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Publication Open Access Correlates of practicing nursing standard infectious control for aids precaution through nursing intervention among ER nurses in Surat Thani Province(2007) Sulee Thongvichean; Punyarat Lapvongwatana; Priyakamon Khan; Sasipen Homsanit; สุลี ทองวิเชียร; ปัญญรัตน์ ลาภวงศ์วัฒนา; ปรียากมล ข่าน; Sulee Thongvichean; Mahidol university. Faculty of Public Health. Department of Public Health Nursing.of 0.71, 0.67 and 0.75, respectively. The results revealed that nearly half (48.1%) of the ER professional nurses practiced NSICAP at a low level and about one-third (31.7%) were practicing at a high level. Nurses practiced NSICAP well in the items...The present study aims examine the correlates of practicing of nursing standard infectious control for AIDS precautions (NSICAP) among all 129 professional nurses who worked in the emergency room of 20 governmental hospitals in Surat ThaniPublication Metadata only An emergency medical service system in thailand: Providers’ perspectives(2014-01-01) Yuwares Sittichanbuncha; Thidathit Prachanukool; Prakit Sarathep; Kittisak Sawanyawisuth; Mahidol University; Khon Kaen Universitywere distributed and 425 were returned completed (94.4%). Of those, 365 subjects (85.9%) were female, 359 (84.5%) were nurses, 103 (24.5%) worked at the ER for more than 10 years, and 284 (67.6%) worked at the community hospitals. The most three common... eligible and randomly selected for the survey. Subjects were physicians, nurses, or paramedics who worked in Emergency Department/Room at hospitals in Thailand. The survey was performed by self-rated questionnaire. Results: Four hundred fifty questionnairesPublication Metadata only Characteristics of Pediatric Emergency and Risk Factors for Life-saving Interventions(2021-01-01) Phatthranit Phattharapornjaroen; Yuwares Sittichanbuncha; Pongsakorn Atiksawedparit; Kittisak Sawanyawisuth; Khon Kaen University; Faculty of Medicine Ramathibodi Hospital, Mahidol University; Mahidol University. The inclusion criteria were children aged 15 years or under who were triaged as level 1 or 2 and treated at the resuscitation room. Factors associated with LSI were executed by logistic regression analysis. During the study period, there were 22 759 ER visitsPublication Metadata only Cells producing insulin-like androgenic gland hormone of the giant freshwater prawn, Macrobrachium rosenbergii, proliferate following bilateral eyestalk-ablation(2011-01-01) Ittipon Phoungpetchara; Yotsawan Tinikul; Jaruwan Poljaroen; Charoonroj Chotwiwatthanakun; Rapeepun Vanichviriyakit; Morakot Sroyraya; Peter J. Hanna; Prasert Sobhon; Mahidol University; Deakin Universityendoplasmic reticulum (rER), and nuclei containing mostly heterochromatin. Type II cells are slightly larger (18.6. μm in diameter), stain lightly with H & E, have rER with dilated cisternae, and nuclei containing mostly euchromatin. Type III cells (previously... undescribed) are similar in size and shape to type I cells, but the cytoplasm is unstained and they have a high amount of smooth endoplasmic reticulum (sER) and mitochondria with tubular cristae. Bilateral eyestalk-ablation resulted in AG hypertrophy with aPublication Open Access Factors related to Emergency Room Discharge Destination among Patients with Trauma(2017) Nguyen Quynh Cham; อรพรรณ โตสิงห์; Orapan Thosingha; วัลย์ลดา ฉันท์เรืองวณิชย์; Wallada Chanruangvanich; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลศัลยศาสตร์; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลอายุรศาสตร์Purpose: To investigate the relationships between age, physiological deterioration, co-morbidity and emergency room discharge destination among patients with trauma. Design: Descriptive correlation design. Methods: The sample composed of 300 patients with traumatic injuries in emergency department, Bach Mai Hospital in Hanoi, Vietnam. Data were collected from the patient’s hospital chart. Spearman’s Rho was employed to test the relationships among studies variables. Main findings: Approximately 60% of patients with traumatic injuries (59.7%) were admitted in hospital, while 35.4% received surgery and/or admitted to intensive care unit. About 40.3% received treatment and were discharged from emergency department to home. Physiological deterioration as measured by Modified Early Warning Score, age, and co-morbidity were positively correlated with emergency room discharge destination (rs = .38, rs = .14, rs = .16, p < .05). Conclusion and recommendations: Modified Early Warning Score should be used to classify trauma injuries patients on their arrival at the emergency department. Hence, the patients can receive appropriate treatment at the right time. Co-morbid diseases should be routinely assessed in all trauma injuries patients on arrival at the emergency room.Publication Metadata only Assessment of nationwide emergency systems in Thailand, a middle-income country setting with UHC(2019-04-01) Paibul Suriyawongpaisal; Pongsakorn Atiksawedparit; Samrit Srithamrongsawad; Thanita Thongtan; Faculty of Medicine, Ramathibodi Hospital, Mahidol University; Mahidol Universityof 130 (70%) hospitals. The median number of patients visiting hospital EDs was 51 221 per year with 32.8% considered nonurgent (ESI levels 4-5). University hospital EDs were staffed with a higher number of ER professionals than EDs of service-based... secondary care and tertiary care hospitals under Ministry of Public Health (MOPH). Almost all hospitals expressed concerns about the deficiency of doctors and nurses especially emergency physician (EP) and emergency nurses. The percentage of hospitalsPublication Open Access ประสิทธิภาพการจำแนกประเภทผู้ป่วยโดยพยาบาลจำแนกในหน่วย เวชศาสตร์ฉุกเฉิน คณะแพทย์ศาสตร์โรงพยาบาลรามาธิบดี(2541) สุดาพรรณ ธัญจิรา; จุฬารักษ์ กวีวิวิธชัย; อดิศักดิ์ ผลิตผลการพิมพ์; Sudapan Thanjira; Chularuk Kaveevitchai; Adisak Plitponkanpim; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. ภาควิชาพยาบาลศาสตร์; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. ภาควิชากุมารเวชศาสตร์Publication Open Access Sharps Injuries among Nurses in a Thai Regional Hospital: Prevalence and Risk Factors(2011) Honda M; Masanori Honda; J Chompikul; Jiraporn Chompikul; Rattanapan C; Cheerawit Ratanapan; Wood G; Klungboonkrong S; Mahidol University. ASEAN Institute for Health DevelopmentBackground: Sharps injuries (SIs) are one of the most serious occupational accidents among nurses due to the possible severe consequences, such as the transmission of infectious diseases and inducing of mental impairment. Objective: To discover... the prevalence of SIs among nurses in a regional hospital in Thailand and to identify factors associated with SIs. Methods: A cross-sectional study was conducted in 2011. Stratified random sampling was used to select the respondents, with wards as the strataPublication Open Access คุณภาพการดูแลผู้ป่วยอุบัติเหตุที่หน่วยกู้ชีพ ในโรงพยาบาลมหาวิทยาลัย(2559) พีรญา ไสไหม; ไสว นรสาร; กรองได อุณหสูต; จุรีพร เกษแก้ว; Phiraya Saimai; Savai Norasan; Krongdai Unhasuta; Chureeporn Keskaew; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. ฝ่ายการพยาบาล; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. โรงเรียนพยาบาลรามาธิบดีhospital, Bangkok, and 47 traumatic patient records. The instrument used in this study was Trauma Care Management in ER Assessment and Traumatic shock Assessment, develop by Krongdai Unhasuta and Thai Trauma Nurse Network,14 was used to collect... is to study quality care of the trauma patient in view of nurses and study patient outcome from the body’s response after receiving the care at Resuscitation unit. The sample consisted of 24 nurses, who work at Resuscitation unit in the universityPublication Open Access Quality of Care for Patients With ST-Segment Elevation Myocardial Infarction Using Fast Track Service in Thailand(2018) Songwut Sungbun; Noppawan Piaseu; Suphamas Partiprajak; ทรงวุฒิ สังข์บุญ; นพวรรณ เปียซื่อ; สุภามาศ ผาติประจักษ์; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of NursingBackground: The ST-segment elevation myocardial infarction (STEMI) fast track care recommend door to needle within 30 minutes. The current guideline is implemented in the community hospitals for timely reperfusion therapies, however, evaluation on its quality is limited. Objective: To evaluate quality of care for patients with STEMI in community hospitals, Thailand. Method: A descriptive design was conducted in three community hospitals, where distance from primary percutaneous coronary intervention (PCI)-capable hospital are more than 120 minutes. Consecutive sampling was used to select sample of patients with STEMI from October 1, 2016, to Mach 31, 2017. Data were collected from STEMI patients in 3 community hospitals using questionnaire and medical record reviews. Results: Thirty-two STEMI patients participated in this study. The mean age of the patients was 62.5 ± 11.4 years. Most of them (87.5%) used self-transportation. Approximately 51.7% received streptokinase within time, while the average door to needle time was 48.4 minutes. The mean total ischemic time was 246.2 ± 365.7 minutes, and 18.8% of patients died in-hospital. Conclusions: This study showed that door to needle time, door to balloon time, door to ECG, door to referral time, and total ischemic time were longer than recommended time. The main reasons were patients delay and system delay particular delayed diagnosis.