Browsing by Author "Chanintr Mahakkanukrauh"
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Item Microcomputer assisted instruction in Orthopedics(Faculty of Medicine, Khon Kaen University, 2010-05-08) Sakda Chaikitpinyo; Chanintr Mahakkanukrauh; Suppasin SoontrapaUsing an IBM compatible, 16 bit and advanced basic language, microcomputer, we devised a computer assisted instruction (CAI) program of case study in Orthopedics. A trial was then made an our house staffs (2 Orthopedics residents and 5 resident equivalents) . The efficacy of CAI as a teaching aid and users’satisfaction was evaluated with satisfactory outcome. This report aims at showing the favorable acceptance of CAI as a teaching aid and at arousing its acceptance as a new kind of technology suitable for various adaptation in academic use.Item The risk of paralysis in vertebral tuberculosis(Faculty of Medicine, Khon Kaen University, 2010-05-08) Chanintr Mahakkanukrauh; Suppasin Soontrapa; Sakda ChaikitpinyoVertebral tuberculosis is still a health problem in Thailand. Apart from spinal deformities it may be associated with paralysis with dreadful consequences. Paralysis at the thoracic level is more common in this condition due to the relative incompatibility of the thoracic spinal canal and the spinal cord. However, the magnitude of the risk of paralysis in this condition does not exist. We therefore carried out a retrospective study of 87 cases of vertebral tuberculosis to find out the risk. There were 52 cases of thoracic and 35 cases of lumbar involvement (No cervical found in this study) The risk for neural deficit or paralysis in the thoracic group was found to be 5 times more than the lumbar group (Chi-square test shows p \< 0.01 , odd ratio = 5.22 and 95% confident interval = 1.69-16.86)Item Rusults of epidural steroids injection in patients with Lumbosciatic pain.(Faculty of Medicine, Khon Kaen University, 2010-05-15) Chanintr Mahakkanukrauh; Sakda Chaikitpinyo; Suppasin SoontrapaFourty patients with recalcitrant lumbosciatic pain were treated by epidural steroid injection at Srinagarind hospital, and a private hospital between January 1988 to April 1990, to study the efficacy of epidural steroid injection. the average age was 52.2 years (24.62 years). All patients were injected with 2 cc. Of methylprednisolone (depo-medrol 40 mg/cc.) plus 3 cc. Of 1% lidocaine at weekly interval for 3 weeks. The patients were devided into 2 groups; group I includes those patients who had lumbosciatic pain less than 3 mounths, group II more than 3 months. In this study there were 11 patients in group I and 29 in group II. The results at one week after completion of the injections were good in both groups (81.81%, 72.42%), at 3 weeks (after completion of the injection) were quite good 63.63% in group I and 58.62% in group II and at 6 weeks after completion of the injection the result were good \< 36.36%. In this study, it appears that the lumbosciatic pain may receive temporary relief with steroid injection especially in short term (Item The use of microcomputer in item analysis(Faculty of Medicine, Khon Kaen University, 2010-05-08) Suppasin Soontrapa; Chanintr Mahakkanukrauh; Sakda ChaikitpinyoUtillizing the Thai version of dbase III, a program for items analysis was developd in the computer unit of the Department of Orthopedics and Rehabillitation Medicine KhonKaen University, for the purpose of1. grading of medical students2. standardization of the examination itemsThe program was used to analyse the items given to medical students in the 4th and 6th year standing for their final examination in 1986-1987 and found to be effective: The well –standardized items could be identified and stored in the examination bank while those less-standardized could be separated for later improvement. These could be accomplished within a day for each class , much more effective than previously.