ABSTRACT
Objective : To study the usage of transrectal ultrasonographyDesign: Prospective, descriptive studySetting : Ultrasonography room and Surgical OPD, Srinagarind hosptial, of Medicine, Khon Kaen UniversitySubjects : Patients who had problem of prostate gland between November 1997 and September 1998Data collection : Protocol Measurement : Descriptive statistics, including number, means, and percentagesResults : There were 34 patients. Their age ranged from 29 to 85 years (means 59.48 years). Ultrasonography Diagnoses were the same as the clinical diagnoses in every case. Most ultrasonography diagnoses were similar to final diagnoses, except 4 cases. Instead of BPH, one case was prostatic abscess, two cases were prostatitis, and the last was prostatic cancer.Conclusions: Transrectal ultrasonography had high efficiency to examine the pelvic organs, esp. prostate gland. Instead of blind biopsy, trransrectal ultrasonography provided visual biopsy of prostate gland.Keywords: (1) Transrectal (2) Ultrasonography
ABSTRACT
Objective: To study the rate of appointment postponing in Department of Surgery.Design : Retrospective, descriptive study.Setting : Surgical OPD, Srinagarind hospital, Faculty of Medicine, Khon Kaen University.Subjects : All patients who have appointment with Department of Surgery during January 1, 1996 and December 31, 1996.Data collection: Review from the appointment book, database of Srinagarind hospital, and cards of medical record.Measurement: Descriptive statistics, including number, percentages, and means.Results: The appointment postponing occurred in 1,295 cases out of 2,402 patients (53.91%). These were divied in to 5 groups according to numbers of postponing: one time 1,064 cases (44.30%) , two times 175 cases (7.29%), three time 47 cases (1.96%), four time 6 cases (0.25%), and five times 3 cases (0.12%). The highest incidence of posponing occurred in the 3rd trimester (28.03%), while the lowest incidence occurred in the 1st trimester (22.24%). Postponin incidence mostly occurred in cardiovascular \& thoracic surgery 62.07% (288/464), while the postpoing incidence was lowest in pediatric surgery 32.58% (130/399). The causes of appointment postponing were 1) surgeons only 613 cases (47.34%), 2) patients only 563 cases (43.47%), and 3) both surgeons and patients 119 cases (9.19%). The division of which the surgeon was the major cause of postponing was neuro surgery (81.82%), in contrast with general surgery 2 (34.21%).Conclusions: The incidence of appointment postponig in Department of Surgery is 53.91% in 1996. Causes of postponment is similar from surgeon and patients. Neurosurgery has the highest incidence of postpoing from surgeon, while general surgery 2 has the lowest incidence. The highest incidence of postponing is in the 3rd trimester.Keywords : (1) Appointment postponing (2) Outpatient (3) Surgery