基本情報
経歴
4-
2014年5月 - 現在
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2013年5月 - 2016年3月
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2008年7月 - 2013年4月
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2007年7月 - 2008年6月
学歴
4-
2004年1月 - 2006年1月
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2000年9月 - 2001年6月
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1987年4月 - 1993年3月
論文
72-
AMERICAN JOURNAL OF MEDICINE 124(4) 325-333 2011年4月 査読有り
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INTERNATIONAL JOURNAL OF HEALTH GEOGRAPHICS 10 26 2011年4月 査読有り
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Critical care (London, England) 15(3) R120 2011年 査読有りINTRODUCTION: The relationship between collapse to emergency medical service (EMS) cardiopulmonary resuscitation (CPR) interval and outcome has been well documented. However, most studies have only analyzed cases of cardiac origin and Vf (ventricular fibrillation)/pulseless VT (ventricular tachycardia). We sought to examine all causes of cardiac arrest and analyze the relationship between collapse-to-EMS CPR interval and outcome in a nationwide sample using an out-of-hospital cardiac arrest (OHCA) registry. METHODS: This was a retrospective observational study based on a nationwide OHCA patient registry in Japan between 2005 and 2008 (n = 431,968). We included cases where collapse was witnessed by a bystander and where collapse and intervention time were recorded (n = 109,350). Data were collected based on the Utstein template. One-month survival and neurologically favorable one-month survival were used as outcome measures. Logarithmic regression and logistic regression were used to examine the relation between outcomes and collapse-to-EMS CPR interval. RESULTS: Among collapse-to-EMS CPR intervals between 3 and 30 minutes, the logarithmic regression equation for the relationship with one-month survival was y = -0.059 ln(x) + 0.21, while that for the relationship with neurologically favorable one-month survival was y = -0.041 ln(x) + 0.13. After adjusting for potential confounders in the logistic regression analysis for all intervals, longer collapse-to-EMS CPR intervals were associated with lower rates of one-month survival (odds ratio (OR) 0.93, 95% confidence interval (CI): 0.93 to 0.93) and neurologically favorable one-month survival (OR 0.89, 95% CI 0.89 to 0.90). CONCLUSIONS: Improving the emergency medical system and CPR in cases of OHCA is important for improving the outcomes of OHCA.
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HEALTH POLICY 98(2-3) 236-244 2010年12月 査読有り
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WORLD JOURNAL OF SURGERY 34(8) 1748-1755 2010年8月 査読有り
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BMC HEALTH SERVICES RESEARCH 10 101 2010年4月 査読有り
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MEDICAL EDUCATION 44(3) 289-297 2010年3月 査読有り
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BMC Research Notes 3 129 2010年 査読有り
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MEDICAL TEACHER 32(6) E239-E247 2010年 査読有り
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PEDIATRICS INTERNATIONAL 51(5) 645-649 2009年10月 査読有り
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HEALTH POLICY 92(2-3) 244-249 2009年10月 査読有り
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CHEMOSPHERE 77(5) 658-662 2009年10月 査読有り
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BMC HEALTH SERVICES RESEARCH 9 180 2009年10月 査読有り
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DIOXIN 2009Organohalogen Compounds 71 800-804 2009年8月1日
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HUMAN RESOURCES FOR HEALTH 7 73 2009年8月 査読有り
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JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH 35(4) 761-766 2009年8月 査読有り
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慶應醫學 81(4) 271-286 2004年11月原著The purpose of this study was to compare the long-term care services in municipalities before and after the introduction of Long-term Care Insurance for the elderly (LTCI) in April 2000, Questionnaires were sent to all municipalides in Japan in November 1999 (before the introduction of (LTCI) and in 2001(after the introduction of LTCI). The questions included the level of care needed for the elderly, the type of service (home or institution-based), and other factors related to the implementation of LTCI. Two hundred and sixty-five municipalities responded to both questionnaires were analyzed in this study. The proportion of elderly who needed care, the pmportion of elderly at care need level 5, and the average care-need level among certified increased and became less variable afterthe introduction of LTCl, In addition, there was a higher correlation between the proportion of elderly who needed care and the number of beds for long-term care per elderly population after the introduction of LTCI. The standardization of eligibility criteria and the changes in the financing system for care for the elderly served as background of these changes. These findings demonstrate that the introduction of LTCI had a significant impact on care for the elderly in municipalities in Japan.
MISC
76-
Journal of Medical Internet Research 27 e69798 2025年1月
書籍等出版物
8-
World Health Organization, Regional Office for South- East Asia, 2018年2月
所属学協会
3共同研究・競争的資金等の研究課題
10-
厚生労働科学研究費補助金 (地域医療基盤開発推進研究事業) 2024年4月 - 2027年3月
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厚生労働省 厚生労働科学研究費補助金 (地域医療基盤開発推進研究事業) 2024年4月 - 2026年3月
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厚生労働省 厚生労働行政推進調査事業費補助金(厚生労働科学特別研究事業) 2024年 - 2025年3月
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日本学術振興会 科学研究費助成事業 2020年4月 - 2025年3月
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厚生労働省 厚生労働行政推進調査事業費補助金 (地域医療基盤開発推進研究事業) 2021年4月 - 2024年3月