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คู่มือปฏิบัติงาน เรื่องการบริหารจัดการรับ - จ่ายเงินทอน ด้วยตู้ล็อกเกอร์อิเล็กทรอนิกส์ (e-Locker)
(2566) ธิมาพร พันธุรัตน์
Parental Absence, Family Environment, and Adolescents’ School Performance: Evidence from the Three Southernmost Provinces of Thailand1
(2024-12-01) Jampaklay A.; Lucktong A.; Vapattanawong P.; Tangchonlatip K.; Yakoh K.; Chamratrithirong A.; Ford K.; Jampaklay A.; Mahidol University
The impact of parental absence on children remains inconclusive and needs more contextualized research. This analysis examines the impact of parental absence on adolescents’ school performance and whether the impact can be explained by the family environment. The outcome is measured using adolescents’ assessment of their school performance compared with their classmates. The parent-adolescent living arrangement is classified as the adolescents living with both parents, with only the mother, and without the mother. We measure family environment using the family function (APGAR), parental/carer monitoring, and the parent-adolescent relationship. We used data from a household survey conducted in 2021 in Thailand’s three southernmost provinces where migration of young people to Malaysia is common. The sample includes 358 adolescents aged 13–17 years old and currently in school. Findings show significant negative though indirect impacts of maternal absence on the adolescents’ school performance. Also, the significant impact of maternal absence is mediated by the family environment, particularly family function. Significant evidence of the effect of family environment on adolescents’ academic outcome, net of the parent-adolescent living arrangements particularly parent/carer monitoring, is highlighted.
Reframing CEUS-LI-RADS Through Mechanistic and Translational Lenses: Reflections on Machine Learning–Augmented Diagnosis of Hepatocellular Carcinoma
(2026-03-01) La N.; Rattanapitoon S.K.; Thanchonnang C.; Rattanapitoon N.K.; La N.; Mahidol University
Prevalence and characteristics of adult patients with adult-onset and childhood-onset food allergy
(2025-12-01) Sompornrattanaphan M.; Ajalasaereewong S.; Wongsa C.; Thongngarm T.; Chokevittaya P.; Vichara-Anont I.; Sirimaskasem K.; Surapinij J.; Laomoleethron J.; Wihakhaphirom S.; Haridravedh S.; Limpiyakorn S.; Paringkarn T.; Krikeerati T.; Sompornrattanaphan M.; Mahidol University
Background: IgE-mediated food allergy (FA) affects health-related quality of life, and may cause life-threatening reactions. Few studies characterizing adult FA patients have been reported, especially first ever reaction (FER) in adult-onset. Objectives: We describe the characteristics of adult FA patients, especially FER and compare these characteristics between childhood-and adult-onset FA. Methods: A cross-sectional study of all adult patients visiting the Allergy Clinic, Siriraj Hospital at the outpatient department between January 2009 to December 2019 was conducted. Demographic, clinical data, and first reaction in life data were collected. Adult-onset was defined as ≥ 18 years old. Results: Of 711 patients visiting the clinic, 174 (24.4%) were FA with a median age of 31.0 years (interquartile range 24.0, 44.0 years); 29.3% were male. FA patients had significantly higher prevalence of sensitization to cockroach compared with non-FA patients (67.4% vs. 56.3%); p = 0.016). The three most common food triggers were shellfish (68.0%), wheat (28.7%), and fruit and vegetables (10.0%). Before diagnosis, 56.7% (97/171) experienced at least 1 food-related anaphylaxis. Of the 166 patients compared on age of onset, 127 (76.5%) were adult-onset. In FER, patients with adult-onset had significantly more reactions to fruit and vegetables, more respiratory system involvement, and more other systems involvement [OR 8.95 (1.13, 1157); p = 0.034; OR 3.15 (95%CI 1.30, 8.25), p = 0.011; OR 10.8 (1.35, 1404), p = 0.019, respectively]. In sensitivity analysis, the cardiovascular system involvement was also significantly more common [OR 2.78 (1.05, 9.15); p = 0.038]. Conclusion: Shellfish was the most common trigger foods in adult FA patients. In FER, anaphylaxis was common for adult-onset. Adult-onset FA patients also had more respiratory, cardiovascular, and other systems involvements than childhood-onset ones. FA awareness, early diagnosis, and proper management are encouraged. Further studies on the adult-onset food allergic patients are required.