Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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To determine the pattern of abnormal semen and its associate factor in male partners of infertile couples. ⋯ Male factor infertility shares a pivotal role in infertile couples. Combine abnormal sperm motility and morphology group was very common. Further studies need to be carried out to explore the cause of this abnormality.
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Randomized Controlled Trial
The Effects of Single-Dose Preoperative Intravenous Dexamethasone on Clinical Outcome after Laparoscopic Cholecystectomy.
Laparoscopic cholecystectomy is one of the most common procedures in surgery. Post-operative pain and post- operative nausea and vomiting (PON) are frequently events after laparoscopic cholecystectomy and cause distress to patients. Dexamethasones are known for analgesic, anti-inflammatory, immune-modulating and anti-emetic effects. Therefore, preoperative dexamethasone administration may reduce postoperative pain and postoperative nausea vomiting after laparoscopic cholecystectomy. ⋯ Single-dose preoperative dexamethasone 8 mg 60-90 minute before induction of anesthesia improved clinical outcome in terms of significantly less nausea, vomiting, pain at first 6 hours and less inflammatory response after laparoscopic cholecystectomy compared to placebo. The preoperative dexamethasone should be used as routine in patients undergoing laparoscopic cholecystectomy.