Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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To study the occurrence of shoulder subluxation, shoulder pain in stroke patients and identify factors associated to these conditions during rehabilitation period. ⋯ Post stroke shoulder pain and subluxation were common during the rehabilitation period. Shoulder pain significantly occurred within 6 months after stroke onset and increased risk in patients with shoulder subluxation. Shoulder subluxation was correlated with Brunnstrom's stage, proprioceptive loss and hemorrhagic type of stroke.
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Case Reports
Bilateral acute onset myopia and angle closure glaucoma after oral topiramate: a case report.
Describe bilateral acute onset myopia and angle-closure glaucoma as ocular adverse effects of topiramate. ⋯ Topiramate use can result in acute bilateral angle-closure glaucoma and myopia, which are usually reversible upon cessation of the drug. Visual outcome is usually good and the episode resolves within a few weeks. Thus, it is important for clinicians to recognize these conditions and educate patients about these serious adverse effects when prescribing topiramate.
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Cardiac troponins are markers for myocardial injury. Sepsis and septic shock can cause myocardial injury. The significance of elevated cardiac troponin T (cTnT) in septic shock was evaluated in the present study. ⋯ Elevated cTnT levels may be a marker for severity of illness and higher mortality in patients with septic shock.
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Randomized Controlled Trial Clinical Trial
Local perianal nerve block versus spinal block for closed hemorrhoidectomy: a ramdomized controlled trial.
To compare analgesic effectiveness, postoperative pain, complications, and patients' satisfaction between two randomly allocated groups--one group that had local perianal nerve block and another group that had spinal block following closed hemorrhoidectomy. ⋯ Local perianal nerve block for hemorrhoidectomy is feasible and safe and superior to spinal block due to a lower incidence of post-op urinary retention and less requirement of parenteral analgesics post-op.
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Multicenter Study Comparative Study
Multicentered study of model of difficult endotracheal intubation by incident reports from university and non-university hospitals.
To compare the characteristics, causative factors, outcomes, prevention, and suggested preventive strategies of difficult intubation between university (U) and general community (non-U) hospitals. ⋯ Half of DI cases were preventable. DI cases in Non-U hospitals were mostly caused by inadequate preanesthetic evaluation. This indicates the necessities of providing practice guidelines and experienced assistants. In U hospitals, in-training practice of intubation should be performed under supervision. More advanced substitution techniques were applicable in U hospitals.