The Journal of the Medical Association of Thailand (J Med Assoc Thai)

The Journal of the Medical Association of Thailand

Surgical Risk in Bicortical C1 Lateral Mass Screw Fixation Without Medial Angulation

How safe is a simplified C1 fixation technique when critical vascular anatomy varies from patient to patient? Using CT angiography from more than 200 individuals, this study provides valuable anatomical data that may help spine surgeons balance technical simplicity against the risk of carotid artery injury.

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The Effect of Pre- and Post-Operative Gabapentin Administration on Post-Tonsillectomy Pain: A Randomized Controlled Trial
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Effects of Methamphetamine Use in Pregnant Women: Neonatal Affect and Role of Inflammatory Markers
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Comparison of Fetal Thymus Size between Pregnant Women with Diabetic and Non-Diabetic Disease

The fetal thymus is increasingly recognized as a window into the intrauterine environment. This study explores how maternal diabetes may influence fetal thymic development, providing new insight into the relationship between maternal metabolic health and the developing fetal immune system.

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Prevalence of Hypothyroidism in Transfusion-Dependent Thalassemia
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Sleep Quality and Its Influencing Factors in Medical Students
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Role of an Optimized Tomographic Biomechanical Index for Keratoconus Screening in Laser Vision Correction Candidates in Thailand
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Correlation of Therapeutic Pressure between Home Automatic Positive Airway Pressure and in Laboratory Polysomnography Manual Titration in Patients with Obstructive Sleep Apnea
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Efficacy of Steamed Ginger Extract Capsule on Breast Milk Flow Rate Among Primiparous Women Following Normal Vaginal Delivery: A Randomized, Double-Blind, Placebo-Controlled Trial
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Organ Functions in Septic Patients Receiving Fluid Resuscitation Guided by Dynamic versus Static Parameters: A Randomized Controlled Trial

In an era moving beyond static hemodynamic targets, this randomized trial highlights the clinical value of ultrasound-guided fluid resuscitation. Patients managed with dynamic assessment required less vasopressor support and achieved more vasopressor-free days during recovery from sepsis.

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J Med Assoc Thai