulalongkorn Medical Journal

Background: Several studies have reported human immunodeficiency virus (HIV) effects on brain volume and found white matter signal abnormality (WMSA) on brain magnetic resonance imaging (MRI). Objective: To evaluate brain volume and WMSA of antiretroviral therapy (ART)-treated perinatally-acquired HIV infected (PHIV) young children. Methods: From November 2016 to March 2018, MRI of 19 ART-treated PHIV young children, aged 12 - 56 months, were analyzed for structural brain volume using FreeSurfer software with manual correction. WMSA were classified into 4 grades. Comparison between the brain volumes and WMSA between early and late ART-treated groups as well as changes of the brain …

Expert Search For "Effect Of Preradiation Dental Intervention On Incidence Of Osteoradionecrosis In Patients With Head And Neck Cancer", Kelly K. O'Brien Mslis

Expert Search Strategies

This search strategy was constructed to support the research for the peer reviewed article listed above. Full article abstract:

Background

The purpose of this systematic review was to examine whether dental intervention involving bone or soft-tissue manipulation preradiotherapy (pre-RT) is associated with lower rates of osteoradionecrosis of the jaw (ORNJ) in patients with head and neck cancer (HNC).

Types of Studies Reviewed

The authors included relevant studies from MEDLINE, Embase, and Cochrane Library, including observational studies published from 2007 through 2021 and involving adults who underwent dental intervention pre-RT for HNC. Authors assessed evidence certainty by using the Grading of …

A Word From The Writing Team (October 2022), Pam Walter, Mfa, Liz Declan, Ma, Mfa

A Word From the Writing Team (Newsletter)

This issue includes:

• Upcoming Workshop
• Writing Retreats
• Consultations
• East Falls Update

Nasopharyngeal Swabs Gone Wrong: An Unexpected Complication Of A Common Procedure, Moyosoreoluwa Laditan, Riya Kalra, Laurene Reed, Paras Khandhar

Posters

No abstract provided.

Protective Effect Of Previous Spine Surgery In Traumatic Cervical Spinal Cord Injury: A Case Report, Jennifer Sloan, Ronald Taylor

Posters

No abstract provided.

Post Covid-19 Infection Multisystem Inflammatory Syndrome In Adults Presenting With Pain, Ascending Weakness, And Paresthesias: A Case Report, Dustin Sielski, Jesse Lou, Timothy Bazil, Lisa Grant

Posters

Patient with documented COVID-19 infection five weeks prior to arrival and presented with pain, paresthesias, and weakness in the bilateral lower extremities. Symptoms began shortly after patient recovered from COVID-19 infection, however, patient developed ascending weakness extending into the hands with left sided chest pain, prompting patient to present for evaluation.

Acute Pericarditis And Acute Pleuritis/Empyema Following Submandibular Infection In A Covid-19 Positive Patient - An Autopsy Revealing The Danger Space Of The Neck, Jessica D. Anderson, Seyedalireza Fatemi, Joseph Fullmer, Ping I. Zhang

Posters

Acute pericarditis and empyema are life-threatening complications of severe odontogenic infections; reports of these findings from an autopsy perspective are rare. We report an autopsy case demonstrating infection from the mandibular molars to the pericardium and pleura in a patient following Covid-19 infection

Association Of Isolated Colitis With Non-Steroidal Anti-Inflammatory Drugs Usage, Ashbita Pokharel, Wei Li

Posters

Non-steroidal anti-inflammatory drugs (NSAIDs) have been known to produce various clinical gastrointestinal side-effects and histopathological changes. It has been reported that NSAIDs usage is associated with isolated colitis in periappendiceal orifice region. This study aims to further evaluate the clinicopathologic features of 16 patients with isolated colitis limited to the cecum or peri-appendiceal orifice region.

Cd30 Expression In Cutaneous B-Cell Lymphomas, Olabisi Afolayan-Oloye, Lili Zhao, Trilokraj Tejasvi, May P. Chan, Paul W. Harms, Douglas R. Fullen, Ryan A. Wilcox, Alexandra C. Hristov

Posters

CD30 expression has been infrequently described in cutaneous B-cell lymphomas (CBCL). We examined CD30 expression in reactive lymphoid hyperplasia (RLH) and CBCL and correlated expression with clinicopathologic features.

Protective Effect Of Previous Spine Surgery In Traumatic Cervical Spinal Cord Injury: A Case Report, Jennifer Sloan, Ronald Taylor

Conference Presentation Abstracts

Case Diagnosis: Protective Effect of Previous Spine Surgery in Traumatic Cervical Spinal Cord Injury Case Description or Program Description: A 39-year-old female with previous C5-7 anterior cervical discectomy and fusion (ACDF) in 2017 presented following a fall from 20 feet while hiking. She was life flighted to an outside hospital and found to have multiple cervical spine fractures which were surgically repaired with C4-T2 fusion and C7 laminectomy. Imaging also showed retropulsion of osseous fragments in the spinal canal at the lower C7 level deforming the ventral cord contour, and cord edema at C7-T1. On evaluation, she had right lower …

A Retrospective Review Of Genital Fistula Occurrence In Nine African Countries, Carrie J. Ngongo, Thomas J. I. P. Raassen, Marietta Mahendeka, Ladeisha Lombard, Jos Van Roosmalen, Marleen Temmerman

Obstetrics and Gynaecology, East Africa

Background: Female genital fistulas are abnormal communications that lead to urinary and/or fecal incontinence. This analysis compares the characteristics of women with fistulas to understand how countries differ from one another in the circumstances of genital fistula development.

Methods: This retrospective records review evaluated demographics and circumstances of fistula development for 6,787 women who sought fistula treatment between 1994 and 2017 in Tanzania, Uganda, Kenya, Malawi, Rwanda, Somalia, South Sudan, Zambia, and Ethiopia.

Results: Most women developed fistula during childbirth, whether vaginal (3,234/6,787, 47.6%) or by cesarean section (3,262/6,787, 48.1%). Others had fistulas attributable to gynecological surgery …

Diagnostic Accuracy Of High-Sensitivity Cardiac Troponin In The Diagnosis Of Acute Myocardial Infarction At The Aga Khan University Hospital Nairobi, Kenya, Assumpta Wanjiru Chege

Master of Medicine in Clinical Pathology

Methodology: This cross-sectional study was carried out at Aga Khan University Hospital, Nairobi between July 1st 2020 and December 31st 2021. Participants were adults aged 18 years and above presenting to the emergency department with signs and symptoms suggesting an acute myocardial infarction. Patients were identified on the hospital management information system (CARE 2000) using test results for baseline high-sensitivity cardiac troponin I. The final diagnosis as well as secondary clinical data was obtained from both physical and electronic patient medical records. The reference standard for the diagnosis of acute myocardial infarction was taken as the final clinical diagnosis made …

Demographics And Baseline Disease Characteristics Of Patients With Relapsing Multiple Sclerosis From Kenya Participating In The Chimes Trial, Dilraj Sokhi, Juzar Hooker, Mitzi J. Williams, Aisleen Shamshudin, Yuashita Hussein, Peter Betti, Heldah Amariati, Noureen Karimi, Stacey Gondi, Mansoor Saleh

Book Chapters / Conference Papers

No abstract provided.

Improving Patient Outcomes In Substance Use Disorder Through Behavioral Therapy In Depression Development And Impacts Of Social Determinants Of Health During And After Substance Use Treatment, Jerry Ryan Armstrong, Chyanne Napp

Doctoral Projects

Substance Use Disorder (SUD) is a growing problem in the United States (U.S.) and worldwide and relapse is a common occurrence among those facing SUD. Limited scholarly research has been published addressing evidence-based treatment improvement strategies. This study focused on improving SUD treatment through the incorporation of depression tracking from admission to and discharge from inpatient treatment, as well as the incorporation of social determinants of health education during treatment, with an evaluation of relapse rates 30-days after inpatient treatment discharge. Results indicated a significant improvement in depression scores from admission to discharge. Results also revealed improved knowledge regarding social …

Telemedicine Perception: An Identification And Evaluation Of Factors Contributing To The Use Of Telemedicine Services, Katherine Lewing

Doctoral Projects

A morbidity and mortality report made by the Centers for Disease Control (CDC) on the impact of telehealth services during the COVID-19 pandemic throughout 2020 noted several instances in which telemedicine tools had contributed to improved patient outcomes, including: increasing the availability of care to patients otherwise left with little access to health care, decreasing unnecessary patient visits, and reduced disease exposure to patients and staff directly at risk (CDC, 2020).

As the utilization of telemedicine becomes more important and prevalent in U.S. health care systems, it is important to recognize factors that inhibit patient usage. Factors such as inadequate …

Objective Structured Clinical Examination For Arterial Line Placement, Delorean Calloway

Doctoral Projects

The University of Southern Mississippi (USM) is lacking a uniform guideline for arterial line placement. This DNP project promotes the addition of an objective clinical structured examination into the nurse anesthesia curriculum for future student registered nurse anesthetists (SRNAs) to gain comprehension and clinical experience in a simulation lab prior to practicing on real patients. Peer-reviewed literature and evidence-based practices have been researched and organized into a learning tool and checklist to be used as a step-by-step guideline. Having a guideline such as an OSCE in place can increase student competency and foster a culture of safety leading to better …

Deletion Of Chemokine Receptor 6 Augments Ductular Reaction And Fibrosis In A Mouse Model Of Cholestatic Liver Injury, Nazli Begum Ozturk, Kaiyel Cutshaw, Anuradha Krishnan, Gregory J. Gores

Conference Presentation Abstracts

Background: The chemokine CCL20 is expressed by activated cholangiocytes implicating its’ receptor, CC-chemokine receptor 6 (CCR6) in immune cell trafficking to the liver during cholestatic liver injury. In particular, the innate immune cells macrophages and neutrophils have been identified in cholestatic liver injury. Therefore, our aim was to investigate the effect of CCR6 deletion on a mouse model of 3,5-diethoxycarbonyl-1,4-dihydrocollidine (DDC) diet-induced cholestatic liver injury. Methods: Age and gender matched WT and Ccr6-/- mice were placed on an DDC or a control diet for 21 days. Serum biochemistry, liver injury and the ductular reaction (DR) were examined by standard …

The Diagnostic Role Of Cytokeratin 8/18 Immunohistochemical Marker For Lean Non-Alcoholic Fatty Liver Disease, P Telli, M Buyuk, Nazli Begum Ozturk, Z Istemihan, K Nuriyev, A Atasoy, B Cavus, A Cifcibasi Ormeci, U Akyuz, K Demir

Conference Presentation Abstracts

Introduction

Non-alcoholic fatty liver disease (NAFLD) is one of the leading causes of chronic liver diseases. NAFLD spectrum begins from simple steatosis to non-alcoholic steatohepatitis (NASH), progressive fibrosis, cirrhosis, and even hepatocellular carcinoma. Although most NAFLD patients are overweight and obese, 30% are lean. We analyzed lean and non-lean NAFLD patients’ liver biopsies for cytokeratin 8/18 immunohistochemical staining differences.

Aims & Methods

Thirty biopsy-proven NAFLD patients (15 patients with BMI ≤ 25 kg/m2, 15 patients with BMI > 25 kg/m2) were included in the study. Demographic, biochemical, and histologic features of the patients were recorded. Biopsy specimens from our archive were …

Protect Yourself From Occupational Risks, Christopher J. Smiley Dds

The Journal of the Michigan Dental Association

This month’s editorial underscores the importance of safeguarding against occupational risks in dentistry. Dr. Smiley shares personal experiences, highlighting potential hazards to oral health care workers' eyes and hearing, including intense lights, noisy equipment, and exposure to infectious pathogens. He emphasizes the need for protective eyewear, light shields, and equipment calibration to reduce eye-related risks and the use of custom musician earplugs to reduce the risk of job-related hearing damage. The overall message stresses that taking steps to protect oneself from occupational risks can preserve the quality of life and a professional career.

J Mich Dent Assoc October 2022

The Journal of the Michigan Dental Association

Monthly, The Journal of the Michigan Dental Association brings news, information, and feature articles to our state's oral health community and the MDA's 6,200+ members. No publication reaches more Michigan dentists!

In this issue, the reader will find the following original content:

• A cover story on eye safety to reduce occupational risk of eye injury in clinical dentistry.
• A feature story on a dentist’s journey with Bell’s Palsy.
• A department reports on legal issues caring for patients suspected of being under the influence of marijuana.
• Department article on workforce and employees quietly quitting.
• Articles on MDA Public Relations Grant Recipients …

Staff Matters: Do You Have Quiet Quitters In Your Practice?, Jodi Schafer Sphr, Shrm-Scp

The Journal of the Michigan Dental Association

In the post-COVID workplace, "quiet quitting" has become a concerning issue where employees meet basic job requirements but lack motivation. This behavior includes a reluctance to take on extra tasks or provide input. To address it, communicate with the affected employees, inquire about their well-being, and assess whether the cause is work-related or personal. Fostering appreciation, connection to the practice's goals, and open feedback can help re-engage employees. Regular one-on-one meetings promote relationships and demonstrate care for their success, improving morale and engagement.