Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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To evaluate the rate of incisional surgical site infection (SSI) following colorectal cancer surgery in a university hospital and to determine whether duration of prophylactic antibiotic administration can affect the development of this complication. ⋯ This present study found the overall rate of incisional SSI following colorectal surgery to be 14.5%. There was no significant difference in the rate of this complication between the two groups. Thus, surgeons should be encouraged to use a shorter duration of antibiotics to prevent the emergence of antibiotic-resistant bacterial infection and reduce hospital expenditure.
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Multicenter Study
The Thai Anesthesia Incident Monitoring Study (Thai AIMS) of postoperative central neurological complications.
To analyze the incidents of central neurological complication in the Thai Anesthesia Incident Monitoring Study (Thai AIMS). ⋯ Inappropriate decision making and inexperienced anesthesiologists were common contributing factors while suggested corrective strategies were quality assurance activity, clinical practice guidelines and improvement of supervision.
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To evaluate the accuracy, sensitivity, and specificity of various Magnetic Resonance Imaging (MRI) features in differentiating malignant from benign compression fracture of the spine. ⋯ Certain MR imaging characteristics can reliably distinguish malignant from benign compression fracture of the spine. Combination of several MRI features strongly affirmed the diagnosis of malignant compression fracture, especially in a patient where tissue biopsy is not justified.
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To analyze CT findings in hemorrhagic stroke patients correlation with clinical outcome and assess the interobserver agreement of hemorrhagic stroke identification on CT imaging. ⋯ CT imaging is an imaging instrument for early identification of hemorrhagic stroke patients and providing imaging evidence of high mortality risk.
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Pain is one of the most frequent and deleterious symptoms for patients with advanced cancer. Pain assessment is important because it is used for detecting severity of disease and the response to treatment. To provide the adequate treatment for pain relief in cancer patients, an assessment tool should be used for pain evaluation. Moreover, suitable tools for pain evaluation should be validated in local language to obtain better pain information. ⋯ Thai version of the Brief Pain Inventory is a reliable and valid instrument for cancer pain assessment in Thailand