A5002977645- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- COVID-19 and healthcare impacts
- Disaster Response and Management
- Travel-related health issues
- Clinical Reasoning and Diagnostic Skills
- COVID-19 epidemiological studies
- Infectious Encephalopathies and Encephalitis
- Aortic aneurysm repair treatments
- Bacterial Infections and Vaccines
- Older Adults Driving Studies
- Neonatal Respiratory Health Research
- Pathogenesis and Treatment of Hiccups
- Simulation-Based Education in Healthcare
- Gastrointestinal Bleeding Diagnosis and Treatment
- Trauma Management and Diagnosis
- Pain Management and Placebo Effect
- Vascular Procedures and Complications
- Intensive Care Unit Cognitive Disorders
- Myasthenia Gravis and Thymoma
- COVID-19 and Mental Health
- COVID-19 diagnosis using AI
- Long-Term Effects of COVID-19
- Frailty in Older Adults
- Healthcare Systems and Technology
Kyoto Prefectural University of Medicine
2014-2024
Japanese Red Cross Society Kyoto Daini Hospital
2023
Yodogawa Christian Hospital
2020
Kyoto University Hospital
2010
Kyoto University
2010
Background Japan implemented a large-scale quarantine on the Diamond Princess cruise ship in an attempt to control spread of novel coronavirus severe acute respiratory syndrome 2 (SARS-CoV-2) February 2020. Objective We aim describe medical activities initiated and difficulties implementing ship. Methods Reverse transcription–polymerase chain reaction (RT-PCR) tests for SARS-CoV-2 were performed all 3711 people (2666 passengers 1045 crew) board. Results Of those tested, 696 (18.8%) tested...
Hospital-at-home (HaH) care is useful for patients with COVID-19 and an alternative strategy when hospital capacity under pressure due to patient surges. However, the efficacy safety of HaH in elderly remain unknown. In Kyoto city, we conducted a retrospective medical record review focused on from 4 February 25 June 2021. Eligible were (1) aged ≥70 years those who lived them or (2) <70 special circumstances them. During study period, 100 received care. Their median age was 76 (interquartile...
Motor vehicle accidents (MVAs) are one of the major public health burdens worldwide. In particular, MVAs by elderly drivers have been significantly increasing in recent years industrialized countries. This study aimed to assess MVA characteristics and outcomes caused Japan. Japan Trauma Data Bank (JTDB) is a prospective, nationwide, hospital-based registry for trauma patients from 256 institutions enrolled all older than legal age driving between 2004 2015. The included were divided into...
In 2017, the Japanese government published an evidence-based manual describing appropriate use of antibiotics in outpatient settings to tackle problem antimicrobial resistance. To fill evidence-practice gap, we developed a clinician-targeted course aimed at improving clinician skills daily clinical practice treating acute respiratory tract infections (RTIs) based on manual. The aim this study was evaluate efficacy course.This consisted lectures using illness scripts and checklists, as well...
Myasthenia gravis (MG) is an autoimmune disease and represents one of the most common disorders associated with neuromuscular transmission defects. Within MG, anti-muscle-specific kinase antibody-positive subtype (MuSK-positive MG) rare. While it shares similarities form MG by presenting ocular weakness, MuSK-positive typically presents more atypical symptoms. Although can lead to type 2 respiratory failure due there have been limited reports where initial presentation involves only...
The Japan Council for Implementation of the Maternal Emergency Life Support System (J-CIMELS) adopted "Kyoto protocol"-which Kyoto Society Response in Obstetrics and Gynecology proposed 2010-as "evaluation care protocol" intended to prevent progression pathologic conditions expectant nursing mothers by detecting maternal emergencies at an early stage taking appropriate required measures.The protocol also incorporates including obstetric cardiopulmonary resuscitation (CPR) event that...
This study aimed to evaluate the long-term results of Japan Maternal Emergency Life-Saving (J-MELS) simulation training on obstetric healthcare providers, over a 12-month follow-up period.
<sec> <title>BACKGROUND</title> Japan implemented a large-scale quarantine on the Diamond Princess cruise ship in an attempt to control spread of novel coronavirus severe acute respiratory syndrome 2 (SARS-CoV-2) February 2020. </sec> <title>OBJECTIVE</title> We aim describe medical activities initiated and difficulties implementing ship. <title>METHODS</title> Reverse transcription–polymerase chain reaction (RT-PCR) tests for SARS-CoV-2 were performed all 3711 people (2666 passengers 1045...
An earthquake struck Haiti on 12 January 2010. More than 200,000 people were killed and more 300,000 injured in this earthquake. The Japanese government dispatched the Japan Disaster Relief Medical Team (JDR-MT) to 16 January. This is report of medical activities JDR-MT Haiti. consisted 27 members, including four doctors, seven nurses, one pharmacist, radiologist, technologist, two emergency technicians, 11 logisticians. was equipped with medicines for 1,000 patients, a portable x-ray...
症例は87歳の女性。意識障害を主訴に救急搬送された。搬入時にはショックを呈していた。腹部造影CTで造影剤の血管外漏出像は指摘できなかったものの，右総腸骨動脈の血管壁が不整であり，出血点と判断し，右総腸骨動脈瘤破裂と診断した。出血性ショックではあるものの輸液への反応が良好であったこと，両側総腸骨動脈に瘤を認め，破裂瘤と共に外科的治療を検討したが，高齢，開腹術の既往，高血圧，認知症といった背景から開腹術をハイリスクと評価したことから，侵襲度の低い endovascular aneurysm repair（EVAR）を選択した。本症例のEVARは両側内腸骨動脈を閉塞し，ステントグラフトを留置する方針とした。EVAR施行後は血行動態が安定し合併症もなく，社会復帰が可能となった。輸液に反応する出血性ショックで，開腹術にハイリスクを有する総腸骨動脈瘤破裂に対しEVARが有用である可能性が示唆された。