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●血糖コントロールはBS 120-180で
Intensive versus Conventional Glucose Control in Critically Ill Patients
The NICE-SUGAR Study Investigators


●包皮環状切除により,男性の HIV 感染率が低下したことに加え,HSV-2 感染率と HPV 感染率も有意に低下した.
(N Engl J Med 2009; 360 : 1298 - 309 : Original Article)



Aspirin no better than placebo for preventing cardiovascular events in PAD patients (ACPより)

Naproxen ナイキサン はほかのNSAIDと比較し冠動脈イベントの発生率が低い
Compared with patients who did not receive NSAIDs, serious coronary heart disease risk increased with short-term use (<90 days) of ibuprofen (1.67 [95% CI, 1.09 to 2.57]), diclofenac (1.86 [95% CI, 1.18 to 2.92]), celecoxib (95% CI, 1.37 [0.96 to 1.94]), and rofecoxib (1.46 [95% CI, 1.03 to 2.07]), but not naproxen (0.88 [95% CI, 0.50 to 1.55]). The study was published online May 5 in Circulation: Cardiovascular Quality and Outcomes.

・舌喉頭変位症 …舌の癒着

・3大介護 食事排泄入浴

・リハ 残余能力の活用

●Los Angeles Prehospital Stroke Screen, LAPSS


 握力  の左右差
 → 脳梗塞の感度特異度90%以上

・骨メタ 沈痛補助薬
モルヒネ 200mgで95%の痛みコントロールできる

麻薬 副作用なくて増やすときは1.5倍


内服 メキシチール

・長岡 特養
・黒岩先生 医療から、居住圏の福祉

 常在菌だがときどき皮膚炎起こす。 ニゾラール(ケトコナゾール)がよく効く

複雑性PTSDという診断基準があれば… Historyを原因として認める。ほかはDSMは問わない

肝にたまっている血陰がたりなくなると、陽気が制御されなくなり上昇する  …虚証


自汗 昼間の汗 気虚の症状

おうぎ 補気補血
とうき 補気補血
せんきゅう 活血
こうか 活血
とうにん 活血
せきしゃく 活血
じりゅう 掃風 …喘息に

デイサービス 看護
デイケア リハビリ

3大介護 食事排泄入浴

部屋の構造 道具

リハ 残余能力の活用
認知症 の問題

今までどう振り返りをして いた?

スタッフ どんなこと話してた?

特養のべやま 7割の在宅死 ハイレベル

女性は、肝 が男より重要!
弦 3カ所全体が盛り上がる
滑 脈の行き帰が早い


肝気鬱滞(不眠多夢 月経不順) → 肝気犯胃 ・ 胃失和降(納少・嘔気)
 → オ血

治療: 行気止痛  …四逆散 +2剤で治療


肝気鬱血 (気が上昇)
脾失調 (痰湿が盛んに) … 痰気鬱血 ・梅喀気





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