Royal Thai Airforce Medical Gazette

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/131345

Browse

Now showing 1 - 20 of 56

Levofloxacin–Based Triple Therapy versus Standard triple therapy in First lines treatment for Helicobacter pylori Eradication in Bhumibol Adulyadej Hospital
(Royal Thai Airforce Medical Gazette, 2010-02-02) Patcharee Polmanee; Chinnavat Suitthivana
Abstract in Thai
The study of cardiopulmonary resuscitation in cardio pulmonary arrest patient at Emergency Department, Bhumibol Adulyadej Hospital
(Royal Thai Airforce Medical Gazette, 2010-02-02) Kasirin Puthichote; Kanyika Wanvimonsuk; Chalermporn Boonsiri
Objective: Outcome of cardiopulmonary resuscitation in the emergency room. Study designs: Descriptive. Location: Emergency room at Bhumibol Adulyadej Hospital. Population: All CPR cases in emergency room. Study period: 6 month, 19 October 2005-18 April 2006. Results: There are 136 cases of which the majority are males, aged between 60-78 years old. Most of the cases brought to the hospital by their relatives have not undergone the initial CPR by Emergency Medical Service (EMS) team. Among these cases only 38.2 achieves spontaneous circulation. The study shows that the return of spontaneous circulation (ROSC) less than 20 minutes increase outcome of CPR. However, the initial standard CPR at scene is statistically significant in terms of the ROSC (P value \< 0.01).
Development of Self-Care Agency Model in Diabetics Patients of Primary Care Unit at Bhumibol Adulyadej Hospital
(Royal Thai Airforce Medical Gazette, 2010-02-02) Khanuengnich Anuroj
The objectives of this study are as follows: (1) to develop the self-care agency Model in Diabetics Patients of Primary Care Unit (PCU) at Bhumibol Adulyadej Hospital, (2) to study the effectiveness of the self-care agency Model in Diabetics Patients of PCU at Bhumibol Adulyadej Hospital. Selected the volunteer 54 Diabetics Patients of PCU at Bhumibol Adulyadej Hospital with include criteria, Fasting Blood Sugar (FBS) \> 150 mg/del and HbA1C \> 7, as the samples.The instruments of research were (1) Education self-care manual for diabetics patients (2) Diabetics patients’ portfolio for recorded habit and blood test for FBS, Hb A1C (3) Self-care evaluation questionnaires with 3-level scales. In testing for validity, it was found that the questionnaires and self-care manual satisfied validity criteria by referring to the Index of Consistency (IOC) at a congruence indicator level greater than 0.50.The samples will be tested for FBS, Hb A1C and will undergo a diabetes-related general knowledge pre-test. Then, the samples will be grouped in fives to carry on the self care intervention—a set of activities focused on peer-to-peer knowledge sharing—for 3 hours, 5 times in afternoon Wednesdays. The activities include the following 5 topics: Knowledge in diabetes, Medication, Nutrition, Exercising and Foot-caring. The activities are carried out by a team of nurses, nutritionists, physical therapists and pharmacists. After intervention the samples will be tested for FBS, Hb A1C and will undergo the same diabetes-related general knowledge quiz again for post-test.The data obtained from the set of questionnaires was statistically analyzed by Statistical Product and Service Solutions (SPSS) for Windows. The software involved in determining the means, standard deviations and paired-simple t-test.Research findings are as follows: (1) Self-care average after participating in the intervention is better than before, at the .01 level of statistical significance. (2) Blood tests for FBS and Hb A1C Aafter participating in the intervention are better than before, at the .01 level of statistical significance.
Performances of graduates in Medical Corpsman Curriculum, School of Medical Corpsman, Technical Division, Directorate of Medical Services, Royal Thai Air Force
(Royal Thai Airforce Medical Gazette, 2010-02-02) Prateep Woramuksik; Chotika Chotpruekchookul; Augsorn Dejkong; Anutra Chittinandana
Medical corpsmen, or Aid Men, are one of the main forces that facilitate the Air Force’s medical affairs, including, but not limited to, fundamental nursing. The Technical Division, Directorate of Medical Services, currently have instructed 87 generations of corpsmen. Each curriculum takes approximately 16 weeks and yields approximately 80 graduates. This research aims to survey—by means of questionnaire and analyzing statistical data—the duty assignments and performances of Medical corpsman graduates. Samples include the graduates, their colleagues and their commanders. The findings are as follow: First, 59.74 percents of the Medical corpsman graduates are currently working in medical professions. Second, the academic subjects that are put in use the most are fundamental nursing, preventive medicine and first aid. And third, the graduates’ commanders and colleagues consider the graduates performance, characteristic, behavior and profession skills to be in moderate degree (X¯=3.52).
The results of assessment Risk of Death and outcome of traumatic brain injury (TBI) patients in surgery and trauma intensive care unit, Nopparat Rajathanee Hospital
(Royal Thai Airforce Medical Gazette, 2010-02-02) Thanes Charndouikij; Warin Podtong; Sasithorn Sirikul
The purpose of this study was to assess severity, Risk of Death including and describe TBI patient outcome. The study was conducted with pedestal clinical epidemiology, Cross-sectional study. The sample was 66 TBI patients who admitted in surgery and trauma intensive care unit at Nopparat Rajathanee Hospital from January 2006 to March 2008.The results revealed that the sample of 66 TBI patients consisted 56 male and 8 female patients with age range 15-50 years were majority amount 58 patients. TBI patients were classified of severity by using Glasgow coma Scale found that 39 TBI patients was severe. The results of assessment Risk of Death were collected by using Acute Physiology and Chronic Health evaluation II (APACHE II). The study found that TBI patients who had APACHE II score 5-15 points their Risk of Death were 8.6% and compared with Glasgow Outcome Scale found that 6.06% 0f TBI patients were death. TBI patients who had APACHE II score 26-30 points their Risk of Death were 56.4% and compared with Glasgow Outcome Scale found that 57.1% 0f TBI patients were death. TBI patients who had APACHE II score more than 19 points when compared with Glasgow Outcome Scale found that no patient was good recover.This study recommends that the APACHE II should be conduct to practice at interval or daily assessment.
Incidence of patent ductus arteriosus (PDA) in preterm infants of gestational age less than 33 weeks at NICU Bhumibol Adulyadej Hospital between 2005-2007
(Royal Thai Airforce Medical Gazette, 2010-02-02) Vasita Jirasakuldeeh; Kriengsak Anuroj; Prapaisree Layangkool
Objective: To study the incidence and outcomes of preterm PDA in NICU Bhumibol Adulyadej Hospital 2005-2007.Study design: Retrospective-cohort study.Methods: We conducted a retrospective analysis in preterm neonates who were below 33 weeks of gestation and diagnosed with PDA during 2005-2007. The collected data included demographic data, treatment, side effects of medication, factors related to successful indomethacin treatment and outcomes (mortality and morbidity). The outcomes were compared between each treatment strategy.Results: Among 260 preterm neonates who were below 33 weeks of gestation, there were 70 echocardiogram confirmed PDA neonates during 2005-2007. The incidence of preterm PDA was 26.92%. Treatment strategies were classified into indomethacin alone (40%), indomethacin and subsequent surgery (10%), indomethacin and subsequent spontaneous closure (7.2%), surgery alone (20%) and spontaneous closing (22.9%). A successful treatment with indomethacin was demonstrated as high as 70%. Overall incidence of transient side effects were 70 % including hyponatremia (27.5%), renal insufficiency (17.5%), necrotizing enterocolitis (17.5%), upper gastrointestinal bleeding (12.5%), oliguria (12.5%) and thrombocytopenia (12.5%). Moreover, we found that a smaller PDA had a significant effect on a successful treatment with indomethacin (p \< 0.05). The treatment outcomes of preterm PDA were not significantly different between each treatment strategies in terms of improvement of mortality and morbidities such as bronchopulmonary dysplasia, necrotizing enterocolitis, retinopathy of prematurity, intraventricular hemorrhage, length of ventilation time and duration of oxygen therapy. Significantly, we found higher rate of necrotizing enterocolitis in surgery group compared with indomethacin group (P \< 0.05, OR 9.75, CI 1.82, 52.2).Conclusion: In this study, the incidence of preterm PDA is 26.92%. Indomethacin is effective in treatment of preterm PDA whereas the side effects were found commonly. Smaller PDA predicted successful treatment. However, treatment of preterm PDA with indomethacin or surgery did not demonstrate an improvement of mortality and morbidity.
The results of Ethics teaching by using the model and role model in Basic Anatomy and Basic Physiology of the first year Air Force Student Nurse
(Royal Thai Airforce Medical Gazette, 2010-02-02) Supanrat Rachawong
The purposes of this classroom research were to study the results of Ethics teaching by using the model and role model in Basic Anatomy and Basic Physiology of the first year Air Force Student Nurse and to develop ethics teaching. Sixty-nine Air Force student nurses of Royal Thai Air Force Nursing College were selected for this study. The research instruments were ethics questionnaires and satisfaction questionnaires. The content validity was verified through 3 experts. The reliability was calculated by Cronbach’s alpha coefficients was 0.89. Data were analyzed by frequency, percentage, mean, standard deviation and t-test.The results of this research were as follows: 1. The satisfaction of the first year Air Force Student Nurse were satisfied with ethics teaching by using th model and role model in Basic Anatomy and Basic Physiology of the first year Air Force Student Nurse were 97 percents. 2. There was significant statistic different before and after ethics teaching at the 0.05 of level. 3. The mean values of ethics teaching were at the high level (x=4.85).It is suggested that ethics teaching is necessary to improving virtue of the first year Air Force Student Nurse.
The Development of an Inventory Management System for The Royal Thai Air Force Medical Depot
(Royal Thai Airforce Medical Gazette, 2010-03-14) Chaiyong Suksrisomboon
The purpose of this study to apply the basic principle of EOQ (Economic Order Quantity) and Reorder Point to improve drug inventory management of Institute of Aviation Medicine, Directorate of Medical Services, Royal Thai Air Force, through the use of a model based on a computer program, Microsoft Excel. From the research findings, the application of such principle can lead to better control drug inventory and to determine more appropriate reorder points. It also reduces the operation costs. The current situation on drug inventory administration was analyzed and it was found that there was a large stock of medicine on hand, resulting in extremely high overhead and inventory costs. At the same time, certain types of medicine were absent and so the Institute could not meet the needs of the clients. This was due to the lack of efficiency in the existing approach and management of drug inventory. The findings showed that with the model developed to increase efficiency in drug inventory management of Institute of Aviation Medicine, Directorate of Medical Services, Royal Thai Air Force, it was possible to reduce overall expenses by 137,865 Baht, approximately 25.97% of the total. Furthermore, it was able to reduce the average inventory cost by 17,628,312 Baht, or 34.65%.
Anatomical variation of Lateral femoral circumflex artery in Thai people
(Royal Thai Airforce Medical Gazette, 2010-03-14) Pradab Pradabsuk
Objective: To investigate anatomical pattern of leteral femoral circumflex artery (LFCA) in Thai people. To find percentage of variation in location, size and length in each pattern. To identify the difference between genders (male \& female) and between 2 sides (left \& right). To suggest precautions for artery surgery in the patient diagnosed as having variation of LFCA. Study design: Descriptive study. Subjective: 15 formalin embalmed cadavers (30 sides) from department of anatomy, faculty of dentistry, Chulalongkorn University. Data collection: Structure and location of LFCA anatomy were investigated from cadavers. Localized anatomy for comparison includes distance from anterior superior iliac spine, length of artery (millimeter), diameter of artery measured by microscope Olympus model CHS (Lamp 6 V, 20 w) x 10 (mm). Statistical comparisons were conducted by using the compare means and pair T- test. Result: From 9 cases in male (60%), 6 cases in female (40%), at average 75 year-old (51-92), there were 5 patterns of LFCA including: Type A Type B Type C Type D Type E 20% (6/30) 40% (12/30) 26.6% (8/30) 6.6% (2/30) 6.6% (2/30) Lateral femoral circumflex artery ended with two terminal branches – the ascending and descending branch. Transverse branch only as the largest branch of the ascending branch. There was one case absent transverse branch. From the whole study cases, there was 20% LFCA originated from femoral artery while 80% originated from deep femoral artery. Length: measurement -Ascending Rt 62.0 (45.0-80.0) mm/ Lt 61.8 (40.0-78.0) mm. Transverse Rt 52.4 (45.0-80.0) mm /Lt 52.0 (46.0-75.0) mm. Descending Rt 130.0 (80.0-120.0) mm/Lt 132.0 (84.0-132.0) mm. Diameter: -Ascending Rt 1.38 (1.10-1.80) mm/Lt 1.43 (1.10-1.90) mm. Transverse Rt 1.30 (1.20-1.80) mm/Lt 1.26 (1.10-1.70) mm. Distance: from ASIS to ascending branch was 81.2 mm, from ASIS to transverse branch was 103.0 mm. There was no significant difference in type, length and diameter between male and female and no significant difference in length and diameter between right and left (95% CI). Results from the study can be used for assessment and localization of the LFCA for free vascularized fibular bone graft (FVFBG) surgery. One dissection that the transverse branch of LFCA was absent suggested an awareness of these variations, which could help avoiding unexpected injuries.
Drug Resistant Mycobacterium Tuberculosis in New Cases in Maharat Nakhon Ratchasima Hospital in 2007
(Royal Thai Airforce Medical Gazette, 2010-03-14) Tawatchai Wiwatworapan
BACKGROUND: Standard anti-tuberculosis regimen is usually effective in drug sensitive cases of tuberculosis. On contrary, it may possible fail in cases of drug resistance (MDR-TB). In 1998, 2002, MDR-TB is rarely found, routine culture and sensitivity test are not recommended. OBJECTIVE: To verify the incidence of drug resistance in new cases of pulmonary tuberculosis and study the risk factors. METHOD: All smear positive pulmonary tuberculosis patients in 2007 were recruited. History taking and sputum culture with sensitivity test were performed. Anti-HIV test was recommended in all cases. RESULT: Sputum culture for M.tuberculosis were performed in 161 patients who had positive AFB in sputum. 132 were newly treated while 29 were previously treated. For new cases the culture were yielded in 86 cases, 7 case were INH single drug resistant, whereas one of them was HIV positive, and 7 cases were MDR-TB and only 1 case was HIV positive. For previously treated cases culture were yielded in 22 cases, 6 were MDR-TB, 2 of them were HIV positive. MDR-TB in previously treated were higher than newly treated cases (OR=4.23, 95% CI=1.25-14.27) and did not related to HIV infection. CONCLUSION: We founded 8.1% INH single drug resistance in new cases and did not related to HIV infection. MDR-TB was founded 8.1% in new cases did not related to HIV infection too. In previously treated cases we founded MDR-TB 27.3% which is more than newly treated cases.
The Influlence of Stretching on The Reduction of Prevalence of Injuries Among The Juvenile Football Players
(Royal Thai Airforce Medical Gazette, 2010-03-14) Kunyakorn Pongsai
The research is systematically organized to study and observe how the stretching could reduce the prevalence of injuries among the juvenile football players. Purpose to study and take a closer look on the results of performing the static stretching to those the football players of Saravithaya team, during the age of 16 though 18, which is able to prevent the prevalence during playing football. This research was conducted into the interventional study design. Subjects: Thirty of Saravithaya football players were chosen to be the subjects. The prevalence of injuries in the 5 week research were recorded. Next, the football players were grouped up into two groups. Throughout five weeks, the first group would be provided the static stretching that each posture took the time approximately fifteen seconds. Each member of the first group had to perform the muscle stretching twice times before and after playing football. On the contrary, the second group has never received the static stretching provided by researchers like the first group does. Then, during the five weeks of the observation, the researchers would gather the information about the injuries of the football players a couple of times a week, Then, the researchers had to take the result to be analyzed between the amount of the injuries of the members of the first and the second group. According to the research, it indicated that 59 positions of injuries before participating in this project were found among the stretching group. It could be calculated as 3.93+1.10 per each. Then, after the football player had taken part in this project, it was to be reported that all the injury points remained 33 out of 59 points or 2.2+1.08 for one player. Had we concluded all the results according to the pair t-test in statistic, we discovered that there were the difference of prevalence of injuries between before and after taking part in the stretching program (p \< 0.05). In other word, it’s to be said that stretching can reduce the prevalence of injuries among those the sport man indeed. Conclusion: It is to be noted that stretching before and after the exercise can prevent the football player from the prevalence of injuries.
Causes of Visual Loss of Patient of Wanornnivas Hospital
(Royal Thai Airforce Medical Gazette, 2010-03-14) Nuttakant Saelee
Background and Rationale: Patient with visual loss of Wanornnivas Hospital will not be diagnosis and delay treatment until symptomatic late complication were detected. Objective: Causes of visual loss of patient of Wanornnivas Hospital. Patient and methods: Patient of Wanornnivas Hospital between 2 December 2006 to 2 September 2007 were screened, interviewed, diagnosed, treated by ophthalmologist. Preliminary result: 687 patient with visual loss were cataract 360 (52.4%), pterygium 55 (8%), AMD 12 (1.74%), others (myopia, glaucoma) 260 (37.84%). Almost patient have sunlight exposure, smooking history. None has genetic problem. Conclusion: Early prevention is important to treatment. Modify lifestyle; no smoking, avoid sunlight exposure, diet vegetable can prevent causes of visual loss.
The Evaluation of the Bachelor of Nursing Science Program (revised curriculum 2003) Royal Thai Air Force Nursing College
(Royal Thai Airforce Medical Gazette, 2010-03-14) Sripaiboon Sirimungkhala; Supit Prasopsil; Donleudee Rojviriya; Watcharaporn Paorohit; Bang–on Ritudom; Sukon Maenaidtip
Objectives of the study: to evaluate the Bachelor of Nursing Science Program (revised curriculum 2003) using the CIPP Model where C stands for context, I stands for input, P stands for process and P stands for product. Context included the evaluation of the curriculum objectives, structure and content of the curriculum. Input involved the evaluation of the readiness of the nursing student, infra-structure, audio-visual aids, and the role of the nurse instructors. Process included teaching learning process, measurement and evaluation. Product involved the characteristics of the graduated nurse. Research methodology: This study was a descriptive study. Questionnaires were used to collect data. The samples of the study were 25 nurse instructors and fourth year nursing students, academic year 2006. Data were analyzed by using frequency, arithmetic mean and standard deviation. Research findings: 1. The nursing instructor’s opinions towards the characteristics of the curriculum objectives were vivid, responses to social problem solving were practical, and emphasized personal characteristics were at a high level. 2. The opinions of the fourth year nursing students towards the structure of the first year course were at a high level. 3. The opinions of the fourth year nursing students towards the structure of the second year course were appropriate at a high level. 4. The opinions of the fourth year nursing students towards the structure of the third year course were appropriate at a high level. 5. The opinions of the fourth year nursing students towards the structure of the fourth year course were appropriate at a high level. 6. The opinions of the fourth year nursing students towards the nursing profession were appropriate in terms of pride to be a nurse, helping family and others, being disciplined and dedicated to others. 7. The opinions of the fourth year nursing students towards the supporting factors in teaching and learning process were found that with audiovisual aids, videos and slides were not up to date and insufficient and the equipment in learning resource center and science laboratory room were not up to date. 8. The opinions of the fourth year nursing students towards the characteristics of the graduate were found that the mean scores of the directing and cooperation competency were lowest. The mean scores of honesty were highest.
The accuracy of transcutaneous bilirubin (TcB) compare to ranserumbilirubin (TsB)
(Royal Thai Airforce Medical Gazette, 2010-03-14) Phipaporn Khongcharoensombat
Objective: 1. To evaluate the accuracy of transcutaneous bilirubin (TcB) measured by JM 103 from both sites (Head, sternum), when compare to transerumbilirubin (TsB). 2. To develop cut off point of TcB levels which indicate the need for serum bilirubin assessment in the hospital setting. Statistics: Prospective descriptive study. Methods: Total 215 pairs of TcBH-TsB; and 215 pairs of TcBS-TsB were evaluated from term and near term infants between Aug 2005 and Nov 2005. Using Minolta air shield JM 103 for transcutaneous bilirubin and Bilirubin Tester for evaluating the transerumbilirubin (TsB). The correlation of TcB from both sites and TsB was analysed by using simple linear regression. The accuracy of TcB from both sites compared to TsB by using pretest probability and post-test probability. ROC was generated to develop cut off point of TcB level for serum bilirubin assessment in the hospital setting. Results: 215 paired TsB-TcBH, 215 paired TsB-TcBS. Average birth weight was 3,072 g (SD=428). Average TsB was 10.12 mg/dl (SD=2.5). The correlation coefficient between TsB-TcBH, TsB-TcBS were significant (r=815 and r=0.866, p \< 0.001 respectively). The mean difference of TsB-TcBH were 0.36 mg/dl (95 % CI 0.19 to 0.52). The mean difference of TsB-TcBS were 0.06 mg/dl (95 % CI -0.26 to 0.14). The accuracy of TcB measured from both sites compares to TsB were nearly similar. The r of TcBH was higher than TcBS. TcBH values of 7.5, 8.5, 10, 13 mg/dl (corresponded to ages after birth 25-36 hr, 37-48 hr, 49-72 hr, \>72 hr respectively) can be used as a screeing test before draw blood for TsB, which TcBH values were under TsB values estimated 2 mg/dl at each ages after birth. Conclusion: TcB demonstrated high accuracy compared to TsB in both skin sites. It can be used as a screening test before blood sample was drawn to identify significant jaundice.
Predictors for Hamstring Autograft diameter and length in ACL Reconstruction
(Royal Thai Airforce Medical Gazette, 2010-03-14) Phat Amnajtrakul
Background: The ability to accurately predict the diameter and length of autograft hamstring tendon has implications for graft choice and fixation technique used in anterior cruciate reconstruction.Purpose: To determine whether anthropometric measurements such as height, body weight, leg length and leg girth can be used to predict the diameter and length of autograft hamstring tendon for ACL reconstruction. Study design: Observational study.Methods: Thirty five patients consecutive undergoing hamstring autograft ACL reconstruction from July 2006 to October 2007 had preoperatively anthropometric measurements (age, body weight, height, leg length, thigh girth 5 and 10 cm. proximal to upper pole of patella. The hamstring diameter was obtained using cylindrical sizers in 0.5 mm. increments and the hamstring length was measured intraoperatively. Correlation coefficients (Pearson r), linear regression were used to determine the relationship between the outcome variable (graft diameter and length) and predictor variables (anthropometric measurements). Results: There were moderately correlations between leg length, weight, height and hamstring autograft length (r = 0.69, 0.62 and 0.58 respectively, p \< 0.001). There were moderately correlations between weight, thigh girth at 5 and 10 cm. proximal to upper pole of patella and hamstring auto graft diameter (r = 0.65, 0.60, 0.56 respectively, p \< 0.001).Conclusions: Of the parameters studied, leg length was the best predictor of hamstring autograft tendon length and weight was the best predictor of hamstring autograft tendon diameter.
Excessive daytime sleepiness in obstructive sleep apnea In Bhumibol Adulyadej Hospital
(Royal Thai Airforce Medical Gazette, 2010-03-14) Jarinratn Sirirattanapan; Artima Boonwan; Jungrak Phromchairak
Background: Excessive daytime sleepiness is a serious effect on obstructive sleep apnea leading to health problems, altered quantity and quality of work in daytime, especially risk of industrial and automobile accident. Material and Method: Cross-sectional Descriptive study. To collected demographic data of the patients such as Age, Sex, Body mass index (BMI). All of the patients underwent of Polysomnography (PSG) and Epworth Sleepiness Scale questionnaire (ESS).Results: There were patients who underwent Polysomnography have inclusion in this study 160 patients Range of age 26-80 year, Male 77.5%, Female 22.5%, Mean age 49.1±11.4, Lowest BMI 16.6 Highest BMI 45.7 Mean BMI 27.6±4.2, Mean lowest oxygen saturated 78.4%±12.1. Lowest Apnea hypopnea index (AHI) 5.4 Highest 93.6 Mean AHI 33.0 ±25.1, OSA classify in mild (AHI \> 5-15) 27.4%, moderate (AHI 16-30) 24.0%, severe (AHI \> 30) 48.6%. Excessive daytime sleepiness (EDS) was demonstrated in Epworth sleepiness Scale (ESS) Mean 11.8±5.0, EDS classify in mild degree (ESS \>10-15) 36.2%, severe (\>15) 20.0%. EDS in male and female Mean ESS 15.74±4.01 and 13.88±2.35. The prevalence of EDS in OSA 52.5% to classified in mild degree 33.1% and severe 19.4%. The prevalence of EDS classify in male 41.2%, female 15%. The prevalence of EDS classify in BMI \> 25 and BMI \> 30 found 44.3% and 15%, when classify in each age groups 20-40, 41-55, \> 55 years the prevalence are 10%, 30.6% and 15.6%. Significant differences EDS between male and female at p \< 0.05. EDS in each age group 20-40, 41-55, \> 55 years Mean ESS 14.56±3.20, 15.29±3.89 and 15.60±3.77. No significant differences among age groups p \< 0.05. For study correlations between obstructive sleep apnea and excessive daytime sleepiness found that weak relations between AHI and ESS p=0.003 (Pearson Correlation = 0.218).Conclusion: The excessive daytime sleepiness in obstructive sleep apnea patients found the prevalence of EDS in OSA 52.5% classify in mild 33.1% severe 19.4%. This study found more than 50% of patients have excessive daytime sleepiness. If no other management in these patients these problems are accumulate and severe resulting in health problem leading to poor quality of life, lack of work efficiency, increased risk for accidents and turn to chronic illness diseases.
Acupuncture
(Royal Thai Airforce Medical Gazette, 2010-03-14) . .
Abstract not available
เด็กวัยรุ่น... กับภัยทางเพศ
(Royal Thai Airforce Medical Gazette, 2010-03-14) จิตรา โรจน์ขจรนภาลัย
Abstract not available
2 wounds VS 4 wounds laparosopic cholecystectomy
(Royal Thai Airforce Medical Gazette, 2010-03-14) Thiti Sawaengtham
Background: Laparoscopic cholecystectomy is now standard treatment of gallstone disease. For now 3 or 4 wounds techniques are usually used. Many of the studies reported using of 2 wounds techniques but most of them required special instruments. This study is to compare the 2 wounds and 4 wounds technique by using standard instruments. Methods: From 2003 to 2005, 40 patients undergoing elective laparoscopic cholecystectomy for gallstone disease by one surgeon were divided into two groups to received the 2 wounds or 4 wounds technique. Analgesia requirements, length of operation and postoperative stay were measured. Results: Demographic data were comparable for both groups. There was no difference between two groups in length of operation, postoperative stay and success rate. The 2 wounds group required fewer analgesic injections (81±36.55 vs 123±42.31, p=0.01). Conclusions: The 2 wounds laparoscopic cholecystectomy resulted in less surgical scars, good cosmetic and less pain. The 2 wounds laparoscopic cholecystectomy can be used as standard procedure by only using of standard instruments.
Cognitive Improved Following Sensory Stimulation Program in Severe TBI Patients
(Royal Thai Airforce Medical Gazette, 2010-03-14) Tanate Chanduykit; Sasitorn Sirikul
Traumatic Brain Injury (TBI) is a major health problem. Although emergency care, diagnostic technology, medical intervention, and nursing care have resulted in increased survival following TBI, However those persons who sustain a TBI experience long-term functional impairments, including physical, cognitive behavioral and emotional changes. TBI effects individuals’ cognitive function including loss of memory, awareness, and attention. Cognitive is the basic of learning. The purpose of this study was to describe cognitive function following sensory stimulation program. In this prospective the effects of a Sensory Stimulation Program (SSP) were examined in 7 severe TBI patients. Recovery was measured by the Glasgow Coma Scale, the Rancho Los Amigo Scale (RLAS) the Sensory Modality Assessment and Rehabilitation Technique, length of coma. Results of this study that 4 patients improved cognitive functions, 2 patients no change of cognitive functions, 1 patient dead from Complication. Conclusion: The sensory stimulation program enhances plasticity and lead to reorganization of structure of the brain that support cognitive function in longterm.

Browse

Browsing Royal Thai Airforce Medical Gazette by Issue Date

Results Per Page

Sort Options