检索结果-南通市图书馆

High doses of dextromethorphan induced shock and convulsions in a 19-year-old female:A case report

World Journal of Clinical Cases 2023年第16期11卷 3870-3876页

作者： Shintaro Shimozawa Daisuke Usuda toru sasaki Shiho Tsuge Riki Sakurai Kenji Kawai Shun Matsubara Risa Tanaka Makoto Suzuki Yuta Hotchi Shungo Tokunaga Ippei Osugi Risa Katou Sakurako Ito Suguru Asako Kentaro Mishima Akihiko Kondo Keiko Mizuno Hiroki Takami Takayuki Komatsu Jiro Oba Tomohisa Nomura Manabu Sugita Department of Emergency and Critical Care Medicine Juntendo University Nerima HospitalNerima-city 177-8521TokyoJapan Clinical Training Center Juntendo University Nerima HospitalNerima-city 177-8521TokyoJapan Department of Sports Medicine Faculty of MedicineJuntendo UniversityBunkyo-city 113-8421TokyoJapan

BACKGROUND Dextromethorphan is a prevalent antitussive agent that can be easily obtained as an over-the-counter *** has been a growing number of reported cases of toxicity in recent ***,there are numerous instances of mild symptoms,with only a limited number of reports of severe cases necessitating intensive *** presented the case of a female who ingested 111 tablets of dextromethorphan,leading to shock and convulsions and requiring intensive care that ultimately saved her *** SUMMARY A 19-year-old female was admitted to our hospital via ambulance,having overdosed on 111 tablets of dextromethorphan(15 mg)obtained through an online importer in a suicide *** patient had a history of drug abuse and multiple self-inflicted *** the time of admission,she exhibited symptoms of shock and altered ***,upon arrival at the hospital,the patient experienced recurrent generalized clonic convulsions and status epilepticus,necessitating tracheal *** convulsions were determined to have been caused by decreased cerebral perfusion pressure secondary to shock,and noradrenaline was administered as a *** lavage and activated charcoal were also administered after *** systemic management in the intensive care unit,the patient’s condition stabilized,and the need for vasopressors *** patient regained consciousness and was *** patient was subsequently transferred to a psychiatric facility,as suicidal ideation *** We report the first case of shock caused by an overdose of dextromethorphan.

关键词： Dextromethorphan Drug overdose Shock Symptom Treatment Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Effect of high-frequency loading and parathyroid hormone administration on peri-implant bone healing and osseointegration

引用

International Journal of Oral Science 2018年第1期10卷 50-64页

作者： Aya Shibamoto toru Ogawa Joke Duyck Katleen Vandamme Ignace Naert Keiichi sasaki Division of Advanced Prosthetic Dentistry Tohoku University Graduate School of Dentistry Department of Oral Health Sciences Prosthetic DentistryBIOMAT-BiomaterialsKatholieke Universiteit Leuven

The objective of this study is to examine the effect of low-magnitude, high-frequency(LMHF) loading, and anti-osteoporosis medications such as parathyroid hormone(PTH) and bisphosphonates on peri-implant bone healing in an osteoporosis model, and to assess their combined effects on these processes. Thirteen-week-old ovariectomized rats(n = 44) were divided into three groups:PTH, alendronate, and saline. After 3 weeks of drug administration, titanium implants were inserted into the tibiae. Each group was subdivided into two groups: with or without LMHF loading via whole-body vibration(50 Hz at 0.5 g, 15 min per day, 5 days per week). Rats were killed 4 weeks following implantation. Removal torque test, micro-CT analyses(relative gray(RG) value, water = 0,and implant = 100), and histomorphometric analyses(bone-to-implant contact(BIC) and peri-implant bone formation(bone volume/tissue volume(BV/TV))) were performed. Removal torque values and BIC were significantly differed by loading and drug administration(ANOVA). Post hoc analysis showed that PTH-treated groups were significantly higher than the other drug-treated groups. BV/TV was significantly enhanced by PTH administration. In cortical bone, RG values were significantly increased by *** trabecular bone, however, RG values were significantly increased by PTH administration. These findings suggest that LMHF loading and PTH can act locally and additively on the bone healing process, improving the condition of implant osseointegration.

关键词：

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Serous cystadenocarcinoma of the mesentery in a man:case report and review of literature

引用

Gastroenterology Report 2014年第4期2卷 306-310页

作者： toru Obuchi Osamu Shimooki Akira sasaki Tadashi Abe Go Wakabayashi Department of Surgery Iwate Medical University School of MedicineIwateJapan Department of Surgery Iwate Prefectural Kuji HospitalIwateJapan

In February 2007,a 41-year-old Japanese male was admitted to our hospital with increasing upper abdominal pain.A contrast-enhanced computed tomography(CT)scan of the abdomen demonstrated a well-demarcated,hypodense cystic mass with a thickened wall in the *** laboratory results were within normal limits,except for increased carcinoembryonic antigen,carbohydrate antigen 19-9,DUPAN-2 and *** patient was diagnosed as having a mesenteric malignant cyst,and during a laparotomy,a right hemicolectomy with mesenteric cystectomy was performed without rupture in March *** the microscopic findings,there was a well-differentiated adenocarcinoma in the inner surface of the cyst and in the fibrous connective tissue of the hypertrophic cystic *** tumor cells were immunohistochemically reactive to cytokeratin(CK)7,CK18 and *** remnant of the malignancy was detected in the resected margin of the colon,cyst,liver or peritoneum nor was an uptake detected in an 18[F]-fluorodeoxyglucose positron emission tomography/CT examination of other ***,the malignancy was concluded to be a serous cystadenocarcinoma of the *** months after the operation,the patient died from peritonitis carcinomatosa due to a small intestine *** report suggests mesenteric cystadenocarcinomas originating in the ovary,oviduct and intestinal mucosa,but these were ruled out in our *** this report,we discuss a case of the malignant transformation of a cyst into adenocarcinoma,which to our knowledge has never been previously reported in a male patient.

关键词： Gastrointestinal surgery immunohistochemical mesenteric cyst cystadenocarcinoma

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Endoscopic ultrasonography guided-fine needle aspirationfor the diagnosis of solid pancreaticobiliary lesions:Clinicalaspects to improve the diagnosis

引用

World Journal of Gastroenterology 2016年第2期22卷 628-640页

作者： Hiroyuki Matsubayashi toru Matsui Yohei Yabuuchi Kenichiro Imai Masaki Tanaka Naomi Kakushima Keiko sasaki Hiroyuki Ono Division of Endoscopy Shizuoka Cancer CenterSuntogunShizuoka 411-8777Japan Division of Pathology Shizuoka Cancer CenterSuntogunShizuoka 411-8777Japan

Endoscopic ultrasonography-guided fine-needle aspiration(EUS-FNA) has been applied to pancreaticobiliary lesions since the 1990 s and is in widespread use throughout the world today. We used this method to confirm the pathological evidence of the pancreaticobiliary lesions and to perform suitable therapies. Complications of EUS-FNA are quite rare, but some of them are severe. Operators should master conventional EUS observation and experience a minimum of 20-30 cases of supervised EUS-FNA on non-pancreatic and pancreatic lesions before attempting solo EUSFNA. Studies conducted on pancreaticobiliary EUSFNA have focused on selection of suitable instruments(e.g., needle selection) and sampling techniques(e.g., fanning method, suction level, with or without a stylet, optimum number of passes). Today, the diagnostic ability of EUS-FNA is still improving; the detection of pancreatic cancer(PC) currently has a sensitivity of 90%-95% and specificity of 95%-100%. In addition to PC, a variety of rare pancreatic tumors can be discriminated by conducting immunohistochemistry on the FNA materials. A flexible, large caliber needle has been used to obtain a large piece of tissue, which can provide sufficient histological information to be helpful in classifying benign pancreatic lesions. EUSFNA can supply high diagnostic yields even for biliary lesions or peri-pancreaticobiliary lymph nodes. This review focuses on the clinical aspects of EUS-FNA in the pancreaticobiliary field, with the aim of providing information that can enable more accurate and efficient diagnosis.

关键词： Endoscopic ultrasonography-guided fineneedleaspiration Diagnosis Pancreaticobiliary Pancreatic Cancer

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Angiosarcoma of the scalp diagnosed by the presence of neck inflammation:a case report

引用

International Journal of Oral Science 2012年第3期4卷 166-169页

作者： Rei Karube Hiroyoshi sasaki Keiji Shinozuka Yasuhiro Fujisawa toru Yanagawa Kenji Yamagata Kojiro Onizawa Fujio Otsuka Hiroki Bukawa Department of Oral and Maxillofacial Surgery Faculty of MedicineUniversity of Tsukuba Department of Dermatology Faculty of MedicineUniversity of Tsukuba

Angiosarcoma is an uncommon malignancy, which spread out from the endothelial cells of vessels. Scalp angiosarcoma with cervical lymph node metastasis is particularly rare. This article describes a rare case of angiosarcoma of the scalp, presenting as neck inflammation. Imaging procedures such as computed tomography （CT）, magnetic resonance image （MRI） and ultrasonography （US） were not sufficient to diagnose this case. A needle biopsy provided an effective and accurate diagnosis of cervical lymph node metastasis. Additional observation and physical examination was required to diagnose the origin of the primary cancerous lesion. Once the angiosarcoma diagnosis was confirmed histologically, sequential weekly and monthly docetaxel （DTX） treatment was effective in preventing reoccurrence. Nonetheless, the optimization of angiosarcoma treatment remains a future goal. Although patients generally describe pain and swelling at the primary lesion site, this patient complained only of painful neck inflammation, without any indication of pain or swelling of the scalp. A revised diagnostic protocol should note that cervical lymph node metastasis of unknown primary origin may result from angiosarcoma of the scalp.

关键词： angiosarcoma docetaxel neck inflammation needle biopsy scalp

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

《千金翼方·禁经》与日本奈良市出土二条大路咒符木简

引用

道教学刊 2018年第1期 133-148页

作者：大形彻山里纯一大野朋子佐々木聡董涛池内早纪子不详

序言日本奈良市的藤原麻吕(737年死于天然痘)宅邸遗址的沟中出土了被称作'二条大路木简'的咒符。1其内容是呼唤南山之神,除祓虐(疟)鬼。疟鬼是'疫鬼'2的一种。在当时普遍认为疾病是由鬼引起的。3所以要施以除鬼的咒术。

关键词：千金翼方

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：