ABSTRACT
Teaching ethics to first year Medical Students on the topic of “How is the Seniority system important to doctors,” has the objectives of giving the students the ability to interact with doctors, teachers and fellow students politely. The teaching method includes introducing the importance of the seniority system by using slides, lectures about outstanding doctors, and giving examples of how to show respect. The total number of students is 98, 43 men and 55 women. However, only 89 students were involved in this study. Evaluation by questionnaire showed that1. Teaching methods. The majority of students (96.63 percent) understood and could practice what they learned by giving the explanation that the teaching methods were good ; the objectives were clearly presented; and there were demonstrations that made them understand. The students realized the importance of the seniority system, and agreed that they should put what they learncd into proctice. This is because it has personal benefits and make a good impression on those who contact the doctors. 2. Use of Knowledge in practice. One – hundred percent of the students said they would use the knowledge they gained from the course reasoning that it is good and it has many benefits. The seniority system is important for medical occupations, both for medical education and medical practice. It also helps preserve positive thing about the culture and causes good relationships with colleages. 3. Evaluation of use of Seniority System in practice and in ethical evaluation whether the students will qualify for graduaion. Most of the students (93.26 percent) say that there should be an evaluation of the students by using the seniority system as an indicator of an M.D. degree completion. This will make good doctors equipped with knowledge, and ethics to use in their service to the society.4. Comments and suggestions. The time given for this course was too short. The teacher should share his / her experience more. There shore should be more slides and teaching tools. The students should be able to participate more actively in a question / answer period and there should be explanations of not – so – common situations in order to avoid boredom. There should be more lecturers and the course should continue to be offered.
ABSTRACT
Comparative study of VCE and cervical scraping Pap smears of the uterine cervices was done in 470 OPD cases in Srinagarind Hospital from October 1987 to January 1990. The cervical scraping Pap smear had low sensitivity in detecting endocervical cells and atypical cells when compared with the VCE technique (34.7% and 23.3% respectively), but had high sensitivity in detecting dysplastic cells (72.7%). However, in the VCE slides the cervical scraping parts © were the most sensitive parts to detect dysplastic cells.
ABSTRACT
Recurrent patterns after radical hysterectomy and pelvic lymphadenectomy fo rcervical cancer stage I and II A were analysed. The data collected from 1976 upto June 30 , 1988 , with the total 218 cases operated. The incidence of recurrence in this series was 9.10% ., 8.40%for stage I B, 19.40% for stage II A and no patient with stage I A recurred. There were 45% with central pelvic recurrences, 15% with pelvic sidewall recurrences , 15% with intraabdominl recurrences and 25% with distant recurrences. The recurrent rate in squamous cell carcinoma was 9.09% and adenocarcinoma 16.13% Those who had positive lymph nodes recurred in 15.20% and those who had negative nodes recurred in 8.10 % The treatment after recurrence will be presented.
ABSTRACT
Background and Objectives: At present, elderly Thais rapidly grow both in number and longevity of life which effect Thai population structure, dependent ratio, and health services system. Mahasarakham province, no doubt has been confronted these problems. The Mahasarakham elderly studies review the relevance to understanding the elderly in Mahasarakham context including the exploration of research gaps and strategy in regards to health improving among the elderly. To review Mahasarakham elderly studies we divided into 6 parts; (1) general information, (2) elderly and their family, (3) the elderly potential, (4) quality of life, satisfaction and factors related, (5) the elderly happiness and (6) the elderly social welfare.Methods: Cross-sectional descriptive study by reviewing all of Mahasarakham elderly studies in 2007 in Faculty of Medicine, Mahasarakham University. Total studies were 6 parts which all of these are cross-sectional study. Results: Most of the elderly are female, widow, completed primary school, had low income since the childhood by government standard. Most of the elders perceived their health status as moderate level and more than half of the elders had chronic diseases. However, there were 70.9% of all elderly samples who were family leaders and their family role was moderate level. This study found the elderly were highly respected in cultural Thai level, especially in the areas of Thai culture, Thai and E-san tradition and handicrafts. This study also found the elderly perceived their quality of life and life satisfaction as in good level, factors related were community participation, family relationship, health status, self esteem. The same as happiness level, the elderly perceived happiness level as high level; factors related were self esteem, education level, community club member, community participation and number of family member. Besides, the elderly perceived their social welfare in part of government living allowance and health insurance as high as well. This study also found urban elderly perceived the social welfare level better than rural elderly. Most of the elderly needs social welfare in aspects of financial and health support.Conclusion: Even through more than half of Mahasarakham elderly have chronic diseases, this study found the elderly potentially perceived their quality of life, life satisfaction, and happiness as in high level and important factors related such as community participation were satisfactory. The elderly perceived well of social welfare in respects to government living allowance and health insurance. Improving the elderly health is needed to explore as well as educate the elderly in the area of social welfare especially among rural elderly.Keywords: Thai-elderly, quality of life