Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Demonstrate the reliability and validity of the Tinnitus Handicap Inventory Thai Version (THI-T), a self-report measure of tinnitus. ⋯ Tinnitus Handicap Inventory Thai Version will be a vigorous tool in evaluating tinnitus patients as well as monitoring the progress of their symptoms.
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Case Reports
Retrograde cavernous sinus thrombosis and orbital cellulitis secondary to meningitis in immunocompetence child.
A case of cavernous sinus thrombosis is usually a complication of severe orbital cellulitis and meningitis. The authors reported a retrograde cavernous sinus thrombosis and orbital cellulitis in an immunocompetence child, due to meningitis.
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Evaluate the cost effectiveness of combined CTPA and indirect CTV for evaluation of patients with intermediate to high probability for pulmonary embolism using Wells criteria. ⋯ For 96 cases with intermediate to high probability of PE, the authors needed to spend 70,909 baht more per case for the extra-investigation (combined CTPA and indirect CTV) for early detection of DVT. By comparison of two workup strategies, combined CTPA and indirect CTV of the lower extremities and CTPA with direct CTV of the lower extremities, the expense for detecting DVT in patients who also have PE will be 31,200 baht per case. Clinicians can use this value to judge between the cost effectiveness of this investigation and the expense of longer hospitalization and medical expense for late complication of DVT which was frequently found in patients with PE. In additional, indirect CTV can increase diagnosis of deep vein thrombosis in non-PE case up to 30% in the present study.
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The authors conducted study to analyze results of peri-articular steroid injection in the treatment of chronic pain from soft tissue inflammation after total knee arthroplasty (TKA). ⋯ Local steroid injection is a safe and effective choice for treatment of pain from chronic soft tissue inflammation after TKA.
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Management of displaced femoral neck fracture is crucial and vulnerable to develop complications. The present study was performed to evaluate the clinical outcome of delayed reduction with multiple screw fixations in young patients who had displaced femoral neck fracture. ⋯ Within 30-day delayed reduction and screw fixation for the treatment of displaced femoral neck fracture in the young is still good alternative treatment to preserve the femoral head with low rate of avascular necrosis.