Corneal endothelial cell loss between the Kongsap manual phacofragmentation and phacoemulsification.

Objective: To compare corneal endothelial cell loss between the Kongsap manual phacofragmentation and phacoemulsification.

Material And Method: One hundred two eyes with age-related cataract were randomized to undergo either the Kongsap manual phacofragmentation (Group 1, 52 eyes) or phacoemulsification surgery (Group 2, 50 eyes) with implantation of a posterior chamber, foldable, acrylic intraocular lens performed by one surgeon. The main parameters were corneal endothelial cell density (ECD), best corrected visual acuity (BCVA), and intraoperative and postoperative complications.

Manual sutureless cataract surgery with foldable intraocular lens using the Kongsap technique: the results of 95 cases.

Objective: To evaluate the visual outcome and complications of the small incision cataract surgery with foldable intraocular lens implantation using the Kongsap technique.

Study Design: Prospective, non-comparative study.

Material And Method: This prospective study was conducted at Prapokklao Hospital, Chanthaburi between December 2005 and May 2006.

The value of routine bilirubin screening to detect significant hyperbilirubinemia in Thai healthy term newborns.

Objective: To evaluate the clinical value and the predictive usefulness of the routine pre-discharge bilirubin screening in term newborn at 48-72 hours after birth.

Material And Method: Blood samples of 1983 healthy term newborns for measuring total serum bilirubin level were drawn at the same time as the routine metabolic screening at Prapokklao Hospital. Newborns with total serum bilirubin levels > or = 5 mg/dL in the first 24 hours, > or = 10 mg/dL at 25 to 48 hours, > or = 13 mg/dL at 49-72 hours, and > or = 15 mg/dL at > 72 were defined to have hyperbilirubinemia and were started on phototherapy.

A comparison of patient pain during cataract surgery with topical anesthesia in Prechop Manual Phacofragmentation versus phacoemulsification.

Objective: To compare the pain level and complications during cataract surgery with topical anesthesia in Prechop MPF versus phacoemulsification.

Study Design: Prospective randomized comparative study.

Material And Method: One hundred patients, undergoing small incision cataract surgery under topical anesthesia, were allocated randomly to perform Prechop MPF (n = 50) or phacoemulsification (n = 50).

Sensitization to common indoor allergens and its association with allergic diseases in Thai female high-school students.

Unlabelled: Allergic sensitization is generally agreed to be an important risk factor for allergic diseases. It has been demonstrated in most of the children attending allergy clinics in Thailand but has never been studied in Thai general populations. The objectives were (i) to describe the prevalence of sensitization to common indoor allergens in Thai female-high-school students and (ii) to evaluate the association of allergic sensitization to allergic diseases in these students.

Pharmacokinetics of quinine in patients with chronic renal failure.

METHODS. We investigated the pharmacokinetics of quinine (Qn) following administration of a single oral dose of 600 mg Qn sulphate in six male Thai patients with a moderate degree of chronic renal failure (CRF), and six male Thai subjects with normal renal function. RESULTS.

Pharmacokinetics of quinine in chronic liver disease.

The pharmacokinetics of quinine were investigated in a) six healthy male Thai subjects, and b) nine male Thai patients with a moderate degree of chronic liver disease, after a single oral dose of 600 mg quinine sulphate. tmax and t1/2.2 were significantly prolonged in patients (median [range] tmax 2 [1-5] vs 1.

Baby-friendly hospital: how to sustain?

The campaign for exclusive breast-feeding in a baby-friendly hospital at Prapokklao Hospital, Chanthaburi was increased. The contributory factors was likely due to enforcement of early bonding and attachment, by rooming-in of infants in the materity ward. After cessation of comprehensive intervention exclusive breast-feeding dropped significantly but increased in predominant breast-feeding.

Field study of an antigen-detection ELISA specific for Plasmodium falciparum malaria.

We field-tested a specific antigen-detection enzyme-linked immunosorbent assay (ELISA) based on the histidine-rich protein of Plasmodium falciparum, in a district hospital in Thailand. The test was simple to perform, takes less than 3 h to complete, can deal with batches of sera, be read visually, and was 98.05% sensitive and 96.

An alternative model for surveillance of nosocomial infections.

A modified method of administration of surveillance N.I. was introduced in Prapokklao Hospital, Chanthaburi, Thailand.