WordNet

be confusing or perplexing to; cause to be unable to think clearly; "These questions confuse even the experts"; "This question completely threw me"; "This question befuddled even the teacher" (同)throw, fox, befuddle, fuddle, bedevil, confound, discombobulate
make unclear, indistinct, or blurred; "Her remarks confused the debate"; "Their words obnubilate their intentions" (同)blur, obscure, obnubilate
mistake one thing for another; "you are confusing me with the other candidate"; "I mistook her for the secretary" (同)confound
cause to feel embarrassment; "The constant attention of the young man confused her" (同)flurry, disconcert, put off
mentally confused; unable to think with clarity or act intelligently; "the flood of questions left her bewildered and confused"
lacking orderly continuity; "a confused set of instructions"; "a confused dream about the end of the world"; "disconnected fragments of a story"; "scattered thoughts" (同)disconnected, disjointed, disordered, garbled, illogical, scattered, unconnected
having lost your bearings; confused as to time or place or personal identity; "I frequently find myself disoriented when I come up out of the subway"; "the anesthetic left her completely disoriented" (同)disoriented, lost
enduring trying circumstances with even temper or characterized by such endurance; "a patient smile"; "was patient with the children"; "an exact and patient scientist"; "please be patient"
a person who requires medical care; "the number of emergency patients has grown rapidly"

PrepTutorEJDIC

(…と)'を'『混同する』,取り違える《+『名』+『with』+『名』》 / 〈人〉'を'『とまどわせる』,当惑させる / 〈論点・情況・順序など〉'を'混乱させる
困惑した,まごついた / ごっちゃになった,混乱した;(思考・言葉など)支離滅裂の
(人が)『忍耐強い』,しんぼう強い,がまん強い / (行動が)根気のよい,忍耐を示す / 〈C〉『患者』,医者にかかっている人

UpToDate Contents

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1. せん妄および急性錯乱状態：予防、治療、および予後 delirium and acute confusional states prevention treatment and prognosis
2. せん妄および錯乱状態の診断 diagnosis of delirium and confusional states
3. Evaluation of and initial approach to the adult patient with undifferentiated hypotension and shock
4. Approach to the patient with suspected TTP, HUS, or other thrombotic microangiopathy (TMA)
5. 救急外来における異常行動の評価 evaluation of abnormal behavior in the emergency department

English Journal

Differences in the clinical presentation and the frequency of complications between elderly and non-elderly scrub typhus patients.

Jang MO1, Kim JE1, Kim UJ1, Ahn JH1, Kang SJ1, Jang HC1, Jung SI1, Park KH2.Author information 1Department of Internal Medicine, Chonnam National University Hospital, Gwang-ju, Republic of Korea.2Department of Internal Medicine, Chonnam National University Hospital, Gwang-ju, Republic of Korea. Electronic address: iammedkid@naver.com.AbstractAge can affect the clinical features and severity of infectious disorders, such as scrub typhus. We performed this study to examine differences between elderly and non-elderly scrub typhus patients, and to identify risk factors predictive of disease outcomes. This retrospective study included patients admitted to a tertiary hospital with scrub typhus between 2001 and 2011. A total of 615 patients were enrolled in this study, 328 of which were >65 years of age. Of the elderly patients, 46.0% (151/328) experienced at least one complication compared to only 23.0% (66/287) in younger patients. A linear trend was observed between age and complication rates (p=0.002). The most common complication in elderly patients was acute kidney injury (75, 22.9%). Treatment failure was reported in 10 elderly patients (3.0%) compared to one non-elderly patient (0.3%). Mental confusion and dyspnea of clinical manifestations at admission were common in elderly patients. Frequency of fever, rash, and eschar were similar in both groups. The following four factors were significantly associated with severe scrub typhus in elderly patients: (1) white blood cell (WBC) counts>10,000/mm(3) (OR=2.569, CI=1.298-5.086), (2) MDRD GFR<60mL/min (OR=3.525, CI=1.864-6.667), (3) albumin≤3.0g/dL (OR=4.976, CI=2.664-9.294), and (4) acute physiology and chronic health evaluation II (APACHE II) score>10 points (OR=3.304, CI=1.793-60.87). Complications and mortality were more common in elderly patients, often associated with delays in diagnosis and treatment.
Archives of gerontology and geriatrics.Arch Gerontol Geriatr.2014 Mar-Apr;58(2):196-200. doi: 10.1016/j.archger.2013.10.011. Epub 2013 Nov 2.
Age can affect the clinical features and severity of infectious disorders, such as scrub typhus. We performed this study to examine differences between elderly and non-elderly scrub typhus patients, and to identify risk factors predictive of disease outcomes. This retrospective study included patien
PMID 24268946

Pregnancy Luteoma: A Study of 20 Cases on the Occasion of the 50th Anniversary of its Description by Dr William H. Sternberg, With an Emphasis on the Common Presence of Follicle-like Spaces and Their Diagnostic Implications.

Burandt E, Young RH.Author information *James Homer Wright Pathology Laboratories, Massachusetts General Hospital †Department of Pathology, Harvard Medical School, Boston, MA.AbstractTwenty cases of the distinctive tumor-like lesion of the ovary, pregnancy luteoma, are described, with emphasis on pathologic features. The masses occurred in patients from 15 to 44 years of age and were typically incidental findings at or near term. Four patients experienced androgenic manifestations. The luteoma was documented to be bilateral in only 4 cases, but the opposite ovary was usually not evaluated pathologically. They ranged up to 15 cm. Sectioning typically showed multiple nodules or a single discrete mass with a multinodular sectioned surface and a soft bulging appearance. Most lesions were brown, but a few were black or yellow at least focally. Foci of hemorrhage were common. The most common microscopic appearance was a diffuse growth, but it was punctuated in about three quarters of the cases by follicle-like spaces often containing colloid-like secretion. These spaces are much more characteristic of the pregnancy luteoma than of the lesion most often in the differential diagnosis, a steroid cell tumor, and accordingly may be of diagnostic aid. However, they may cause confusion, as follicle-like spaces are a nonspecific feature of a number of neoplasms involving the ovary and potentially in the differential diagnosis. Awareness of the clinical background and frequency of finding follicle-like spaces in pregnancy luteoma are important diagnostically, and standard immunohistochemical stains will aid should they be warranted.
The American journal of surgical pathology.Am J Surg Pathol.2014 Feb;38(2):239-44. doi: 10.1097/PAS.0000000000000100.
Twenty cases of the distinctive tumor-like lesion of the ovary, pregnancy luteoma, are described, with emphasis on pathologic features. The masses occurred in patients from 15 to 44 years of age and were typically incidental findings at or near term. Four patients experienced androgenic manifestatio
PMID 24335664

Tight Calorie Control in geriatric patients following hip fracture decreases complications: A randomized, controlled study.

Anbar R1, Beloosesky Y2, Cohen J3, Madar Z4, Weiss A2, Theilla M3, Koren Hakim T5, Frishman S5, Singer P6.Author information 1Nutrition Unit, Rabin Medical Center, Petah Tikva, Israel; School of Nutritional Sciences, The Robert H Smith Faculty of Agriculture, Food and Environmental Quality Sciences, Hebrew University, Jerusalem, Israel.2Department of Geriatrics, Rabin Medical Center, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Israel.3Department of General Intensive Care, Rabin Medical Center, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Israel.4School of Nutritional Sciences, The Robert H Smith Faculty of Agriculture, Food and Environmental Quality Sciences, Hebrew University, Jerusalem, Israel.5Nutrition Unit, Rabin Medical Center, Petah Tikva, Israel.6Department of General Intensive Care, Rabin Medical Center, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Israel. Electronic address: psinger@clalit.org.il.AbstractBACKGROUND & AIMS: Optimizing nutritional intake has been recommended for geriatric patients undergoing hip-fracture surgery. Whether nutritional support guided by repeated measurements of resting energy requirements (REE) improves outcomes in these patients is not known.
Clinical nutrition (Edinburgh, Scotland).Clin Nutr.2014 Feb;33(1):23-8. doi: 10.1016/j.clnu.2013.03.005. Epub 2013 Apr 1.
BACKGROUND & AIMS: Optimizing nutritional intake has been recommended for geriatric patients undergoing hip-fracture surgery. Whether nutritional support guided by repeated measurements of resting energy requirements (REE) improves outcomes in these patients is not known.METHODS: A randomized, c
PMID 23642400

Japanese Journal

子宮筋腫と鑑別が困難であった Low-grade endometrial stromal sarcomaの1例

日本産科婦人科内視鏡学会雑誌 31(2), 393-398, 2016
NAID 130005152653

当科における小児喘鳴性疾患患者の保護者における喘鳴・喘息に対する認識度実態調査

日本小児アレルギー学会誌 30(1), 98-104, 2016
NAID 130005152173

線維筋痛症患者が求める全人的医療とは:—こじれた痛みと悩み—

心身医学 56(5), 433-438, 2016
NAID 130005149618

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