The Bangkok medical journal最新文献

{"title":"Is Silicosis Still Underdiagnosed?","authors":"Sirawit Stitsmith, Narongpon Narongpon, C. Brohmwitak, Brohmwitak Bunman, Apinut Jaroonpipatkul, Thanaporn Panomsak, Panomsak Khantharot, Arunee Pholngam","doi":"10.31524/bkkmedj.2021.22.001","DOIUrl":"https://doi.org/10.31524/bkkmedj.2021.22.001","url":null,"abstract":"","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47762022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Cardiovascular Risk Estimation Tools in Thai Hospital Employees","authors":"Apichard Sukontasarn, W. Chaiwong, Khajornsak Thepsen, Prinya Chomsang, M. Samranthin, Thouantosaporn Suwanjutah, Prapasri Benjasiriluk, Chokechai Suwannakijboriharn, W. Manosroi, Jutarut Saikam, Chulathip Boonma, C. Kunanusont","doi":"10.31524/bkkmedj.2021.21.001","DOIUrl":"https://doi.org/10.31524/bkkmedj.2021.21.001","url":null,"abstract":"OBJECTIVES: To compare cardiovascular disease (CVD) risks estimated by various estimators, we collected and analyzed the annual health checkup data of non-physician hospital employees (NPHEs) in 5 private hospitals in Thailand in 2018. MATERIALS AND METHODS: This cross-sectional study The Thai CV Risk Score could numerically detect more persons with moderate or high cardiovascular risk than other risk calculators. Clinical recommendation for those with moderate or even low risk should be made carefully, taking into account that the patient might actually be at a higher risk level.","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48399349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Compliance with Rehabilitation for People with Schizophrenia among Primary Caregivers in Nam Dinh Province, Vietnam","authors":"Truong Tuan Anh, M. L. Anh, L. Cường","doi":"10.31524/bkkmedj.2021.21.003","DOIUrl":"https://doi.org/10.31524/bkkmedj.2021.21.003","url":null,"abstract":"OBJECTIVES: Individuals with schizophrenia manifest the different expressions, behaviors and personality. Failure to comply with rehabilitation for the patient may impair the patient and caregiver’s quality of life; preventing the patient from self-care, and it is an economic burden for the family and society and chronic progression of the disease. This study aims to determine the compliance with rehabilitation for people with schizophrenia among primary caregivers. MATERIALS AND METHODS: Participants of 352 primary caregivers of people with schizophrenia were recruited from Nam Dinh General Hospital and Nam Dinh Psychiatric Hospital, Nam Dinh province, Vietnam. To measure the variable of compliance, the researchers designed a caregiver’s compliance with rehabilitation questionnaire. The instrument was validated by three content experts including, a psychiatric physician, a psychiatric nurse and a psychiatric instructor. RESULT: The research results indicated that the caregivers of people with schizophrenia complied with rehabilitation at a good level of 27.6%, average level of 34.4% and poor level of 38%. There was correlation between caregiver’s age, being supported from others and patient’s illness severity level and compliance with rehabilitation of primary caregivers of people with schizophrenia. CONCLUSION: Health-care workers should design an intervention program to improve primary caregiver adherence to rehabilitation for schizophrenic individuals to enhance caregiver’s compliance for schizophrenia rehabilitation, which should have relation to caregiver’s age, being supported from others and patient’s illness severity level.","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48354707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Focal Periphyseal Edema (FOPE) Zone: A Possible Cause of Unexplained Knee Pain In Adolescents. A Case Report and Literature Review.","authors":"N. Budhraja, Sopita Rungsunniwet","doi":"10.31524/bkkmedj.2021.22.002","DOIUrl":"https://doi.org/10.31524/bkkmedj.2021.22.002","url":null,"abstract":"Focal periphyseal edema (FOPE) is a recently described condition seen on Magnetic Resonance Imaging (MRI) scans of adolescent patients in relation to knee pain. Since its description in 2011, and proposal as a possible reason for adolescent knee pain, few case series have been published. We report a case of an adolescent male with activity-related knee pain and FOPE finding on MRI scan of his knee. On reviewing medical literature we found nine case series reported with regards to FOPE zone. We have reviewed the demographic and clinical characteristics of the reported cases. With this report we aim to bring more awareness about this condition amongst orthopaedic surgeons.","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49214768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Training on Knowledge, Perception, and Practice of Healthcare Personnel on the Use of Respiratory Protective Equipment during COVID-19 Pandemic at a Private Hospital in the Northern part of Thailand.","authors":"Chonwipha Teerasantipun, Wittaya Pichetweerachai, Nattaphol Pruetpongpun, Kanokwan Suwannawat, W. Chaiwong, C. Kunanusont","doi":"10.31524/bkkmedj.2021.21.004","DOIUrl":"https://doi.org/10.31524/bkkmedj.2021.21.004","url":null,"abstract":"OBJECTIVES: To determine the effect of the respiratory protective training program of healthcare personnel (HCP) during the Coronavirus Disease 2019 (COVID-19) pandemic at a private hospital in the northern part of Thailand. MATERIALS AND METHODS: This cross-sectional study was conducted with 89 healthcare personnel (HCP) of Bangkok Hospital Phitsanulok, who required wearing a tight-fitting respirator during their duties and attended respiratory protective equipment (RPE) video-based training program regarding the general principles of respirator usage and guidelines on safely re-using RPE. A questionnaire-based assessment of participants’ 3-month retention of knowledge and perception was conducted in April 2021. A qualitative fit test (QLFT) was used in terms of practice on RPE. The proportion of correct responses in the 3-month knowledge and perception score were compared with a pre-training test and an immediate post-training test using paired t -test. The same analysis was conducted with QLFT using McNemar’s test. RESULT: Various types of RPE were used in each test depending on the supply. The most commonly used RPE was N95 (58.4%), the majority of N95 was 3MVLFEX 9105. Compared with the pretraining test, the proportion of correct responses in the immediate post-training test increased by 11% ( p < 0.001; 95% CI 1.07-2.23). Similarly, in 3-month post-training, the percentage of correct response also increased from pre-training by 10.4% ( p < 0.001; 95% CI 0.08-2.28). HCP had an excellent level of perception on using RPE during COVID-19. No significant change in perception was found between pretraining and both immediate and 3-months after training ( p = 0.536 and p = 0.384 respectively) The pass rate significantly raised to 96.6% for an immediate post-training test ( p < 0.001) and to 98.8% after 3-month ( p < 0.001). CONCLUSION: Training has played an important role to help HCP improve their knowledge and practice regarding the usage of RPE, but has no significant effect on perception. The assessment of knowledge, perception and practice retention of RPE usage after 3-month showed the positive impacts of video-based training groups on participants’ knowledge and practice. Further evaluations are needed on the interventions that enhance HPC perceptions and attitudes on safety behavior. Pre- and in-service training programs for frontline HPC during a Coronavirus 19 disease pandemic need to be considered by Thai Ministry of Public Health.","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49609281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience in the Cohort Intermediate Care Unit Arrangement and Nursing management of patients with COVID-19 at Bangkok Hospital Headquarters","authors":"Chutikan Suwalapha, Thitaree Yongprawat, Wirongrong Charoengid, Pornpimol Laongam","doi":"10.31524/bkkmedj.2021.27.001","DOIUrl":"https://doi.org/10.31524/bkkmedj.2021.27.001","url":null,"abstract":"OBJECTIVES: To share experiences for the Cohort Intermediate Care Unit (IMCU) setup description. It also involves the focusing on integrated nursing care in collaboration with Multi-professional team to improve patient outcomes. MATERIALS AND METHODS: We collected and searched many articles from the published medical literature that reported standard protocols for the IMCU and nursing management of SARS-CoV-2 (COVID-19). This study was a collection of data from COVID-19 patients who were confirmed cases with positive real time-PCR test results. They were receiving treatment and admitted at Bangkok Hospital Headquarters (BHQ) from May 1 st - June 30 th , 2021. Descriptive statistics were used to describe the results in frequency, percentage and mean. We compared the average number of days for COVID-19 patients stay between two groups. A confidence interval (CI) was used to explain a different sample proportion and a different interval of hospital mortality rate. RESULT: Among 122 COVID-19 patients, 41 (33.6%) patients were admitted to the Cohort IMCU. The average length of stay (LoS) was 5.1 days, with minimum 1 day and maximum 15 days. Three quarter of them (31/41, 75.6%) had clinical improvement and were transferred to Cohort ward, while a quarter (10/41, 24.4%) had experienced clinical deterioration and were transferred to intensive care unit (ICU). Mortality rate of this group was 4.9% (95%CI -1.7, 11.5). During the same time period, 81 COVID-19 patients were directly transferred to ICU. The average LoS in ICU of 6.2 days. Among them, 8 of 81 patients did not survive. As a result, mortality rate among this group was 9.9% (95%CI 3.4, 16.4). CONCLUSION: In our experience, the Cohort IMCU can reduce mortality rate of the COVID-19 patients and proper management also decrease crowding of ICU.","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44586432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Image Guided Core Needle Biopsy (CNB) in Malignancy of The Breast—Part 2: Breast Ductal Malignancies other than Ductal Carcinoma In Situ (DCIS) and Invasive Ductal Carcinoma (IDC)","authors":"W. Bhothisuwan, Niramon Pantawanant, N. Marukatat, Pramaporn Kimhamanon","doi":"10.31524/BKKMEDJ.2021.12.004","DOIUrl":"https://doi.org/10.31524/BKKMEDJ.2021.12.004","url":null,"abstract":"","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":"17 1","pages":"59-68"},"PeriodicalIF":0.0,"publicationDate":"2021-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49208029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Colonic Perforation due to Phytozoars","authors":"Soonthorn Fongfung, Girrana kaewpiboon, C. Suchato","doi":"10.31524/BKKMEDJ.2021.14.001","DOIUrl":"https://doi.org/10.31524/BKKMEDJ.2021.14.001","url":null,"abstract":"","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":"17 1","pages":"69-69"},"PeriodicalIF":0.0,"publicationDate":"2021-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45026626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Lifestyle Modification among Persons with Hypertension in Punakha, Bhutan","authors":"N. Dorji, Niphawan Samartkit, Khemaradee Masingboon","doi":"10.31524/BKKMEDJ.2021.11.001","DOIUrl":"https://doi.org/10.31524/BKKMEDJ.2021.11.001","url":null,"abstract":"Integration of lifestyle modification with modern medicine is recommended management of hypertension. This study aimed to describe lifestyle modification and explore factors predicting lifestyle modification among persons with hypertension in Punakha, Bhutan. Individual and family self-management theory guided this study. Simple random sampling technique was used to recruit 108 persons with hypertension visiting non-communicable disease (NCD) unit of Punakha District Hospital, Bhutan. Data on demographic characteristics and health information were collected using Demographic Questionnaire. Standard instruments such as Hypertension Self-care Profile Behavior Scale, Hypertension Knowledge-Level Scale, Hypertension Self-Efficacy Scale and Multi-diminensional Scale of Perceived Social Support each bearing reliability coefficient of .83, .82, .81 and .85 respectively were used to measure the research variables. Data was analyzed using descriptive statistics and standard multiple regression. \u0000The result showed that lifestyle modification is high among the participants (M = 53.9, SD = 7.7). Standard multiple regression revealed hypertension knowledge (β = .19, p = .04) and perceived self-efficacy (β = .36, p < .001) as the significant predictor of lifestyle modification. Perceived social support did not predict lifestyle modification. All predictors explained 21.05% of variance in lifestyle modification (R2 = 21.05%, F(4, 103) = 10.51, p < .001) among the participants. \u0000The findings indicate that lifestyle modification can be enhanced by designing an intervention directed toward strengthening hypertension knowledge and perceived self-efficacy. While providing interventional program, healthcare professional should involve both individual and family to motivate them in promotion of lifestyle modification.","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47913170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Finalist Award in Clinical Case in Skin Enhancement and Integrative Acne Treatment: 6th Anti-aging and Beauty Trophy 2018-2019, Monaco Work Base on Food Intolerance Test: A Case Study","authors":"Vipawan Annoppornchai, Chawapon Kidhirunkul, Atiya Rungjang","doi":"10.31524/BKKMEDJ.2021.12.002","DOIUrl":"https://doi.org/10.31524/BKKMEDJ.2021.12.002","url":null,"abstract":"cne vulgaris (AV) is a condition associated with the pilosebaceous unit. It appears in the form of inflammatory lesions (papules, nodules, and pustules), as well as non-inflammatory lesions (open comedones and closed comedones), while scars can also develop. AV is relatively common, especially during adolescence, and has a lifetime prevalence of around 85%. 1 Acne leads to a number of health issues, including residual scars and psychological problems, which can lead to poor self-image, anxiety, or depression. Quality of life is also adversely affected. 2-4 Acne lesions are the result of four main pathogenic processes. These are changes in follicular keratinization causing comedones, greater sebum production under androgen control, colonization of the follicles by Propionibacterium acnes , and complex mechanisms leading to inflammation via innate and acquired immunity. 5,6 The pathogenesis of acne is also influenced by genetics, 7,8 diet, 9-13 including chocolate, 14,15 dairy consumption, 16-18 and environmental factors. 19-22 Mild or moderate acne cases are typically treated using topical therapy, such as retinoids and antimicrobials including benzoyl peroxide or antibiotics, but in the case of more severe acne, it is necessary to use systemic therapy. In that case, oral antibiotics are often prescribed, 23,24 along with hormonal therapies, 25 or isotretinoin. Studies conducted before 2007 showed that acne is not influenced by diet, and instead is governed predominantly by genetic and hormonal factors. 26,27,15 However, other studies have added that a link between acne and diet would be likely, since hormones and growth factors are affected by diet. Therefore, there will be an effect upon the sebaceous gland activity and the production of sebum. However, more recent research, such as that of Smith et al . 11,28 has instead placed emphasis on the examination of insulin sensitivity, glycemic load, hormonal mediators and their links with acne, finding a connection between acne and the consumption of milk. 29,17,16 Low levels of glycemic load, both with and without metformin, are linked to larger declines in acne lesion counts than is the case with higher loads. 12,30 Furthermore, both high Abstract Acne vulgaris is a skin condition that can occur in patients of any age. The outcome depends on genetic regulation in terms of hormone level control, sebum excretion, keratinization, and the level of immunological response. However, it is also possible that factors such as hygiene and diet can affect acne, while some recent studies have revealed links between certain specific food types and the onset or severity of acne. Therefore, this case study reports the effectiveness of the integrative approach in treating acne vulgaris in a young man who showed a rapid response to the combination of topical therapies and Intense Pulse Light (IPL) therapy with the removal of certain foods in line with the results of food intolerance testing. It was reported that the","PeriodicalId":92144,"journal":{"name":"The Bangkok medical journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44245629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}