Current Issue | Archives
Vol. 84 No. 11: November 2001
| A Common-Source Water-Borne Outbr~ak of Multi-
drug-Resistant Typhoid Fever in a Rural Thai Com-
munity WITAY A SWADDIWUDHIPONG, M.D.*, JIRAPAT KANLAYANAPHOTPORN, M.D.** |
1513 |
| Hemospermia: Review of the Management with 5 Years
Follow-Up WACHIRA KOCHAKARN, M.D.*, CHAROEN LEENANUPUNTH, M.D.*, KRISADA RATANA-OLARN, M.D.*, VIRA VISESHSINDH, M.D.* |
1518 |
| Clinical Manifestation of Tuberculous and Pyogenic
Spine Infection BOONSIN BURANAPANITKIT, M.D.*, APIRADEE LIM, B.Sc.**, THEERASAN KIRIRATNIKOM, M.D.* |
1522 |
| Juvenile Dermatomyositis in Thai Children SRISUPALAK SINGALAVANUA,M.D.*, SAHAS LIAMSUWAN, M.D.**, WANIDA LIMPONGSANURAK, M.D.*, SURAPEE RAUNGSUWAN, M.D.** |
1527 |
| Transesophageal Echocardiography During Percuta-
neous Mitral Commissurotomy in Patients with Left
Atrial Thrombus SUDARATANA TANSUPHASWADIKUL, M.D.*, KRIENGKRAI HENGRUSSAMEE, M.D.*, THAMARATH CHANTADANSUWAN, M.D.*, SONGKWAN SILARUKS, M.D.**, WIRASH KEHASUKCHAROEN, M.D.*, BOONJONG SAEJUENG, M.D.* |
1534 |
| Surgical Treatment of Le Fort Fractures in Ban Pong
Hospital: Two Decades of Experience VITHY A JARUPOONPHOL, M.D.* |
1541 |
| Comparative Study of Bulky Stage IB and IIA Cervical
Cancer Patients Treated by Radical Hysterectomy with
and without Neoadjuvant Chemotherapy : Long-Term
Follow-up SUMONMAL MANUSIRIVITHAYA, M.D.*, VIRUCH CHAREONIAM, M.D.**, AREE PANTUSART, B.Sc.*** PA WARES ISARIYODOM, M.D.**, JATUPOL SRISOMBOON, M.D.***, |
1550 |
| Normal Plasma Free Amino Acid Levels in Thai Children JISNUSON SV ASTI, Ph.D.*,**, PORNSWAN WAS ANT, M.D.***, MONTIP TIENSUW AN, Ph.D.*****, PHANNEE SA WANGAREETRAKUL, M.Sc. *, CHANTRAGAN SRISOMSAP, Ph.D.*, SUTHIPONG PANGKANON, M.D.****, KANOKPORN BOONPUAN, M.Sc.*, SOMPORN LIAMMONGKOLKUL, M.Sc. *** |
1558 |
| The Outcome ot" Sperm Retrieval and Intracytoplasmic
Sperm Injection for Obstructive Azoospermia NARES SUKCHAROEN, M.D.*, SAKCHAI PROMVIENGCHAI, B.Sc.**, WISUT BOONKASEMSANTI, M.D.* TIPPA WAN SITHIPRA VEJ, B.Sc. **, VIWAT CHINPILAS, M.D.**, |
1569 |
| Risk Factors of Hip Fracture Among Thai Female
Patients SUTTHICHAI JITAPUNKUL, M.D.*, PONGSAK YUKT ANANANDANA, M.D.**, VINAl PARKPIAN, M.D.** |
1576 |
| Effect of Lower Uterine Segment Sweeping on Progress
of Labor in Nullipara BOONSRI CHANRACHAKUL, M.D.*, SOMSAK SUTHUTVORAVUT,M.D.*, MALINEE SANGTHAWAN,M.D.*, YONGYOTH HERABUTYA, F.R.C.O.G. * |
1582 |
| Self-Evaluation of Obstetricians by Delivery Data to
Reduce Cesarean Section Rate in Chai Nat Hospital
KITTISAK KUNTHONKITIDEJ, M.D.*,
OPART NGERNSET, B.N., B.P.H.* Introduction : The cesarean section rate has continuously increased in recent years in both public and private sector services. Various strategies have been proposed to reduce the cesa- rean section rate, however, none of them has proven to be effective. Cesarean section rate at Chai Nat Hospital climbed from 9.69 per cent in 1987 to 31.13 per cent in 1997. The authors have attempted to reduce the unnecessary rate by creating a strategy of self-evaluation of obstetricians by delivery data of each obstetrician. The objective of this study was to evaluate the effectiveness of the strategy by comparing the cesarean section rate before and after using the strategy with the assumption that the cesarean section rate would probably be decreased with the strategy. Patients and Method : The study was a clinical experimental research conducted from January 1995 to December 1999, a sixty-month period. The target populations included obstetricians and pregnant women delivering at Chai Nat Hospital. The cesarean section rate during the first thirty months was compared with that of the latter thirty months, the period in which the strategy was used. Furthermore, the cesarean section rate was also compared with that in Phra Phutthabat Hospital. Results : The cesarean section rate in the first half of the study (30 months) at Chai Nat Hospital, the period without the strategy, among 4,843 deliveries was 28.78 per cent compared with 25.40 per cent among 5,044 cases in the second half of the study, the period using the stra- tegy. The rate was significantly decreased (Z=3.79, P |
1587 |
| Invasive Group A Streptococcal Infections at Chula-
longkorn University Hospital CHUSANA SUANKRATAY, M.D., Ph.D.*, PONG PUN NUNTHAPISUD, M.Sc. **, HENRY WILDE, M.D.*** |
1594 |
| Isomeric Separation of Methamphetamine by HPLC
Chiral Column VEERA VAN LEKSKULCHAI, Ph.D.* |
1604 |
| Teaching Instrument: A Laparoscopic Training Model HATERN TINTARA, M.D.*, THANAPAN CHOOBUN, M.D.* |
1614 |
| Ultrastructural Study of Glomus Thmor PITI PALUNGWACHIRA, M.D.*, PRANEE PALUNGWACHIRA, M.D.**, HITOSHI YAGUCHI,M.D.*** |
1619 |
| Quetiapine for Tic Disorder : A Case Report TINNAKORN CHAN-OB, M.D.*, NAHATHAI KUNTAWONGSE,M.D.*, VUDHICHAI BOONYANARUTHEE, M.D.* |
1624 |
| Scalp Replantation : A Case Report of Long Ischemic
Time WIMON SIRIMAHARAJ, M.D., F.R.C.S. (T)*, THA WATCHAI BOONPADHANAPONG, M.D.* |
1629 |
| Presumably Entomophthoramycosis in an HIV-Infected
Patient : The First in Thailand VIBOON BOONSARNGSUK, M.D.*, CHUSANA SUANKRATAY, M.D, Ph.D.*, HENRY WILDE, M.D.** |
1635 |
| Primary Intraosseous Glomus Tumor: A Case Report JONGKOLNEE SETTAKORN, M.D.*, PREECHA CHALIDAPONG, M.D.**, SAMREUNG RANGDAENG, M.D.* OLARN ARPORNCHAYANON, M.D.**, BENJAPORN CHAIWUN, M.D.*, |
1641 |
| Traumatic Elbow Subluxation in a Child : Case Report CHAIWAT KRAIWATTANAPONG, MD.*, THEERASAN KIRIRA TNIKOM, MD.* |
1646 |
| New-World and Transcultural Impact on Thai Medical
Practices and Professional Behaviour SUKHIT PHAOSA V ASDI, M.D.*, YUEN TANNIRANDORN, M.D.*, HENRY WILDE, M.D.*** |
1650 |
