The Journal of the Medical Association of Thailand
The Effect of COVID-19 Infection on Ventricular Pacing Threshold among Patients with Pacemakers: A Retrospective Observational Study
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Glycemic Control and Cholesterol Control Attainment following Acute Coronary Syndrome in Patients with Type 2 Diabetes Mellitus Undergoing Percutaneous Coronary Intervention
In 420 patients with type 2 diabetes after PCI for acute coronary syndrome, glycemic targets were widely achieved, yet fewer than 20% met LDL-C goals. This striking gap highlights missed opportunities in lipid optimization and underscores the need for more aggressive, system-level strategies in secondary cardiovascular prevention.
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Carbohydrate Supplement before Hemodialysis to Prevent Hypoglycemia and Low Blood Glucose in Diabetic and ESKD Patients
A structured carbohydrate supplementation protocol significantly reduced intradialytic hypoglycemia in 113 hemodialysis patients. This pragmatic, low-cost intervention offers an immediately implementable strategy to improve metabolic safety in dialysis units and highlights the value of standardized nutritional support in high-risk populations.
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Efficacy of Statins on Low-Density Lipoprotein Cholesterol Level Reduction in Thai Patients
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Outcomes of Pulmonary Metastasectomy for Pediatric Sarcoma
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Electroencephalogram (EEG) Hemispheric Asymmetry and Regional Power Distribution During Executive Functioning Tasks in Children with Suspected Specific Learning Disabilities: A Preliminary Study
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Outcome of the Second Trimester Medical Termination of Pregnancy in Phimai Hospital: Experience from Safety Abortion Program
A regimen of 200 mg oral mifepristone followed by repeated doses of sublingual misoprostol is safe and effective for second-trimester medical termination up to 20 weeks. Although complete expulsion within 48 hours was lower than previous studies with longer observation periods, complication rates remained low and acceptable. This protocol offers a practical, patient-acceptable alternative in real-world settings.
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Factors Associated with Stone-Free Outcome after Retrograde Intrarenal Surgery Using Low-Energy Holmium YAG Laser Based on Multivariable Logistic Regression
Preoperative factors, particularly stone diameter and prior surgical history, play a key role in SF outcomes after RIRS. A simple clinical rule based on these variables may support risk stratification and guide patient counseling in routine practice.
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Comparison of False Positive Rates and Invalid Results between Automated and Manual Nucleic Acid Extraction Methods for Real-Time PCR Detection of Mycobacterium tuberculosis
Automated nucleic acid extraction reduced false positive rates by 0.78% but increased invalid result rates by 1.18%. It yielded lower DNA yield and purity compared to manual extraction. Despite these limitations, automation remains a practical option for high-throughput processing, offering substantial time and resource savings with manageable invalid result rates.
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Fentanyl Efficacy in Anesthesia for Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Prospective Randomized Trial of Dosage Calculations Based on Lean Body Mass (1 mcg/kg versus 2 mcg/kg)
A dose of 1 mcg/kg of fentanyl administered during the induction phase before intubation results in lower postoperative pain scores at 24 hours compared with 2 mcg/kg in patients with morbid obesity undergoing laparoscopic sleeve gastrectomy. Both fentanyl dosages effectively control intraoperative hemodynamic parameters.
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