http://hdl.handle.net/10564/1563 2007-06 2026-04-10T15:40:43Z http://hdl.handle.net/10564/307 タイトル: 他の精神疾患との鑑別が困難であったアスペルガー症候群の一例 著者: 上田, 昇太郎; 岸野, 加苗; 九十九, 綾子; 法山, 良信; 岸本, 年史 抄録: Asperger's syndrome(AS) is a pervasive developmental disorder character- ized by social impairments and rigid and repetitive interests or behaviors. In contrast to the social presentation in autism, individuals with AS find themselves socially isolated but are not usually withdrawn in presence of other people, typically approaching others but in an inappropriate or eccentric fashion. It is difficult to distinguish AS from high-functional autism, attention-deficit/hyperactive disorder, obsessive-compulsive disorder and personality disorder. Here we describe the case of a 35-year-old female who was diagnosed with AS. She had been diagnosed as having schizophrenia or borderline personality disorder because of her depressive mood and impulsive acts(e.g., self-mutilation, suicide attempts and violent behaviors). Detailed psychological interviews and several psychological tests revealed that she was afflicted with the disorder. The practical implications of delayed diagnosis may adversely affect the prognosis in her case. It is important for her family members to understand her social disabilities and for her to acquire appropriate social skills. 2007-06-29T15:00:00Z http://hdl.handle.net/10564/306 タイトル: THE FIRST YEAR OUTCOME OF LASER IN SITU KERATOMILEUSIS AT THE NARA MEDICAL UNIVERSITY HOSPITAL 著者: Nawa, Yoshiaki; Ueda, Tetsuo; Maruoka, Shinji; Nishi, Tomo; Ota, Takeo; Masuda, Kozo; Hara, Yoshiki 抄録: We report the first-year outcome of laser in situ keratomileusis (LASIK) at the Nara Medical University Hospital. The follow-up periods ranged from one month to one year. Among 30 eyes of 15 patients who underwent LASIK for myopia or myopic astigrnatism, 29 eyes (96.7%) obtained an uncorrected visual acuity of 20/20 or better with subjective refraction of ±O.5D of emmetropia. Complications were undercorrection (one eye) and diffuse lamellar keratitis (one eye). Both eyes underwent reoperation and obtained good vision. We conclude that the first-year outcome of LASIK at the Nara Medical University Hospital is excellent. 2007-06-29T15:00:00Z http://hdl.handle.net/10564/305 タイトル: 東大阪市立総合病院精神科におけるせん妄調査 著者: 橋本, 和典; 上村, 秀樹; 森川, 将行; 岸本, 年史 抄録: We investigated the demographic characteristics of patients with delirium in the Department of Psychiatry, Higashiosaka City General Hospital, during the period from April 2005 to March 2006. Forty-five patients (mean age 72.4 y.o.) were diagnosed with delirium, and 40 (89%) of these were over 60 years old. Seventeen patients (36%) suffered from malignant tumor as an underlying disease and 4 patients (24%) died during their admission. In order to treat delirium, risperidone (53%), quetiapine (20%), perospirone (7%), olanzapine (2%), haloperidol (4%) and tiapride (2%) were used. Finally, 16 patients (36%) were improved from the delirium state and the mean period of improvement from delirium was 10 days after the first examination. Finally, 9 patients (20%) of all patients who were diagnosed with delirium died from their physical complications. 2007-06-29T15:00:00Z http://hdl.handle.net/10564/304 タイトル: 東大阪市立総合病院精神科における新患調査 : エゴグラムと診断との関連を中心に 著者: 橋本, 和典; 太田, 豊作; 廣田, 直也; 上村, 秀樹; 森川, 将行; 岸本, 年史 抄録: We investigated the demographic characteristics of 704 outpatients in the Department of Psychiatry, Higashiosaka City General Hospital, during the period from March 2005 to April 2006, and the profile pattern in 294 patients was assessed by Tokyo University Egogram (TEG). About 80% of the patients were diagnosed with F0 (organic, including symptomatic, mental disorders), F3 (mood (affective) disorders), or F4 (neurotic, stress-related and somatoform disorders). About half of the patients were aged 60 or older and there was a tendency that more elderly people visited the psychiatry department. Analysis of TEG in patients showed high adapted child and low free child scales tendency overall. TEG profile pattern reflects personality traits in patients with mental disorders respectively and might be a useful tool for supporting each patient based on personality. 2007-06-29T15:00:00Z