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A. K. Singh M. Gujar S. Shiral R. M. Raizada 《Indian journal of otolaryngology and head and neck surgery》2004,56(4):297-298
A case of rhinolith in a 60 years old male prsenting with palatal performation is, presented alongwith a brief discussion
on the pathogenesis and treatment. 相似文献
999.
L. K. Kochhar V. K. Shukul Rahul Sharma 《Indian journal of otolaryngology and head and neck surgery》2004,56(1):49-50
All penetrating neck wounds are potentially very dangerous and require emergency treatment. The choice of treatment for the
stable patient remains controversial, a number of studies encouraging mandatory surgical exploration and a similar number
encourage selective surgical exploration. Knowledge of the physical properties of the penetrating object or weapon can help
to determine a treatment plan and predict the risk of injury- All tracheal and esophageal injuries with structural damage
should be repaired primarily. A case of Gun Shot Wound Neck was air evacuated to Army Hospital R & R Delhi Cantt in a tracheostomised
state. Patient was evaluated in detail, he had trachea esophageal fistula. The management of this case is discussed along
with principles of management of war injuries. 相似文献
1000.
Israel Liberzon Stephan F Taylor K Luan Phan Jennifer C Britton Lorraine M Fig Joshua A Bueller Robert A Koeppe Jon-Kar Zubieta 《Neuropsychopharmacology》2007,61(9):1030-1038
BACKGROUND: Functional neuroimaging studies have detected abnormal limbic and paralimbic activation to emotional probes in posttraumatic stress disorder (PTSD), but few studies have examined neurochemical mechanisms that underlie functional alterations in regional cerebral blood flow. The mu-opioid neurotransmitter system, implicated in responses to stress and suppression of pain, is distributed in and is thought to regulate the function of brain regions that are implicated in affective processing. METHODS: Here we examined the micro-opioid system with positron emission tomography and the micro-opioid receptor-selective radiotracer [11C] carfentanil in 16 male patients with PTSD and two non-PTSD male control groups, with (n = 14) and without combat exposure (n = 15). Differences in micro-opioid receptor binding potential (BP2) were detected within discrete limbic and paralimbic regions. RESULTS: Relative to healthy controls, both trauma-exposed groups had lower micro-opioid receptor BP2 in extended amygdala, nucleus accumbens, and dorsal frontal and insular cortex but had higher BP2 in the orbitofrontal cortex. PTSD patients exhibited reduced BP2 in anterior cingulate cortex compared with both control groups. Micro-opioid receptor BP2 in combat-exposed subjects without PTSD was lower in the amygdala but higher in the orbitofrontal cortex compared with both PTSD patients and healthy controls. CONCLUSIONS: These findings differentiate the general response of the micro-opioid system to trauma from more specific changes associated with PTSD. 相似文献