WordNet

a special situation; "this thing has got to end"; "it is a remarkable thing"
a separate and self-contained entity
an action; "how could you do such a thing?"
an artifact; "how does this thing work?"
an entity that is not named specifically; "I couldnt tell what the thing was"
any attribute or quality considered as having its own existence; "the thing I like about her is ..."
a persistent illogical feeling of desire or aversion; "he has a thing about seafood"; "she has a thing about him"
a special abstraction; "a thing of the spirit"; "things of the heart"
a special objective; "the thing is to stay in bounds"
a statement regarded as an object; "to say the same thing in other terms"; "how can you say such a thing?"
an event; "a funny thing happened on the way to the..."
disorder resulting from a failure to behave predictably; "the army retreated in confusion"
a mistake that results from taking one thing to be another; "he changed his name in order to avoid confusion with the notorious outlaw" (同)mix-up
an act causing a disorderly combination of elements with identities lost and distinctions blended; "the confusion of tongues at the Tower of Babel"
a feeling of embarrassment that leaves you confused (同)discombobulation
a mental state characterized by a lack of clear and orderly thought and behavior; "a confusion of impressions" (同)mental_confusion, confusedness, muddiness, disarray
the market value set on assets
an amount determined as payable; "the assessment for repairs outraged the clubs membership"

PrepTutorEJDIC

〈C〉(形のある)『物』,物体;(生物に対しての)『無生物』 / 〈C〉(形のない)『もの』,事,事柄,でき事 / 《複数形で》事情,事態,状勢,状況 / 《複数形で》(すべての)事物,事柄 / 《通例 the~》(努力・活動などの)目的,目標 / 〈C〉衣服,衣類・《one's things》持ち物,所持品,身の回り品 / 《複数形で》道具,用具・〈C〉《親愛・哀れみ・軽べつなどの感情をこめて》人,者,やつ / 《the~》《話》(…の)流行《+in+名》
『混乱』,乱雑(disorder) / (…と…との)混同《+『of』+『名』+『with』+『名』》 / 当惑,ろうばい
《時間・距離》『…の間』 / 《利益・貢献》『…のために』 / 《適応・用途》『…向きの(に);』…用の(に);…のための(に) / 《目的・意向》『…のために,』に / 《敬意・記念》『…のために;』…を記念して / 《獲得・追求》『…を得るために』,を求めて / 《行く先・方向》『…あてに;』…[方面]行きの,に向けて / 《交換・報償など》『…に対して』;…と引き換えに;…のお返しに / 《原因・理由》『…のために』,なので / 《代理・代表》『…の代わりに;』…を代表して / 《形容詞の後に用いて》『…にとって,』には / 《比較級の後に用いて》『…の結果として,』…のために / 《対比》『…としては,』のわりには / 《関連》『…について,』の点では / 《資格・属性》『…として』 / 《賛成・支持》…『に賛成して』,を支持して / 《傾向・好み》…『に対する』,には / 《模倣》《おもに米》《英文》…の名を取って(after) / 《割合》…に対して / 《『for』+『名』〈人〉+『to』 doの形で,〈人〉が不定詞to doの意味上の主語を表して》…が(…することは,…するために) / […というのは]…だから
〈U〉評価,査定;(環境などの)状況判定 / 〈C〉評価額,課税額
《前述の名詞または文脈でそれと分かる名詞に付けて》『その』,あの,名の / 《唯一の事物に付けて》 / 《方角・自然現象に付けて》 / 《用具・楽器・特定の病気などに付けて》 / 《修飾吾[句]を伴う名詞に付けて》 / 《単数普通名詞に付けて》(1)《種族全体》…『というもの』 / 《複数名詞または集合名詞に付けて》 / 《単位》『…につき;…単位[で]』 / 《身体の一部に付けて,所有格に代わる》 / 《形容詞に付けて》 / 《固有名詞に付けて》 / 《強意用法に》『随一の』,典型的な / 《「the+比較級,the+比較級」の形で》『…すればするほどそれだけ』 / 《比較級の前に》(…につれて,のために)『それだけ』,ますます

UpToDate Contents

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1. 緩和ケアにおける包括的患者評価の概要 overview of comprehensive patient assessment in palliative care
2. せん妄および錯乱状態の診断 diagnosis of delirium and confusional states
3. 危篤状態の成人における鎮静鎮痛剤：選択、開始、維持、および離脱 sedative analgesic medications in critically ill adults selection initiation maintenance and withdrawal
4. 高齢者の病院でのマネージメント hospital management of older adults
5. 緩和ケアにおける症状の評価へのアプローチ approach to symptom assessment in palliative care

English Journal

Relationship Between African-American Race and Delirium in the ICU.

Khan BA1, Perkins A, Hui SL, Gao S, Campbell NL, Farber MO, Boustani MA.
Critical care medicine.Crit Care Med.2016 Sep;44(9):1727-34. doi: 10.1097/CCM.0000000000001813.
OBJECTIVES: Delirium is a highly prevalent syndrome of acute brain dysfunction among critically ill patients that has been linked to multiple risk factors, such as age, preexisting cognitive impairment, and use of sedatives; but to date, the relationship between race and delirium is unclear. We cond
PMID 27276344

Endothelial Activation and Blood-Brain Barrier Injury as Risk Factors for Delirium in Critically Ill Patients.

Hughes CG1, Pandharipande PP, Thompson JL, Chandrasekhar R, Ware LB, Ely EW, Girard TD.
Critical care medicine.Crit Care Med.2016 Sep;44(9):e809-17. doi: 10.1097/CCM.0000000000001739.
OBJECTIVES: During critical illness, impaired endothelial vascular reactivity predicts prolonged acute brain dysfunction, but relationships between endothelial activation, blood-brain barrier/neurological injury, and acute brain dysfunction, including delirium, remain unexamined. We tested the hypot
PMID 27088157

Psychometric properties and feasibility of instruments for the detection of delirium in older hospitalized patients: a systematic review.

van Velthuijsen EL1, Zwakhalen SM1, Warnier RM1,2, Mulder WJ2, Verhey FR3, Kempen GI1.
International journal of geriatric psychiatry.Int J Geriatr Psychiatry.2016 Sep;31(9):974-89. doi: 10.1002/gps.4441. Epub 2016 Feb 21.
OBJECTIVE: Delirium is a serious and common complication among older hospitalized patients and is a predictor of many adverse outcomes. However, up to 72% of delirium incidents are unrecognized or misdiagnosed. The aim of this systematic review is to determine the validity, reliability, and feasibil
PMID 26898375

Japanese Journal

ICUにおけるせん妄評価法(CAM-ICU)

鶴田良介
日本集中治療医学会雑誌 = Journal of the
NAID 10024128427

Delirium in mechanically ventilated patients : validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU)

ELY EW
JAMA 286, 2703-2710, 2001
NAID 30005368485

「CAM-ICU」

　　[★]

英: Confusion Assessment Method for the ICU
関: 譫妄

ICUのためのせん妄評価法などと訳される。

「confusion」

　　[★] 錯乱

confusionとdelirium

Confusion, a mental and behavioral state of reduced comprehension, coherence, and capacity to reason, is one of the most common problems encountered in medicine, accounting for a large number of emergency department visits, hospital admissions, and inpatient consultations. Delirium, a term used to describe an acute confusional state, remains a major cause of morbidity and mortality, contributing billions of dollars yearly to health care costs in the United States alone. Delirium often goes unrecognized despite clear evidence that it is usually the cognitive manifestation of serious underlying medical or neurologic illness. (HIM.158)