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1. 深刻な告知の議論discussing serious news [show details]
… Discussing serious news, or breaking “bad news” is a common communication task in clinical care. Virtually every clinical specialty requires doctors at some stage to be the bearers of sad, bad, or difficult … 56 percent of patients and 48 percent of caregivers thought that their providers had shown average or below-average…
2. 成人の間欠性爆発性障害：臨床的特徴、評価、診断intermittent explosive disorder in adults clinical features assessment and diagnosis [show details]
…racing thoughts, poor communication, and inefficient information processing can occur, along with somatic symptoms such as paresthesias, tremor, palpitations, and chest tightness . Little or no thought is… Physical aggression to objects – Ranges from throwing things, slamming doors, or kicking objects to breaking objects or injuring an animal. The explosive outbursts typically last less than 30 minutes, and …
3. 離人症性障害（離人・現実感喪失症候群）への精神療法psychotherapy of depersonalization derealization disorder [show details]
…of their mental processes or their body. They often report feeling a loss of control over their thoughts, perceptions, and actions. Derealization is a subjective sense of detachment or unreality regarding … to facilitate breaking of the dissociation and working with the underlying affects and dynamics.…
4. 閉塞性睡眠時無呼吸を来す小児患者の心血管系に生じる変化cardiovascular consequences of obstructive sleep apnea in children [show details]
…exposure to abnormal sharp fluctuations in BP during and just after the course of each apneic event is thought to lead, eventually, to loss of normal nocturnal "dipping" in average nocturnal BP as compared with … made by the reduction of oxygen serve a variety of functions, including promoting cell growth and breaking down biologic molecules . However, these elevated levels also appear to be detrimental to the tissue…
5. 毛巣疾患pilonidal disease [show details]
… Although pilonidal disease was originally thought to be congenital due to abnormal skin in the gluteal cleft ,… cleft are contributing factors . As a person sits or bends, the natal cleft stretches, damaging or breaking hair follicles and opening a pore or "pit." The pores collect debris and serve as a fertile environment …

Japanese Journal

長期経過中に意識障害様の病像を呈した精神分裂病の2例

橋本俊明,平良雅人,大坪天平,西島久雄
昭和医学会雑誌 49(4), 405-408, 1989
… 単科精神病院において分裂病性欠陥状態で長期経過中の分裂病患者が, 一過性に失見当識, 健忘, 思考滅裂あるいは散乱などの意識障害様の病像を呈し, 回復後, 脳器質性欠陥状態を感じさせる病像を呈するに至った2症例を経験した.これらより, 分裂病患者に脳器質性疾患を合併しうること, それにより痴呆化しうること, その治療として抗精神病薬の増量は悪化を招き, 同薬の減量ないし中止や脳循環改善剤, 脳代謝改善 …
NAID 130001828712