Functional Results in Arthroscopic Treatment in Patients with Chronic Lateral Elbow Pain.
Authors: Phorkhar T, Chanlalit C Abstract BACKGROUND: Modern surgery as elbow arthroscopic surgery is an accepted operation due to benefit in precise intra-articular lesion detection and minimally invasive surgery. OBJECTIVE: To report the functional results when using arthroscopic surgery to treat chronic lateral elbow pain. MATERIAL AND METHOD: The data was collected from 25 patients with chronic lateral elbow pain that failed in non-operative treatment and treated with elbow arthroscopic surgery. Five patients were excluded from this study due to diagnosed as instability that needed the ligament reconstr...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Glycated Haemoglobin and Diabetic Retinopathy in Type 2 Diabetic Patients in HRH Princess Maha Chakri Sirindhorn Medical Center.
Authors: Tangjai P, Chingchana P, Taweerutchana R Abstract OBJECTIVE: Diabetic retinopathy (DR) is an important cause of blindness in type 2 diabetic patients. When it occurs, it affects the patient's quality of life including their physical activity, emotion, mentality, and social interactions. Therefore, the objectives of this research were to study the relationship between glycaemic control and DR and the relationship between DR and other factors. We also aim to find the optimal cut-off point to screen diabetic retinopathy using glycated haemoglobin (HbA₁c) levels. MATERIAL AND METHOD: We performed a case-...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Early Onset Neonatal Sepsis Due to Salmonella enterica Serovar 4,5,12:i:-: A Case Report with Literature Review.
Authors: Vongbhavit K, Itdhi S, Panburana J, Prommalikit O Abstract The authors report a case of a 36-week male infant born via spontaneous vaginal delivery who developed Salmonella sepsis at HRH Princess Maha Chakri Sirindhorn Medical Center Srinakharinwirot University, Nakhon Nayok, Thailand. He was born to a mother without identifiable risk factors. On day 3, he developed fever tachycardia, lethargy, poor feeding and diarrhea prompting a sepsis evaluation. Blood and stool cultures were positive for S. enterica serovar 4,5,12:i:-. Therefore, Salmonella infection should be considered in the differential diagnosis ...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Unusual Skin Manifestations in Neonatal Lupus Erythematosus.
Authors: Chaikul T, Chaithirayanon S Abstract Neonatal lupus erythematous (NLE) is a rare autoimmune disease caused by placental transfer of maternal anti-SSA/Ro or anti-SSB/La antibodies. It usually presents with transient cutaneous lesions, congenital heart block and other systemic symptoms. The authors report a case of neonatal lupus erythematosus who presented with targetoid-like lesions on both feet. PMID: 27276848 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

A Report of Peritonitis from Aeromonas sobria in a Peritoneal Dialysis (PD) Patient with Necrotizing Fasciitis.
Authors: Janma J, Linasmita P, Changsirikulchai S Abstract A 70-years of age, male patient with underlying type 2 diabetes mellitus, hypertension, dyslipidemia and ischemic heart disease had undergone continuous ambulatory peritoneal dialysis (CAPD)for 3 years without any episodes of peritonitis. He was diagnosed with necrotizing fasciitis and later developed peritonitis after receiving a laceration from an aquatic injury suffered during the flood disaster of 2011. The blood culture, necrotic tissue and the clear dialysate collected upon admission had shown Aeromonas sobria. The route of peritonitis may be from the...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Laparoscopic Radical Cystoprostatectomy, Surgical Technique and Result: A Case Report.
CONCLUSION: Laparoscopic radical cystoprostatectomy in Maha Chakri Sirindhorn Medical Center is minimal invasive, feasible and safe. However, a longer follow-up period regarding long-term cancer control as well as functional and technical aspects will be required. PMID: 27276850 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 11, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Bone Mineral Density and Renal Function in Chronic Hepatitis B Patients Receiving Nucleotide versus Nucleoside Analogs: A Pilot Prospective Study.
This study aimed to evaluate the prevalence of bone diseases among chronic hepatitis B (CHB) patients without cirrhosis and the changes in BMD and glomerular filtration rate (GFR) between patients receiving NTAs versus nucleoside analogs (NSAs). MATERIAL AND METHOD: We prospectively collected data from non-cirrhotic CHB patients who had been treated for
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Effects of Radiation Therapy on Immunological and Virological Status in HIV-Infected Cancer Patients in Thailand: A Multicenter Prospective Study.
CONCLUSION: RT had a suppressive effect on immunological status in HIV-infected cancer patients, particularly in the subacute period among those who were not on ART HIV-disease progression was observed during radiation treatment in HIV-infected cancer patients without ART and those with ART-uncontrolled viral suppression. PMID: 27266211 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

A 10-Year Clinical Experience of Gestational Trophoblastic Disease at Rajavithi Hospital, 2001-2010.
CONCLUSION: GTD treatment at Rajavithi Hospital showed excellent clinical outcomes. Uterus>16 weeks size and pre- treatment hCG> 250,000 mIU/mL were the significant risk factors for developing post-molar GTN in HM patients. Classifying GTN patients into low- and high-risk groups was useful in planning treatment and counseling. PMID: 27266212 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Prevalence of Hemoglobin Cycling and Its Clinical Impact on Outcomes in Thai End-Stage Renal Disease Patients Treated with Hemodialysis and Erythropoiesis-Stimulating Agent.
CONCLUSION: Hemoglobin cycling was commonly found in Thai ESRD patients treated with hemodialysis and ESA. The influence of hemoglobin cycling on mortality and hospitalization rates could not be significantly demonstrated in the present study; however both mortality and hospitalization rates showed an upward trend in patients with hemoglobin cycling. PMID: 27266213 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Presence of Sperm in Pre-Ejaculatory Fluid of Healthy Males.
CONCLUSION: Actively mobile sperm were discovered in the pre-ejaculatory fluid of 16.7% of healthy men. PMID: 27266214 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Optimal Fasting Time before Measurement of Serum Triglyceride Levels in Healthy Volunteers.
CONCLUSION: The present study showed no significant difference in triglyceride levels in patients who had fasted or 8 hours and those who had done so for 12 hours. Fasting for only 8 hours before measurement of serum triglyceride may be sufficient. PMID: 27266215 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Nutritional Status and its Impact on Clinical Outcomes for Patients Admitted to Hospital with Cirrhosis.
Authors: Bunchorntavakul C, Supanun R, Atsawarungruangkit A Abstract BACKGROUND: In patients with cirrhosis, nutritional status is an important predictor of clinical outcomes that can be assessed in clinical practice using conventional methods. Previous studies have shown that malnutrition is associated with increased morbidity and mortality in patients with cirrhosis. However, there have been very few reports from Southeast Asia. OBJECTIVE: To determine the prevalence of malnutrition in patients with cirrhosis who are admitted to hospital and to assess its correlation with mortality, complications, length of s...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

A Comparison of the Efficacy and Renal Side Effects of Antihypertensive Drugs "Angiotensin Receptor Blockers" (ARBs) in Rajavithi Hospital.
A Comparison of the Efficacy and Renal Side Effects of Antihypertensive Drugs "Angiotensin Receptor Blockers" (ARBs) in Rajavithi Hospital. J Med Assoc Thai. 2016 Feb;99 Suppl 2:S56-62 Authors: Pongsuthana S, Chutpongtada K Abstract BACKGROUND: Hypertension is a major public health problem. As a result of the enforcement of measures announced by the National Drug Committee, the majority of original drugs is no longer prescribed and is replaced with drugs in the national list of essential medicines. Patients originally taking Angiotensin receptor blockers (ARBs) frequently have their prescript...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Procalcitonin under Investigation as a Means of Detecting Severe Sepsis, Septic Shock and Bacteremia at Emergency Department, Rajavithi Hospital.
In this study, we investigated the effectiveness of PCT in obtaining early diagnosis and efficient prognosis for such patients at the Emergency Department of Rajavithi Hospital. MATERIAL AND METHOD: A prospective study was performed of 110 adult patients who attended the emergency service department between August 1 2013 and October 31 2013. The effectiveness of PCT as a specific blood test analysis tool for detecting and classifying the severity of patients with sepsis was investigated, and sensitivity, specificity, negative predictive values (NPV), positive predictive values (PPV) and positive likelihood ratio (LR+) ...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Comparison of Endoanal Ultrasound with Clinical Diagnosis in Anal Fistula Assessment.
Authors: Sirikurnpiboon S, Phadhana-anake O, Awapittaya B Abstract BACKGROUND: Anal fistula anatomy and its relationship with anal sphincters are important factors influencing the results of surgical management. Pre-operative definitions of fistulous track(s) and the internal opening play a primary role in minimizing damage to the sphincters and recurrence of the fistula. OBJECTIVE: To evaluate the relative accuracy of digital examination and endoanal ultrasound for pre-operative assessment of anal fistula by comparing operative findings. MATERIAL AND METHOD: A retrospective review was conducted of all pati...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Comparative Survival Outcomes of Uterine Papillary Serous Carcinoma, Clear Cell Carcinoma, Grade 3 Endometrioid Adenocarcinoma, and Carcinosarcoma of Endometrial Cancer in Rajavithi Hospital.
CONCLUSION: CS patients had a significantly lower rate of progression-free survival than other subtypes. These findings should be taken into account when considering counseling, primary treatment and appropriate adjuvant treatment in order to improve survival outcomes in these high-risk patients. PMID: 27266220 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Self-Preferred Route of Delivery of Thai Obstetricians and Gynecologists.
Authors: Kovavisarach E, Ruttanapan K Abstract BACKGROUND: The attitude of Obstetricians and Gynecologists (OB-GYNs) towards performing cesarean delivery on maternal request (CDMR) together with their preferred route of delivery for themselves or their wives is considered as important responsible factors of increasing cesarean delivery. OBJECTIVE: To assess the attitudes of Thai Obstetricians and Gynecologists with regard to their self-preferred route of delivery, willingness to perform cesarean delivery on maternal request, and associated factors. MATERIAL AND METHOD: From July 1, 2013 to September 30, 201...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Survival Rates of Concurrent Chemo-Radiation versus Radiation Alone in Locally Advanced, Unresectable Head and Neck Cancers: A Retrospective Cohort Study.
Authors: Eursritanakorn S Abstract OBJECTIVE: To compare survival rates of concurrent chemo-radiation (CRT) and radiation (RT) alone in locally, advanced unresectable head and neck cancers and to assess factors associated with survival. MATERIAL AND METHOD: A retrospective cohort study was conducted of 165 patients treated for locally advanced unresectable head and neck cancers (Stage III, IV) at the Department of Radiation Oncology, Rajavithi Hospital, from 1 January 2011 to 31 December 2013. Patients were divided into two groups: in the first group, 68 patients received CRT and in the second, 97 patients rece...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Prevalence of Diabetic Foot Ulcers and Risk Classifications in Type 2 Diabetes Mellitus Patients at Rajavithi Hospital.
Authors: Sarinnapakorn V, Sunthorntepwarakul T, Deerochanawong C, Niramitmahapanya S, Napartivaumnuay N Abstract BACKGROUND: Diabetic foot ulcers are a major cause of non-traumatic lower limb amputation in patients with type 2 diabetes. In 2014, the Diabetes Association of Thailand issued new guidelines for classifying type 2 diabetes patients' levels of risk of developing foot ulcers, but no research on the prevalence of type 2 diabetes using these new classification criteria had been performed prior to the current study. OBJECTIVE: To study the prevalence of diabetic foot ulcers overall and in different risk ...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Differential Diagnosis between Primary Endocervical and Endometrial Adenocarcinoma using Immunohistochemical Staining of Estrogen Receptor, Vimentin, Carcinoembryonic Antigen and p16.
Authors: Yanaranop M, Ayuwat S, Nakrangsee S Abstract BACKGROUND: When clinical and histopathological evaluation is not effective in discriminating primary endocervical adenocarcinoma (ECAs) and endometrial adenocarcinoma (EMAs), an immunohistochemistry (IHC) method is regularly used in practice, which involves staining of estrogen receptor (ER), vimentin (Vim), monoclonal carcinoembryonic antigen (mCEA) and p16. OBJECTIVE: To evaluate the performance of IHC markers, ER, Vim, mCEA and p16, in differentiating between primary ECAs and EMAs and to compare the performances of two-, three- and four-marker panels. ...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Corneal Ulcer Leading to Evisceration or Enucleation in a Tertiary Eye Care Center in Thailand: Clinical and Microbiological Characteristics.
CONCLUSION: Despite aggressive medical and surgical treatments, very severe corneal ulcers at referral can lead to loss of an eye. Bacterial infection, especially by Pseudomonas aeruginosa, following eye trauma was the most common cause. Evisceration in bacterial corneal ulcers had greater wound complications than ulcers infected by other pathogens. PMID: 27266225 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Radioiodine (1-131) Dose for the Treatment of Hyperthyroidism in Rajavithi Hospital.
Authors: Kuanrakcharoen P Abstract BACKGROUND: The main cause of hyperthyroidism is diffuse toxic goiter (Graves' disease), and the treatment of choice after medical therapy failure is radioiodine (I-131). There are two common methods of determining the optimal I-131 dose: calculated dose or fixed dose. The calculated dose method is based on the following formula: 75-200 microcuri/gram of thyroid gland divided by the percentage of radioiodine uptake at 24 hours (24-hour RAIU). As this is quite complex, some centers use fixed doses, such as 5, 10 or 15 mCi because it is simpler. At Rajavithi Hospital, the applied do...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Positron Emission Mammography for Breast Cancer in Rajavithi Hospital.
CONCLUSION: There was a moderate PPV in this PEM study for breast cancer in Rajavithi Hospital, and investigators need further experience and training in interpreting PEM. The information of mammographic, ultrasonographic and clinical findings should be used together with PEM to make diagnostic decision. The addition of biopsies could also improve the efficacy of PEM studies. PMID: 27266227 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Characteristics and Treatment Outcomes of Colonic Diverticulitis in Hospitalized Patients in Thailand.
CONCLUSION: Colonic diverticulitis was common in elderly patients and associated with co-morbid diseases. Most patients had mild severity but a high rate of surgery, and the mortality rate was higher than in western countries. Parameters associated with disease severity and mortality were having co-morbid disease, being in the universal coverage healthcare system and having surgical treatment. PMID: 27266228 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Efficacy of Plai Cream in Adult Patients with Muscle Strain: A Randomized, Double-Blind, Placebo-Controlled Trial.
CONCLUSION: There was no difference in pain reduction in the 2-week period between patients with muscle strain using Plai cream and those given placebos, but Plai cream tended to reduce pain in the long term. No side effects were found from Plai cream, so this non-invasive treatment may be offered to patients. PMID: 27266229 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Prevalence of Sexually Transmitted Infection in Teenage Pregnancy in Rajavithi Hospital, Thailand.
CONCLUSION: STI, especially Chlamydial infection, was found in a significant number of teenage pregnancies. Measures should be taken to prevent this resulting in complicated outcomes in the future. PMID: 27266230 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Factors Associated with Hospitalization of Chronic Obstructive Pulmonary Disease Patients with Acute Exacerbation in the Emergency Department, Rajavithi Hospital.
Authors: Wiwatcharagoses K, Lueweeravong K Abstract BACKGROUND: Chronic Obstructive Pulmonary Disease with acute exacerbation (AECOPD) is a condition, which frequently results in patients visiting the emergency department (ED). Recently, many studies have reported new factors, which cause AECOPD-patients (AECOPDs) to require urgent hospital admission. OBJECTIVE: To determine the crucial factors of AECOPDs that are associated with patients who visit the ED being admitted to Rajavithi Hospital. MATERIAL AND METHOD: This retrospective cross-sectional study was performed from May 1, 2011 to June 30, 2013. Seven...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Computer-Assisted Total Knee Arthroplasty vs. Conventional Total Knee Arthroplasty: Post-Operative Ankle Radiographic Findings and Ankle Clinical Assessment.
CONCLUSION: This study showed that conventional total knee arthroplasty affected postoperative talar tilt while computer-assisted total knee arthroplasty had a lesser effect and did not significantly change the axis of rotation of the ankle joint. More research needs to be carried out on larger numbers of patients with longer follow-up periods. PMID: 27266232 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Quality of Life Achieved by Carboplatin Plus Etoposide as Third-Line Chemotherapy Compared with Best Supportive Care in Non-Small Cell Lung Cancer Stage IIIB/IV.
Authors: Maneechawakajorn J, Hathaisanguan S Abstract BACKGROUND: Advanced stage (IIIB/IV) non-small cell lung cancers (NSCLC) are mostly treated with paclitaxel or gemcitabine combination chemotherapy as first-line treatment and docetaxel as second-line therapy under the national reimbursement program, but there is no treatment specified for use after disease progression. New third-line chemotherapy drugs including new targeted therapies are expensive and bring about only slightly prolonged progression-free survival and minimally better response in healthy patients. OBJECTIVE: Carboplatin plus etoposide chemot...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Problems with Complete Dentures and Related Factors in Patients in Rajavithi Hospital from 2007 to 2012.
CONCLUSION: Many complete denture patients had problems with denture looseness and dentists should recall these patients in a timely manner to help them achieve a better quality of life. PMID: 27266234 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Trends of Metabolic Syndrome Components in Personnel at the Rajavithi Hospital.
CONCLUSION: The prevalence of Mets was low and decreased slightly each year. Associated risk factors of Mets were increasing age, male gender and working in administration. Some components of MetS, especially waist circumference, blood pressure, triglyceride levels and glucose, are risk factors of metabolic syndrome and should be avoided in order to decrease its prevalence. PMID: 27266235 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Characteristics and Demographic Distributions of Toxigenic Clostridium difficile Strains in Rajavithi Hospital, 2009-2015.
CONCLUSION: The prevalence of toxigenic C. difficile strains at Rajavithi Hospital was not high. The occurrence of these strains, recorded for each month of the study period, showed an irregular trend, but by far the highest frequency was found in older age groups. Rapid and accurate detection is necessary to enable immediate treatment and to stop the spread of infection. In future, these strains will be studied at a molecular level and antimicrobial susceptibility testing will be performed and the results entered in a database of toxigenic C. difficile strains in Thailand. PMID: 27266236 [PubMed - in process] (Source:...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Somatic HRPT2 Mutation (Arg234X) of Parathyroid Carcinoma Associated with Slipped Capital Femoral Epiphysis: A First Case Report.
Authors: Niramitmahapanya S, Deerochanawong C, Sarinnapakorn V, Sunthornthepvarakul T, Pingsuthiwong S, Athipan P, Sangsuda Y Abstract A 14-year-old boy was admitted to the orthopedic clinic of Rajavithi Hospital complaining of pain in the left hip. A year earlier, pain had developed in his left joint and had gradually increased in intensity in both hips. A month before he was referred, radiographs obtained at another hospital showed bilateral slipped capital femoral epiphysis (SCFE). The patient's biochemical laboratory data showed hypercalcemia, hypophosphatemia, and a high level of intact parathyroid hormone (iP...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Neurological Recovery of Upper Extremity in Stroke Woman after 5 Years: A Case Report.
This report describes the case of a stroke patient who gained upper extremity motor recovery after 5 years, which is beyond the normal recovery period. Although the patient does not have functionality, she has partial motor recovery, and she is enthusiastic about learning to gain better use of her hand. However there is still limited evidence to use in designing effective intervention and proper timing of rehabilitation administered by personnel in training chronic stroke patients. Therefore, evidence based on neuroplasticity and neurological recovery in chronic stroke patients, including rehabilitation intervention, is pr...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Five Synchronous Paragangliomas of the Head and Neck: A Case Report.
Authors: Yavapolkul D, Jittreetat T Abstract This is a case report of synchronous bilateral carotid body tumor, bilateral jugulotympanic and left subclavian paraganglioma in a 38-year-old man who presented with a history of slow-growing bilateral neck masses for 4 years and a one-month history of right facial palsy, tinnitus, and hearing loss. A discussion of this case is followed by a review of the literature surrounding this rare clinical entity. PMID: 27266239 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Bilateral Atrial Myxoma: A Case Report.
Authors: Susupaus A, Foofuengmonkolkit K Abstract Among the rare cardiac tumors, myxoma, which is mostly located in the left atrium, is the most common type. Bilateral atrial myxoma is extremely rare, and requires urgent surgery. The authors report the case of a 34-year-old male, who presented with one month of right hemiparesis and aphasia and subsequently diagnosed with bilateral atrial myxoma based on transthoracic echocardiography. An urgent operation for intra-cardiac tumor removal was performed with the biatrial approach. Once a diagnosis of myxoma has been made, an urgent operation for tumor removal is neces...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Cholesterol Granule of the Ethmoid Sinus: A Case Report.
This study reports a case of cholesterol granuloma of the ethmoid sinus treated with the endoscopic marsupialization technique. This paper will remind physicians of the characteristics of cholesterol granuloma, which are useful for differential diagnosis of patients with this condition. In addition, it is the first reported case of cholesterol granuloma of the ethmoid sinus in the Thai literature. PMID: 27266241 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Acupuncture Treatment for Acute Ankle Injury in the Emergency Department: A Preliminary Case Report.
Authors: Tantivesruangdet N Abstract Acupuncture is an ancient medical treatment that is increasingly attracting the interest of the public. It is a complementary therapy that is widely used for management of pain, especially chronic discomfort caused by migraine, low-back pain and osteoarthritis of the knee(¹⁻³). The evidence base for the effectiveness of acupuncture and its clinical applications is controversial, and although its efficacy and safety in the management of acute pain have been demonstrated, the quality of this modality is still questionable. The present study reports a case of acute ankl...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Co-Trimoxazole-Induced DRESS Syndrome: A Case Report.
Authors: Paitorn L Abstract Drug Rash with Eosinophilia and Systemic Symptoms (DRESS syndrome) is a severe adverse drug reaction. The drugs, which most commonly induce this condition, are anti-convulsants and sulfonamides. A 15-year-old Thai woman with no known underlying disease was prescribed co-trimoxazole, and two months after initiation, DRESS was diagnosed by RegiSCAR's score. Her clinical symptoms were fever laboratory abnormalities and maculopapular rash on her face, trunk and extremities. She was treated with antipyretics, antihistamines and steroid therapy, and her clinical and laboratory findings were re...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Comparison of Endometrial Pathology between Tissues Obtained from Manual Vacuum Aspiration and Sharp Metal Curettage in Women with Abnormal Uterine Bleeding.
Authors: Sirimai K, Lertbunnaphong T, Malakorn K, Warnnissorn M Abstract OBJECTIVE: To study the correlation of endometrial pathology, which were derived from manual vacuum aspiration (MVA) and sharp metal curettage (SMC). MATERIAL AND METHOD: Women aged over 35 years old who presented with abnormal uterine bleeding were enrolled. Endometrial biopsy using MVA and sharp metal curettage under paracervical nerve block were performed, respectively. Correlation of endometrial pathology from both methods and correlation between endometrial pathology from MVA and the most severe pathology were analyzed using Kappa sta...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 4, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Performance of Chemiluminescent Microparticle Immunoassay in Screening for Syphilis in Pregnant Women from Low-Prevalence, Resource-Limited Setting.
CONCLUSION: Even though CMIA has high false positive results, however it is still recommended that this reverse sequence screening be used instead of the traditional algorithm. The rate of false positive results can be decreased by adjusting the sample/cut-off absorbance ratio of CMIA. PMID: 27249890 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 4, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

A Participatory Randomized Controlled Trial in Knowledge Translation (KT) to Promote the Adoption of Self-Monitoring of Blood Glucose for Type 2 Diabetes Mellitus Patients in An Urban District of Thailand.
Authors: Suriyawongpaisal P, Tansirisithikul R, Sakulpipat T, Charoensuk P, Aekplakorn W Abstract OBJECTIVE: To examine effectiveness of self-monitoring of blood glucose (SMBG) in glycemic control for poor control diabetes patients, and test whether the glycemic outcome for those with the 7-point SMBG was better than those with 5-point SMBG or usual care. MATERIAL AND METHOD: Randomized-controlled trial (RCT) of patients with type 2 diabetes mellitus aged 30 years or older HbA1c> 7. Patients were randomly allocated to one of three groups; 7-point SMBG 5-point SBMG and control group. Differences in HbA1c at 6...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 4, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Effect of Anti-Hypertensive Medication Withdrawal in Well-Controlled Treated Hypertensive Patients: Preliminary Results.
CONCLUSION: Fifty five patients (61.8%) out of 89 enrolled patients are still NT and able to stop anti-HT drug after 12 weeks follow-up. Male had a higher rate to remain NT than female. PMID: 27249892 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 4, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

A Comparative Study of 3 Different Methods of Temperature Measurement in Children.
Authors: Chatproedprai S, Heamawatanachai K, Tempark T, Wananukul S Abstract BACKGROUND: The accuracy of body temperature measurement is very important in children. The accuracy and reliability of the forehead skin thermometer (FST) and infrared tympanic thermometer (TT) are inconclusive. OBJECTIVES: To determine: 1) the mean difference, agreement, and accuracy of body temperature detected in children by FST and ITT, as compared with the gold standard rectal mercury-in-glass thermometer (RMT); and, 2) the cut-off level for FST and ITT in the detection of fever MATERIAL AND METHOD: Children ≤ 2 years old ...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 4, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Clinical Features and Survival Outcomes of Invasive Aspergillosis in Pediatric Patients at a Medical School in Thailand.
CONCLUSION: The 1-year survival rate was poor; however, cause of death is related to complications of the immunocompromised state not from IA. PMID: 27249894 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 4, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Effectiveness of Medium Chain Triglyceride Ketogenic Diet in Thai Children with Intractable Epilepsy.
CONCLUSION: MCT ketogenic diet is effective and feasible in Thai children with intractable epilepsy. Despite modification against Asian culinary culture, the tolerability and maintenance rate was still satisfactory. A larger study is required. PMID: 27249895 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 4, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

School-Based Educational Interventions Can Significantly Improve Health Outcomes in Children with Asthma.
Authors: Suwannakeeree P, Deerojanawong J, Prapphal N Abstract BACKGROUND: Lack of asthma knowledge among the pediatric patients and their caregivers contribute to poor asthma control in children. There is no data from Thailand on the health outcomes of school-based educational interventions for asthmatic children. OBJECTIVE: To assess the effectiveness of school-based asthma educational interventions on health outcomes, asthma control, and management in asthmatic children. MATERIAL AND METHOD: Forty-seven asthmatic students (6-15 years old), 14 caregivers, and five teachers from the Homkred School particip...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 4, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Seroepidemiology of Dengue Virus Infection in HIV-Infected Children in Comparison to Healthy Children.
CONCLUSION: HIV-infected children and healthy children had no different seroepidemiology of dengue virus infection. PMID: 27249897 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 4, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Wilson's Disease in Thai Children between 2000 and 2012 at King Chulalongkorn Memorial Hospital.
CONCLUSION: WD in children mostly affected the liver WD was suspected in seven patients (34%), thus needed further investigation. Therefore, long-term follow-up in those with suspected WD is the appropriate method for diagnosis and management in limited diagnostic tests. We suggest further treatment, and use of clinical response to treatment, as a criterion for confirming the WD diagnosis. PMID: 27249898 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 4, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research