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Papers by Paweena Phaliwong

Research paper thumbnail of Effect of Obesity in Persistent or Remission in Postmenopausal Women with Atypical Cervical Cytology

Asian Pacific Journal of Cancer Prevention, Dec 1, 2019

Research paper thumbnail of The effect of mefenamic acid on controlling irregular uterine bleeding second to Implanon use

PubMed, Oct 1, 2004

Objective: The aim of this double-blind, placebo-controlled study was to evaluate the effect of m... more Objective: The aim of this double-blind, placebo-controlled study was to evaluate the effect of mefenamic acid and placebo on controlling irregular uterine bleeding secondary to Implanon use. Design: Randomized placebo controlled trial. Setting: Family Planning Clinic, King Chulalongkorn Memorial Hospital, Bangkok, Thailand. Materials and methods: A total number of 50 Implanon users with irregular bleeding who attended the Family Planning Clinic at Chulalongkorn Memorial Hospital. These subjects were randomly allocated into two groups. Twenty-five users received mefenamic acid, 500 mg per oral three times a day for 5 days, and placebos were given to the rest of studied subjects in the similar manner. During the follow-up periods, the participants were requested to maintain their daily record of bleeding, spotting, and adverse effects. The days of bleeding and spotting and the percentage of bleeding stopped women were analyzed in week 1 and 4. Results: The percentage of subjects in whom bleeding was stopped during week 1 after initial treatment was significantly higher in the mefenamic acid group than that of the placebo group (65.20%, 21.70%; p < 0.05). During the follow-up period (4 weeks after initial treatment), a bleeding free-interval of > 20 days was found in 56.50% of the subjects treated with mefenamic acid and 21.70% of those treated with placebo; The mean number of bleeding/spotting days was lower in the group of patients with mefenamic acid treatment (10.52 and 16.78 days; p < 0.05). The difference is statistically significant. Conclusion: Mefenamic acid was more effective than placebo in short-term treatment of irregular bleeding and spotting associated with Implanon use.

Research paper thumbnail of Curcumin in Reduction Size of Myoma Uteri

Thai Journal of Obstetrics and Gynaecology, Sep 30, 2015

Research paper thumbnail of Endometrial Thickness Measurement as Predictor of Endometrial Hyperplasia and Cancer in Perimenopausal Uterine Bleeding: Cross-Sectional Study

Asian Pacific Journal of Cancer Prevention

Research paper thumbnail of Curcumin in Reduction Size of Myoma Uteri

Research paper thumbnail of The Effect of Myoma Uteri on Infertility

Siriraj Medical Journal, 2020

Research paper thumbnail of Effect of Obesity in Persistent or Remission in Postmenopausal Women with Atypical Cervical Cytology

Asian Pacific Journal of Cancer Prevention, 2019

Research paper thumbnail of Silent High Grade Cervical Intraepithelial Neoplasia Diagnosis of Atypical Smear between Conventional and Liquid Based Papanicolaou Smear in Suburban Area of Thailand

Asian Pacific Journal of Cancer Care, 2018

Objectives: To evaluate the prevalence of silent high grade cervical intraepithelial neoplasia di... more Objectives: To evaluate the prevalence of silent high grade cervical intraepithelial neoplasia diagnose in atypical squamous cells of undetermined significance (ASC-US) in cytology result between conventional (CPP) and liquid-based cervical cytology (LBP) methods to suggest the proper management for Thai women.Methods: This retrospective study was conducted at Bhumibol Adulyadej Hospital, Bangkok, Thailand between January 2011 and December 2016. Medical records of 28,564 patients who attended for cervical cancer screening were reviewed. Prevalence of silent high grade cervical intraepithelial neoplasia (CIN) in atypical squamous cells of undetermined significance (ASC-US) cytology result was determinedResults: During the study period, 28,564 cases were enrolled. There were 22,552 and 6,012 of CPP and LBP cases, respectively. A total of 644 cases of ASC-US cytology were enrolled. In women with ASC-US in cytology, the mean age was younger than women with negative screening cytology gr...

Research paper thumbnail of The Accuracy of Cervical Length for Prediction of Delivery in Term Pregnancy Patients Presenting with Labor Pain

Siriraj Medical Journal, 2019

Research paper thumbnail of Effects of N-acetylcysteine supplementation on cellular damage and oxidative stress indicators in volleyball athletes

Journal of Exercise Rehabilitation, 2018

Research paper thumbnail of Effect of mefenamic acid on controlling irregular uterine bleeding in DMPA users

Research paper thumbnail of Cervical Cancer Detection between Conventional and Liquid Based Cervical Cytology: a 6-Year Experience in Northern Bangkok Thailand

Asian Pacific journal of cancer prevention : APJCP, Jan 26, 2018

Objectives: To determine the prevalence of abnormal Papanicolaou (Pap) smear, cervical intraepith... more Objectives: To determine the prevalence of abnormal Papanicolaou (Pap) smear, cervical intraepithelial neoplasia (CIN) 2 or higher and cancer between conventional Pap smear (CPP) and liquid based Pap smear (LBP). Methods: This retrospective study was conducted at Bhumibol Adulyadej Hospital, Bangkok, Thailand between January 2011 and December 2016. Data was collected from medical records of participants who attended for cervical cancer screening test. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy for detecting CIN 2 or higher were evaluated by using the most severity of histopathology reports. Results: A total of 28,564 cases were recruited. Prevalence of abnormal Pap smear from CPP and LBP were 4.8 % (1,092/22,552) and 5.7 % (345/6,012), respectively. Percentage of unsatisfactory smears in CPP (52.3%) was higher than LBP (40.5%). From CPP and LBP, cervical cancer percentages were 0.2 and 0.1, respectively. Sensitivity, speci...

Research paper thumbnail of Effect of Obesity in Persistent or Remission in Postmenopausal Women with Atypical Cervical Cytology

Asian Pacific Journal of Cancer Prevention, Dec 1, 2019

Research paper thumbnail of The effect of mefenamic acid on controlling irregular uterine bleeding second to Implanon use

PubMed, Oct 1, 2004

Objective: The aim of this double-blind, placebo-controlled study was to evaluate the effect of m... more Objective: The aim of this double-blind, placebo-controlled study was to evaluate the effect of mefenamic acid and placebo on controlling irregular uterine bleeding secondary to Implanon use. Design: Randomized placebo controlled trial. Setting: Family Planning Clinic, King Chulalongkorn Memorial Hospital, Bangkok, Thailand. Materials and methods: A total number of 50 Implanon users with irregular bleeding who attended the Family Planning Clinic at Chulalongkorn Memorial Hospital. These subjects were randomly allocated into two groups. Twenty-five users received mefenamic acid, 500 mg per oral three times a day for 5 days, and placebos were given to the rest of studied subjects in the similar manner. During the follow-up periods, the participants were requested to maintain their daily record of bleeding, spotting, and adverse effects. The days of bleeding and spotting and the percentage of bleeding stopped women were analyzed in week 1 and 4. Results: The percentage of subjects in whom bleeding was stopped during week 1 after initial treatment was significantly higher in the mefenamic acid group than that of the placebo group (65.20%, 21.70%; p < 0.05). During the follow-up period (4 weeks after initial treatment), a bleeding free-interval of > 20 days was found in 56.50% of the subjects treated with mefenamic acid and 21.70% of those treated with placebo; The mean number of bleeding/spotting days was lower in the group of patients with mefenamic acid treatment (10.52 and 16.78 days; p < 0.05). The difference is statistically significant. Conclusion: Mefenamic acid was more effective than placebo in short-term treatment of irregular bleeding and spotting associated with Implanon use.

Research paper thumbnail of Curcumin in Reduction Size of Myoma Uteri

Thai Journal of Obstetrics and Gynaecology, Sep 30, 2015

Research paper thumbnail of Endometrial Thickness Measurement as Predictor of Endometrial Hyperplasia and Cancer in Perimenopausal Uterine Bleeding: Cross-Sectional Study

Asian Pacific Journal of Cancer Prevention

Research paper thumbnail of Curcumin in Reduction Size of Myoma Uteri

Research paper thumbnail of The Effect of Myoma Uteri on Infertility

Siriraj Medical Journal, 2020

Research paper thumbnail of Effect of Obesity in Persistent or Remission in Postmenopausal Women with Atypical Cervical Cytology

Asian Pacific Journal of Cancer Prevention, 2019

Research paper thumbnail of Silent High Grade Cervical Intraepithelial Neoplasia Diagnosis of Atypical Smear between Conventional and Liquid Based Papanicolaou Smear in Suburban Area of Thailand

Asian Pacific Journal of Cancer Care, 2018

Objectives: To evaluate the prevalence of silent high grade cervical intraepithelial neoplasia di... more Objectives: To evaluate the prevalence of silent high grade cervical intraepithelial neoplasia diagnose in atypical squamous cells of undetermined significance (ASC-US) in cytology result between conventional (CPP) and liquid-based cervical cytology (LBP) methods to suggest the proper management for Thai women.Methods: This retrospective study was conducted at Bhumibol Adulyadej Hospital, Bangkok, Thailand between January 2011 and December 2016. Medical records of 28,564 patients who attended for cervical cancer screening were reviewed. Prevalence of silent high grade cervical intraepithelial neoplasia (CIN) in atypical squamous cells of undetermined significance (ASC-US) cytology result was determinedResults: During the study period, 28,564 cases were enrolled. There were 22,552 and 6,012 of CPP and LBP cases, respectively. A total of 644 cases of ASC-US cytology were enrolled. In women with ASC-US in cytology, the mean age was younger than women with negative screening cytology gr...

Research paper thumbnail of The Accuracy of Cervical Length for Prediction of Delivery in Term Pregnancy Patients Presenting with Labor Pain

Siriraj Medical Journal, 2019

Research paper thumbnail of Effects of N-acetylcysteine supplementation on cellular damage and oxidative stress indicators in volleyball athletes

Journal of Exercise Rehabilitation, 2018

Research paper thumbnail of Effect of mefenamic acid on controlling irregular uterine bleeding in DMPA users

Research paper thumbnail of Cervical Cancer Detection between Conventional and Liquid Based Cervical Cytology: a 6-Year Experience in Northern Bangkok Thailand

Asian Pacific journal of cancer prevention : APJCP, Jan 26, 2018

Objectives: To determine the prevalence of abnormal Papanicolaou (Pap) smear, cervical intraepith... more Objectives: To determine the prevalence of abnormal Papanicolaou (Pap) smear, cervical intraepithelial neoplasia (CIN) 2 or higher and cancer between conventional Pap smear (CPP) and liquid based Pap smear (LBP). Methods: This retrospective study was conducted at Bhumibol Adulyadej Hospital, Bangkok, Thailand between January 2011 and December 2016. Data was collected from medical records of participants who attended for cervical cancer screening test. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy for detecting CIN 2 or higher were evaluated by using the most severity of histopathology reports. Results: A total of 28,564 cases were recruited. Prevalence of abnormal Pap smear from CPP and LBP were 4.8 % (1,092/22,552) and 5.7 % (345/6,012), respectively. Percentage of unsatisfactory smears in CPP (52.3%) was higher than LBP (40.5%). From CPP and LBP, cervical cancer percentages were 0.2 and 0.1, respectively. Sensitivity, speci...