3,971 results match your criteria: "King Chulalongkorn Memorial Hospital.[Affiliation]"

Article Synopsis
  • The study addresses intervertebral disc degeneration (IDD), a leading cause of chronic back pain, and aims to create a convolutional neural network (CNN) based on MRI scans for precise grading using the Pfirrmann system.
  • The model was trained on a dataset of MRI studies, and its performance was rigorously evaluated across various metrics, showing impressive results in classifying different grades of IDD.
  • The findings suggest that the AI model is highly accurate and reliable for detecting and grading lumbar IDD, potentially improving treatment outcomes for patients suffering from back pain.
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Background: Percutaneous coronary intervention (PCI) outcomes can vary due to various factors, including patient clinical condition, complexity of coronary lesions, expertise of operators, and quality of the PCI center.

Aims: This study evaluated the influence of PCI center volume and operator experience on patient outcomes after the procedure.

Methods: Retrospective data on demographic, clinical details, and outcomes for all patients undergoing PCI across 39 hospitals in Thailand from 2018 to 2019 were retrieved.

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Molecular profiles and long-term outcomes of Thai children with hepatic glycogen storage disease in Thailand.

World J Clin Pediatr

December 2024

Center of Excellence for Medical Genetics, Department of Pediatrics, King Chulalongkorn Mem Hosp, Dept Pediat, Div Med Genet and Metab, Sor Kor Bldg, Chulalongkorn University, Bangkok 10330, Thailand.

Article Synopsis
  • Genetic analysis of eight Thai children diagnosed with hepatic glycogen storage diseases (GSD) revealed various subtypes through whole-exome sequencing, with common symptoms including hepatomegaly and hypoglycemia.
  • Treatments primarily involved cornstarch supplementation and dietary adjustments, leading to improved health outcomes over a median follow-up of nearly 10 years.
  • The study emphasizes the importance of molecular analysis for accurate diagnosis and tailored treatment plans for better long-term management of GSD in affected patients.
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Bupropion is used as smoking cessation drug and antidepressant. Drug overdose has multi-system involvement including neurotoxicity and cardiovascular collapse. Use of haemoperfusion in bupropion toxicity is generally not useful, however in life-threatening condition it could be a life saver.

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Background: Several studies have proved that diacerein effectively treats knee osteoarthritis (OA). All studies used branded diacerein. Recently, generic diacerein has been available in several countries, with limited studies comparing the efficacy of generic and branded diacerein for knee OA treatment.

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Impact of the COVID-19 outbreak on the field of hematopoietic cell transplantation in the Asia-Pacific region: APBMT Activity Survey 2020/2021.

Blood Cell Ther

November 2024

Japanese Data Center for Hematopoietic Cell Transplantation (JDCHCT), Department of Registry Science for Transplant and Cellular Therapy, Aichi Medical University School of Medicine, Nagakute, Japan.

COVID-19 became a global pandemic in 2020 and significantly affected the activity of hematopoietic cell transplants (HCT) worldwide. Despite these challenges, a total of 28,793 transplants, including 18,518 allogeneic and 10,275 autologous transplants, were performed in 719 facilities in 2020 in the Asia-Pacific (AP) region. This represented a 5.

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Article Synopsis
  • Acute liver failure (ALF) in dengue patients is uncommon but highly fatal; identifying those at risk is crucial for improving survival rates.
  • A study involving 2532 dengue patients revealed that factors like international normalized ratio, bilirubin, albumin, and creatinine can predict the likelihood of ALF and in-hospital mortality in patients with dengue-induced severe hepatitis (DISH).
  • Several prognostic scores, including the MELD score and ALBI score, effectively predicted ALF and mortality, demonstrating high sensitivity and specificity in clinical assessments.
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Closed-loop systems for deep brain stimulation to treat neuropsychiatric disorders.

Expert Rev Med Devices

December 2024

Edmond J. Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, UHN, Division of Neurology, University of Toronto, Toronto, ON, Canada.

Introduction: A closed-loop or feedback-control system is a process which considers the system's output in order to automatically adjust the input. Compared to a traditional open-loop system, a closed-loop system allows for a higher degree of accuracy with minimal human intervention. Novel methods of closed loop 'adaptive' deep brain stimulation DBS (aDBS) are being developed.

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Clinical neurophysiology for tremor: Common questions in clinical practice.

Parkinsonism Relat Disord

January 2025

Clinica Alemana, Universidad del Desarrollo, Santiago, Chile; Instituto Nacional de Movimientos Anormales, Santiago, Chile. Electronic address:

Article Synopsis
  • A detailed physical exam might not fully reveal the complexities of tremors; neurophysiology can help clarify these conditions.
  • The study involved a panel of experts who investigated how neurophysiological techniques can enhance understanding of various movement disorders, especially different types of tremors.
  • The findings emphasize the importance of neurophysiological assessments in accurately identifying and distinguishing between diverse tremor syndromes and other similar movement disorders.
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Article Synopsis
  • * A study examined HIF-1α levels in the bone marrow of 29 newly diagnosed NPM1FLT3-ITD normal karyotype AML patients and found that over half exhibited strong HIF-1α expression, correlating this with increased relapse rates and shorter relapse-free survival (RFS).
  • * High HIF-1α levels might serve as a useful prognostic biomarker for predicting poor RFS and resistance to cytarabine in NPM1FLT
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Asian adult sleep medicine fellowship training curriculum: one curriculum, many contexts.

J Clin Sleep Med

December 2024

Japan Somnology Center, Neuropsychiatric Research Institute, Tokyo, Japan; Department of Somnology, Tokyo Medical University, Tokyo, Japan.

Article Synopsis
  • The study aims to create a flexible yet standardized sleep medicine fellowship curriculum tailored for diverse healthcare settings across Asia, addressing existing training disparities.
  • The development process included a thorough gap analysis, literature review, and expert consensus through a structured survey method.
  • The resulting curriculum features two training tracks (one-year and two-year), detailed learning outcomes, competency-based content, and comprehensive assessment strategies to enhance sleep medicine education and patient care in the region.
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Article Synopsis
  • * Fourteen patients who struggled with traditional oral medications received fluoroscopy-guided injections, resulting in significant reductions in both pain scores and frequency of pain attacks after 60 days.
  • * Complications included temporary side effects like hemifacial palsy and diplopia, which resolved within three months, suggesting the treatment is relatively safe.
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Article Synopsis
  • The study aimed to compare the effectiveness of pericapsular nerve group (PENG) block and suprainguinal fascia iliaca block (SFIB) in reducing opioid use and pain after hip arthroplasty.
  • Researchers conducted a double-blind, randomized trial with 60 patients, measuring the total intravenous fentanyl consumption in the first 24 hours post-surgery as the main outcome.
  • Results showed no significant differences in opioid consumption or pain scores between the two groups, but the PENG group reported better sensory perception and muscle strength at 12 hours post-op.
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Article Synopsis
  • - The study evaluated the effectiveness of arthroscopic soft suture anchor repair for medial meniscus posterior root tears, focusing on patient outcomes over two years and comparing radiographic findings before and after surgery.
  • - Out of 32 patients, MRI results showed 53.1% had complete healing while 37.5% had partial healing, with significant improvements in knee function scores post-surgery.
  • - No significant knee osteoarthritis progression was observed during the study, indicating that the surgical technique may effectively stabilize the knee joint and improve function.
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Article Synopsis
  • - The ESMO Clinical Practice Guidelines for oncogene-addicted metastatic non-small-cell lung cancer (mNSCLC) were updated into Pan-Asian adapted (PAGA) guidelines to better address the needs of Asian patients.
  • - A panel of experts from multiple Asian oncological societies collaborated to create these guidelines, focusing on scientific evidence rather than local treatment practices or drug availability.
  • - The guidelines aim to standardize the management of oncogene-addicted mNSCLC across Asia, while acknowledging regional differences in screening, treatment resources, and drug reimbursement policies.
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Progressive colonic stenosis in an infant: Successful treatment with endoscopic balloon dilation.

JPGN Rep

November 2024

Department of Pediatrics, Division of Gastroenterology, Center of Excellence in Thai Pediatric Gastroenterology, Hepatology and Immunology (TPGHAI), King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Faculty of Medicine Chulalongkorn University Bangkok Thailand.

Acquired colonic stenosis is extremely rare in infants and surgical resection is the mainstay of treatment. Endoscopic balloon dilation has shown success in treating bowel stenosis from inflammatory bowel disease but its application in infants with colonic strictures of other origin has not been widely explored. We report a 4-week-old male infant who developed significant abdominal distension due to progressive colonic stenosis, occurring 2 weeks following balloon valvuloplasty for his severe valvular pulmonary stenosis.

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Authors reply: "Outcomes of continuous renal replacement therapy versus peritoneal dialysis as a renal replacement therapy modality in patients undergoing venoarterial 72 extracorporeal membrane oxygenation".

J Crit Care

February 2025

Division of Nephrology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Excellence Center for Critical Care Nephrology, King Chulalongkorn Memorial Hospital, Bangkok, Thailand; Center of Excellence in Critical Care Nephrology, Chulalongkorn University, Bangkok, Thailand. Electronic address:

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Assessing dissociation: A systematic review and evaluation of existing measures.

J Psychiatr Res

November 2024

Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom. Electronic address:

Objective: This review aimed to assess the psychometric properties and methodological quality of existing dissociation measures.

Methods: MEDLINE, Embase, and PsycINFO were searched in May 2023 using comprehensive search terms for 'dissociation' combined with terms for 'measurement' and 'psychometric properties'. The review was registered with PROSPERO (CRD42023423485) and followed PRISMA and COSMIN guidelines.

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Background: For high-risk patients, adding a third antiemetic drug to dual postoperative nausea and vomiting (PONV) prophylaxis is controversial. Given the established antiemetic properties of midazolam, this study compared the combination of low-dose dexamethasone-ondansetron and midazolam with high-dose dexamethasone-ondansetron.

Methods: A total of 300 female patients scheduled for breast surgery were recruited and randomly assigned to two groups.

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The prevalence of myopia, especially high myopia, continues to increase in several parts of the world. Thus, the use of biomarkers for early myopia detection would be highly valuable for clinical practice aiding in the prevention and myopia control management. The identification of biomarkers that can predict the risk of myopia development, severity of myopia, and treatment response are of paramount significance.

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Monitoring and Treatment of Paroxysmal Nocturnal Hemoglobinuria in Patients with Aplastic Anemia in Asia: An Expert Consensus.

Int J Mol Sci

November 2024

Cancer Center, Division of Hematology and Oncology, Department of Medicine, Taipei Municipal Wanfang Hospital, Taipei Medical University, No. 111, Section 3, Xinglong Rd, Wenshan District, Taipei City 11696, Taiwan.

Paroxysmal nocturnal hemoglobinuria (PNH) clones can be identified in a significant proportion of patients with aplastic anemia (AA). Screening for PNH clones at the time of an AA diagnosis is recommended by national and international guidelines. In this report, an expert panel of physicians discusses current best practices and provides recommendations for managing PNH in patients with AA in the Asia-Pacific region.

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Article Synopsis
  • Nuclear medicine investigations, particularly PET and SPECT imaging, are crucial in diagnosing dementia by providing functional and molecular brain data that enhance the accuracy of evaluations.
  • The collaboration of the Nuclear Medicine Society, Neurological Society, and Thai Medical Physicist Society aims to establish guidelines for effectively integrating nuclear medicine into the diagnosis of neurocognitive disorders.
  • These guidelines focus on defining the role of nuclear medicine in dementia diagnosis, helping professionals choose the right procedures, and providing scientific backing for interpreting and reporting findings.
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Pemphigus vulgaris with concurrent herpes simplex virus infection: a debatable dermatological dilemma.

Eur J Dermatol

October 2024

Division of Dermatology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand, Division of Dermatology, Department of Medicine, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand.

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Background And Aim: To reduce bacterial contamination after reprocessing, various new designs of duodenoscopes have been developed to better expose the elevator complex for cleaning. We compared the rates of bacterial contamination and organic residue in disposable distal cap duodenoscopes and detachable elevator duodenoscopes after manual cleaning and high-level disinfection (HLD), as well as their cost-effectiveness.

Methods: A total of 162 duodenoscopes were randomly assigned to either Group A (disposable distal caps; n = 81) or Group B (detachable elevator; n = 81).

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Functional and pathogenic insights into CNNM4 variants in Jalili syndrome.

Sci Rep

November 2024

Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, 10330, Thailand.

Jalili syndrome, an autosomal recessive disorder causing cone-rod dystrophy and amelogenesis imperfecta, is a rare genetic disorder impacting visual and dental development. Missense variants (c.1474G > T and c.

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