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Publication Open Access ความเข้าใจของบิดามารดาเกี่ยวกับความเสี่ยงที่จะเกิดกลุ่มอาการออทิสซึมซ้ำในบุตรคนถัดไป(2553) วิลาวัณย์ เชิดเกียรติกำจาย; นิชรา เรืองดารกานนท์; รวิวรรณ รุ่งไพรวัลย์; ทัศนวัต สมบุญธรรม; พัฏ โรจน์มหามงคล; รุ่งทิพย์ ประเสริฐชัย; Vilawan Chirdkiatgumchai; Nichara Ruangdaraganon; Rawiwan Roongpraiwan; Tasnawat Sombuntham; Pat Rojmahamongkol; Rungthip Prasertchai; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. ภาควิชากุมารเวชศาสตร์it affects their decisions regarding future reproduction. Objective: To study parental perception of the recurrence risk of ASDs in their subsequent child. Methods: Parents with a child diagnosed with an ASD without known etiology at Child Development...Background: The recurrence risk of idiopathic autism spectrum disorders (ASDs) in the subsequent child is between 2-8% for parents who have already had one affected child. Parents' accurate perception of this recurrence risk is important sincePublication Open Access Factors Affecting the Quality of Life in Children with Epilepsy(2021) Arthittaya Kaenkrai; Autchareeya Patoomwan; Suporn Wongvatunyu; Apasri Lusawat; อาทิตยา แก่่นไกร; อัจฉรียา ปทุุมวัน; ศุุภร วงศ์วทัญญู; อาภาศรี ลุุสวัสดิ์์; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Ramathibodi School of NursingHealth-related quality of life (HRQOL) is considered as an important clinical outcome, especially in children with chronic illnesses. This predictive, descriptive study aimed at investigating the factors affecting health-related quality of life in children with epilepsy, including epilepsy severity, comorbidity, and family functioning. The sample, which consisted of 90 caregivers of children with epilepsy between the ages of 4 to 15 years, was recruited from the pediatric neurological out-patient clinic and in-patient wards at Prasat Neurological Institute, and Ramathibodi Hospital located in Bangkok, Thailand. Data were collected during June-August 2019. A set of questionnaires was used including demographic characteristics and medical record of illness data of children with epilepsy, the Chulalongkorn Family Inventory (CFI), and the Quality of Life in Childhood Epilepsy (QOLCE-16). Data analysis used descriptive statistics, Pearson’s product-moment correlation coefficient, and multiple regression analysis. The findings revealed that epilepsy severity, comorbidity, and family functioning could jointly predict the overall QOLCE, and accounted for 28.40% of the variance in the overall quality of life of children with epilepsy. Results of this study would help nurses and healthcare professionals provide adequate support and further design the intervention to improve the quality of life among children with epilepsy.Publication Open Access Inclusive or Segregated Classroom: A Question of Educating Children With Autism(2018) Pareyaasiri Witoonchart; Yun Ju Huang; ปรียาสิริ วิฑูรชาติ; ยัน จู ฮวง; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Communication Sciences and Disorders; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Center for Health Policy and Management; National Taichung University of EducationBackground: Education for children with autism in Thailand has three basic options; inclusive classroom, segregated classroom, and no school at all. Since children with autism is one of many types of disabilities that mandated in the law to have basic education that provided by the local schools, however, it seemed that children with autism is one group of disabilities that was mostly excluded from appropriate education. Objective: The purpose of this multiple-participant case study was to explore the factors that impetus parents and/or caregivers of children with autism in choosing the right education approach for their children. Methods: Using a qualitative approach, two types of data were collected. The open-ended interviews with focus groups with parents whose children attend each type of schools was conducted. The interview questions and topics used during the focus groups are designed to provide insight into what the parents and/or caregiver think about their choice of the school selected. Second, the formal and informal observation note that took in schools. Finally, the data were analyzed by using Nvivo program which was designed to organize and manage unstructured of qualitative data. Results: The results were lead to understand the question about educating children with autism in four main area: 1) educational historical determinism which referred to agendas that related to educating children with autism; but still had not yet fully implemented; 2) government marginalization of the need of education for children with autism which referred to unclear legislation about how to make the law related in educating these children plausible; 3) parental and societal: lack of understanding of educating children with special needs which referred to the misconception about these children learning ability; and 4) educational: unbalanced and unequipped special education professionals and the crucial reality consideration which referred to the questionable skills of teachers in teaching these specific group of children. Conclusions: This study provided information with a reasonably good understanding of the indication of the academic and behavioral expectations for children with autism who attend the school which leaded to the conclusion of the appropriate school for these children with autism.Publication Open Access High Incidence of Hepatitis B Infection-Associated Cirrhosis and Hepatocellular Carcinoma in the Southeast Asian Patients with Portal Vein Thrombosis(2011) Korn Lertpipopmetha; Chirayu U Auewarakul; Mahidol University. Faculty of Medicine Siriraj Hospital. Department of Medicine) infection was the main etiology associated with cirrhosis/ HCC leading to PVT in this cohort. A third of the older PVT patients (age >40) had HBV and very few carried hepatitis C virus (HCV) whereas none of the young PVT patients (age <20) had HBV or HCV... play a causal role in the initiation and development of PVT in various ethnicities and geographic locations.Publication Open Access Diffuse large B cell lymphoma presenting as Horner’s syndrome in a patient diagnosed with neurofibromatosis type 1: a case report and review of the literature(2012) Saoraya Lueangarun; Chirayu U Auewarakul; Mahidol University. Faculty of Medicine Siriraj Hospital. Division of HematologyIntroduction: Horner’s syndrome has a variety of etiologies ranging from benign to serious life-threatening conditions and has been infrequently reported as a presenting symptom of patients with lymphoid neoplasms. Only one case of Burkitt’s... lymphoma presenting with toothache, paresthesia, and Horner’s syndrome has been described and no case reports of diffuse large B-cell lymphoma as the etiology of Horner’s syndrome currently exist in the literature. In addition, lymphoid neoplasms havePublication Open Access การศึกษาเพื่อเปรียบเทียบระยะเวลาในการฝึกพูดให้ชัด ระหว่างการใช้แบบฝึกที่คำนึงถึงการออกเสียงร่วมและแบบฝึก(2559) เฉลิมชัย นิลสุวรรณโฆษิต; ปรางทิพย์ ศิริชื่นวิจิตร; วรพล บุญญบาล; Chalermchai Nilsuwankhosit; Prangtip Sirichuenvichit; Worapol Boonyaban; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. ภาควิชาวิทยาศาสตร์สื่อความหมายและความผิดปกติของการสื่อความหมาย; สำนักการแพทย์. โรงพยาบาลกลาง. กลุ่มงานโสต คอ นาสิกin Thai language. The results of this study can be the guideline to develop articulation exercises for people with articulation disorders which could be a standard and effective tool for using in a clinical setting....Objective: The purpose of this research was to compare a period of time in speech training for children with articulation disorders by using 2 types of exercises, the co-articulation and general exercise. Patients and Methods: Thirty childrenPublication Open Access A Predictive Study of Risk Factors for Hypertensive Disorders in Myanmar Pregnant Women(2016) Ei Wah Phyu Thet; ปิยะนันท์ ลิมเรืองรอง; Piyanun Limruangrong; นิตยา สินสุกใส; Nittaya Sinsuksai; มหาวิทยาลัยมหิดล. คณะพยาบาลศาสตร์. ภาควิชาการพยาบาลสูติศาสตร์-นรีเวชวิทยาPurposes: To identify age, parity, pre-pregnancy body mass index (BMI), family history of hypertension, and gestational diabetes mellitus (GDM) as the predictive factors for hypertensive disorders in Myanmar pregnant women. Design: A predictive... statistics, chi-square test, fisher’s exact test and binary logistic regression analysis. Main findings: Parity, pre-pregnancy BMI, family history of hypertension, and GDM were significantly accounted for 56.1% of variance to predict hypertensive disordersPublication Open Access Triple-fortified rice containing vitamin A reduced marginal vitamin A deficiency and increased vitamin A liver stores in school-aged Thai children.(2014) Siwaporn Pinkaew; Rita Wegmuller; Emorn Wasantwisut; Pattanee Winichagoon; Hurrell, Richard F.; Tanumihardjo, Sherry A.; Mahidol University. Institute of Nutrition= 25) for 2 mo as part of the daily school meal. The fortified grains, mixed 1:50 with regular rice, were estimated to provide an extra 890 μg of VA/d, 5 d/wk. 13C2-retinyl acetate (1.0 μmol) was administered orally to each child before and at the endPublication Open Access Embarking upon the reformation of mainstream education for children with moderate cognitive disabilities in Thailand: A qualitative analysis from the key stakeholders(2553) ปรียาสิริ มานะสันต์; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์ โรงพยาบาลรามาธิบดี. หน่วยโสตสัมผัสและแก้ไขการพูดThe purpose of this case study was to explore educational policy and practices for educating students with moderate cognitive disabilities in segregated and inclusive schools in Thailand. This study utilized constructivist research methodology to examine the perspectives of parents, teachers, and school administrators who are involved in educating these children at two schools in Bangkok, Thailand. The schools in this research were selected because they represent two completely different models of a segregated school and a pilot inclusive school for students with moderate cognitive disabilities. Qualitative methods of data collection and a constant comparative method of data analysis were used. The researcher conducted open-ended interviews with teachers, administrators, and parents whose children attended each school. The interview questions were designed to provide insight into what the parents, teachers, and administrators perceived about the common practices used in the schools. In addition, field notes and observation notes from interviews and parent-teacher meetings were collected and analyzed regarding similarities and differences in methods of teaching. The researcher targeted a total of eight teachers and six administrators to participate in the interviews. Additionally, ten parents of children with moderate cognitive disabilities who were attending the schools were also interviewed. The data provided the researcher with a reasonably good understanding of the attitudes, feedback, and activities of stakeholders from two different educational perspectives for educating students with moderate cognitive disabilities. The Thai government has established national policy for inclusive education as a mainstream education model for Thailand. It was found that teachers and school administrators however hold very diverse beliefs and practices about methods of educating students with moderate cognitive disabilities. The findings of this study can provide valuable information for policy makers in Thailand and for leaders and researchers in special education. The findings of this research suggest needed adjustments to policies and related practices, suggestions for special education teacher preparation programs, and ideas for the design of an appropriate special education system that leads to better educational opportunities for students with moderate cognitive disabilities in Thailand.Publication Open Access Incidence of diabetes in Asian population and diabetic bone quality.(2015-05) Mahjabeen Hossain; Dutmanee Seriwatanachai; ดุษมณี เสรีวัฒนาชัย; Mahidol University. Faculty of Dentistry. Department of Oral BiologyDiabetes mellitus (DM) is characterized by high blood glucose levels and divided into two types, type 1diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM). T2DM known as non-insulin dependent diabetes, which is due to insulin resistance and relative deficiency. World Health Organization (WHO) estimated the prevalence of diabetes for all age groups worldwide will be doubled in in 2030. Shockingly, the Bureau of Non Communicable Disease of Thailand found similar trend for Thai population. They claimed that it could be caused by changes of the style of food consumption specially popularity of the western like diets that contain high fat and sugar. Apart from the classical complication of diabetes such as cardiac failure, diabetic nephropathy, peripheral neuropathy, adverse effects associated with bone health become increasing apparently. Despite a number of studies in biological alteration of skeleton affected by chronic hyperglycemic diabetes, the association between DM and osteoporosis remained controversial. This review focused on the incidence of diabetes mellitus in Asian population as well as the metabolic abnormalities of DM potentially affecting bone metabolism, structures and mineral density.