Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Anemia is commonly encountering surgical critically ill patients. The incidence of red blood cell (RBC) transfusion and transfusion trigger in this population has not been previously reported in a large tertiary care center in Thailand ⋯ In critically ill adult surgical patients, the incidence of RBC transfusion and transfusion trigger remained within high threshold Large randomized controlled studies are warranted to confirm potential benefit of RBC transfusion in surgical critically ill patients.
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Substantial studies showed the preferences ofparents to present while their children undergo common invasive procedures. There is no consensus in Thailand regarding this issue so, this study was generated. ⋯ There was no statistical significance in pain response, anxiety levels, and parental satisfaction. There was no statistical difference in proficiency of clinician.
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Squamous cell carcinoma (SCC) of the oral tongue and floor of mouth are the most common head and neck cancers. Regional metastasis of SCC is most likely found at the cervical lymph node. Size and characteristics of pathologically suspicious lymph nodes are related to the aggressiveness of the primary tumor: The objective of this study is to analyze the conrrelation between sizes of cervical node and metastasis in SCC of oral tongue and floor of mouth. ⋯ Cervical node metastasis can be found in SCC of the oral tongue and floor ofmouth with clinlically negative node andsize of cervical node less than 10 mm. Here in, size of cervical node less than 10 mm was still important due to the chance for metastasis especially high grade tumors, advanced stage cancer and lymphovascular invasion.
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The pain and its complication during sedation with ketamine remain a significant problem for children with hematologic malignancy. ⋯ hntravenous ketamine 1 mg/kg is effective for invasive procedures in children with malignancy. The use of intravenous ketamine may produce psychedelic effects in children. These adverse effects may alter the child's comfort and parental satisfaction especially in the young children.