Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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Knowledge of specific risk factors for incisional Surgical Site Infection (SSI) is essential to create a specific SSI risk stratification index for colorectal surgery patients. ⋯ Risk factors identified in the present study can be considered for creating a specific incisional SSI risk stratification index for colorectal surgery patients. This specific risk stratification index will be a more efficient tool for predicting and comparing SSI rates among surgeons and institutions.
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Emergency medical services (EMS) have been steadily developed in Thailand. However the patient perspective has not been explicitly considered in performance assessment thus far although it is a key consideration for quality improvement in public organizations. ⋯ There is high patient satisfaction with emergency services in public hospitals. Nonetheless, the lower satisfaction for volunteer ambulance service, the concern about waiting time, and pain management highlights opportunity for improvement. The rapid, low-cost patient surveys combined with paper-based medical record review can yield useful information for quality improvements
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To investigate the level of major incident/disasters preparedness in Thailand by evaluating to-date data with main focus on past events and their outcomes to alert national medical societies for their roles in upcoming disasters/major incidents. ⋯ There is an established and functional disaster management organization in Thailand with some overlapping difficulties and a need for improvement. Understanding the national need for registry, public information, preparedness, cooperation and coordination inside and outside hospitals, will not only save lives, but also would be beneficial for the country in terms of major economical measures.
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To identify risk factors associated with losses to follow-up after inguinal herniorrhaphy and to examine whether these factors are associated with higher risks for recurrence according to the literature. ⋯ Hernia repairs lost to follow-up were systematically different from those not lost to follow-up, but factors related to these losses were not clearly or uniformly associated with higher risks for recurrence according to the literature.
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Reduction technique of acute anterior shoulder dislocation is always performed under sedation or general anesthesia in order to permit successful reduction such as traction counter-traction (TCT). However, the patients take risks of sedation or anesthesia. There are several techniques of reduction that reduce the dislocation without using sedation or anesthesia such as Milch technique, gentle traction, abduction and external rotation (TAE) technique and scapular manipulation. In the present study, the authors compared efficacy of reduction of acute anterior shoulder dislocation by using TAE without sedation and TCT techniques under conscious sedation. ⋯ TAE technique under sedative-free for reduction of acute anterior shoulder dislocation is effective, simple, and safe.