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Country: Thailand
City: Bangkok
IHTC:
Bangkok IHTC, Faculty of Medicine
Ramathibodi Hospital
Mahidol University
Rama VI Road
Bangkok, 10400
Thailand
Tel.: (662)
201 1749
Fax: (662)
201 1748
Email: rapis@mahidol.ac.th raajs@mahidol.ac.th
Website: http://www.ra.mahidol.ac.th
Director: Parttraporn Isarangkura, Ampaiwan Chuansumrit
Responsible for training: Parttraporn Isarangkura, Ampaiwan Chuansumrit
Fellowship logistics coordinator:
Year of IHTC designation: 1984
Areas of specialty: General hemophilia care; pediatrics; dental; orthopedic surgery; physiotherapy; laboratory diagnosis (not genetics); transfusion medicine; nursing; social work. Hemophilia care and modified technology for countries with limited resources.
DESCRIPTION OF TRAINING PROGRAM
Clinical activities: Bangkok IHTC is organized by two parties: the Faculty of Medicine Ramathibodi Hospital and the Society of Hematology of Thailand. The centre provides care for 250 patients with hemophilia and over 300 cases of hereditary and acquired bleeding disorders per year. Complicated cases of hemophilia will be admitted to the Clinical Research Ward, which conducts both clinical and research studies.
Other research activities include: molecular genetics in hemophilia, sex selection; laboratory and clinical trials of new blood products from the National Blood Centre, i.e., heat-treated freeze-dried cryo; locally prepared fibrin glue in different preparations for different surgical procedures, i.e., CVS, orthopedic surgical correction in hemophilia, dental repair in hemostatic disorders, etc.
Laboratory activities/research: Routine hemostatic tests include assay of clotting factors I to I, inhibitors to FVIII & I, vWF antigen, ristocetin cofactor, protein C and rotein S AT III, platelet aggregation. Manual techniques and automated instruments are used. The locally made reagent and normal pooled plasma are prepared for routine service at low cost. A molecular biology lab for carrier detection and prenatal diagnosis is part of the service. Locally prepared fibrin glue (low cost) is routinely used as local hemostasis and sealant for both hemostatic and nonhemostatic disorders.
Multidisciplinary activities/research: The IHTC is an interdepartmental organization with 10 departments participating in this program. Staff participating in this program include 4 pediatric hematologists, 2 adults hematologists, 1 blood transfusionist, 1 orthopedist, 2 physiatrists, 2 dentists, 2 nurse coordinators, 5 medical technologists, 1 obstetricia, 2 psychiatrists, 1 social worker. The Pediatric Hematology Unit has 4 physicians, 5 medical technologists, 1 nurse coordinator and a secretariat office.
Additional information: Our clinical and laboratory services are simple, basic, unsophisticated with low-cost set up which benefits trainees from developing countries with similar limited resources, similar patient problems and environment.
Transfusion Medicine: The training includes clinical and labroatry aspects of transfusion service at the hospital blood bank, Nathional Blood Centre and Red Cross Society. National Blood Program, plasma fractionation and preparation of blood bag and blood bank reagents are rovided to interested persons. Previous trainees have benefited from this aspect.
After training is completed, the trainee always continues to collaborate with our centre for reagents, lab techniques, help organizing workshops and advice on developing hemophilia care and blood transfusion service.
DESCRIPTION OF IHTC FACILITIES
Location: Within the city of Bangkok, Thailand
Climate: Warm all year round. Average temperatures 22-38 degrees Celsius.
Accommodation (residence, meals, etc...): Hospital dormitory located in the hospital at low cost. Meals are available at the hospital cafeteria and hospital canteen at very low cost.
Transportation: Public transport readily available.
Language: Thai is the national language. English is the language of communication for foreigners.
Financial assistance: Dependent on WFH funds.
Cost of living (per week): 300 USD
Communications tools for trainees: Computer, Internet access, telephone cards.
Other local support provided for trainees: Involvement in hospital educational activities.
RELEVANT PUBLICATIONS BY IHTC STAFF
Chuansumrit A, Krasaesub S, Angchaisuksiri P, Hathirat P, Isarangkura P. Survival analysis of patients with haemophilia at the International Haemophilia Training Centre, Bangkok, Thailand. Haemophilia 2004; 10(5):542-9.
Sasanakul W, Chuansumrit A, Ajjimakorn S, Krasaesub S, Sirachainan N, Chotsupakarn S, Kadegasem P, Rurgkhum S. Cost-effectiveness in establishing hemophilia carrier detection and prenatal diagnosis services in a developing country with limited health resources. Southeast Asian J Trop Med Public Health 2003; 34(4):891-8.
Isarangkura P, Chiewsilp P, Chuansumrit A, Suwannurak M, Kaewroje S, Horoszowski H, Martinowitz U. Locally prepared fibrin glue for clinical application: Reported of 145 cases. Hematology Trends 1998. Tanin Intragumtornchai eds. Bangkok: Beyond enterprises 1998:13-25.
Isarangkura P, Chiewsilp P, Chuansumrit A, Suwannurak M, Kaewroje S, Horoszowski H, Martinowitz U. Locally Prepared Fibrin Glue for Clinical Application: Reported of 145 Cases. Hematology Trends 1998. Tanin Intragumtornchai eds. Bangkok: Beyond enterprices 1998: 13-25. |
