Journal of the Medical Association of Thailand = Chotmaihet thangphaet
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The mortality rate of acute kidney injury (AKI) patients is high despite of new advanced continuous renal replacement therapy (CRRT), which has widely become the treatment of choice in patients who are hemodynamically unstable. Nevertheless, the effectiveness of CRRT in improving the survival outcome is still unclear. Therefore, many centers still use intermittent peritoneal dialysis (IPD) or intermittent hemodialysis (IHD) in hospital where CRRT is unavailable. The present study was carried out to evaluate outcome of AKI patients who were treated with IHD and IPD in Saraburi Hospital. ⋯ The mortality rate of AKI patients is high despite having dialysis support. There is no statistically significant difference in mortality rate between IHD and IPD among these patients.
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Randomized Controlled Trial
Application of mometasone spray to reduce sore throat after tracheal intubation.
Many factors in tracheal intubation lead to postoperative sore throat from mucosal injury. Mometasone furoate spray is a moderate potency corticosteroid that prevents influx of inflammatory cells into the mucosa. The present study assessed the efficacy of this drug for reducing postoperative sore throat. ⋯ Application of mometasone spray reduces postoperative sore throat after tracheal intubation.
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Randomized Controlled Trial Comparative Study
Comparison of effective-site target controlled infusion and manually controlled infusion of propofol for sedation during spinal anesthesia.
Compare the efficacy of sedation of propofol infusion during spinal anesthesia between effective-site target controlled infusion and manually controlled infusion during spinal anesthesia. ⋯ The clinical benefit when used for sedation during spinal anesthesia of MCI was not different from TCI. There were complications in the TCI group more than the MCI group.
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A novel influenza A (H1N1) virus of swine origin caused human infection and acute respiratory illness in Mexico during the spring of 2009. After that, the virus spread globally, resulting in the influenza pandemic. ⋯ The burden and character of pandemic influenza infection in developing countries are still incompletely understood. Early therapy with oseltamivir in severely ill patients, without waiting for laboratory confirmation for diagnosis, will save patients from severe complications.
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To evaluate the clinical features, causative pathogens and outcomes-related to acute hematogenous osteomyelitis and septic arthritis in pediatric patients. ⋯ MSSA was the most common bacterial pathogen causing pediatric osteoarticular infections in all age groups but was second to MRSA in the newborn group. Osteoarticular sequelae were avascular necrosis of epiphysis, limb length discrepancy, and pathologic fracture which were significantly related to longer duration of presenting symptoms, newborn age group, hip joint involvement, MRSA infection and delayed administration of appropriate antibiotics.