{"_buckets": {"deposit": "152517eb-b468-4992-8940-76d2a1c1de07"}, "_deposit": {"id": "19400", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "19400"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00019400"}, "item_7_alternative_title_1": {"attribute_name": "\u305d\u306e\u4ed6\u306e\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_alternative_title": "Wernicke\u0027s Encephalopathy after Glucose Infusion (Problems in Medical Care based on the health Insurance System)"}]}, "item_7_biblio_info_6": {"attribute_name": "\u66f8\u8a8c\u60c5\u5831", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1994-04", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "4", "bibliographicPageEnd": "270", "bibliographicPageStart": "267", "bibliographicVolumeNumber": "108", "bibliographic_titles": [{"bibliographic_title": "\u65b0\u6f5f\u533b\u5b66\u4f1a\u96d1\u8a8c"}, {"bibliographic_title": "\u65b0\u6f5f\u533b\u5b66\u4f1a\u96d1\u8a8c", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "Two patients with Wernicke\u0027s encephalopathy after glucose and electrolyte infusion without vitamins were described. Both patients showed consciousness disturbance, complete ophthalmoplegia and areflexia of bilateral lower extremities. The characteristic neurological findings as well as MR findings such as lesions at dorsal medial nuclei of the thalamus and periaqueductal regions enabled early diagnosis of the disease. Because thiamine is required in glucose metabolism as a coenzyme, carbohydrate loading in the presence of marginal thiamine storage can result in the development of Wernicke\u0027s encephalopathy. It should be noted that Wernicke\u0027s encephalopathy can easely be induced by prolonged intravenous glucose infusion without vitamines. Wernicke\u0027s encephalopathy in such cases should be prevented by appropriate supplementation of vitamines, which has some confilict with of current system of health insurance.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "\u8457\u8005\u5225\u540d", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "120710", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Tanaka, Masami"}]}, {"nameIdentifiers": [{"nameIdentifier": "120711", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Suzuki, Kazuo"}]}, {"nameIdentifiers": [{"nameIdentifier": "120712", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Endo, Koutaro"}]}, {"nameIdentifiers": [{"nameIdentifier": "120713", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Anezaki, Toshiharu"}]}, {"nameIdentifiers": [{"nameIdentifier": "120714", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Tanno, Yoshinori"}]}, {"nameIdentifiers": [{"nameIdentifier": "120715", 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