関: 肺炎、CURB-65

概念

日本呼吸器学会の成人市中肺炎診療ガイドラインに記載がある肺炎の入院加療の基準

項目

Age　　　　　　：年齢：男性70歳以上、女性75歳以上
Dehydration　　：脱水：BUN21mg/dl以上
Respiration　　：呼吸：SpO2が90%以下(PaO2が60Torr以下)
Orientation　　：意識：意識障害あり
blood Pressure ：血圧：収縮期血圧90mmHg以下

判定

1-2項目以上：入院の適応となり、
4-5項目　　：集中治療室加療
ショックバイタル：入院適応

予後判定

0項目：死亡率1%未満
5項目：死亡率50%超

WordNet

utter with seeming casualness; "drop a hint"; drop names"
a shape that is spherical and small; "he studied the shapes of low-viscosity drops"; "beads of sweat on his forehead" (同)bead, pearl
a small indefinite quantity (especially of a liquid); "he had a drop too much to drink"; "a drop of each sample was analyzed"; "there is not a drop of pity in that man"; "years afterward, they would pay the blood-money, driblet by driblet"--Kipling (同)drib, driblet
stop pursuing or acting; "drop a lawsuit"; "knock it off!" (同)knock off
fall or sink into a state of exhaustion or death; "shop til you drop"
give birth; used for animals; "The cow dropped her calf this morning"
a sudden sharp decrease in some quantity; "a drop of 57 points on the Dow Jones index"; "there was a drop in pressure in the pulmonary artery"; "a dip in prices"; "when that became known the price of their stock went into free fall" (同)dip, fall, free_fall
a central depository where things can be left or picked up
the act of dropping something; "they expected the drop would be successful"
a free and rapid descent by the force of gravity; "it was a miracle that he survived the drop from that height" (同)fall
a predetermined hiding place for the deposit and distribution of illicit goods (such as drugs or stolen property)
leave or unload; "unload the cargo"; "drop off the passengers at the hotel" (同)drop_off, set_down, put down, unload, discharge
change from one level to another; "She dropped into army jargon"
go down in value; "Stock prices dropped"
let fall to the ground; "Dont drop the dishes"
lose (a game); "The Giants dropped 11 of their first 13"
omit (a letter or syllable) in speaking or writing; " New Englanders drop their post-vocalic rs"
take (a drug, especially LSD), by mouth; "She dropped acid when she was a teenager"
terminate an association with; "drop him from the Republican ticket"
to fall vertically; "the bombs are dropping on enemy targets"
the 1st letter of the Roman alphabet (同)a
the blood group whose red cells carry the A antigen (同)type_A, group A

PrepTutorEJDIC

〈しずくが〉『したたる』,垂れる《+『down』》 / 〈物が〉『落ちる』,落下する《+『down』》 / 〈人が〉『ばったり倒れる』,崩れ落ちる / 『下落する』,減少する《+『off』(『away』)》 / 終わる,やめになる / 《副詞[句]を伴って》引き離される,落後する / (…から)手を引く,やめる《+『from』(『out of』)+『名』》 / (…に)ちょっと立ち寄る,(…を)ひょっこり訪ねる《+『in』(『by,over,round』)『at』(『on』)+『名』》 / …‘を'『したたらせる』,垂らす / (…へ)…‘を'『落とす』,落下させる《+『名』+『into』(『on』)+『名』》 / …‘を'降ろす,下げる / …‘を'減少させる / …‘を'漏らす,ふと口にする / 〈人〉に〈短い手紙・伝言〉‘を'送る / 《話》…‘を'なぐり倒す,撃ち落とす / 《話》《副詞[句]を伴って》〈人〉‘を'乗り物から降ろす / (…から)〈ある音・文字〉‘を'落とす,抜かす,省く《+『名』+『from』+『名』》 / 〈人〉‘と'関係を絶つ;〈問題など〉‘を'打ち切る / …‘を'やめさせる;(…から)…‘を'追い出す《+『名from』+『名』》 / (ばくちなどで)〈金〉‘を'なくす / 〈C〉(…の)『しずく』,したたり《+『of』+『名』》 / 〈C〉(液体・事物の)少量,微量《+『of』+『名』》 / 〈C〉あめ玉,ドロップ / 《a ~》落下,降下(fall);落下距離 / 《a ~》(…の)下落,減少《+『in』+『名』》 / 《複数形で》点滴薬 / 《話》《a ~》少量の酒 / 〈C〉《おもに米》(郵便箱などの)落とし口,差し入れ口
answer / ampere
arsenicの化学記号

UpToDate Contents

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1. Amblyopia in children: Management and outcome
2. 嚢胞性線維症：肝胆道系疾患 cystic fibrosis hepatobiliary disease
3. Overview of eye injuries in the emergency department
4. 2型糖尿病の治療のためのジペプチジルペプチダーゼ4（DPP-4）阻害剤 dipeptidyl peptidase 4 dpp 4 inhibitors for the treatment of type 2 diabetes mellitus
5. Chronic urinary retention in women

English Journal

Study on product distributions and char morphology during rapid co-pyrolysis of platanus wood and lignite in a drop tube fixed-bed reactor.

Meng H1, Wang S2, Chen L1, Wu Z1, Zhao J1.
Bioresource technology.Bioresour Technol.2016 Jun;209:273-81. doi: 10.1016/j.biortech.2016.03.024. Epub 2016 Mar 9.
The rapid co-pyrolytic behavior of platanus wood and Pingzhuang lignite was explored in a drop tube fixed-bed reactor under nitrogen atmosphere. Synergistic effects were evaluated using the deviations between experimental and predicted values of product yields and gas components. Surface morphology
PMID 26985627

Development of the sensitive lateral flow immunoassay with silver enhancement for the detection of Ralstonia solanacearum in potato tubers.

Panferov VG1, Safenkova IV1, Varitsev YA2, Drenova NV3, Kornev KP3, Zherdev AV1, Dzantiev BB1.
Talanta.Talanta.2016 May 15;152:521-30. doi: 10.1016/j.talanta.2016.02.050. Epub 2016 Feb 23.
Ralstonia solanacearum is a dangerous and economically important pathogen of potatoes and other agricultural crops. Therefore, rapid and sensitive methods for its routine diagnostics are necessary. The aim of this study was to develop a rapid control method for R. solanacearum with a low limit of de
PMID 26992550

I.V. ascorbic acid for treatment of apparent rasburicase-induced methemoglobinemia in a patient with acute kidney injury and assumed glucose-6-phosphate dehydrogenase deficiency.

Reeves DJ1, Saum LM2, Birhiray R3.
American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.Am J Health Syst Pharm.2016 May 1;73(9):e238-42. doi: 10.2146/ajhp150591.
PURPOSE: A case of apparent rasburicase-induced methemoglobinemia and acute kidney injury treated with i.v. ascorbic acid because of suspected glucose-6-phosphate dehydrogenase (G6PD) deficiency is reported.SUMMARY: A 46-year-old African-American man with a recent diagnosis of multiple myeloma and r
PMID 27099330

Japanese Journal

Superconducting Phase in λ-(BEDT-STF)2GaCl4at High Pressures

Minamidate Takaaki,Oka Yuki,Shindo Hironori,Yamazaki Toshitaka,Matsunaga Noriaki,Nomura Kazushige,Kawamoto Atsushi
Journal of the Physical Society of Japan 84(6), 2015-05-15
NAID 160000000726

Dynamics of Charge Ordering in the Nonlinear Regime of θ-(BEDT-TTF)2CsZn(SCN)4

Abdel-Jawad Majed,Terasaki Ichiro,Mori Takehiko,Mori Hatsumi
Journal of the Physical Society of Japan 84(3), 2015-02-23
NAID 160000000621

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Water-Droplet Electrifying Essential Oil Body Blends Water Drop for Pinterest water-drop-splash-clipart-water-drop Ladies Of Virtue Journal: A Drop of Water drop of water _ tears by ramma7 on PSD blue water droplet icon | PSDGraphics Drop by raemi - A simple all-purpose water

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関: 肺炎、A-DROP

項目

Confusion　　　　　：意識障害あり
Urea　　　　　　　　：BUN＞20mg/dl
Respiratory rate　　：呼吸回数≧30回/分
low Blood pressure　：SBP＜90mmHgまたはDBP＜60mmHg
age 65　　　　　　　：年齢≧65歳

判定

2項目以上該当すれば、入院または注意深い外来フォローが必要

「drop」

　　[★]

n.
vt.
vi.

(液体が)したたる、ぼたぼた落ちる
(物が)(急に、思いがけなく)落ちる(down)。(花が)散る。(人が)(車などから)ひらりと(飛び)降りる(off)。(正式)(川・丘などが)下る(down)
(人が)(疲れて・傷ついて)急に倒れる。死ぬ。(意識的に)身を伏せる
(程度・数量・価値などが)下がる(fall)、落ちる(away)。健康や病状が悪化する
(事が)やめになる。(～から)手を引く、やめる(from)。(視界から)見えなくなる(out of, from)。(交通・話などが)とだえる(off)
急に(ある状態に)なる、陥る(into, to)
(略式)ひょいと(～に)立ち寄る(in, by, over, round)(on, at, into)。(人に)偶然であう(in)(across, on, with)
落後(後退)する、遅れる(away, back, off, behind)
(動物が)生まれる
(猟犬が)獲物を見て伏せる
(言葉・ため息などが)(～から)ふともれる(from)
(水・空気の流れに沿って)穏やかに動く
(トランプ)(ブリッジなどで)(特定の札が)出るはめになる、死ぬ
(球技)(球が)ホール(ポケット、ゴール)に入る(転がり込む)
逮捕される