医学部
基本情報
- 所属
- 藤田医科大学 医学部 精神神経科学講座 准教授
- 学位
- 博士(医学)(2013年4月 熊本大学)
- J-GLOBAL ID
- 201501007745698191
- researchmap会員ID
- 7000012831
研究分野
1主要な経歴
10-
2019年10月 - 現在
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2014年4月 - 2019年9月
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2013年4月 - 2014年3月
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2000年7月 - 2013年3月
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1998年6月 - 2000年5月
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1998年5月 - 1998年5月
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1997年1月 - 1998年4月
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1994年6月 - 1994年12月
主要な学歴
6-
2009年4月 - 2013年3月
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1988年4月 - 1994年3月
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1983年4月 - 1986年3月
受賞
1-
2010年3月
論文
42-
Healthcare (Basel, Switzerland) 11(5) 2023年2月25日Sedentary behavior in patients with schizophrenia causes muscle weakness, is associated with a higher risk of metabolic syndrome, and contributes to mortality risk. This pilot case-control study aims to examine the associated factors for dynapenia/sarcopenia in patients with schizophrenia. The participants were 30 healthy individuals (healthy group) and 30 patients with schizophrenia (patient group), who were matched for age and sex. Descriptive statistics, Welch's t-test, cross-tabulations, adjusted residuals, Fisher's exact probability test (extended), and/or odds ratios (ORs) were calculated. In this study, dynapenia was significantly more prevalent in patients with schizophrenia than in healthy individuals. Regarding body water, Pearson's chi-square value was 4.41 (p = 0.04), and significantly more patients with dynapenia were below the normal range. In particular, body water and dynapenia showed a significant association, with an OR = 3.42 and 95% confidence interval [1.06, 11.09]. Notably, compared with participants of the healthy group, patients with schizophrenia were overweight, had less body water, and were at a higher risk for dynapenia. The impedance method and the digital grip dynamometer used in this study were simple and useful tools for evaluating muscle quality. To improve health conditions for patients with schizophrenia, additional attention should be paid to muscle weakness, nutritional status, and physical rehabilitation.
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Technologies 11(1) 15-15 2023年1月17日With the aging of the population in Japan, the number of bedridden patients who need long-term care is increasing. The Japanese government has been promoting the creation of an environment that enables everyone, including bedridden patients, to enjoy travel, based on the principle of normalization. However, it is difficult for bedridden patients to enjoy the scenery of distant places and to talk with the local people because they need support from helpers to travel to distant places using travel agencies. Therefore, to enhance their quality of life (QOL), we developed a remote-controlled drone system, which involves using only the eyes. We believe that bedridden patients are able to operate the system’s drone in a distant place, to easily view the scenery of the distant place with a camera installed on the drone, and to talk with the local people. However, we have never evaluated whether actual bedridden patients can operate the drone in a distant place, to see the scenery, and to talk with the local people. In this paper, we presented clinical experimental results to verify the effectiveness of this drone system. Findings showed that, not only subjects with relatively high levels of independence in activities of daily living, but also bedridden subjects, could operate the drone at a distant place with only their eyes and communicate with others.
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The journal of medical investigation : JMI 70(3.4) 307-316 2023年This study aimed to conduct a systematic review to clarify patient understanding, understanding of caring concepts, understanding of technology, competency to express compassion, appropriate involvement in caring, and ethical and moral attitudes and responses toward patients. This systematic review was conducted through an electronic search across PubMed, Google Scholar, MEDLINE, and Science Direct. Authors independently appraised the methodological quality of the studies using the Mixed Method Appraisal Tool. A narrative synthesis approach was used to present these findings. Nine studies met the inclusion criteria and quality appraisal guidelines. Through thematic analysis, four major themes were identified:Technology and caring competency, Technology and patient-centered care, Empathetic skills, and Caring competency. This review has shown that patients choose physicians considering their emotions and communicate well with them, empowering them to take responsibility of their own or their loved ones' healthcare. In the age of technological advancement and availability of vast sources of information, it is expected of physicians to adapt to these character priorities while maintaining their sense of humanness, not only focusing on healing modalities, but also to guide, educate, and appropriately empower their patients toward achieving their healthcare goals. J. Med. Invest. 70 : 307-316, August, 2023.
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Open Journal of Psychiatry 13(04) 229-245 2023年
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Healthcare 10(12) 2363-2363 2022年11月24日Patients with schizophrenia may exhibit a flat affect and poor facial expressions. This study aimed to compare subjective facial emotion recognition (FER) and FER based on multi-task cascaded convolutional network (MTCNN) face detection in 31 patients with schizophrenia (patient group) and 40 healthy participants (healthy participant group). A Pepper Robot was used to converse with the 71 aforementioned participants; these conversations were recorded on video. Subjective FER (assigned by medical experts based on video recordings) and FER based on MTCNN face detection was used to understand facial expressions during conversations. This study confirmed the discriminant accuracy of the FER based on MTCNN face detection. The analysis of the smiles of healthy participants revealed that the kappa coefficients of subjective FER (by six examiners) and FER based on MTCNN face detection concurred (κ = 0.63). The perfect agreement rate between the subjective FER (by three medical experts) and FER based on MTCNN face detection in the patient, and healthy participant groups were analyzed using Fisher’s exact probability test where no significant difference was observed (p = 0.72). The validity and reliability were assessed by comparing the subjective FER and FER based on MTCNN face detection. The reliability coefficient of FER based on MTCNN face detection was low for both the patient and healthy participant groups.
MISC
54-
四国医学雑誌 77(3-4) 155-170 2021年8月災害支援活動に従事した看護職は、身体的・精神的・社会的に負の影響を受けると考えられる。本研究の目的は、災害支援活動に従事した看護職が受けた身体的・精神的・社会的影響について文献レビューにより明らかにすることである。検索キーワードは、「災害医療」、「看護職(保健師・助産師・看護師・准看護師)」、「身体的影響」、「精神的影響」、「社会的影響」を組み合わせ、医中誌web、CiNii、PubMedで論文検索を行った。2,092件が抽出され、最終的に21件を分析対象とした。分析の結果、以下のことが明らかとなった。災害支援活動に従事した看護職が受けた身体的影響は、休息が十分取れないことによる身体の不調であった。精神的影響は、被災者から感情をぶつけられる精神的な負担であった。社会的影響は、家族と看護職としての自分との間で板挟みになったことであった。(著者抄録)
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精神科Resident 1(1) 33-35 2020年10月<Key Point>・再発防止を念頭に置いた復職支援をおこなう・就労を想定した生活リズムの構築をうながす・明日からでもすぐに働ける状態にあるかを訊ねる(著者抄録)
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日本医事新報 (5027) 53-53 2020年8月 査読有り