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Biomedical subjects

W Varavithya

Publications and source records attributed to W Varavithya.

At least 37 records · Page 2Linked to original sources
PubMed1989

HBsAg carrier rate among institutionalised children from Phyathai Institute.

To identify the evidence supporting the horizontal transmission of hepatitis B virus, HBsAg carrier rate among institutionalised children is determined and compared to children of the same age-group from the well baby clinic, Ramathibodi hospital. The results of this study show that HBsAg is detected four times more frequently in institutionalised children than in children from a well baby clinic. The chance of becoming an HBsAg carrier increases with age and duration of stay in the institution. Repeated study one year later shows that the HBsAg carrier rate among the same group of institutionalised children had increased by 35 per cent. The evidence supports the hypothesis that hepatitis B virus can be transmitted nonparenterally. To prevent this mode of transmission in both institutions and the community, hepatitis B vaccine should be given to these children.

Carrier State↗
PubMed1989

Oral rehydration therapy in a rural area, northern Thailand.

A cross-sectional sampling survey of mothers' practice of ORT in Amphoe Bunpotphesai in the northern part of Thailand included 1,619 children under five. Two hundred and six children were reported to have 223 diarrheal episodes. The incidence of diarrhea in children under five was 3.4 episodes per child per year. When children had diarrhea 65.5 per cent of mothers sought help from health providers, 25.2 per cent treated their children with drugs bought from stores, 2.3 per cent used herbal medicine and 6.1 per cent did not treat their children. 50.7 per cent of diarrheal episodes mother gave ORT, using ORS 19.7, commercial electrolytes mixture 16.6 and home available fluid 14.4 per cent. The accuracy of dilution of electrolytes powder from the packets was checked in 80 incidences. 31.8 and 27.8 per cent of mothers made correct dilution of ORS and commercial electrolytes products respectively. Health providers carried both ORS and commercial electrolytes packets. ORS added to a glass of water was found in 13.6 per cent which was 3 times concentrated. Commercial electrolytes products were too dilute in 72.2 per cent. 17.5 per cent of mothers divided electrolytes powder to add in one spoon of water to treat their children as one drug dose. Data showed that the ORT use rate was 50.7 per cent. Home available fluid was used by 14.4 per cent. ORT should be further promoted to control diarrheal diseases and health providers should give instructions to every mother or child minder on how to dispense ORS or electrolytes packets for appropriate dilution and use.

Bicarbonates↗
PubMed1986

Hepatic rickets.

Explore the source record for details and available documents.

Hepatomegaly↗
PubMed1986

Vitamin A status of Thai children with measles.

The acute impacts of measles on vitamin A status of children were assessed. Children with measles had significantly lower serum vitamin A, retinol-binding protein (RBP), and carotene concentrations than did controls. Thirty-two percent of the measles patients had serum vitamin A concentrations less than 10 micrograms/dl. Since measles and xerophthalmia have frequently been associated, vitamin A supplementation for measles patients is recommended particularly for malnourished children.

Carotenoids↗
PubMed1985

Opisthorchis viverrini infection and cholangiocarcinoma. A prospective, case-controlled study.

During a prospective, 24-mo case-controlled study, 551 patients from northeastern Thailand were independently evaluated for Opisthorchis viverrini infection, hepatobiliary tract disease, and hepatic carcinoma to determine whether there was any association between hepatic carcinoma and O. viverrini infection. Stool examination by the formalin-ether concentration method revealed O. viverrini ova in 389 (70.6%) patients. Of the 551 patients, 72 (13.1%) had both clinical and laboratory evidence of hepatobiliary tract disease, chronic liver disease, or hepatic carcinoma, alone or in combination. Of these 72 patients, 28 (38.9%) had a liver biopsy that revealed cholangiocarcinoma in 7 patients with O. viverrini ova in their stools, and in 4 patients without. In another patient with ova in the stool combined hepatocellular carcinoma and cholangiocarcinoma was found. In the 4 patients with cholangiocarcinoma who had no O. viverrini ova in their stools, ova were detected in the bile fluid aspirated from the intrahepatic biliary tree during exploratory laparotomy. An additional patient with clinically suspected cholangiocarcinoma and O. viverrini ova in stool had a left supraclavicular lymph node biopsy specimen taken that revealed metastatic adenocarcinoma; this adenocarcinoma was interpreted as compatible with cholangiocarcinoma. Cholangiocarcinoma, therefore, was found only in patients with O. viverrini ova in stool or in the intrahepatic biliary tree. Statistical analysis revealed that patients with known O. viverrini infection had a higher incidence of cholangiocarcinoma than did patients without such infection (X2 test, p less than 0.05).

Adenoma, Bile Duct↗
PubMed1984

Consistency of fecal egg output in patients with Opisthochiasis viverrini.

Counts of Opisthorchis eggs in two samples of feces arbitrarily taken 0-21 days apart from each of 209 patients from northeastern Thailand were carried out by Stoll's dilution technique. Based on the number of eggs/mg feces, each patient was classified as uninfected, lightly infected (less than 1 egg/mg), moderately infected (1-10/mg), heavily infected (greater than 10-50/mg), or very heavily infected (greater than 50/mg). The intensity of infection for each of the 209 individuals as shown by first and second counts was compared. Of the 209 individuals, 150 (71.8%) remained within the same egg excretion category, with all but five (2.4%) of the remainder being in an adjacent category. Statistical analysis showed no effect of variation in interval between stool counts on the accuracy or consistency of replicate counts.

Feces↗