• 제목/요약/키워드: Thailand 2015

검색결과 178건 처리시간 0.025초

Colposcopy Requirement of Papanicolaou Smear after Atypical Squamous Cells of Undetermined Significance (ASC-US) by Follow-up Protocol in an Urban Gynaecology Clinic, a Retrospective Study in Thailand

  • Perksanusak, Thitichaya;Sananpanichkul, Panya;Chirdchim, Watcharin;Bhamarapravatana, Kornkarn;Suwannarurk, Komsun
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권12호
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    • pp.4977-4980
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    • 2015
  • Background: ASC-US cases are managed according to the current American Society for Colposcopy and Cervical Pathology (ASCCP) guideline in which a human papillomavirus (HPV) test and repeat Pap smear are performed in the next 1 year. Colposcopy in cases of positive high risk HPV and persistent ASC-US or more in subsequent Pap smear is recommended. The HPV test is more expensive and still not currently a routine practice in Thailand. Objective: To identify the risk factors of persisted abnormal Pap smear and the colposcopic requirement rate in women with ASC-US. Materials and Methods: During 2008-2013, this study was conducted in Prapokklao Hospital, Chanthaburi, Thailand. Participants were women who attended gynaecology clinic for cervical cancer screening. Women who had cytological reports with ASC-US were recruited. During the study period, 503 cases were enrolled. Colposcopic requirement was defined as those who were detected with an ASC-US or more in subsequent Pap smears up to 1 year follow-up. Results: The colposcopic referral rate was 23.2 (85/365) percent at 12 months. Prevalence of cervical intraepithelial neoplasia (CIN) 2/3 was 3.3 (12/365) percent. Loss follow-up rate of subsequent Pap smear and colposcopic appointment were 27.4 (138/503) and 48.2 (41/85) percent, respectively. There was no invasive cancer. High risk factors for persisted abnormal Pap smears in subsequent test were premenopausal status, HIV infected patients and non-oral contraceptive pills (COC) users. Conclusions: Referral rate for colposcopy in women with ASC-US reports was rather high. Loss to follow-up rate was the major limitation. Immediate colposcopy should be offered for women who had high risk for silent CIN.

Outcomes for Pituitary Adenoma Patients Treated with Linac-Based Stereotactic Radiosurgery and Radiotherapy: a Long Term Experience in Thailand

  • Puataweepong, Putipun;Dhanachai, Mantana;Hansasuta, Ake;Dangprasert, Somjai;Sitathanee, Chomporn;Swangsilpa, Thiti;Vitoonpanich, Patamintita;Yongvithisatid, Pornpan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권13호
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    • pp.5279-5284
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    • 2015
  • Background: The study analyzed the long term clinical outcomes of pituitary adenoma cases treated with the first Thailand installation of a dedicated Linac-based stereotactic radiation machine (X-Knife). Materials and Methods: A retrospective review of 115 consecutive pituitary adenoma patients treated with X-Knife at the Faculty of Medicine, Ramathibodi Hospital, Bangkok, Thailand from 1997 to 2003 was performed. Stereotactic radiosurgery (SRS) was selected for 21 patients (18%) including those with small tumors (${\leq}3cm$) located ${\geq}5mm$. from the optic apparatus, whereas the remaining 94 patients (82%) were treated with fractionated stereotactic radiotherapy (FSRT). Results: With a median follow-up time of 62 months (range, 21-179), the six-year progression free survival was 95% (93% for SRS and 95% for FSRT). The overall hormone normalization at 3 and 5 years was 20% and 30%, respectively, with average time required for normalization of approximately 16 months for SRS and 20 months for FSRT. The incidence of new hypopituitarism was 10% in the SRS group and 9% in the FSRT group. Four patients (5%) developed optic neuropathy (1 in the SRS group and 3 in the FSRT group). Conclusions: Linac-based SRS and FSRT achieved similar high local control rates with few complications in pituitary adenoma cases. However, further well designed, randomized comparative studies between SRS versus FSRT particularly focusing on hormone normalization rates are required.

Risk Factors for Colorectal Cancer in Thailand

  • Poomphakwaen, Kirati;Promthet, Supannee;Suwanrungruang, Krittika;Kamsa-ard, Siriporn;Wiangnon, Surapon
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.6105-6109
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    • 2015
  • Background: Colorectal cancer (CRC) is one of the most common cancers worldwide. This study aimed to investigate the risk factors for colorectal cancer in the Thai population. Materials and Methods: A cohort study was carried out in Khon Kaen, Thailand, including 71 cases of histologically confirmed CRC patients among 19,861 participants, aged 30-69 years, who were recruited for a cohort study during the period 1990-2001. Participants were followed-up until 31 December, 2013. To identify factors associated with the incidence of colorectal cancer, hazard ratios were evaluated using Cox proportional hazard regression. Results: No environmental variables could be shown to be significantly related to the risk of CRC. Although in our sample, CRC was more prevalent among males, ex-smokers, and those who drank alcohol beverages ${\geq}50gram/day$, but we could not demonstrate significantly associations (HRmale= 1.67, 95% CI, 0.80-3.49, HR ex-smokers = 1.34, 95% CI, 0.52-3.46, and HRalc ${\geq}50=1.08$, 95% CI, 0.43-2.71). Individuals within the sample with a family history of cancer, working hour >8 hours per day, and current-smokers appeared to have decrease risk of CRC, but again these relationship could not be shown to be significantly associated (HRfam cancer= 0.96, 95% CI, 0.85-1.09, HRwork>8= 0.84, 95% CI, 0.36-1.93, and HRcurrent-smoker = 0.51, 95% CI, 0.18-1.38). Conclusions: We found no evidence of environmental factors effecting the risk of CRC. There is a need for further research to determine why factors identified risk in other populations appear to not be associated with CRC risk in Thais.

Radical Intermediate Generation and Cell Cycle Arrest by an Aqueous Extract of Thunbergia Laurifolia Linn. in Human Breast Cancer Cells

  • Jetawattana, Suwimol;Boonsirichai, Kanokporn;Charoen, Savapong;Martin, Sean M
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권10호
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    • pp.4357-4361
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    • 2015
  • Thunbergia Laurifolia Linn. (TL) is one of the most familiar plants in Thai traditional medicine that is used to treat various conditions, including cancer. However, the antitumor activity of TL or its constituents has never been reported at the molecular level to support the folklore claim. The present study was designed to investigate the antitumor effect of an aqueous extract of TL in human breast cancer cells and the possible mechanism(s) of action. An aqueous crude extract was prepared from dried leaves of TL. Folin-Ciocalteu colorimetric assays were used to determine the total phenolic content. Antiproliferative and cell cycle effects were evaluated in human breast adenocarcinoma MCF-7 cells by MTT reduction assay, cell growth inhibition, clonogenic cell survival, and flow cytometric analysis. Free radical generation by the extracts was detected using electron paramagnetic resonance spectroscopy. The exposure of human breast adenocarcinoma MCF-7 cells to a TL aqueous extract resulted in decreases in cell growth, clonogenic cell survival, and cell viability in a concentration-dependent manner with an $IC_{50}$ value of $843{\mu}g/ml$. Treatments with extract for 24h at $250{\mu}g/ml$ or higher induced cell cycle arrest as indicated by a significant increase of cell population in the G1 phase and a significant decrease in the S phase of the cell cycle. The capability of the aqueous extract to generate radical intermediates was observed at both high pH and near-neutral pH conditions. The findings suggest the antitumor bioactivities of TL against selected breast cancer cells may be due to induction of a G1 cell cycle arrest. Cytotoxicity and cell cycle perturbation that are associated with a high concentration of the extract could be in part explained by the total phenolic contents in the extract and the capacity to generate radical intermediates to modulate cellular proliferative signals.

Prevalence and Risk Factors for Infection by Opisthorchis viverrini in an Urban Area of Mahasarakham Province, Northeast Thailand

  • Chaiputcha, Kusumaporn;Promthet, Supannee;Bradshaw, Peter
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권10호
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    • pp.4173-4176
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    • 2015
  • The aim of this cross-sectional analytic study was to investigate the prevalence and risk factors for Opisthorchis viverrini (OV) infection in an urban area of Northeastern Thailand. The participants were 254 household representatives aged 15 years or older living in the most urbanised part of Chiang Yuen municipality in Mahasarakham Province. All participants provided stool samples which were examined using the modified Kato-Katz procedure, and a structured interview questionnaire was used to collection demographic information, knowledge about OV infection, and the consumption of unsafely prepared freshwater fish. The data were analyzed using descriptive statistics and logistic regression. The overall prevalence of OV infection was 15.0%, and in the multivariate analysis male gender was found to be significantly and positively associated with OV infection ($OR_{adj}=9.75$, 95%CI: 34.03-23.58) while education to secondary school level or above was a significant protective factor ($OR_{adj}=0.30$, 95%CI: 0.12-0.74). The eating of unsafely prepared fish and knowledge about OV were not significantly related to infection status. The findings were discussed in terms of issues for future research, especially the need to consider the possibility of higher rates of OV infection in urban areas than might be expected and to investigate the sources of infected fish products which may well be different from those in rural villages.

방한 인센티브여행 참가자의 여행행태 및 만족도 분석 -중국, 일본, 태국 참가자들의 차이를 중심으로- (Travel Behaviors and Satisfaction of Korea Incentive Tourist -Focusing on Differences of Incentive Tourists from China, Japan, and Thailand-)

  • 김주연;민민홍;안경모
    • 한국콘텐츠학회논문지
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    • 제15권2호
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    • pp.489-498
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    • 2015
  • 최근 기업의 동기부여 수단으로 인센티브여행이 선호되면서 그 시장은 괄목할 만큼 성장하고 있으며, 여러 국가들은 인센티브여행을 유치하기 위한 노력을 기울이고 있다. 본 연구는 중국, 일본, 태국, 세 국가의 방한 인센티브여행자들을 대상으로 한 실증조사를 통해 방한 인센티브여행의 경쟁력과 수용태세를 파악하였다. 또한, 이들이 인식하는 한국에 대한 이미지와 인센티브여행에서 지출한 경비도 알아보았다. 분석결과, 세 개 국가 응답자들 모두 한국여행의 장점으로 '쇼핑'을 응답하였으며, 국가 간 다른 인식차이를 보였다. 방한 인센티브여행에 대한 만족에 있어서도, 일본여행객들은 한국여행에서 '음식'에 대해 가장 만족한 반면, 중국여행객들은 낮은 만족을 나타내는 등 국가 간 차이를 나타냈다. 그리고, 여행지출액에 있어서도 중국여행객들의 지출액이 가장 높게 나타났다.

Developmental and Phylogenetic Characteristics of Stellantchasmus falcatus (Trematoda: Heterophyidae) from Thailand

  • Sripalwit, Pralongyut;Wongsawad, Chalobol;Chontananarth, Thapana;Anuntalabhochai, Somboon;Wongsawad, Pheravut;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • 제53권2호
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    • pp.201-207
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    • 2015
  • This study aimed to investigate the infection status, worm development, and phylogenetic characteristics of the intestinal trematode, Stellantchasmus falcatus. The metacercariae of S. falcatus were detected only in the half-beak (Dermogenus pusillus) out of the 4 fish species examined. Their prevalence was 90.0%, and the intensity of infection was 919 metacercariae on average. Worms were recovered from 33 (97.1%) of 34 chicks that were experimentally infected with 200 S. falcatus metacercariae each, and the average recovery rate was 43.0%. The body size and inner organs of S. falcatus quickly increased in the experimental chicks over days 1-2 post-infection (PI). In addition, ITS2 sequence data of this parasite were analyzed to examine the phylogenetic relationships with other trematodes using the UPGMA method. The results indicated that the ITS2 sequence data recorded from trematodes in the family Heterophyidae appeared to be monophyletic. This study concluded that D. pusillus serves as a compatible second intermediate host of S. falcatus in Thailand and that S. falcatus can develop rapidly in the experimental chicks. Data collected from this study can help to close the gap in knowledge regarding the epidemiology, biology, and phylogenetic characteristics of S. falcatus in Thailand.

Prevalence of GII.4 Sydney 2012 and Recombinant GII.3P[12] Noroviruses Associated with Acute Gastroenteritis in Hospitalized Children in Thailand, 2015-2017

  • Manowong, Areerat;Chanta, Chulapong;Chan-it, Wisoot
    • 한국미생물·생명공학회지
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    • 제50권1호
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    • pp.126-134
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    • 2022
  • Norovirus (NoV) is an important pathogen causing acute gastroenteritis worldwide. The purpose of the present study was the molecular characterization of NoV. A total of 408 stool specimens collected from hospitalized children associated with acute gastroenteritis in Chiang Rai, Thailand, 2015-2017 were investigated for the presence of NoVs by RT-PCR. NoV GII was detected in 32 samples (7.8%). Five distinct genotypes were identified, including GII.4 (13/32, 40.6%), GII.3 (11/32, 34.3%), GII.17 (4/32, 12.5%), GII.2 (2/32, 6.3%), and GII.14 (2/32, 6.3%). NoV infection occurred mostly in young children under 3 years of age (31/32, 96.9%) and showed the main peak in summer months from March to April (18/32, 56.3%). Phylogenetic analysis revealed that all 13 GII.4 strains clustered with GII.4 Sydney 2012 variant. Representative GII.3 strains were analyzed as a recombinant GII.3P[12] strain. Several amino acid differences were found in the antigenic epitopes and antibody binding sites of the VP1 capsid of the GII.3P[12]. Homology modeling of the P domain of the GII.3P[12] strain demonstrated that 10/13 amino acid differences were predicted to be located on the surface-exposed area of the capsid structure. These amino acid changes might affect the infectivity and the antigenicity of the recombinant GII.3P[12]. The prevalence of GII.4 Sydney 2012 and recombinant GII.3P[12] strains indicates the genetic diversity of circulating NoVs in Thailand, emphazing the importance of continuous surveillance to mornitor newly emerging NoV strains in the future.

Photometric observations of the Baptistina asteroid family

  • Kim, Myung-Jin;Choi, Young-Jun;Moon, Hong-Kyu;Erece, Orhan;Ries, Judit Gyorgyey;Kaynar, Suleyman;Kaplan, Murat;Eker, Zeki
    • 천문학회보
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    • 제40권1호
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    • pp.84.1-84.1
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    • 2015
  • The Baptistina family is one of the typical young asteroid families with an age estimated to be about 140-320 Myrs old (Masiero et al. 2012); considered to have not enough time to experience a significant collisional and dynamical evolution since it was formed. Therefore, it may offer a unique insight into spin rate distribution of relatively fresh fragments and physical mechanism of a family break-up event. Observations of the Baptistina family asteroids were conducted during 111 nights from 2013 Oct. to 2015 Feb., using 0.5 m- to 2 m- class telescopes at 6 observatories in the northern hemisphere. We used CCD cameras on the Sobaeksan Optical Astronomy Observatory (SOAO) 0.6 m telescope on Mt. Sobaek, Korea, the Lemmonsan Optical Astronomy Observatory (LOAO) 1.0 m telescope on Mt. Lemmon, USA, the Tubitak Ulusal Gozlemevi (TUG) 1.0 m telescope in Bakirlitepe, Turkey, the Bohyunsan Optical Astronomy Observatory (BOAO) 1.8 m telescope on Mt. Bohyun, Korea, the McDonald Observatory 2.1 m Otto Struve Telescope on Mt. Locke, USA, and the National Astronomical Research Institute of Thailand (NARIT) Observatory 2.4 m telescope on Mt. Doi Inthanon, Thailand. Here, we will present our preliminary results for lightcurve analyses of Baptistina family members.

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Biological Control of Phytophthora palmivora Causing Root Rot of Pomelo Using Chaetomium spp.

  • Hung, Phung Manh;Wattanachai, Pongnak;Kasem, Soytong;Poaim, Supatta
    • Mycobiology
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    • 제43권1호
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    • pp.63-70
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    • 2015
  • Phytophthora diseases have become a major impediment in the citrus production in Thailand. In this study, an isolate of Phytophthora denominated as PHY02 was proven to be causal pathogen of root rot of Pomelo (Citrus maxima) in Thailand. The isolate PHY02 was morphologically characterized and identified as Phytophthora palmivora based on molecular analysis of an internal transcribed spacer rDNA sequence. This work also presents in vitro evaluations of the capacities of Chaetomium spp. to control the P. palmivora PHY02. As antagonists, Chaetomium globosum CG05, Chaetomium cupreum CC3003, Chaetomium lucknowense CL01 inhibited 50~61% mycelial growth, degraded mycelia and reduced 92~99% sporangial production of P. palmivora PHY02 in bi-culture test after 30 days. Fungal metabolites from Chaetomium spp. were tested against PHY02. Results showed that, methanol extract of C. globosum CG05 expressed strongest inhibitory effects on mycelial growth and sporangium formation of P. palmivora PHY02 with effective dose ED50 values of $26.5{\mu}g/mL$ and $2.3{\mu}g/mL$, respectively. It is interesting that C. lucknowense is reported for the first time as an effective antagonist against a species of Phytophthora.