COVID-19患者との接触が精神科病院職員に与えた影響

博士（医学）・乙第1515号・令和3年12月21日© 2020 The Authors Psychiatry and Clinical Neurosciences.© 2020 Japanese Society of Psychiatry and Neurology.This is the peer reviewed version of the following article: [https://onlinelibrary.wiley.com/doi/10.1111/pcn.13179], which has been published in final form at [https://doi.org/10.1111/pcn.13179]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited

せん妄の遷延化に関連する因子についての後方視研究

Background: It has been reported that delirium causes various problems. Many researchers have reported the risk factors associated with the onset of delirium; however, there are few reports focused on persistent delirium. This study aimed to identify the risk factors associated with persistent delirium. Methods: A total of 573 patients hospitalised in Nara Prefecture General Medical Centre from October 2014 through September 2017 who were referred to the psychiatry consultation service were included in this study. Persistent delirium was defined as delirium lasting for 14 days or more. A retrospective study was carried out based on the patients' records. The relationship between various background factors and persistent delirium was statistically analysed. Results: Of the 573 hospitalised patients, 295 were diagnosed as having delirium. Forty-six patients with persistent delirium and 181 patients with nonpersistent delirium were included in this study. Multivariable logistic regression analyses revealed that male gender, opioid analgesics use, non-opioid analgesics use, and low serum sodium were significantly and independently associated with persistent delirium. Ramelteon or trazodone was used significantly more in persistent delirium, although each use was not significant. Conclusion: This is the first study to reveal that male gender and use of analgesics were associated with persistent delirium in general hospital. However, as this is a case-control study and may contain bias, future cohort studies and intervention studies are needed. It is also necessary to investigate the relevance of the 'degree of pain' behind the use of analgesics.博士（医学）・乙第1516号・令和3年12月21日© 2021 Japanese Psychogeriatric Society.This is the peer reviewed version of the following article: [https://onlinelibrary.wiley.com/doi/10.1111/psyg.12655], which has been published in final form at [https://doi.org/10.1111/psyg.12655]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited

A LONGITUDINAL INVESTIGATION ON DROP JUMP PERFORMANCE-FOCUSING ON BRAIN CONDITION DURING PRE-SET, STRETCH REFLEX AND JOINT KINETICS DURING TAKE-OFF

The purpose of this study was to investigate the change in drop jump (DJ) performance with a training process that focused on the state of the brain during the pre-set phase, the stretch reflex during the take-off phase, and the joint kinetics of lower extremities during take-off phase. Three male sprinters performed DJ from a drop height of 0.6 m. We measured variables for state of the brain during the pre-set phase, stretch reflex, and kinetics of lower extremities during take-off. The results revealed that the brain showed disinhibition during the pre-set phase, and stretch reflex facilitation, and an increase in force development of the ankle joint were observed during the take-off phase. Therefore, we propose that the mutual enhancement on component of performance in each phase may be effective in improving DJ performance during a training course