ABSTRACT
Most terminally ill cancer patients in our hospice ward are referred from hospitals for anticancer treatment. For identical terminally ill cancer patients referred from other hospitals, differences in the accuracy and characteristics of the prognostic prediction of survival by oncologists and palliative care physicians were examined. We investigated 101 patients and compared the prognostic value between the clinical prediction of survival with oncologists and prognostic tool-conducted prediction by palliative care physicians with the actual survival times; the results were then classified as accurate, pessimistic and optimistic. Prognostic prediction by palliative care physicians was closer to the actual survival time. The number of accurately predicted cases by palliative care physicians was more than that by oncologists, and the number of optimistically predicted cases by oncologists was more than that by palliative care physicians. The palliative care physicians' prediction was more accurate, while the oncologists' prediction was more optimistic.
Subject(s)
Neoplasms/mortality , Oncologists , Palliative Care , Physicians , Terminally Ill , Aged , Aged, 80 and over , Female , Hospice Care , Humans , Male , Middle Aged , Prognosis , Survival AnalysisSubject(s)
First Aid/methods , Fish Venoms/adverse effects , Fishes, Poisonous , Information Services/statistics & numerical data , Information Services/standards , Wounds and Injuries/etiology , Wounds and Injuries/therapy , Animals , First Aid/adverse effects , First Aid/standards , Humans , Internet , Japan/epidemiology , Wounds and Injuries/epidemiologyABSTRACT
We describe here a case of suicidal poisoning by saponated cresol ingestion. A 41 year-old male was found unconsciousness in a park in the early morning, and an empty bottle of saponated cresol was found beside him. His death was confirmed approximately 2 hours later, despite attempts at resuscitation and intensive care. The autopsy revealed severe morphological damage of the upper gastrointestinal tract and congestion of the lung. We also observed by histopathological examination severe lung edema and severe erosion of the esophagus and stomach. Toxicological analysis also identified a high concentration of cresol isomer in the blood and gastric contents. The cause of death was given as cresol poisoning, based on the results of the autopsy and toxicological examination.
