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Publication Open Access การพัฒนาอุปกรณ์ตรวจนับใบมีดและเข็มชนิดแถบกาวในห้องผ่าตัด(2559) เบญจมาภรณ์ บุตรศรีภูมิ; ชุลีพร วชิรธนากร; รัตนา เพิ่มเพ็ชร์; Benjamaporn Butsripoom; Shuleeporn Vajiratanakorn; Rattana Permpech; มหาวิทยาลัยมหิดล. คณะแพทยศาสตร์โรงพยาบาลรามาธิบดีIn operative processes, prevention of small sharp devices left in the surgical sites is of great concern for related health care team. Sharp items being left in the site is not only a hazard to the patients' health, but also indicates a lack... of standards of care. Efficient sharp device counters are currently available via import; however,. they are costly and have never been produced domestically. In order to reduce costs while maintaining quality of care. the researchers have designedPublication Open Access Like Minds in Variations: Clara Schumann’s Variations on a Theme by Robert Schumann, op. 20(2020) Eri Nakagawa; Mahidol University. College of MusicRobert and Clara Schumann are known as an eminent musician couple in thenineteenth century. Beginning in 1853, the couple developed a close professional and personal friendship with Johannes Brahms. The author has been fascinated by the lives and works of the three magnificent musicians, and performed a recital including three sets of variations by the three composers: Clara Schumann’s Variations on a Theme by Robert Schumann, op. 20; Robert Schumann’s Theme and Variations in E-flat major, WoO 24; and Brahms’s Variations on a Theme by Robert Schumann, op. 9. All three sets were written in the period from 1853 to 1854; all reflect the beautiful relationships among the three musicians: mutual adoration of Robert and Clara Schumann, profound friendship between Clara and Brahms, Robert Schu mann’s enthusiastic admiration of Brahms, and Brahms’s sincere respect for Robert Schumann. This article focuses on Clara’s Variations op. 20, a set of seven variations written in May and June 1853, dedicated to her husband for his 43rd birthday. Discussions include the origin of the theme, Robert Schumann’s Bunte Blätter (Colored Leaves) op. 99; the implication of “Clara’s motives” in his theme; and an allusion to her earlier composition, Romance variée op. 3 into the final variation, which was inserted in Brahms’s Variations op. 9 first and then suggested to Clara to do the same for her own variations.Publication Open 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.BACKGROUND: The Bureau of Vector-borne Diseases, Ministry of Public Health, Thailand, has implemented an electronic Malaria Information System (eMIS) as part of a strategy to contain artemisinin resistance. The attempt corresponds to the WHO initiative, funded by the Bill & Melinda Gates Foundation, to contain anti-malarial drug resistance in Southeast Asia. The main objective of this study was to demonstrate the eMIS' functionality and outputs after implementation for use in the Thailand 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 infections. The eMIS was designed as an evidence-based and near real-time system to capture data for early case detection, intensive case investigation, monitoring drug compliance and on/off-site tracking of malarial patients, as well as collecting data 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 to ministerial management. The eMIS case detection module suggested decreasing trends during 2009-2011; the number of malaria cases detected in the project areas over the years studied were 3818, 2695, and 2566, with sero-positive rates of 1.24, 0.98, and 1.16%, respectively. The eMIS case investigation module revealed different trends in weekly Plasmodium falciparum case numbers, when classified by responsible operational unit, local and migrant status, and case-detection type. It was shown that most Thai patients were infected within their own residential district, while migrants were infected either at their working village or from across the border. The data mapped in the system suggested that P. falciparum-infected cases and potential drug-resistant cases were scattered mostly along the border villages. The mobile technology application has detected different follow-up rates, with particularly low rates among seasonal and cross-border migrants. CONCLUSION: The eMIS demonstrated that it could capture essential data from individual malaria cases at local operational units, while effectively being used for situation and trend analysis at upper-management levels. The system provides evidence-based information that could contribute to the control and containment of resistant parasites. Currently, the eMIS is expanding beyond the Thai-Cambodian project areas to the provinces that lie along the Thai-Myanmar border.
