Pub Date : 2023-07-01DOI: 10.33192/smj.v75i7.262700
C. Mahaisavariya, Chuthamas Puengtananukij, Anticha Siritongtaworn
Objective: To demonstrate the readmission rate after distal radius fixation surgery performed with a brachial plexus block and the midline pronator quadratus approach in an ambulatory manner in a secondary care hospital. Materials and Methods: This retrospective study analyzed data on distal radius fracture patients treated with ambulatory surgery. The patients were enrolled from 1 January 2020 to 28 February 2022, which was during the COVID-19 pandemic. The primary outcome was the readmission rate within 30 days after the surgery. The secondary outcomes were complications, postoperative pain, radiographic outcome, and functional score. All patients were followed up for at least 1 year after the surgery. Results: Thirty-one patients were enrolled in this study. Their mean age was 58.5 years, and the fractures were mainly caused by low-energy trauma. No postoperative complications were reported, and no readmission after surgery was observed. Overall radiographic parameters were in the acceptable range (radial inclination = 21.9, radial height = 10.26, volar tilt = 2.65, and ulna variance = 1.33). All patients returned to their preinjury statuses within 5 months. Conclusion: Distal radius fixation surgery can be managed in an ambulatory manner with a low readmission rate, even in secondary care hospitals. This repair technique provides adequate soft tissue coverage of the volar radius plate while decreasing the risk of iatrogenic radial artery injuries.
{"title":"Readmission Rate of Outpatient Distal Radius Fixation Surgery with Brachial Plexus Block and Midline Pronator Quadratus Approach in the COVID-19 Era: A Retrospective Case Series Report in a Secondary Care Hospital in Thailand","authors":"C. Mahaisavariya, Chuthamas Puengtananukij, Anticha Siritongtaworn","doi":"10.33192/smj.v75i7.262700","DOIUrl":"https://doi.org/10.33192/smj.v75i7.262700","url":null,"abstract":"Objective: To demonstrate the readmission rate after distal radius fixation surgery performed with a brachial plexus block and the midline pronator quadratus approach in an ambulatory manner in a secondary care hospital.\u0000Materials and Methods: This retrospective study analyzed data on distal radius fracture patients treated with ambulatory surgery. The patients were enrolled from 1 January 2020 to 28 February 2022, which was during the COVID-19 pandemic. The primary outcome was the readmission rate within 30 days after the surgery. The secondary outcomes were complications, postoperative pain, radiographic outcome, and functional score. All patients were followed up for at least 1 year after the surgery.\u0000Results: Thirty-one patients were enrolled in this study. Their mean age was 58.5 years, and the fractures were mainly caused by low-energy trauma. No postoperative complications were reported, and no readmission after surgery was observed. Overall radiographic parameters were in the acceptable range (radial inclination = 21.9, radial height = 10.26, volar tilt = 2.65, and ulna variance = 1.33). All patients returned to their preinjury statuses within 5 months.\u0000Conclusion: Distal radius fixation surgery can be managed in an ambulatory manner with a low readmission rate, even in secondary care hospitals. This repair technique provides adequate soft tissue coverage of the volar radius plate while decreasing the risk of iatrogenic radial artery injuries.","PeriodicalId":37270,"journal":{"name":"Siriraj Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44753909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: This study aimed to evaluate the effectiveness of active repetitive peripheral magnetic stimulation (rPMS) compared to sham rPMS on symptoms severity and functional status among patients with mild to moderate carpal tunnel syndrome. Materials and Methods: A randomized controlled trial was conducted. Participants were randomly allocated (1:1) to either intervention (active rPMS) or control (sham rPMS) groups. Both groups received rPMS (A20 mode of OPTIMUS Pro) for 10 min, once a week for four weeks (four sessions). Symptom severity scales (SSS) and functional status scales (FSS) of Boston Carpal Tunnel Questionnaire were measured at baseline (before session one) and at the end of treatment (after session four). The relative changes in SSS and FSS scores were calculated as a clinical outcome. Results: Forty-two participants were enrolled and randomly allocated to either the intervention (n = 21) or control group (n = 21). There were no statistically significant differences in the median (interquartile range) of relative changes in SSS [0.05 (0.15) vs 0 (0.27), P = 0.41] or FSS [0 (0.25) vs 0 (0.11), P = 0.97] between the intervention and control groups. Conclusion: Active rPMS did not improve clinical outcome compared to sham rPMS among patients with mild to moderate CTS. A greater number of subjects and treatment sessions might be required for the future study.
目的:本研究旨在评价主动重复外周磁刺激(rPMS)与假rPMS对轻至中度腕管综合征患者症状严重程度和功能状态的影响。材料与方法:采用随机对照试验。参与者被随机分配(1:1)到干预组(积极rPMS)或对照组(假rPMS)组。两组均接受rPMS (OPTIMUS Pro的A20模式)治疗，每次10分钟，每周1次，共4周(4次)。在基线(第一阶段前)和治疗结束(第四阶段后)分别测量波士顿腕管问卷症状严重程度量表(SSS)和功能状态量表(FSS)。计算SSS和FSS评分的相对变化作为临床结果。结果:42名参与者被纳入并随机分配到干预组(n = 21)和对照组(n = 21)。干预组与对照组SSS相对变化的中位数(四分位数范围)[0.05 (0.15)vs 0 (0.27)， P = 0.41]和FSS [0 (0.25) vs 0 (0.11)， P = 0.97]差异均无统计学意义。结论:在轻中度CTS患者中，与假rPMS相比，主动rPMS并没有改善临床结果。未来的研究可能需要更多的受试者和治疗疗程。
{"title":"Effectiveness of Repetitive Peripheral Magnetic Stimulation for Treatment of Mild to Moderate Carpal Tunnel Syndrome: A Randomized Controlled Trial","authors":"Thong Phonghanyudh, Kanintat Senchantichai, Natchaya Kaewma, Chanwit Phongamwong","doi":"10.33192/smj.v75i7.262387","DOIUrl":"https://doi.org/10.33192/smj.v75i7.262387","url":null,"abstract":"Objective: This study aimed to evaluate the effectiveness of active repetitive peripheral magnetic stimulation (rPMS) compared to sham rPMS on symptoms severity and functional status among patients with mild to moderate carpal tunnel syndrome.\u0000Materials and Methods: A randomized controlled trial was conducted. Participants were randomly allocated (1:1) to either intervention (active rPMS) or control (sham rPMS) groups. Both groups received rPMS (A20 mode of OPTIMUS Pro) for 10 min, once a week for four weeks (four sessions). Symptom severity scales (SSS) and functional status scales (FSS) of Boston Carpal Tunnel Questionnaire were measured at baseline (before session one) and at the end of treatment (after session four). The relative changes in SSS and FSS scores were calculated as a clinical outcome.\u0000Results: Forty-two participants were enrolled and randomly allocated to either the intervention (n = 21) or control group (n = 21). There were no statistically significant differences in the median (interquartile range) of relative changes in SSS [0.05 (0.15) vs 0 (0.27), P = 0.41] or FSS [0 (0.25) vs 0 (0.11), P = 0.97] between the intervention and control groups.\u0000Conclusion: Active rPMS did not improve clinical outcome compared to sham rPMS among patients with mild to moderate CTS. A greater number of subjects and treatment sessions might be required for the future study.","PeriodicalId":37270,"journal":{"name":"Siriraj Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48191273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.33192/smj.v75i7.262003
G. Faisal, A. Radeef, O. Ibrahim
Objective: COVID-19 pandemic has greatly impacted several aspects of undergraduate students’ lives including significant effect on mental wellbeing, physical activity and eating habits which might increase the risk for developing eating disorders as these disorders tend to emerge at university age. This study aimed to assess the prevalence of eating disorders and their associated factors among undergraduate students. Materials and Methods: A cross sectional study was conducted among 624 undergraduate students from three different universities in Malaysia. Eating disorders was assessed using the Malay version of the Eating Disorder Examination Questionnaire (EDE-Q) while the emotional disturbances was assessed by the Malay version of Kessler Psychological Distress Scale (K10) and perceived social support was assessed by the revised Malay version of The 8-item Multidimensional Scale of Perceived Social Support (MSPSS). Results: The prevalence of eating disorders among students was 14.9%. There were significant differences in terms of gender and other socio-demographic factors. Eating disorders were significantly associated and positively correlated with emotional disturbances level r = 0.37. While inverse correlation between social support and eating disorders was also shown r= -0.13. Multiple linear regression analysis showed that emotional disturbances level (β = 0.212, P = 0.000) and poor social support (β = -0.126, P = 0.002) were a significantly important risk factor. Conclusion: Eating disorders are prevalent among undergraduate students, female students, emotional disturbances and high BMI are significantly associated factors. Emotional disturbances and poor social support are predictive factor for eating disorders.
目的:2019冠状病毒病大流行极大地影响了大学生生活的几个方面，包括对心理健康、身体活动和饮食习惯的重大影响，这可能会增加患饮食失调的风险，因为这些疾病往往出现在大学年龄。本研究旨在评估大学生饮食失调的患病率及其相关因素。材料与方法:对来自马来西亚三所不同大学的624名本科生进行横断面研究。进食障碍采用马来语版进食障碍检查问卷(ed - q)进行评估，情绪障碍采用马来语版凯斯勒心理困扰量表(K10)进行评估，感知社会支持采用马来语版8项感知社会支持多维量表(MSPSS)进行评估。结果:学生饮食失调患病率为14.9%。在性别和其他社会人口因素方面存在显著差异。饮食失调与情绪障碍呈显著正相关，水平r = 0.37。而社会支持与饮食失调也呈负相关，r= -0.13。多元线性回归分析结果显示，情绪障碍水平(β = 0.212, P = 0.000)和社会支持不良(β = -0.126, P = 0.002)是影响抑郁的重要因素。结论:进食障碍在大学生中普遍存在，女大学生、情绪障碍和高BMI是进食障碍的显著相关因素。情绪障碍和缺乏社会支持是饮食失调的预测因素。
{"title":"Eating Disorders and their Relation with Emotional Disturbances among Undergraduate Students in Malaysia during COVID-19 Pandemic","authors":"G. Faisal, A. Radeef, O. Ibrahim","doi":"10.33192/smj.v75i7.262003","DOIUrl":"https://doi.org/10.33192/smj.v75i7.262003","url":null,"abstract":"Objective: COVID-19 pandemic has greatly impacted several aspects of undergraduate students’ lives including significant effect on mental wellbeing, physical activity and eating habits which might increase the risk for developing eating disorders as these disorders tend to emerge at university age. This study aimed to assess the prevalence of eating disorders and their associated factors among undergraduate students.\u0000Materials and Methods: A cross sectional study was conducted among 624 undergraduate students from three different universities in Malaysia. Eating disorders was assessed using the Malay version of the Eating Disorder Examination Questionnaire (EDE-Q) while the emotional disturbances was assessed by the Malay version of Kessler Psychological Distress Scale (K10) and perceived social support was assessed by the revised Malay version of The 8-item Multidimensional Scale of Perceived Social Support (MSPSS).\u0000Results: The prevalence of eating disorders among students was 14.9%. There were significant differences in terms of gender and other socio-demographic factors. Eating disorders were significantly associated and positively correlated with emotional disturbances level r = 0.37. While inverse correlation between social support and eating disorders was also shown r= -0.13. Multiple linear regression analysis showed that emotional disturbances level (β = 0.212, P = 0.000) and poor social support (β = -0.126, P = 0.002) were a significantly important risk factor.\u0000Conclusion: Eating disorders are prevalent among undergraduate students, female students, emotional disturbances and high BMI are significantly associated factors. Emotional disturbances and poor social support are predictive factor for eating disorders.","PeriodicalId":37270,"journal":{"name":"Siriraj Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43330114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.33192/smj.v75i7.261979
Solikhah Solikhah, D. Perwitasari, Lalu Muhammad Irham, Ratu Matahari
In terms of bibliometric analysis, there are no studies related to the impact of social support on breast cancer survivors' quality of life. Therefore, this study aims to provide a bibliometric assessment of results on social support in quality of life in breast cancer patients. The studies for the dataset were selected from Scopus published in the year 2001–2021 based on their relevancy to the established subjects. The VOSviewer software was used for bibliometric analysis to represent the performance of publications covering annual outputs, mainstream journals leading countries, institutions, research tendencies, and hotspots. The analysis of the findings indicated only 45 articles over the range of 2001-2021. The highest number of publications was published in 2021, and the lowest was in 2002-2004 and 2006. Social support strongly correlates with the psychological adjustment of adherence to cancer treatment. Only one study failed to find an association between social support and suicide after a cancer diagnosis. Meanwhile, China, the United States, and Hong Kong contributed to social support. Instrumental, financial, information, and emotional support were reported as domains needed to support breast cancer patients. This bibliometric analysis provides the results of thoughts and insights about the development needed by breast cancer patients to prolong survival.
{"title":"Social Support in Quality of Life among Breast Cancer Patients after Diagnosis: A Bibliometric Analysis","authors":"Solikhah Solikhah, D. Perwitasari, Lalu Muhammad Irham, Ratu Matahari","doi":"10.33192/smj.v75i7.261979","DOIUrl":"https://doi.org/10.33192/smj.v75i7.261979","url":null,"abstract":"In terms of bibliometric analysis, there are no studies related to the impact of social support on breast cancer survivors' quality of life. Therefore, this study aims to provide a bibliometric assessment of results on social support in quality of life in breast cancer patients. The studies for the dataset were selected from Scopus published in the year 2001–2021 based on their relevancy to the established subjects. The VOSviewer software was used for bibliometric analysis to represent the performance of publications covering annual outputs, mainstream journals leading countries, institutions, research tendencies, and hotspots. The analysis of the findings indicated only 45 articles over the range of 2001-2021. The highest number of publications was published in 2021, and the lowest was in 2002-2004 and 2006. Social support strongly correlates with the psychological adjustment of adherence to cancer treatment. Only one study failed to find an association between social support and suicide after a cancer diagnosis. Meanwhile, China, the United States, and Hong Kong contributed to social support. Instrumental, financial, information, and emotional support were reported as domains needed to support breast cancer patients. This bibliometric analysis provides the results of thoughts and insights about the development needed by breast cancer patients to prolong survival.","PeriodicalId":37270,"journal":{"name":"Siriraj Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45292780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To evaluate the need for sexual counseling among patients with heart disease Materials and Methods: Data were collected from 363 patients with heart disease attending a cardiac rehabilitation outpatient clinic. Participants completed the questionnaire independently. Results: The participants consisted of 241 males (66.4%) and 122 females (33.6%) with a mean age of 57.69±14.50 years. Among them, 248 (68.3%) were married. Most participants (91.2%) agreed that healthcare providers should offer sexual counseling to all heart patients of reproductive age, and they wanted their healthcare providers to initiate the counseling. Factors related to the need for counseling were being male (OR=2.07; 95% CI =1.05-4.07), being married (OR=2.04; 95% CI =1.03-4.05) and being 50 years of age or younger (OR 9.05; 95%CI =2.06-39.82). The main obstacles affecting conversations about sexual activity with healthcare providers were feeling embarrassed (45.7%), being physically impaired (45.4%), and having a third person present during counseling (44.9%). Conclusion: Most patients with heart disease want to receive counseling on how to safely resume sexual activity following their illness. They expect healthcare providers to initiate such counseling during visits to cardiac rehabilitation clinics. It is crucial that healthcare providers provide counseling in a format that is tailored to the needs and preferences of each patient.
{"title":"Patients’ Need for Sexual Counseling in the Cardiac Rehabilitation Service","authors":"Pattarika Rittirong, Wilawan Thirapatarapong, Thanitta Thanakiatpinyo","doi":"10.33192/smj.v75i7.263195","DOIUrl":"https://doi.org/10.33192/smj.v75i7.263195","url":null,"abstract":"Objective: To evaluate the need for sexual counseling among patients with heart disease\u0000Materials and Methods: Data were collected from 363 patients with heart disease attending a cardiac rehabilitation outpatient clinic. Participants completed the questionnaire independently.\u0000Results: The participants consisted of 241 males (66.4%) and 122 females (33.6%) with a mean age of 57.69±14.50 years. Among them, 248 (68.3%) were married. Most participants (91.2%) agreed that healthcare providers should offer sexual counseling to all heart patients of reproductive age, and they wanted their healthcare providers to initiate the counseling. Factors related to the need for counseling were being male (OR=2.07; 95% CI =1.05-4.07), being married (OR=2.04; 95% CI =1.03-4.05) and being 50 years of age or younger (OR 9.05; 95%CI =2.06-39.82). The main obstacles affecting conversations about sexual activity with healthcare providers were feeling embarrassed (45.7%), being physically impaired (45.4%), and having a third person present during counseling (44.9%).\u0000Conclusion: Most patients with heart disease want to receive counseling on how to safely resume sexual activity following their illness. They expect healthcare providers to initiate such counseling during visits to cardiac rehabilitation clinics. It is crucial that healthcare providers provide counseling in a format that is tailored to the needs and preferences of each patient. ","PeriodicalId":37270,"journal":{"name":"Siriraj Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47355825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.33192/smj.v75i7.262816
R. Ruangtrakool, Thuphom Chodchoy
Objective: Rectal strictures are a serious complication following operation for anorectal malformations (ARM). The purpose of this study was to determine the factors affecting rectal strictures following surgical treatments for ARM. Materials and Methods: Retrospective chart reviews of 204 patients with ARM who underwent surgical treatment at Siriraj Hospital between January 2003 and December 2019 were carried out. Results: Overall, the prevalence of post-operative rectal stricture was 19.6% (40/204). The higher types of ARM had higher rectal stricture rates. In low type ARM, the stricture rate following surgery for perineal fistula, vestibular fistula was 4.1% and 14.7%, respectively. Recto-bulbar urethral fistula and recto-prostatic urethral fistula had stricture rates of 19.2% and 26.7%, respectively, but in higher types, the stricture rates were above 70%. Complications such as wound infection, dehiscence, retraction, colonic necrosis and recurrent fistula all affected the post-operative stricture rate (p = 0.029, p = 0.01, p = 0.01, p = 0.042 and p = 0.002, respectively). The operation for low type ARM using local tissue flap, such as YV and cutback anoplasty, had low complications. More complicated operations were performed for higher type ARM. The higher the complication rate, the higher the post-operative rectal stricture. Routine rectal dilatation by parents seemed to prevent rectal strictures (p = 0.056). The surgical treatments for rectal strictures composed of 57.5% anoplasty, 17.5% PSARP, 15% abdo-assisted pull-through and 10% abdo-assisted PSARP. Conclusion: Post-operative rectal stricture occurred because of complications following complicated operations for high type ARM. A meticulous operative technique is crucial.
{"title":"Prevalence and Factors Associated with Post-operative Strictures in Anorectal Malformations","authors":"R. Ruangtrakool, Thuphom Chodchoy","doi":"10.33192/smj.v75i7.262816","DOIUrl":"https://doi.org/10.33192/smj.v75i7.262816","url":null,"abstract":"Objective: Rectal strictures are a serious complication following operation for anorectal malformations (ARM). The purpose of this study was to determine the factors affecting rectal strictures following surgical treatments for ARM.\u0000Materials and Methods: Retrospective chart reviews of 204 patients with ARM who underwent surgical treatment at Siriraj Hospital between January 2003 and December 2019 were carried out.\u0000Results: Overall, the prevalence of post-operative rectal stricture was 19.6% (40/204). The higher types of ARM had higher rectal stricture rates. In low type ARM, the stricture rate following surgery for perineal fistula, vestibular fistula was 4.1% and 14.7%, respectively. Recto-bulbar urethral fistula and recto-prostatic urethral fistula had stricture rates of 19.2% and 26.7%, respectively, but in higher types, the stricture rates were above 70%. Complications such as wound infection, dehiscence, retraction, colonic necrosis and recurrent fistula all affected the post-operative stricture rate (p = 0.029, p = 0.01, p = 0.01, p = 0.042 and p = 0.002, respectively). The operation for low type ARM using local tissue flap, such as YV and cutback anoplasty, had low complications. More complicated operations were performed for higher type ARM. The higher the complication rate, the higher the post-operative rectal stricture. Routine rectal dilatation by parents seemed to prevent rectal strictures (p = 0.056). The surgical treatments for rectal strictures composed of 57.5% anoplasty, 17.5% PSARP, 15% abdo-assisted pull-through and 10% abdo-assisted PSARP.\u0000Conclusion: Post-operative rectal stricture occurred because of complications following complicated operations for high type ARM. A meticulous operative technique is crucial.","PeriodicalId":37270,"journal":{"name":"Siriraj Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46151973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.33192/smj.v75i7.263254
Naris Kitnarong, Dovchinjamts Dagvadorj
Objective: To study the effect of multifocal intraocular lens (MIOL) implantation on contrast sensitivity (CS) compared to monofocal intraocular lens (mIOL) in primary angle-closure (PAC) or primary angle-closure glaucoma (PACG) patients. Materials and Methods: This prospective study included patients with PAC or PACG and visually significant cataract. Phacoemulsification with MIOL or mIOL (patient preference) was performed. Collected data included best-corrected distant visual acuity (BCVA), intraocular pressure (IOP), anterior chamber depth (ACD), and contrast sensitivity (CS) measured at spatial frequency 1.5, 3.0, 6.0, 12.0, and 18.0 cycles per degree (CPD) preoperatively, and at 2-6 months postoperatively. Preoperative and postoperative parameters were then compared. Results: Of the 45 eyes from 35 patients that were enrolled, 33 eyes (15 PAC, 18 PACG) from 26 patients completed the study. Fourteen eyes (11 patients) received diffractive MIOL, and 19 eyes (15 patients) received aspheric mIOL. Preoperative CS was not significantly different between groups. Postoperatively, BCVA, and CS at each spatial frequency were significantly improved in both groups (all p<0.001). Mean postoperative CS at spatial frequency 1.5, 3.0, 6.0, 12.0, and 18.0 CPD was 28.03, 42.63, 44.84, 10.82, and 2.86 in the MIOL group, and 29.55, 49.63, 46.20, 16.83, and 7.09 in the mIOL group, both respectively. Postoperative CS was not significant different between groups at any spatial frequencies. IOP was decreased (p=0.001) and ACD increased (p<0.001) postoperatively in both groups. Conclusion: No significant difference in visual acuity or contrast sensitivity was observed between MIOL and mIOL after cataract removal in patients with PAC/PACG.
{"title":"Effect of Multifocal Intraocular Lens on Contrast Sensitivity in Primary Angle-Closure Patients","authors":"Naris Kitnarong, Dovchinjamts Dagvadorj","doi":"10.33192/smj.v75i7.263254","DOIUrl":"https://doi.org/10.33192/smj.v75i7.263254","url":null,"abstract":"Objective: To study the effect of multifocal intraocular lens (MIOL) implantation on contrast sensitivity (CS) compared to monofocal intraocular lens (mIOL) in primary angle-closure (PAC) or primary angle-closure glaucoma (PACG) patients. Materials and Methods: This prospective study included patients with PAC or PACG and visually significant cataract. Phacoemulsification with MIOL or mIOL (patient preference) was performed. Collected data included best-corrected distant visual acuity (BCVA), intraocular pressure (IOP), anterior chamber depth (ACD), and contrast sensitivity (CS) measured at spatial frequency 1.5, 3.0, 6.0, 12.0, and 18.0 cycles per degree (CPD) preoperatively, and at 2-6 months postoperatively. Preoperative and postoperative parameters were then compared. Results: Of the 45 eyes from 35 patients that were enrolled, 33 eyes (15 PAC, 18 PACG) from 26 patients completed the study. Fourteen eyes (11 patients) received diffractive MIOL, and 19 eyes (15 patients) received aspheric mIOL. Preoperative CS was not significantly different between groups. Postoperatively, BCVA, and CS at each spatial frequency were significantly improved in both groups (all p<0.001). Mean postoperative CS at spatial frequency 1.5, 3.0, 6.0, 12.0, and 18.0 CPD was 28.03, 42.63, 44.84, 10.82, and 2.86 in the MIOL group, and 29.55, 49.63, 46.20, 16.83, and 7.09 in the mIOL group, both respectively. Postoperative CS was not significant different between groups at any spatial frequencies. IOP was decreased (p=0.001) and ACD increased (p<0.001) postoperatively in both groups. Conclusion: No significant difference in visual acuity or contrast sensitivity was observed between MIOL and mIOL after cataract removal in patients with PAC/PACG.","PeriodicalId":37270,"journal":{"name":"Siriraj Medical Journal","volume":"288 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136184911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To analyze the neuroimaging findings in patients with acquired esotropia at Siriraj Hospital from 2009 to 2020. Materials and Methods: A retrospective review of the medical records of all patients aged above 6 months old who presented with acquired esotropia was done. All the patients had an angle of deviation 10 prism diopters (PD), refraction < +3.0 diopters (D), and had neuroimaging performed. The patients with restrictive myopathy and extraocular neurological abnormalities were excluded from the study. Results: In total, 177 subjects aged between 8 months old to 81 years old (mean age 32.35 ± 24.40 years old) were included in the study. The patients’ demographic data, ocular findings, and neuroimaging findings were collected. The mean angle of deviation near and at distance were 26.88 ± 18.90 PD and 29.81 ± 17.25 PD, respectively. Of the 177 cases, 113 cases (63.8%) had no neuroimaging abnormalities, while 64 cases (36.2%) had abnormal neuroimaging findings. In those 64 cases with abnormal findings, there were 16 intracranial tumors, 6 inflammations, 4 vascular lesions, 7 degenerations, and 31 other lesions. Sixth nerve palsy was found to be significantly different between the positive and negative neuroimaging group from both the uni- and multivariate analysis. Conclusion: Although more than half of acquired esotropia patients had no abnormalities in neuroimaging, but 14.7% of those with abnormal neuroimaging findings had underlying serious conditions, which consisted of intracranial tumors, inflammation, and vascular lesions. Special attention should be concentrated to patients with sixth nerve palsy as it was the significant factor found to be associated with positive neuroimaging findings in acquired esotropia.
{"title":"Neuroimaging Findings in Acquired Esotropia Patients at Siriraj Hospital from 2009–2020","authors":"Thammanoon Surachatkumtonekul, Natnicha Khiewwan, Kiatthida Hokierti, Piangporn Saksiriwuttho","doi":"10.33192/smj.v75i7.261478","DOIUrl":"https://doi.org/10.33192/smj.v75i7.261478","url":null,"abstract":"Objective: To analyze the neuroimaging findings in patients with acquired esotropia at Siriraj Hospital from 2009 to 2020.\u0000Materials and Methods: A retrospective review of the medical records of all patients aged above 6 months old who presented with acquired esotropia was done. All the patients had an angle of deviation 10 prism diopters (PD), refraction < +3.0 diopters (D), and had neuroimaging performed. The patients with restrictive myopathy and extraocular neurological abnormalities were excluded from the study.\u0000Results: In total, 177 subjects aged between 8 months old to 81 years old (mean age 32.35 ± 24.40 years old) were included in the study. The patients’ demographic data, ocular findings, and neuroimaging findings were collected. The mean angle of deviation near and at distance were 26.88 ± 18.90 PD and 29.81 ± 17.25 PD, respectively. Of the 177 cases, 113 cases (63.8%) had no neuroimaging abnormalities, while 64 cases (36.2%) had abnormal neuroimaging findings. In those 64 cases with abnormal findings, there were 16 intracranial tumors, 6 inflammations, 4 vascular lesions, 7 degenerations, and 31 other lesions. Sixth nerve palsy was found to be significantly different between the positive and negative neuroimaging group from both the uni- and multivariate analysis.\u0000Conclusion: Although more than half of acquired esotropia patients had no abnormalities in neuroimaging, but 14.7% of those with abnormal neuroimaging findings had underlying serious conditions, which consisted of intracranial tumors, inflammation, and vascular lesions. Special attention should be concentrated to patients with sixth nerve palsy as it was the significant factor found to be associated with positive neuroimaging findings in acquired esotropia.","PeriodicalId":37270,"journal":{"name":"Siriraj Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42022865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.33192/smj.v75i6.261692
Thanawut Jitsinthunun, P. Euasobhon, Amornrat Suttijanuwat, Suratsawadee Wangnamthip, P. Rushatamukayanunt, Sukunya Jirachaipitak, N. Zinboonyahgoon, Mohd Suhaimi Tajudin, Rapeepat Narkbunnum, W. Sutipornpalangkul
Objective: When patients with chronic osteoarthritis (OA) knee pain do not respond to conservative treatment and are not suitable for knee arthroplasty, radiofrequency ablation (RFA) of the genicular nerve is probably an alternative treatment. This study aimed to evaluate the efficacy and safety of genicular nerve ablation in severe osteoarthritic knee pain patients. Materials and Methods: Patients with severe chronic OA knee pain were recruited and performed a genicular nerve block (GNB). The patients’ demographic data, numerical rating scale (NRS) at rest and on movement, Thai Oxford knee score (Thai OKS), Thai knee injury and osteoarthritis outcome score physical function short form (Thai KOOS-PS), timed up and go test, brief pain inventory, fall evaluation, and EuroQol 5D-5L were recorded. For the positive block patients (≥50% pain relief for 24 hours), genicular nerve RFA was performed under fluoroscopic or ultrasound guidance. All patients were followed up at the 1st, 3rd, 6th, 9th and 12th months. Results: 21 patients were included in the study, but only 17 were completely followed up for 12 months. At the 12th month, genicular nerve RFA reduced the mean NRS on movement from 7.9±1.6 to 4.0±2.6 (p=0.005), improved knee function (Thai OKS from 18.8±5.3 to 28.5±10.1; p=0.006), but did not significantly improve quality of life (EuroQol-5D-5L from 0.43±0.20 to 0.69±0.33; p=0.130). No adverse events were observed. Conclusion: Genicular nerve radiofrequency ablation in severe chronic OA knee patients demonstrated significant pain relief and functional improvement for up to 12 months without serious adverse events.
{"title":"Long-term Efficacy of Genicular Nerve Ablation for Chronic Osteoarthritic Knee Pain: A Prospective Observational Longitudinal Study","authors":"Thanawut Jitsinthunun, P. Euasobhon, Amornrat Suttijanuwat, Suratsawadee Wangnamthip, P. Rushatamukayanunt, Sukunya Jirachaipitak, N. Zinboonyahgoon, Mohd Suhaimi Tajudin, Rapeepat Narkbunnum, W. Sutipornpalangkul","doi":"10.33192/smj.v75i6.261692","DOIUrl":"https://doi.org/10.33192/smj.v75i6.261692","url":null,"abstract":"Objective: When patients with chronic osteoarthritis (OA) knee pain do not respond to conservative treatment and are not suitable for knee arthroplasty, radiofrequency ablation (RFA) of the genicular nerve is probably an alternative treatment. This study aimed to evaluate the efficacy and safety of genicular nerve ablation in severe osteoarthritic knee pain patients.\u0000Materials and Methods: Patients with severe chronic OA knee pain were recruited and performed a genicular nerve block (GNB). The patients’ demographic data, numerical rating scale (NRS) at rest and on movement, Thai Oxford knee score (Thai OKS), Thai knee injury and osteoarthritis outcome score physical function short form (Thai KOOS-PS), timed up and go test, brief pain inventory, fall evaluation, and EuroQol 5D-5L were recorded. For the positive block patients (≥50% pain relief for 24 hours), genicular nerve RFA was performed under fluoroscopic or ultrasound guidance. All patients were followed up at the 1st, 3rd, 6th, 9th and 12th months.\u0000Results: 21 patients were included in the study, but only 17 were completely followed up for 12 months. At the 12th month, genicular nerve RFA reduced the mean NRS on movement from 7.9±1.6 to 4.0±2.6 (p=0.005), improved knee function (Thai OKS from 18.8±5.3 to 28.5±10.1; p=0.006), but did not significantly improve quality of life (EuroQol-5D-5L from 0.43±0.20 to 0.69±0.33; p=0.130). No adverse events were observed.\u0000Conclusion: Genicular nerve radiofrequency ablation in severe chronic OA knee patients demonstrated significant pain relief and functional improvement for up to 12 months without serious adverse events.","PeriodicalId":37270,"journal":{"name":"Siriraj Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47421481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.33192/smj.v75i6.262215
S. Jiamton, P. Chanyachailert, Nuttagarn Jantanapornchai, Poramin Patthamalai, Jiraporn Jantaravinid, Yanisorn Nanchaipruek, P. Limphoka, Ya-Nin Nokdhes
Objective: Low-risk (LR) human papillomavirus (HPV) infection is a recognized cause of anogenital warts (AGW). LR-HPV 6 and 11 are the HPV types that were reported to be associated with AGW. However, data specific to the HPV types that associate with AGW in Thailand are scarce. Accordingly, this study aimed to determine the prevalence of HPV in patients with AGW, and to investigate for association between HPV types and AGW among Thai males attending the sexually transmitted disease clinic of Siriraj Hospital – Thailand’s largest national tertiary referral center. Materials and Methods: This prospective study was conducted at the Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand during April 2017 to December 2019. Thai males with at least one AGW were included. AGW specimens were obtained, and HPV genotyping was performed at both the genital and perianal areas. Results: A total of 43 Thai male participants (mean age: 37.3±13.8 years; range: 19-72) with AGW were enrolled. The rate of HPV positive detection at the genital area and the perianal area was 86.0% and 72.1%, respectively. The most common HPV types at the genital area were HPV 6, followed by HPV 11. Alternatively, the most common HPV types at the perianal area were HPV 11, followed by HPV 6. Conclusion: The findings of this study suggest LR-HPV types 6 and 11 as the culprit pathogenic causes of AGW among males in Thailand. These findings further support and emphasize the importance of HPV vaccination for prophylaxis against both HPV and AGW.
{"title":"Prevalence and Type of Human Papillomavirus Infection in Thai Males with Anogenital Warts","authors":"S. Jiamton, P. Chanyachailert, Nuttagarn Jantanapornchai, Poramin Patthamalai, Jiraporn Jantaravinid, Yanisorn Nanchaipruek, P. Limphoka, Ya-Nin Nokdhes","doi":"10.33192/smj.v75i6.262215","DOIUrl":"https://doi.org/10.33192/smj.v75i6.262215","url":null,"abstract":"Objective: Low-risk (LR) human papillomavirus (HPV) infection is a recognized cause of anogenital warts (AGW). LR-HPV 6 and 11 are the HPV types that were reported to be associated with AGW. However, data specific to the HPV types that associate with AGW in Thailand are scarce. Accordingly, this study aimed to determine the prevalence of HPV in patients with AGW, and to investigate for association between HPV types and AGW among Thai males attending the sexually transmitted disease clinic of Siriraj Hospital – Thailand’s largest national tertiary referral center.\u0000Materials and Methods: This prospective study was conducted at the Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand during April 2017 to December 2019. Thai males with at least one AGW were included. AGW specimens were obtained, and HPV genotyping was performed at both the genital and perianal areas.\u0000Results: A total of 43 Thai male participants (mean age: 37.3±13.8 years; range: 19-72) with AGW were enrolled. The rate of HPV positive detection at the genital area and the perianal area was 86.0% and 72.1%, respectively. The most common HPV types at the genital area were HPV 6, followed by HPV 11. Alternatively, the most common HPV types at the perianal area were HPV 11, followed by HPV 6.\u0000Conclusion: The findings of this study suggest LR-HPV types 6 and 11 as the culprit pathogenic causes of AGW among males in Thailand. These findings further support and emphasize the importance of HPV vaccination for prophylaxis against both HPV and AGW.","PeriodicalId":37270,"journal":{"name":"Siriraj Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46017653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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