• Title/Summary/Keyword: coma

Search Result 461, Processing Time 0.026 seconds

The Effect of Oral Administration of Ethanol in Ethylene Glycol Intoxication in Dogs (개의 Ethylene Glycol 중독에 대한 에탄올의 경구투여 효과)

  • Part Cheol-Man;Han Hong-Ryul
    • Journal of Veterinary Clinics
    • /
    • v.4 no.1
    • /
    • pp.423-432
    • /
    • 1987
  • The present studies were undertaken in attempt to investigate the therapeutic effect of ethanol in dogs intoxicated with ethylene glycol Three dogs treated with ethylene glycol and other three dogs with ethylene glycol plus 20% ethanol orally were examined on clinical signs, endoscopic views, histopathological findings, and autopsy findings respectively. The results obtained were summarized as fellows : 1. The clinical sings and their severity of dogs intoxicated with ethylene glycol were time related and progressed from vomiting, depression, thirsty, tachycardia, tachypnea, convulsiot ataxia, melena, uremia and coma, but clinical signs of dogs treated with ethylene glycol and ethanol simultaneously only stowed vomiting and thirsty. 2. In the gastroscopic view, the dogs intoxicated with ethyelne glycol showed edematous, hyperemia, errosive and ulcerative lesions in the fundus and body area but the dogs treated with ethylene glycol and ethanol simultanously showed edematous and hyperemic lesions. 3. Oral treatment of ethanol with ethylene glycol simultaneously have reduced the signs of EG intoxications in dogs.

  • PDF

A Case of Severe Hyponatremia Induced by Radiographic Contrast Agent (조영제 사용으로 유발된 중증 저나트륨혈증 1례)

  • Hong, Jeong-Deok;Lim, In-Seok;Choi, Eung-Sang
    • Childhood Kidney Diseases
    • /
    • v.14 no.1
    • /
    • pp.89-93
    • /
    • 2010
  • Hyponatremia which is a very common electrolyte abnormality in hospitalized patients is defined as a plasma sodium concentration less than 135 mEq/L. Hyponatremia is generally caused by intravascular volume depletion, excessive salt loss and hypotonic fluid overload. It also can be caused by intravascular osmotic agent. Although most cases are mild and asymptomatic, acute severe hyponatremia can cause severe neurologic symptoms, such as seizures and coma. We report a rare case of severe hyponatremia induced by radiographic contrast agent.

Implementation of Patient Monitoring System over COMA Network (CDMA 공중망을 이용한 환자 감시시스템 구현)

  • 고완진;정은호;김성훈;김우식
    • Proceedings of the Korean Information Science Society Conference
    • /
    • 2003.04d
    • /
    • pp.85-87
    • /
    • 2003
  • 그동안 부진했던 PDA 산업은 2001년과 지난해를 기점으로 다시금 재도약의 기회를 맞고 있다. 그 연결고리는 바로 PDA와 이동통신(또는 네트워크)의 결합이다. 이동통신이나 네트워크 기능을 결합해 휴대폰과 같은 음성통신은 물론이고, 무선인터넷 활용으로 다양한 정보를 얻을 수 있게 된 것이며 그로 인하여 사용자의 이동성을 보장해주는 다양한 서비스 제공이 가능해졌다. 그러한 서비스 중 하나로서 기존의 유선망을 이용한 원격진료의 불편함을 탈피, 무선망을 이용한 측정시간동안의 시ㆍ공간적 불편함을 해소시킬 수 있는 방법을 제시한다. 피검사자가 실내에서 활동중인 경우에는 무선랜을 통한 원격지관리 그리고 실외에서 활동중인 경우에는 CDMA망을 통한 원격지관리를 가능케 함으로서 어느장소에 있든지 원격지에서 피검사자의 생체신호를 관찰, 진단할 수 있다.

  • PDF

Renal replacement therapy in neonates with an inborn error of metabolism

  • Cho, Heeyeon
    • Clinical and Experimental Pediatrics
    • /
    • v.62 no.2
    • /
    • pp.43-47
    • /
    • 2019
  • Hyperammonemia can be caused by several genetic inborn errors of metabolism including urea cycle defects, organic acidemias, fatty acid oxidation defects, and certain disorders of amino acid metabolism. High levels of ammonia are extremely neurotoxic, leading to astrocyte swelling, brain edema, coma, severe disability, and even death. Thus, emergency treatment for hyperammonemia must be initiated before a precise diagnosis is established. In neonates with hyperammonemia caused by an inborn error of metabolism, a few studies have suggested that peritoneal dialysis, intermittent hemodialysis, and continuous renal replacement therapy (RRT) are effective modalities for decreasing the plasma level of ammonia. In this review, we discuss the current literature related to the use of RRT for treating neonates with hyperammonemia caused by an inborn error of metabolism, including optimal prescriptions, prognosis, and outcomes. We also review the literature on new technologies and instrumentation for RRT in neonates.

A case report of cocklebur poisoning in Hanwoo (Korean native cattle) (한우에서 발생한 도꼬마리 중독 증례)

  • Jun, Kyoungah;Lee, DongEun;Jeong, DaeEun
    • Korean Journal of Veterinary Service
    • /
    • v.44 no.2
    • /
    • pp.113-117
    • /
    • 2021
  • Cocklebur poisoning in livestock can cause sudden death, with clinical signs include depression, inappetite, blindness, reluctance to move, hypersensitivity, ataxia and coma. The cause of cocklebur poisoning is ingestion of cocklebur sprout or seed, which contains carboxyatractyloside. In December 2020, a 47 month-old Hanwoo suddenly developed ataxia, and died after several hours. Hay mixed cocklebur seeds was fed to Hanwoo for 4 days before the symptoms. At autopsy, petechia and ecchymosis were seen on serous membrane of rumen and intestines. Peritoneal cavities contained a yellowish fluid and, hypoglycemia (Glu <20 mg/dL) was measured in blood test result. Microscopic lesions were karyolysis of centriloular hepatocyte and hemorrhage. Based on autopsy, blood and histopathological test, we diagnosed this case as cocklebur poisoning in Hanwoo.

Ciguatera fish poisoning in Korea: a case report (한국에서 발생한 시구아테라: 증례보고)

  • Kang, Jeong Ho;Lee, Sung Kgun
    • Journal of The Korean Society of Clinical Toxicology
    • /
    • v.19 no.1
    • /
    • pp.55-58
    • /
    • 2021
  • Ciguatera is the commonest syndrome of marine poisoning that is caused by the ingestion of ciguatoxins that accumulate in certain tropical and subtropical finfish. It is endemic throughout the subtropical and tropical regions of the Indo-Pacific and Caribbean and has been rarely reported in Korea. With the expansion of travel, tourism, and the import of fish from the tropics, ciguatera poisoning now affects a diverse population. We report a case of ciguatera in a 70-year-old woman, presenting with general paralysis and coma, which developed after consuming codfish and mackerel in Korea.

Optical Design of a High-numerical-aperture Objective with a Reflective Focal Reducer (반사형 Focal Reducer를 가지는 높은 개구수의 대물렌즈 설계)

  • Jong Ung Lee
    • Korean Journal of Optics and Photonics
    • /
    • v.34 no.6
    • /
    • pp.248-260
    • /
    • 2023
  • A 0.5-numerical-aperture (NA) refractive-reflective objective, composed of a low-NA refractive and a reflective focal reducer, is designed. A 0.25-NA Lister objective is used for the refractive. A two-spherical-mirror system, corrected for spherical aberration, coma, and astigmatism is used for the reflective focal reducer. In spite of high NA, the refractive-reflective objective has an 18-mm working distance and improved imaging performance, compared to the 0.25-NA Lister objective.

Ruptured Fusiform Anterior Cerebral Artery Aneurysm in an Infant : Case Report and a Literature Review

  • Wonseok Lee;Jong-Kook Rhim;Jin-Deok Joo;Ji Soon Huh;Ki-Bum Sim;You-Nam Chung
    • Journal of Korean Neurosurgical Society
    • /
    • v.66 no.6
    • /
    • pp.743-747
    • /
    • 2023
  • Ruptured intracranial aneurysms in infants are rare and infantile fusiform anterior cerebral artery (ACA) aneurysms are much rarer. In this report, we described the case of a 7-month-old infant with a ruptured fusiform ACA aneurysm who presented with seizure and underwent endovascular treatment. The patient was initially in a coma and the neurologic condition did not improve after treatment. The clinical characteristics of the case and literature review were discussed.

Two Cases of MELAS Syndrome Manifesting Variable Clinical Cour (다양한 임상경과를 보인 멜라스(MELAS, mitochondrial encephalopathy, lactic acidosis, and stroke-like episode) 증후군 2례)

  • Choi, Seo Yeol;Lee, Seung-Ho;Myung, Na-Hye;Lee, Young-Seok;Yu, Jeesuk
    • Journal of The Korean Society of Inherited Metabolic disease
    • /
    • v.16 no.2
    • /
    • pp.102-108
    • /
    • 2016
  • Mitochondrial encephalopathy, lactic acidosis, and stroke-like episode (MELAS) syndrome is one of mitochondrial encephalopathy. As the early clinical manifestations can be variable, it is important to suspect the disease, especially in patients with multiple organ dysfunctions. A boy was diagnosed with epilepsy when he was 9 years old. Two years later, severe headache and blurred vision developed suddenly. On examination, left homonymous hemianopsia was detected with corresponding cerebral parenchymal lesions in right temporo-occipito-parietal areas. MELAS syndrome was confirmed by genetic test, which showed m.3243 A>G mitochondrial DNA mutation. Multivitamins including coenzyme Q10 were added to anticonvulsant. He experienced 4 more events of stroke-like episodes over 5 years, but he is able to perform normal daily activities. A 13-year-old boy was brought to the hospital due to suddenly developed respiratory arrest and asystole associated with pneumonia. Past medical history revealed that he had multiple medical problems such as epilepsy, failure-to-thrive, optic atrophy, and deafness. He has been on valproic acid as an anticonvulsant which was prescribed from local clinic. He recovered after the resuscitation, but his cognition and motor function were severely damaged. He became bed-ridden. He was diagnosed with MELAS syndrome by brain MRI, muscle biopsy, and clinical features. Genetic test did not reveal any mitochondrial gene mutation. Four years later, he expired due to suddenly developed severe metabolic acidosis combined with hyperglycemic hyperosmolar nonketotic coma. The clinical features of MELAS syndrome are variable. Early diagnosis before the presentation to the grave clinical course may be important for the better clinical outcome.

  • PDF

Characterization and N-Terminal Amino Acid Sequence Analysis of Catechol 2,3-dioxygenase Isolated from the Aniline Degrading Bacterium, Delftia sp. JK-2 (Aniline 분해세균 Delftia sp. JK-2에서 분리된 catechol 2,3-dioxygenase의 특성 및 N-말단 아미노산 서열분석)

  • 황선영;송승열;오계헌
    • Korean Journal of Microbiology
    • /
    • v.39 no.1
    • /
    • pp.1-7
    • /
    • 2003
  • The aim of this work was to investigate the characterization and sequence of catechol 2,3-dioxygenase isolated from Delfia sp. JK-2, which could utilize aniline as sole carbon, nitrogen and energy source. In initial experiments, several characteristics of C2,3O separated with ammonium sulfate precipitation, DEAE-sepharose were investigated. Specific activity of C2,3O was approximately 4.72 unit/mg. C2,3O demonstrated its enzyme activity to other substrates, catechol and 4-methylcatechol. The optimum temperature of C2,3O was $$Cu^{2+}$^{\circ}C$, and the optimal pH was approximately 8. Metal ions such as $Ag^{+}$, $Hg^{+}$, and $Cu^{2+}$ showed inhibitory effect on the activity of C2,3O. Molecular weight of the enzyme was determined to approximately 35 kDa by SDS-PAGE. N-terminal amino acid sequence of C2,3O was analyzed as $^{1}MGVMRIG-HASLKVMDMDA- AVRHYENV^{26}$, and exhibited high sequence homology with that of C2,30 from Pseudomonas sp. AW-2, Comamonas sp. JS765, Comamonas testosteroni and Burkholderia sp. RPO07. PCR product was amplified with the primers derived from N-terminal amino acid sequence. In this work, we found that the amino acid sequence of Delftia sp. JK-2 showed high sequence homology of C2,3O from Pseudomonas sp. AW-2 (100%) and Comamonas sp. JS765 (97%).