Mahasarakham Hospital Journal
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Item The spriritual need of alcoholism patitnes in Mahasarakham hospital(Mahasarakham Hospital Journal, 2011-02-26) Kusalasaiyanon, SomsakThe chronic alcoholism patients were other groups that need to perceive on their meaning, value, and goal of their life. They need love, trust, can love and forgive on others, believe in their religious and God they respect. The objectives of this research were to study the spiritual’s need for chronic alcoholism patients. The sample were the chronic alcoholism patients who already diagnosis from doctor with chronic alcoholism [ F 10.2 ] and were in- patient department treatment included all medication department and out- patient department [psychic’s clinic] Maha Sarakham hospital. The sampling was selected by purposive sampling according to the determinative qualification and operated between February-August 2009 on 132 patients. The instrument used can be devide into 2 parts. The 1 part was general data record form. The second part was the interview from for the need and spiritual treatment which developed by Highfield’s Framework [Highfield,1992]. The reliability was 0.87 which testing by content analysis. The qualitative data analysis with /FW computer program by Frequency Distribution, Percentage, Mean and Standard Deviation. The research finding found that the first aspect was the sample group needs to perceive on their meaning, value, and goal of their life at the high level ( = 2.71) Standard Deviation (SD = 0.47). The second aspect was they need to have the relationship with the others, environment, outsiders. The sample group needs some courage from their relatives and companions at the high level ( = 2.81) Standard Deviation (SD = 0.61). And the third aspect was they need hope that make themselves to get good things and better life found that the sample group needs to get good things at the high level also ( = 2.07) Standard Deviation (SD= 0.57).Item Factors affecting the success of brain surgery(Mahasarakham Hospital Journal, 2011-02-07) Pipat ChaisoontornThis study aimed to examine factors affecting the success of brain surgery patients with head injury in Mukdahan hospital.†The sample used in this study, selected randomly, by using a cross sectional studies, retrospective studies.†The samples were patient medical records after brain surgery in case of head injury with†end of treatment were 75 patients. By using data collected by the study itself has created.†The results showed that factors affectingthe success of brain surgery, significant statistically, were 7 factors: Glasgow Coma Scale, Pathological by diagnosis,Time to operation, Pupil size, Midline shift, Vital signs and Level of consciousness. The mechanisms of injury foundno effect on the success of brain surgery and compare the success of brain surgery during 2008 and 2009 found no significant statistically.Keywords : Brain surgery, Glasgow Coma Scale, Glasgow Outcome ScaleItem EFFECTS OF ORAL HEALTH PROMOTION BY USING THE DEMING CYCLE AT CHILD DEVELOPMENT CENTER,POCHAI MUNICIPALITY,(Mahasarakham Hospital Journal, 2011-02-08) Naritsara sontong; kiatirat kunarattanaprukThis study was quasi-experimental research which purposed to compare the effects of oral health promotion by using the Plan–Do–Check–Act process in Child Development Center, Poechai Municipality. The polpulations were 150 people who comprised of 5 Child Development Center’s administrators, 5 preschool children’s caregivers, 70 preschool children’s parents, and 70 preschool children. The Child Development Center’s administrators and preschool children’s caregivers were received the activities of oral health promotion by using the Plan–Do–Check–Act process and implemented the process in Child Development Center. Data were collected before and after implementation. The study was conducted during April to June 2010. Data were collected before and after implementation by using the questionnaire of knowledge and practices of oral health care of preschool children’s parents, record of snack’s consumption in preschool children, record of oral health status, and record of tooth brushing in preschool children, form of assessment in Child Development Center. Data analyses were used the descriptive statistics and the analytical statistic was Paired t-test.The results found that after the implementation, parents of preschool children had knowledge’s scores of oral health care higher than before the implementation, statistical significance (pItem Common Foot Problems in Diabetic foot clinic, Sappasittiprasong hospital(Mahasarakham Hospital Journal, 2011-02-07) Sasinut SrirochanaObjectives: To study common foot problems presented in diabetic foot clinic , Sappasittiprasong hospitalStudy Design: A Retrospective descriptive studySetting : Outpatient diabetic foot clinic at Department of Rehabilitation, Sappasittiprasong hospital.Methods: A retrospectively review of out patient department records and diabetic foot evaluation forms of patient who visited the diabetic foot clinic at Department of Rehabilitation, Sappasittiprasong hospital.Results: Of all diabetic patients,147 woman and 63 men with the average age of 62 years with average duration of diabetes 9.3 years were included in this study. 11 patients ( 5.2 %) of case had history of toe amputation. 165 patient (78.6%) usually use slipper shoes at outdoor. Eighty-four of the patients(40%) had lost protective sensation. Claw toe were reported as 13.8% and hallux valgus were 7.6% .The great toe was the most common site of callus formation were 7.6% , first metatarsal head were 7.1% and malleolus were 5.2%. The first metatarsal head was the most common site of ulcer were 7.6% and great toe were 6.2%. Risk of diabetes by UTDFC found that the risk of foot ulcer into category 0 (no pathology at the foot) were 98 patients (46.7% ) ,category 1 (neuropathy,no deformity) were 63 patients (30.0%),category 2 (neuropathy with deformities) were 26 patients (12.4%), category 3 (history of pathology) were 16 patients (7.6 %) and category 6 (dysvascular foot) were 7 patients (3.3 percent). Conclusions :More than 50 percent of diabetic patients had lost protective sensation and foot deformities,the risk to develop diabetic foot ulcer in the future . Multidisciplinary diabetic foot care including patient education (proper foot care and footwear), early detection, effective management of foot problems, and scheduled follow-up must be emphasized to prevent diabetes-related lower extremities amputation.Item Outcome of Teenage Pregnancy in Mahasarakham Hospital(Mahasarakham Hospital Journal, 2011-01-25) Sutarat srimaungAbstractObjectives : To determine the incidence of teenage pregnancy, obstetric and neonatal complications of teenage mothers.Study design : Retrospective descriptive.Subjects : Three hundred and fifty-two teenage pregnants who had delivered in Mahasarakham Hospital from August 1st , 2008 to July 31th , 2009.Material and Method: A retrospective study was conducted in a population of teenages delivered at Mahasarakham Hospital from August 1st , 2008 to July 31th , 2009. The medical records of the patients identified were reviewed.Demographic, obstetric, neonatal complications information were collected.Result : Total of 2,667 pregnants who gave birth during the time of study, the teenage pregnants were 352.The incidence of teenage pregnancies accounted for 13.2% of all pregnancies.The patients’mean age 17.6±1.4 years.Most(85.8) were nulliparous. 62.2% of the cases had secondary education and 61.9% of them were housewife.83% of the cases had adequate antenatal care.The gestational ages at delivery were more than 37 weeks in 83.3% and 58.2% of teenage pregnants had normal delivery.The newborns’ mean birth weight were 2,886.2±499.4 kilograms.The most frequent obstetric complications were : anemia (17.6%), preterm delivery (15.4%), preeclampsia (5.4%).Conclusion : The incidence of teenage pregnancy was found to be 13.2%. Preterm labour, anemia and preeclampsia were the obstetric complications in the teenage pregnancy. Key word : Teenage pregnancy, ComplicationsItem The High Yield Prevalence Of Pulmonary Tuberculosis With Chest Radiographic Screening(Mahasarakham Hospital Journal, 2011-02-08) Anek LapetObjective: This study was designed to evaluate the prevalence of pulmonary tuberculosis(TB) with Chest radiographic (CXR) screening compared to Thai public health guideline in Baungkan Jail, Nong Khai province of Thailand.Material and method: Cross sectional descriptive and prospective study between February 2009 to March 2010 in Baungkan Jail compared between CXR and Thai public health guideline Program(TPH) for detecting TB cases in prisoners.Result: All prisoners 447 persons and among 37 professionals working in the prisons system had CXR screening for TB. The prevalence of possible TB was 3.4% (15 cases of 447),male 73% and female 27 %.Of the cases diagnosed probable cases TB there were 4 persons (0.9%) had smeared positive for mycobacterium AFB staining and had THP score average 1 point.Conclusion: In the high risk for pulmonary tuberculosis especially in Jail persons should be started with CXR screening for pulmonary tuberculosis to has the highly yield prevalence , also maybe better than medical history taking form public health guideline program.Item Education Satisfaction and service to Traditional Clinic Of Phayakkhaphum phisai Hospital Mahasarakham(Mahasarakham Hospital Journal, 2011-02-08) Napaporn PhliasanthiaIntroduction : Current Thai traditional medicine or alternative medicine is important and necessary to the health care system. Particular disease is not caused by infection, so the quality of service To respond to client satisfaction. Is important and necessary to provide medical services through a quality standard and the clients' satisfaction. Objective : This research aims on the satisfaction of patients whom using Thai Medical Clinic , Department Phayakkhaphumphisai Hospital Materials and Methods : This study was Descriptive Research using questionnaires as a material Samples : 100 patients who came to using Thai Medical Clinic , Department Phayakkhaphum phisai Hospital Results : In this study , the research studied patients ’ satisfaction in five section ; quality of personal , quality of place , quality of equipment , quality of service , quality of managment ,The results showed that the majority of users are female. As age 41 – 60 years were married. Which showed that most groups use women have health problems, physical pain after a proportionally different, in which the use services that most customers who use the service will use regularly to help relieve Symptoms caused by different levels of user satisfaction with the service provider. Satisfaction were high, the average is 3.88, and given also found that Most satisfaction in people. The high average of 4.22 and minimal equipment and facilities located in the mouth and lower average 3.42 on each item considered was the satisfaction in people. Highest reliability of service providers. Satisfaction in the highest and lowest average of 4.52 people / service provider satisfaction were high average of 3.58 in satisfaction of equipment and facilities. Most were satisfied with the convenience of safe equipment use. Satisfaction were high and the lowest average 3.48 of modern materials. Satisfaction were high, mean 3.32. Discussion : From the results of this study found that patients having highly satisfaction in services of Thai Medical Clinic , DepartmentItem Common Foot Problems in Diabetic foot clinic, Sappasittiprasong hospital(Mahasarakham Hospital Journal, 2011-02-08) Sasinut SrirochanaObjectives: To study common foot problems presented in diabetic foot clinic , Sappasittiprasong hospitalStudy Design: A Retrospective descriptive studySetting : Outpatient diabetic foot clinic at Department of Rehabilitation, Sappasittiprasong hospital.Methods: A retrospectively review of out patient department records and diabetic foot evaluation forms of patient who visited the diabetic foot clinic at Department of Rehabilitation, Sappasittiprasong hospital.Results: Of all diabetic patients,147 woman and 63 men with the average age of 62 years with average duration of diabetes 9.3 years were included in this study. 11 patients ( 5.2 %) of case had history of toe amputation. 165 patient (78.6%) usually use slipper shoes at outdoor. Eighty-four of the patients(40%) had lost protective sensation. Claw toe were reported as 13.8% and hallux valgus were 7.6% .The great toe was the most common site of callus formation were 7.6% , first metatarsal head were 7.1% and malleolus were 5.2%. The first metatarsal head was the most common site of ulcer were 7.6% and great toe were 6.2%. Risk of diabetes by UTDFC found that the risk of foot ulcer into category 0 (no pathology at the foot) were 98 patients (46.7% ) ,category 1 (neuropathy,no deformity) were 63 patients (30.0%),category 2 (neuropathy with deformities) were 26 patients (12.4%), category 3 (history of pathology) were 16 patients (7.6 %) and category 6 (dysvascular foot) were 7 patients (3.3 percent). Conclusions :More than 50 percent of diabetic patients had lost protective sensation and foot deformities,the risk to develop diabetic foot ulcer in the future . Multidisciplinary diabetic foot care including patient education (proper foot care and footwear), early detection, effective management of foot problems, and scheduled follow-up must be emphasized to prevent diabetes-related lower extremities amputation.Item WORKING ENVIRONMENT OF WOODEN FURNITURE INDUSTRIES(Mahasarakham Hospital Journal, 2011-01-25) Wipada Panakobkit; Ganjana NathapindhuThis research project was an investigative study on working environment in wood furnisher factories in Khon kaen province, Thailand. The aspects of working environment covered were noise level, harmful particulates and brightness level or illumination. These aspects were then compared to standards. During this project, an interview was conducted on factories’ employees in manufacturing processes. There were 4 factories participated in this investigation, one was a medium size factory, whoemployed 52 workers and the others were small and had the combined workers of 17 persons. The gather data was then analysed using a commercially available statistic program named SPSS and the method used were frequency, percentage, mean, standard deviation and rageThe data analysis illustrated a few common results in regard to these factory workers in the areas of sex, age and education. The employees were mostly male and the percentage went as high as 94.1% in small factories. The average age was just below 45 years old and the large portion only graduated from primary school. The percentage of person who finished primary school in medium size factory was lower at 75% where the number went up to 84.2% in small factories. The normal workingtime was 8 hours per day, 6 days a week and the factories open all year. While the workers in medium size factory perform repetitive task and stay within an area of a production line, workers in the others perform various tasks all over the factory. The interview also revealed that the medium factory routinely has overtime, unlike the small factories where this depend on the work. In regard to working condition, the large factory had an organised workplace with protection and safety equipmentprovided. Whereas the small factories lacked good working environment.The investigation of working condition were done by measuring parameters and then compared to standards, which found that the participated factories only meet the standard on harmful particulate level.Item Evaluation of Tuberculosis Control by DOTS at Nachueak hospital,(Mahasarakham Hospital Journal, 2011-01-25) Thaksinar JitruengpairojObjective To evaluate control and curative performance of new Pulmonary tuberculosis cases using DOTS strategyMethod This retrospective study was Nachueak hospital Mahasarakham Province during October 2006 to September 2008. Samples were 57 new smear positive Pulmonary tuberculosis cases who were treated with CAT 1 (2HRZE / 4HR) using DOTS strategy. Results It was found that the sputum conversion rate was 91.18%. Cure rate, death rate, failure rate and default rate was 87.70 %, 7.0 %, 3.54%, 1.76% respectively. The conversion rate as well as cure rate was greater than standard recommended by the National tuberculosis control (≥85%) Conclusion To evaluate control and curative performance of new Pulmonary tuberculosis cases using DOTS strategy were treated with CAT 1 (2HRZE/4HR) using DOTS strategy. So cure rate was greater than standard recommended by the National tuberculosis control and death rate was seen.Item THE EFFECTIVENESS OF CERVICAL CANCER SCREENING IN WOMEN TARGET GROUPS BY SUB-DISTRICT HEALTH PERSONNEL IN CONTRACTING UNIT PRIMARY CARE NETWORK OF NONGBUALUMPHU MAUNG DISTRICT(Mahasarakham Hospital Journal, 2011-02-08) Kwanjit KongputtikulThe objectives of this survey research were to evaluate the effectivness of cervical cancer screening in women target groups by 63 sub-district health personnel in contracting unit primary care network of nongbualumphu maung district and to explain the relationship between personal factor,knowledge about screening, attitude towards working,management resources and administration process. The data collection was done by using a questionnaire.The collected data was analyzed by mean of percentage,arithmetic mean,standard deviation,maximum value, minimum value, Chi-square Test and Pearson,s Product Moment Correlation Coefficient with the level of statistic significance ( a )= 0.05. The results showed that the effectiveness of cervical screening in women target groups by sub- district health personnel in contrating unit primary care network of nongbualumphu maung district feel at a level that required some improvement at 56.86 % ,kwonledge sub-district health personnel about cervical cancer screening was low at 90.2 % attitude towards this screening work was good at 74.56 % After analyzing the relationship between peronnal factor, e.g. gender,age,marriage status,level of education,present job title,income,working experience and training experience and training experience,it was found that these factors were not related to the effectiveness of cervical cancer screening in women target groups. In regard to the manpower factor and tool eguipment factor ,it was found that it was sinificantly related to the effectiveness of cervical cancer screening in women target groups at a statistic test level ( P= 0.009) and (p=0.017).The financial factor were not related to the effectiveness of cervical cancer screening in women target groups.In addition, the administration process was not related to the effectiveness of cervical screening in women target groups. The suggestion of this study is that health personnel competency should be developed in term of Knowledge, skills, techniques and methods of cervical cancer screening to enhance quality and to ensure accurate and constant screening .Executives should give strong support to the workforce so that personnel, tool eguipment are adequate and appropriate for this work.Item Neonatal thyroid screening and congenital hypothyroidism In Phayao hospital(Mahasarakham Hospital Journal, 2011-01-25) Pannarai Srisuwan SrisuwanBackgroundMental retardation is the nation tragedy , lost our manner resource ,need high cost for treatment and follow up ,Despite that neonatal screening is the good way for prevention and the effective treatment need as soon as diagnosis and must before 3 month age. ObjectivesTo find the incidence of congenital hypothyroidism of Phayao hospital and review the program management to improve the screening program.MethodologyData were abstracted from the records of neonates born at Phayao hospital between October 2002 and September 2008. Descriptive statistics were used to analyze the screening program and the incidence of congenital hypothyroidism was calculated.ResultsThere were 13,113 neonates born in Phayao hospital during the 7 year of study period. 13,130 neonates were screened for congenital hypothyroidism. The coverage of thyroid screening was 99.97 percent. The overall recall rate was 89.13 percent. The confirmatory test rate was 98.44 percent. 46 neonates were repeated blood test for T4, TSH to confirm the diagnosis. The incidence of congenital hypothyroidism was 1:4,378. Abnormal test were found in 3 neonates and all of them were treat with levothyroxine with normal development on follow up.ConclusionsThe incidence of congenital hypothyroidism was 1:4,378 live births in Phayao hospital..Keywords: neonatal screening, congenital hypothyroidismItem DYE REMOVAL IN DYE WASTEWATER BY CARBON BLACK FROM(Mahasarakham Hospital Journal, 2011-02-08) Sudaporn Booranasan; Warangkana SungsitthisawadThe aim of this laboratory investigation was to determine the most optimal conditions to remove dye from two types of wastewater namely direct synthetic wastewater and wastewater from silk factories. The dye concentration tested had been 0.1, 0.2, and 0.3 g/L dissolved in the wastewater together with the adsorbate in a ratio (v/v) of 5 levels being 1:8, 1:4, 3:8, 1:2 and 5:8. The Jar Test method had been applied. During the test procedures a sample of the wastewater was taken for every hour and the dye concentration in the sample was determined by using a spectrophotometer at a wavelength of 555 nm. The test procedure was interrupted after the dye concentration leveled of to a plateau indicating that an optimum of the removal of the dye had been achieved. The efficiency of dye adsorption had been measured in percent of the decrease of the dye absorption at the start of the experiment and at the optimal point of dye removal considering also the dye/adsorbants ratio used for each test run. The same procedure had been used for testing dye removal from wastewater derived from a silk factory at Tumbon Banchieng Amphoe Nonnghan, Udornthani province. From the factory wastewater also the indicators COD, SS and TDS had been determined. Analysis statistic were percentage, mean, One way ANOVA and BonferroniThe optimal condition for dye removal had been achieved with a dye concentration in wastewater of 0.1 g/L with an adsorbate ratio of 5:8 and allowing an absorption time of 13 hours by using carbon black. The dye absorption using carbon black as adsorbent was 80.66% and using rice husk was 80.15%. A dye concentration of 0.2 g/L with an adsorbate ratio of 5:8 resulted in a dye concentration reduction after a 9 hour’s test run of 70.25% for carbon black and 70.56% for risk husk. The results for 0.3g/L with an adsorbate ratio of 5:8 for an 8 hour’s test run had been 60.48% for carbon black and 55.25% for rice husk The efficiency of rice husk in removing dye from the wastewater of the silk factory with an adsorbate ratio of 5:8 and a 9 hour’s test run had been. The indices COD, SS and TDS from the factory wastewater proofed to be according to standards after the dye removal. The result of the experiment suggests that carbon black and rice husk are appropriate means to remove dye from wastewater originated from coloring silk under conditions tested in this experiment before discharge wastewater to environment.Item Effect on Empowerment of Families and Community on Caring Chronic Mental Illness in Kae Dam Sub-District Municipal Community Maha Sarakahm Province.(Mahasarakham Hospital Journal, 2011-02-08) Suphapon Sapothi; Oratai Faengchanda; Isara AnurithThe objectives of this research were to study and comparison of knowledge on self-care, quality of life before and after participated in the empowerment group on caring chronic mental illness in Kae Dam Sub-District Municipal Community Maha Sarakahm Province. By using Orem ’s Theoretical Framework on self-care and the concept of empowerment by Gibson. The sample groups in the study were 40 patients, concluded mental illness 13 persons,caregivers 15 persons and leader group / village health volunteers (VHVs) 12 persons.By using 4 steps of group process that consist of 8 activities. The period of activities was two days per week and 2 hours per day for 4 weeks and follow up for assessment 2 times after operation for 2 months. The instrument used in this research study consist of knowledge testing form , deep-interview form , questionnaire on quality of life and the satisfaction assessment thatapplied from Praphapon Panchoom. The data collection on study was operated between May to October 2009. The data was analyzed with computer program. The statistic used in this study were Mean , Percentage . The comparison on knowledge data, quality of life before and after study by using statistic Wlicoxon signed-ranks test. The research finding of the knowledge score comparison before and after self-care on patients group, caregivers group , community leaders as the whole are increasing on an average. The different on comparison of average knowledge scoreabout self-care find that the knowledge before and after are different but, with statistic significant(p0.05) This research show that the empowerment by using group process has higher perception of changing, self-care, and quality of life by supporting among patients families and community to access the services system quickly and to generate the network of mental health and psychiatric service in the community.Item Item Knowledge and Perception readiness of personnel of local organization govern on operating Local health Security funds, Amphoe At Samat, Changwat Roi Et.(Mahasarakham Hospital Journal, 2011-01-25) Kidsadi ChaysawatThe purpose of this research were to investigate the knowledge and perception readiness of personnel of local organization govern on operating local health Security funds. The sample consists of 104 persons. They were randomly selected by the purposive sampling techniques. The instruments of the study included 3 parts; population characters, knowledge on National health security of royalty in 2002 and plan and decentralization to local organization govern of royalty in 1999. It had reliability calculated by KR-20 were 0.81, discriminate items were till 0.36 to 0.79 ; difficulty items were till 0.42 to 0.76 and the test of percentage readiness on operating of local health security funds had a reliability calculated by coefficient’s cronbach was 0.88 and discriminate items were till 0.54 to 0.82. The collected data were analyzed by the use of percentage, a mean and a standard deviation. The substantive finding revealed the follows; the personnel of local organization govern as a whole had males, secondary school or certificate level, a member of municipality council/ an local organization, mean operated 4 years ago, mean income equal 6,473 bahts, used training/meeting/seminar or outdoor study from health officer and information on local health security funds by radios. They as a whole had knowledge on National health security funds of royalty and plan and decentralization to local organization govern of royalty in 1999 were 86.3 and 94.3 percentages respectively, as a whole and 4 parts perception readiness of personnel of local organization govern on operating local health Security funds were moderate, when considered items were the most perception readiness of personnel and budgeting, but be that noticeable material was the least. Keyword; Knowledge, Perception readiness, Local health Security fundsItem Relationship between unilateral chewing and temporomandibular joint pain(Mahasarakham Hospital Journal, 2011-02-07) ITTA JIRAKULSOMCHOKIn the authur’s experience in treating patients with temporomandibular joint pain. Unilateral chewing habit prior the pain happens was frequently found together with temporomandibular pain. The unilateral chewing was found both ipsilateral and contralateral to the pain side. It is logically understanding that ipsilateral chewing can cause overload to the joint and cause pain. But a large number of contralateral chewing was also observed. It seems illogically that chewing on one side can cause pain to the contralateral temporomandibular joint. So this study purposes is to find how much unilateral chewing there are in patients with temporomandibular pain and the ratio of unilateral chewing and contralateral chewing. Results: There were 39 men and 111 women . Had 67 right temporomandibular joint pain, 81 left temporomandibular joint pain and 3 bilateral temporomandibular joint pain . In the unilateral temporomandibular joint pain patients, there were 85 ipsilateral chewing (58%), 45 contralateral chewing (30%) and 18 equally chewing (12%) Conclusion: There are correlation between unilateral chewing and temporomandibular pain. Ipsilateral chewing is frequently found together with temporomandibular pain but it is not surprising to find contralateral chewing together with temporomandibular joint pain.Item Nursing Care for Ectopic Pregnancy with Shock (A case study)(Mahasarakham Hospital Journal, 2011-02-07) Jantana PrasarnsiwamaiBack ground: Ectopic pregnancy with shock is a crisis condition causing patients suffered from hypoxia due to the failure of blood circulation. The complications of blood circulation failure include respiration failure, hypoxia, hypotension, and acute renal failure. Those complications may be the causal of death in patients. Therefore, it is very important for nurses to be able to perform patients’ assessment at the very early state of shock. Consequently, patients can be treated in timely manner. Objective: The purposes of this report were to study the prognosis, health problems, treatments, and patient outcomes. It is expected that knowledge gained from this report will provide resource of nursing practice guideline (NPG) for nurses to care for patients diagnosed from ectopic pregnancy with shock. Sample and setting: The purposive sampling method was used to select 1 patient diagnosed from ectopic pregnancy with shock. The patient was recruited from Gynaecology unit at Sisaket hospital. Study design: The retrospective data collection was employed. Data were gathered from the patient’s medical record between January 2, 2009 and January6,2009. Results: A married Thai woman aged 18 with a report of absence of 1 month period of menstrual was referred to Sisaket hospital from community hospital with lower abdominal pain, faint, alteration of conscious and shock. At Sisaket hospital, shock was worsening progressive. 0.9% Normal Saline Solution and Haemaccel were given intravenous. Later on, the patient’s clinical improved enough to tolerate the operation. Right partial salpingectomy was performed and found hemoperitonieal 2,000 ml. ultimately; the patient’s conditions were dramatically recovered. In summary, the patient’s health problems were: 1) actual: hypovolemic shock (deficient fluid volume) due to massive blood loss in the abdomen secondary to ectopic pregnancy, 2) actual: ineffective tissue perfusion related to progression of shock with decreased red blood cell to transport oxygen to tissues, 3) risk for: fluid and electrolyte imbalance, 4) actual: anxiety related to feelings that illness was worsening and is potentially life threatening (patient and significant others), 5) actual: pain secondary to tissue injury, 6) actual: anemia due to massive blood loss, and 7) actual: alter in comfort due to abdominal distension secondary to the operation received. Nursing care had been closely provided based on patient’s conditions to correct the shock. Finally, Patient was safe from shock and those mentioned health problems.Conclusion: In order to provide nursing care for correcting shock, nurses must have knowledge of characteristics of shock and initiate nursing care plan to provide cares and observe patients closely.Item Motivation Affecting The Performance Of Staffs in Division Of Clinical laboratory(Mahasarakham Hospital Journal, 2011-02-01) Sukanya Srigulbutr; Prajak BouphanThis study was cross-sectional descriptive and aimed to study the motivation affecting the performance of Staffs in Division of Clinical Laboratory Srinagarind Hospital Khon Kaen Province. The samples of study were 72 staffs from the Division of Clinical Laboratory, Srinagarind Hospital, Khon Kaen Province. Questionnaire was prepared and approved content validity and stability by three experts and had Cronbach’s Alpha Coefficient of 0.95. An in-dept interview was carried out with six interviewees who played role in professional development at Srinagarind Hospital. Data were collected between December 1-30, 2008. and analyzed with computer program package and calculated by statistic methods: percentage, median, standard deviation, Pearson Product Moment Correlation Coefficient and Stepwise Multiple Regression.The result of the study suggested that the majority of samples, 51.40% were males, with 43.10% aged average at 41-50 (mean 40.99 years, S.D. = 9.15), 66.70 % of samples were married, 43.06% of them had 21-30 years of work experience in Division of Clinical Laboratory (median 18 years, S.D. = 9.90). The study showed that the motivation in all aspects was high level (mean 3.51, S.D = 0.45). The motivation factor was high level (mean 3.60, S.D. = 0.47). The hygiene factor was moderate level (mean 3.42, S.D. = 0.50). Level of work performance of personnel was rated at moderate level (mean 3.35, S.D = 0.62). The personal trait had no relationship with work performance. Motivation, motivational factor and hygiene factor had moderate level of relationship with work performance, with statistically significant differences (r = 0.414, p-valueItem Bacteriology of Chronic Suppurative Otitis Media(Mahasarakham Hospital Journal, 2011-02-01) Boonrert PealskulratChronic suppurative otitis media (CSOM) is a disease well known to otolaryngologists. It is a chronic inflammatory process, slow and insidious in its course, tend to be persistent, with sometimes irreversible sequelae. The aerobic microbiology of 59 patients from Lampang Hospital, who suffered from chronic suppurative otitis media was studied between January 2008 and March 2009. A total of 57 isolates (45 singled isolates and 6 mixed isolates) were recovered. The predominant organisms were Pseudomonas aeruginosa(30.5%), Staphylococcus coagulase negative(10.1%) and Staphylococcus aureus(6.8%). Many of Staphylococcus sp. can produce beta-lactamase, rendering them resistant to many of the penicillins. A knowledge of the pathogens responsible for CSOM can assist in the selection of the most appropriate treatment regimen and can minimize complications.