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    PublicationOpen Access
    Treatment of laryngeal paralysis in captive wild felids; Arytenoid lateralization technique
    (2012) Phingphol Charoonrut; Sukanya Manee-in; Ruangrat Buddhirongawat; Nareerat Sungchachai; Tipapan Parnluck; Luxsana Pasittichai; Siriporn Tangsudjai; Mahidol University. Faculty of Veterinary Science; Supanburi. Bueng Chawak Zoo; Rachaburi. Kao-Pratapchang Wildlife Breeding Center
    tigers and 2 lion with bilateral laryngeal paralysis were included. The surgical procedure was performed by left unilateral arytenoid lateralization in all animals. The better clinical signs after operation were shown in 7 animals except 1 lion... that was not improved and died 14 days after operation because of pre-operative systemic infection. One tiger died with the recurrent problem at 10 days after operation because of the laceration at the muscular process of arytenoid cartilage at prosthesis anchored
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    PublicationOpen Access
    The duration of Plasmodium falciparum infections
    (2014) Ashley, Elizabeth A; White, Nicholas J; Mahidol University. Faculty of Tropical Medicine. Mahidol-Oxford Tropical Medicine Research Unit
    Plasmodium vivax and Plasmodium ovale are often considered the malaria parasites best adapted to long-term survival in the human host because of their latent exo-erythrocytic forms. The prevailing opinion until the middle of the last century was that the maximum duration of Plasmodium falciparum infections was less than two years. Case reports and series investigating blood donors following accidental malaria infection of blood transfusion recipients and other sporadic malaria cases in non-endemic countries have shown clearly that asymptomatic P. falciparum infections may persist for up to a decade or longer (maximum confirmed 13 years). Current policies in malaria-free countries of excluding blood donors who have lived in malarious areas are justified. Vigilance for longer than three years after declaring elimination in an area may be needed.
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    PublicationOpen Access
    Quality of intrapartum care by skilled birth attendants in a refugee clinic on the Thai-Myanmar border: a survey using WHO Safe Motherhood Needs Assessment
    (2015) Gabie Hoogenboom; Thwin, May Myo; Kris Velink; Marijke Baaijens; Prakaykaew Charrunwatthana; François Nosten; Rose McGready; Mahidol University. Faculty of Tropical Medicine. Mahidol-Oxford Tropical Medicine Research Unit
    no ‘out of stock’ or ‘out of date’ drugs and supplies, equipment was in operating order and necessary infrastructure e.g. a stand-by emergency car, was present. Syphilis testing was not available. SBA interviews established that danger signs and symptoms....g. providing supplements, recording risk factors as well as regular and correct partogram use. Observed good clinical practice included: presence of a support person; active management of third stage; post-partum monitoring; and immediate and correct
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    PublicationOpen Access
    The Effects of a Constipation Prevention Program on Incidence and Severity of Constipation in Hospitalized Elderly undergoing Hip Surgery
    (2011) พวงผกา มั่นหมาย; Poungpaka Monmai; สุภาพ อารีเอื้อ; Suparb Aree-Ue; พรรณวดี พุธวัฒนะ; Panwadee Putwatana; วิโรจน์ กวินวงศ์โกวิท; Viroj Kawinwonggowit; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. ภาควิชาออร์โธปิดิกส์; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดี. โรงเรียนพยาบาลรามาธิบดี; มหาวิทยาลัยมหิดล. โรงพยาบาลรามาธิบดี. ฝ่ายการพยาบาล
    ,the bowel pattern assessment form, and the constipation risk assessment form. Constipation wasevaluated by the frequency of defecation from the first to the fifth postoperative day, from 3 days beforesurgery to 5 days post operation, and the first day
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    PublicationOpen Access
    Artemisinin resistance containment project in Thailand. (I): Implementation of electronic-based malaria information system for early case detection and individual case management in provinces along the Thai-Cambodian border
    (2012-07-29) Amnat Khamsiriwatchara; Prayuth Sudathip; Surasak Sawang; Saowanit Vijakadge; Thanapon Potithavoranan; Aumnuyphan Sangvichean; Wichai Satimai; Delacollette, Charles; Pratap Singhasivanon; ประตาป สิงหศิวานนท์; Saranath Lawpoolsri; สารนาถ ล้อพูลศรี; Jaranit Kaewkungwal; จรณิต แก้วกังวาล; Jaranit Kaewkungwal; Mahidol University. Faculty of Tropical Medicine. Department of Tropical Hygiene; Mahidol University. Faculty of Tropical Medicine. Center of Excellence for Biomedical and Public Health Informatics.
    artemisinin-resistance containment project. METHODS: The eMIS had been functioning since 2009 in seven Thai-Cambodian border provinces. The eMIS has covered 61 malaria posts/clinics, 27 Vector-borne Disease Units covering 12,508 hamlets at risk of malaria... indicating potential drug resistance among patients. Data captured by the eMIS in 2008-2011 were extracted and presented. RESULTS: The core functionalities of the eMIS have been utilized by malaria staff at all levels, from local operational units
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    PublicationOpen Access
    Efficacy of low-dose intra-articular tranexamic acid in total knee replacement; a prospective triple-blinded randomized controlled trial
    (2013) Paphon Sa-ngasoongsong; Siwadol Wongsak; Pongsthorn Chanplakorn; Patarawan Woratanarat; Supaporn Wechmongkolgorn; Bussanee Wibulpolprasert; Pornchai Mulpruek; Viroj Kawinwonggowit; Mahidol University. Faculty of Medicine Ramathibodi Hospital. Department of Orthopedics
    Background: Recently, a number of studies using intra-articular application of tranexamic acid (IA-TXA), with different dosage and techniques, successfully reduced postoperative blood loss in total knee replacement (TKR). However, best of our knowledge, the very low dose of IA-TXA with drain clamping technique in conventional TKR has not been yet studied. This study aimed to evaluate the effectiveness and dose-response effect of two low-dose IA-TXA regimens in conventional TKR on blood loss and blood transfusion reduction. Methods: Between 2010 and 2011, a triple-blinded randomized controlled study was conducted in 135 patients undergoing conventional TKR. The patients were allocated into three groups according to intra-articular solution received: Control group (physiologic saline), TXA-250 group (TXA 250 mg), and TXA-500 group (TXA 500 mg). The solution was injected after wound closure followed by drain clamping for 2 hours. Blood loss and transfusion were recorded. Duplex ultrasound was performed. Functional outcome and complication were followed for one year. Results: There were forty-five patients per groups. The mean total hemoglobin loss was 2.9 g/dL in control group compared with 2.2 g/dL in both TXA groups (p > 0.001). Ten patients (22%, control), six patients (13%, TXA-250) and none (TXA-500) required transfusion (p = 0.005). Thromboembolic events were detected in 7 patients (4 controls, 1 TXA-250, and 2 TXA-500). Functional outcome was non-significant difference between groups. Conclusions: Combined low-dose IA-TXA, as 500 mg, with 2-hour clamp drain is effective for reducing postoperative blood loss and transfusion in conventional TKR without significant difference in postoperative knee function or complication.
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    PublicationOpen Access
    Three phase bone scintigraphy in evaluating revascularization and bone formation of natural biomaterial bone graft by using Tc99m MDP in rabbits
    (2015) Somkiat Huaijantug; Paranee Yatmark; Somsak Wattananit; Phingphol Charoonrut; Thonnapong Thongpraparn; Rujaporn Chanachai; Mahidol University. Faculty of Veterinary Science. Department of Clinical Sciences and Public Health; Mahidol University. Faculty of Veterinay Science. Department of Pre-Clinical and Apply Animal Science; Mahidol University. Faculty of Medicine Siriraj Hospital. Section of Nuclear Medicine
    autogenous bone graft. A post-operative scanning of bone using TPBS was done at 7 days and weekly, at week 1, 2, 4, 6, 8, 12 to evaluate revascularization and bone formation of natural biomaterial bone graft comparing with autogenous bone graft. The results
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    PublicationOpen Access
    Subjective illness experiences of open-heart surgery patients in the Thai cultural context
    (2013-07) Kingkeaw Kwankhao; Pimpawan Boonmongkol; Kanokwan Tharawan; กนกวรรณ ธราวรรณ; Penchan Sherer; Chai Podhisita; Mahidol University. Institute for Population and Social Research
    This qualitative case study investigates the illness experiences of patients who underwent open-heart surgery in the Thai cultural context. The study site was a central hospital in the Eastern region of Thailand. Data were primarily collected by narrative interviews with seven patients who had open-heart surgery under varied circumstances. Narrative analysis was used to analyze the data. The key findings are: 1) the subjective illness experiences of the patients before and during the open-heart surgery includes being on the edge between life and death, feeling like coming back from death, and attributing their surgery to misfortune; 2) the subjective illness experiences of the patients following the open-heart surgery includes increasing dependence on medical technology and feeling like a cyborg, a non-human or an animal. The patients’ subjective illness experiences reflect their perspectives on medical technology in open-heart surgery. The findings could contribute to medical personnel’s more holistic understanding of the lives of patients from scientific as well as cultural viewpoints and to the improvement of the mental and emotional health care for open-heart surgery patients.
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    PublicationOpen Access
    Eagle’s syndrome and associated pain in head and neck region: A case report and review literature.
    (2014-05) Rachatawan Leelarangsun; รชตวรรณ ลีลารังสรรค์; Surakit Visutiwatanakorn; สุรกิจ วิสุทธิวัฒนากร; Surakit Visutiwatanakorn; สุรกิจ วิสุทธิวัฒนากร; Mahidol University. Faculty of Dentistry. Department of Hospital Dentistry; Mahidol University. Faculty of Dentistry. Department of Oral and Maxillofacial Surgery
    Orofacial pain is an unpleasant symptom that can originate from several etiologies, including inflammation of the eustachian tube, parotid gland infection, impacted teeth, trauma, carcinoma of pharynx, and trigeminal neuralgia. The most common diagnoses of orofacial pain are cluster headache, migraine, and temporomandibular joint disorders (TMD). On the other hand, elongation of styloid process, also known as Eagle’s syndrome, is often neglected because of its rare occurrence. Orofacial pain related to an elongated process can be relieved by its surgical removal. Therefore, it is important to gather all necessary information by history taking and clinical and radiographic investigation to make the correct diagnosis so that unnecessary treatment and surgeries can be avoided.
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    PublicationOpen Access
    Artemisinin resistance containment project in Thailand. II: Responses to mefloquine-artesunate combination therapy among falciparum malaria patients in provinces bordering Cambodia
    (2012-08-28) Wichai Satimai; Prayuth Sudathip; Saowanit Vijaykadga; Amnat Khamsiriwatchara; อำนาจ คำศิริวัชรา; Surasak Sawang; Thanapon Potithavoranan; Aumnuyphan Sangvichean; Delacollette, Charles; Pratap Singhasivanon; ประตาป สิงหศิวานนท์; Jaranit Kaewkungwal; จรณิต แก้วกังวาล; Saranath Lawpoolsri; สารนาถ ล้อพูลศรี; Saranath Lawpoolsri; Mahidol University. Faculty of Tropical Medicine. Department of Tropical Hygiene; Mahidol University. Faculty of Tropical Medicine. Center of Excellence for Biomedical and Public Health Informatics (BIOPHICS)
    was calculated. In addition, factors related to the delayed parasite clearance on day-3 post-treatment, were explored. RESULTS: A total of 1,709 P. falciparum-positive cases were reported during the study period. Almost 70% of falciparum cases received MAS... therapy (n = 1,174). The majority of cases were males, aged between 31 and 50 years. The overall MAS cure rate was > 90% over the three-year period. Almost all patients were able to clear the parasite within 7 to 14 days post-treatment. Approximately