Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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The present study aimed to determine inter-rater reliability and intra-rater reliability of the 66-item version of the Gross Motor Function Measure (GMFM-66) in assessing motor ability of Thai children with cerebral palsy. ⋯ The present study confirms high inter-rater and intra-rater reliability of the GMFM-66 measured by Thai pediatric physical therapists. Therefore, in clinical practice, we recommend Thai pediatric physical therapists to use the GMFM-66 in assessing motor ability of cerebral palsy patients.
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Selective nerve root block (SNRB) is the accepted procedure for diagnostic and therapy in lumbar radicular back pain management. The present study was to determine the accuracy of needle-tip under ultrasound guidance subsequently confirmed with fluoroscopy in patients who underwent SNRB. To date, no study comparing these two techniques has been performed. ⋯ To position the needle-tip under ultrasound guidance is feasible and has good safety profile. The accuracy could be achieved individually. However, because the accuracy of ultrasound guidance technique depends on the operator a steep learning curve and larger prospective clinical study is needed.
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Therapeutic hypothermia is a recommended treatment by standard guidelines for patients after cardiac arrest but it is not distinguished in Thailand. The present report aimed to demonstrate feasibility of its use in Thailand. ⋯ This initial experience of therapeutic hypothermia after cardiac arrest with surface cooling method implicates feasibility of its use in Thailand.
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Full endoscopic lumbar discectomy via interlaminar approach: 2-year results in Ramathibodi Hospital.
To present the surgical outcome of the full-endoscopic lumbar discectomy via interlaminar approach. ⋯ Full-endoscopic lumbar discectomy is a safe and effective procedure for lumbar disc herniation. Patients can expect less postoperative pain, early recovery, and a short period of work absence. However, the learning curve is steep. Proper surgical training and careful patient selection in the early cases are the keys to success.
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To provide the incidence, origin, size and the safety area of the accessory internal thoracic artery (AITA) in the fourth intercostal space. ⋯ Even the incidence of AITA is low (7.57%) but when present, it is endangered in thoracic surgical procedures. The safety area of AITA for surgical procedures in the fourth intercostal space is at least 3 centimeters anterior to the midaxillary line.