https://www.thaidj.org/index.php/CHJ <p><strong>Chonburi Hospital Journal is an academic journal of Chonburi Hospital. Published in 1975.</strong></p> <p><strong>Purpose of the Journal</strong></p> <p>To disseminate the knowledge gained from research or various innovations and movements in Medicine, Dentist, Pharmacy, Nursing, Medical Sciences and Public Health for enhancing knowledge and academic progression</p> <p><strong>Free access online</strong>: Every 4 months or 3 volumes per year</p> <p> No.1 January-April</p> <p> No.2 May-August</p> <p> No.3 September-December </p> <p><strong>Language</strong> : Thai/English, Abstract in English</p> <p><strong>Chonburi Hospital Journal does not charge a publication fee.</strong></p> Ministry of Health en-US Chonburi Hospital Journal-วารสารโรงพยาบาลชลบุรี 0125-6882 <strong>บทความที่ได้รับการตีพิมพิ์เป็นลิขสิทธิ์ของวารสารโรงพยาบาลชลบุรี</strong> https://www.thaidj.org/index.php/CHJ/article/view/17694 <p><strong>Dear Reader</strong></p> <p>Chonburi Hospital Journal Vol.51 No. 1 (2026) has been released. This edition contains many interesting original paper including: oral health litracy and factors associated with oral healthcare behaviors of village volunteers in region 6 health provider, a retrospective study of the PRK implant system: clinical and radiographic outcomes after three years of functional loading, the role of interventional radiology nurses in manageing severe epitaxis undergoing endovascular treatment, the study comparison the outcomes of mandibular condyle fracture treatment between close reduction and open reduction with internal fixation. The case report article is subcutaneous panniculitis-like T-cell lymphoma complicated by autoimmune hemolytic anemia: a case report. The review article is fibrinolytic agent for patient with acute coronary syndrome. The special article is How to survive in war disaster. Finally, the Interesting Thai traditional Medicine about Cissus quadrangularis: a natural alternative for effective hemorrhoid relief.</p> <p>Lastly, the editorial staff would like to thank everyone who play attention, support and submit an article for publication. This has made Chonburi Hospital journal successful in the eyes of readers.</p> <p>&nbsp;</p> <p><strong>Sittichai Tantipasawasin&nbsp;</strong></p> <p><strong>Editor of Chonburi Hospital Journal</strong></p> Sittichai Tantipasawasin Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 5 5 https://www.thaidj.org/index.php/CHJ/article/view/17558 <p>A 36-year-old Thai female presented with generalized painful purplish skin nodules, fever, and other associated systemic symptoms for eight months. This report describes the clinical features, comprehensive laboratory findings, and the diagnosis of Subcutaneous Panniculitis-like T-cell Lymphoma (SPTCL), a rare type of T-cell lymphoma.</p> <p>The diagnosis was confirmed by skin biopsy with immunohistochemical staining, showing a T-cell phenotype. Critically, the patient's laboratory profile revealed signs of severe complications: Autoimmune Hemolytic Anemia (AIHA) (confirmed by DAT Positive 3+).</p> <p><strong>Conclusion</strong>: The patient was subsequently treated with immunosuppressive therapy tailored to address the underlying lymphoma and AIHA, showing clinical improvement. This report highlights the importance of considering SPTCL in patients presenting with chronic panniculitis and systemic manifestations, and emphasizes the necessity of promptly recognizing life-threatening complications like autoimmune hemolytic anemia.</p> Jiranuch Thammakumpee Apichaya Ratanasook Somchai Yongsiri Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 77 77 https://www.thaidj.org/index.php/CHJ/article/view/17513 <p>Acute coronary syndrome (ACS) cause by plaque rupture or plaque erosion in the coronary arteries. This stimulates the formation of blood clots in the area of rupture or tearing.causing a blockage of the coronary arteries. This can eventually lead to myocardial ischemia and myocardial infarction. Currently, coronary artery opening is performed by using a primary percutaneous coronary intervention (PCI) to dilate the blood vessel with a balloon and inserting a stent immediately to open the way for blood to flow as quickly as possible. It is classified as an effective treatment and should be the first line of treatment in patients with acute coronary artery disease ST-segment elevation myocardial infarction (STEMI) within 2 hours. The use of fibrinolytic agents to dissolve blood clots in the area of the blockage is considered an important therapeutic breakthrough, especially true in medical facilities where it is not possible to refer patients for cardiac catheterization within 2 hours. to reduce the risk of death. However, due to the fibrinolytic agents may cause serious side effects such as bleeding.hypotension and allergic response, the contraindications and precautions should be evaluated before each use of the drug. After receiving thrombolytic drugs, the patient should be referred for cardiac catheterization and definited treatment.</p> Watcharapong Pricsi Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 85 85 https://www.thaidj.org/index.php/CHJ/article/view/16065 <p>Oral health literacy is related to oral health care behaviors. The objective was to study oral health literacy and factors related to oral healthcare behavior. This study is a cross-sectional survey research of 410 village health volunteers in Region 6 health providers the research uses multi-stage cluster sampling. Data were collected from a self-administered questionnaire and oral status survey. Data were analyzed using descriptive statistics and chi-square and Spearman Rank tests.</p> <p>The research results found that the sample group had Oral health literacy at a moderate level (47.1%), Oral healthcare behavior was sufficient (28.4%), and good Oral status was 59.0%. Factors significantly associated with oral healthcare behavior include education level, Predisposing, Enabling, Reinforcing factors, and Oral health literacy (p&lt;0.001). Factors significantly associated with Oral status include age, education level, and the duration of work as a village health volunteer.</p> <p>The research results suggest that Government and dental public health agencies’ Policies should be added and the environment provided. A system that facilitates access to information sources and oral healthcare services for the public and village health volunteers should provide training to enhance awareness of oral health problems and recognize the benefits of oral healthcare. Oral health literacy in village health volunteers continuously.</p> Parichart Yamsri Supa Pengpid Isareethika Jayasvasti Chantarasongsuk Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 7 7 https://www.thaidj.org/index.php/CHJ/article/view/17509 <p><strong>Objective:</strong> To evaluate clinical and radiographic outcomes of the PRK implant system, a newly developed Thai-made dental implant, after three years of functional loading.</p> <p><strong>Materials and Methods:</strong> A retrospective study was conducted in 10 patients (2 males, 8 females) receiving 10 PRK implants at Trang Hospital, Thailand. Clinical parameters including probing depth and bleeding on probing were recorded. Marginal bone loss was assessed using standardized periapical radiographs.</p> <p><strong>Results:</strong> Implant survival rate was 100%. Mean marginal bone loss after three years was 0.7±0.1 mm. No peri-implantitis was observed.</p> <p><strong>Conclusion:</strong> The PRK implant system demonstrated favorable clinical and radiographic outcomes after three years of functional loading. Further long-term studies with larger samples are recommended.</p> Chailerk Juthakitti Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 19 19 https://www.thaidj.org/index.php/CHJ/article/view/17516 <p>Epistaxis<span style="text-decoration: line-through;">,</span> defined as abnormal bleeding from the nasal cavity that could represent a significant emergency due to the risk of life-threatening massive blood loss and potential airway obstruction. This condition arises from various causes. Most frequently associated to trauma at the mid-facial region. Accurate assessment and rapid recognition of the cause are crucial for starting the right treatment. Emergency management focuses on early nursing and medical interventions such as keeping the airway open, giving fluids, monitoring vital signs<span style="text-decoration: line-through;">,</span> and using special devices to stop the bleeding, included endovascular treatment which can help resolved this condition. Understanding the main treatment options and working together as a healthcare team helps nurses provide more effective care. This approach supports faster control of bleeding and improves the patient’s chance of recovery.</p> saowanee Homsud Suchada Kongson Ploybalkis Yunuswangsa Chintana Witchayasaeranee Sarun Jotikasthira Ittichai Sukaruncha Anchalee Churojana Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 32 32 https://www.thaidj.org/index.php/CHJ/article/view/17686 <p>Chonburi Hospital Journal</p> Sittichai Tantipasawasin Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 https://www.thaidj.org/index.php/CHJ/article/view/17614 <p>A war disaster is a situation caused by a military operation between states or armed groups. It is classified as a disaster caused by human actions. It will not only cause damage to people's lives and property. It also affects the country's economic, social and security systems. Therefore, dealing with war disasters must take into account both physical safety and domestic security, as well as the management of information to avoid panic and other security problems that may follow.</p> <p>War disaster preparedness is to plan ahead to deal with high-risk situations. Good preparation will not only help prevent damage to property. It can also increase the chances of survival as well as reduce physical and psychological damage. Initially, we can prepare for war disasters and other disasters as follows:</p> <ol> <li>Participate in and practice disaster evacuation</li> <li>Ensuring safety in a state of war</li> <li>Prepare a Survival Bag</li> <li>Follow official news</li> <li>Monitor physical and mental health</li> </ol> <p><strong>Conclusion</strong>, war is something that creates great tension and danger. But we can cope with the situation if you stay mindful and follow the right steps. Collect and maintain as many supplies as you can. Find a reliable source of food and water during food shortages. Avoid confrontations as much as possible, move to a safe area when necessary, and finally, learn basic first aid skills to treat any injuries or illnesses you may be facing. These skills will help you and your loved ones stay safe in survival situations.</p> Pattira Tantipasawasin Sittichai Tantipasawasin Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 99 99 https://www.thaidj.org/index.php/CHJ/article/view/17593 <p>-</p> Sittichai Tantipasawasin Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 https://www.thaidj.org/index.php/CHJ/article/view/17581 <p><strong>Hemorrhoids </strong>is the condition in which the veins in the anus or the tip of the rectum become swollen and turning into polyps. It is caused by the consumption habit of a “Fast life”, fast food that lacks fiber and drinks too little water, which leads to chronic constipation problems. When it comes to intense exertion, the fragile blood vessels are rupture, the bleeding is followed leading to severe pain, torment, and discomfort in daily life</p> <p>In Thai Traditional Medicine, Hemorrhoids are caused by daily behavior and lifestyle that eats a diet deficient in fiber and work in the sitting position for a long time. Pressure from the weight of the body additional to the abdomen pressure that accumulates over time which is the key.</p> <p>Thai Traditional Medical Treatment in the Narai Textbook and the Royal Medical Textbook has identified the properties of <em>Cissus quadrangularis</em> L stimulates the veins to increase tension. (Venotonic) cause reduce inflammation, swelling and pain. This brings the hemorrhoids to collapse.</p> Natrada Burusliam Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 109 109 https://www.thaidj.org/index.php/CHJ/article/view/17692 Sittichai Tantipasawasin Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 https://www.thaidj.org/index.php/CHJ/article/view/17684 <p>A 61-year-old Thai male patient in Chonburi province came with confusion 2 days before coming to the hospital.</p> <p>4 days ago, relatives gave a history of weakness on the left side after waking up, lifting a spoon of rice and falling. There is no crooked mouth, still talking about things.</p> <p>2 days ago, the patient present confused and fever.</p> <p><strong>V/S</strong> BT 38.6 C, spo2 93-94%, BP 152/88 mmHg, PR 96/min</p> <p>Oriented to time place and person</p> <p>E4M6V5, pupil 3 mm, RTLBE, no facial palsy, decreased pinprick sensation, right side of the face, tongue deviation to the right, motor power grade V/V all except the right leg IV/III, decrease in pinprick sensation in the right thigh and leg</p> <p><strong>CT brain</strong>: 2.4 x 3.0 x3.1 well-defined heterogeneous extra-axial mass with extensive surrounding vasogenic edema involving left frontal and parietal lobes, corpus callosum, left internal capsule, and external capsule, causing mass effect, rightward midline shift</p> <p><strong>MRI brain</strong> as shown</p> <p><strong>The Histological section</strong> as picture below</p> <p><strong>Question 1</strong>: Give a diagnosis</p> <p><strong>Question 2</strong>: Tell me about course of the disease</p> <p><strong>Question 3</strong>: Describe the syndromes you may experience</p> Itsara Benjamin Woranart Ratanakorn Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 113 113 https://www.thaidj.org/index.php/CHJ/article/view/17603 <p>COVID-19 Cicada (SAR CoV-2, BA.3.2). This is a sub-strain of COVID that branched out from Omicron (BA.3). It was first detected in South Africa at the end of 2024. The proportion of global cases is low, only 1-2%. After 2 years of latent, mutated into BA.3.2 that spreads easier. Currently, COVID Cicada has been found in at least 23 countries around the world.. It accounts for up to 30 percent of all COVID cases. The World Health Organization has classified the virus as Variant Under Monitoring: VUM since last February.</p> <p>The COVID Cicada is no evidence of increase severity. The symptoms of the Cicada strain of COVID as a whole are still similar to other strains, such as runny nose, nasal congestion, Headache, very exhausted, Sneezing, Sore throat, coughing, Changes in smell or taste. However, the most common symptoms of lately are: Patients may experience severe sore throat, night sweats, and some have skin rashes.</p> <p>Current generation vaccines may be less effective in preventing infection due to their high mutations, However, the original vaccine still provides good protection against severe symptoms and hospitalization. The risk group is still the elderly and people with underlying diseases, for example’ Diabetes, Heart disease, Lung diseases, Kidney disease, and people with low immunity.</p> <p>Prevention can be done with standard hygiene, for example, social distancing 1-2 meters, wearing masks in crowded places and frequent hand washing. Booster shots can still be useful in reducing the severity of the disease.</p> Sittichai Tantipasawasin Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1 1 1 https://www.thaidj.org/index.php/CHJ/article/view/17592 <div id="Editors"> <h3><strong><span style="vertical-align: inherit;">Editor</span></strong></h3> <p><span style="vertical-align: inherit;">Sittichai Tantipasawasin, D.D.S. Chonburi Hospital, Thailand</span></p> </div> <div id="Section Editors"> <h3><strong><span style="vertical-align: inherit;">Segmental Editor</span></strong></h3> <p><span style="vertical-align: inherit;">Sittichai Tantipasawasin, D.D.S. Chonburi Hospital, Thailand</span></p> <p><span style="vertical-align: inherit;">Woranart Ratanakorn, MD. Chonburi Hospital, Thailand</span></p> <p> </p> <p><strong><span style="vertical-align: inherit;">Advisory</span></strong></p> <p><span style="vertical-align: inherit;">Numphol Danpipat, MD. Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Assistant Professor Paisan Kangvonkit, D.D.S. Mae Fah Luang University</span></p> <p><span style="vertical-align: inherit;">Jirasak Kanchanapongkul, MD. Private Hospital</span></p> <p><span style="vertical-align: inherit;">Somprasong Tongmesee, MD. Chonburi Hospital </span></p> <p> </p> <p><strong><span style="vertical-align: inherit;">Editor Board</span></strong></p> <p><span style="vertical-align: inherit;">Emeritus Professor Pirom Kamolratanakul Chulalongkorn University</span></p> <p><span style="vertical-align: inherit;">Professor Aurasa Waikakul Mahidol University</span></p> <p><span style="vertical-align: inherit;">Associated Professor Somchai Satesirisombat Chulalongkorn University</span></p> <p><span style="vertical-align: inherit;">Associated Professor Kampanart Huanbutta Eastern Asia University</span></p> <p><span style="vertical-align: inherit;">Associated Professor Wichit Tharanon Thailand Center of Excellence for Life Sciences</span></p> <p><span style="vertical-align: inherit;">Associated Professor Saowanee Thongnopakun Burapha University</span></p> <p><span style="vertical-align: inherit;">Associated Professor Tanakan Sangnim Burapha University</span></p> <p><span style="vertical-align: inherit;">Associated Professor Kitti Krungkraipetch Burapha University</span></p> <p><span style="vertical-align: inherit;">Sawitree Visanuyothin Maharat Nakhon Ratchasima Hospital</span></p> <p><span style="vertical-align: inherit;">Suchada Anotayanon Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Tusanee Choumthong Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Porntipa Suparasri Ratchapat University, Chonburi</span></p> <p><span style="vertical-align: inherit;">Chuenrutai Yeekian Queen Savang Vadhana Memorial Hospital</span></p> <p><span style="vertical-align: inherit;">Dechwit Worasayan Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Pornpoj Sriuthaisiriwong Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Pinit Noorit Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Sarawut Thamthanawit Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Sombat Apithamsunthorn Aikchol Hospital</span></p> <p><span style="vertical-align: inherit;">Komwuth Konchalard Queen Savang Vadhana Memorial Hospital</span></p> <p><span style="vertical-align: inherit;">Prapap Yuthavisuthi Phrapokklao Chanthaburi Hospital</span></p> <p><span style="vertical-align: inherit;">Kritawit Kritayamaneerat Phrapokklao Chanthaburi Hospital</span></p> <p><span style="vertical-align: inherit;">Pakdee Sannikorn Rajavithi Hospital</span></p> <p><span style="vertical-align: inherit;">Katesiree Kornsithikul Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Wasana Hongkan Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Sawarat Chaijindaratana Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Hatsaya Tantipong Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Katkanit Thammakumpee Burapha University</span></p> <p><span style="vertical-align: inherit;">Jindarat Laohathaimongkol Queen Savang Vadhana Memorial Hospital</span></p> <p><span style="vertical-align: inherit;">Jidapa Phuwakonkunlawut Ederly Health Care Center, Thai Red Cross Society</span></p> <p><span style="vertical-align: inherit;">Pattira Tantipasawasin Burapha University</span></p> <p><span style="vertical-align: inherit;">Napaporn Chalermpornpong Phrapokklao Chanthaburi Hospital</span></p> <p><span style="vertical-align: inherit;"><span style="font-weight: bolder;">Manager</span></span></p> <p><span style="vertical-align: inherit;">Nichapat Tanmee Chonburi Hospital</span></p> <p><span style="vertical-align: inherit;">Thanagridta Ruangtongma Chonburi Hospital</span></p> </div> Sittichai Tantipasawasin Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-nd/4.0 2026-05-01 2026-05-01 51 1