Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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To identify risk factors associated with losses to follow-up after inguinal herniorrhaphy and to examine whether these factors are associated with higher risks for recurrence according to the literature. ⋯ Hernia repairs lost to follow-up were systematically different from those not lost to follow-up, but factors related to these losses were not clearly or uniformly associated with higher risks for recurrence according to the literature.
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Randomized Controlled Trial
A randomized, prospective, double-blind study of the efficacy of dexpanthenol nasal spray on the postoperative treatment of patients with chronic rhinosinusitis after endoscopic sinus surgery.
To assess the efficacy of dexpanthenol nasal spray compared with normal saline spray in the postoperative treatment of patients with chronic rhinosinusitis (CRS) who underwent endoscopic sinus surgery (ESS). ⋯ The majority of the postoperative symptom scores and all of the endoscopic scores of the dexpanthenol group were not statistically different from those of the normal saline group. However, dexpanthenol nasal spray has superior efficacy compared with normal saline nasal spray on improvement of mucociliary clearance and nasal discharge in the postoperative care of CRS patients after ESS.
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Knowledge of specific risk factors for incisional Surgical Site Infection (SSI) is essential to create a specific SSI risk stratification index for colorectal surgery patients. ⋯ Risk factors identified in the present study can be considered for creating a specific incisional SSI risk stratification index for colorectal surgery patients. This specific risk stratification index will be a more efficient tool for predicting and comparing SSI rates among surgeons and institutions.
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Emergency medical services (EMS) have been steadily developed in Thailand. However the patient perspective has not been explicitly considered in performance assessment thus far although it is a key consideration for quality improvement in public organizations. ⋯ There is high patient satisfaction with emergency services in public hospitals. Nonetheless, the lower satisfaction for volunteer ambulance service, the concern about waiting time, and pain management highlights opportunity for improvement. The rapid, low-cost patient surveys combined with paper-based medical record review can yield useful information for quality improvements
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To evaluate the diagnostic performance of apparent diffusion coefficient (ADC) value in discriminating benign from malignant vertebral compression fracture. ⋯ The ADC promises to be an effective implement for characterization of vertebral body compression fracture in differentiating benign and malignant compression fractures.