Royal Thai Airforce Medical Gazette

Permanent URI for this collection

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

Browse

Recent Submissions

Now showing 1 - 20 of 56
  • No Thumbnail Available
    Item
    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.
  • No Thumbnail Available
    Item
    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.
  • No Thumbnail Available
    Item
    The Correlation Between Timing of Endoscopy and The Outcome of Upper Gastrointestinal Bleeding (UGIB) in Emergency Room Bhumibol Adulyadej Hospital
    (Royal Thai Airforce Medical Gazette, 2011-01-25) Thitima Charanyananda; Chalermporn Boonsiri; Chinnavat Sutthivana
     Abstract not available
  • No Thumbnail Available
    Item
    A study of Mental Health of the Royal Thai Air Force (RTAF) Personnel
    (Royal Thai Airforce Medical Gazette, 2011-01-25) Donleudee Rojviriya; Suwimon Samatha; Walapa Aundara; Jittra Rojkhajornaphalai
     Abstract not available
  • No Thumbnail Available
    Item
    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.
  • No Thumbnail Available
    Item
    The study the cause of unqualified film which cannot be used for Diagnosis from x-ray room at Emergency room,Police General Hospital
    (Royal Thai Airforce Medical Gazette, 2011-01-25) Vallapa Maikaew
     Abstract not available
  • No Thumbnail Available
    Item
    Risk factors related to severe birth injury in vacuum extraction delivered infant GA ≥ 37 weeks at Bhumibol Adulyadej Hospital
    (Royal Thai Airforce Medical Gazette, 2010-03-14) Wipa Suntiwitchaya
    Objective: To identify risk factors of birth injury in pregnant women who delivered by vacuum extraction. Study design: Case control study. Setting: Department of Obstetrics and Gynecology, Bhumibol Adulyadej Hospital. Subjects: 67 pregnant women delivered by vacuum extraction who had birth injury infants and 67 pregnant women delivered by vacuum extraction who had no birth injury of infants at Bhumibol Adulyadej Hospital between January 1, 2004 to December 31, 2006. Main Outcome Measures: Risk factors associated with birth injury were duration of vacuum extraction, indication, maternal parity, gestational age, lack of antenatal care, birth weight and operator. Method: Medical records of 67 pregnant women who were delivered by vacuum extraction and had birth injury of infants were analyzed and compared with the medical records of 67 pregnant women who were delivered by vacuum extraction and infants had no births injury. The expected risk indicators of the case and control group were compared by using independent compare t-test and exact probability test as appropriate. Multiple logistic regression analysis was used to determine the significant risk factor (p \< 0.05). Results: Significant risk factors of birth injury is the duration of vacuum extraction (OR=4.56, 95% CI=1.90-10.91).Conclusion: Risk factor of birth injury in vacuum extraction is duration of extraction. It is useful in categorization of individual women into high and low risk groups in birth injury.
  • No Thumbnail Available
    Item
    Knowledge Management Experience in Royal Thai Armed Force Headquarters
    (Royal Thai Airforce Medical Gazette, 2011-01-25) Khanuengnich Anuroj
     Abstract not available
  • No Thumbnail Available
    Item
    Stretched Penile Length of Thai Term Newborn
    (Royal Thai Airforce Medical Gazette, 2011-01-25) Siriluk Assawabumrungkul; Karnsuda Pichetsin
     Abstract not available
  • No Thumbnail Available
    Item
    Laparoscopic Gastrojejunostomy
    (Royal Thai Airforce Medical Gazette, 2010-03-14) โพชฌงค์ ซื่อสัตย์
    Patients with gastric outlet obstruction as a result of chronic peptic ulceration are well suited to undergo gastrojejunostomy. Another group of gastric origin is those patients with obstructive gastric cancers, where extensive metastatic spread or associated medical illness determine that resection is ill advised, are suitable for palliative bypass. The extragastric benigh and malignant diseases with duodenal obstruction are also suitable for gastrojejunostomy if the resections could not be provided. Five patients with benigh and malignant gastric outlet obstructions underwent laparoscopic procedures. Laparoscopic truncal vagotomy and gastrojejunostomy were performed in two patients with chronic peptic ulcerations. Laparo-scopic gastrojejunostomy operated on two patients with malignant obstructions. Hand-assisted laparoscopic gastrojejunostomy was employed to a patient having previously choledo-choduodenostomy and pancreaticojejunostomy due to complicated chronic pancreatitis. All patients were successful managed by those laparoscopic procedures. Neither perioperative complications nor serious postoperative problems were detected. The satisfactory surgical outcomes were appeared during the hospitalization and the follow up schedules.
  • No Thumbnail Available
    Item
    Prevention of Hemodialysis catheter Related Infection Using Uncuffed Catheter Restricted Filling with Gentamicin and Heparin for Chronic Hemodialysis Patients
    (Royal Thai Airforce Medical Gazette, 2011-01-25) Suree Inpayung; Pongsathorn Gojaseni; Anan Chuasuwan; Pattaya Raengchan; Thaweepong Pajareya; Anutra Chittinandana
     Abstract not available
  • No Thumbnail Available
    Item
    The Forearm Balloon Invention For Hand-assisted Laparoscopic Surgery
    (Royal Thai Airforce Medical Gazette, 2011-01-25) Poschong Suesat
     Abstract not available
  • No Thumbnail Available
    Item
    The Relationship between Social Support Factors and The Paramilitary's Quality of Life
    (Royal Thai Airforce Medical Gazette, 2011-01-25) Watcharaporn Paorohit; Ravipa Boonchoochuay; Veenich Phonkert; Rattana Dujsadeepatanakul
     Abstract not available
  • No Thumbnail Available
    Item
    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
  • No Thumbnail Available
    Item
    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).
  • No Thumbnail Available
    Item
    Prostate Cancer
    (Royal Thai Airforce Medical Gazette, 2010-03-15) ธีรวรรณ วะน้ำค้าง
    Abstract not available
  • No Thumbnail Available
    Item
    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.
  • No Thumbnail Available
    Item
    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).
  • No Thumbnail Available
    Item
    Strategies and Development of Directorate of Medical Services, RTAF. for Sustainable Growth
    (Royal Thai Airforce Medical Gazette, 2010-05-27) Wanchai Sirisereewan; Prasert Sirisereewan; Apichart Koi-Sukho
    Objectives: To analysis and to find strategic gaps, and also to formulate proposed strategies for Directorate of Medical Services.Research design: qualitative research with integrated study of secondary data and primary data (which collecting of primary data by depth interviewing with major policy makers high ranking personnel in RTAF).Results: strategies of Directorate of Medical Services, RTAF from past to present are efficiently set to cover all essential missions and also related to relevant organizations. Integration of some strategiesshould be reviewed to comply with the dynamic environment changes. Some integration of other new strategies are also proposed, such as organization development, knowledge management, organization learning, innovation development, virtual organization, regional excellence, and regional strategic alliances with other potential countries in organizational level and country level should be considered by all related ranks of policy makers.
  • No Thumbnail Available
    Item
    Risk Score for Prediction of Cesarean Delivery due to Cephalopelvic Disproportion in Bhumibol Adulyadej Hospital
    (Royal Thai Airforce Medical Gazette, 2010-05-27) Sasithorn Moryadee; Buppa Smanchat; Wibol Rueangchainikhom; Sinart Phommart
    Objective : To identify the risk scoring system based on risk factors for the prediction of cesarean delivery due to cephalopelvic disproportion (CPD).Study Design : Case-controlled study.Setting : Department of Obstetrics and Gynecology, Bhumibol Adulyadej Hospital.Subjects : 802 cases of pregnant women who delivered at Bhumibol Adulyadej Hospital between July 1, 2005 and May 31, 2007.Main outcomes : Risk scores for prediction of prediction of cesarean delivery due to CPD.Material and Methods : Risk factors were identified and analyzed by a stepwise logistic regression. Regression coefficients were transformed into item scores and added up to a total scroe. Risk of cesarean delivery due to CPD was analyzed as the predictor for low and high risk group.Results : A risk scoring system was developed includes maternal height, nulliparity, fundal height, pre-pregnancy BMI, BMI before delivery and birth weight. The total score from 0-11. The scoring system could be predicted 76.8 % of cesarean delivery due to CPD, by the area under the receiver operating characteristic (ROC) curve, the cutoff score is 3.25, could be predicted CPD with a sensitivity of 80 % and a specificity of 57 %. The likelihood of cesarean delivery due to CPD in pregnant women with low risk (scores \< 3.25) was 0.35 and high risk (scores \> 3.25) was 1.86.Conclusion : The risk of cesarean delivery due to CPD may be predicted by a scoring system that identified women with low and high risk. The cutoff score is 3.25 (sensitivity 80 %, specificity 57 %) and accuracy 76.8 %.