104 research outputs found

    ビョウインマエ シンパイ テイシ ニオケル キュウキュウ キュウメイシ ノ キカン ソウカン ニツイテ : ホンケン ノ ゲンジョウ ト コンゴ ノ カダイ

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    Activities of Japanese Paramedics have increased and advanced year by year. Especially, intubation for OHCPA(out of hospital cardiopulmonary arrest) is approved since July 2004, but it is necessary to finish the training in Fire-fighter’s school and intubation practice in hospitals. In Fire-fighter’s school, Paramedics attend lectures and simulation, and in hospital, intubation practice for patients. Medical-control is the system for keeping the qualities and verification of details in the scene of pre-hospital medical care. This report discusses the states and problems of paramedic intubation, practice in hospital, airway management, from the questionnaire survey

    Comparative Studies of Values of Bone Mineral Density Measured with Different Photon Absorptiometries : A Preliminary Report

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    In order to compare values of bone mineral density measured with various photon absorptiometries, fundamental studies, using four different types of phantoms were performed in four instruments. The QDR-1000 (dual energy X-ray absorptiometry, DEXA) and Dualomex HC-1 (dual photon absorptiometry) were employed for the determination of bone mineral of a lumbar phantom and a cylindrical phantom, and the DCS-600 (DEXA) and Bone Densitometer (single photon absorptiometry) were used for the determination of bone mineral of a rectangular phantom and a ring phantom. The results indicate that the methodology for identification of the bone edge, which is necessary to calculate bone area or bone width, and the bone mineral per unit volume, which is defined as the line bone mineral content per cross-secional area, differ with the instruments used. Furthermore, the bone mineral per unit volume depends on the bone shape of the measured objects. Therefore, it seems taht the cross calibration of bone mineral density between instruments using phantoms is limited and in vivo investigation will be required in the future

    A Study of Cases with Rib Metastasis Difficult to Distinguish from Microfractures on Bone Scintigraphy

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    A retrospective study of about 10,000 cases at Kawasaki Medical School Hospital on whom bone scans were performed over a six year period revealed five cases in which metastasis was mistaken for a benign rib lesion. This mistake occurred because the accumulation pattern of the radionuclide in the rib region on the bone scan indicated a so-called "hot spot" observed with microfractures rather than the rod-like increased accumulation along costal bones that is coincident with the finding of bone metastasis. This experience suggests that solitary hot spots in the rib region on bone scans should be diagnosed carefully, as such an accumulation is most frequently associated with a benign etiology but rarely may be a malignant lesion

    Serial Cerebral Perfusion Imaging in a Case with Herpes Simplex Encephalitis

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    To evaluate cerebral blood flow, single photon emission computed tomographies (SPECTs) were serially performed in a case with herpes simplex encephalitis (HSE). Increased accumulation of N-ispropyl-I-123-p-iodoamphetamine (I-123-IMP) and Tc - 99m - hexamethylpropyleneamine oxime (Tc - 99m - HM - PAO) were noticed in the acute phase, and continued for seven weeks after the onset of the disease. In the third week, regional cerebral blood flow (rCBF) was estimated with I-123-IMP SPECT, and rCBF showed a high value in the affected temporal and occipital lobes of 60 to 70 ml/100 g/min (normal value; 40-50 ml/100 g/min), reflecting high accumulation of the tracer. After the twelfth week, when chinical symptoms and laboratory data had improved, the increased accumulation of these tracers was converted to a decreased accumulation

    Abnormal axon guidance signals and reduced interhemispheric connection via anterior commissure in neonates of marmoset ASD model

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    In autism spectrum disorder (ASD), disrupted functional and structural connectivity in the social brain has been suggested as the core biological mechanism underlying the social recognition deficits of this neurodevelopmental disorder. In this study, we aimed to identify genetic and neurostructural abnormalities at birth in a non-human primate model of ASD, the common marmoset with maternal exposure to valproic acid (VPA), which has been reported to display social recognition deficit in adulthood. Using a comprehensive gene expression analysis, we found that 20 genes were significantly downregulated in VPA-exposed neonates. Of these, Frizzled3 (FZD3) and PIK3CA were identified in an axon guidance signaling pathway. FZD3 is essential for the normal development of the anterior commissure (AC) and corpus callosum (CC); hence, we performed diffusion tensor magnetic resonance imaging with a 7-Tesla scanner to measure the midsagittal sizes of these structures. We found that the AC size in VPA-exposed neonates was significantly smaller than that in age-matched controls, while the CC size did not differ. These results suggest that downregulation of the genes related to axon guidance and decreased AC size in neonatal primates may be linked to social brain dysfunctions that can happen later in life

    Successful cricothyrotomy for emergency airway management : a case report

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    A 60 year-old male was brought to our emergency department by ambulance due to sudden onset of dyspnea. On examination, he was in coma since his level of consciousness decreased during transport, blood pressure was 199/111mmHg, heart rate was100 beats per minute, respirations were 10 per minute, blood oxygen saturation level(SpO2)was100% via assisted ventilation with Bag-Valve-Mask, and stridor was heard on auscultation. Those findings indicated airway emergency and endotracheal intubation was required. However, attempts at intubation were unsuccessful due to restriction of mouth opening. Muscle relaxant was then given to perform rapid sequence intubation, which caused vomiting. Failure to ventilation and intubation resulted in cardiopulmonary arrest. Chest compression was started immediately and decision for cricothyrotomy was made. 10 minute after cricothyrotomy, he revived. Subsequently, systemic management including therapeutic normothermia was performed at intensive care unit, then he regained consciousness. He was discharged 1 month after admission

    Conduction-band electronic states of YbInCu4 studied by photoemission and soft x-ray absorption spectroscopies

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    We have studied conduction-band (CB) electronic states of a typical valence-transition compound YbInCu4 by means of temperature-dependent hard x-ray photoemission spectroscopy (HX-PES) of the Cu 2p3/2 and In 3d5/2 core states taken at hν=5.95 keV, soft x-ray absorption spectroscopy (XAS) of the Cu 2p3/2 core absorption region around hν∼935 eV, and soft x-ray photoemission spectroscopy (SX-PES) of the valence band at the Cu 2p3/2 absorption edge of hν=933.0 eV. With decreasing temperature below the valence transition at TV=42 K, we have found that (1) the Cu 2p3/2 and In 3d5/2 peaks in the HX-PES spectra exhibit the energy shift toward the lower binding-energy side by ∼40 and ∼30 meV, respectively, (2) an energy position of the Cu 2p3/2 main absorption peak in the XAS spectrum is shifted toward higher photon-energy side by ∼100 meV, with an appearance of a shoulder structure below the Cu 2p3/2 main absorption peak, and (3) an intensity of the Cu L3VV Auger spectrum is abruptly enhanced. These experimental results suggest that the Fermi level of the CB-derived density of states is shifted toward the lower binding-energy side. We have described the valence transition in YbInCu4 in terms of the charge transfer from the CB to Yb 4f states
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