High Sensitivity C-Reactive Protein Level and Psoriasis Severity in Thai Patients.
Conclusion: This correlation between hs-CRP level and the psoriasis severity has led to the proposition that hs-CRP be used as a biomarker for overall inflammation including skin severity and cardiovascular risk factor in psoriasis. PMID: 29927210 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Effects of Pursed-Lip Breathing Exercise Using Windmill Toy on Lung Function and Respiratory Muscle Strength in the Elderly.
Conclusion: Pursed-lips breathing exercise using a windmill toy is an effective breathing exercise intervention for improving lung function and respiratory muscle strength in the elderly. PMID: 29927211 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

An 80-Year-Old Man with Inferior Wall Myocardial Infarction and Cardiogenic Shock: Case Report.
We report a case of ruptured head of posteromedial papillary muscle and prolapse of anterior mitral valve leaflet that caused severe mitral regurgitation (MR) and cardiogenic shock as a complication of inferior wall myocardial infarction in an 80-year-old man. Emergency coronary angiogram revealed thrombotic occlusion at proximal right coronary artery. Transesophageal echocardiogram revealed ruptured head of posteromedial papillary muscle and prolapse of anterior mitral valve leaflet causing severe MR. After percutaneous coronary intervention with bare metal stent, the patient underwent mitral valve repair with saphenous v...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

A Case Report of Ruptured Malignant Neuroendocrine Tumor of Kidney, an Extraordinary Presentation.
We report the case of a 51-year-old Thai female presented with right abdominal mass with pain and anemia. The radiographic findings showed ruptured renal mass. She underwent radical nephrectomy and the pathological report was malignant neuroendocrine tumor. Palliative chemotherapy was administered. The patient passed away three months after the operation. Renal neuroendocrine tumors are rare. Moreover, ruptured renal tumors are very rare. They are usually considered to be angiomyolipoma or renal cell carcinoma. Poor differentiation and rupture at presentation are aggressive features of tumors. To the best of our knowledge,...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Carotid Doppler Ultrasound in Stroke Patients.
Conclusion: Most of these stroke patients had carotid pathology. Many of them had normal carotid velocity, but increasing intima-media thickness and plaque of varying morphology. There were varying degrees of vessel stenosis ranging from no significant stenosis to more than 50% stenosis, 50 to 69% stenosis, more than 70% stenosis, near occlusion and total occlusion. PMID: 29927217 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

In-Hospital Mortality Predictors of Heart Failure Patients in Rajavithi Hospital.
Conclusion: Age, SBP and serum albumin were predictors of in-hospital mortality from heart failure. Median duration of hospitalization was 7.5 days and factors that influenced length of stay were female gender, NYHA class IV, and serum creatinine levels. PMID: 29927221 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Clinical Characteristics, Treatment Outcomes and Risk Assessment of Patients with Acute Upper Gastrointestinal Bleeding in Rajavithi Hospital, Thailand.
Conclusion: The overall outcomes of UGIB were good, with better outcomes in NVUGIB than in VUGIB. AIMS65 score and serum sodium may be useful in predicting rebleeding and complications in UGIB. PMID: 29927224 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Comparison of Surgical Results of Direct Vertebral Rotation with those of Simple Rod Derotation for Correction of Adolescent Idiopathic Scoliosis.
Conclusion: Both surgical techniques showed improvement in overall spinal alignment; however, no significant difference between these improvements was found in the two groups. PMID: 29927228 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Prevalence of Chronic Hepatitis B Infection in Patients with Systemic Lupus Erythematosus: Viral Reactivation and Impact on Disease Activity.
Conclusion: The results showed that the prevalence of chronic HBV infection in SLE patients was lower than in the general population. Even though they had received high doses of corticosteroid and immunosuppressive agents, no HBV reactivation was found in these SLE patients with chronic HBV infection. PMID: 29927230 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Preferred Route of Delivery of Thai Pregnant Women.
Conclusion: Most Thai pregnant women (95%) attending the ANC clinic at Rajavithi Hospital preferred vaginal delivery. Dissatisfaction with previous birth experience was the only factor significantly associated with choice of the cesarean route. PMID: 29927231 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Diabetic Retinopathy: Current Treatment and Thailand Perspective.
Authors: Silpa-archa S, Ruamviboonsuk P Abstract Diabetes mellitus is a common and chronic metabolic disorder involving multiple organ systems. Major eye involvements include diabetic macular edema (DME) and proliferative diabetic retinopathy (PDR). With a significantly increasing global number of cases of diabetes and the tendency towards an aging population, sight-threatening diabetic retinopathies are expected to increase from 37.3 million in 2011 to 56.3 million worldwide by 2030. Besides good glycemic and metabolic disease control, appropriate diabetic retinopathy (DR) screening and prompt treatments ...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Role of Hypercoagulable State for Predictive Ovarian Malignancy in Women with a Pelvic Mass.
Conclusion: Women with OC are significantly more associated with hypercoagulable state than those with benign gynecologic diseases. Plasma fibrinogen level was the significant predictive factor for OC, and only 1 post-operative VTE event occurred. PMID: 29927556 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Outcome of Latissimus Dorsi Flap Chest Wall Reconstruction In Rajavithi Hospital.
Conclusion: LD flap is a safe option for autologous breast reconstruction, although donor-site complications are often observed. A larger series to investigate the results and adverse effects of this procedure is needed. PMID: 29927557 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Correlation of 25-Hydroxyvitamin D Levels in Serum vs. Breastmilk in Vitamin D-Supplementation Breastfeeding Women during Lactation: Randomized Double Blinded Control Trial.
Conclusion: Vitamin D3 supplementation during lactation can increase 25 (OH) D levels in Thai breast-fed mothers. Further work is needed to determine the duration of vitamin D supplementation to normalize breast milk and breast-fed infants’ 25 (OH) D level at over 75 nmol/L. PMID: 29927558 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Immunohistochemistry of Cytokeratin 7, Cytokeratin 20 and Thyroid Transcription Factor-1 in Metastatic Carcinoma of Cervical Lymph Node Biopsy for Identification of Pulmonary Origin in Rajavithi Hospital.
Conclusion: The immunohistochemistry panel of CK7, CK20 and TTF-1 in the Rajavithi Hospital database is useful as a guide in locating the origin of clinically unknown primary cases of metastatic cervical lymph nodes. PMID: 29927559 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 24, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research