Ocular Injury due to Potassium Permanganate Granules.

Purpose: We report a rare case of ocular injury due to potassium permanganate (KMnO) granules in a child.

Methods: This is a retrospective case report.

Results: A 2-year-old boy was transferred to our emergency room with severe pain in his right eye, inflamed eyelids, and brownish stains on his fingers.

A pilot study of maternal exposure to organophosphate pesticides and newborn neurodevelopment in Thailand.

The objective of this study was to evaluate whether prenatal exposures to organophosphate (OP) pesticides from maternal agricultural use are associated with neonatal neurobehavioral effects. A pilot study conducted in three provinces in Thailand measured maternal urinary metabolites of OP pesticides in pregnant women at 7 months gestation and at birth. Within 3 days of birth, 82 newborns underwent neurobehavioral testing using the Brazelton Neonatal Behavioral Assessment Scale (NBAS).

EPOS2012 has better specificity compared to IDSA2012 for diagnosing acute bacterial rhinosinusitis.

Background: Acute bacterial rhinosinusitis (ABRS) is a subtype of acute rhinosinusitis (ARS). To prevent excessive antibiotic prescribing, clinical criteria for diagnosing ABRS are presented in two major international guidelines from European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS2012) and the Infectious Diseases Society of America (IDSA2012). This study aims to assess accuracy of these criteria.

The Impact of Prenatal Organophosphate Pesticide Exposures on Thai Infant Neurodevelopment.

A birth cohort was begun to investigate the levels and sources of pesticide exposure in pregnant women living in Thailand, and to examine the effects of pesticide exposure on infant neurodevelopment at five months of age. Subjects were interviewed using questionnaires regarding their demographic characteristics, educational background, and work and home activities related to pesticide exposures. Spot urine samples were collected at 28 weeks gestation and analyzed by gas chromatography-mass spectrometry to determine maternal metabolite levels of organophosphate pesticides including dimethyl phosphate (DMP); total DEP (diethyl phosphate (DEP), diethyl thiophosphate (DETP), and diethyl dithiophosphate (DEDTP), and total DAP (the sum of all metabolite levels).

Glyphosate and Paraquat in Maternal and Fetal Serums in Thai Women.

Objectives: This longitudinal study measured the glyphosate and paraquat concentrations found in maternal and umbilical cord serum in 82 pregnant women who gave birth in three provinces of Thailand.

Methods: Through questionnaires and biological samples collected at childbirth, factors such as personal characteristics, family members occupation, agricultural activities, and herbicide use in agricultural work were evaluated as predictors of glyphosate and paraquat levels in the pregnant women. Statistical analysis used univariate and binary multiple logistic regression, where the outcome was the probability of exposure to paraquat or glyphosate above the limit of detection associated with occupation and household factors.

Outcome of acute upper gastrointestinal bleeding in patients with coronary artery disease: A matched case-control study.

Background/aim: The risk of upper gastrointestinal bleeding (UGIB) increases in patients with coronary artery disease (CAD) due to the frequent use of antiplatelets. There is some data reporting on treatment outcomes in CAD patients presenting with UGIB. We aim to determine the clinical characteristics and outcomes of UGIB in patients with CAD, compared with non-CAD patients.

Prospective comparison of three risk scoring systems in non-variceal and variceal upper gastrointestinal bleeding.

Background And Aim: Data regarding the efficacy of the Glasgow Blatchford score (GBS), full Rockall score (FRS) and pre-endoscopic Rockall scores (PRS) in comparing non-variceal and variceal upper gastrointestinal bleeding (UGIB) are limited. Our aim was to determine the performance of these three risk scores in predicting the need for treatment, mortality, and re-bleeding among patients with non-variceal and variceal UGIB.

Methods: During January, 2010 and September, 2011, patients with UGIB from 11 hospitals were prospectively enrolled.

Validation of dengue infection severity score.

Objective: To validate a simple scoring system to classify dengue viral infection severity to patients in different settings.

Methods: The developed scoring system derived from 777 patients from three tertiary-care hospitals was applied to 400 patients in the validation data obtained from another three tertiary-care hospitals. Percentage of correct classification, underestimation, and overestimation was compared.

Clinical outcome of the patients treated surgically for spontaneous intracerebral hematoma at Sawanpracharak Hospital.

Objective: To study the relationship of factors associated with clinical outcome in surgical groups of spontaneous intracerebral hematoma patients (SICH).

Material And Method: The data were retrospectively collected from surgically treated SICH patients who had surgery at Sawanpracharak Hospital between October 2006 and September 2009. Risk factors (heart disease, previous stroke, hypertension, diabetes mellitus (DM), hyperlipidemia, obesity, smoking, alcoholic consumption, and family history), Glasgow Coma Scale (GCS), hematoma volume, midline shift (MS), intraventricular bleeding (IVH), hydrocephalus, convulsion, tracheostomy, pneumonia, rebleeding, operating time, and intraoperative blood loss were studied.

Risk factors for mortality in head-injured patients with probability of survival greater than 0.5.

Background: Traumatic brain injury is one of the major problems and leading cause of death worldwide. The present study was aimed to identify factors responsible for mortality by comparing survivors and nonsurvivors in patients that had a low probability of mortality.

Material And Method: A nested case-control study was conducted at Sawanpracharak Hospital from January 1, 2007 to December 31, 2007.

Seven years experience of pancreaticoduodenectomy at Sawanpracharak Hospital.

Background: Pancreaticoduodenectomy is a major procedure with significant mortality and morbidity. Pancreaticoduodenectomy is a safe procedure for a variety of periampullary conditions at Sawanpracharak Hospital.

Objective: To evaluate complications, morbidity, and mortality.

Streptococcus suis infection and risk factors for mortality.

Objective: Streptococcus suis infection is a re-emerging zoonotic disease reported worldwide. This study is aimed to describe the clinical features and determine the risk factors for mortality of this life-threatening disease.

Methods: A retrospective cohort study was conducted among patients diagnosed with culture-confirmed S.

Rate and associated risk factors of rebleeding after endoscopic variceal band ligation.

Bleeding esophageal varices is associated with a high mortality rate. Despite advances in management, the mortality rate remains at 30-80 per cent. Endoscopic variceal band ligation (EVL) is a new technique designed to manage esophageal varices with the aim of reducing the complication rate.

Adult AIDS and symptomatic HIV patients at Sawanpracharak Hospital.

A total of 751 Human immunodeficiency virus (HIV)-infected patients were admitted to Sawanpracharak Hospital from 1989 to 1996; of which 1, 1, 4, 5, 61, 146, 267 and 266 cases were seen in each year respectively. The majority of the patients were aged between 20-29 years (43.3%), male (85.

Does heart rate really predict survival in septic shock?

Background: Normalisation of heart rate after 24 hours of treatment is proposed to predict the survival outcome in septic shock patients.

Methods: The medical and surgical patients charts from 1991-1993 were selected for the diagnosis of septic shock (according to the definition of ACCP/SCCM Consensus Conference), and reviewed. Also included were patients with available variables to complete APACHE II and septic severity score.

Grisel's syndrome: a case report.

A 7-year-old girl came to the orthopedic department complaining of neck pain and torticollis following upper respiratory tract infection for 3 days. Roentgenographic examination of the antero-posterior open-mouth view showed type one C1-C2 subluxation. The patient was treated with appropriate antibiotics and cervical traction.