著者

森本 文雄 嶋津 岳士 岩井 敦志 平出 敦 吉岡 敏治 杉本 侃

出版者

Japanese Association for Acute Medicine

雑誌

日本救急医学会雑誌 (ISSN:0915924X)

巻号頁・発行日

vol.7, no.2, pp.87-90, 1996-02-15 (Released:2009-03-27)

参考文献数

9

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We present a case of pure puffer fish poisoning who developed prolonged ataxia without persistent muscle weakness. Impaired peripheral nerve conduction was suggested to be the cause of the prolonged ataxia. A 40-year-old male, a licensed puffer fish chef, tasted a piece of puffer fish liver when his stomach was empty. Approximately 20 minutes later he recognized numbness in the fingers and lips, the onset of generalized muscle weakness and paresthesia. He was admitted to our hospital for the management of progressive motor weakness one hour after ingestion. Spontaneous breathing disappeared 90 minutes after ingestion. After six hours of mechanical ventilation, spontaneous breathing resumed. Motor paralysis and paresthesia improved within 20 hours, while dizziness persisted for several days, which was not attributable to alcohol in this case. Neurological examination showed prolonged ataxia; he could not stand on one foot until the third hospital day. Serial peripheral nerve conduction velocity studies revealed decreased conduction velocities. In particular, conduction velocities of the sensory nerve were more seriously impaired and required a longer recovery time as compared to those of the motor nerve. Since tetrodotoxin does not affect the central nervous system, such prolonged ataxia in puffer fish poisoning is presumably attributable to decreased peripheral nerve conduction velocities.

著者

後藤 京子 杉本 侃

出版者

The Japanese Society of Health and Human Ecology

雑誌

民族衛生 (ISSN:03689395)

巻号頁・発行日

vol.62, no.2, pp.53-64, 1996-03-31 (Released:2010-06-28)

参考文献数

23

被引用文献数

1

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The Japan Poison Information Center (JPIC) received 205, 199 inquiries from citizens and medical personnel for 5 years from April, 1989 to March, 1995. And, the number of inquiries concerning with suicide in those was 5, 778. In July 1993, the book named the Suicidal Manual were published in Japan and since then, the inquiries concerning with suicide attempts have increased. So, I analyzed these data about implicated products and contrasted the data received before the publication of the manual to the data received after that on purpose to make clear the affection of the Suicidal Manual. In regard to the substance that was selected in suicide attempts cases, teen-ager and the twenties tend to use medicines, especially over-the-counter drugs and older people tend to use agricultural chemicals. After the book was published, the number of inquiries about some over-the-counter drugs that were shown as appropriate way for easy and painless death in the book had increased. So, it is very important to give the young people the information of drug toxicity and appropriate management of drugs to decrease the influence of the book.

著者

杉本 侃

出版者

ロシア・東欧学会

雑誌

ロシア・東欧研究 (ISSN:13486497)

巻号頁・発行日

vol.2006, no.35, pp.13-23, 2006 (Released:2010-05-31)

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Energy resources such as oil and gas might work as one of diplomatic means and a pipeline which transports oil and gas, as well. There are some such examples in and around the Former Soviet Union in these days as pointed out below.Ukraine shut off a gas-valve, Belarus turned off the tap of the oil pipeline, Azer-baijan stopped oil flow from Baku to Novorossisk, Georgia seems to have decided to depend on Azerbaijan gas instead of Russian. Russia is constructing and planning to lay pipelines without passing a third country, some of oil and gas producing countries in the Caspian region are trying to export their products bypassing Russia and some European states support such an action, some countries are trying to invite transit pipeline construction within their territory. Russia will differentiate gas export prices depending on importers' loyalty to Russia.The above-mentioned are one of evidences for the strategic features of a pipeline, but nonetheless attention must be paid to the following two aspects.1) Profit which a long-term reliable relation brings outweighs a short-lived advantage, gained contrary to principle of reciprocity.2) Use of pipeline for a political purpose might be a peculiar phenomenon in a specific region for specific time duration as almost all cases studied here concern the Former Soviet Union.Conclusion: A pipeline might affect relationships between nations and vice versa. We, men of reason, should live basing on the assumption that a relation among producers, a relation among consumers and a relation between a producer and a consumer must be supplementary and cooperative, not exclusive.

著者

後藤 京子 杉本 侃

出版者

The Japanese Society of Health and Human Ecology

雑誌

民族衞生 (ISSN:03689395)

巻号頁・発行日

vol.62, no.2, pp.53-64, 1996-03-31

被引用文献数

5

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The Japan Poison Information Center (JPIC) received 205, 199 inquiries from citizens and medical personnel for 5 years from April, 1989 to March, 1995. And, the number of inquiries concerning with suicide in those was 5, 778. In July 1993, the book named the Suicidal Manual were published in Japan and since then, the inquiries concerning with suicide attempts have increased. So, I analyzed these data about implicated products and contrasted the data received before the publication of the manual to the data received after that on purpose to make clear the affection of the Suicidal Manual. In regard to the substance that was selected in suicide attempts cases, teen-ager and the twenties tend to use medicines, especially over-the-counter drugs and older people tend to use agricultural chemicals. After the book was published, the number of inquiries about some over-the-counter drugs that were shown as appropriate way for easy and painless death in the book had increased. So, it is very important to give the young people the information of drug toxicity and appropriate management of drugs to decrease the influence of the book.

著者

植田 俊夫 日田 新太郎 熊谷 義也 杉本 侃 杉本 壽

出版者

一般社団法人日本外科学会

雑誌

日本外科学会雑誌 (ISSN:03014894)

巻号頁・発行日

vol.100, no.7, pp.455-459, 1999-07-01

被引用文献数

2