Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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To document the natural history of brachial plexus birth palsy in relation to the recovery of elbow flexion and shoulder flexion in the first six months of life; to assess the outcome after microsurgery of the brachial plexus in patients who had no recovery of bicep function at six months. ⋯ Most babies with traction injuries of the brachial plexus at birth have an excellent prognosis if the recovery has started within three months. Microsurgical reconstruction was effective in improving function in the small subgroup of patients with no evidence of recovery of bicep function within the first six months of life.
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Randomized Controlled Trial Comparative Study
Comparison of minimal fresh gas requirements of baby enclosed afferent reservoir and Jackson Rees anesthetic circuit for general anesthesia in spontaneously breathing children.
The authors compared the baby enclosed afferent reservoir (Baby EAR) with the Jackson-Rees (JR) anesthesia circuit for the minimal fresh gas flow (FGF) requirement with no and clinically acceptable rebreathing in spontaneous breathing anesthesia among pediatric patients. ⋯ Baby EAR can be used safely, effectively, and requires less FGF than JR in pediatric anesthesia in patients weighing 5 to 20 kg.
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Randomized Controlled Trial
Effects of vitamin E on chronic hepatitis C genotype 3: a randomized, double-blind, placebo-controlled study.
Hepatitis C virus (HCV) infection is associated with chronic inflammation and oxidative damage, with hepatic steatosis being common in genotype 3 cases. Vitamin E, a potent antioxidant protective against oxidative stress-induced liver damage in vitro and in vivo, has beneficial effects on alanine aminotransferase (ALT) and histological outcomes in patients with non-alcoholic steatohepatitis. ⋯ Vitamin E treatment decreased serum ALT levels in patients with HCV genotype 3. Because of its good safety profile, vitamin E may be a worthwhile supportive therapy for patients with HCV particularly for those who were unable to achieve viral eradication by standard therapy.
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To compare pregnancy outcomes between women who gave birth at Lerdsin Hospital having gestational weight gain (GWG) within and above or below Institute of Medicine (IOM) guidelines. ⋯ The IOM guidelines are usefulfor monitoring gestational weight gain and if it were within guidelines, women could have decreased riskfor several adverse outcomes such as cesarean birth, macrosomia, LGA, preterm birth, LBW and SGA.
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Observational Study
Incidence of major adverse cardiac event in low risk chest pain patients in emergency department of Rajavithi Hospital.
Acute myocardial infarction is a major problem of public healthcare in Thailand. In the emergency room, patients who present chest pain are at low risk for myocardial infarction and short term risk of adverse cardiac events. In the present study, the incidence of major adverse cardiac events among low risk chest pain patients who presented at the emergency room of Rajavithi Hospital was investigated to improve treatment in the future. ⋯ Incidence of a major adverse cardiac event within 30 days among low risk chest pain patients was low. No significant difference was observed between each group of TIMI score 0-2 for major adverse cardiac event and no significant risk factor was found for major adverse cardiac events in low risk chest pain patients.