Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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To evaluate the efficacy of Endobronchial ultrasound guided-transbronchial needle aspiration (EBUS-TBNA) for biopsy specimens with adequate evaluable lymphocytes and mediastinal lymph node diagnosis. ⋯ High percentage of biopsy specimen with adequate evaluable lymphocytes can be obtained in EBUS-TBNA. This finding suggested that this method should be considered for mediastinal lymph node diagnosis.
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To assess the incidences and outcomes of hyperglycemic crises. ⋯ Hyperglycemic crises were common in the authors' setting. Diabetic ketoacidosis occurred more frequently but had a lower mortality rate than HHS. Complications from hyperglycemic crisis treatment could be prevented by close monitoring, while high serum sodium level on admission was a predictor for mortality. Strategies to prevent infections and improve treatment compliance are needed to reduce the incidence of hyperglycemic crises among patients with DM.
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To determine the prevalence of dysmenorrhea, impact on daily activity, quality of life, and knowledge of management among Siriraj nurses. ⋯ The prevalence of dysmenorrhea among nurses was high and it had a negative impact on daily activities and quality of life. Most of the subjects knew that paracetamol and mefenamic acid can relieve dysmenorrhea. The hospital administrators should be concerned with this problem in nurses working in their hospital.
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Comparative Study
Body surface area and age as a guidance of the dose of intrathecal 0.5% heavy bupivacaine and fentanyl in transurethral procedures.
Observe the potency of various drugs doses as milliliters of 0.5% heavy bupivacaine with or without fentanyl for spinal block in transurethral cystoscopic procedures. These doses were calculated from patients and drugs 'characteristic risk factors that interfered with intrathecal drugs spread as weight, height, age, volume, and baricity. Various doses of fentanyl were also added to increase potency of block as necessary except the oldest group. ⋯ Age and body surface area guided spinal anesthesia is safe. The dose of bupivacaine is lower when combined with fentanyl. Furthermore, hemodynamic stability is better. The technique is suitable for transurethral procedure within 60 minutes but not in longer operation time. Additionally, it needs patients' cooperation due to less potent of motor and pressure sensation block.
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Comparative Study
Health insurance system and healthcare provision: nationwide hospital admission data 2010.
The three major health insurance systems are different in their medical service coverage, reimbursement process and choice of providers; leading to the question of how great are the variations in the healthcare offered and disease outcomes. ⋯ The differences in charges for some groups of diseases and significantly different clinical outcomes across schemes existed. The differences in disease outcomes were not adjusted for socioeconomic status and disease severity, requiring a cautious interpretation; nevertheless, an association with a higher mortality rate under the UC scheme for inpatient services need prompt further study