Maharat Nakhon Ratchasima Hospital Journal

Diagnostic accuracy test of Ishii score chart screening tool for sarcopenia.

2025-04-08T15:24:49+07:00

Background: The accessibility of elderly populations for sarcopenia screening is limited due to the complexity and expensive screening equipment and processes. An effective screening tool is important in uncovering sarcopenia and related factors for the elderly population in primary care settings. According to the literature, the Ishii score chart is the most accurate and simple sarcopenia screening tool. However, the accuracy of this screening tool has not been evaluated in Thai elders. Objective: To evaluate the diagnostic accuracy of the Ishii score chart screening tool in the Thai community-dwelling elder. Design: Diagnostic study. Method: In this prospective study, a consecutive series of elderly people were recruited from the Mueang-Ya 4 Hua Thale primary care units, Mueang district, Nakhon Ratchasima. Eligible for inclusion were Thai adults aged 60 years or older. All consenting participants underwent Ishii score chart screening tools. All participants used AWGS diagnostic criteria for sarcopenia as the reference standard. The accuracy of Ishii score chart was measured using sensitivity, specificity, positive predictive value, and negative predictive value Result: Of 377 participants included in the analysis, the diagnosis of sarcopenia was confirmed in 9 participants. The sensitivity and specificity of Ishii’s score chart screening tools were 88.9% (95% CI 51.8% to 91.7%) and 70.7% (95% CI 65.7% to 75.3%). The positive predictive value and negative predictive value were 6.9% (95% CI 3.0% to 13.1%) and 99.6% (95% CI 97.9% to 100%), respectively. Conclusion: Ishii score chart screening tool has a good screening performance in the participants. However, the implication of this screening tool for the Thai population is still inconclusive due to low prevalence of sarcopenia in the study. Further research is needed to prove the performance of this screening tool.

Evaluating the Impact of COVID-19 on the Surgical Skills Development of Medical Students at Maharat Nakhon Ratchasima Hospital

2025-01-06T13:07:35+07:00

The COVID-19 pandemic significantly impacted medical education, particularly for students in surgical training. This study surveyed 20 medical students (70% female) from the 4^th to 6^th year who rotated through the Surgery department at Maharat Nakhon Ratchasima Hospital from January 1, 2020, to January 31, 2022. Findings revealed that while 80% held positive attitudes toward the surgical skills they acquired, only 50% practiced procedures, such as wound dressing and suturing, 1-3 times a week. Concerns regarding health risks associated with COVID-19 were prevalent, with 55% of students feeling their health was adversely affected by potential exposure. The decrease in patient volume during lockdowns further strained clinical educational opportunities. Despite these challenges, students demonstrated resilience and a commitment to learning, underscoring the need for enhanced support systems and innovative training methods to foster their surgical competencies in such unprecedented times.

การกลับมาของวารสารโรงพยาบาลมหาราชนครราชสีมา: ก้าวสู่ยุคดิจิทัลเพื่อการเผยแพร่ความรู้ทางการแพทย์

2025-01-13T14:29:16+07:00

Obesity hypoventilation syndrome (OHS) กลุ่มอาการอ้วนหายใจต่ำ

2025-03-05T14:32:53+07:00

สงกรานต์ (ไม่) ปลอดภัย: เมื่อการทำร้ายร่างกายถูกมองข้าม

2025-06-24T09:36:06+07:00