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BACKGROUND: Non-ketotic hyperglycaemic (NKH) seizures are a rare neurological complication of diabetes caused by hyperglycaemia in non-ketotic and non-hyperosmotic states. The clinical characteristics of NKH seizures are atypical and lack unified diagnostic criteria, leading to potential misdiagnoses in the early stages of the disease. CASE SUMMARY: This report presents a rare case of NKH seizures in a 52-year-old male patient with a history of type 2 diabetes mellitus. We performed comprehensive magnetic resonance imaging (MRI) studies at admission, 12 d post-admission, and 20 d post-discharge. The imaging techniques included contrast-enhanced head MRI, T2-weighted imaging (T2WI), fluid-attenuated inversion recovery (FLAIR), diffusion-weighted imaging, susceptibility-weighted imaging, magnetic resonance spectroscopy (MRS), and magnetic resonance venography. At the time of admission, T2WI and FLAIR of the cranial MRI showed that the left parieto-occipital cortex had gyrus-like swelling and high signal, and subcortical stripes had low signal. MRS showed a reduced N-acetylaspartate peak and increased creatine and choline peaks in the affected areas. A follow-up MRI 20 d later showed that the swelling and high signal of the left parieto-occipital cortex had disappeared, and the low signal of the subcortex had disappeared. CONCLUSION: This case study provides valuable insights into the potential pathogenesis, diagnosis, and treatment of NKH seizures. The comprehensive MRI findings highlight the potential utility of various MRI sequences in diagnosing and characterizing NKH seizures.
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According to the thickening principle and molecular structure of thickeners, supercritical carbon dioxide (scCO2) thickeners have been summarized and introduced by dividing into polymers, small molecular compounds and surfactants. The properties such as solubility, thickening effect, thickening condition and existing problems of scCO2 thickeners are analyzed and assessed, and the research progress and prospects of scCO2 thickeners are proposed. ScCO2 is used in both CO2 fracturing and CO2 flooding for enhanced oil recovery (EOR). However, due to its low viscosity, the proppant carrying ability and filtration control ability of scCO2 are too weak for fracturing. Also, in the process of CO2 flooding, its low viscosity not only exacerbates the gravity override but also leads to an unfavorable mobility ratio that results in viscous fingering, early breakthrough, and poor sweep efficiency. Therefore, scCO2 thickeners have good application prospects in oil and gas production for improved oil recovery (IOR).
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In the process of tracheal intubation, the anesthesia video laryngoscope is used to lift up the patient's epiglottis to expose the glottis, and thus guiding the medical staff to perform anesthesia intubation accurately. This paper describes the method and significance of video laryngoscope in the process of guiding anesthesia intubation, introduces the overall structure and function of portable anesthesia video laryngoscope, the design is mainly focused on image acquisition module, core board circuit, video decoding circuit, lithium battery charging circuit and external storage circuit, at last briefly introduces work process of the video laryngoscope.
