- Pneumonia and Respiratory Infections
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Respiratory Support and Mechanisms
- Emergency and Acute Care Studies
- Hemodynamic Monitoring and Therapy
- Geriatric Care and Nursing Homes
- Cancer therapeutics and mechanisms
- Nutritional Studies and Diet
- Palliative Care and End-of-Life Issues
- Grief, Bereavement, and Mental Health
- Sodium Intake and Health
- Neutropenia and Cancer Infections
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Sarcoidosis and Beryllium Toxicity Research
- Lung Cancer Research Studies
- Sepsis Diagnosis and Treatment
- Frailty in Older Adults
- Cloud Computing and Resource Management
- Congenital Anomalies and Fetal Surgery
- Spinal Dysraphism and Malformations
- Infrared Thermography in Medicine
- Nosocomial Infections in ICU
- Blood Pressure and Hypertension Studies
- Ultrasound and Hyperthermia Applications
- Antifungal resistance and susceptibility
NTT Medical Center
2021-2023
Fukushima Medical University
2017-2022
Carnegie Mellon University
2022
Sumitomo Hospital
2020
Kobe City Medical Center General Hospital
2008-2015
Kurashiki Central Hospital
2007
Kyoto University
1994-2003
Tokyo National Hospital
1994
Although non-invasive ventilation (NIV) has been shown to be effective in a wide variety of respiratory diseases, its role severe asthma attacks remains uncertain. The aim this study was clarify the effectiveness NIV patients experiencing asthma.A retrospective cohort performed, comparing periods November 1999-October 2003 (pre-introduction NIV) and 2004-October 2008 (post-introduction NIV). data clinical outcomes for who experienced asthma, fulfilled inclusion criteria, were retrieved...
While data centers are increasingly important for modern society owing to the expansion in processing demand, they also contribute emissions and thus global warming. The design of such social infrastructure requires sociotechnical evaluation, including identification different needs multiple stakeholders. This study designs proposes concepts center systems as integrated consisting both green power plant response rapid regional growth potential offshore nearshore Southeast Asia. To an...
To evaluate the added value of inflammatory markers to vital signs predict mortality in patients suspected severe infection. This study was conducted at an acute care hospital (471-bed capacity). Consecutive adult infection who presented either ambulatory or emergency department from April 2015 March 2017 were retrospectively evaluated. A prognostic model for predicting 30-day in-hospital based on previously established (systolic blood pressure, respiratory rate, and mental status) compared...
Introduction Given an increasing use of dipeptidyl peptidase-4 (DPP-4) inhibitors to treat patients with type 2 diabetes mellitus in the real-world setting, we conducted a prospective observational study (Japan-based Clinical Research Network for Diabetes Registry: J-BRAND Registry) elucidate safety and efficacy profile long-term usage alogliptin. design methods We registered 5969 from April 2012 through September 2014, who started receiving alogliptin (group A) or other classes oral...
Objectives: This study aimed to reveal the features of older adults' advance care planning (ACP) discussions by identifying psychosocial factors related their in Japan, where people value family-centered decision making. Methods: A qualitative using in-depth interviews was conducted with 39 participants (aged ≥65 years) recruited from outpatient department a community hospital Fukushima, Japan. Data were analyzed grounded theory approach. Results: Through experiences family caregiving,...
Older adults' discussions with family, or physicians, both, about advance care planning (ACP) are increasingly regarded as important for the management of end-of-life care, and yet factors that induce older adults to engage in ACP poorly understood. For example, adults, is stronger connectedness family friends (stronger "networks") associated discussions? By facilitating, by impeding We sought evaluate associations between social networks Japanese adults.In July 2016 we conducted a...
背景:イトラコナゾール(ITCZ)注射薬からの切り替えにより,ITCZ カプセル薬400mg/日の高用量による維持療法がわが国でも可能となり,手術適応が限られ,長期間にわたる内科的治療を要する肺アスペルギローマや慢性壊死性肺アスペルギルス症(CNPA)などの慢性肺アスペルギルス症に対する有効性が期待される. 目的:慢性肺アスペルギルス症に対するITCZ 注射薬と高用量カプセル薬による維持療法の有効性,安全性を多施設共同研究で検証する. 試験デザイン:単群,非盲検化,非ランダム化試験 方法:慢性肺アスペルギルス症患者を対象に,ITCZ 注射薬400mg/日から開始,3 日目以降は200mg/日とし,14 日以内にITCZ カプセル薬400mg/日に変更し,計12 週間投与する.各症例の主要評価項目は,胸部CT 所見の改善度とし,改善,不変,悪化の3 段階で評価し,副次的評価項目は患者の自覚症状の変化と した.試験開始2,4 週目に活性ITCZ 血中濃度(ITCZ,OH-ITCZ)を測定した. 結果:20 例(平均年齢63 歳,肺アスペルギローマ6 例,CNPA 14...
Respiratory rate measurement is one of the core nursing skills for early detection deterioration a patient's condition. Nevertheless, it sometimes bothersome to visually measure respiratory over 1 min. using mobile phone application "RRate" has been reported be accurate and completed in short time. However, only investigated children. The aim this study was validate compared with 1-min method adult patients.This cross-sectional setting school. Videos movement thorax during respiration...
In older adults, the diagnosis of acute pyelonephritis is challenging because non-specific symptoms and false-positive urine test results. Few studies have investigated diagnostic performance computed tomography (CT) signs.To evaluate CT signs for in patients suspected infection with unknown focus.This cross-sectional study was conducted between 2015 2018. Patients aged ≥65 years who underwent blood cultures, culture, non-contrast or contrast-enhanced on admission were included. Cases...
Diagnosis of community-acquired pneumonia (CAP) in the elderly is often delayed because atypical presentation and non-specific symptoms, such as appetite loss, falls disturbance consciousness. The aim this study was to investigate external validity existing prediction models added value symptoms for diagnosis CAP patients.Prospective cohort study.General medicine departments three teaching hospitals Japan.A total 109 patients who consulted upper respiratory between 1 October 2014 30...
The aim of this study was to determine whether the presence lung shrinkage on CXR can predict diminished survival in patients with idiopathic pulmonary fibrosis (IPF)/usual interstitial pneumonia (UIP).In a hospital-based cohort 68 subjects diagnosed IPF/UIP by surgical biopsy or at autopsy were observed for mean 7.6 years. radiographic scores from Cherniack's method, function tests, arterial blood gas, and haematological data obtained initial presentation. Longitudinal changes over interval...
Background: Enhanced recovery after surgery (ERAS) is a multidisciplinary perioperative care protocol that aims to reduce postoperative complications and the length of hospital stay. ERAS has been mainly implemented in gastrointestinal surgeries, its adaptation urological remains uncommon. This study aimed introduce management robot-assisted radical prostatectomy (RARP) at NTT Medical Center Tokyo. Methods: One hundred five patients with prostate cancer who underwent RARP program between...
This study investigated the association between daily salt intake of 3-year-old children and that their mothers. A total 641 were studied. The mothers was estimated by morning spot urine methods, respectively. In multivariable analysis, a 1 g higher maternal associated with 0.14 (95% confidence interval [CI], 0.07-0.22, P < .001) her children. secondary odds ratios for excess 1.61 CI, 1.01-2.55, = .045) 1.81 1.12-2.91, .015) 9.7-11.5 11.5 or more intake, Our findings could help to convince...
Interest in the use of incentives to promote health behavior change has been growing worldwide. However, develop an effective incentive program, accurate information regarding individual preferences is essential. Therefore, aim this study was clarify determinants for change. A self-completed questionnaire survey conducted a Japanese village 2015. The outcome measures were features incentives, including item, frequency, type and value. types defined as follows: assured-type (given...