ABSTRACT
Articles published by faculty staffs during 1992-1995 in various journals were collected and analysed. Total number of the articles published during the 4-year period was 1,387 articles. Four hundred and twenty-five, 446, 295, and 221 articles were published in 1992, 1993, 1994 and 1995 respectively or 0.66, 0.69, 0.46 and 0.34 article per person per year. On average, clinical departments published more articles than preclinical departments. Her Majesty’s Cardiac Centre, Department of Pediatrics, Department of Medicine, Department of Dermatology, department of Blood Transfusion and Medicine and Department of Microbiology published more than one article per person per year. The most common journal that published articles of the faculty staffs was Siriraj Hospital Gazette. The top three peer-reviewed journals that published articles from the faculty staff, were Journal of the Medical Association of Thailand, Southeast Asian Journal of Tropical Medicine and Public Health and Asian Pacific Journal of Allergy and Immunology. Department of Medicine, Department of Pediatrics and Department of Orthopaedics and Rehabilitation contributed for 20.5, 10.6 and 9.1 percents of the publications in these journals respectively.
ABSTRACT
Seventy two patients with different stages of cervical cancer have attended the Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, for radiation therapy. Before treatment, 38.9 percent of these patients had serum carcinoembryonic antigen (CEA) level above normal range (normal=0-3.38 ng/ml). Among these patients, 48 cases had serial serum CEA determinations through 11-36 months after prognosis within 1 year after treatment. The patients who had pretreatment CEA levels between 3.38-10 ng/ml had better prognosis if CEA declined to normal level within 1-2 months after treatment, since only 15.4 percent had recurrence within 3 years. The patients who had decreasing CEA levels after treatment but increased upon follow up always had distance metastasis. The patients who had adenocarcinoma had slightly higher levels of CEA than those with squamous cell carcinoma. The CEA levels did not correlate with staging of the disease, but rather depend on the natural properties of individual’s cancer cells. The usefulness of serial CEA determinations was found only in the patients who had increased CEA before treatment. We suggest that the serum CEA determination should be performed in every patient with carcinoma of cervix and serially thereafter in those who have pretherapy increment, i.e. immediately or 1-2 months after radiation therapy and later every 3-6 months.