研究業績2020年
| 研修医の基本的臨床能力とGMローテーションとの関連性」 総合診療科併任の西崎先生らの研究です。全国の臨床研修病院で調査を行い、初期臨床研修医の基本的臨床能力評価試験（GM-ITE）のスコアと総合診療科研修の関連性を評価しています。2016～18年にJAMEP基本的臨床能力評価試験を受験した初期研修医1万1,244人を対象とした多施設共同横断研究です。研究方法として、教育環境（病院情報を含む）とGM-ITE総合スコアとの関連をマルチレベル分析にて評価したところ、総合診療科研修とGM-ITEスコアの間には正の相関がありました。初期研修医の基本的臨床能力向上のために、総合診療科での研修を勧めます。 Impact of general medicine rotation training on the in-training examination scores of 11, 244 Japanese resident physicians: a Nationwide multi-center cross-sectional study Yuji Nishizaki, Taro Shimizu, Tomohiro Shinozaki, Tomoya Okubo, Yu Yamamoto, Ryota Konishi, Yasuharu Tokuda BMC Med Educ. 2020 Nov 13;20(1):426. |
| Boerhaave syndrome due to excessive alcohol consumption: two case reports.が、International Journal of Emergency Medicineに掲載されました。 救急外来で2例の食道破裂（Boerhaave syndrome）を経験しました。2例とも大量飲酒後の胸痛で、病歴や症状の程度は同じだったのですが、一方は緊急手術、一方は保存的となりました。食道破裂はMallory-Weiss症候群との鑑別が重要で、この鑑別ならびに食道破裂の重症度の確定も含めてCTが有用です。考察では（この一見そっくりな）二つの疾患にどのような差異があるか併せて論じています。幅 雄一Yuichiro Haba, Shungo Yano, Hikaru Akizuki, Takashi Hashimoto, Toshio Naito, Naoyuki Hashiguchi. Boerhaave syndrome due to excessive alcohol consumption: two case reports. Int J Emerg Med. 2020 Nov 30;13(1):56. https://intjem.biomedcentral.com/articles/10.1186/s12245-020-00318-5 |
| ICUに入室する感染症が疑われた患者650名について、Frailtyの程度に分けて臨床的特徴と予後を比較しました。Frail患者は入院後急性期を過ぎた後に亡くなる傾向にあり、自宅に帰れず施設や転院する割合が多い結果であると発表しました。Komori, A., Abe, T., Yamakawa, K. et al. Characteristics and outcomes of frail patients with suspected infection in intensive care units: a descriptive analysis from a multicenter cohort study. BMC Geriatr 20, 485 (2020). https://doi.org/10.1186/s12877-020-01893-1 |
| preliminary analysis of the performance of a targeted HIV electronic medical records alert system: A single hospital experience.Toshio Naito, Kanako Endo, Shinichi Fukushima, Mai Suzuki, Yukiko Fukui, MizueSaita, HirohideYokokawa. Journal of Infection and Chemotherapy, 2020 |
| 「Serum zinc concentrations and characteristics of zinc deficiency/marginal deficiency among Japanese subjects」 Hirohide Yokokawa MD, PhD Hiroshi Fukuda MD, PhD Mizue Saita MD, PhD Taiju Miyagami MD, PhD Yuichi Takahashi MD, PhD Teruhiko Hisaoka MD, PhD Toshio Naito MD, PhD Journal of General and Family Medicine |
| 「総合診療医に向けたHIV感染症の早期発見と早期治療推進のための教育プログラム」 Educational Program for General Physicians to Promote Early Diagnosis and Initiation of Treatment of Human Immunodeficiency Virus Infection Takahashi H, Yokomaku K, Tsukada K, Otsuka F, Morita H, Naito T. Educational program for general physicians to promote early diagnosis and initiation of treatment of human immune deficiency virus infection. Journal of AIDS research 22: 46-50, 2020 |
| Yokokawa H, Fukuda H, Saita M, Miyagami T, Takahashi Y, Hisaoka T, Naito T. Serum zinc concentrations and characteristics of zinc deficiency/marginal deficiency among Japanese subjects. J. Gen. Fam. Med.. 2020;00:1–8. |
| Takahashi H, Yokomaku K, Tsukada K, Otsuka F, Morita H, Naito T. Educational program for general physicians to promote early diagnosis and initiation of treatment of human immune deficiency virus infection. Journal of AIDS research 22: 46-50, 2020 https://jaids.jp/publish/vol22-01-j |
| Naito T, Suzuki M, Fujibayashi K, Kanazawa A, Takahashi H, Yokokawa H, Watanabe A. The estimated impact of the 5-year national vaccination program on the trend of 23-valent pneumococcal polysaccharide vaccine vaccination rates in the elderly in Japan, 2009-2018. J Infect Chemother 26: 407-410, 2020 |
| Naito T, Suzuki M, Kanazawa A, Takahashi H, Fujibayashi K, Yokokawa H, Kuwatsuru R, Watanabe A. Pneumococcal vaccination reduces in-hospital mortality, length of stay and medical expenditure in hospitalized elderly patients. J Infect Chemother 26: 715-721, 2020 |
| Kaito S, Taniguchi Y, Kitamura A, Seino S, Amano H, Yokoyama Y, Fukuda H, Yokokawa H, Fujiwara Y, Shinkai S, Naito T. Trajectories of kidney function and associated factors among community-dwelling older Japanese: a 16-year longitudinal study. Clin Exp Nephrol 24: 330-338, 2020 |
| Hosoda T, Uehara Y, Kasuga T, Naito T. An HIV-infected patient with acute retinal necrosis as immune reconstitution inflammatory syndrome due to varicella-zoster virus. AIDS. 34: 795-796, 2020 |
| Hosoda T, Uehara Y, Naito T. Were Additional Treatments Affecting Pharmacokinetics Administered after Raltegravir Overdosing? Intern Med. 59: 1343, 2020 |
| Miyagami T, Suyama Y, Takahashi Y, Yang KS, Naito T. Man with thigh pain. Ann Emerg Med. 75: 305-308, 2020 |
| Miyagami T, Suyama Y, Takahashi Y, Yahagi Y, Harada M, Sugisaki N, Matsudaira R, Kanai Y, Yang KS, Naito T. Anti-melanoma differentiation-associated gene 5 dermatomyositis and Lung Disease. QJM. hcaa084, 2020 |
| Miyagami T, Harada T, Terukina H, Komori A, Watari T, Shimizu T, Naito T. Diagnostic Difficulties in Treating a Typical Case of a Patient Being a Doctor. Am J Med. 2020 |
| Miyagami T, Takahashi T, Murai K, Deshpande GA, Naito T. PET/CT, a useful approach to improving the diagnosis of large vessel vasculitis when conventional imaging fails. Journal of Hospital General Medicine 2: 78-84, 2020 |
| Miyagami T, Yokokawa H, Fujibayashi K, Fukuda H, Hisaoka T, Naito T. Assessing lifestyle-related diseases with body and muscle mass using bioelectrical impedance analysis. Sarcopenia. 6: 27-32, 2020. |
| Ishiguro M, Ueno Y, Ishiguro Y, Takanashi M, Murai K, Taieb G, Daida K, Suda A, Yokoyama K, Naito T, Hattori N. CD8+ T-cell encephalitis mimicking PRES in AIDS: a case report. BMC Neurol. 20: 179, 2020 |
| Komori A, Abe T, Kushimoto S, Ogura H, Shiraishi A, Saitoh D, Fujishima S, Mayumi T, Naito T, Hifumi T, Shiino Y, Nakada TA, Tarui T, Otomo Y, Okamoto K, Umemura Y, Kotani J, Sakamoto Y, Sasaki J, Shiraishi SI, Takuma K, Tsuruta R, Hagiwara A, Yamakawa K, Masuno T, Takeyama N, Yamashita N, Ikeda H, Ueyama M, Fujimi S, Gando S. Characteristics and outcomes of bacteremia among ICU-admitted patients with severe sepsis. JAAM FORECAST group. Sci Rep 10: 2983, 2020 |
| Suzuki M, Fukui Y, Saita M, Tanei M, Inui A, Naito T. Trend and cause of death of HIV-infected patients in Japan: A descriptive study using hospital admission records. Journal of Hospital General Medicine 2: 56-61, 2020 |
| Iriyama H, Abe T, Kushimoto S, Fujishima S, Ogura H, Shiraishi A, Saitoh D, Mayumi T, Naito T, Komori A, Hifumi T, Shiino Y, Nakada TA, Tarui T, Otomo Y, Okamoto K, Umemura Y, Kotani J, Sakamoto Y, Sasaki J, Shiraishi SI, Takuma K, Tsuruta R, Hagiwara A, Yamakawa K, Masuno T, Takeyama N, Yamashita N, Ikeda H, Ueyama M, Fujimi S, Gando S; JAAM FORECAST group. Risk modifiers of acute respiratory distress syndrome in patients with non-pulmonary sepsis: a retrospective analysis of the FORECAST study. J Intensive Care. 8: 7, 2020 |
