Littérature scientifique sur le sujet « Delirious »

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Articles de revues sur le sujet "Delirious"

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Maldeniya, Pramudith M., and Akshya Vasudev. "Is the Concept of Delirious Mania Valid in the Elderly? A Case Report and a Review of the Literature." Case Reports in Psychiatry 2013 (2013): 1–5. http://dx.doi.org/10.1155/2013/432568.

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Delirious mania has been well recognized in the published literature and in the clinic. Over the years there has been refinement of understanding of its clinical features, course, and treatment. The literature suggests that delirious mania should be considered in individuals who present with a constellation of sudden onset delirium, mania, and psychosis. However, delirious mania is not recognized under a formal classification system nor are there any formal guidelines for its treatment. We, as such, question if the concept of delirious mania in the elderly is valid. We present a case of an elderly man with marked features of delirium with minimal manic or psychotic features who had a previous diagnosis of bipolar I disorder. On thorough clinical assessments no identifiable cause of his delirium was found. We therefore considered his presentation to be more likely due to delirious mania. Electroconvulsive therapy was considered and offered to which he responded very well. We invite the reader to consider whether delirious mania is a valid concept in the elderly, where features of delirium may be more prominent than manic or psychotic features.
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LaHue, Sara, Joy Youn, Matias Fuentealba, et al. "ACCELERATED BIOLOGICAL AGE IS ASSOCIATED WITH DELIRIUM AND PLASMA NEUROFILAMENT LIGHT IN GERIATRIC HIP FRACTURE." Innovation in Aging 7, Supplement_1 (2023): 119. http://dx.doi.org/10.1093/geroni/igad104.0387.

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Abstract Background Biological age may be distinct from chronological age. Epigenetic clocks (e.g., PhenoAge) estimate biological age by quantifying changes in DNA methylation (DNAm). Biological age is “accelerated” (AgeAccel) when epigenetic>chronological age. AgeAccel predicts age-related diseases but its association with delirium or neuronal injury markers (e.g., neurofilament light “NfL”) is unknown. Methods Adults age 65+ hospitalized for acute hip fracture underwent daily delirium screening with the Confusion Assessment Method Long Form. DNAm status of 850,000 CpG sites was measured in triplicate from pre-op peripheral blood mononuclear cells using Illumina MethylationEPIC arrays. AgeAccel represented the residual of the linear regression model of PhenoAge regressed on chronological age. Plasma NfL was measured in duplicate using Simoa immunoassays. Group differences calculated by T-test. Results Of 12 subjects (enrollment ongoing): mean age 79±8, 75% women, 42% with dementia, 33% were delirious on pre-op blood collection day. Mean AgeAccel was 4.4 years (p=0.02) in delirious vs non-delirious subjects (Fig1A). Those with positive (vs negative) AgeAccel had higher mean NfL (Fig1B, p=0.002). Delirious (vs non-delirious) subjects had higher mean NfL (p=0.004). We found no difference in either AgeAccel or NfL by dementia status. Conclusions In this geriatric hip fracture pilot, accelerated biological age was associated with higher delirium prevalence and NfL. Delirium was also associated with higher NfL. This pilot demonstrates feasibility and utility of measuring biological aging in delirium that warrants study in a larger cohort.
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Kawaura, Takayuki, and Yasuyuki Sugatani. "Clinical Nurses’ Awareness Structure of Delirium – An Analysis of Spontaneous Utterances in a Group Interview by DEMATEL Method –." Journal of Advanced Computational Intelligence and Intelligent Informatics 18, no. 6 (2014): 1013–19. http://dx.doi.org/10.20965/jaciii.2014.p1013.

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In the 1990s, the Japanese population aged 65 and over increased to more than 14%, and Japan became an “aging society.” Now, one in five people are 65 or over (23.4%, and one in ten people are 75 or over (1.6%, meaning that Japanese society is aging substantially. The serious problems that acute hospitals now face involve complications of diseases that are typified by deliriu, and their prevention. Patients with delirium have a higher risk of falling and dying, and delirium has a negative influence on treatment and nursing as well as on a patient’s vital prognosis. However, delirium is a mental state that is often overlooked. Thus, it is very important to develop the observation skills of staff and establish a nursing care system that does not overlook delirium. In this study, we conducted group interviews involving the clinical nurses who care for patients with delirium on a routine basis at Kansai Medical University Takii Hospital, Japan. Their spontaneous utterances about delirium were analyzed using the DEMATEL method, and these utterances were divided into two groups: “causes of delirium” and “delirious patients’ behavior.” From each group, keywords and phrases were chosen and analyzed. Consequently, this study will demonstrate how these clinical nurses feel about delirium and delirious patients.
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Ren, Quan, Ya-zhou Wen, Jin Wang, et al. "Elevated Level of Serum C-reactive Protein Predicts Postoperative Delirium among Patients Receiving Cervical or Lumbar Surgery." BioMed Research International 2020 (August 10, 2020): 1–8. http://dx.doi.org/10.1155/2020/5480148.

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Objective. To explore the relationship between elevated serum C-reactive protein (CRP) level and postoperative delirium (POD). Methods. 206 patients scheduled to receive cervical or lumbar vertebra surgery under general anesthesia for more than 2 hours in a single medical center were observed and analyzed. Patients’ serum CRP, delirious status (using the confusion assessment method (CAM)), and delirious score (using the memorial delirium assessment scale (MDAS)) were examined before surgery and 1-2 days after surgery. The association of a serum CRP elevation value from before to after surgery (D-CRP) with delirium occurrence within 2 days after surgery was assessed with a binary logistic regression model, while the association of D-CRP with the postoperative delirious score was assessed with a linear regression model. The effect of D-CRP on predicting delirium occurrence was evaluated with the area under the receiver operating characteristic (ROC) curve (AUC). Results. D-CRP was significantly positively associated with postoperative delirium occurrence (OR=1.047, 95%CI=1.013, 1.082), and D-CRP was also significantly linearly associated with the postoperative delirious score (β=0.014, 95%CI=0.006, 0.023). AUC of ROC was 0.711 (P=0.014), suggesting that D-CRP had moderate efficacy on predicting postoperative delirium occurrence (P<0.05). Conclusions. Elevated serum CRP after surgery may be a risk factor for and a predictor of postoperative delirium.
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von Haken, Rebecca, and Hans-Christian Hansen. "Delir erkennen in 3 Schritten." DMW - Deutsche Medizinische Wochenschrift 144, no. 23 (2019): 1619–28. http://dx.doi.org/10.1055/a-0767-9764.

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Abstract Background Clinicians are commonly confronted with the differential diagnosis of altered mental status, impaired cognition and altered level of consciousness in hospitalized patients including those admitted to medical, geriatric, emergency, intensive and post-operative care units. Although delirium is the most common acute neuropsychiatric condition in the acute hospital setting this diagnosis is commonly delayed, made too late or missed altogether. Difficulties and importance of timely diagnosis The causes of delirious states are manifold. Both, direct damage to the brain tissue as well as encephalopathy as a result of other medical diseases, can be the cause of delirium. Depending on the predisposition delirious syndromes can be provoked by minor medical interventions. Clinical presentation is very variable, but remains largely independent of the triggering mechanisms. Purely catatonic, hypoactive, hyperactive and excitatory types as well as mixed forms can be distinguished.Immediate diagnosis of a delirious syndrome and rapid elucidation of its causes are keys for the implementation of curative therapy. There is a need to act fast because delirious phases are associated with significantly longer hospital stay and increased morbidity as a result of long-term cognitive deficits as well as increased mortality. As negative outcome is closely linked to the duration of a delirious episode, early diagnosis and rapid termination of the delirium constitute a significant positive predictor of outcome. In this respect, delirium represents an emergency, with or without concomitant cerebral or extracerebral symptoms.
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Hamidović, J., L. Dostović Hamidović, S. Haskic, E. Prljača, A. Brigić, and M. Mešanović. "Etiology and pharmacological treatment of delirious syndrome." European Psychiatry 66, S1 (2023): S380. http://dx.doi.org/10.1192/j.eurpsy.2023.822.

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IntroductionPatients in psychiatric department, especially in the intensive care unit, often develop delirium syndrome, which leads to a high risk of morbidity and mortality. The etiology is multifactorial. The most common causes are alcoholism and dementia. Pharmacological treatment of delirious syndrome is the most important part of the treatment, which includes various psychopharmaceuticals that are effective both in the treatment of delirium and in improving cognitive functions. Haloperidol is the drug of first choice and from atypical antipsychotics, the most commonly used are risperidone and olanzapine. Benzodiazepines are used in the treatment of delirium tremens.ObjectivesThe objective of the work is to determine the most common cause of delirious syndrome and the treatment of those patients.MethodsWe analyzed 52 patients who were treated for delirious syndrome at the Department of Psychiatry , University Clinical Center Tuzla, Bosnia and Herzegovina in the period from January 1, 2019. until June 1, 2022. Data were taken from medical records and the hospital information system.ResultsThe total number of patients was 52 and 23 (44.23%) were treated for delirium tremens, and the rest were treated for delirium syndrome of another cause. The most common other causes were dementia in 21 (40.38%) patients, followed by sepsis, infectious syndrome and tumors in 6 (11.53%) patients, and cerebrovascular cause in 2 (3,84%) patient. In a therapeutic approach of delirious syndrome, all patients with delirium tremens were treated with benzodiazepines: 11 (47.82%) patients with diazepam monotherapy, then diazepam and promazine 7 (30.43%) patients, diazepam and haloperidol 3 (13,04%) patients, and diazepam, olanzapine and haloperidol 2 (8.69%). In the therapy of other delirious syndromes, 11 (37.93%) patients were treated with risperidone, haloperidol 8 (27.58%), promazine 3 (10.34%), quetiapine 4 (13.79%), and olanzapine, clozapine and aripiprazole 1 patient each (3.44%). It is important to point out that there was no fatal outcome in the processed sample of patients.ConclusionsThe most common etiological cause of delirious syndrome is the consequence of alcohol withdrawal. Delirium superimposed on dementia is the second most common. The priority of treatment is focused on pharmacological treatment. Atypical antipsychotics (risperidone) are most often used. Haloperidol is the second most common. Benzodiazepine (diazepam) was most often used in the treatment of delirium tremens.Disclosure of InterestNone Declared
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Cheston, H., E. Miller, and S. Mufti. "120 Improving Delirium Recognition and Management Through In-Situ Simulation." Age and Ageing 50, Supplement_1 (2021): i12—i42. http://dx.doi.org/10.1093/ageing/afab030.81.

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Abstract Introduction Delirium is a common condition that is often associated with increased morbidity and mortality, longer hospital admission, and discharge to a residential or nursing home. By improving our ability to recognise and manage these patients we can intervene early to help reduce the likelihood of these outcomes. Method We organised several in-situ simulation scenarios with junior staff working on the Elderly Care Unit. The research team designed a scenario to re-create a typical delirious patient on the ward. Participants had to recognise the patient was delirious and instigate a management plan. Participants completed a pre and post-intervention questionnaire to ascertain whether they felt the simulation had improved their confidence. Additionally we performed an audit to investigate whether our intervention led to an improvement in the recognition and management of delirium in patients on the ward. Results The questionnaires showed an increase in participants’ confidence and knowledge when managing a delirious patient on the ward. From reviewing patient notes pre-intervention we identified that 24 patients were delirious during admission,14 of which were accurately diagnosed with delirium. The remaining 10 patients were diagnosed with “Acute Confusion”. On reviewing these 10 patients’ notes, they were all likely to have a diagnosis of delirium. Post-intervention there were 14 patients identified as delirious during their admission. All these patients were correctly documented as having delirium with no inaccurate use of terminology. The data also showed increasing use of tools such as AMTS and 4AT to diagnose delirium. Conclusions From the data gathered, we can see participants are better at recognising and diagnosing delirium. However, our sample sizes are too small to test statistical significance between data points. To improve the project we would include a larger sample size to determine whether the simulation produces a statistically significant improvement in confidence levels.
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Kok Kendirlioglu, Burcu, Esma Corekli Kaymakci, Suat Kucukgoncu, Bugra Cetin, and Hidayet Ece Arat Celik Ece Arat Celik. "DELIRIOUS MANIA OR HYPERACTIVE DELIRIUM? A CASE REPORT." PSYCHIATRIA DANUBINA 35, no. 3 (2023): 433–35. http://dx.doi.org/10.24869/psyd.2023.433.

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Wood, MD, D. Maslove, J. Muscedere, and JG Boyd. "E.04 Coma and delirium are associated with low levels of brain tissue oxygen in critically ill patients." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 43, S2 (2016): S17. http://dx.doi.org/10.1017/cjn.2016.88.

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Background: The cause of ICU delirium is unknown. We used near infrared spectroscopy (NIRS) to measure brain tissue oxygenation (BtO2) in critically ill patients, to test the hypothesis that poor cerebral oxygen delivery contributes to ICU delirium. Methods: Adult patients were enrolled if they required mechanical ventilation for >24 hours, and/or vasoactive agents. Patients were excluded if they had previous cognitive dysfunction, brain injury on admission, or a life expectancy <24 hours. BtO2 was measured for the first 24 hours of ICU admission. The confusion assessment method-ICU (CAM-ICU) was used to screen for delirium. Participants were designated to one of three groups on the basis of their predominant neurological status (comatose, delirious, or intact). Results: To date, 47 patients have been recruited. Both delirious and comatose patients’ had significantly lower BtO2 levels compared to intact patients (P<0.001). There was a significant correlation between hemoglobin and BtO2 (R2=0.347, P<0.01). However, when correlation analysis was conducted separately amongst the three groups, the delirious patients (R2=0.485, P<0.05) were the strongest contributors to this positive correlation. Conclusions: Delirious patients exhibited the lowest BtO2 recordings and demonstrated a significant association between Hb and BtO2. This study offers potential insight into the pathophysiology of ICU delirium.
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Falsini, Giovanni, Simone Grotti, Italo Porto, et al. "Long-term prognostic value of delirium in elderly patients with acute cardiac diseases admitted to two cardiac intensive care units: a prospective study (DELIRIUM CORDIS)." European Heart Journal: Acute Cardiovascular Care 7, no. 7 (2017): 661–70. http://dx.doi.org/10.1177/2048872617695235.

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Background: Delirium is a frequent in-hospital complication in elderly patients, and is associated with poor clinical outcome. Its clinical impact, however, has not yet been fully addressed in the setting of the cardiac intensive care unit (CICU). The present study is a prospective, two-centre registry aimed at assessing the incidence, prevalence and significance of delirium in elderly patients with acute cardiac diseases. Methods: Between January 2014 and March 2015, all consecutive patients aged 65 years or older admitted to the CICU of our institutions were enrolled and followed for 6 months. Delirium was defined according to the confusion assessment method. Results: During the study period, 726 patients were screened for delirium. The mean age was 79.1±7.8 years. A total of 111 individuals (15.3%) were diagnosed with delirium; of them, 46 (41.4%) showed prevalent delirium (PD), while 65 (58.6%) developed incident delirium (ID). Patients 85 years or older showed a delirium rate of 52.3%. Hospital stay was longer in delirious versus non-delirious patients. Patients with delirium showed higher in-hospital, 30-day and 6-month mortality compared to non-delirious patients, irrespective of the onset time (overall, ID or PD). Six-month re-hospitalisation was significantly higher in overall delirium and the PD group, as compared to non-delirious patients. Kaplan–Meier analysis showed a significant reduction of 6-month survival in patients with delirium compared to those without, irrespective of delirium onset time (i.e. ID or PD). A positive confusion assessment method was an independent predictor of short and long-term mortality. Conclusions: Delirium is a common complication in elderly CICU patients, and is associated with a longer and more complicated hospital stay and increased short and long-term mortality. Our findings suggest the usefulness of a protocol for the early identification of delirium in the CICU. Clinicaltrials.gov: NCT02004665
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Thèses sur le sujet "Delirious"

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Sörensen, Duppils Gill. "Delirium during Hospitalisation : Incidence, Risk Factors, Early Signs and Patients' Experiences of Being Delirious." Doctoral thesis, Uppsala University, Department of Public Health and Caring Sciences, 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3814.

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<p>Delirium is common among old patients admitted to hospital, but is often a neglected problem in patient care. The principal aim of this thesis was to evaluate aspects of delirium in relation to incidence, risk factors, behavioural changes, cognitive function and health-related quality of life (HRQOL). A further aim was to describe patients’ experiences of being delirious. The study was prospective, descriptive and comparative, with repeated measures (six-month follow up). The sample consisted of 225 consecutive patients, aged 65 years or older, who were to be operated on due to hip fracture or hip replacement. Exclusion criteria were serious cognitive disorder or delirium on admission. Data were collected via frequent daily observations, cognitive functioning tests (MMSE), HRQOL questionnaires (SF-36) and interviews. Delirium was assessed according to the DSM-IV criteria. A total of 45/225 became delirious, with an incidence of 24.3% among patients undergoing hip fracture surgery and 11.7% among those with hip replacement surgery. A predictive model for delirium included four factors: impaired hearing, passivity, low cognitive functioning, and waiting more than 18h for hip fracture surgery. Disorientation and urgent calls for attention were the most frequent behavioural changes in the prodromal phase prior to delirium. Delirium in connection with hip fracture revealed deteriorated HRQOL and cognitive functioning when measured at a six-month follow-up. The experience of being delirious was described by the patients as a sudden change of reality. Such an experience gave rise to strong emotional feelings, as did recovery from delirium. Nurses’ observations of behavioural changes in old patients with impaired cognitive function may be the first step in managing and reducing delirium. The predictive model of delirium ought to be tested further before use in clinical practice.</p>
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Sörensen, Duppils Gill. "Delirium during hospitalisation : incidence, risk factors, early signs and patients' experiences of being delirious /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3814.

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PIRES, ERICSON SIQUEIRA. "DELIRIOUS TRADITION: PRODUCERS AND ART PRODUCTIONS IN THE CONTEMPORANEITY." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2004. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=5506@1.

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CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO<br>O presente trabalho desenvolve um campo de pensamento e ação intitulado tradição delirante. A tradição é pensada aqui a partir de sua relação com a traição - traição como ato de invenção. O delírio é desenvolvido como ponto de vista crítico sobre leituras exclusivamente institucionais de cultura no Brasil. A traição é a invenção de uma outra língua, de uma língua menor, marcada por suas linhas de força de criação. A criação é pensada como modo de produção de resistência. A resistência é um ato de afirmação da diferença diante da sociedade de controle e do biopoder. O corpo é visto como um coletivo de ações e de forças. O corpo é o espaço onde a contemporaneidade se presentifica. É no corpo e pelo corpo que as forças - ativas e reativas - realizam suas realizações do real. Aqui são analisadas algumas produções e alguns produtores de arte que, a partir de suas ações corporais criam na experiência de produção de diferença, seus locais de resistência. Essas produções são pensadas para além de seus contextos exclusivamente históricos, cronológicos, produções e produtores são pensados como ações da contemporaneidade. A contemporaneidade extrapola o recorte cronológico e estabelece a lógica corporal do instante como campo de atividade e realização. Esses corpos que resistem, a partir de sua precariedade afirmativa, produzem as diferenças que explicitam a necessidade da resistência num contexto onde o capital se coloca contra a vida. Essas produções e produtores de arte afirmam a vida a partir de suas necessidade de produção de diferença.<br>The present work develops a thought field and action entitled delirious tradition. The tradition is thought here starting from its relationship with the betrayal - betrayal as invention act. The delirium is developed exclusively as critical point of view on readings institutional of culture in Brazil. The betrayal is the invention of another language, of a smaller language, marked by its lines of creation force. The creation is thought as way of resistance production. The resistance is an act of statement of the difference before the control society and of the biopower. The body is seen as a collective of actions and of forces. The body is the space where the contemporaneity achieves itself. It is in the body and for the body that the forces - active and reactive - they accomplish its accomplishments of the Real. Here are analyzed some productions and some producing of art that, starting from its corporal actions they create in the experience of production of difference, its resistance places. Those productions are thought for besides its contexts exclusively historical, chronological, productions and producers are thought as actions of the contemporaneity. The contemporaneity extrapolates the chronological cutting and it establishes the corporal logic of the instant as activity field and accomplishment. Those bodies that resist, starting from its affirmative precariousness, produce the differences that explicit the need of the resistance in a context where the capital is placed against the life. Those productions and producing of art they affirm the life starting from its need of production of difference.
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Nicolas, Jonathan. ""Evolution du délire dans la psychose" : "la certitude délirante, ses failles et perspectives thérapeutiques dans un cas de schizophrénie paranoïde"." Thesis, Sorbonne Paris Cité, 2016. http://www.theses.fr/2016USPCC200/document.

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Comment comprendre le fait que la réalité délirante du schizophrène puisse à la fois être marquée par une certitude inébranlable mais également que cette réalité puisse se modifier au fil des échanges que nous pouvons avoir avec des patients psychotiques ? N'y a-t-il pas d'ailleurs une contradiction à envisager la possibilité d'une évolution au sein d'une certitude délirante ?Notre thèse cherchera à rendre compte de l'évolution du délire dans la schizophrénie, et plus particulièrement de celle de la certitude délirante qui caractérise ce type de pathologie. Nous nous attacherons à mettre en valeur la fonction de l'adhésion au délire en essayant de comprendre les raisons qui poussent un sujet à croire en une réalité délirante. Après nous être penché sur la manière dont ce phénomène de créance est conceptualisé dans trois disciplines de la pensée (la philosophie, la psychiatrie et la psychanalyse), nous chercherons à montrer en quoi la certitude délirante peut répondre à une nécessité fondamentale de sa construction subjective et comment elle indique une lutte du sujet par rapport au vécu de l'angoisse. Nous mettrons alors en lien cette montée angoissante avec la survenue des fantasmes tels qu'ils peuvent se manifester à l'insu du sujet. Le cas clinique sur lequel nous allons nous appuyer rendra néanmoins compte des limites de cette certitude du délire, celle-ci ne permettant pas au sujet schizophrène de tout à fait se débarrasser de la pensée fantasmatique. L'étude que nous consacrons aux « échecs » de la certitude délirante visera à rendre compte de la fragilité du système délirant et des conséquences de l'intrusion fantasmatique sur le vécu subjectif du sujet psychotique. Notre thèse nous permettra ainsi de mettre en lien les limites de la construction délirante avec l'impossibilité du sujet schizophrène à refouler la poussée fantasmatique, en faisant comme hypothèse que les glissements subies par la réalité délirante seraient une conséquence d'une non prise du nom. En considérant ces éléments de la psychopathologie il s'agira pour nous d'interroger les conditions d'une thérapeutique adaptée à la problématique psychotique<br>How to understand that the delusional reality of the schizophrenic person can both be marked by an unshakeable certainty but that this reality can change over the discussions we can have with psychotic patients? Is there however not a contradiction to consider the possibility of an evolution within a delusional certainty?This research paper will aim to study the delusional processes in schizophrenia, in particular the phenomenon of delirious certainty which characterizes this type of pathology. We will focus on highlighting the function of such adhesion in the psychotic delirium, by trying to understand the reasons which lead the subject to believe in a delusional reality. After having considered how the phenomenon of credence is conceptualized in three disciplines of thought (philosophy, psychiatry and psychoanalysis), we will attempt to show how delirious certainty can answer a fundamental necessity for its subjective construction and how it shows a fight of the subject with the experience of anxiety. We will link this rise of anxiety with the onset of fantasies as they occur unbeknownst to the subject. However, the clinical case we will lean on will report the limitations of this delirious certainty, for it does not allow the schizophrenic subject to get rid entirely of fantasy thinking. The study we devote to these « failures » of the delirious certainty will aim to address the fragility of the delusional system and the consequences of the fantastical intrusion on the subjective experience of the psychotic subject. Our thesis will help us to link the limits of the delusional construction with the impossibility for delusional schizophrenic subjects to repress their surging fantasy. We will make the assumption that the evolution incurred by the delusional reality is a consequence of not taking the name. By considering these elements of psychopathology, we will examine the conditions of a therapy suitable for this psychotic problematic
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Waite, John. "Exposing Bluebeard! Angela Carter gets delirious in The Magic Toyshop, Heroes and Villains, "The Bloody Chamber," and "The Fall River Axe Murders" /." View online, 1993. http://repository.eiu.edu/theses/docs/32211998881853.pdf.

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Pincerati, Walker Douglas 1979. "O estatuto da palavra que tem efeito neologico na construção delirante." [s.n.], 2009. http://repositorio.unicamp.br/jspui/handle/REPOSIP/269038.

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Orientador: Claudia Thereza Guimarães de Lemos<br>Dissertação (mestrado) - Universidade Estadual de Campinas, Instituto de Estudos da Linguagem<br>Made available in DSpace on 2018-08-14T01:06:18Z (GMT). No. of bitstreams: 1 Pincerati_WalkerDouglas_M.pdf: 700485 bytes, checksum: a5840ef098c9d3480f996d428be65ade (MD5) Previous issue date: 2009<br>Resumo: Este estudo, partindo da tese psicanalítica de que existe uma diferença estrutural entre a linguagem na neurose e na psicose, tem por objetivo analisar e discutir o estatuto das palavras que têm efeito neológico no dizer psicótico. Lançando mão dos dados de LC, que tem o diagnóstico psiquiátrico de esquizofrenia, procurou-se: (i) levantar, descrever e analisar as palavras de efeito neológico nesse dizer situando-as como ápices ou condensações das "idéias delirantes" e significantes em trânsito no delírio; (ii) realizar uma comparação dessas palavras com as formas possíveis na língua, depreendendo, com isso, a especificidade do efeito neológico em relação ao que a Lexicologia entende como um neologismo; e (iii) discutir a função dessas palavras na produção da opacidade do dizer psicótico e na arquitetura do delírio. A partir da leitura lacaniana de Freud, tomou-se o delírio como um processo de significantização que visa atenuar a angústia e reatar as relações do delirante, enquanto habitante da linguagem, com a realidade. Com a análise, chega-se a conclusão de que a palavra que tem efeito neológico tem como função encapsular num significante ideias e significantes em jogo no delírio. Ela situa para o delirante uma significação especial<br>Abstract: Psychoanalysis assumes that there is a structural difference between language in neurosis and language in psychosis. This study adopts this thesis and discusses the status of words of neologic effect in psychotic discourse. By considering the data of LC, a subject with psychiatric diagnosis of schizophrenia, we attempted (i) to identify, describe, and analyze the words of neologic effect in such discourse, situating them either as apices or as condensations of "delirious ideas" and signifiers moving in the stream of a delirium; (ii) to compare these words with possible forms in language, thereby deducing the specificity of the neologic effect against what Lexicology calls a neologism; and (iii) to discuss the function of such words in the production of opacity in psychotic discourse and in the delirium architecture. The Lacanian reading of Freud takes delirium as a process of significantization which aims at attenuating anguish and re-establishing the relations of the delirious person, as an inhabitant of language, with reality. We conclude that the word of neologic effect works by condensing in a signifier ideas and signifiers at stake in the delirium. Such words gesture at a special signification for the delirious subject<br>Mestrado<br>Linguistica<br>Mestre em Linguística
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Vilatta, Emilia. "Un enfoque davidsoniano de los delirios: el caso del delirio de Capgras." Pontificia Universidad Católica del Perú - Departamento de Humanidades, 2017. http://repositorio.pucp.edu.pe/index/handle/123456789/113129.

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Recientemente, algunos críticos del enfoque davidsoniano de la atribución intencional han señalado que el mismo no puede ser aplicado para el caso de los delirios psiquiátricos, dado que las creencias delirantes no satisfacen los requisitos de racionalidad que este impone. En este trabajo: i) reconstruyo, a partir del análisis del caso del delirio de Capgras, la crítica a la idea de que solo podemos interpretar a un agente con creencias irracionales si mantiene aún un trasfondo de racionalidad; ii) objeto la misma y argumento que este delirio no representa un verdadero contraejemplo ya que un examen adecuado del mismo muestra que los sujetos con delirio de Capgras conservan un trasfondo de racionalidad. Señalaré así, que las condiciones mínimas para que la atribución de estados intencionales tenga lugar se encuentran garantizadas.
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Serrano, Sarbosa Domènec. "Fenotips delirants en pacients amb esquizofrènia: caracterització clínica i evolució als 6 mesos." Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/399571.

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L’esquizofrènia és un trastorn psiquiàtric caracteritzat per la presència de deliris i al·lucinacions a banda d’altres símptomes de tipus emocional i cognitiu, que sembla tenir una base causal relacionada amb el neurodesenvolupament. A nivell fenomenològic s’ha pogut caracteritzar l’esquizofrènia a través dels símptomes observables, que són descrits com a simptomatologia positiva, negativa i cognitiva, representant una àmplia heterogeneïtat en la seva presentació clínica. Fins ara hi hagut diferents intents de definir subgrups específics dins del trastorn per tal d’aconseguir una caracterització aproximada en termes d’etiologia i fisiopatogènia i del possible substrat anatòmic, i aquestes caracteritzacions han estat bàsicament sempre realitzades a partir d’aquests grans grups sindròmics però no a través dels símptomes per separat. És possible que l’estudi individualitzat dels diferents símptomes presents en el trastorn puguin aportar també una informació vàlida pel que fa al seu correlat fisiopatogènic i anatòmic cerebral, donant peu a un coneixement més ampli dels mecanismes etiopatogènics del trastorn. Objectiu: Agafant com a base els continguts de la simptomatologia delirant d’un grup de pacients amb esquizofrènia, caracteritzar-ne els fenotips fenomenològics de presentació i estudiar-ne les característiques clíniques i evolutives diferenciades, així com el seu possible correlat neuropsicològic. Metodologia: Estudi de cohort prospectiu a sis mesos sobre una mostra de pacients amb diagnòstic d’esquizofrènia hospitalitzats en una unitat d’aguts, de qui es recullen les dades sociodemogràfiques, les dades clíniques rellevants referides a la gravetat dels símptomes psicòtics així com al contingut dels símptomes delirants i les dades neuropsicològiques obtingudes a través de les diferents subescales de la Escala d’Intel·ligència per adults de Weschler (WAIS). Resultats: Després d’una anàlisi factorial del contingut dels deliris, s’observa que aquests s’agrupen en tres factors que permeten caracteritzar tres fenotips específics que anomenem fenotip paranoide, fenotip afectiu/estrany i fenotip alienació. Aquest darrer, com a subgrup ben definit, que característicament presenta una associació amb els símptomes de primer rang de Kurt Schneider, s’agafa com a grup d’estudi, comparant-lo amb aquells que no presenten aquest fenotip. Aquest fenotip delirant presenta unes característiques clíniques, neuropsicològiques i evolutives diferenciades respecte el grup comparador (absència del fenotip). Es relaciona el fenotip delirant, a través de les proves neuropsicològiques, amb possibles alteracions a nivell frontoparietal esquerres i compensacions amb hiperactivació hemisfèrica dreta. Conclusions: Un estudi basat en el símptoma en concret, més que en l’agrupació de diferents símptomes, permet caracteritzar subgrups fenotípics de pacients amb unes característiques fenomenològiques similars i amb un substrat fisiopatogènic i neurobiològic específic.<br>Schizophrenia is a psychiatric disorder characterized by the presence of delusions and hallucinations, in addition to other emotional and cognitive symptoms, and it seems to have a causal basis related to the neurodevelopment. At a phenomenological level, schizophrenia has been characterized using clinical symptoms, constituting what has been designated as positive, negative and cognitive symptomatology. These syndromic groups however, have a very heterogeneous clinical presentation. To date, several attempts to classify schizophrenia into specific subgroups have been performed with the aim of obtaining a rough classification in terms of etiology, physiopathology, and anatomy. However, these classifications have always been performed using the three big syndromic groups, and a classification using individual symptoms has been never attempted. The study of specific symptoms may shed some light on the physiopathogenic and anatomic brain correlates, which may lead to a broader knowledge on the etiological mechanisms of schizophrenia. Objective: to use the contents of the delusional symptomatology of a sample of patients with schizophrenia to characterize their phenomenological phenotypes and to study the clinical characteristics and evolution, as well as the existence and characteristics of a possible specific neuropsychological correlate. Methods: Six-month prospective cohort study using a sample of patients with a diagnosis of schizophrenia hospitalized in a Psychiatric Unit. Sociodemographic information was collected, as well as clinical information on the severity of psychotic symptoms, and on the contents of delusional symptoms. Neuropsychological data were obtained through the administration of several subscales of the Weschler Adult Intelligence Scale (WAIS). Results: A factor analysis of the delusions’ contents yielded three separate factors which constitute three distinct phenotypes: a paranoid phenotype, an affective/strange phenotype, and an alienation phenotype. The latter is a clear-cut group that has a distinctive association with Kurt Schneider’s first-rank symptoms. We selected the group of patients presenting with this phenotype, and compared them with the other patients. The results indicate that the clinical and neuropsychological characteristics, as well as the course of the disease of the alienation phenotype are distinct and separate from those of the other phenotypes. Neuropsychological tests indicate that the delusional phenotype is probably related to possible changes in the left frontoparietal regions, compensated by the hyperactivation of the right hemisphere. Conclusion: A study based on a specific symptom rather than on a cluster of symptoms has allowed describing a phenotypic subgroup of patients with similar phenomenological characteristics and with a specific physiopathogenic and neurobiological background.
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Lemos, Sabrina Maia [UNESP]. "Psytrance: o ritornelo da alegria : comunicação, design sonoro, música eletrônica." Universidade Estadual Paulista (UNESP), 2006. http://hdl.handle.net/11449/89454.

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Made available in DSpace on 2014-06-11T19:24:04Z (GMT). No. of bitstreams: 0 Previous issue date: 2006-09-15Bitstream added on 2014-06-13T19:07:15Z : No. of bitstreams: 1 lemos_sm_me_bauru.pdf: 766787 bytes, checksum: ccf5175c2fc664ef285a68a7ee9afed7 (MD5)<br>Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)<br>Uma escuta contemplativa dos acontecimentos sonoros do Psychedelic Trance. Agenciadas por Deleuze e Guattari, desde a gênese da música eletrônica, as afecções bergonianas nietzscheanas e espinosanas se desdobram em Psytrance, uma composição afectivo-sonora da mídia eletrônica.<br>A contemplative audition of the sonorous events of the Psychedelic Trance. By the texture of Deleuze and Guatarri meaning, since the eletronic music genesis, the Bergson, Nietzsche and Espinosa affections unfold in Psytrance, an affective-sonorous composition of the eletronic media.
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Segrest, Charles Austin. "Delirium Tremens." Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/english_theses/57.

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These poems tell lyrical stories primarily about violence, language, loss and love. Often with an edge of nightmare, they capture the voices of fringe characters in a variety of settings and circumstances. The poems also deal with books, history, family, ritual/myth and the natural world.
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Livres sur le sujet "Delirious"

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Palmer, Daniel. Delirious. Thorndike Press, 2011.

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Serena, Narain, ed. Singapore: Delicious and delirious. Page One, 2007.

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Blackie, Sharon. The long delirious burning blue. Two Ravens Press, 2008.

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Blackston, Ray. A delirious summer: A novel. Revell, a division of Baker Publishing Group, 2004.

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Driessen, Chris, and Heidi van Mierlo. Delirious Lustwarande: Excursions in contemporary sculpture III. Lustwarande, 2019.

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Simon, Field, Rayns Tony, and Institute of Contemporary Arts, eds. Branded to thrill: The delirious cinema of Susuki Seijun. Institute of Contemporary Arts, 1994.

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Simon, Field, Rayns Tony, and Institute of Contemporary Arts (London, England), eds. Branded to thrill: The delirious cinema of Suzuki Seijun. Institute of Contemporary Arts, 1994.

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Melinda, Allfrey, ed. Delirious: A collection of poems for kids 8-88. Delirious Pub., 1999.

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Bruce, Grenville, Johnson Tim ca 1962-, Wright Will 1960-, and Vancouver Art Gallery, eds. KRAZY!: The delirious world of anime + comics + video games + art. University of California Press, 2008.

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Nichols, Donald D. The delirious decade, 1965-1975: A social history of a community college. D.D. Nichols, 1990.

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Chapitres de livres sur le sujet "Delirious"

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"Delirious." In Excited Delirium. Duke University Press, 2024. http://dx.doi.org/10.1215/9781478059561-021.

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A powerful sedative called ketamine can be administered to people suspected of exhibiting excited delirium syndrome. The chapter explores the tragic case of Elijah McClain, a Black youth who was calmly walking home when police unnecessarily detained and restrained him. When paramedics arrived, they injected McClain with a large dose of ketamine. This chapter explores the use of ketamine alongside McClain's treatment during and after the police incident that led to his death. It exposes how, even after he had been declared brain dead, McClain and his family were treated as criminals. Reflecting on a wider pattern of collusion between paramedics and police in the criminalization of Black people, this chapter argues that excited delirium is not a syndrome; rather, it must be understood as the White gaze that dehumanizes Black people and enables the systemic perpetuation of racialized killings.
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"Acknowledgments." In Delirious Milton. Harvard University Press, 2006. http://dx.doi.org/10.4159/9780674044302-001.

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"1. Artificial Paradises." In Delirious Milton. Harvard University Press, 2006. http://dx.doi.org/10.4159/9780674044302-002.

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"2. Milton’s Halo." In Delirious Milton. Harvard University Press, 2006. http://dx.doi.org/10.4159/9780674044302-003.

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"3. Milton and Modernity." In Delirious Milton. Harvard University Press, 2006. http://dx.doi.org/10.4159/9780674044302-004.

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"4. Why, This Is Chaos, Nor Am I Out of It." In Delirious Milton. Harvard University Press, 2006. http://dx.doi.org/10.4159/9780674044302-005.

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"5. God’s Body: Concept and Metaphor." In Delirious Milton. Harvard University Press, 2006. http://dx.doi.org/10.4159/9780674044302-006.

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"6. A Bleeding Rib: Milton and Classical Culture." In Delirious Milton. Harvard University Press, 2006. http://dx.doi.org/10.4159/9780674044302-007.

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"7. Milton’s Choice of Subject." In Delirious Milton. Harvard University Press, 2006. http://dx.doi.org/10.4159/9780674044302-008.

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"8. Revolution in Paradise Regained." In Delirious Milton. Harvard University Press, 2006. http://dx.doi.org/10.4159/9780674044302-009.

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Actes de conférences sur le sujet "Delirious"

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Tavares, Gabriel do Couto, and Jorge André Marques Bravo. "DELIRIUM NA TERAPIA INTENSIVA: COMO DIAGNOSTICAR, TRATAR E PREVENIR?" In IX Congresso Acadêmico-Científico do UNIFESO. Even3, 2024. https://doi.org/10.29327/1448801.9-3.

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Mito, Shogo, Miho Miyajima, Hirofumi Tomioka, et al. "Postoperative Delirium Prediction Based on Preoperative Electrocardiogram and Electroencephalogram." In 2024 Asia Pacific Signal and Information Processing Association Annual Summit and Conference (APSIPA ASC). IEEE, 2024. https://doi.org/10.1109/apsipaasc63619.2025.10848992.

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Lee, Wei-Han Vivian, and James Macgillivray. "DELIRIOUS FAÇADE." In 107th ACSA Annual Meeting. ACSA Press, 2019. http://dx.doi.org/10.35483/acsa.am.107.100.

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Joris, Eric, and Isjtar Vandebroeck. "Delirious Departures." In SIGGRAPH '22: Special Interest Group on Computer Graphics and Interactive Techniques Conference. ACM, 2022. http://dx.doi.org/10.1145/3532834.3536222.

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Guenther, U., T. Muders, J. Zinserling, H. Wrigge, and C. Putensen. "Introducing a Daily Delirium Monitoring Unveils a Relevant Proportion of Non-Detected Delirious Intensive Care Patients." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a1598.

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Onyemekwu, C. A., K. M. Potter, N. Prendergast, et al. "Biomarkers of Inflammation in Critically Ill Patients According to Data-derived Delirium Subtype Versus Persistent Coma Versus Never Delirious." In American Thoracic Society 2024 International Conference, May 17-22, 2024 - San Diego, CA. American Thoracic Society, 2024. http://dx.doi.org/10.1164/ajrccm-conference.2024.209.1_meetingabstracts.a5034.

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Reade, MC, K. O'Sullivan, S. Bates, D. Goldsmith, WR Ainslie, and R. Bellomo. "Dexmedetomidine vs. Haloperidol To Facilitate Extubation of Delirious Agitated Intubated Patients." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a1562.

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Janz, David R., Ty W. Abel, and Eugene W. Ely. "Neuropathological Abnormalities On Brain Autopsy Findings Of Previously Delirious ICU Patients." In American Thoracic Society 2010 International Conference, May 14-19, 2010 • New Orleans. American Thoracic Society, 2010. http://dx.doi.org/10.1164/ajrccm-conference.2010.181.1_meetingabstracts.a6700.

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Darie, Cristina, Diana Bulgaru Iliescu, Sorin Ungurianu, and Anamaria Ciubara. "THE ONSET OF DEMENTIA THROUGH THE COTARD SYNDROME - THE DELIRIUM OF NEGATION." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.21.

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ICD-10 (The ICD-10 Classification of Mental and Behavioral Disorders. Clinical description and diagnostic guidelines) Introduction. Cotard syndrome is a neuropsychiatric pathology that is uncommon in medical practice but has a significant impact on public awareness of the importance of mental health. This mental disorder is also known as negation delirium, living dead syndrome, nihilistic delirium, or walking corpse syndrome. Objectives. A clinical case of a patient diagnosed with dementia due to late-onset Alzheimer's disease is presented; dementia also includes symptoms of Cotard's syndrome. Over time, the transmission of knowledge and data about Cotard Syndrome, despite its very low frequency, has become a pathology that intrigues and inspires curiosity among individuals. Consciousness of the existence of this delirious illness and the accurate definition of the symptoms of a dual diagnosis are required in a number of psychiatric pathologies. Method. This document was created using the "Elisabeta Doamna" psychiatry hospital Database from Galati, Romania, where patient data was acquired and admitted to the Psychiatry Clinic Section II. In addition, a variety of bibliographical references and diagnostic criteria were utilized, including the ICD-10 (the Classification of Mental and Behavioral Disorders, Clinical Description, and Diagnostic Guidelines), the DSM-5 (the Diagnostic and Statistical Manual of Mental Disorders), and the psychometric tests: the MMSE (the Mini Mental Status Test) and the GAFS (the Global Functioning Assessment Scale). Results and Conclusions Despite having no psychiatric history, the patient arrived at the psychiatric hospital after experiencing psychiatric symptoms caused by both Alzheimer's disease and Cotard's syndrome, symptoms that were ignored and gradually deteriorated, resulting in full-blown delirium, rapid dementia degradation, and a not-very-favorable outlook.
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Feliz, Nerea. "Sutro’s Glass Palace: The Encapsulation of Public Space." In 2018 ACSA International Conference. ACSA Press, 2018. http://dx.doi.org/10.35483/acsa.intl.2018.18.

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This paper looks at the Sutro Baths (1894-96) in San Francisco as an early example of the interiorization of public space, as a pioneer “Fun Palace” and a stage of consumption. The Sutro Baths were an encapsulated microcosms, the delirious dream of an ambitious millionaire, engineer, and later major of San Francisco. Sutro, a German immigrant and entrepreneur managed to encapsulate the ocean inside a spectacular glass palace. The history of these baths is also a reflection of the problems of social inclusion and exclusion derived from the privatization of public space. Besides being the largest interior space for bathers in the world at the time, the Sutro Baths are considered to be the first water park: a strange amalgam of pools, burgers, a taxidermy collection, a wax museum and a winter garden aspiring to the hanging gardens of Babylon. The climatized atmosphere and the ocean were sheltered, altered, domesticated and commodified: “Always as balmy and summery as mid-June…Here’s is the spot to loaf in tropic comfort like a Fiji Islander. No nudist and practically no missionaries, but everything else is Number One Triple A Tropical Style!”1 Sutro inaugurated a new typology, the lineage of which portrays a history of attempts to construct autonomous spaces for immersion within altered physics that are internalized and that offer a new type of socio-natural form. Inside these hedonistic bubbles, public life is reduced to a collective leisure experience.
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Rapports d'organisations sur le sujet "Delirious"

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Jauny, Ray, and John Parsons. Delirium Assessment and Management: A qualitative study on aged-care nurses’ experiences. Unitec ePress, 2017. http://dx.doi.org/10.34074/ocds.72017.

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Aged residential care (ARC) residents with morbid health conditions frequently experience delirium. This condition is associated with diminished quality of life, preventable morbidity and untimely death. It is challenging and costly to manage delirium because of the complex interplay of physical and psychiatric symptoms associated with this condition in both primary and secondary services. With awareness of risk factors and knowledge about delirium, ARC nurses can play a vital role in early identification, assessment and treatment, but most importantly in preventing delirium in aged-care residents as well as improving health outcomes. Focus groups were carried out with ARC nurses to ascertain their opinions on how they assess and manage delirium in ARC facilities in South Auckland, New Zealand. Findings identified that there were strengths and weaknesses, as well as gaps in assessment and management of delirium. Nurses would benefit from delirium education, appropriate tools and adequate resources to help them manage delirium. Issues with diagnosing delirium, anxiety about challenging behaviours, family dynamics, lack of training and absence of IV treatment were noticeable features in this study.
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Brown, Antoinette Y. Improving delirium management in hospitalized elderly patients. University of Missouri - Columbia, 2024. https://doi.org/10.32469/10355/106341.

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Delirium is the leading complication in hospitalized older adults associated with increased mortality, adverse inpatient outcomes, and decreased functionality (McCusker et al., 2003). Delirium is a syndrome with various presentations, it can occur over a brief period, and patients may exhibit hallucinations or violence unpredictably (Tomlinson et al., 2017). Prevalence of delirium varies greatly secondary to patient demographics and comorbidities; the elderly and individuals with multiple chronic disease processes have an increased risk for inpatient delirium (Fuchs et al., 2020). Prevalence rates are highest in the ICU setting at 83.3%; however, the prevalence of developing delirium in intermediate care areas is 39.8% for elderly (age [greater than] 65 years) patients (Fuchs et al., 2020). The incidence rate of delirium for post-operative elderly (age [greater than] 60) patients is close to 19% (Ospina et al., 2018). With the increased length of stay (LOS), adverse outcomes, and risk for hospital-acquired infections, delirium-associated costs are exorbitant. In 2019 the U.S. spent over 82 billion dollars on delirium-associated hospital expenses (Kinchin et al., 2022). According to Rohatgi et al. (2019), early detection of delirium can be ascertained by thorough nursing assessments reducing the duration of acute episodes and limiting the severity of accompanying symptoms. Failure to thoroughly screen for and detect delirium can impact the clinical management of the hospitalized patient and negatively impact patient outcomes (Tomlinson et al., 2016). It is paramount that nursing staff providing direct patient care can accurately assess and implement appropriate interventions for older hospitalized patients with delirium to promote optimal patient outcomes.
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Geng, Jun, Yaowen Zhang, Junjia Zhu, et al. Are Alzheimer Disease Biomarkers Associated With Postoperative Delirium or Postoperative Cognitive Change: a Meta-analysis with Trial Sequential Analysis of Prospective Observational Clinical Trial. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2023. http://dx.doi.org/10.37766/inplasy2023.5.0001.

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Review question / Objective: We aimed to figure out whether perioperative Alzheimer disease biomarkers are associated with postoperative delirium or postoperative cognitive change. Condition being studied: Delirium is an acute change in mental status, characterized by fluctuations in the level of consciousness and lack of concentration. Postoperative deliriumPOD is a specific subset of delirium that is not related to emergence from anesthesia. postoperative cognitive change is a decline in cognitive function, especially in memory and executive functions, that may last from 1-12 months after surgery or longer.
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Cechinel, Clovis, and Joao Alberto Martins Rodrigues. ASSOCIATION OF DELIRIUM AND FRAGILITY IN HOSPITALIZED ELDERLY: SYSTEMATIC REVIEW. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2021. http://dx.doi.org/10.37766/inplasy2021.9.0022.

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Review question / Objective: What is the relationship between delirium and frailty in hospitalized elderly people? The objective of this research is to analyze the association between frailty and delirium in hospitalized elderly people, through a systematic literature review. Condition being studied: Frailty and delirium in hospitalized aged. Information sources: A specific search strategy for the language of each database was developed using, initially, the Medical Subject Headings (MEsH) descriptor and later translated to specific descriptors (Descriptors in Health Sciences (DeCS) and Embase Subject Headings (Emtree)). The search strategy will be applied by the researchers in the MEDLINE databases through the Pubmed Portal; Scielo; VHL; EMBASE, CINAHL, Scopus and Web of Science through the CAPES Journal Portal; CENTRAL via Cochrane.
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He, Miao, Zhaoqiong Zhu, Min Jiang, Xingxing Liu, Rui Wu, and Junjie Zhou. Risk factors for postanesthetic emergence delirium in adults: A systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.1.0021.

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Review question / Objective: Patientor population: patients with emergence delirium; Exposure: anaesthesia and surgery; Control: patients with no emergence delirium; Outcome: risk factors; Study design: meta-analysis. Eligibility criteria: To ensure the quality of this meta-analysis, inclusion criteria was decided before we carried out the search. These criteria were: (a) Original researches that carried out in observational studies. (b)Adult patients who were extubated and recovered at PACU, operation room, or intensive care unit (ICU) after surgeries and anesthesia (including general and neuraxial anesthesia, peripheral nerve blocks and sedation). (c) Risk factors for delirium must be assessed with odds ratio (OR) with 95% confidence interval (CI). Researches must present the results of multivariate regression to be considered eligible for inclusion, since multivariate analysis results shall be used to identify variables eligible for meta-analysis. (d) Full-text available literatures.
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Sharp, Oliver. Pythia: A Parallel Compiler for Delirium. Defense Technical Information Center, 1990. http://dx.doi.org/10.21236/ada632217.

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Brewer, Allison, Amy Carver, Allison Nance, Mallori Rodrigue, and Olivia Smith. Reducing Delirium in Patients with COVID-19. University of Tennessee Health Science Center, 2021. http://dx.doi.org/10.21007/chp.mot2.2021.0008.

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Burnett, Jaclyn, Montana Betts, Christhian de Ochoa, Maciej Chec, and Dwayne Accardo. Dexmedetomidine vs. Propofol in Postoperative Delirium Prevention. University of Tennessee Health Science Center, 2022. http://dx.doi.org/10.21007/con.dnp.2022.0038.

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Bannister, Isabel, Abigail Banko, Reid Blaylock, Abigail Kurtz, Tracy McClinton, and Caitlin Bradford. Decreasing Postop Delirium with Dexmedetomidine vs Propofol. University of Tennessee Health Science Center, 2023. http://dx.doi.org/10.21007/con.dnp.2023.0066.

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Andrade Rosero, Daniel. Enfoque diagnóstico y terapéutico de un primer episodio psicótico. Facultad de Medicina Universidad de Antioquia, 2023. http://dx.doi.org/10.59473/medudea.pc.2023.13.

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Psicosis: Se define como una conciencia de la realidad alterada y la presencia de alguno de estos síntomas: alucinaciones, delirios o ideas delirantes, pensamiento o comportamiento desorganizado o catatónico. Algunos autores definen que estos síntomas deben durar más de 7 días, otros refieren que si por la intensidad de los síntomas se requiere valoración en urgencias u hospitalización pueden durar menos de 7 días.
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