Effects of the use of multi-layer filter on radiation exposure and the quality of upper airway radiographs compared to the traditional copper filter.

Background: The problem of image quality in a large number of upper airway obstructed patients is the superimposition of the airway over the bone of the spine on the AP view. This problem was resolved by increasing KVp to high KVp technique and adding extra radiographic filters (copper filter) to reduce the sharpness of the bone and increase the clarity of the airway. However, this raises a concern that patients might be receiving an unnecessarily higher dose of radiation, as well as the effectiveness of the invented filter compared to the traditional filter.

Result of air enema reduction in 737 cases of intussusception.

Objective: To show the success of air enema reduction for intussusception at Queen Sirikit National Institute of Child Health, a tertiary center for children in Bangkok, Thailand.

Material And Method: Medical records of patients treated for intussusception by air enema reduction between 1992 and 2009 were reviewed for the success rate.

Results: The treatment for intussusception at Queen Sirikit National Institute of Child Health was changed from barium enema to air enema reduction since 1992.

Management of recurrent intussusception: nonoperative or operative reduction?

Purpose: The aim of this study was to determine how to manage children with recurrence of intussusception.

Methods: Medical records of patients treated for intussusception from 1976 to 2008 at the Queen Sirikit National Institute of Child Health were reviewed. Information on patients who developed recurrent intussusception was extracted to study patterns of recurrent attack and suitable management procedures.

Natural history of plasma leakage in dengue hemorrhagic fever: a serial ultrasonographic study.

Background: Although plasma leakage is the major cause of mortality and morbidity in patients with dengue hemorrhagic fever (DHF), a detailed assessment of the natural course of this process is still lacking. We employed serial ultrasound examination to delineate the locations and the timing of plasma leakage and to evaluate the usefulness of ultrasound in detecting plasma leakage in DHF.

Method: Daily ultrasound examinations of the abdomen and right thorax were performed in 158 suspected dengue cases to detect ascites, thickened gall bladder wall and pleural effusions.

Scurvy in pediatric patients: a review of 28 cases.

Objective: To study the dietary factors, clinical findings, plasma vitamin C level and post-treatment outcome of scurvy in pediatric patients at Queen Sirikit National Institute of Child Health.

Study Design: A retrospective study.

Method: The medical and radiographic records of pediatric patients, diagnosed with scurvy at Queen Sirikit National Institute of Child Health from 1995 to 2002 were reviewed.