Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the use of alternative and complementary therapies for pain management in labour. To examine the effectiveness of complementary and alternative therapies for pain management in labour on maternal and perinatal morbidity. ⋯ No differences were seen for women recieving, music or audio analgesia. Hypnosis may be beneficial for the management of pain during labour. However, few complementary therapies have been subjected to proper scientific study.
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On March 11, 2003, a World Health Organization (WHO) physician was admitted to Bamrasnaradura Institute, after alerting the world to the dangers of severe acute respiratory syndrome (SARS) in Vietnam and developing a fever himself. Specimens from the first day of his admission were among the first to demonstrate the novel coronavirus, by culture, reverse transcription-polymerase chain reaction (RT-PCR), and rising of specific antibody, but proper protective measures remained unknown. The authors instituted airborne, droplet and contact precautions from the time of admission, and reviewed the efficacy of these measures. ⋯ Hospitalization of one of the earliest SARS patients with documented coronavirus shedding provided multiple opportunities for spread to the hospital staff, but strict enforcement of conservative infection control recommendations throughout the hospitalization was associated with no transmission.
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The Royal Thai College of Obstetricians and Gynaecologists has proposed 4 components of collaboration with the RANZCOG as follow: 1. Continuing education of the members of the two parties; 2. Regular scientific meeting held between the two parties; 3. ⋯ For the RTCOG, it is expected that the collaboration will provide the Thai member with more opportunity for training in either Australia or New Zealand. We may have research initiative either by the RANZCOG or the RTCOG. More scientific papers from the Thai college may be more acceptable for publication in the journal of the RANZCOG and that more meetings will be organized by our two colleges.
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A paper on "Violence against Women Migrant Workers in Thailand" will show the situation of women migrant workers in Thailand, why they have to come to Thailand, what kind of job they do, how they are abused and exploited by employer in many types of violence and how the Thai government manages to solve the problems and assist them. The term or definition of "violence against women-VAW" and "discrimination against women" is provided and based on the definition stated in the Declaration on the Elimination of Violence Against Women and the Convention on the Elimination of All Forms of Discrimination Against Women (CEDAW). Readers will see that violence against women is a form of discrimination committed on a basis of sex. ⋯ Poverty, demand and supply sides of labor, level of education, no knowledge of their own rights, impact of capitalism and gender issues, are mentioned as original factors of migration and VAW. The Thai government has national policy, plan, instrument and measures to cope with in- migration of illegal workers. Not only government agencies are active to solve the problems and assist the women migrant workers, but also non-government and international organizations as well as the UN agencies are working seriously to assist them and protect their rights.
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Pain in labor, like the other kind of pain, start at transduction, transmission and modulation. The original gate-control theory, the gate-control theory Mark II and the neuromatrix theory of pain are proposed to explain the complexity of pain perception and pain relief methods such as internal and external factors. Labor pain is originated from the uterine contraction and cervical dilatation and stretching of the neighbor-pelvic organs during the mechanism of labor. The pain is referred to the dermatomes supplied by the same spinal cord segments which receive input from the uterus, cervix and the neighbor-pelvic organs.