{"created":"2021-03-01T06:24:15.294412+00:00","id":19400,"links":{},"metadata":{"_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","sets":["453:456","471:537:538:1151"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Wernicke's Encephalopathy after Glucose Infusion (Problems in Medical Care based on the health Insurance System)"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1994-04","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"270","bibliographicPageStart":"267","bibliographicVolumeNumber":"108","bibliographic_titles":[{"bibliographic_title":"新潟医学会雑誌"},{"bibliographic_title":"新潟医学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Two patients with Wernicke's 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's encephalopathy. It should be noted that Wernicke's encephalopathy can easely be induced by prolonged intravenous glucose infusion without vitamines. Wernicke's 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":"著者別名","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","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kuwabara, Takeo"}]},{"nameIdentifiers":[{"nameIdentifier":"120716","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sato, Shuzo"}]},{"nameIdentifiers":[{"nameIdentifier":"120717","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tsuji, Shoji"}]},{"nameIdentifiers":[{"nameIdentifier":"120718","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kurita, Isamu"}]},{"nameIdentifiers":[{"nameIdentifier":"120719","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Okada, Kousaku"}]},{"nameIdentifiers":[{"nameIdentifier":"120720","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hatakeyama, Satoru"}]},{"nameIdentifiers":[{"nameIdentifier":"120721","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Sakai, Yasuo"}]},{"nameIdentifiers":[{"nameIdentifier":"120722","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hatakeyama, Katsuyoshi"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟医学会"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00290440","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"田中, 正美"}],"nameIdentifiers":[{"nameIdentifier":"120697","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"鈴木, 和夫"}],"nameIdentifiers":[{"nameIdentifier":"120698","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"遠藤, 耕太郎"}],"nameIdentifiers":[{"nameIdentifier":"120699","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"姉崎, 利治"}],"nameIdentifiers":[{"nameIdentifier":"120700","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"丹野, 芳範"}],"nameIdentifiers":[{"nameIdentifier":"120701","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"桑原, 武夫"}],"nameIdentifiers":[{"nameIdentifier":"120702","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"佐藤, 修三"}],"nameIdentifiers":[{"nameIdentifier":"120703","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"辻, 省次"}],"nameIdentifiers":[{"nameIdentifier":"120704","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"栗田, 勇"}],"nameIdentifiers":[{"nameIdentifier":"120705","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"岡田, 耕作"}],"nameIdentifiers":[{"nameIdentifier":"120706","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"畠山, 悟"}],"nameIdentifiers":[{"nameIdentifier":"120707","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"酒井, 靖夫"}],"nameIdentifiers":[{"nameIdentifier":"120708","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"畠山, 勝義"}],"nameIdentifiers":[{"nameIdentifier":"120709","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-08"}],"displaytype":"detail","filename":"108(4)_267-270.pdf","filesize":[{"value":"1.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"108(4)_267-270.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/19400/files/108(4)_267-270.pdf"},"version_id":"417c1660-a2e0-40b6-ac40-71a9ee525218"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"thamine","subitem_subject_scheme":"Other"},{"subitem_subject":"Wernicke's encephalopathy","subitem_subject_scheme":"Other"},{"subitem_subject":"health insurance","subitem_subject_scheme":"Other"},{"subitem_subject":"ビタミンB_1","subitem_subject_scheme":"Other"},{"subitem_subject":"Wernicke 脳症","subitem_subject_scheme":"Other"},{"subitem_subject":"健康保険","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin 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