Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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A significant number of epileptic patients suffer from medically refractory epilepsy. Epilepsy surgery is considered an appropriate option for management in such cases. ⋯ Several diagnostic measures and investigations involved in epilepsy surgery will be described in the article. Major steps of preoperative assessment and management algorithm for medically intractable epileptic individuals will be demonstrated as well.
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Comparative Study
Correlation of plasma copeptin levels and early diagnosis of acute myocardial infarction compared with troponin-T.
Patients present with chest pain. Electrocardiography (ECG) is used and troponin-T levels slowly increases. Diagnosis of myocardial infarction requires prolonged monitoring, over six to nine hours, for serial blood sampling. It is the cause of delayed treatment and lead to a crowded emergency room. Troponin is a marker of myocardial necrosis, the gold standard in detection of acute myocardial infarction (AMI). Copeptin, the C-terminal part ofthe vasopressin prohormone, as a marker of acute endogenous stress, adds diagnosis information to cardiac troponin in early evaluation ofpatients with suspected myocardial infarction. ⋯ Plasma copeptin can be used for early diagnosis of myocardial infarction. The additional use of copeptin to Troponin-T allows for a rapid triage of chest pain patients to an early diagnosis of non-ST elevation myocardial infarction.
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Comparative Study
The comparative study of reliability and reproducibility of distal radius' fracture classification among: AO frykman and Fernandez classification systems.
To study the reliability and reproducibility ofdistal radius fracture classification in plain radiographs. ⋯ Fernandez classification provided satisfactory outcome comparing to standard adjustment and gave a highest inter and intraobserver agreement. Nevertheless, none of the classification systems examined in the present study has achieved an excellent outcome.
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Comparative Study
Comparison between minimally invasive and open transforaminal lumbar interbody fusion.
To compare the clinical and radiographic outcomes between minimally invasive and open transforaminal lumbar interbody fusion (TLIF) for treatment of lumbar spondylolisthesis ⋯ Minimally invasive TLIF has similar clinical outcomes and fusion rate compared to open TLIF with additional benefit of less intra-operative blood loss. However the operative field of this technique is limited so thorough knowledge of anatomy in this region is required