Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Comparative Study
Improving the Surgical Outcomes after Liver Resection with ERAS Program.
Enhanced recovery after surgery (ERAS) has been accepted as the program to improve the surgical outcomes. This program has been increasingly utilized in liver resection. ⋯ ERAS program improves the surgical outcomes in patients who underwent liver resection.
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Explore the characteristics of insomnia in persons with heart failure and identify the predictive factors of insomnia in patients with heart failure. ⋯ Insomnia is a significant problem in heart failures patients. Therefore, healthcare providers need to pay attention to this sensitive outcome. Several factors should be considered for further management.
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Reintubation, following an unsuccessful extubation from mechanical ventilation is traumatic to the infant and the family. However, 20 to 40% of infants fail extubation and reintubation. ⋯ The SBT and minute ventilation ratio in low birth weight infants were not optimal predictors of readiness for extubation. However, a further prospective study in this field with a larger number of subjects and a proper indication for extubation should be considered.
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Acute upper gastrointestinal bleeding (UGIB) is common and carries significant morbidity worldwide. Effective risk assessment for UGIB is required in order to deliver the optimal therapeutic plans. ⋯ The overall outcomes of UGIB were good, with better outcomes in NVUGIB than in VUGIB. AIMS65 score and serum sodium may be useful in predicting rebleeding and complications in UGIB.
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Necrotizing fasciitis (NF) is a rapidly progressive inflammatory infection of the fascia. Early diagnosis of NF is essential, as delayed diagnosis leads to higher rates of amputation and mortality. The laboratory risk indicator for necrotizing fasciitis (LRINEC) score is used to obtain early diagnosis in order to reduce morbidity and mortality rates. ⋯ The LRINEC score is a diagnostic tool which can assist in differentiating NF from cellulitis. Many adjuncts have been described which can help to achieve early recognition of the disease, and the LRINEC score is a reliable tool for use by surgeons in identifying diseases that can develop into NF.