Hyperactive delirium as a complication of nicotine withdrawal: a case report
Bibliographic record
Abstract
Introduction: Many active smokers want to quit and attempt to quit smoking throughout their lifetime of use.As practitioners, it is crucial to understand the difficulty of quitting smoking and offer support through nicotine replacement products as needed.Here we present a case report of a rare side effect of nicotine withdrawal: hyperactive delirium.Case description: A 61-year-old Caucasian male was voluntarily admitted to the dual diagnosis psychiatric unit for active suicidal ideation and alcohol detoxification.The patient was started on alcohol detoxification protocol with a benzodiazepine taper.The patient exhibited increased agitation, visual hallucinations, irritability and disorientation.Due to the patient's onset of hyperactive delirium with the absence of any signs or symptoms of alcohol withdrawal, the treatment team reviewed the patient's substance use history.He reported smoking three packs of cigarettes per day for the past 20 years.The patient was immedi-Streszczenie Wprowadzenie: Wielu palaczy przez całe życie podejmuje próby rzucenia palenia.Dla nas, praktyków, kluczowe znaczenie ma zrozumienie trudności związanych z rzuceniem palenia i, jeśli to konieczne, oferowanie wsparcia w postaci nikotynowych produktów zastępczych.W artykule przedstawiono opis majaczenia z nasilonymi objawami -rzadko występującego przypadku skutku ubocznego odstawienia nikotyny.Opis przypadku: 61-letni mężczyzna rasy kaukaskiej zgłosił się na oddział psychiatryczny podwójnej diagnozy z powodu myśli samobójczych i na detoksykację alkoholową.Leczenie rozpoczęto od detoksykacji alkoholowej z sukcesywnie zmniejszanymi dawkami benzodiazepiny.Pacjent wykazywał zwiększone pobudzenie, omamy wzrokowe, drażliwość i dezorientację.Ze względu na wystąpienie objawów majaczenia, przy braku innych objawów odstawienia alkoholowego, zespół terapeutyczny dokonał przeglądu jego historii używania substancji psychoaktywnych.Pacjent zgłosił Healthcare providers should be aware of the more rare side effects of nicotine withdrawal especially when admitting patients in the acute condition.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.004 | 0.003 |
| Meta-epidemiology (broad) | 0.003 | 0.004 |
| Bibliometrics | 0.006 | 0.005 |
| Science and technology studies | 0.006 | 0.003 |
| Scholarly communication | 0.003 | 0.006 |
| Open science | 0.004 | 0.005 |
| Research integrity | 0.011 | 0.008 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".