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1. 睡眠関連てんかん症候群sleep related epilepsy syndromes [show details]
…seconds) arousals from sleep ("paroxysmal arousals"), sometimes accompanied by stereotyped movements, vocalization, frightened expression, or fear. These events mimic confusional arousals, a non-rapid eye movement … are of higher yield in detecting IEDs and capturing seizures in the sleep-related focal epilepsies,… Management also includes preventive counseling and referral to a multidisciplinary epilepsy center for patients with medically refractory seizures.…
2. 閉じ込め症候群locked in syndrome [show details]
…corticospinal, corticopontine, and corticobulbar tracts in the brainstem. Because consciousness and higher cortical functions are spared, patients can sometimes communicate through eye movements. Alexandre … and the so-called pontine lateral gaze center in the paramedian pontine reticular formation [PPRF])… and soft palate are all thoroughly weakened as to prevent coordination of breathing, voluntary vocalization, or swallowing. In order to establish the diagnosis of locked-in syndrome (LIS), it is imperative …
3. 出産センターbirth centers [show details]
… care setting. In 1975, the Maternity Center Association, a voluntary health agency in New York City, established a demonstration birth center (The Childbearing Center) in an affluent urban setting . It was …
4. 成人におけるノンレム睡眠からの覚醒障害disorders of arousal from non rapid eye movement sleep in adults [show details]
… first-degree relatives of sleepwalkers have a 10-fold or higher increased likelihood of sleepwalking .… Behaviors may include prolonged or violent masturbation and sexual vocalizations,… 512 adults with NREM parasomnias or parasomnia overlap disorder seen at a single sleep disorders center, approximately one-third of patients did not require pharmacotherapy, and 13 percent of patients…
5. 透析の方法および患者の転帰dialysis modality and patient outcome [show details]
… patients on in-center hemodialysis versus peritoneal dialysis. Our opinion is that, for most patients dialyzing at a center that is equally qualified to provide both in-center hemodialysis and… a higher prevalence of diabetes mellitus, more comorbid conditions, and an inability to accurately capture severity of any noted comorbid disease are components of the higher dialysis mortality…