Verapol Chandeying - Academia.edu (original) (raw)
Papers by Verapol Chandeying
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2012
OBJECTIVE Determine the positive in-house preparation kit for suggested bacterial vaginosis (BV) ... more OBJECTIVE Determine the positive in-house preparation kit for suggested bacterial vaginosis (BV) for both elevated vaginal pH > 4.5 and positive amine test, as well as evaluate for validity of sensitivity, specificity, positive predictive value, and negative predictive value against Chandeying criteria for confirmed BV. MATERIAL AND METHOD A cross-sectional study among the women who presented with an abnormal vaginal discharge (AVD) or asymptomatic annual cervical cytology screening was done. Each vaginal discharge was divided into two parts of investigation. The first part included the clinical criteria of confirmed BV, based on at least three out of five indicators, the vaginal pH > 4.5, homogeneous and thin discharge (milky discharge), positive sniff/amine test, clue cell > 20% of total vaginal epithelial cells, and scanty or absence lactobacilli. The second part included the in-house preparation kit of suggestive BV relied on elevated vaginal pH > 4.5 and positive am...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 1992
The hormonal levels and symptoms after natural menopause have been studied in 100 patients. The m... more The hormonal levels and symptoms after natural menopause have been studied in 100 patients. The mean age was 56.8 years while menopausal age was 50.3 years. Postmenopausal symptoms presented 55.0 per cent with the three most common complaints of hot flushes, emotional lability and vaginal dryness, respectively. The levels of plasma FSH, estradiol and testosterone were also reported corresponding to the years after menopause. Both gonadotropins reach a maximum concentration at two to three years after the menopause and then gradually declined. The LH/FSH ratio was 0.6. The mean concentration of estradiol was 10.07 pg/ml, the level remained consistently low during the menopausal period. Testosterone concentration declined little in postmenopausal women.
OBJECTIVE The aim of the present study was to examine the maternal and neonatal birth risk indica... more OBJECTIVE The aim of the present study was to examine the maternal and neonatal birth risk indicator and their relationship with the outcome of pregnancy. MATERIAL AND METHOD This retrospective descriptive study was conducted in a selective month of 2008, 2009, and 2010. The birth risk indicators of maternal and neonatal health were collected from the medical records. RESULTS There were 385, 349 and 334 deliveries in a selective month of 2008, 2009, and 2010. There was neither maternal mortality, nor cardiovascular failure in the present study period. Three main indication of inductions of labor were premature rupture of membrane (up to 4.0%), diabetes mellitus (up to 2.0%), and postdate (up to 1.3%). The first two conditions had statistical significance in September 2009 (p = 0.0334 and 0.0053 respectively). Whereas, the three major indications of cesarean section were previous cesarean section (12.5 to 21.9%), failure to progress due to protracted/arrest of labor pattern with/with...
OBJECTIVE To evaluate the preliminary efficacy and safety of Pueraria mirifica (Kwao Keur Kao), p... more OBJECTIVE To evaluate the preliminary efficacy and safety of Pueraria mirifica (Kwao Keur Kao), phytoestrogen, for the alleviation of climacteric symptoms. MATERIAL AND METHOD Perimenopausal women attending with climacteric symptoms, such as hot flushes and night sweats, were invited to join the present study, conducted at the Menopausal Clinic, Hat Yai Regional Hospital. The patients were voluntarily enrolled and randomly received the raw material of Pueraria mirifica, oral 50 and 100 mg capsule, once daily for six months, as an open-label study. RESULTS Of the 10 enrolled patients, 8 cases were completely evaluated. The modified Greene climacteric scale (MGCS) was satisfactorily decreased in both groups. The average scale declined from 44.1 at baseline, to be 26, 17, and 11.1 at 1-, 3-, and 6- month follow-up respectively. No other laboratory abnormalities, except one case had transiently increased the creatinine level, and one case of increased blood urea nitrogen. The mean serum...
OBJECTIVE To evaluate the efficacy comparison of Pueraria mirifica (PM), name in Thai is Kwao Kru... more OBJECTIVE To evaluate the efficacy comparison of Pueraria mirifica (PM), name in Thai is Kwao Kruea Khao, against conjugated equine estrogen (CEE) with/without medroxyprogesterone acetate (MPA) in the treatment of perimenopuasal women with climacteric symptoms. MATERIAL AND METHOD Perimenopausal women attending the Menopausal clinic of Hat Yai Regional Hospital were voluntarily recruited. The vasomotor symptoms such as hot flushes and night sweats, as well as other unpleasant symptoms, urogenital and psychological symptoms, were also assessed. Patients were voluntarily enrolled and randomly received daily 50 mg raw material of PM, Group A, or daily 0.625 mg of conjugated equine estrogen (CEE) with/without 2.5 mg of medroxyprogesterone acetate (MPA), Group B, depend on non-hysterectomized/hysterectomized condition. RESULTS Seventy-one patients were enrolled. Eleven of those were excluded for failing to complete the initial work-up and follow-up. Sixty cases were evaluated, 30 cases i...
The treatment of mucopurulent cervicitis in nonpregnant women was evaluated in a randomized study... more The treatment of mucopurulent cervicitis in nonpregnant women was evaluated in a randomized study. Subjective and objective criteria were used to assess the response of cervicitis to therapy. Forty-three patients (Group I) were treated with Ofloxacin, 100 mg orally twice daily for 10 days, and forty-five patients (Group II) were treated with Ofloxacin, 200 mg orally twice daily for 7 days. Both produced significant improvement in subjective and objective signs of cervicitis; decreasing clinical symptoms, eliminating mucopurulent endocervical findings, and eradicating C. trachomatis. Overall, of the chlamydia-positive form the complete response of Ofloxacin treatment in mucopurulent cervicitis was 18 (60.0%), the partial response was 10 (33.3%), and resistance was 2 (6.6%) of the 30 patients (p = 0.6592). Of the chlamydia-negative form the complete response was 38 (65.5%), the partial response was 20 (34.5%) of the 58 patients (p = 0.9463). C. trachomatis eradication was satisfactory...
Royal Thai College of Obstetricians and Gynaecologists (RTCOG) had conducted the survey on additi... more Royal Thai College of Obstetricians and Gynaecologists (RTCOG) had conducted the survey on additional Obstetricians and Gynecologists need among existing health services. The questionnaires of 1,317 were distributed, and return rate was 702 in 1,317 (53.3%): community hospitals of 444 (63.2%), provincial hospital of 68 (9.6%), center hospital of 22 (3.1%), medical centers and schools of 27 (3.8%), and private hospital of 141 (20.0%)
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 1989
In conclusion, the present study describes a controlled series and demonstrates the safety of inc... more In conclusion, the present study describes a controlled series and demonstrates the safety of incidental appendectomy at cesarean section. A slight increase in operative time accompanied appendectomy group, but the length of hospital stay and postoperative morbidity were not different. It's our recommendation that at cesarean section if the abnormal appendix is found, appendectomy should be done. Normal appendix can also be removed whenever the opportunity presents in non-risk patients.
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 1990
A comparative study of the treatment of nonspecific vaginitis was carried out in 171 reproductive... more A comparative study of the treatment of nonspecific vaginitis was carried out in 171 reproductive-aged women. The patients were randomly treated with either metronidazole or tinidazole (Ninety-three patients in Group I, received oral metronidazole 1 g daily for 7 days. Another 78 patients in Group II, received oral tinidazole 2 g single dose. The patients were advised to return for follow-up examinations 1-2 weeks after treatment in their nonmenstrual period. Of these, 50 patients in each group were subject to complete study. The cure rates were 92 per cent in Group I and 86 per cent in Group II. The difference was not significant statistically. The adverse drug reactions among the two groups were 22 and 8 per cent respectively. Tinidazole is another effective drug for the treatment of nonspecific vaginitis.
Songklanagarind Medical Journal, May 22, 2013
Sexually Transmitted Diseases, Aug 1, 2000
Journal of the Medical Association of Thailand = Chotmaihet thangphaet
Journal of the Medical Association of Thailand = Chotmaihet thangphaet
Journal of the Medical Association of Thailand = Chotmaihet thangphaet
To summarize the experience and evaluate the performance of the Hat Yai maternal serum screening ... more To summarize the experience and evaluate the performance of the Hat Yai maternal serum screening (MSS) program. The Hat Yai MSS program between 16 February 2003 and 11 March 2004. The uptake of screening was 999 in 1,040 women (96.0%), between 14 to 20 weeks of gestation with the triple markers: Alpha-fetoprotein (AFP), human Chorionic Gonadotropin (hCG), and unconjugated Estriol (uE3) by Immulite chemiluminescent immunoassay system, Diagnostic Product Corporation (DPC). The risk cut-off for Down 's syndrome is one in 250 or greater, based on software for prenatal Down's syndrome risk calculation, by Prisca 3.5 DPC. There were 119 in 999 cases (11.9%) of the triple test positive. Amniocentesis had been performed on voluntary basis, and the uptake rate of amniocentesis following a positive Down's syndrome screening was 104 in 119 cases (87.3%). Based on clinical diagnosis of Down's syndrome in the newborns of non-amniocentesis mothers, assuming that normal looking bab...
Objective To compare the febrile morbidity rate after elective abdominal hysterectomy between pat... more Objective To compare the febrile morbidity rate after elective abdominal hysterectomy between patients given single dose vs 24-hour-dose intravenous ampicillin prophylaxis. Study design Randomized controlled trial. Subjects Eighty-seven patients who underwent elective abdominal hysterectomy at Songklanagarind hospital from March to December 2002. Intervention The subjects were randomly allocated to receive either single dose or 24-hour-dose intravenous ampicillin prophylaxis. Main outcome measures Febrile morbidity rate in the two groups. Results The characteristics and risk factors for postoperative infection among the two groups were not statistically significantly different. There was no statistical difference in febrile morbidity between the two groups. The febrile morbidity rate was 5/43 (11.6%) and 3/44 (6.8%) in the single dose and 24-hour-dose, respectively. Conclusion Single dose and 24-hour-dose of intravenous ampicillin prophylaxis showed no significant difference in prev...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2007
To evaluate the efficacy comparison of Pueraria mirifica (PM), name in Thai is Kwao Kruea Khao, a... more To evaluate the efficacy comparison of Pueraria mirifica (PM), name in Thai is Kwao Kruea Khao, against conjugated equine estrogen (CEE) with/without medroxyprogesterone acetate (MPA) in the treatment of perimenopuasal women with climacteric symptoms. Perimenopausal women attending the Menopausal clinic of Hat Yai Regional Hospital were voluntarily recruited. The vasomotor symptoms such as hot flushes and night sweats, as well as other unpleasant symptoms, urogenital and psychological symptoms, were also assessed. Patients were voluntarily enrolled and randomly received daily 50 mg raw material of PM, Group A, or daily 0.625 mg of conjugated equine estrogen (CEE) with/without 2.5 mg of medroxyprogesterone acetate (MPA), Group B, depend on non-hysterectomized/hysterectomized condition. Seventy-one patients were enrolled. Eleven of those were excluded for failing to complete the initial work-up and follow-up. Sixty cases were evaluated, 30 cases in Group A and 30 cases in Group B. Aft...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2013
To study the prevalence and the number of lactobacilli in normal subjects and in women with bacte... more To study the prevalence and the number of lactobacilli in normal subjects and in women with bacterial vaginosis (BV). The studied subjects consisted of 60 normal and 60 BV women. The diagnosis of BV was based on at least three of five indicators of Chandeying criteria. The vaginal specimens were collected and cultured on MRS plates for determination of lactobacilli counts. The number of lactobacilli was highly significant (p < 0.001) in the women with diagnosis of BK and the mean count of lactobacilli in BV was markedly decreased (5.3 +/- 1.8 log colony-forming unit--CFU/ml), compared with normal women (8.8 +/- 2.9 log CFU/ml). Among the treated BV group, follow-up vaginal specimen was encountered in 47 of 60 cases (78.3%). The proportion of lactobacilli isolation was slightly increased from 12 (25.5%) to 15 (31.9%) in 47 cases. Concordance with quantitative settlement of lactobacilli in BV was increased from 1.4 +/- 2.6 log CFU/ml, to 1.8 +/- 2.9 log CFU/ml in treated BV. Treate...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2012
Determine an outcome of adolescent pregnancy in different periods. The retrospective descriptive ... more Determine an outcome of adolescent pregnancy in different periods. The retrospective descriptive study was conducted during the first and second quarter of the fiscal year (FY) 2012. Outcome of adolescent pregnancy included hematocrit, antenatal visit, stillbirth, Apgar score, low birth weight, and maternal & neonatal complication were collected. There were 1,430/1,391 deliveries in the first/second quarter of FY 2012. The proportion of adolescent pregnancy of first/second quarter, less than 20 years old, was 182/155 cases (12.7/11.1%), respectively. The satisfactory antenatal visit, at least four visits, was achieved in the high proportion of 71.9/78.0%. However the first antenatal visit in the first trimester was quite low as 17.5/20.0%. Anemia was reported in about one-third as 30.7/28.3%, while low birth weight of less than 2,500 grams accounted for up to 13.7/13.5%. Severe asphyxia of Apgar score lees than 4for longer than 5 minutes was 2.1/1.2% Independent known confounding fa...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2012
Determine the clinical indications of illegal induced abortion, comparison between septic and non... more Determine the clinical indications of illegal induced abortion, comparison between septic and non-septic abortion. The present retrospective descriptive study was conducted among pregnant women who were admitted in the hospital with the illegal induced abortion. The demographic data, gestational age, the method used, and personnel performing were gathered, as well as symptomatology, basic laboratory, condition progression, and medical and surgical intervention. There were 92 patients with illegal induced abortion between March 2009 and December 2010. The three main induced methods for termination of pregnancy was vaginal suppository, likely to be misoprostol-a synthetic prostaglandin E, analog (43.5%), oral Thai herbal medicine (19.6%) and combined medication (16.3%), respectively. Of septic/non-septic abortion, the first visit body temperature of 38.0 degrees Celsius or more (74.1/12.3%), heart rate of 100 per minutes or more (74.1/12.3%), fever index 3 degree-hours or more in the ...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2012
OBJECTIVE Determine the positive in-house preparation kit for suggested bacterial vaginosis (BV) ... more OBJECTIVE Determine the positive in-house preparation kit for suggested bacterial vaginosis (BV) for both elevated vaginal pH > 4.5 and positive amine test, as well as evaluate for validity of sensitivity, specificity, positive predictive value, and negative predictive value against Chandeying criteria for confirmed BV. MATERIAL AND METHOD A cross-sectional study among the women who presented with an abnormal vaginal discharge (AVD) or asymptomatic annual cervical cytology screening was done. Each vaginal discharge was divided into two parts of investigation. The first part included the clinical criteria of confirmed BV, based on at least three out of five indicators, the vaginal pH > 4.5, homogeneous and thin discharge (milky discharge), positive sniff/amine test, clue cell > 20% of total vaginal epithelial cells, and scanty or absence lactobacilli. The second part included the in-house preparation kit of suggestive BV relied on elevated vaginal pH > 4.5 and positive am...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 1992
The hormonal levels and symptoms after natural menopause have been studied in 100 patients. The m... more The hormonal levels and symptoms after natural menopause have been studied in 100 patients. The mean age was 56.8 years while menopausal age was 50.3 years. Postmenopausal symptoms presented 55.0 per cent with the three most common complaints of hot flushes, emotional lability and vaginal dryness, respectively. The levels of plasma FSH, estradiol and testosterone were also reported corresponding to the years after menopause. Both gonadotropins reach a maximum concentration at two to three years after the menopause and then gradually declined. The LH/FSH ratio was 0.6. The mean concentration of estradiol was 10.07 pg/ml, the level remained consistently low during the menopausal period. Testosterone concentration declined little in postmenopausal women.
OBJECTIVE The aim of the present study was to examine the maternal and neonatal birth risk indica... more OBJECTIVE The aim of the present study was to examine the maternal and neonatal birth risk indicator and their relationship with the outcome of pregnancy. MATERIAL AND METHOD This retrospective descriptive study was conducted in a selective month of 2008, 2009, and 2010. The birth risk indicators of maternal and neonatal health were collected from the medical records. RESULTS There were 385, 349 and 334 deliveries in a selective month of 2008, 2009, and 2010. There was neither maternal mortality, nor cardiovascular failure in the present study period. Three main indication of inductions of labor were premature rupture of membrane (up to 4.0%), diabetes mellitus (up to 2.0%), and postdate (up to 1.3%). The first two conditions had statistical significance in September 2009 (p = 0.0334 and 0.0053 respectively). Whereas, the three major indications of cesarean section were previous cesarean section (12.5 to 21.9%), failure to progress due to protracted/arrest of labor pattern with/with...
OBJECTIVE To evaluate the preliminary efficacy and safety of Pueraria mirifica (Kwao Keur Kao), p... more OBJECTIVE To evaluate the preliminary efficacy and safety of Pueraria mirifica (Kwao Keur Kao), phytoestrogen, for the alleviation of climacteric symptoms. MATERIAL AND METHOD Perimenopausal women attending with climacteric symptoms, such as hot flushes and night sweats, were invited to join the present study, conducted at the Menopausal Clinic, Hat Yai Regional Hospital. The patients were voluntarily enrolled and randomly received the raw material of Pueraria mirifica, oral 50 and 100 mg capsule, once daily for six months, as an open-label study. RESULTS Of the 10 enrolled patients, 8 cases were completely evaluated. The modified Greene climacteric scale (MGCS) was satisfactorily decreased in both groups. The average scale declined from 44.1 at baseline, to be 26, 17, and 11.1 at 1-, 3-, and 6- month follow-up respectively. No other laboratory abnormalities, except one case had transiently increased the creatinine level, and one case of increased blood urea nitrogen. The mean serum...
OBJECTIVE To evaluate the efficacy comparison of Pueraria mirifica (PM), name in Thai is Kwao Kru... more OBJECTIVE To evaluate the efficacy comparison of Pueraria mirifica (PM), name in Thai is Kwao Kruea Khao, against conjugated equine estrogen (CEE) with/without medroxyprogesterone acetate (MPA) in the treatment of perimenopuasal women with climacteric symptoms. MATERIAL AND METHOD Perimenopausal women attending the Menopausal clinic of Hat Yai Regional Hospital were voluntarily recruited. The vasomotor symptoms such as hot flushes and night sweats, as well as other unpleasant symptoms, urogenital and psychological symptoms, were also assessed. Patients were voluntarily enrolled and randomly received daily 50 mg raw material of PM, Group A, or daily 0.625 mg of conjugated equine estrogen (CEE) with/without 2.5 mg of medroxyprogesterone acetate (MPA), Group B, depend on non-hysterectomized/hysterectomized condition. RESULTS Seventy-one patients were enrolled. Eleven of those were excluded for failing to complete the initial work-up and follow-up. Sixty cases were evaluated, 30 cases i...
The treatment of mucopurulent cervicitis in nonpregnant women was evaluated in a randomized study... more The treatment of mucopurulent cervicitis in nonpregnant women was evaluated in a randomized study. Subjective and objective criteria were used to assess the response of cervicitis to therapy. Forty-three patients (Group I) were treated with Ofloxacin, 100 mg orally twice daily for 10 days, and forty-five patients (Group II) were treated with Ofloxacin, 200 mg orally twice daily for 7 days. Both produced significant improvement in subjective and objective signs of cervicitis; decreasing clinical symptoms, eliminating mucopurulent endocervical findings, and eradicating C. trachomatis. Overall, of the chlamydia-positive form the complete response of Ofloxacin treatment in mucopurulent cervicitis was 18 (60.0%), the partial response was 10 (33.3%), and resistance was 2 (6.6%) of the 30 patients (p = 0.6592). Of the chlamydia-negative form the complete response was 38 (65.5%), the partial response was 20 (34.5%) of the 58 patients (p = 0.9463). C. trachomatis eradication was satisfactory...
Royal Thai College of Obstetricians and Gynaecologists (RTCOG) had conducted the survey on additi... more Royal Thai College of Obstetricians and Gynaecologists (RTCOG) had conducted the survey on additional Obstetricians and Gynecologists need among existing health services. The questionnaires of 1,317 were distributed, and return rate was 702 in 1,317 (53.3%): community hospitals of 444 (63.2%), provincial hospital of 68 (9.6%), center hospital of 22 (3.1%), medical centers and schools of 27 (3.8%), and private hospital of 141 (20.0%)
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 1989
In conclusion, the present study describes a controlled series and demonstrates the safety of inc... more In conclusion, the present study describes a controlled series and demonstrates the safety of incidental appendectomy at cesarean section. A slight increase in operative time accompanied appendectomy group, but the length of hospital stay and postoperative morbidity were not different. It's our recommendation that at cesarean section if the abnormal appendix is found, appendectomy should be done. Normal appendix can also be removed whenever the opportunity presents in non-risk patients.
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 1990
A comparative study of the treatment of nonspecific vaginitis was carried out in 171 reproductive... more A comparative study of the treatment of nonspecific vaginitis was carried out in 171 reproductive-aged women. The patients were randomly treated with either metronidazole or tinidazole (Ninety-three patients in Group I, received oral metronidazole 1 g daily for 7 days. Another 78 patients in Group II, received oral tinidazole 2 g single dose. The patients were advised to return for follow-up examinations 1-2 weeks after treatment in their nonmenstrual period. Of these, 50 patients in each group were subject to complete study. The cure rates were 92 per cent in Group I and 86 per cent in Group II. The difference was not significant statistically. The adverse drug reactions among the two groups were 22 and 8 per cent respectively. Tinidazole is another effective drug for the treatment of nonspecific vaginitis.
Songklanagarind Medical Journal, May 22, 2013
Sexually Transmitted Diseases, Aug 1, 2000
Journal of the Medical Association of Thailand = Chotmaihet thangphaet
Journal of the Medical Association of Thailand = Chotmaihet thangphaet
Journal of the Medical Association of Thailand = Chotmaihet thangphaet
To summarize the experience and evaluate the performance of the Hat Yai maternal serum screening ... more To summarize the experience and evaluate the performance of the Hat Yai maternal serum screening (MSS) program. The Hat Yai MSS program between 16 February 2003 and 11 March 2004. The uptake of screening was 999 in 1,040 women (96.0%), between 14 to 20 weeks of gestation with the triple markers: Alpha-fetoprotein (AFP), human Chorionic Gonadotropin (hCG), and unconjugated Estriol (uE3) by Immulite chemiluminescent immunoassay system, Diagnostic Product Corporation (DPC). The risk cut-off for Down 's syndrome is one in 250 or greater, based on software for prenatal Down's syndrome risk calculation, by Prisca 3.5 DPC. There were 119 in 999 cases (11.9%) of the triple test positive. Amniocentesis had been performed on voluntary basis, and the uptake rate of amniocentesis following a positive Down's syndrome screening was 104 in 119 cases (87.3%). Based on clinical diagnosis of Down's syndrome in the newborns of non-amniocentesis mothers, assuming that normal looking bab...
Objective To compare the febrile morbidity rate after elective abdominal hysterectomy between pat... more Objective To compare the febrile morbidity rate after elective abdominal hysterectomy between patients given single dose vs 24-hour-dose intravenous ampicillin prophylaxis. Study design Randomized controlled trial. Subjects Eighty-seven patients who underwent elective abdominal hysterectomy at Songklanagarind hospital from March to December 2002. Intervention The subjects were randomly allocated to receive either single dose or 24-hour-dose intravenous ampicillin prophylaxis. Main outcome measures Febrile morbidity rate in the two groups. Results The characteristics and risk factors for postoperative infection among the two groups were not statistically significantly different. There was no statistical difference in febrile morbidity between the two groups. The febrile morbidity rate was 5/43 (11.6%) and 3/44 (6.8%) in the single dose and 24-hour-dose, respectively. Conclusion Single dose and 24-hour-dose of intravenous ampicillin prophylaxis showed no significant difference in prev...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2007
To evaluate the efficacy comparison of Pueraria mirifica (PM), name in Thai is Kwao Kruea Khao, a... more To evaluate the efficacy comparison of Pueraria mirifica (PM), name in Thai is Kwao Kruea Khao, against conjugated equine estrogen (CEE) with/without medroxyprogesterone acetate (MPA) in the treatment of perimenopuasal women with climacteric symptoms. Perimenopausal women attending the Menopausal clinic of Hat Yai Regional Hospital were voluntarily recruited. The vasomotor symptoms such as hot flushes and night sweats, as well as other unpleasant symptoms, urogenital and psychological symptoms, were also assessed. Patients were voluntarily enrolled and randomly received daily 50 mg raw material of PM, Group A, or daily 0.625 mg of conjugated equine estrogen (CEE) with/without 2.5 mg of medroxyprogesterone acetate (MPA), Group B, depend on non-hysterectomized/hysterectomized condition. Seventy-one patients were enrolled. Eleven of those were excluded for failing to complete the initial work-up and follow-up. Sixty cases were evaluated, 30 cases in Group A and 30 cases in Group B. Aft...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2013
To study the prevalence and the number of lactobacilli in normal subjects and in women with bacte... more To study the prevalence and the number of lactobacilli in normal subjects and in women with bacterial vaginosis (BV). The studied subjects consisted of 60 normal and 60 BV women. The diagnosis of BV was based on at least three of five indicators of Chandeying criteria. The vaginal specimens were collected and cultured on MRS plates for determination of lactobacilli counts. The number of lactobacilli was highly significant (p < 0.001) in the women with diagnosis of BK and the mean count of lactobacilli in BV was markedly decreased (5.3 +/- 1.8 log colony-forming unit--CFU/ml), compared with normal women (8.8 +/- 2.9 log CFU/ml). Among the treated BV group, follow-up vaginal specimen was encountered in 47 of 60 cases (78.3%). The proportion of lactobacilli isolation was slightly increased from 12 (25.5%) to 15 (31.9%) in 47 cases. Concordance with quantitative settlement of lactobacilli in BV was increased from 1.4 +/- 2.6 log CFU/ml, to 1.8 +/- 2.9 log CFU/ml in treated BV. Treate...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2012
Determine an outcome of adolescent pregnancy in different periods. The retrospective descriptive ... more Determine an outcome of adolescent pregnancy in different periods. The retrospective descriptive study was conducted during the first and second quarter of the fiscal year (FY) 2012. Outcome of adolescent pregnancy included hematocrit, antenatal visit, stillbirth, Apgar score, low birth weight, and maternal & neonatal complication were collected. There were 1,430/1,391 deliveries in the first/second quarter of FY 2012. The proportion of adolescent pregnancy of first/second quarter, less than 20 years old, was 182/155 cases (12.7/11.1%), respectively. The satisfactory antenatal visit, at least four visits, was achieved in the high proportion of 71.9/78.0%. However the first antenatal visit in the first trimester was quite low as 17.5/20.0%. Anemia was reported in about one-third as 30.7/28.3%, while low birth weight of less than 2,500 grams accounted for up to 13.7/13.5%. Severe asphyxia of Apgar score lees than 4for longer than 5 minutes was 2.1/1.2% Independent known confounding fa...
Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2012
Determine the clinical indications of illegal induced abortion, comparison between septic and non... more Determine the clinical indications of illegal induced abortion, comparison between septic and non-septic abortion. The present retrospective descriptive study was conducted among pregnant women who were admitted in the hospital with the illegal induced abortion. The demographic data, gestational age, the method used, and personnel performing were gathered, as well as symptomatology, basic laboratory, condition progression, and medical and surgical intervention. There were 92 patients with illegal induced abortion between March 2009 and December 2010. The three main induced methods for termination of pregnancy was vaginal suppository, likely to be misoprostol-a synthetic prostaglandin E, analog (43.5%), oral Thai herbal medicine (19.6%) and combined medication (16.3%), respectively. Of septic/non-septic abortion, the first visit body temperature of 38.0 degrees Celsius or more (74.1/12.3%), heart rate of 100 per minutes or more (74.1/12.3%), fever index 3 degree-hours or more in the ...