2 0 0 0 OA 統合失調症外来患者における抗精神病薬大量処方の関連因子
- 著者
- 落合 英伸 大坪 徹也 猪飼 宏 今中 雄一
- 出版者
- 一般社団法人 日本医療・病院管理学会
- 雑誌
- 日本医療・病院管理学会誌 (ISSN:1882594X)
- 巻号頁・発行日
- vol.51, no.4, pp.183-191, 2014 (Released:2015-04-21)
- 参考文献数
- 23
我が国の抗精神病薬大量処方は,諸外国と比べて頻繁に実施されている。本研究では,広域地域国民健康保険および後期高齢者医療診療報酬データを活用し,外来維持期の統合失調症患者の抗精神病薬大量処方と患者因子,診療行為,受診施設の種類との関連について探索した。大量処方の定義は,患者当たりのクロルプロマジン換算値が1,000 mg/日を超える処方とした。大量処方患者は,全体(n=6,726)の7.9%,施設別では精神科病院13.1%,精神科診療所8.3%,一般病院5.0%,一般診療所2.0%と傾向に違いがみられた。多重ロジスティック回帰分析の結果では,大量処方の調整オッズ比は75歳以上の高齢者で低く,精神科リハビリ利用者の非利用者に対する調整オッズ比は1.89~4.38と高かった。医療政策面では,施設ごとおよび地域における抗精神病薬の実態がモニターできる有用なデータである。
1 0 0 0 チリ共和国カセロネス鉱床と周辺鉱床の探鉱及び資源量評価
Pan Pacific Copper Co.,Ltd. (PPC) commenced intensive explorations for the Caserones copper-molybdenum deposit and its cluster deposits in 2006 just after the acquisition of property and confirmed more than one billion tons of resources in 2009. <br>Vertical mineral zonation related to weathering is distinctive in the Caserones deposit, which the oxidized and sulfide supergene enrichment zones are determined over the primary mineralization. <br>Primary Cu-Mo sulfide mineralization follows both spatially and temporally the intrusion of dacite porphyry (PDA), a NNW-SSE elongated dyke intruding into the Paleozoic monzogranite batholith and the breccia probably in close genetic relationship with PDA. Three stages of the mineralization are recognized. Early stage accompanies potassic alteration. Veins equivalent to EB and A in El Salvador occur in this stage. Quartz-sericite alteration is the most prominent alteration and dominated in the third stage which is also the most intensive period of veining of the so-called D-vein. The porphyry mineralization is overlapped by an epithermal-like mineralization (ZEP) which carries pyrite, chalcopyrite, galena and tennantite. Fluid inclusion study recognizes two types of inclusions, type Ⅰ(V+L+S) and type III(V+L, V<30%). Type Ⅰ inclusions show homogenization temperature ranging 283-463°C and salinity between 31.8-44.4% NaCl eq. On the other hand, type III inclusions have temperature ranging 329-474°C and salinity ranging 4.6-20.6% NaCl eq. Fluid inclusions of ZEP are characteristically low both in temperature and salinity, 200-288°C and 2.9-7.4% NaCl eq respectively. Chronological study indicates 17-19 Ma for dacite porphyry, sericite and molybdenite.<br>Several prospects are known in the project area and they show common characteristics in geology with the Caserones deposit, while interpreted period of those magmatism and mineralization is possibly older than of the Caserones. Exploration for those deposits are still in reconnaissance stage, but some 100-200 million tons of sulfide potential is estimated for Cerro Sur prospect and some 40 million tons of oxide potential is expected for Angelica prospect.