BMD Changes Following 2-Year Treatment of Osteoporosis by using BMK to Monitor the Dose of Bisphosphonates.

Reasons for using BMK to adjust dose for Osteoporosis patients: 1) To keep balance between bone formation and bone resorption, 2) To set balance ofboneformation to be higher than bone resorption (+10%), 3) To slightly lengthen bone life cycle. Only 127 out of 197 patients who joined the program ofusingBMKto monitor Bisphosphonate dose could complete the 2-year follow-up. The measurement ofBMK used before the treatment was compared with that ofthe 2-year follow-up by using both T-score and PR.

Observation: application and advantages of BMK in osteoporosis by monitoring the dose of antiresorptive drugs with CTx.

One of the potential applications of BMK is the dynamic measure of bone metabolism. The present study aimed to observe the dynamic response of patients' bone toward the antiresorptive drugs by using BMK in the prospective procedure. The subjects were 309 Thai women.

Effects of the treadmill walking exercise on the biochemical bone markers.

Objective: To study the effects of moderate-intensity treadmill walking exercise on the biochemical bone markers in the menstruating and menopausal women.

Study Design: Experimental study.

Setting: Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital.

Uropathogens and empiric antibiotics for the treatment of urinary tract infections in spinal cord injured patients at rehabilitation center, Thai Red Cross Society during 2001 to 2005.

Background: Urinary tract infection (UTI) is common in spinal cord injured patients. The authors investigated the epidemiology of bacteria associated with UTI to select an appropriate antibiotic for empirical treatment of UTI before obtaining a bacterial culture.

Objective: To determine the prevalence, as well as the causative bacteria and their susceptibility pattern of urinary tract infection in spinal cord injured patients hospitalized to the Rehabilitation Center, Thai Red Cross Society, Samutprakarn, Thailand from January 2001 to December 2005.

The efficacy, safety and carry-over effect of diacerein in the treatment of painful knee osteoarthritis: a randomised, double-blind, NSAID-controlled study.

Objective: To evaluate the efficacy, safety and carry-over effect of diacerein, in comparison to piroxicam, in the treatment of Thai patients with symptomatic knee osteoarthritis (OA).

Design: This was a double-blind, randomised, piroxicam-controlled, parallel-group study. A 7-day non-steroidal anti-inflammatory drug washout period was followed by a 16-week treatment period with either diacerein 100mg/day or piroxicam 20mg/day, and an 8-week treatment-free observation period.

Effects of imagery-weight exercise.

Objective: To study the effects of imagery-weight exercise on muscle strength.

Material And Method: Preliminary study of a before and after designed experiment was conducted at the Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital, Bangkok, from June to September 2004. Fifteen healthy sedentary volunteers: 5 males, 10 females, mean age 28.

Age and gender effects on postural stability and static balance in Thai community dwelling adults.

Background: A study of postural stability was undertaken to identify the effects of age and gender as a preliminary study in one Thai community dwelling adults. It will be useful to prevent falls in the future.

Method: The authors measured the postural stability in 120 males and females aged 30-40, 60-70 years using a Balance Master 8.

Results of stroke rehabilitation in Thailand.

Objective: The purpose of this study is to identify predictors of functional outcome after acute to sub-acute stroke rehabilitation using raw FIM score and results of stroke rehabilitation in Thailand.

Design: Descriptive and multivariate analysis was performed on data collected prospectively from 50 patients who were on stroke rehabilitation at Thai Red Cross Rehabilitation Center from October 1, 2000 to September 30, 2001. Six independent variables were obtained from patients' medical records.

Somatosensory evoked potentials in X-linked recessive bulbospinal neuronopathy: a case demonstration.

Clinicopathological findings in X-linked recessive bulbospinal neuronopathy were characterized by loss of myelinated fibers in the fasciculus gracilis and depletion of neurons in the ventral horn throughout the same segments. Clinical profile of this rare motor neuron disease include sign and symptom of lower motor neuron involving bulbar and spinal level with minimal or no sensory deficit. Previous electrodiagnostic findings consist of electrophysiological evidence of anterior horn cell disease and decreased or absent sensory action potentials in the peripheral nerve.

A controlled clinical trial of multidisciplinary team approach in the general medical wards of Chulalongkorn Hospital.

The benefits and acceptability of a strengthened physician-nurse collaboration and a multidisciplinary team approach are demonstrated in the medical wards of a Thai acute-care hospital (Chulalongkorn University Hospital). The strengthened physician-nurse collaboration should be introduced or strengthened in all medical wards. Because of the lack of appropriately trained personnel, concentrating resources into a small unit or ward may be the appropriate measure at present if a multidisciplinary team approach is to be integrated into the medical ward of acute-care hospitals in South East Asia.