A5035024027- Interprofessional Education and Collaboration
- Innovations in Medical Education
- Palliative Care and End-of-Life Issues
- Pharmaceutical Practices and Patient Outcomes
- COVID-19 and Mental Health
- COVID-19 and healthcare impacts
- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Pharmacy and Medical Practices
- Cultural Competency in Health Care
- Lung Cancer Treatments and Mutations
- Health disparities and outcomes
- Blood Pressure and Hypertension Studies
- Mental Health and Patient Involvement
- Patient Safety and Medication Errors
- Physical Activity and Health
- Empathy and Medical Education
- Cancer Immunotherapy and Biomarkers
- Medication Adherence and Compliance
- Viral Infections and Outbreaks Research
- Health Policy Implementation Science
- Vaccine Coverage and Hesitancy
- Heart Rate Variability and Autonomic Control
- Geriatric Care and Nursing Homes
- Competency Development and Evaluation
University of Tsukuba
2016-2025
Nagoya University
2018-2025
Hôtel-Dieu de Paris
2024
University of Tsukuba Hospital
2017-2021
FLAURA, the prospective trial of osimertinib as a first-line therapy compared with first-generation epidermal growth factor receptor-tyrosine kinase inhibitors (EGFR-TKIs), did not show superior survival benefit for in either subgroup Asians or L858R mutation. In addition, superiority second-generation EGFR-TKI is thus far unclear.We reviewed clinical data all consecutive patients who were treated afatinib between May 2016 and October 2019 from 15 institutions Japan. We defined groups based...
Deprescribing by physicians based on the suggestions of community pharmacists is useful to ensure medication safety. Pharmacist-led deprescribing not always implemented smoothly because communication gaps between and pharmacists. Our previous study found that assertiveness, as a style, associated with pharmacist-initiated prescription changes for safety; however, its association pharmacist-led unclear. objective was investigate which types self-expression related assertiveness are while...
The benefit of programmed cell death protein-1 (PD-1)/programmed protein ligand-1 (PD-L1) inhibitors remains unclear in non-small lung cancer (NSCLC) patients with poor performance status (PS). In the current multi-centre retrospective cohort study, advanced or recurrent NSCLC treated PD-1/PD-L1 were enrolled. Of 219 enrolled, 44 had PS 2-4. objective response rate (ORR) 2-4 1st line was 33%. Among group, median progression-free survival (PFS) 2 significantly longer compared to that 3-4...
Abstract Background The COVID-19 pandemic has caused home health care workers (home-HCWs) to experience anxiety. mental of home-HCWs and related factors during the have not been clarified; therefore, we aimed investigate status associated fear infection, anxiety, depression among in Japan. Methods We conducted a multicenter cross-sectional web-based anonymous survey August 2021, fifth wave surveyed members facilities that provided visit services pandemic. measured Japanese version Fear scale...
Home care is one of the essential community health services; thus, identifying changes home utilization before and during COVID-19 pandemic would be useful for researchers policymaker to reconsider system, support needed staff, collaborative system with hospitals in era. We conducted a multicenter cross-sectional web-based anonymous survey directors visit facilities Japan August 2021.A total 33 participants from 37 responded survey. The number patients dying at newly requested visits...
There have been no multicenter studies that estimated the relations of either nurse or pharmacist home visit program to drug costs potentially inappropriate medications (PIMs). This study aimed establish whether patients who used programs (nurse program) had lower PIMs than those did not use for older living at home. cross-sectional was conducted in care settings Japan, involving 430 aged 65 older, whom 276 were female. All received regular visits from five clinics between May and December...
A community-based medical education (CBME) curriculum may provide opportunities to learn about the social determinants of health (SDH) by encouraging reflection on context, but categories that students can and their level are unclear. We aimed analyze students' understanding SDH in a CBME curriculum.Study design: General inductive approach for qualitative data analysis. Education Program: All 5th-year 6th-year at University Tsukuba School Medicine Japan who completed mandatory 4-week...
Objective Becoming a doctor involves transforming lay person into medical professional, which is known as professional socialisation. However, few studies have clarified differences in the socialisation process detail. The aim of this study was to clarify students residents staff doctors. Design We used narrative analysis qualitative research theoretical framework. Setting This conducted Japan. Participants were collected using purposive sample doctors with over 7 years experience....
Abstract Background Social determinants of health (SDH) are intricately intertwined with various social and economic factors. Reflection is essential for learning about SDH. However, only a few reports have focused on reflection in SDH programs; most were cross-sectional studies. We aimed to longitudinally evaluate program community-based medical education (CBME) curriculum that we introduced 2018 based the level content students’ reports. Methods Study design: General inductive approach...
Blood pressure (BP) measurement is recommended on bare arms, but undressing the arms for BP measurements often difficult frail elderly individuals. We aimed to assess accuracy of over with thin and thick clothing among elderly.This a cross-sectional study. Individuals aged 65 years or older were recruited from three long-term care facilities in Japan between April May 2016. The main outcome measures (a) arm, (b) shirt, (c) shirt cardigan, (d) sleeve cardigan rolled up elbow. was compared...
Although guidelines recommend that blood pressure (BP) should be measured on a bare arm, BP is sometimes over clothing in clinical settings. To assess the accuracy of measurements rolled up to elbow This was cross-sectional study total 186 individuals recruited from primary care clinic and two day-care facilities between July September 2014. Main outcome measures were (i) (ii) sleeve cardigan (iii) elbow. compared across measurement conditions using paired t -test multiple analysis variance...
Abstract Background Within the vague system of primary care and COVID‐19 infection control in Japan, we explored how (PC) physicians exhibited adaptive performance their institutions communities to cope with pandemic from January May 2020. Methods Narrative analysis conducted by a team medical professionals anthropologists. We purposefully selected 10 PC community‐based hospitals clinics total 17 individual group interviews. The verbatim transcript data were analyzed using conceptual...
This study examined the frailty status of older individuals in Japan at 1 year after onset coronavirus disease 2019 (COVID-19) pandemic based on involvement social activities before and during pandemic.
Abstract Background Many Japanese visit medical institutions for common cold treatment, which can cause congestion in these and an increase expenses, although the be treated sufficiently through self‐medication. Therefore, to elucidate reasons individuals with colds do not use over‐the‐counter ( OTC ) medication, we conducted investigation using a self‐administered inquiry sheet determine clinic visits avoidance of medication. Methods The study was patients self‐diagnosed symptoms anonymous...
Background: The prediction of impending death is important for providing appropriate end-of-life care; however, limited information currently available on the signs in non-cancer patients. Furthermore, although vital are routinely measured clinical practice, changes dying phase patients have not yet been elucidated detail. Methods: We herein conducted a retrospective study to clarify before Non-cancer who died hospital Japan between April 2017 and 2018 were examined. Vital up seven days...
To validate the Professional Self Identity Questionnaire (PSIQ) for medical students during clinical practice.We conducted a single-year longitudinal questionnaire study using PSIQ. The PSIQ rates nine items of "teamwork", "communication", "conducting assessment", "cultural awareness", "ethical "using records", "dealing with emergencies", "reflection", and "teaching" on scale 1-7 points. participants consisted 118 fifth- sixth-grade who completed mandatory 4-week practice in community-based...
Background: Accurate information on the prognosis in last days of life is essential for providing better end-of-life care; however, few studies have examined signs impending death (SID) or developed short-term prediction models noncancer patients. Objective: To investigate prevalence and onset SID to develop that predict within 7 days, 72 hours, 24 hours Design: This a prospective longitudinal observational study. Setting/Subjects: Subjects were patients admitted hospital Japan between 2019...
The health of elderly individuals is known to benefit from maintaining societal involvement and relationships with other people, such as through social participation. We aimed determine trends in the percentage Japanese people who engaged participation before during coronavirus disease 2019 (COVID-19) pandemic one municipality Japan, compared differences this status by gender.We conducted a cross-sectional questionnaire survey. Questionnaires were sent mail 3000 aged 65 85 years randomly...
Interprofessional collaboration is considered an important strategy in overcoming the complex issues associated with healthcare outcomes. A nationwide, community-based integrated care system developed for of older people individual communities Japan requires community hospitals to deliver coordinate efforts creating effective environments health. This study aimed explore factors self-assessment score interprofessional hospitals.Cross-sectional using Assessment Team Collaboration Scale...
Abstract Objective To assess the extent to which long‐term care facilities in Japan adhere blood pressure ( BP ) measurement guidelines. Design Cross‐sectional, observational survey. Setting (nationwide). Participants Geriatric health service that responded a questionnaire among 701 provide short‐time daycare rehabilitation services Japan. Methods A written asked about types of devices, number measurements used obtain an average , resting time prior measurement, and methods when patients’...
Abstract Background To create an effective community-based integrated care system, interprofessional collaboration based on healthcare professionals’ mutual understanding of their respective roles must be promoted. This study aimed to identify the role conception and expectation that other professionals have towards physicians in context a system. Methods We organized focus groups adopted ‘Role Theory’ as theoretical framework. collected data from attending conference systems Japan....