Faculty of Medicine - MedFaculty of Medicine / คณะแพทยศาสตร์https://ir.swu.ac.th/jspui/handle/123456789/282024-03-29T15:47:09Z2024-03-29T15:47:09Zความเครียดในที่ทำงานของบุคลากร คณะแพทยศาสตร์ มหาวิทยาลัยศรีนครินทรวิโรฒกิตติพงษ์ คงสมบูรณ์https://ir.swu.ac.th/jspui/handle/123456789/251872022-12-13T06:42:14Z2553-01-01T00:00:00Zความเครียดในที่ทำงานของบุคลากร คณะแพทยศาสตร์ มหาวิทยาลัยศรีนครินทรวิโรฒ
กิตติพงษ์ คงสมบูรณ์
Background: Stress in the workplace is a major problem affecting the efficiency of work and
quality of work life. Stress may also lead to other health problems both physical and mental
such as migraines, depression, and excessive daytime sleepiness.
Objective: To determine the prevalence of high to severe stress among the employees of the Faculty of Medicine, Srinakharinwirot University, and to explore factors associated with the stress.
Materials and methods: 1,133 personnel of the Faculty of Medicine, Srinakharinwirot University
were selected and response rate was 65%. The study design was cross-sectional and data were
collected from May to July, 2009. Logistic regression was employed for multivariate analysis.
A two-tailed p-value of less than 0.05 was considered significant.
Results: The highest prevalence of high to severe stress of 67% was found among the laborers while the lowest prevalence of 51.2% was found among the medical doctors. These laborers had odds ratio of high to severe stress 5.6 times (95% CI=1.9-16.6) higher than the doctors. Personnel in the 20-29 years age group had 1.6 times more high to severe stress than the 30-39 years age group. Personnel who suffered from depression and excessive daytime sleepiness had higher level of high to severe stress than personnel who did not. Nurses agreed that inadequate welfare increased stress levels.
Conclusion: Laborers had the highest level of stress and age group of 20-29 years had higher stress than other age groups. Major depression and daytime sleepiness were associated with stress levels.
2553-01-01T00:00:00ZEvaluation of the techniques and steps of intranasal corticosteroid sprays administrationSupachet RattanawongPanuwat WongwattanaSupatat Kantukitihttps://ir.swu.ac.th/jspui/handle/123456789/193792022-08-04T02:29:31Z2022-01-01T00:00:00ZEvaluation of the techniques and steps of intranasal corticosteroid sprays administration
Supachet Rattanawong; Panuwat Wongwattana; Supatat Kantukiti
Background: Intranasal corticosteroid (INCS) is one of the most effective treatments for
allergic rhinitis (AR). To achieve optimum efficiency while avoiding adverse effects (AEs),
patients must comply with and follow the drug administration instructions.
Objective: To evaluate INCS administration techniques and steps and the association
between inaccurate drug administration and AEs.
Methods: A descriptive cross-sectional study was performed in patients diagnosed with AR
who had used an INCS for more than 1 month at the HRH Princess Maha Chakri Sirindhorn
Medical Center, Nakhon Nayok, Thailand between September 2020 and August 2021. Patient
information was collected, evaluate the accuracy of the application techniques and the steps
they followed for INCS administration and the occurrence of any associated AEs.
Results: In total, 150 subjects diagnosed with AR met the criteria. Only 6 patients (4%) correctly
performed all 12 steps of INCS administration, while 44 patients (29.33%) correctly performed
the 5 recommended essential steps. AEs were found in 23 patients (15.33%), with not pointing
the tip slightly outward away from the septum significantly associated with a 3.6 times higher
risk of AEs in patients (odds ratio, 3.6; 95% confidence interval, 1.3–9.4; p = 0.012).
Conclusion: Investigations into INCS use in patients with AR revealed that only 4% of
patients correctly performed all the administration techniques and steps, while 30% of
patients at least followed the 5 recommended essential steps perfectly. Not pointing the tip
slightly outward away from the septum was found to result in the most AEs.
2022-01-01T00:00:00ZLacrimal sac lymphoma: a case reportSomtaporn UeathaweepholPanuwat WongwattanaWaruttaporn ChanlalitTherdkiat TrongwongsaSirilak Sutthinonthttps://ir.swu.ac.th/jspui/handle/123456789/193782022-08-04T02:29:32Z2022-01-01T00:00:00ZLacrimal sac lymphoma: a case report
Somtaporn Ueathaweephol; Panuwat Wongwattana; Waruttaporn Chanlalit; Therdkiat Trongwongsa; Sirilak Sutthinont
Primary lymphoma originating from the lacrimal drainage system is a rare disease. Such lymphomas are mostly B-cell in origin and present nonspecific symptoms. The treatment of malignant lymphoma of the lacrimal drainage system is slightly different. We present the case of a 71-year-old woman with a painless mass below the medial canthus. Computed tomography (CT) scan of the orbit revealed a mass invading the right lacrimal sac. An incision biopsy was obtained, and the pathologic findings suggested a diagnosis of primary diffuse large B cell lymphoma of the lacrimal sac. The patient was treated with chemotherapy and intrathecal methotrexate. After completing eight cycles of chemotherapy, the patient was followed up by a CT scan, which revealed nearly total resolution of an ill-defined enhancing mass. At the time of this case report writing, the patient is in complete remission at six months with no other complications.
2022-01-01T00:00:00ZParathyroid CarcinomaPanuwat WongwattanaPannipa Wiriyaamornchaihttps://ir.swu.ac.th/jspui/handle/123456789/193772022-08-04T02:29:31Z2021-01-01T00:00:00ZParathyroid Carcinoma
Panuwat Wongwattana; Pannipa Wiriyaamornchai
Parathyroid carcinoma is a very rare cancer, accounting for 0.5% to 5% of all causes of primary hyperparathyroidism.
Parathyroid carcinoma has an equal frequency of occurrence in both genders, usually in the fifth decade of life. Preoperative diagnosis
of parathyroid carcinoma is difficult due to a lack of clinical findings, laboratory results, or radiological characteristics specific to
the disease. Though, parathyroid carcinoma patients usually present with severe hypercalcemia at the time of diagnosis. Complete
en-bloc resection is the mainstay of the treatment. The adjuvant therapy such as radiotherapy or chemotherapy has not shown
effective in the treatment of parathyroid carcinoma.
2021-01-01T00:00:00Z