Browsing by Author "Wilde, H"
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Item About the death penalty in Thailand.(2000-12-20) Wilde, H; Pruksapong, C; Phaosavasdi, S; Tannirandorn, Y; Taneepanichskul, S; Chulsiriwong, TItem Acquired immune deficiency syndrome in Thailand.(1985-06-01) Wilde, H; Locharenkul, C; Phanuphak, PItem Are we really managing this HIV patient?(2001-07-05) Phaosavasdi, S; Taneepanichskul, S; Tannirandorn, Y; Wilde, H; Pruksapong, CItem Controversial issues in obstetrics.(1998-11-06) Phaosavasdi, S; Wilde, H; Pruksapong, C; Tannirandorn, Y; Taneepanichskul, SItem Detection of Plasmodia in acridine orange stained capillary tubes (the QBC system).(1990-12-01) Pornsilapatip, J; Namsiripongpun, V; Wilde, H; Hanvanich, M; Chutivongse, SThe sensitivity, specificity and convenience of carrying out malaria diagnosis in acridine orange stained capillary tubes using a fluorescent microscope (the QBC system) was compared to screening for Plasmodia on conventional Giemsa stained thick smears. A dilution study revealed that the QBC is able to detect Plasmodia in as low a dilution as 5 organisms per ul. The QBC system was evaluated at a district hospital in Thailand. A preliminary study of 186 patients compared the QBC system to the routine malaria screening procedure (screening up to 30 microscopic fields on a thick smear). The sensitivity of the QBC was found to be 98.9% with a specificity of 94.4%. A second combined series of 465 febrile subjects were screened by thick smear and these results were compared to the QBC. 202 were positive for malaria on both QBC and thick smear. Sensitivity in this study was found to be 99.5% (202/203) and the specificity was 94.6% (248/262). When both series were combined, there were 14 QBC malaria positives that were not detected on thick smear, and 2 QBC malaria false negatives among the 651 patients studied. The parasite densities in these cases were between 10 and 320,000 organisms/microliters. The QBC system provided only a crude estimate of the level of parasitemia. The species of Plasmodia (P. falciparum and P. vivax) were correctly identified on QBC in 78% of cases.Item Disclosure of author contributions in scientific publications.(2000-02-11) Hemachudha, T; Wilde, HItem Dog-bite injuries at the Animal Bite Clinic of the Thai Red Cross Society in Bangkok.(2000-12-20) Mitmoonpitak, C; Tepsumethanon, V; Raksaket, S; Nayuthaya, A B; Wilde, HCanine rabies remains a public health problem in Thailand and other developing countries. This study of animal bites at the Animal Bite Clinic at the Queen Saovabha Memorial Institute revealed that: (1) The majority of patients were bitten by dogs and the time of the attack was mostly during the day. (2) School-aged children are at the highest risk for animal bites. (3) The most common site of injury are the legs and foot (64.2%), with the second most common site being the hands and fingers (21.2%). (4) Only 48 per cent of patients received rabies vaccine 1-2 days after being exposed. There was considerable delay before the rest received treatment. Solving Thailand' s rabies problem depends on control of canine rabies and educational campaigns. Public education must be an integral part of efforts to decrease the incidence of animal bites and assurance that they are managed properly.Item Ethics and care of the terminally ill.(1998-06-24) Phaosavasdi, S; Wilde, H; Pruksapong, C; Tannirandorn, YItem Ethics of using controls and placebo in clinical trials.(1999-06-12) Wilde, H; Phaosavasdi, S; Pruksapong, C; Tannirandorn, Y; Taneepanichskul, SItem Etiquette of medical consultations.(1998-10-06) Phaosavasdi, S; Wilde, H; Pruksapong, C; Tannirandorn, Y; Taneepanichskul, SItem The Helsinki Declaration regarding ethics in clinical research.(2000-03-16) Wilde, H; Phaosavasdi, S; Tannirandorn, Y; Taneepanichskul, S; Pruksapong, CItem How do you help your patients to a good death?(1999-10-24) Phaosavasdi, S; Pruksapong, C; Tannirandorn, Y; Taneepanichskul, S; Wilde, HItem Humanistic learning in medical curriculum.(2000-08-22) Hongladarom, S; Phaosavasdi, S; Taneepanichskul, S; Tannirandorn, Y; Wilde, H; Pruksapong, CThis paper argues for more attention and exposure to humanistic learning in the Thai medical curriculum. Humanistic learning traditionally consists of literature, history and philosophy, and is advantageous for medical education in that it tends to foster sensitivities to feelings, awareness of social traditions, and creating of skills in deliberating complex, ethical issues. These dispositions are necessary for a doctor in the world where there is an ever increasing public demand for communication, accountability and transparency on the part of doctors. It is proposed that the Thai medical curriculum should include more humanistic learning, and that medical students should be given opportunities to interact more with students from other disciplines throughout their studies and later professional life.Item Inappropriate specialist care.(1999-07-08) Wilde, H; Phaosavasdi, S; Pruksapong, C; Tannirandorn, Y; Taneepanichskul, SItem Intractable hiccups (singultus) as presenting manifestation of Japanese encephalitis.(1984-11-01) Hemachudha, T; Phanthumchinda, K; Indrakoses, A; Wilde, HItem Invasive group A Streptococcal infections at Chulalongkorn University Hospital.(2001-11-21) Suankratay, C; Nunthapisud, P; Wilde, HTo determine whether the incidence and pattern of group A Streptococcal (GAS) infections in Thailand have paralleled those in the United States and Europe, we conducted a retrospective study of invasive GAS infections at Chulalongkorn University Hospital from 1995 to 1999. A total of 42 cases were identified. There were 18 males and 24 females (median age of 59 and 46 years, respectively). Most patients were in two age groups: 20-39 (33%) and 60-79 (38%). Underlying conditions were present in 34 patients (81%), including mostly chronic system diseases (50%), alcohol abuse (19%), diabetes mellitus (14%), connective tissue diseases (12%), immunosuppressive illnesses (12%), and human immunodeficiency virus infection (10%). The most common clinical presentations were skin and soft-tissue infections (31%), primary bacteremia (29%), and arthritis (14%). Of these, 24 (57%) presented with toxic shock syndrome (TSS). Overall mortality rate was 33 per cent. All GAS but one isolate were susceptible to penicillin.Item Is the time ripe to start a universal health care system for Thailand?(2001-10-24) Wilde, H; Phaosavasdi, S; Taneepanichskul, S; Tannirandorn, Y; Pruksapong, CItem Is this patient a "time bomb" if she goes home?(1998-10-06) Phaosavasdi, S; Wilde, H; Pruksapong, C; Tannirandorn, Y; Taneepanichskul, SItem Malpractice and medical litigation.(1998-07-24) Pruksapong, C; Phaosavasdi, S; Wilde, H; Tannirandorn, YItem Medical care in Eastern Europe.(1983-01-01) Wilde, H