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กกกกก ! “If ever a field needed remodelling, it is medicine” ! - ก"ก/#$% - &"’ RESEARCH AND INNOVATION GOAL TOWARD ACDADEMIC Chumpon Wilasrusmee

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Page 1: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

ก�����ก��������� ��������ก����ก������������������ก���������

����� !�

“If ever a field needed remodelling, it is medicine”

����� !�

- ก�����"�ก�����/�������#$%

- &������������"'���

RESEARCH AND INNOVATION

GOAL TOWARD ACDADEMIC

Chumpon Wilasrusmee

Page 2: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

�������������ก��� �������������ก�� ���������� ������������������� �������������� ����������

����������� ���� !��"#�����"$����ก%������!�����#"��&!���ก'� ����()*�����������

���ก��)�+��� �������������ก��,�(�' �������������ก��(ก-�����&.����-�(�-�ก���������

����/�0"ก'.+(!-�ก"� 1!�/�����!�����������������ก���-��2�/���������������ก��-� !��"#

()*�������������� !�/�ก��0����� ��"���� (�ก��� ������#��.����ก��(�-�ก3��/! 4 ()*�������������� !�/�ก��0����� ��"���� (�ก��� ������#��.����ก��(�-�ก3��/! 4

(���������������������������������

� Responsible for creating and fostering an

environment that promotes international

distinction in teaching and learning, intellectual

and creative endeavor, service and community

engagement, and the stewardship of our human, environmental, and financial resources

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ACADEMIC AFFAIRS

� Responsible for supporting the work of the

faculty, whose teaching, advising, and scholarship brings the academic program to life

Page 4: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

MEANING

� Associate professor n.: A college or university

professor who ranks above an assistant professor

and below a professor……….

� Professor derives from Latin as a "person who professes (��!��" )5�6�.��)" being usually an expert professes (��!��" )5�6�.��)" being usually an expert

in arts or sciences, a teacher of the highest rank

� Precise meaning of the term varies by country

Page 5: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

RANK

� The Prof Shop

Are You Tired of the Academic Run-Around —– an

Advisor Who’s Never In, a Grad Program That

Doesn’t Care, Funding That’s Never Enough, a Job

Market That’s in The Tank, and a Tenure System

That’s a Total Mystery —– And No One to Give You

an Honest Answer?

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TASK

� Manage the teaching, research and publications

� Conduct lectures and seminars in their specialties

(i.e., they "profess"),

� Perform advanced research in their fields.

� Provide community service, including consulting

-Developed ideas for workshops to train members

of college and department Promotion, Tenure and

Evaluation Committees and Administrators.

-Workshops are now offered on a regular basis

Promotion to Professor

Task Force

� Provide community service, including consulting

functions (such as advising government and nonprofit

organizations)

� Teach campus-based or online courses adopting

instructional technology

� Mentor graduate students in their academic training

� Conduct administrative or managerial functions

� Assess students in their fields of expertise

Page 7: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

TENURE

� Academic tenure's original purpose was to

guarantee the “right to academic freedom”

� It protects teachers and researchers when they

dissent from prevailing opinion, openly disagree

with authorities of any sort, or spend time on

[ten-yer]

with authorities of any sort, or spend time on

unfashionable topics

� Thus academic tenure is similar to the lifetime

tenure that protects some judges from external

pressure

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ก�����"�ก�����/�������#$% AIM-SCIENTIFIC PAPER

� Improve patient care

� Improve patient-physician relationship

� Eliminate potential errors

Is it true:� Is it true:

� Chaotic, inefficient, and often ineffective, health care is dying for innovation

��-ก7 ��/��� Standard

�Diffusion and resistance

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WHAT IS??

� Application of new solutions that meet new requirements, needs

� More effective products, processes, services, technologies, or

ideas

� Original and new that "breaks in to" the market or into society

� Important in some way

improvement

� Important in some way

� Process that brings together various novel ideas in a way that

they have an impact on society

� Differs from invention: use of a better

� Invention: creation of idea or method itself

� Differs from improvement

� doing something different rather than doing the same thing better

Page 10: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

Rank Country OverallInnovation

Inputs

Innovation

Performance

2 United States 1.80 1.28 2.16

3 Japan 1.79 1.16 2.25

4 Sweden 1.64 1.25 1.88

5 Netherlands 1.55 1.40 1.55

�)��*+�������,-�����������'��������#$%�����

,�ก�!� �������ก������-��-��./ก��0��"��'�-��-��./ก

����������������� ���'�� ��������ก���"�����������

ก�� �1����������������"'-��/�"'��������

���ก��� �������2�-����ก"'ก����������+

FACT-OP��������������

6 Canada 1.42 1.39 1.32

7United

Kingdom1.42 1.33 1.37

8 Germany 1.12 1.05 1.09

9 France 1.12 1.17 0.96

10 Australia 1.02 0.89 1.05

11 Spain 0.93 0.83 0.95

12 Belgium 0.86 0.85 0.79

13 China 0.73 0.07 1.32

14 Italy 0.21 0.16 0.24

15 India 0.06 0.14 −0.02

16 Russia −0.09 −0.02 −0.16

17 Mexico −0.16 0.11 −0.42

18 Turkey −0.21 0.15 −0.55

19 Indonesia −0.57 −0.63 −0.46

���ก��� �������2�-����ก"'ก����������+

&�������.�������ก������3 .,. 2554-2555

��� World Economic

Forum +�� �����,-����/��������+��� 51

�����ก�����,� ����+�����!/�!�&���:���.;� 3

�����, -���ก� ���'�:�� ��&=��% ��=����:��

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STRATEGY

� Citation

� Impact factor

� Beall’s List of Predatory Open-access Publishers by Jeffrey Beall

Laparoscopic versus conventional Laparoscopic versus conventional

appendectomy in suspected

appendicitis during pregnancy: A

systematic review and meta-analysis

-British Journal of Surgery 2012

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��-����ก-������

� ()*������"�-��-�����ก����(���+��"$�/��+(#-�#�2-��"� ก���(���+���0�0+ก�����(����0

������!�/��(�7�������ก�����������ก��������� ))�+�&ก�� !� "$��-$���� !��"#ก���-,��,�

�0+(���,������0"ก(ก.C�-��.+ก���ก��ก����!

� /��(ก.C�(!-�ก"#�+!"#!- 1!��-3��ก����!!����&.D�,(,���(��� !"���� )�-$

� 1.()*��0���-���!����������/���-�0�ก��$�ก�����(!��-�(���-�����ก'��0�� 1.()*��0���-���!����������/���-�0�ก��$�ก�����(!��-�(���-�����ก'��0�

� 2.()*�)�+1����!������ก�������ก���3��������������� ))�+�&ก�� !�������,���0��

� /��(ก.C�(!-�ก"#�+!"#!-��ก 1!��-3��ก����!!����&.D�,(,���(��� !"��-$

� 1.()*����#&ก(#�ก-��-�&.��������0+���������������/��� (Body of Knowledge) /�

(�����/!(���������� ��/��(ก�!���ก�����������ก��/��+!"#���

� 2.()*�-�����"#/�����ก����������-,-�(ก-��3���/��+!"#�����0+/�����+!"#��������

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AFTER PUBLICATION

� Sir,

� Congratulations on an excellent analysis, which seems to be the largest systemic review of appendectomy for suspected appendicitis in pregnancy. However, I have several comments.

� Thank you for your comment in our publication” Systematic review and meta-analysis of safety of laparoscopic versus open appendicectomy for suspected appendicitis in pregnancy” We hope that these answers will give additional information regarding our analysis.

� First, laparoscopy has the benefit of identifying other intra-abdominal pathology which may mimic appendicitis and harbor pregnancy risks. Besides, pelvic toileting could be performed more safely under the vision of Besides, pelvic toileting could be performed more safely under the vision of laparoscopy. Irrigation and suction of pelvic fluid could lower the risk of possible abscess formation, uterus irritation and further fetal loss.

� We truly agree with the technical advantage of laparoscopic appendectomy (LA). Recent publication by Khiria, et al also showed the safety of LA in complicated appendicitis (Ref1). However, evidence from Cochrane data base showed that the incidence of intraabdominal abscesses was increased (OR 1.87; CI 1.19 to 2.93) and the duration of surgery was 10 minutes (CI 6 to 15) longer for LA (ref2)

� Second, laparoscopic approach could lessen and avoid unexpected wound extension, compared with McBurney's incision due to migration of appendix in the pregnant. Thus, post-operative wound pain and associated pulmonary complication could be decreased when using laparoscopic approach.

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REVIEWER COMMENTS

the moment; references are of 1990 and 1995;

2- performance of the CT scan are very high and low resolution CT scan and/or IRM have the same sensibility and

specificity to diagnose appendicitis;

3- recent works on epidemiology of appendicitis demonstrated that there are two forms of appendicitis, with no

relation together: uncomplicated and complicated, so negative laparotomy or laparoscopy must not be any more

performed; patients can be se one day later if any doubt subsist.

all the paper must be rewritten

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RESEARCH ON INNOVATION

� Andrease Vesalius: human anatomy-hand on

dissection

� James Lind: Scurvy – lemon, vitamin C

� Edward Jerner: smallpox

Group of people who continue developing � Group of people who continue developing

innovation to optimum or best practice

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FAILURE

� External: outside influence of control

� Internal: within the control

� Associated with the cultural infrastructure

� Associated with the innovation process itself:

- Poor goal definition- Poor goal definition

- Poor alignment of actions to goals

- Poor participation in teams

- Poor monitoring of results

- Poor communication and access

to information

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ACHIEVEMENT

� Encourage the continuous development

� Increase in value

� Providing a much greater health benefit or wider � Providing a much greater health benefit or wider

societal benefits

� Patency:

� Set of exclusive rights granted by a state (national

government) to an inventor or their assignee for a

limited period of time in exchange for the public

disclosure of an invention

� Gateway

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Page 19: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

RECENT INTERESTING FIELD

� Intelligent interpretation of x-ray images

� Computer axial tomography scans, ultrasound images and other sensor data

� Medical data mining; medical informatics; smart patient record systems

� Medical sensors and sensor systems; wired and wireless sensor networks; smart monitoring and reporting

� Expert and case-based reasoning systems for medical diagnosis and � Expert and case-based reasoning systems for medical diagnosis and decision support in medicine and healthcare

� Robotics surgical and micro-surgical systems; robotic surgical assistants

� Robotic artificial joints and joint assistance systems

� Integrated medical systems to assist in delivering quality health care during spaceflight and exploration

� The use of smart systems to to alleviate problems in the aging population

� Smart medical devices

� Neural networks, fuzzy paradigms, genetic algorithms, expert systems in medical and healthcare applications

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VARICOSE VEINS

MYTH: WORKING ASSOCIATED DISEASE?

� Dominated by cosmetic component: not cover by insurance

� Poor concerning, education, and prevention of ergonomic

Thesis:� Thesis:� Faculty of Health Sciences

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NURSE VS FACTORY EMPLOYEE

Figure 1 : Severity classification of chronic venous disease

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CASE REPORT

Vixol - gastric outlet obstruction

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REGISTRATION BEFORE PUBLICATION: RCT

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ENDOTHELIAL INJURY

I-Inversion

Page 25: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

IN VITRO TO IN VIVO

Page 26: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

VASCULAR ANASTOMOSIS MODEL

N-New

���� +��&������'�!����������� : "'�������#$%&�&���������3 2550

���,���������%�*� ' '�,��,�� �������)�+���D������"0������� �.+

�,�������1��,��#�0����2�#!- ������0"����!0 ()*������/����-� !��"#���"0

�D���"��������� : ���"0�0���)�+!�'F���!��� )�+���)G 2550 ��ก�0��� �++���'��

@Aก����������'���'���

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BENCH TO CLINIC

N-Need

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AAA MODEL

O-obsess

Page 29: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

MESH

V-visibility

Page 30: กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ˆ ! ก ˘ก ˜ ...academic.ra.mahidol.ac.th/pdffile/present-5.pdf · กก ก ก ˘ ˇˆ ก ˇ ˙˝ ˛˚˜ ˆ ! “If ever a field

A-ambition

� 4. �0���(����� HMesh Plug -��"!(�7#3�$�(������"#ก������"!�"ก'� ��(0����I 1!�

�������������� (���1�&�,0 �0���"��- ���ก&0.�� ���"���,� ������-�� )JK��+ก&0

�������,"�2� ,��.)�+!�'F� �������."F�"�� ,��1�D� (��3����������ก���,��)

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ROBOT

T-talent

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I-INTEGRATION

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HOT

O-obvious

“ The beautiful is a phenomenon which is never apparent of itself, but is reflected in a thousand different works of the creator. ”— Johann Wolfgang von Goethe

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N-NICHE, NETWORK

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� Perioperative steroids have a favourable impact on postoperative outcomes after liver resection

� Intravenous glucocorticoids were 24 per cent less likely to suffer postoperative morbidity compared with controls (risk ratio 0.76, 95 %CI 0.57 to 0.99; P = 0.047)

� The treated group experienced a significantly greater rise in early postoperative interleukin (IL) 10 levels compared with controls

RE-INNOVATION

early postoperative interleukin (IL) 10 levels compared with controls

� In addition, steroids significantly reduced postoperative blood levels of bilirubin, and of inflammatory markers such as IL-6 and C-reactive protein

� There was no evidence supporting a risk difference in infectious complications and wound healing between study groups.

BR J SURG. 2013 APR;100(5):600-9EPUB 2013 JAN 21.

SYSTEMATIC REVIEW AND META-ANALYSIS OF THE EFFECT OF PERIOPERATIVE STEROIDS ON

ISCHAEMIA-REPERFUSION INJURY AND SURGICAL STRESS RESPONSE IN PATIENTS

UNDERGOING LIVER RESECTION

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POSITIVE THINKING

� New medications, new diagnostic techniques, and

new surgical procedures helped millions of

patients not only to live longer, but also to

possess better-quality life

� Change is necessary because our society needs � Change is necessary because our society needs

the next generation

� New knowledge plus existing knowledge adapted and diffused through the economy

Effort and courage Effort and courage Effort and courage Effort and courage are not enough without are not enough without are not enough without are not enough without purpose and directionpurpose and directionpurpose and directionpurpose and direction