Research activity information

• Apr. 2024 優秀指導教官賞, 日本内科学会


• Apr. 2022 優秀指導教官賞, 日本内科学会


• 2022 兵庫県養父市，日本医師会，全国国民健康保険診療施設協議会，全国自治体病院協議会, やぶ医者大賞


• Apr. 2021 優秀指導教官賞, 日本内科学会


• Apr. 2020 優秀指導教官賞, 日本内科学会


• Apr. 2019 日本内科学会, 優秀指導教官賞

  見坂 恒明


• Apr. 2018 日本内科学会, 優秀指導教官賞

  見坂 恒明

• Comparison of diffusion-weighted whole-body magnetic resonance imaging and abdominal ultrasonography versus contrast-enhanced computed tomography in diagnosing acute focal bacterial nephritis: a retrospective cohort study.

  Marohito Nakata, Tomomasa Wakugawa, Hiroki Uehara, Tsuneaki Kenzaka

  BACKGROUND: Abdominal contrast-enhanced computed tomography (CT) is the gold standard for diagnosing acute focal bacterial nephritis (AFBN). However, contrast-enhanced CT is contraindicated for patients with contrast medium allergies, impaired renal function, pregnancy, metformin use, and thyroid disease. Diffusion-weighted whole body imaging with background body signal suppression (DWIBS) is a safe imaging modality for such patients. Although DWIBS can quickly evaluate inflammation, its role in diagnosing AFBN remains unclear. Therefore, we aimed to compare imaging modalities for diagnosing AFBN and evaluate the efficacy of DWIBS in patients receiving inpatient treatment. METHODS: In this retrospective cohort study, we included individuals aged ≥18 years hospitalized for AFBN under the Diagnosis Procedure Combination system from January 1, 2013, to December 31, 2022. Exclusion criteria included imaging findings not suggestive of AFBN. The primary outcome was the proportion of patients who underwent abdominal ultrasonography, contrast-enhanced CT, and DWIBS and their respective diagnostic rates for AFBN. The secondary outcome was the accuracy of AFBN detection using abdominal ultrasonography and DWIBS compared to that of the standard contrast-enhanced CT. RESULTS: The study cohort included 123 patients, with an average age of 51±20.4 years; 107 (87.0%) were women. Abdominal ultrasonography was used in 74.0% (91/123) of the patients, yielding a diagnostic rate of 31.9% (29/91). Contrast-enhanced CT was used in 90.2% (111/123) of the patients, with a diagnostic rate of 100% (111/111). DWIBS was used in 11.4% (14/123) of the patients, with a diagnostic rate of 85.7% (12/14). The accuracy of AFBN detection (correct response rate) was 26.6% (21/79) for abdominal ultrasonography and 75.0% (6/8) for DWIBS, indicating that DWIBS had a significantly higher accuracy rate than that of abdominal ultrasonography [Chi-square test, χ2(1) =7.96, P=0.0048]. CONCLUSIONS: DWIBS demonstrated promising diagnostic accuracy for AFBN compared with abdominal ultrasonography, suggesting it could be a valuable diagnostic tool for this condition. Given its diagnostic accuracy, DWIBS may be considered over abdominal ultrasonography in patients who are unable to undergo contrast-enhanced CT due to allergies or pregnancy. However, further prospective studies with larger sample sizes are necessary to validate these findings.

  Apr. 2025, Quantitative imaging in medicine and surgery, 15(4) (4), 3298 - 3307, English, International magazine

  Scientific journal


• Exploratory Investigation of Barriers to Writing Case Reports Among Japanese Physicians Who Participated in Web Study Sessions.

  Tsuneaki Kenzaka, Shinsuke Yahata, Naoya Mizutani, Ayako Kumabe, Ryo Fujiwara, Koki Kosami, Hiroyuki Mori

  OBJECTIVE: This study examined the barriers to writing case reports among Japanese physicians who participated in a web study series titled "Let's Write a Case Report! What you need to do to be Accepted" and explored differences in these barriers based on physicians' years of experience. METHODS: The study design was cross-sectional in nature. Throughout August and November 2020, the respondents participated in the web study sessions. Using an 11-point scale, from -5 (not a barrier at all) to 0 (neither) to 5 (very much of a barrier), the 16 items interrogated which elements could be barriers to case report writing. Participants were divided into two groups: those with 10 or fewer years of postgraduation experience and those with 11 or more years of postgraduation experience. The basic attributes and possible barriers were compared between the groups using chi-squared and t-tests. RESULTS: In total, 53 (62.4%) participants responded to the web-based questionnaire. In a comparison between the two groups, the following barriers were significantly higher in the 10 years or fewer group: having sufficient medical documentation to write a report, knowing how to write a case report, determining the main case points and clinical message, knowing how to search the literature, knowing how to obtain literature, meeting the financial cost of accessing literature. Although there were no significant differences, only the lack of motivation to write papers was perceived as a barrier by the 11 years or more group. CONCLUSIONS: Determining the main case points and clinical message, selecting an appropriate journal for submission, and having adequate time to write a paper were the major barriers to writing a case report. Paper-writing motivation was crucial for those with longer clinical experience and experience in writing papers. These barriers were significantly more pronounced among those with fewer than 10 years of clinical experience than among those with 11 or more years of experience. Providing targeted support in developing case points and clinical messages will lead to an increase in the rate of case report writing.

  Apr. 2025, Cureus, 17(4) (4), e81857, English, International magazine

  Scientific journal


• Assessing the medium-term effects of a community-based medical education program with homestay practice: a cohort study in Tamba, Japan.

  Tsuneaki Kenzaka, Shinsuke Yahata, Ken Goda, Ayako Kumabe, Nishisaki Hogara, Masanobu Okayama

  INTRODUCTION: This study intended to evaluate the medium-term effectiveness of a community-based medical education (CBME) program and to determine the program's influence on the application rates of regional-quota students seeking to become residents in Tamba, Japan. MATERIALS AND METHODS: We conducted a cohort study of regional-quota students. Exposure factors included (1) experience compared to no experience of CBME in the Tamba area; (2) CBME experience compared to no experience in Tamba in the senior years (4-6 years of medical school) and experience in the junior years (1-3 years of medical school); and (3) experience in the senior years compared with those in the junior years. Outcome measures were applications to become a medical resident and actually becoming a medical resident at the Hyogo Prefectural Tamba Medical Center. RESULTS: Of 94 participants, 58 (61.7%) were male and 37 students (39.4%) had previous CBME experience in the Tamba area. In applying to become a resident at the Hyogo Prefectural Tamba Medical Center, students who had experienced CBME in the Tamba area in their senior years had significantly higher adjusted risk ratios compared to those who experienced it in their junior years. Regarding applications to become a resident, students who had experienced CBME in the Tamba area in their senior years had a significantly higher adjusted risk ratio than students who had not experienced CBME and students who had experienced CBME in their junior years. CONCLUSIONS: There was a statistically significant application rate for residency programs among medical students who participated in the CBME program in their senior years compared with those who did not. This is the first study to confirm the medium-term effects of CBME after several years in short-term CBME programs of three days and two nights.

  Dec. 2024, Annals of medicine, 56(1) (1), 2396560 - 2396560, English, International magazine

  Scientific journal


• Systemic Amyloid Light Chain Amyloidosis With Repeated Syncope Due to Severe Orthostatic Hypotension Caused by Autonomic Neuropathy: A Case Report.

  Yohei Mori, Tsuneaki Kenzaka

  Amyloid light chain (AL) amyloidosis is a disease in which ALs, which are proteins with fibrous structures, are deposited in systemic organs, causing functional impairment. Diagnosis is often difficult because of non-specific and varied symptoms. We report a case of systemic AL amyloidosis that was diagnosed as a result of repeated syncope. A 76-year-old woman was brought to the emergency room with multiple episodes of loss of consciousness over the past five years. She visited the major hospital, where pulmonary thromboembolism and symptomatic epilepsy were considered possible causes. Orthostatic hypotension was observed after being transferred to our hospital for rehabilitation. We performed diagnostic tests, including blood tests, imaging, and a head-up tilt test, which confirmed severe orthostatic hypotension. A gastrointestinal biopsy with Congo red staining confirmed the presence of amyloid deposits. AL amyloidosis (λ) was diagnosed using immunohistochemical staining. Given her age and prolonged bed rest, she was determined that she could not tolerate chemotherapy and was discharged upon her request. To the best of our knowledge, this is the first report of systemic AL amyloidosis presenting with orthostatic hypotension severe enough to cause syncope due to autonomic neuropathy. Autonomic neuropathy should be considered, and amyloidosis should be included in the differential diagnosis when a patient presents with recurrent syncope.

  Nov. 2024, Cureus, 16(11) (11), e73320, English, International magazine

  Scientific journal


• Association Between Caregiver Burden and Treatment Adherence in Japanese Children With Allergic Rhinitis Receiving Sublingual Immunotherapy.

  Hikaru Matsuoka, Sadayuki Nagai, Takayasu Kanatani, Nao Kouho, Shintaro Inoue, Tsuneaki Kenzaka

  BACKGROUND: Sublingual immunotherapy (SLIT) leads to the long-term remission of allergic rhinitis and requires long-term daily adherence. There are limited studies on the treatment burden or satisfaction of SLIT among caregivers of children treated using SLIT. We aimed to evaluate the association between the treatment burden and satisfaction for pediatric allergic rhinitis caregivers and the clinical factors of their children's SLIT. METHODS: We conducted a questionnaire survey with 115 caregivers of SLIT-treated children from May to August 2023 and retrospectively reviewed their children`s medical records. A single caregiver had at least one child, all undergoing SLIT at the time of the survey. Of the total 139 SLIT-treated children, 78 children over eight years of age were interviewed regarding adherence to SLIT and subjective symptoms of allergic rhinitis. We performed a comparative analysis of caregivers' impressions of SLIT and their children's clinical factors regarding SLIT. RESULTS: A runny nose was the most common symptom experienced by children before the start of SLIT. After the children started SLIT, 74 (64.3%) of the 115 caregivers felt satisfied and 30 (26.1%) felt burdened by SLIT. The most frequent reasons for being satisfied and burdened by SLIT were because it improved or relieved allergic rhinitis and the preparation and encouragement for children to take SLIT tablets, respectively. Of the 115 caregivers, 96 (83.4%) recommended SLIT to others. A comparative analysis showed that caregivers had already felt burdened from the first one to six months of SLIT initiation and the proportion of caregivers who answered that they felt burdened by SLIT was significantly lower for children with appropriate adherence than for those with inappropriate adherence (11.1% vs. 30.9%,P = 0.034). CONCLUSIONS: Most caregivers of SLIT-treated children reported higher treatment satisfaction than treatment burden. Caregiver burden emerged shortly after the start of SLIT and was also associated with lower adherence in children. This study emphasized the need for strategies to support caregivers and optimize adherence in the early stages of SLIT.

  Nov. 2024, Cureus, 16(11) (11), e74779, English, International magazine

  Scientific journal


• Albumin-refractory Transudative Ascites for the Diagnosis of Protein-losing Gastric Cancer: A Case Report

  Mizutani Naoya, Mori Hiroyuki, Kenzaka Tsuneaki

  A 63-year-old man with schizophrenia presented to our hospital with a chief complaint of anorexia and edema in the lower legs for the past month. Upper gastrointestinal endoscopy revealed a gross type 3 gastric carcinoma (pathology: tubular adenocarcinoma, moderately differentiated type) from the upper gastric body to the gastric antrum. His serum total protein level was 4.7 g/dL and serum albumin concentration was 1.5 g/dL. Contrast-enhanced computed tomography, magnetic resonance imaging, and examination of ascites showed no evidence of distant metastases. Hypoalbuminemia was refractory to albumin administration with no evidence of cancerous peritonitis on staging laparoscopy. Gastrointestinal scintigraphy confirmed protein leakage from the gastric tumor into the gastrointestinal tract. We reviewed the literature and identified 34 other cases of protein-losing gastric cancer, which were used to comprehensively elucidate its clinical features. Borrmann type 0 or 1 tumors of the gastric body or antecubital area, with a maximum tumor diameter of nearly 10 cm and a cauliflower-like appearance, are highly suggestive of protein-losing gastric cancer. In conclusion, ^99mTc-HSA scintigraphy and staging laparoscopy should be performed aggressively to differentiate protein-losing gastric cancer tumor from cancerous peritonitis.

  JAPAN PRIMARY CARE ASSOCIATION, Sep. 2024, An Official Journal of the Japan Primary Care Association, 47(3) (3), 89 - 98, Japanese


• Type I Kounis syndrome in a young woman without chest pain: a case report.

  Miki Nanyoshi, Tomohiro Hayashi, Ryu Sugimoto, Hogara Nishisaki, Tsuneaki Kenzaka

  BACKGROUND: Kounis syndrome is defined as the concurrence of acute coronary syndromes in the setting of allergic or anaphylactic reactions. It primarily affects men aged 40-70 years and is often associated with chest pain. This syndrome is often unrecognized and undiagnosed in clinical practice due to a low level of awareness. Herein, we present a case of type I Kounis syndrome in a young woman without chest pain. CASE PRESENTATION: A 28-year-old Japanese woman with a history of atopic dermatitis received a glycyrrhizin, glutathione, and neurotropin preparation (a preparation of inflamed skin extract from rabbits inoculated with vaccinia virus) at a dermatology clinic to treat pruritus caused by atopic dermatitis. Immediately after the administration, the patient developed abdominal pain and generalized body wheals. The patient was diagnosed with anaphylaxis and was transported to our hospital. She had no chest pain on arrival at our hospital; however, a 12-lead electrocardiogram showed ST elevation in leads I, aVL, V2, and V3, and an echocardiogram showed decreased wall motion in the anterior and lateral walls of the left ventricle. Sublingual nitroglycerin administration improved ST-segment elevation and left ventricular wall motion abnormalities. The patient underwent emergency coronary angiography, which revealed no significant stenosis, and was diagnosed with type I Kounis syndrome. CONCLUSION: Kounis syndrome without chest pain is rare in young women. Since it can be fatal in cases with severe allergic symptoms such as anaphylaxis, the possibility of concurrent acute coronary syndrome should be considered when treating systemic allergic reactions, regardless of age, sex, or the presence or absence of chest symptoms.

  Sep. 2024, BMC cardiovascular disorders, 24(1) (1), 467 - 467, English, International magazine

  Scientific journal


• Bacteremia caused by Desulfovibrio desulfuricans with the intestinal tract as the portal of entry: two case reports and a literature review.

  Kotone Yamaizumi, Moe Kyotani, Tsuneaki Kenzaka

  BACKGROUND: Desulfovibrio desulfuricans (D. desulfuricans), a commensal anaerobic gram-negative rod endemic to the soil environment and human gastrointestinal tract, rarely causes bloodstream infections. We report two rare cases of bacteremia caused by D. desulfuricans in which the intestinal tract was the portal of entry. In addition, we summarize findings on D. desulfuricans. CASE PRESENTATION: Case 1: A 51-year-old man presented to the emergency department with the chief complaints of fever and right lower abdominal pain. He was admitted to the hospital with ascending colonic diverticulitis and received empirical antibacterial therapy with piperacillin/tazobactam. Blood culture revealed D. desulfuricans. The patient was discharged after 2 weeks of antimicrobial therapy. Case 2: A 95-year-old woman presented to our hospital with a chief complaint of fever. Owing to an elevated inflammatory response and pyuria, the patient was diagnosed with pyelonephritis and treated with ceftriaxone. Klebsiella pneumoniae was detected in her urine culture, while D. desulfuricans was detected in her blood culture. The patient was then treated with ampicillin/sulbactam for 14 days. The fecal occult blood test result was positive, suggesting a colonic mucosal lesion, such as a malignant tumor, may have been the portal of entry for D. desulfuricans bacteremia. Previous literature reviews indicate that D. desulfuricans bacteremia often results from liver or renal abscesses, intestinal lesions, among others, serving as the portal of entry. Although no specific underlying disease has been reported, it is more common in the older population. We encountered two cases of D. desulfuricans bacteremia and combined them with 15 cases from previous studies to explore the characteristics of the disease. The proportion of patients aged [Formula: see text]60 years was 73.7%; overall, 73.7% had gastrointestinal complications, and 63.2% had abdominal symptoms at the time of presentation. CONCLUSIONS: We encountered two rare cases of D. desulfurican bacteremia. This type of bacteremia is more common in elderly people over 60 years of age and is often associated with hepatobiliary and gastrointestinal diseases.

  Jul. 2024, BMC infectious diseases, 24(1) (1), 725 - 725, English, International magazine

  Scientific journal


• Scalp vein sign caused by intracranial dural arteriovenous fistula.

  Munenori Iwamoto, Yoshihisa Otsuka, Tsuneaki Kenzaka, Masaaki Kohta, Yusuke Okamura

  A 68-year-old man presented with a headache that had started 1 month earlier. The scalp vein dilatation was observed at presentation. The findings of computed tomography and magnetic resonance imaging raised suspicion of a dural arteriovenous fistula, leading to the definitive diagnosis by digital subtraction angiography. Scalp vein signs can be a useful clue to suspect intracranial abnormalities, including dural arteriovenous fistula.

  Jul. 2024, Journal of general and family medicine, 25(4) (4), 239 - 240, English, Domestic magazine

  Scientific journal


• Bilateral bartholin's gland abscesses in a 4-year-old girl with vitamin a deficiency: a case report.

  Tomoko Kihara, Tsuneaki Kenzaka, Tomohiro Hasegawa, Koutaro Uemura, Toru Funakoshi

  BACKGROUND: A Bartholin's gland abscess is one of the most common infections in women of reproductive age. Although Bartholin's gland abscesses have been reported in prepubertal children, they are rarer in prepubertal children than in adults. Herein, we report a case of bilateral Bartholin's gland abscesses in a 4-year-old girl with vitamin A deficiency. CASE PRESENTATION: A 4-year-old girl diagnosed with autism spectrum disorder was admitted to the hospital for close examination and treatment because of persistent fever and malaise. The child was a marked fussy eater and was diagnosed with corneal ulceration and night blindness secondary to vitamin A deficiency. Both of the patient's labia were swollen, and a diagnosis of a bilateral Bartholin's gland abscess was made using computed tomography. Incisional drainage was performed under general anesthesia. The patient's postoperative course was uneventful, and she was discharged from the hospital on day 8 after the surgery. During hospitalization, attempts were made to correct the vitamin deficiency by adding nutritional supplements to the diet. Three months after the surgery, no recurrence of abscesses was noted. CONCLUSIONS: Decreased immunocompetence and mucosal barrier function due to vitamin A deficiency is thought to be the underlying cause of Bartholin's gland abscesses. Although prepubertal Bartholin's gland abscesses have been reported, they are rare. To the best of our knowledge, no reports of bilateral Bartholin's gland abscesses potentially caused by vitamin A deficiency have been reported. When prepubertal girls present with Bartholin's gland abscesses, the presence of immunodeficiency due to vitamin or trace element deficiency should also be considered.

  May 2024, BMC infectious diseases, 24(1) (1), 487 - 487, English, International magazine

  Scientific journal


• Antimicrobial-associated encephalopathy due to ampicillin.

  Naoya Mizutani, Tsuneaki Kenzaka

  Because the β-lactam ring has a molecular structure similar to that of gamma-aminobutyric acid (GABA) neurotransmitters, it binds to GABA A receptors and inhibits GABAergic transmission, causing AAE. The possibility of antimicrobial-associated encephalopathy should be considered in cases of neurological or psychiatric symptoms after initiating an antimicrobial regimen.

  Apr. 2024, Clinical case reports, 12(4) (4), e8665, English, International magazine

  Scientific journal


• Brown crusts on infant owing to contact dermatitis associated with ethanol disinfection.

  Yuki Matsuhisa, Tsuneaki Kenzaka, Hideo Hirose, Tadao Gotoh

  A 2-year-old girl developed dermatitis with atypical brown crusts after ethanol disinfection. Since many Oriental people have genetically reduced acetaldehyde dehydrogenase type 2 (ALDH2) activity, ethanol disinfection causes acetaldehyde to accumulate in the skin, resulting in dermatitis.

  Jan. 2024, Journal of general and family medicine, 25(1) (1), 71 - 72, English, Domestic magazine

  Scientific journal


• Cellulitis caused by Roseomonas mucosa in a child: a case report.

  Yuki Matsuhisa, Tsuneaki Kenzaka, Hideo Hirose, Tadao Gotoh

  BACKGROUND: Roseomonas mucosa (R. mucosa) is a pink-pigmented, Gram-negative short rod bacterium. It is isolated from moist environments and skin, resistant to multiple drugs, including broad-spectrum cephalosporins, and a rare cause of infection with limited reports. R. mucosa mostly causes catheter-related bloodstream infections, with even fewer reports of skin and soft tissue infections. CASE PRESENTATION: A 10-year-old boy received topical steroid treatment for sebum-deficient eczema. A few days before the visit, he was bitten by an insect on the front of his right lower leg and scratched it due to itching. The day before the visit, redness, swelling, and mild pain in the same area were observed. Based on his symptoms, he was diagnosed with cellulitis. He was treated with sulfamethoxazole/trimethoprim, and his symptoms improved. Pus culture revealed R. mucosa. CONCLUSIONS: We report a rare case of cellulitis caused by R. mucosa. Infections caused by rare organisms that cause opportunistic infections, such as R. mucosa, should be considered in patients with compromised skin barrier function and regular topical steroid use. Gram stain detection of organisms other than Gram-positive cocci should be considered.

  Dec. 2023, BMC infectious diseases, 23(1) (1), 867 - 867, English, International magazine

  Scientific journal


• Dengue Fever Complicated with Hemophagocytic Lymphohistiocytosis: A Case Report of Resolution with Steroid-Sparing Supportive Care.

  Naoya Mizutani, Tsuneaki Kenzaka, Hogara Nishisaki

  Dengue fever (DF) can be complicated by hemophagocytic lymphohistiocytosis (HLH). Steroid administration is markedly effective for this hematologic complication, and for other viral infections. We present a rare case of DF-associated HLH that improved with steroid-sparing supportive care. A 47-year-old Japanese male with diabetes mellitus and no history of DF traveled to the Philippines 10 days before his hospitalization. Three days before emergency admission, he experienced fever and joint pain and was referred to our hospital for suspected DF, after blood tests indicated liver damage and thrombocytopenia. Erythema of the extremities and trunk appeared on day 2, and the next day neutrophils were 550 cells/μL, platelets 29,000 cells/μL, ferritin 9840 ng/mL, and fibrinogen 141 mg/dL. Bone marrow aspirate revealed hemophagocytic lymphohistiocytosis, and he was diagnosed with HLH. On day 4, the symptoms and findings improved; only supportive care without steroids was continued. He tested positive for dengue virus antigen on admission. He was discharged on day 9 of hospitalization in good general condition with no vascular leakage or bleeding and recovery of blood cells. Although steroid administration is markedly effective in cases of DF complicated by HLH, this case suggests that such cases can resolve with steroid-sparing supportive care.

  Nov. 2023, Tropical medicine and infectious disease, 8(11) (11), 497, English, International magazine

  Scientific journal


• Pyogenic Spondylitis Caused by Parvimonas micra: A Case Report.

  Saneyuki Itagaki, Tsuneaki Kenzaka

  Parvimonas micra (P. micra) is a gram-positive anaerobic coccus endemic to the oral cavity and intestinal tract. We report a case of pyogenic spondylitis caused by P. micra and summarize the clinical features of previous case reports. An 81-year-old man with a history of lumbar vertebral compression fracture two years previously presented to the emergency department with low back pain. He was clinically diagnosed with pyogenic spondylitis due to difficulty in moving his body, spinal tapping pain, and signs of inflammation. He was hospitalized, and aerobic and anaerobic blood culture samples were collected, but the results were negative. Computed tomography and magnetic resonance imaging revealed inflammation in the second and third lumbar vertebrae and L2/3 and L3/4 intervertebral discs, and culture of the infected disc biopsy showed P. micra growth. After six weeks of treatment with ampicillin-sulbactam and ampicillin, the patient's symptoms improved, and he was discharged. During hospitalization, he was diagnosed with periodontitis and type 2 diabetes; his dentures were adjusted, and he was started on an oral hypoglycemic agent. Pyogenic spondylitis caused by P. micra tends to be associated with oral infections. This case illustrates the importance of appropriate detection and treatment of the source of infection to prevent recurrence.

  Nov. 2023, Cureus, 15(11) (11), e48665, English, International magazine

  Scientific journal


• Training items for trainee residents in community medicine in rural areas.

  Ayako Kumabe, Tsuneaki Kenzaka, Naoya Mizutani, Ken Goda, Shinsuke Yahata

  OBJECTIVE: To examine the significant events experienced by initial trainees during community medicine training, evaluate their impact on community medicine practice, and support improvements in rural community medicine training. RESULTS: Three faculty teachers independently evaluated the reports of 25 residents who had completed a four-week community medicine training in a rural area to analyze major events. The reports were analyzed using topics from the Model Core Curriculum for Medical Education that relate to rural medicine. The most frequently reported items were identified as follows: Primary care: 9 (36.0%); integrated community care systems: 8 (32.0%); medical care in the local community: 7 (28.0%); home health care and systems, patient-physician relationship, and end-of-life medical treatment and care: 6 each (24.0%). Reports from residents describing events related to home health care and systems and end-of-life medical treatment and care were related to more than one item.

  Oct. 2023, BMC research notes, 16(1) (1), 299 - 299, English, International magazine

  Scientific journal


• Hyponatremia due to adrenal insufficiency after a Mamushi bite: a case report.

  Ryu Sugimoto, Tsuneaki Kenzaka, Hogara Nishisaki

  BACKGROUND: Mamushi bites are the most common venomous snake bites in Japan, with known complications including rhabdomyolysis and acute kidney injury; however, adrenal insufficiency as a result of snake bites has not been previously reported. We report a case of empty sella with transient adrenal insufficiency during hospitalization for a Mamushi bite. CASE PRESENTATION: An 84-year-old man was admitted to our hospital with a Mamushi bite on the right fifth finger. Serum sodium (Na) level remained in the normal range. On the ninth day of admission, he developed hyponatremia, with a serum Na level of 114 mEq/L and serum cortisol level of 4.0 μg/dL (reference value 4.5-21.1 μg/dL). His serum Na level was restored within the normal range after administration of corticosteroids with 3% NaCl solution. Both rapid adrenocorticotrophin and corticotropin-releasing hormone loading tests showed low cortisol response. Based on the results of the hormone loading tests, a diagnosis of pituitary adrenal insufficiency was made. Contrast-enhanced pituitary magnetic resonance imaging (MRI) showed primary empty sella. After discontinuation of corticosteroids, the hyponatremia did not recur, and the patient was discharged on the 24th day of hospitalization. After discharge, the patient visited an outpatient clinic, but hyponatremia recurrence was not observed. CONCLUSIONS: This is the first report of hyponatremia due to pituitary adrenal insufficiency during hospitalization for a Mamushi bite in a patient with empty sella. When hyponatremia occurs during hospitalization for a Mamushi bite, cortisol measurement, hormone loading test, and head MRI should be performed to search for pituitary lesions because of the possibility of adrenal insufficiency caused by snake venom.

  Oct. 2023, BMC endocrine disorders, 23(1) (1), 219 - 219, English, International magazine

  Scientific journal


• Recurrence of unilateral angioedema of the tongue: A case report.

  Yuki Matsuhisa, Tsuneaki Kenzaka, Hironori Shimizu, Hideo Hirose, Tadao Gotoh

  BACKGROUND: Angioedema is a disorder characterized by edema of the face, lips, tongue, and extremities due to increased vascular permeability. Angioedema of the tongue usually occurs bilaterally, and the incidence of unilateral angioedema of the tongue is rare. This study reports a rare case of unilateral angioedema of the tongue with no identifiable cause and repeated recurrence even after discontinuation of an angiotensin-converting enzyme inhibitor. CASE SUMMARY: The patient was a 65-year-old woman with pre-existing hypertension and hyperlipidemia and had been receiving 20 mg/d of lisinopril. She was diagnosed with angioedema due to unilateral swelling of the tongue. No airway obstruction was observed, and the symptoms improved following the administration of 0.3 mg of epinephrine intramuscularly and 125 mg of methylprednisolone intravenously. Although lisinopril was discontinued, unilateral angioedema of the tongue continued to recur every 2-5 mo, with the symptoms improving following the administration of prednisolone and an antihistamine. Daily oral administration of 500 mg of tranexamic acid after dinner prevented the recurrence of angioedema. CONCLUSION: Careful monitoring and identification of the underlying mechanism play a crucial role in the treatment of angioedema.

  Sep. 2023, World journal of clinical cases, 11(27) (27), 6603 - 6612, English, International magazine

  Scientific journal


• A Case of Milk-Alkali Syndrome Caused by Diuretic-Induced Alkalosis and Polypharmacy.

  Naoya Mizutani, Ken Goda, Tsuneaki Kenzaka

  Milk-alkali syndrome, which is characterized by hypercalcemia, metabolic alkalosis, and renal dysfunction, typically results from the ingestion of large amounts of calcium and absorbable alkaline products. However, these symptoms can also manifest when alkalosis and calcium loading occur simultaneously, owing to other factors. We report a case of milk-alkali syndrome caused by loop-diuretic-induced alkaline load and polypharmacy in an 85-year-old Japanese woman with multiple comorbidities, including osteoporosis, hypertension, type 2 diabetes, dyslipidemia, and Parkinson's disease. The patient regularly took 14 drugs, including calcium L-aspartate, eldecalcitol, celecoxib, and a fixed-dose combination of losartan and hydrochlorothiazide. Immediately before admission, furosemide was administered for the treatment of edema. The patient presented with chest discomfort, general malaise, and clinical signs of dehydration, hypercalcemia, hypophosphatemia, hypokalemia, and hypomagnesemia, accompanied by electrocardiogram abnormalities, renal dysfunction, and chloride-resistant metabolic alkalosis. The hypercalcemia was specifically induced by calcium L-aspartate and eldecalcitol. The hypomagnesaemia and hypophosphatemia were caused by diuretics and hypercalcemia. Thus, all the oral medications were discontinued, and rehydration and electrolyte correction therapy were administered. The final diagnosis was milk-alkali syndrome caused by the concomitant use of loop diuretics and other medications, without absorbable alkaline preparation use. This case underscores the importance of considering drug-related factors, checking concomitant medications, and being aware of the benefits, harmful effects, and side effects of polypharmacy in older adults with multimorbidity.

  Jul. 2023, Medicina (Kaunas, Lithuania), 59(7) (7), 1345, English, International magazine

  Scientific journal


• Diffusion-weighted whole-body magnetic resonance imaging with background body signal suppression was useful in a patient with isolated myocardial abscess confined to the right atrial wall: a case report.

  Marohito Nakata, Naoko Yokota, Tsuneaki Kenzaka

  BACKGROUND: Myocardial abscess is often associated with infective endocarditis (IE), and isolated myocardial abscess without IE is rare. Echocardiography and computed tomography (CT) are often used to diagnose myocardial abscess; however, to the best of our knowledge, diffusion-weighted whole-body magnetic resonance imaging with background body signal suppression (DWIBS) has not been used. Here, we present a case of myocardial abscess without IE that was diagnosed using DWIBS. CASE PRESENTATION: A 72-year-old Japanese man with a history of hypertension, dyslipidemia, and retinitis pigmentosa presented to our hospital with malaise and a fever lasting 10 days. Blood test results showed elevated inflammatory marker levels (white blood cell count 18,700/µL and C-reactive protein level 23.0 mg/dL). Infection was suspected; however, the source of the infection could not be identified. DWIBS, which was performed on day 7 of admission to determine the source of infection, showed a high signal surrounding the right wall, suggesting inflammation. Contrast-enhanced CT performed on day 1 of hospitalization revealed a low-density area in the same region; however, the pathological implications of this finding could not be determined. Based on DWIBS findings, we concluded that the condition presented as a myocardial abscess that was confined specifically to the right atrial wall. Three sets of blood cultures revealed negative findings, and echocardiography showed no vegetation or valve regurgitation. Therefore, the patient was diagnosed with an isolated myocardial abscess uncomplicated with IE. An electrocardiogram on admission showed no P waves, and the patient had a junctional rhythm. However, on day 20 of hospitalization, he developed a complete atrioventricular block. After complete myocardial abscess healing following antibiotic treatment was confirmed, the patient underwent pacemaker implantation. Ten months after surgery, the patient had no signs of infection recurrence. CONCLUSIONS: Based on history and physical examination alone, diagnosis of an isolated myocardial abscess can be challenging. In addition to CT and echocardiography, DWIBS might be helpful for the diagnosis of myocardial abscesses.

  Jul. 2023, BMC cardiovascular disorders, 23(1) (1), 341 - 341, English, International magazine

  Scientific journal


• Asymptomatic Idiopathic Renal Infarction Detected Incidentally on Contrast-Enhanced Computed Tomography: A Case Report.

  Mariko Mizusugi, Tsuneaki Kenzaka

  Background: Renal infarction is an extremely rare disease. Although more than 95% of cases are symptomatic, there have been no previously reported asymptomatic cases, without any abnormal blood and urine test findings. Furthermore, the efficacy of long-term treatment of idiopathic renal infarction remains unknown. Case Presentation: A 63-year-old Japanese male underwent laparoscopy; a very low anterior resection of the rectum for lower rectal cancer (stage II) four years and five months prior to diagnosis with renal infarction. During the follow-up imaging studies, asymptomatic idiopathic renal infarction was found incidentally. The blood and urine test findings were normal. Contrast-enhanced computed tomography revealed a linearly bordered area of poor contrast in the dorsal region of the right kidney; however, no renal artery lesions, thromboembolic disease, or coagulation abnormalities were observed. Initial treatment with rivaroxaban 15 mg/day resulted in the remission of the infarcted lesion. The anticoagulation therapy was terminated after about 18 months without any incidences of re-infarction or bleeding events. Conclusions: We reported a very rare case of asymptomatic idiopathic renal infarction where blood and urine tests revealed no abnormal findings, and it was diagnosed incidentally during a post-treatment follow-up examination for lower rectal cancer. Long-term anticoagulant therapy for idiopathic renal infarction should be terminated at an appropriate time, taking the risk of bleeding into account.

  Jun. 2023, Medicina (Kaunas, Lithuania), 59(6) (6), 1176, English, International magazine

  Scientific journal


• Congenital Isolated Unilateral Agenesis of Pulmonary Arteries with 3-Year Follow-Up after Initiation of Treatment.

  Marohito Nakata, Naoko Yokota, Hiroki Uehara, Kazuiko Tabata, Tsuneaki Kenzaka

  Background and objective: Unilateral agenesis of pulmonary arteries (UAPA) is a rare disease, with approximately 400 cases reported to date. UAPA is often associated with congenital heart disease, and the uncomplicated form is isolated UAPA, which accounts for approximately 30% of all cases of UAPA. The incidence of pulmonary hypertension due to UAPA has been reported to range from 19 to 44%. There is no consensus treatment for pulmonary hypertension associated with UAPA. We present the first reported case in which a three-drug combination, comprising of iloprost inhalation, riociguat, and ambrisentan, was administered to a patient with UAPA, and was followed-up for 3 years post-diagnosis. Case presentation: A 68-year-old Japanese woman presented to our hospital with dyspnea and chest discomfort. She underwent chest radiography, blood tests, and echocardiography; however, the cause of the patient's symptoms could not be identified. During regular follow-up, an echocardiography 21 months after the initial visit revealed elevated right ventricular pressure (peak tricuspid regurgitation velocity: 5.2 m/s and right ventricular systolic pressure: 120 mmHg) and a diagnosis of pulmonary hypertension was made. Contrast-enhanced computed tomography (CT) of the chest and a pulmonary blood flow scintigram were performed to investigate the cause of pulmonary hypertension, and isolated UAPA was diagnosed. The patient was treated with a three-drug combination of iloprost inhalation, riociguat, and ambrisentan and followed up for 3 years with good therapeutic outcomes. Conclusions: We present a case of pulmonary hypertension caused by isolated UAPA. Although rare, this disease can lead to pulmonary hypertension and should be treated cautiously. While there is no consensus regarding the treatment of this disease, a three-drug combination of iloprost inhalation, riociguat, and oral ambrisentan proved effective.

  Jun. 2023, Medicina (Kaunas, Lithuania), 59(6) (6), 1161, English, International magazine

  Scientific journal


• Pulmonary syphilis with a cicatricial variant of organizing pneumonia: a case report.

  Ken Goda, Masahiro Katsurada, Takefumi Doi, Nobuyuki Saga, Yoshimasa Maniwa, Tsuneaki Kenzaka

  BACKGROUND: Syphilis is a chronic disease that progresses in the primary, secondary, latent, and tertiary stages. Pulmonary manifestations of syphilis are rare, and their histological features have not been well-described. CASE PRESENTATION: A 78-year-old man was referred to our hospital because of a solitary nodular shadow in the right middle lung field on a chest radiograph. Five years prior, a rash appeared on both legs. He was tested for syphilis at a public health center, and the non-treponemal test result was negative. When he was approximately 35 years old, he had unspecified sexual intercourse. Chest computed tomography showed a 13-mm nodule with a cavity in S6 of the right lower lobe of the lung. Robot-assisted resection of the right lower lobe was performed because of suspected localized right lower lobe lung cancer. A cicatricial variant of organizing pneumonia (CiOP) was observed, and immunohistochemistry identified Treponema pallidum inside the macrophages in the nodule cavity. The rapid plasma regain (RPR) value was negative, and the Treponema pallidum hemagglutination assay was positive. The patient was diagnosed as having secondary syphilis with pulmonary involvement. Insidious progression of secondary syphilis may result in CiOP and a negative RPR test result. CONCLUSIONS: We report the first case of pulmonary syphilis with a histological pattern of CiOP. It may be asymptomatic and difficult to diagnose because the RPR test may be negative for a long period of time. When either non-treponemal or treponemal test results are positive, the possibility of pulmonary syphilis should be considered along with appropriate medical treatment.

  May 2023, BMC pulmonary medicine, 23(1) (1), 170 - 170, English, International magazine

  Scientific journal


• Hereditary Congenital Methemoglobinemia Diagnosed at the Age of 79 Years: A Case Report.

  Marohito Nakata, Naoko Yokota, Kazuhiko Tabata, Takuya Morikawa, Hiroki Shibata, Tsuneaki Kenzaka

  Background: Cardiopulmonary disorders are the most common cause of central cyanosis, and methemoglobinemia is often overlooked in the differential diagnosis of patients with central cyanosis. In most cases, methemoglobinemia is acquired and hereditary congenital methemoglobinemia is rare. Only a few case reports of congenital methemoglobinemia can be found in PubMed. To date, only four cases of congenital methemoglobinemia diagnosed after the age of 50 years have been reported. Case Presentation: A 79-year-old Japanese woman presented at our hospital with the chief complaints of dyspnea and cyanosis. She exhibited cyanosis of the lips and extremities, and her SpO2 was 80%, with oxygen administration at 5 L/min. Blood gas analysis revealed a PaO2 of 325.4 mmHg and methemoglobin level of 36.9%. The SpO2 and PaO2 values were dissociated, and methemoglobin levels were markedly elevated. Genetic analysis revealed a nonsynonymous variant in the gene encoding nicotinamide adenine dinucleotide cytochrome (NADH) B5 reductase 3 (CYB5R3), and the patient was diagnosed with congenital methemoglobinemia. Conclusions: It is important to consider methemoglobinemia in the differential diagnosis of patients with central cyanosis. At 79 years of age, our patient represents the oldest patient with this diagnosis. This report indicates that it is crucial to consider the possibility of methemoglobinemia regardless of the patient's age.

  Mar. 2023, Medicina (Kaunas, Lithuania), 59(3) (3), English, International magazine

  Scientific journal


• Venous Thrombosis Due to Duplication of the Inferior Vena Cava with Decreased Protein C Activity: A Case Report.

  Yukiya Okada, Tsuneaki Kenzaka

  Introduction: Duplication of the inferior vena cava (IVC) is a congenital venous malformation that occurs in 0.2%-3% of the population as a result of persistent left and right supracardinal veins. The IVC duplication is prone to deep vein thrombosis due to endothelial dysfunction and associated venous stasis. This is a rare case of recurrent venous thrombosis due to IVC duplication and decreased protein C activity. Case: A 57-year-old male presented with swelling of the left lower limb that gradually developed over a one-week period preceding his visit. He reported a history of superior mesenteric vein thrombosis, approximately three years ago, for which he received anticoagulation therapy for three months. Thoracoabdominal contrast-enhanced computed tomography (CT) revealed thrombi in the locations of the bilateral main pulmonary arteries, IVC duplication, left common iliac vein, left IVC, and left renal vein. Blood work confirmed protein C activity of 21% (baseline 64%-146%), that could have contributed to the recurrent IVC thrombosis and formation of pulmonary artery thrombus. Subsequently, the patient was hospitalized and started on anticoagulation therapy. The swelling in the left lower extremity gradually improved, and the patient was instructed to continue anticoagulation therapy permanently. Conclusion: When investigating venous thrombosis of unknown or recurrent origin, it is necessary to include venous malformations and abnormal activity of blood coagulation factors in differential diagnosis.

  Mar. 2023, Medicina (Kaunas, Lithuania), 59(3) (3), 605, English, International magazine

  Scientific journal


• Sepsis following acute pyelonephritis caused by Trueperella bernardiae: a case report and literature review.

  Yuki Matsuhisa, Tsuneaki Kenzaka, Shinichiro Kobayashi, Jun Taguchi, Hideo Hirose, Tadao Gotoh

  BACKGROUND: Trueperella bernardiae is a coryneform, gram-positive bacterium that is a commensal of the skin and upper respiratory tract. It is treated as a contaminant and rarely causes infections. Blood, urine, and abscesses have been previously reported as the most common sites of infection. Infections caused by T. bernardiae are rarely reported in bedridden very old patients with reduced activities of daily living (ADL). In this report, we describe a case of sepsis due to acute pyelonephritis caused by T. bernardiae in a very old patient with impaired ADL. CASE PRESENTATION: A 94-year-old woman had a home visit from her local physician. She was bedridden and used diapers. On the day of admission, she presented with fever and dyspnea and was admitted with a diagnosis of sepsis associated with acute pyelonephritis. T. bernardiae was detected in blood and urine cultures; furthermore, multiple bacteria were detected in a urine culture. She was treated with ampicillin/sulbactam 3 g every 12 h on the day of admission. The fever was controlled, and inhaled oxygen 1 L/min via a nasal cannula was administered for dyspnea until hospitalization day 2. On hospitalization day 2, her fever resolved to 36 °C. Antimicrobials were de-escalated and changed to cephazolin and then to cephalexin on hospitalization days 9 and 16, respectively, and were continued until day 22. On hospitalization day 28, the urinary tract infection flared up; however, her fever resolved by hospitalization day 38 after the re-administration of antimicrobial agents. She was discharged on hospitalization day 60. CONCLUSIONS: We encountered a rare case of sepsis following acute pyelonephritis caused by T. bernardiae infection. When bedridden, diaper-using, very old patients present with urinary tract infections caused by multiple bacteria, the presence of rare opportunistic organisms, such as T. bernardiae, should be considered.

  Feb. 2023, BMC infectious diseases, 23(1) (1), 121 - 121, English, International magazine

  Scientific journal


• Computed tomography values of pericardial effusion may predict chylopericardium: a case report.

  Marohito Nakata, Naoko Yokota, Tsuneaki Kenzaka

  BACKGROUND: Idiopathic chylopericardium is a rare disease characterized by filling of the pericardial cavity with chylous fluid and has no evident cause. Secondary chylopericardium usually results from injury or damage to the thoracic duct. The most common causes of secondary chylopericardium are trauma, thoracic or cardiac surgery, and congenital lymphangiomatosis. Conservative or surgical treatment can be pursued; however, surgical treatment is required if conservative treatment is unsuccessful. Pericardiocentesis plays a crucial role in the definitive diagnosis of chylopericardium. However, although a serious complication, its occurrence is infrequent. Non-invasive methods, such as computed tomography (CT), could be useful in predicting the color or characteristics of pericardial effusion. CASE PRESENTATION: A 37-year-old Japanese woman presented to our hospital with a cough that persisted for 1 week. Echocardiography revealed pericardial effusion, which was diagnosed as acute pericarditis and treated with loxoprofen. However, pericardial effusion increased, and the patient presented to the emergency room with cardiac tamponade 1 month later. Pericardiocentesis was performed, which confirmed that the pericardial effusion was chylopericardium. Lymphatic scintigraphy did not show any connection between the thoracic duct and pericardial cavity, and the patient was diagnosed with idiopathic chylopericardium. The patient underwent continuous drainage for 11 days. After completion of cardiac drainage, the patient was discharged from the hospital without any exacerbation. The CT attenuation value of the pericardial fluid was 11.00 Hounsfield units (HU). Compared with the other causes of pericardial effusions encountered at our hospital, the HU on CT scan of pericardial effusion was low in our study and similar to the values on CT scan of chylous ascites reported in previous studies. CONCLUSIONS: Although idiopathic chylopericardium is rare, it should be considered an important cause of pericardial effusion. Pericardiocentesis is necessary for definitive diagnosis; however, the CT findings of pericardial effusion may help predict the presence of chylous fluid.

  Feb. 2023, BMC cardiovascular disorders, 23(1) (1), 79 - 79, English, International magazine

  Scientific journal


• Treatment of portosystemic shunt-borne hepatic encephalopathy in a 97-year-old woman using balloon-occluded retrograde transvenous obliteration: A case report.

  Akihiro Nishi, Tsuneaki Kenzaka, Misa Sogi, Shuichiro Nakaminato, Takahiro Suzuki

  BACKGROUND: Hyperammonemia and hepatic encephalopathy are common in patients with portosystemic shunts. Surgical shunt occlusion has been standard treatment, although recently the less invasive balloon-occluded retrograde transvenous obliteration (B-RTO) has gained increasing attention. Thus far, there have been no reports on the treatment of portosystemic shunts with B-RTO in patients aged over 90 years. In this study, we present a case of hepatic encephalopathy caused by shunting of the left common iliac and inferior mesenteric veins, successfully treated with B-RTO. CASE SUMMARY: A 97-year-old woman with no history of liver disease was admitted to our hospital because of disturbance of consciousness. She had no jaundice, spider angioma, palmar erythema, hepatosplenomegaly, or asterixis. Her blood tests showed hyperammonemia, and abdominal contrast-enhanced computed tomography revealed a portosystemic shunt running between the left common iliac vein and the inferior mesenteric vein. She was diagnosed with hepatic encephalopathy secondary to a portosystemic shunt. The patient did not improve with conservative treatment: Lactulose, rifaximin, and a low-protein diet. B-RTO was performed, which resulted in shunt closure and improvement in hyperammonemia and disturbance of consciousness. Moreover, there was no abdominal pain or elevated levels of liver enzymes due to complications. The patient was discharged without further consciousness disturbance. CONCLUSION: Portosystemic shunt-borne hepatic encephalopathy must be considered in the differential diagnosis for consciousness disturbance, including abnormal behavior and speech.

  Feb. 2023, World journal of clinical cases, 11(4) (4), 945 - 951, English, International magazine

  Scientific journal


• Social Prescribing Initiative at Community Library and Its Impact on Residents and the Community: A Qualitative Study.

  Yoichi Morimoto, Yayoi Koga, Tsuneaki Kenzaka, Daisuke Son

  INTRODUCTION/OBJECTIVES: Social prescribing aims to improve health and well-being by connecting individuals with mental health, housing, and loneliness issues to informal services and support. This approach connects individuals to activities and services in their community to fulfill their practical, social, and emotional needs. However, no reports of community libraries being prescribed as a place to be referred through social prescribing were observed in the literature and the impact of community libraries on community residents and communities in social prescribing. The aim of this study was to identify the functions of a community library operated by medical and social professionals in the social prescribing initiative, its functions, and its impact on community residents and communities. METHODS: Semi-structured interviews were conducted with the users of the Daikai Bunko Library, a community library in Toyooka City, Japan. The library was established by a primary care physician and community residents as a place where visitors can stay and use it as a library, a bookstore, a café, and a consultation place. Interviews were recorded, and the verbatim transcript was analyzed using the Steps for Coding and Theorization. RESULTS: Ten individuals participated. The theoretical description of the interview texts revealed 11 categories as the function of the library and its effect on the individuals and the community: a place to stay, attractive space design, diverse accessibility, choosability of various roles, consultation function, social support, empowerment, mutual trust, formation of connections across generations/attributes, co-creation, and social impact. CONCLUSIONS: We found that a community library run by medical and social professionals was a useful social prescribing site and had various effects on the community residents who used it. Various functions of the community library, such as consultation functions and attractive space design, may lead to effects on local individuals providing social support and empowerment, with social impacts such as co-creation and formation of connections to the local community.

  2023, Journal of primary care & community health, 14, 21501319231181877 - 21501319231181877, English, International magazine

  Scientific journal


• The Immunology of Takotsubo Syndrome.

  Kenji Rowel Q Lim, Douglas L Mann, Tsuneaki Kenzaka, Tomohiro Hayashi

  Takotsubo syndrome (TTS) is a disorder characterized by transient cardiac dysfunction with ventricular regional wall motion abnormalities, primarily thought to be caused by the effects of a sudden catecholamine surge on the heart. Although the majority of patients exhibit prompt recovery of their cardiac dysfunction, TTS remains associated with increased mortality rates acutely and at long-term, and there is currently no cure for TTS. Inflammation has been shown to play a key role in determining outcomes in TTS patients, as well as in the early pathogenesis of the disorder. There are also cases of TTS patients that have been successfully treated with anti-inflammatory therapies, supporting the importance of the inflammatory response in TTS. In this article, we provide a comprehensive review of the available clinical and pre-clinical literature on the immune response in TTS, in an effort to not only better understand the pathophysiology of TTS but also to generate insights on the treatment of patients with this disorder.

  2023, Frontiers in immunology, 14, 1254011 - 1254011, English, International magazine

  Scientific journal


• Steroid initiation timing and outcome of coronavirus disease 2019 patients: A multicenter, retrospective, observational study.

  Ryu Sugimoto, Tsuneaki Kenzaka, Ayako Mikami, Nobuaki Matsunaga, Takayuki Akiyama, Norio Ohmagari, Hogara Nishisaki

  Objectives: Dexamethasone's (DEXA) beneficial effect on survival when administered to critically ill patients with coronavirus disease 2019 (COVID-19) has been documented in randomized trials and meta-analyses. Here, we conducted this study to clarify the association between time from COVID-19 onset to steroid initiation and mortality and to examine the factors underlying these results.Methods: This was a multicenter, retrospective, observational study of patients enrolled in the Japanese COVID-19 Registry from January 1, 2020, to April 30, 2021. Demographic and clinical factors were extracted from patient records. Patients diagnosed with COVID-19 using polymerase chain reaction, loop-mediated isothermal amplification, or antigen tests were included. Patients aged <18 years, pregnant, with a history of chronic obstructive pulmonary disease or steroid or immunosuppressive drug use, transferred to another hospital, or with an unknown symptom onset were excluded.Results and Conclusion: The analysis included 3692 patients (men, 64.1%; median age, 68 years). Unadjusted comparisons of mortality groups showed significant differences in demographic and clinical characteristics; patients with early dexamethasone initiation had more risk factors for severe disease and significantly higher mortality than did patients with delayed initiation (13.3% vs 7.9%, p < .001). No significant differences were found in intubation rates or duration, length of hospitalization, or time from intubation to death. Multivariate analyses showed significant differences from symptom onset to steroid administration, with an adjusted odds ratio of 0.7 (p = .05) for patients who received steroids for ≥8 days. Early steroid administration to COVID-19 patients was associated with increased mortality, suggesting a subset with early severe disease and high mortality and/or adverse effects of early steroid administration.

  2023, International journal of immunopathology and pharmacology, 37, 3946320231216314 - 3946320231216314, English, International magazine

  Scientific journal


• Evaluation of Adverse Reactions to Influenza Vaccination: A Prospective Cohort Study.

  Ayako Kumabe, Tsuneaki Kenzaka, Shinsuke Yahata, Ken Goda, Masanobu Okayama

  This study aimed to investigate the influence of sex, age, and quadrivalent vaccination history on adverse reactions (ARs) to influenza vaccines and the relationship between the occurrence of ARs and the risk of influenza infection. Study participants were employees of three hospitals in the Hyogo Prefecture, Japan, who received the influenza vaccine in 2019. Data were collected using questionnaires. The main factors were age, sex, and history of influenza vaccination as a control. The primary outcomes were the incidence of local and systemic ARs attributable to the vaccine and positive influenza cases among the participants during the influenza season. Logistic regression was used to calculate the odds ratio (OR) and 95% confidence interval (CI). Among the 1493 participants, 80% experienced either local or systemic ARs. ARs were less common among men than among women (OR: 0.28, 95% CI: 0.21-0.37) and less common among those aged ≥60 years (OR: 0.48, 95% CI: 0.26-0.89). ARs were significantly more likely to occur in those with a history of influenza vaccination (OR: 1.96, 95% CI: 1.15-3.33). Those who had ARs, notably localized ones, were significantly more likely to incur influenza infection. Individuals who report ARs to influenza vaccination should strictly adopt non-pharmaceutical preventive measures in the hospital, community settings, and at home.

  Oct. 2022, Vaccines, 10(10) (10), 1664, English, International magazine

  Scientific journal


• Drug-induced lung injury caused by acetaminophen in a Japanese woman: A case report.

  Masayoshi Fujii, Tsuneaki Kenzaka

  BACKGROUND: All drugs have the potential to cause drug-induced lung injury both during and after drug administration. Acetaminophen has been reported to cause drug-induced lung injury, although this is extremely rare. Herein, we present an extremely rare case of acetaminophen-induced pneumonia. CASE SUMMARY: A healthy 35-year-old Japanese woman visited a neighborhood clinic with complaints of fever and malaise following a tick bite. Her treatment included 1,500 mg acetaminophen (Caronal®) and subsequently minocycline (200 mg) and acetaminophen (2,000 mg; Caronal®) daily when her condition did not improve; the patient was eventually hospitalized. The patient's chest computed tomography (CT) revealed consolidation and ground-glass opacities in the right middle and lower lobes. Minocycline was shifted to sulbactam/ampicillin. However, her fever did not improve during follow-up, and her chest CT revealed extensive ground-glass opacities in the right middle and lower lobes and thick infiltrative shadows in the bilateral basal areas. Drug-induced lung injury was suspected; hence, acetaminophen was discontinued. The fever resolved immediately, and inflammatory response and respiratory imaging findings improved. A drug-induced lymphocyte stimulation test was performed against acetaminophen (Caronal®), and significant proliferation of lymphocytes was noted only for acetaminophen (stimulation index, 2.1). CONCLUSION: Even common drugs such as over-the-counter drugs can cause drug-induced lung damage.

  Sep. 2022, World journal of clinical cases, 10(27) (27), 9936 - 9944, English, International magazine

  Scientific journal


• Association between Adverse Reactions to the First and Second Doses of COVID-19 Vaccine.

  Ken Goda, Tsuneaki Kenzaka, Shinsuke Yahata, Masanobu Okayama, Hogara Nishisaki

  This study investigated the frequency of adverse reactions to COVID-19 vaccines in Japan and the impact of first-dose adverse reactions on second-dose adverse reactions. Individuals who received an mRNA COVID-19 vaccine at our center in March or April 2021 were included. Data were collected using questionnaires. The main factors were age (<40, 40−59, and >60 years), sex, underlying disease, and first-dose adverse reaction. The primary outcomes were incidence of local and systemic adverse reactions (ARs) attributable to the vaccine. Logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Among 671 participants, 90% experienced local or systemic ARs. An AR to the first dose was associated with a significantly increased risk of an AR to the second dose (OR: 49.63, 95% CI: 21.96−112.16). ARs were less common among men than among women (OR: 0.36, 95% CI: 0.17−0.76). Local ARs were less common among those aged 60 years or older (OR: 0.35, 95% CI: 0.18−0.66), whereas systemic ARs were more common among those aged under 40 years. Information on ARs to the first dose is important for healthcare providers and recipients when making vaccination decisions.

  Jul. 2022, Vaccines, 10(8) (8), 1232, English, International magazine

  Scientific journal


• A Ruptured Left Gastric Artery Aneurysm That Neoplasticized during the Course of Coronavirus Disease 2019: A Case Report.

  Satoshi Ano, Yuto Shinkura, Tsuneaki Kenzaka, Naoaki Kusunoki, Satoru Kawasaki, Hogara Nishisaki

  Coronavirus disease 2019 (COVID-19) is an acute respiratory syndrome caused by SARS-CoV-2 and is known to cause respiratory and systemic symptoms. A SARS-CoV-2 infection is involved in aneurysm formation, enlargement, and rupture in medium-sized vessels, such as the cerebral and coronary arteries and the aorta. In contrast, its involvement in forming aneurysms in medium-sized vessels other than the cerebral and coronary arteries has not been reported. An 84-year-old Japanese man with COVID-19 was admitted to our hospital. The treatment course was favorable, and the COVID-19 treatment was completed by the 10th day. On day 14, pancreatic enzymes increased mildly. An abdominal computed tomography revealed a ruptured left gastric aneurysm after spontaneous hemostasis. Arterial embolization was performed. In this patient, a new left gastric aneurysm was suspected of having formed and ruptured during the course of the COVID-19 treatment. To the best of our knowledge, this is the first report of abdominal visceral aneurysm formation caused by COVID-19 in a medium-sized vessel, and it is necessary to remember that aneurysms can be formed at any site when treating this syndrome.

  Jul. 2022, Pathogens (Basel, Switzerland), 11(7) (7), 815, English, International magazine

  Scientific journal


• Guillain-Barré syndrome with transition from hashimoto's to graves' disease: a case report.

  Mari Asano, Tsuneaki Kenzaka

  BACKGROUND: On rare occasions, there can be a transition from Hashimoto's to Graves' disease. However, there are no reported cases of transition from Hashimoto's to Graves' disease triggered by the onset of Guillain-Barré syndrome. CASE PRESENTATION: Sixteen years prior, a 55-year-old woman was diagnosed with Hashimoto's disease and followed up without medication. One week after the appearance of signs of intestinal inflammation, weakness in the extremities was observed, and a cerebrospinal fluid test was positive for anti-GM1 IgG antibody, leading to the diagnosis of Guillain-Barré syndrome. In addition, hyperthyroidism was observed at the time of admission, and Graves' disease was diagnosed based on autoantibodies and thyroid echoes. Numbness in the extremities was relieved by high-dose intravenous gamma globulin. CONCLUSION: With the onset of Guillain-Barré syndrome, helper T cells became predominantly type 1, effector B cells increased in number, and thyroid-stimulating antibodies were produced, leading to the conclusion that Hashimoto's disease progressed to Graves' disease. Therefore, it is necessary to pay attention to the transition of thyroid function during Guillain-Barré syndrome.

  BMC, Jun. 2022, BMC endocrine disorders, 22(1) (1), 157 - 157, English, International magazine

  Scientific journal


• A Comparison of the Learning Effects of Face-to-Face Versus Online Formats of a Clinical Reasoning Lecture.

  Tsuneaki Kenzaka, Ken Goda, Ayako Kumabe

  Objective This study investigated the different learning effects achieved through a clinical reasoning lecture that was simultaneously conducted via two formats: one format involved in-person face-to-face instruction, whereas the other provided remotely conducted online instruction. The lecture was based on a case presentation held at a participating university in 2015. Methods We compared the learning outcomes between the abovementioned formats based on participants' responses. Data were obtained using questionnaires distributed to eligible lecture attendees, including medical students and physicians who had graduated during the preceding 10 years. The questions were about the following aspects: the time duration of the lecture, degree of satisfaction with the online system (online attendees), and degree of satisfaction with the lecture content. The participants then completed a five-question mini-test related to the disease from the presented lecture case to assess their overall degree of understanding. Results Online participants gave significantly higher scores for images in the online system (degrees of satisfaction: online 72.7 ± 18.0 vs. in-person 55.6 ± 24.9), audio in the online system (66.1 ± 20.5 vs. 57.5 ± 25.8), the usefulness of multiple venues (82.1 ± 19.3 vs. 60.5 ± 25.0), intention to attend the next lecture (82.3 ± 19.0 vs. 65.8 ± 21.4), and overall meaningfulness of the lecture in the online interactive format (83.6 ± 16.3 vs. 72.6 ± 19.6) compared with the in-person group. However, similar mini-test scores were documented between the two groups (4.2 ± 0.7 for the in-person group and 4.3 ± 0.7 for the online group; no significant differences were noted). Conclusions The results show similar learning effects, degrees of satisfaction, and degrees of comprehension between online and in-person lecture attendees. Our findings demonstrate that the online format is a suitable pedagogical intervention in the study context. Continued implementation and further studies are thus warranted to gain deeper insights into the topic.

  Jun. 2022, Cureus, 14(6) (6), e26109, English, International magazine

  Scientific journal


• Laninamivir-induced ischemic enterocolitis: A case report.

  Chihiro Suzuki, Tsuneaki Kenzaka

  BACKGROUND: Neuraminidase inhibitor-associated acute hemorrhagic colitis is rare. We report a case of ischemic enterocolitis that was likely caused by laninamivir. CASE SUMMARY: A 54-year-old female patient with influenza type A was administered 40 mg of laninamivir via inhalation once. On the same day, the patient experienced bloody stools and lower abdominal pain. A contrast-enhanced abdominal computed tomography showed edema-like changes from the descending colon to the sigmoid colon, which suggested ischemic enterocolitis. CONCLUSION: We treated a patient with ischemic enterocolitis caused by laninamivir, a rare but similar symptom following the administration of oseltamivir.

  Mar. 2022, World journal of clinical cases, 10(9) (9), 2864 - 2870, English, International magazine

  Scientific journal


• Giant infected hepatic cyst causing exclusion pancreatitis: A case report.

  Tsuneaki Kenzaka, Yu Sato, Hogara Nishisaki

  BACKGROUND: An infected hepatic cyst causes clinical symptoms, such as fever and abdominal pain. A cyst with a diameter > 10 cm increases the likelihood of exclusion symptoms in adjacent organs. Herein, we report a case of pancreatitis caused by an infected hepatic cyst. CASE SUMMARY: The patient was an 88-year-old woman with a history of polycystic liver disease and a cyst > 10 cm in diameter. She was referred to our hospital for upper abdominal pain that persisted for four days before consultation. She had a fever of 37.4ºC, and a blood test showed a C-reactive protein level of 23 mg/dL. An infected hepatic cyst was diagnosed by abdominal ultrasonography, computed tomography, and magnetic resonance imaging. Antibacterial therapy and percutaneous cyst puncture did not elicit sufficient therapeutic effects. As the cyst growth continued, laparoscopic hepatic cyst fenestration was performed on hospitalization day 20. Thereafter, symptoms improved, and she was discharged on hospital day 31. CONCLUSION: To our knowledge, this is the second case report of pancreatitis associated with hepatic cyst growth. Percutaneous cyst puncture and drainage or surgical therapy can be considered if a slight improvement with antibiotic therapy alone or exclusion of surrounding organs is observed. Further, attention is needed to avoid potential recurrence.

  Mar. 2022, World journal of clinical cases, 10(7) (7), 2294 - 2300, English, International magazine

  Scientific journal


• Epstein-Barr virus-associated infectious mononucleosis with acute epididymitis: a case report.

  Kentaro Sako, Tsuneaki Kenzaka, Ayako Kumabe

  BACKGROUND: Infectious mononucleosis due to the Epstein-Barr virus is an infectious disease that causes the appearance of atypical lymphocytes in the peripheral blood; it mainly presents with fever, tonsillar pharyngitis, and lymphadenopathy. In addition to hepatitis, splenomegaly, and rashes, it can involve different organs. Here, a case of epididymitis as a rare complication in a patient with Epstein-Barr virus-associated infectious mononucleosis was reported. CASE PRESENTATION: A healthy 23-year-old man visited an outpatient clinic with fever and pharyngitis. Tonsillar pharyngitis, lymphadenopathy, atypical lymphocytes in the peripheral blood, liver dysfunction, and splenomegaly were observed. The patient was diagnosed with infectious mononucleosis based on clinical signs. The next day, the patient developed left testicular pain and was immediately transferred to the emergency outpatient ward. Pain, redness, and swelling were observed in the left scrotum. Ultrasonography revealed swelling of the epididymis and increased blood flow, and the patient was hospitalized with a diagnosis of left epididymitis. The patient's symptoms improved with symptomatic treatment and was discharged on day 16 after admission. Changes in antibody titers established a definitive diagnosis of infectious mononucleosis caused by the Epstein-Barr virus. Based on the disease course, the patient was also diagnosed with infectious mononucleosis associated with unilateral epididymitis. CONCLUSIONS: This is the first case report of Epstein-Barr virus-associated infectious mononucleosis complicated with acute epididymitis. Infectious mononucleosis can cause numerous organ-related complications; thus, physicians and healthcare workers should remain cognizant of Epstein-Barr virus-associated complications throughout the body and not just in the primary organs affected by infectious mononucleosis.

  Feb. 2022, BMC infectious diseases, 22(1) (1), 147 - 147, English, International magazine

  Scientific journal


• An Autopsy Case of Nonocclusive Mesenteric Ischemia with Bilateral Renal Artery Vasoconstriction.

  Ibuki Kurihara, Keiji Hirai, Susumu Ookawara, Akira Tanaka, Tsuneaki Kenzaka, Hitoshi Sugawara

  BACKGROUND Nonocclusive mesenteric ischemia (NOMI) is a life-threatening disease. We present the first case to indicate an association between NOMI and renal infarction caused by renal artery vasoconstriction. CASE REPORT An 84-year-old Japanese man with no relevant past medical history was evaluated in the Emergency Department for disturbance of consciousness. The patient had a consciousness level of E₁V₁M₄ on the Glasgow Coma Scale, temperature of 29.4°C, blood pressure of 90/40 mmHg, regular pulse rate of 48 beats/min, oxygen saturation of 72% while breathing ambient air, abdominal distention, and abdominal tenderness with peritoneal signs. His hemoglobin levels were 3.6 g/dL, blood urea nitrogen per creatinine 54/1.12 mg/dL, plasma glucose 10 mg/dL, and lactate 12.5 mmol/L. Enhanced computed tomography revealed a dilated and distended large transverse colon, spotted poorly enhanced areas in the bilateral kidneys, and poor contrast enhancement of the bilateral renal arteries. The patient died 48 h after admission due to multiple organ failure. An autopsy revealed dappled hemostasis and ischemia in the transverse colon and bilateral kidneys, with no thrombotic infarction in the superior mesenteric artery and/or bilateral renal arteries. We diagnosed NOMI with acute renal tubular necrosis caused by vasoconstriction of the bilateral renal arteries. CONCLUSIONS NOMI can occur simultaneously with renal vasoconstriction, suggesting that NOMI and renal artery vasoconstriction may share mechanisms. This case demonstrates that when enhanced computed tomography shows nonenhancing parenchymal regions in both kidneys, clinicians should check for renal artery vasoconstriction and the life-threatening disease of NOMI.

  Feb. 2022, The American journal of case reports, 23, e934688, English, International magazine

  Scientific journal


• Varicella-zoster virus-associated meningitis, encephalitis, and myelitis with sporadic skin blisters: A case report.

  Ken Takami, Tsuneaki Kenzaka, Ayako Kumabe, Megumi Fukuzawa, Yoko Eto, Shun Nakata, Katsuhiro Shinohara, Kazunori Endo

  BACKGROUND: Varicella-zoster virus (VZV) generally causes chickenpox at first infection in childhood and then establishes latent infection in the dorsal root ganglia of the spinal cord or other nerves. Virus reactivation owing to an impaired immune system causes inflammation along spinal nerves from the affected spinal segment, leading to skin manifestations (herpes zoster). Viremia and subsequent hematogenous transmission and nerve axonal transport of the virus may lead to meningitis, encephalitis, and myelitis. One such case is described in this study. CASE SUMMARY: A 64-year-old man presented with dysuria, pyrexia, and progressive disturbance in consciousness. He had signs of meningeal irritation, and cerebrospinal fluid (CSF) analysis revealed marked pleocytosis with mononuclear predominance and a CSF/serum glucose ratio of 0.64. Head magnetic resonance imaging revealed hyperintense areas in the frontal lobes. He had four isolated blisters with papules and halos on his right chest, right lumbar region, and left scapular region. Infected giant cells were detected using the Tzanck test. Degenerated epidermal cells with intranuclear inclusion bodies and ballooning degeneration were present on skin biopsy. Serum VZV antibody titers suggested previous infection, and the CSF tested positive for VZV-DNA. He developed paraplegia, decreased temperature perception in the legs, urinary retention, and fecal incontinence. The patient was diagnosed with meningitis, encephalitis, and myelitis and was treated with acyclovir for 23 days and prednisolone for 14 days. Despite gradual improvement, the urinary retention and gait disturbances persisted as sequelae. CONCLUSION: VZV reactivation should be considered in differential diagnoses of patients with sporadic blisters and unexplained central nervous system symptoms.

  Jan. 2022, World journal of clinical cases, 10(2) (2), 717 - 724, English, International magazine

  Scientific journal


• Efficient open recruitment and perspectives of host families on medical student homestays in rural Japan.

  Tsuneaki Kenzaka, Shinsuke Yahata, Ken Goda, Ayako Kumabe, Hozuka Akita, Masanobu Okayama

  We devised and assessed open recruitment of host families for medical student homestays in a rural area of Hyogo Prefecture, Japan, so that program organizers would not have to depend on professional and personal connections. The duration of the homestays was one night and two days, and they were conducted in August 2016, 2017, and 2018. The purpose of this community-based medical education program was to promote interactions between medical students and residents of Tamba area. The study asked one family member from each host family to complete a questionnaire after the homestay, and their experiences were evaluated in the study. The questionnaire results were analyzed using a visual analog scale (VAS; 0-100 mm). Thirty-three host families participated in the homestay program over three years. Results showed that VAS scores were high for enjoyment of homestays (VAS; 92.4 ± 13.0), continuation of the homestay program (91.7 ± 12.7), continuation of participation in the homestay program (89.2 ± 16.2), and desire for the homestay students to work in the area in the future (95.4 ± 6.3). The recruitment of host families through advertising was an efficient method for this community-based medical education homestay program. The results indicate that it is possible to attract more host families through open recruitment, which will contribute to the sustainability of the homestay program. Further research, including a follow-up of the students who participated and whether they chose a rural area or Tamba to practice is needed in the future. Since this is an ongoing program, further research in a similar format can be conducted in the future.

  2022, PloS one, 17(1) (1), e0263132, English, International magazine

  Scientific journal


• Straight Back Syndrome Presented with Chest and Back Pain: A Case Report.

  Hiroshi Shiba, Tsuneaki Kenzaka

  A 17-year-old female adolescent presented with her mother to our clinic with a two-month history of left-sided chest pain and a one-week history of middle back pain. We diagnosed straight back syndrome based on the chest and thoracic radiographic findings and symptoms of chest pain, palpitations, and dyspnea. We reassured the patient that the disease was benign and advised her to start and continue chiropractic therapy. All symptoms, including back pain, disappeared in three weeks. Straight back syndrome is under-diagnosed, and back pain is less recognized as a symptom of the disease.

  2022, International medical case reports journal, 15, 611 - 614, English, International magazine

  Scientific journal


• Stiff-person syndrome with rhabdomyolysis

  Toshiyuki Nakanishi, Tsuneaki Kenzaka

  BMJ, Dec. 2021, BMJ Case Reports, 14(12) (12), e246147 - e246147, English, International magazine

  Scientific journal


• Meningitis retention syndrome caused by varicella zoster virus in a patient without a rash: a case report

  Tsuneaki Kenzaka, Ken Goda, Ayako Kumabe

  BioMed Central Ltd, Dec. 2021, BMC Infectious Diseases, 21(1) (1), 996 - 996, English, International magazine

  Scientific journal


• Changes in patients’ outlook, behaviors, and attitudes toward COVID-19 after hospitalization and their experiences of discrimination and harassment

  Ken Goda, Tsuneaki Kenzaka, Shinsuke Yahata, Ayako Kumabe, Masahiro Katsurada, Hogara Nishisaki

  BioMed Central Ltd, Dec. 2021, BMC Research Notes, 14(1) (1), 362 - 362, English, International magazine

  Scientific journal


• Campylobacter insulaenigrae bacteremia with meningitis: a case report

  Moe Kyotani, Tsuneaki Kenzaka, Hozuka Akita, Soichi Arakawa

  BioMed Central Ltd, Dec. 2021, BMC Infectious Diseases, 21(1) (1), 633 - 633, English, International magazine

  Scientific journal


• Toxic shock syndrome with a cytokine storm caused by Staphylococcus simulans: a case report

  Ken Goda, Tsuneaki Kenzaka, Masahiko Hoshijima, Akihiro Yachie, Hozuka Akita

  BioMed Central Ltd, Dec. 2021, BMC Infectious Diseases, 21(1) (1), 19 - 19, English, International magazine

  Scientific journal


• A Case of Rubella Caused by Rubella Vaccination.

  Momoka Kamada, Tsuneaki Kenzaka

  We present an extremely rare case of rubella that developed after rubella vaccine administration. A 54-year-old man complained of back and neck pain for some days. He presented with generalized rash and arthralgia that had persisted for two days before his visit. His vital signs were normal, and arthralgia had disappeared during an examination, but lymphadenopathy in the left posterior neck and pink papules were observed throughout the body. He had received his first Rubella vaccination 17 days before this visit and had attended a crowded festival. Owing to the rubella epidemic in that prefecture, we performed a rubella antibody test and polymerase chain reaction assay using blood, urine, and pharyngeal swab specimens. Rubella IgG and IgM antibody titers were 3 and 1.48, respectively. The pharyngeal swab yielded positive results for the 1a vaccine strain. Therefore, he was diagnosed with rubella due to rubella vaccination. His symptoms improved eventually. His clinical course was uncomplicated. Symptoms resolved within one week without specific treatment. The vaccine rubella strain is not as highly infectious as wild-type rubella strains. If rubella symptoms appear after vaccination, it must be investigated whether these are vaccine-specific adverse reactions, wild-strain rubella onset, or other eruptive viral infections.

  Sep. 2021, Vaccines, 9(9) (9), 1040, English, International magazine

  Scientific journal


• Concerns and Anxieties of Patients During Hospitalization for COVID-19.

  Ken Goda, Tsuneaki Kenzaka, Shinsuke Yahata, Ayako Kumabe, Masahiro Katsurada, Hogara Nishisaki

  Objective The objective of this study was to evaluate the concerns and anxieties of hospitalized coronavirus disease (COVID-19) patients. Methods A questionnaire was distributed to patients on discharge. The responses were analyzed once they were returned by mail. Results Responses were received from 27 of 39 patients (average age, 50 ± 17 years). Among the participants, 16 were male (59.3%), 19 were symptomatic (70.4%), and two required a ventilator (7.4%). Anxiety about symptom exacerbation was reported by 36.0% of participants. Quarantine-associated stress was experienced by 60.0% of participants, and 72.0% of participants supported the change in federal policy that allows asymptomatic patients and patients with mild conditions to isolate themselves at a hotel or their home. Following discharge, 44.0% of participants experienced anxieties regarding their lives after discharge, and 56.0% were anxious regarding discrimination and rumors. During hospitalization, 68.0% of participants re-evaluated their attitude toward health, 44.0% regretted the preventative measures they took before contracting COVID-19, and 44.0% felt guilty for becoming infected. Conclusions Participants experienced various kinds of stress related to hospitalization for COVID-19. There was a trend of people being more concerned about their relationships than their own health. Therefore, as asymptomatic participants and participants with mild symptoms also experienced psychological stresses, it is also necessary to consider the psychological and social effects of the disease.

  Sep. 2021, Cureus, 13(9) (9), e18202, English, International magazine

  Scientific journal


• Methotrexate-associated lymphoproliferative disorder with an osteolytic vertebral lesion in an elderly patient with rheumatoid arthritis: A case report

  Chihiro Hirata, Tsuneaki Kenzaka, Hozuka Akita

  Blackwell Publishing Ltd, Aug. 2021, Journal of Clinical Pharmacy and Therapeutics, 46(4) (4), 1178 - 1181, English, International magazine

  Scientific journal


• Infective Endocarditis Caused by Extended-Spectrum Beta-Lactamase-Producing Escherichia coli: A Case Report

  Tsuneaki Kenzaka, Yuto Shinkura, Shizuo Kayama, Liansheng Yu, Sayoko Kawakami, Motoyuki Sugai, Satoru Kawasaki

  INTRODUCTION: Extended-spectrum β-lactamase-producing Escherichia coli (ESBL-EC) reportedly accounts for >20% of E. coli infections and 2.0% of infective endocarditis cases. Nonetheless, there is a global paucity of reports on infective endocarditis caused by ESBL-EC. CASE: An 83-year-old Japanese man who underwent mitral annuloplasty for mitral valve prolapse 5 years ago developed a fever of 38.5°C. The patient was hospitalized the first time for pyelonephritis and bacteremia due to ESBL-EC and treated successfully with the antimicrobial meropenem for 14 days. Two days after discharge, however, the patient was re-admitted with bacteremia due to ESBL-EC. He was treated successfully with the antimicrobial cefmetazole for 14 days. The patient was admitted to our institution for a third time due to bacteremia again, a day after discharge following meropenem antibiotic therapy. Transesophageal echocardiography showed vegetation in the anterior mitral valve annulus. Magnetic resonance imaging of the head showed septic cerebral embolism. The patient was diagnosed with infective endocarditis due to ESBL-EC and underwent mitral valve replacement. After 6 weeks of antibiotic therapy with meropenem and tobramycin, the patient recovered completely. The causative E. coli strain MS6396 was identified as the E. coli clone ST131 by multilocus sequence typing and confirmed the presence of bla CTX-M-27 ESBL gene. CONCLUSION: Only six cases of infective endocarditis associated with ESBL-EC have been reported in the past. Moreover, this is the first report of a patient with infective endocarditis bacteriologically or genetically analyzed for ESBL-EC. In future, factors that may cause infective endocarditis in ESBL-EC infections may be clarified through more thorough bacteriological/genetic analyses of ESBL-EC.

  Informa UK Limited, Aug. 2021, Infection and Drug Resistance, Volume 14, 3357 - 3362, English, International magazine

  Scientific journal


• Effects of vaccination day routine activities on influenza vaccine efficacy and vaccination-induced adverse reaction incidence: a cohort study

  Tsuneaki Kenzaka, Shinsuke Yahata, Ken Goda, Ayako Kumabe, Momoka Kamada, Masanobu Okayama

  MDPI, Jul. 2021, Vaccines, 9(7) (7), 753, English, International magazine

  Scientific journal


• Invasive Haemophilus influenzae type a infection and polyarthritis in a 72-year-old Japanese man: A case report

  Tsuneaki Kenzaka, Ken Goda, Mayumi Kubota, Kosuke Takayanagi, Tsuyoshi Kenri, Keigo Shibayama, Hozuka Akita

  Elsevier B.V., Jul. 2021, Journal of Infection and Chemotherapy, 27(7) (7), 1084 - 1088, English, International magazine

  Scientific journal


• Multiple thrombosis associated with Cytomegalovirus enterocolitis in an immunocompetent patient: a case report.

  Kaisei Kamatani, Tsuneaki Kenzaka, Ryu Sugimoto, Ayako Kumabe, Akihito Kitao, Hozuka Akita

  BACKGROUND: Cytomegalovirus (CMV) is reported to have thrombogenic characteristics that activate factor X in vitro and stimulate the production of factor VIII and von Willebrand factor (vWF). Thrombosis associated with CMV infection is prevalent among immunocompromised patients and predominantly presents as a solitary large thrombus in the deep vein, pulmonary artery, splanchnic arteriovenous ducts, or other similar sites. Multiple thrombi, however, are rarely observed in such cases. Here, we report about an immunocompetent man with multiple microthrombi associated with CMV infection. CASE PRESENTATION: A 72-year-old Japanese man who complained of abdominal pain was hospitalized with multiple colonic stenosis. He was later diagnosed with CMV enterocolitis and treated with ganciclover from Day 27 post-admission. During hospitalization, the patient developed thrombi in his fingers. He was initially treated with anticoagulant therapy (rivaroxaban); however, the therapy was discontinued owing to a prolonged activated thromboplastin time and an elevated international normalized ratio of prothrombin time. Instead, vitamin K and fresh-frozen plasma were administered. Nevertheless, his coagulation profile remained abnormal. Eventually, he developed colonic perforation and had to undergo emergency surgery. An intraoperative specimen showed several microthrombi in the middle and small arteriovenous ducts of his small and large intestines. The patient's coagulopathy improved preoperatively, and his overall condition improved postoperatively. Since the activation of ADAMTS13 was reduced remarkably, the thrombotic tendency was determined to be a thrombotic microangiopathy-like condition owing to increased vWF. We could not attribute the coagulopathy to any other cause except CMV infection; therefore, we concluded that this was a case of multiple thrombosis associated with CMV. CONCLUSIONS: We present an extremely rare case of a patient with multiple thrombotic microangiopathy-like microthrombosis caused by CMV infection. Our findings suggest that CMV infection may be considered as a differential diagnosis for immunocompetent individuals who present with thrombosis of unspecified cause.

  Jun. 2021, BMC infectious diseases, 21(1) (1), 530 - 530, English, International magazine

  Scientific journal


• Acute kidney injury and acyclovir-associated encephalopathy after administration of valacyclovir in an elderly person with normal renal function: A case report and literature review

  Tsuneaki Kenzaka, Kazuma Sugimoto, Ken Goda, Hozuka Akita

  NLM (Medline), May 2021, Medicine, 100(21) (21), e26147, English, International magazine

  Scientific journal


• ケースレポートポート論文作成の障壁となる要因の検討(第3報)

  見坂 恒明, 合田 建, 水谷 直也, 鎌田 百香, 立花 祐毅, 小佐見 光樹, 角谷 慶人, 隈部 綾子, 森 寛行, 八幡 晋輔

  (一社)日本プライマリ・ケア連合学会, May 2021, 日本プライマリ・ケア連合学会学術大会, 12回, np635 - np635, Japanese


• Heparin-induced thrombocytopenia during IgA vasculitis: a case report.

  Kaisei Yamasaki, Moe Kyotani, Yasuyo Urase, Yoichi Goto, Tsuneaki Kenzaka

  Immunoglobulin A (IgA) vasculitis is characterized by small vessel vasculitis involving immune complexes and IgA deposition. The development of heparin-induced thrombocytopenia (HIT) during IgA vasculitis is extremely rare. An 87-year-old man presented with general fatigue, leg edema, purpura, arthritis and renal disease. He was diagnosed with IgA vasculitis and was admitted to our hospital. Hemodialysis with heparin was initiated thrice a week on post-admission Day 11. On Day 21, during hemodialysis, the pressure in the dialysis circuit increased and the dialysis was interrupted. On Day 24, the platelet count rapidly decreased to 18 000/μl. The patient was diagnosed with HIT after testing positive for HIT antibodies; heparin was discontinued at this time. Precautions must be taken against the onset of HIT when initiating hemodialysis in patients with IgA vasculitis.

  Mar. 2021, Oxford medical case reports, 2021(3) (3), omab002 - 97, English, International magazine

  Scientific journal


• Encephalopathy Induced by Preventive Administration of Acyclovir in a Man with Symptomatic Multiple Myeloma and Renal Dysfunction

  Kazuma Sugimoto, Tsuneaki Kenzaka, Ryu Sugimoto, Akihito Kitao, Hozuka Akita

  BACKGROUND: Acyclovir (ACV) neurotoxicity is a neuropsychiatric condition induced by the anti-herpetic drugs ACV and valacyclovir (VACV). It is presumed that elevated blood levels of ACV and its metabolite 9-carboxymethoxymethylguanine are involved in the development of ACV-induced encephalopathy; age and renal dysfunction are risk factors. Here, we report a case of encephalopathy caused by the administration of VACV for herpes zoster prophylaxis in a patient with renal dysfunction owing to multiple myeloma. CASE PRESENTATION: Renal dysfunction was diagnosed in a 70-year-old man visiting our hospital for a medical checkup. His creatinine clearance rate was 8 mL/min. He was diagnosed with symptomatic multiple myeloma, and bortezomib/dexamethasone (BD) therapy for multiple myeloma and VACV for herpes zoster prophylaxis were initiated. We administered 500 mg/day of VACV three times a week, a lower dosage than recommended, after adjusting for his renal impairment. His renal function was monitored twice per week during therapy. During the second course of BD therapy, 6 weeks after starting treatment, he was hospitalized owing to impaired consciousness (Glasgow Coma Scale score: E2, V4, M4), and his BD and VACV therapy were suspended. Brain magnetic resonance imaging and cerebrospinal fluid analysis showed no abnormalities. Three days after discontinuing BD and VACV therapy, his consciousness recovered completely, and impaired consciousness did not recur after resuming BD therapy. His clinical diagnosis was thus ACV-induced encephalopathy. CONCLUSION: VACV is often prescribed to patients with multiple myeloma receiving BD therapy to prevent herpes zoster. ACV-induced encephalopathy is commonly observed in patients with renal dysfunction; especially among patients with multiple myeloma with Bence-Jones proteinuria, renal tubules are easily damaged and plasma ACV concentrations are likely to increase and induce ACV-induced encephalopathy. Careful monitoring of the level of consciousness is necessary during preventive ACV therapy in patients with renal dysfunction.

  Informa UK Limited, Feb. 2021, International Journal of General Medicine, Volume 14, 413 - 417, English, International magazine

  Scientific journal


• Fostering student motivation towards community healthcare: a qualitative study.

  Shinsuke Yahata, Taro Takeshima, Tsuneaki Kenzaka, Masanobu Okayama

  OBJECTIVES: This study investigated what kinds of experiences influence regional quota (chiikiwaku) medical students' motivation to practice community healthcare (CH), and the mechanism of this influence, by focusing on their experiences in a community-based medical education (CBME) programme. DESIGN: A qualitative thematic analysis based on interviews. SETTING: Participants were recruited from the chiikiwaku students of Kobe University, Japan, using purposive sampling. PARTICIPANTS: Fourteen students participated. The median (IQR) age of participants was 23 (23-24); half were sixth-year and half fifth-year students. ANALYSIS: From September to December 2018, the interviews were audiorecorded and transcribed verbatim. Data were analysed according to the 'Steps for Coding and Theorisation' method. Our theoretical framework comprised three internal motives (ie, needs, cognitions and emotions) and their subordinate motivation theories self-determination theory, expectancy-value theories, and positive and negative emotions, respectively. RESULTS: Three mechanisms and corresponding experiences emerged. The first mechanism, envisioning and preparing for practising CH, included corresponding experiences-empathy for the community, grasping the demands for CH, understanding the practices of CH, finding a role model and diminishing the conflicts between personal life and career. The second mechanism, belonging to a supportive community, included the robust construction of students' CH community and harmonisation with community residents. The third mechanism, psychological effects included the affect heuristic and framing effect. Student experiences brought about the changes and influences described in the presented mechanisms, and had both positive and negative impacts on their motivation towards CH. These results can be interpreted through the multifaceted lenses of motivation theories. CONCLUSIONS: The authors revealed that motivation mechanisms of medical students towards CH derived from positive interaction with community residents, healthcare professionals and other students, and from exposure to attractive community environments and cultures. These experiences should be incorporated into CBME programmes to further encourage positive attitudes towards CH.

  Jan. 2021, BMJ open, 11(1) (1), e039344 - e039344, English, International magazine

  Scientific journal


• Complete Genome Sequence of a Japanese Clinical Isolate of Haemophilus influenzae Type a Strain TAMBA230.

  Mayumi Kubota, Tsuyoshi Kenri, Yuko Sasaki, Keigo Shibayama, Kosuke Takayanagi, Tsuneaki Kenzaka

  Haemophilus influenzae causes severe infections such as pneumonia and meningitis. Here, we report the complete genome of H. influenzae type a strain TAMBA230, which was isolated in 2019 from a patient exhibiting bacteremia. This represents the first case in Japan of an H. influenzae type a strain associated with invasive infection.

  Nov. 2020, Microbiology resource announcements, 9(48) (48), English, International magazine

  Scientific journal


• End-of-life home care of an interstitial pneumonia patient supported by high-flow nasal cannula therapy: A case report

  Ken Goda, Tsuneaki Kenzaka, Kyosuke Kuriyama, Masahiko Hoshijima, Hozuka Akita

  Baishideng Publishing Group Co, Oct. 2020, World Journal of Clinical Cases, 8(20) (20), 4853 - 4857, English, International magazine

  Scientific journal


• Late onset of hemolytic uremic syndrome after the appearance of prodromal gastrointestinal tract symptoms

  Chihiro Hirata, Tsuneaki Kenzaka, Hozuka Akita

  Blackwell Publishing Ltd, Oct. 2020, Clinical Case Reports, 8(10) (10), 1910 - 1913, English, International magazine

  Scientific journal


• Long-term impact of undergraduate community-based clinical training on community healthcare practice in Japan: a cross-sectional study.

  Shinsuke Yahata, Taro Takeshima, Tsuneaki Kenzaka, Masanobu Okayama

  BACKGROUND: Community-based medical education (CBME) has been evolving globally. However, the long-term impacts of CBME programs on career intention are ambiguous. Therefore, this study aimed to reveal the long-term impact of community-based clinical training (CBCT) such as CBME programs in Japan on current community healthcare (CH) practice. METHODS: This cross-sectional study targeted physicians who had graduated from Kobe University School of Medicine between 1998 and 2004 and had over 15 years' experience after graduation. Self-administered questionnaires were mailed to participants between September and November 2019. Of the 793 potential subjects, 325 questionnaires were undeliverable. A total of 468 questionnaires substantially sent to the subjects. The exposure was the undergraduate CBCT defined as clinical training about CH in a community. The primary outcome was the provision of current CH practice. The secondary outcome was rural retention. The odds ratios (ORs) and confidence intervals (CIs) were calculated, and the confounders (age, gender, and attitude toward CH at admission; primary outcome, and age, gender, attitude toward rural healthcare at admission, own and spouse's hometown, and emphasis on child education; secondary outcomes) were adjusted using multivariate logistic regression analysis. RESULTS: A total of 195 (41.7%) questionnaires were analyzed. The mean (standard deviation [SD]) age of study participants was 43.8 (3.5) years and 76.4% were men. A total of 48 physicians (24.6%) experienced CBCT, of which the mean (SD) training period was 26.3 (27.3) days. As many as 148 (76.3%) physicians provided CH at the time of the study, and 12 (6.5%) worked in rural areas. There was no notable impact of undergraduate CBCT on current CH practice (OR, 1.24; 95% CI, 0.53-3.08; adjusted OR [aOR], 1.00; 95% CI, 0.43-2.30) and rural retention (OR, 0.59; 95% CI, 0.06-2.94; aOR, 0.59; 95% CI, 0.11-3.04). CONCLUSIONS: It may be insufficient to use conventional CBCT in Japan to develop CH professionals effectively. Japanese CBME programs should be standardized through a review of their content and quality. They should continue to be evaluated for their medium- to long-term effects.

  Oct. 2020, BMC medical education, 20(1) (1), 337 - 337, English, International magazine

  Scientific journal


• Acceptance of a homestay program and attitude toward community medicine among medical students

  Tsuneaki Kenzaka, Shinsuke Yahata, Ken Goda, Ayako Kumabe, Hozuka Akita, Masanobu Okayama

  Sep. 2020, PLOS ONE, 15(9) (9), e0238820 - e0238820, English, International magazine

  Scientific journal


• Campylobacter jejuni enterocolitis presenting with testicular pain: A case report.

  Masahiro Sanagawa, Tsuneaki Kenzaka, Sayaka Kato, Ichiko Yamaoka, Shouichi Fujimoto

  BACKGROUND: Common symptoms of Campylobacter colitis include abdominal pain, vomiting, diarrhea, and fever, among others. However, Campylobacter colitis also has a high incidence of extraintestinal symptoms. CASE SUMMARY: We report the case of a 51-year-old man who presented with bilateral testicular pain. A scrotal examination failed to reveal any physical findings, but the patient exhibited mild tenderness in the right lower abdomen. Computed tomography revealed ileocecal wall thickening. Post-admission, the patient developed diarrhea, and a stool culture was submitted; Campylobacter jejuni infection was confirmed. Testicular pain is known to be caused by appendicitis. Consequently, we suggest that Campylobacter colitis, which causes ileocecal inflammation, caused the testicular pain in this case. CONCLUSION: In patients with testicular pain and no other objective findings, diseases such as Campylobacter colitis should be considered.

  Aug. 2020, World journal of clinical cases, 8(15) (15), 3280 - 3283, English, International magazine

  Scientific journal


• 地域医療体験実習(地域医療夏季セミナーinひょうご)経験が実習地を将来の勤務地の候補と考える長期効果

  見坂 恒明, 八幡 晋輔, 合田 建, 隈部 綾子, 岡山 雅信

  (一社)日本医学教育学会, Jul. 2020, 医学教育, 51(Suppl.) (Suppl.), 87 - 87, Japanese


• 地域医療臨床実習が、将来の地域医療の実践に及ぼす影響 横断研究

  八幡 晋輔, 竹島 太郎, 見坂 恒明, 岡山 雅信

  (一社)日本医学教育学会, Jul. 2020, 医学教育, 51(Suppl.) (Suppl.), 153 - 153, Japanese


• Humidifier Use and Prone Positioning in a Patient with Severe COVID-19 Pneumonia and Endotracheal Tube Impaction Due to Highly Viscous Sputum.

  Ryu Sugimoto, Tsuneaki Kenzaka, Moemi Fujikawa, Satoru Kawasaki, Hogara Nishisaki

  COVID-19 can lead to severe pneumonia, requiring mechanical ventilation. While increased sputum secretion could cause airway obstruction during mechanical ventilation, there are few reported cases in the literature. We report a case of a 65-year-old man with diabetes and severe COVID-19 pneumonia requiring mechanical ventilation and treated with hydroxychloroquine, azithromycin, nafamostat, and prone positioning. Initially, mechanical ventilation consisted of a heat moisture exchanger, endotracheal tube aspiration, and subglottic secretion drainage using a closed suction system. However, endotracheal tube impaction by highly viscous sputum occurred during this mechanical ventilation system. Replacing the endotracheal tube, the use of a humidifier instead of a heat moisture exchanger, and prone positioning contributed to the patient being weaned off mechanical ventilation. Although anti-aerosol measures are important for severe COVID-19 pneumonia, attention should be given to potential endotracheal tube impaction during mechanical ventilation.

  Jun. 2020, Cureus, 12(6) (6), e8626 - e8626, English, International magazine

  Scientific journal


• [Curd Formation Resulting from a Reaction between Cranberry Juice and Enteral Formula].

  Ken Goda, Tsuneaki Kenzaka, Shuji Endo, Hozuka Akita

  White solids were observed in the esophagus of a patient with multiple system atrophy. The patient was receiving enteral nutrition with a polymeric formula and cranberry juice via nasogastric feeding. To test the assumption that the precipitates were formed from a reaction between the juice and the formula, a verification experiment was conducted usingformulae of differinging redients, pH and protein content. The results indicated that a precipitate was formed when formulae with lower pH values and higher protein content were used. Mixing a pH neutral enteral formula with cranberry juice, vinegar or their 2- fold diluted solutions may result in the formation of precipitates in the stomach and esophagus.

  Jun. 2020, Gan to kagaku ryoho. Cancer & chemotherapy, 47(6) (6), 1001 - 1003, Japanese, Domestic magazine

  Scientific journal


• The Relationship between Remitting Seronegative Symmetrical Synovitis with Pitting Edema and Vascular Endothelial Growth Factor and Matrix Metalloproteinase 3.

  Tsuneaki Kenzaka

  Apr. 2020, Internal medicine (Tokyo, Japan), 59(8) (8), 1021 - 1022, English, Domestic magazine


• Effectiveness of Profiling Serum IL-18 and Neopterin in Diagnosis of Adult-Onset Still's Disease Complicated by Pulmonary Tuberculosis: A Case Report.

  Momoka Kamada, Tsuneaki Kenzaka

  Adult-onset Still's Disease (AOSD) is a systemic inflammatory disorder characterized by high fever, skin rashes, and joint pains, and is extremely rare in patients over 80 years of age. An 88-year-old woman was admitted with high fever lasting for > 2 weeks and arthritis of the right knee and bilateral wrists. Further examination revealed that the patient fulfilled the Yamaguchi criteria, the most sensitive and extensively used classification criteria for AOSD. After ruling out other causes and considering a greatly raised serum interleukin-18 (IL-18) level, the patient was diagnosed with AOSD. Before prednisolone therapy, active tuberculosis was excluded using chest computed tomography (CT) and an interferon-gamma release assay (IGRA). After starting the treatment, serum levels of IL-18 and acute-phase reactants were decreased gradually. However, during prednisolone tapering, fever relapsed along with increasing serum acute phase reactant levels. Her serum IL-18 level was decreased but remained at a high level, and the neopterin level was further increased. These findings suggested the onset of another disease, but not AOSD recurrence. A chest CT scan revealed new lung infiltrates. Despite the initial negative IGRA result, cultures and polymerase chain reaction tests of bronchoalveolar lavage and sputum were positive for Mycobacterium tuberculosis. She was placed on a 9-month course of anti-tuberculosis therapy and continued prednisolone tapering. She showed steady improvement and her cytokine profile showed a decrease in the IL-18 and neopterin levels. In conclusion, cytokine profiling is useful in making the diagnosis of AOSD and subsequent pulmonary tuberculosis developed during steroid therapy.

  Apr. 2020, The Tohoku journal of experimental medicine, 250(4) (4), 201 - 206, English, Domestic magazine

  Scientific journal


• Barriers to Preparation of Case Reports among Japanese General Practitioners.

  Tsuneaki Kenzaka, Momoka Kamada

  2020, Saudi journal of medicine & medical sciences, 8(3) (3), 239 - 240, English, International magazine

  Scientific journal


• Clinical course of Capnocytophaga canimorsus bacteremia from acute onset to life crisis

  Hideki Tsunoda, Hidetomo Nomi, Kunihiko Okada, Tsuneaki Kenzaka

  Blackwell Publishing Ltd, 2020, Clinical Case Reports, 9(1) (1), 266 - 268, English, International magazine

  Scientific journal


• Acceptance of a homestay program and attitude toward community medicine among medical students.

  Tsuneaki Kenzaka, Shinsuke Yahata, Ken Goda, Ayako Kumabe, Hozuka Akita, Masanobu Okayama

  BACKGROUND: In community-based medical education, opportunities for medical students to interact with local residents are important. To facilitate such interaction, we aimed to evaluate acceptance of a homestay program and attitude toward community medicine among medical students. METHODS: The participants (n = 39) were allowed to stay in the local homes of residents for one night in August 2016, 2017, and 2018. Before and after the homestays, the students responded to a self-reported questionnaire using the visual analog scale (VAS; 0-100 mm). The questionnaire included four questions on homestay/community medical training and community medicine and four questions about attitude toward community medicine in the local areas of medical students. Then, we compared the VAS scores before and after training. RESULTS: The VAS scores for all questions about homestay/community medical training and community medicine significantly increased: "Is it worthwhile for you to have experience in the field of community medicine," "Did you find the homestay enjoyable," "Does the homestay add educational significance to the program," and "Is direct interaction with residents meaningful?" For the two questions about attitude toward community medicine, the VAS scores significantly increased: "Is there a challenge to practicing community medicine" and "In the future, do you want to work in Tamba area where you stayed?" CONCLUSIONS: The medical students were extremely enthusiastic about the educational program for community medicine involving residential homestays, which improved their attitudes toward practicing community medicine. Moreover, the students appreciated that their training sites could become their future workplaces.

  2020, PloS one, 15(9) (9), e0238820, English, International magazine

  Scientific journal


• Pneumococcal infection transmission between family members with congenital asplenia: A case report.

  Jumpei Shibata, Kazuhiro Hiramatsu, Tsuneaki Kenzaka, Takehito Kato

  BACKGROUND: Asplenia, the lack of a spleen, can be congenital and increases susceptibility to severe infections caused by encapsulated bacteria, such as Streptococcus pneumoniae (S. pneumoniae). We report two cases of severe pneumococcal infection in two asplenic family members living in the same household. CASE SUMMARY: Patient 1, a 38-year-old man with a history of congenital hepatitis B infection and hypospadias, was brought to our emergency department with complaints of cyanosis, cough, and edema of his limbs. He was clinically diagnosed as hyposplenic with overwhelming pneumococcal sepsis. He was admitted to the intensive care unit and was administered antibiotics and catecholaminergic therapy but died 2 h after admission. Patient 2, a 63-year-old woman with a history of type 2 diabetes, was brought to our emergency department one month after admission of Patient 1. She was diagnosed as asplenic with overwhelming pneumococcal sepsis. History-taking revealed that she was the mother of Patient 1 and the two had lived in the same household. She was admitted to the intensive care unit and was rapidly provided antibiotics and catecholaminergic intervention but died one day after admission. CONCLUSION: Pneumococcal bacteremia caused by virulent S. pneumoniae may be transmitted within households. All residents of households where individuals with pneumococcal bacteremia are living should be educated about the risk of transmissibility. Family members of patients with congenital asplenia/hyposplenia, all family members should be examined to assess their splenic function.

  Dec. 2019, World journal of clinical cases, 7(24) (24), 4277 - 4284, English, International magazine

  Scientific journal


• Adult-onset Still's disease with macrophage activation syndrome diagnosed and treated based on cytokine profiling: a case-based review.

  Goda K, Kenzaka T, Hoshijima M, Yachie A, Akita H

  Adult-onset Still's disease (AOSD) is a relatively rare systemic inflammatory disorder and is diagnosed using various sets of classification criteria, with the Yamaguchi criteria as the most widely used criteria. Herein, we present the case of a 21-year-old woman admitted with a high fever, lasting for over 1 month, who did not fulfill the Yamaguchi criteria. However, by analyzing the inflammatory cytokine profile, we defined this case as AOSD based on a greatly elevated serum interleukin-18 level. In addition, we predicted the occurrence of macrophage activation syndrome by a characteristic increase in the soluble tumor necrosis factor receptor II level, which allowed a timely intervention for this malicious complication. Therefore, we suggest that cytokine profiling will be useful for the diagnosis and management of AOSD.

  Sep. 2019, Rheumatology international, 40(1) (1), 145 - 152, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Response: "Comments on 'Sigmoid volvulus and coffee been sign'".

  Kadoya Y, Kenzaka T, Matoba S

  Aug. 2019, QJM : monthly journal of the Association of Physicians, 113(1) (1), 75 - 75, English, International magazine

  [Refereed]


• 医学科生の地域医療に対する意欲は、どのように変化するのか 神戸大学における4年間の追跡

  八幡 晋輔, 見坂 恒明, 河野 誠司, 岡山 雅信

  (一社)日本医学教育学会, Jul. 2019, 医学教育, 50(Suppl.) (Suppl.), 233 - 233, Japanese


• 臨床研修制度の地域医療研修で経験すべき項目 初期研修医のSignificant Event Analysisからの検討

  見坂 恒明, 隈部 綾子, 八幡 晋輔, 岡山 雅信, 河野 誠司

  (一社)日本医学教育学会, Jul. 2019, 医学教育, 50(Suppl.) (Suppl.), 237 - 237, Japanese


• Atlantoaxial Rotatory Fixation.

  Kenzaka T

  May 2019, Internal medicine (Tokyo, Japan), 58(9) (9), 1371 - 1372, English, Domestic magazine

  [Refereed]

  Scientific journal


• Osteitis Condensans Ilii.

  Kenzaka T, Kamada M

  Mar. 2019, Internal medicine (Tokyo, Japan), 58(6) (6), 899 - 900, English, Domestic magazine

  [Refereed]

  Scientific journal


• Successful treatment of warfarin-induced skin necrosis using oral rivaroxaban: A case report

  Momoka Kamada, Tsuneaki Kenzaka

  Baishideng Publishing Group Co, 2019, World Journal of Clinical Cases, 7(24) (24), 4285 - 4291, English, International magazine

  Scientific journal


• Two cases of pneumococcal spondylitis in the same household: a case report.

  Goda K, Kenzaka T, Chang B, Akita H

  Dec. 2018, BMC infectious diseases, 18(1) (1), 666 - 666, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Impacted wooden toothpick in the stomach.

  Yahata S, Kamada M, Kenzaka T

  Dec. 2018, Clinical case reports, 6(12) (12), 2517 - 2518, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Transverse-sigmoid sinus dural arteriovenous fistula diagnosed after convulsions.

  Kenzaka T, Goda K

  Nov. 2018, Oxford medical case reports, 2018(11) (11), omy092 - 395, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Iatrogenic pneumopericardium in the setting of carcinomatous pericarditis.

  Kenzaka T, Miyoshi K, Nakaji H

  Oct. 2018, BMJ case reports, 2018, English, International magazine

  [Refereed]

  Scientific journal


• Mandibular Herpes Zoster.

  Kosami K, Kenzaka T

  Sep. 2018, Internal medicine (Tokyo, Japan), 58(3) (3), 459 - 460, English, Domestic magazine

  [Refereed]

  Scientific journal


• A comparison of pneumonia care quality between general physicians and pulmonologists.

  Kenzaka T, Kumabe A, Mabuchi M, Goda K, Yahata S

  Sep. 2018, Journal of general and family medicine, 19(5) (5), 160 - 165, English, Domestic magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Sigmoid volvulus & the coffee bean sign.

  Kadoya Y, Kenzaka T, Oda Y, Matoba S

  Aug. 2018, QJM : monthly journal of the Association of Physicians, 112(1) (1), 59 - 60, English, International magazine

  [Refereed]

  Scientific journal


• Lipohyperplasia of the ileocaecal valve.

  Okayama Y, Kadoya Y, Kenzaka T

  Aug. 2018, Oxford medical case reports, 2018(8) (8), omy047 - 253, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Fatal heart failure caused by severe pulmonary regurgitation, tricuspid regurgitation and late-onset mitral stenosis in an adult patient with Noonan syndrome: a case report.

  Kadoya Y, Kenzaka T, Oda Y, Matoba S

  Jul. 2018, BMC cardiovascular disorders, 18(1) (1), 148 - 148, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• A case report of myocarditis combined with hepatitis caused by herpes simplex virus.

  Yamamoto T, Kenzaka T, Matsumoto M, Nishio R, Kawasaki S, Akita H

  Jul. 2018, BMC cardiovascular disorders, 18(1) (1), 134 - 134, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Diabetic chorea as a neurological complication.

  Kenzaka T, Fujikawa M, Matsumoto M

  Jul. 2018, Clinical case reports, 6(7) (7), 1398 - 1399, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Serum matrix metalloproteinase 3 in detecting remitting seronegative symmetrical synovitis with pitting edema syndrome: A case report.

  Kenzaka T, Goda K

  May 2018, World journal of clinical cases, 6(5) (5), 84 - 87, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Effect of starting oral intake on weekends on the clinical course of patients with aspiration pneumonia

  Tsuneaki Kenzaka, Ayako Kumabe, Koki Kosami, Yuki Ueda, Takeshi Takahashi, Yuya Yamamoto, Yurika Hayashi, Akihito Kitao, Masanobu Okayama

  May 2018, Clinical Interventions in Aging, 13, 895 - 901, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Reply to 'Influenza follicles and their buds as early diagnostic markers of influenza: typical images' and demonstration of lymphoid follicles in the posterior pharyngeal walls of patients with mycoplasmal pneumonia.

  Kenzaka T, Kyotani M, Goda K, Akita H

  May 2018, Postgraduate medical journal, 94(1111) (1111), 311 - 312, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• RS3PE syndrome developing during the course of probable toxic shock syndrome: A case report

  Moe Kyotani, Tsuneaki Kenzaka, Ryo Nishio, Hozuka Akita

  Apr. 2018, BMC Infectious Diseases, 18(1) (1), 174 - 174, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Limy bile syndrome.

  Kadoya Y, Kenzaka T

  Apr. 2018, QJM : monthly journal of the Association of Physicians, 111(10) (10), 745 - 746, English, International magazine

  [Refereed]

  Scientific journal


• Bacteriological testing and recurrence prevention efforts in the diagnosis and treatment of nursing- and healthcare-associated pneumonia and aspiration pneumonia: A questionnaire survey of hospitals across Japan

  Tsuneaki Kenzaka, Ayako Kumabe, Koki Kosami, Yasufumi Matsuoka, Kensuke Minami, Daisuke Ninomiya, Ayako Noda, Shinsuke Yahata

  Mar. 2018, Respiratory Investigation, 56(2) (2), 150 - 157, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Cefepime-induced encephalopathy

  Tsuneaki Kenzaka, Masanori Matsumoto

  BMJ Publishing Group, 2018, BMJ Case Reports, 2018, bcr2017-223954, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Draft Genome Sequence of Multidrug-Resistant Cellulosimicrobium sp. Strain KWT-B, Isolated from Feces of Hirundo rustica.

  Takehiko Kenzaka, Yuina Ishimoto, Katsuji Tani

  Migratory birds have been postulated as potential spreaders of antibiotic resistance. Multidrug-resistant Cellulosimicrobium sp. strain KWT-B was isolated from the feces of Hirundo rustica A draft genome sequence indicated that the strain harbors multidrug-resistant transporters, multidrug efflux pumps, a vancomycin-resistant protein, and metallo-beta-lactamases.

  Jul. 2017, Genome announcements, 5(28) (28), English, International magazine

  Scientific journal


• "Pseudo aortoiliac bifurcation" leading to significant plaque shifting in the endovascular treatment of an aortoiliac bifurcation lesion: a case report

  Yoshito Kadoya, Tsuneaki Kenzaka, Daisuke Naito, Kan Zen, Satoaki Matoba

  Jul. 2017, BMC CARDIOVASCULAR DISORDERS, 17(1) (1), 179 - 179, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Physicians' opinions regarding the criteria for resuming oral intake after aspiration pneumonia: A questionnaire survey and cluster analysis of hospitals across Japan

  Tsuneaki Kenzaka, Ayako Kumabe, Koki Kosami, Yasufumi Matsuoka, Kensuke Minami, Daisuke Ninomiya, Ayako Noda, Masanobu Okayama

  May 2017, GERIATRICS & GERONTOLOGY INTERNATIONAL, 17(5) (5), 810 - 818, English, Domestic magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Lung lymphoma with ground glass opacity CT image

  Y. Matsuoka, T. Kenzaka

  May 2017, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 110(5) (5), 327 - 327, English, International magazine

  [Refereed]

  Scientific journal


• Intractable hiccups caused by esophageal diverticular candidiasis in an immunocompetent adult: A case report

  Shinsuke Yahata, Tsuneaki Kenzaka, Saeko Kushida, Hogara Nishisaki, Hozuka Akita

  Feb. 2017, International Medical Case Reports Journal, 10, 47 - 50, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Factors involved in the discontinuation of oral intake in elderly patients with recurrent aspiration pneumonia: A multicenter study

  Tsuneaki Kenzaka, Taro Takeshima, Koki Kosami, Ayako Kumabe, Yuki Ueda, Takeshi Takahashi, Yuya Yamamoto, Yurika Hayashi, Akihito Kitao, Masanobu Okayama

  Feb. 2017, Clinical Interventions in Aging, 12, 283 - 291, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Thigh pyomyositis caused by group A streptococcus in an immunocompetent adult without any cause

  Kensuke Minami, Tsuneaki Kenzaka, Ayako Kumabe, Masami Matsumura

  BioMed Central Ltd., Jan. 2017, BMC Research Notes, 10(1) (1), 33 - 33, English, International magazine

  [Refereed]

  Scientific journal


• Factors involved in the discontinuation of oral intake in elderly patients with recurrent aspiration pneumonia: a multicenter study

  Tsuneaki Kenzaka, Taro Takeshima, Koki Kosami, Ayako Kumabe, Yuki Ueda, Takeshi Takahashi, Yuya Yamamoto, Yurika Hayashi, Akihito Kitao, Masanobu Okayama

  2017, CLINICAL INTERVENTIONS IN AGING, 12, 283 - 291, English, International magazine

  [Refereed]

  Scientific journal


• 病歴聴取と身体診察により診断に至った複数領域のリンパ節腫脹を伴う猫ひっかき病の1例

  草野俊亮, Kenzaka Tsuneaki, 山本哲也, 秋田穂束

  Cat-scratch disease occurs after a scratch from a cat infected with Bartonella henselae. We report a 64-year-old man with cat-scratch disease who had swollen lymph nodes. Consequently, metastasis of a malignant tumor was suspected as the most likely cause in the differential diagnosis. Therefore, the diagnosis was delayed and several diagnostic examinations were performed. Although diagnosis was difficult in this case, an accurate diagnosis was achieved by taking a detailed medical history, including questioning about pet ownership, and by carefully examining the lower limbs including the femoral region. These steps are important to diagnose cat-scratch disease.

  JAPAN PRIMARY CARE ASSOCIATION, 2017, 日本プライマリ・ケア連合学会誌, 40(3) (3), 156 - 159, Japanese

  [Refereed]


• Association between G-protein β3 subunit gene and isolated systolic blood pressure elevation of greater than 130 mmHg: A large-scale cross-sectional study in the Japanese population

  EtoM, TakeshimaT, HaradaM, FujiwaraS, KumadaM, KamesakiT, TakamuraK, Kenzaka Tsuneaki, NakamuraY, AonumaT, OkayamaM, KajiiE

  AIM: To investigate whether GNB3 C825T single nucleotide polymorphism (SNP) contributes to systolic blood pressure (SBP) ≥ 130 mmHg in a large-scale cross-sectional study among the Japanese population with diastolic blood pressure (DBP) < 85 mmHg.METHOD: We analyzed 11008 Japanese subjects, including 2797 cases (SBP ≥ 130 and DBP < 85 mmHg) who were not taking anti-hypertensive medication and 8211 controls (SBP < 130 and DBP < 85 mmHg), all of whom enrolled in the genome banking project of the 21st Century COE (Center of Excellence) Program at Jichi Medical University. Subjects were divided into four groups according to gender (male and female) and age (≤ 49 years and ≥ 50 years). GNB3 gene polymorphism was determined using the TaqMan probe method. We compared the frequencies of alleles and genotypes between cases and controls by chi-squared test. The strength of the associations was estimated by odds ratios (ORs) and 95%CI by using logistic regression analysis. The ORs were adjusted for age and body mass index.RESULTS: Allele and genotype distributions significantly differed between cases and controls only in males aged ≤ 49 years. Compared to the CC genotype, a significant OR was obtained in the TT genotype among males aged ≤ 49 years.

  2017, World J Hypertens, 7(2) (2), 24 - 31, English

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Acute Calcific Prevertebral Tendinitis

  Tsuneaki Kenzaka, Ayako Kumabe

  2017, INTERNAL MEDICINE, 56(12) (12), 1611 - 1611, English, Domestic magazine

  [Refereed]

  Scientific journal


• Clostridium paraputrificum Bacteremia in an Older Patient with No Predisposing Medical Condition

  Miho Fukui, Shunsuke Iwai, Ryunosuke Sakamoto, Hiroko Takahashi, Tsuneo Hayashi, Tsuneaki Kenzaka

  2017, INTERNAL MEDICINE, 56(24) (24), 3395 - 3397, English, Domestic magazine

  [Refereed]

  Scientific journal


• The Difference between Ideal and Actual Fasting Duration in the Treatment of Patients with Aspiration Pneumonia: A Nationwide Survey of Clinicians in Japan

  Tsuneaki Kenzaka, Koki Kosami, Yasufumi Matsuoka, Ayako Noda, Ayako Kumabe

  Nov. 2016, TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE, 240(3) (3), 227 - 233, English

  [Refereed]

  Scientific journal


• Gram staining of blood cultures for Clostridium perfringens

  T. Kenzaka, T. Ueshimo

  Nov. 2016, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 109(11) (11), 757 - 757, English, International magazine

  [Refereed]

  Scientific journal


• Response: "Recognition of the distinction between primary and secondary mitral regurgitation is also important"

  T. Kenzaka, S. Kusano

  Oct. 2016, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 109(10) (10), 700 - 700, English, International magazine

  [Refereed]


• Cause and Responsible Microorganisms of Bacteremia after Gastrointestinal Surgery

  Yusuke Taki, Tsuneaki Kenzaka, Ko Ohata, Masaya Watanabe, Hideyuki Kanemoto, Shinsuke Sato, Takashi Nakamura, Taro Takeshima, Noriyuki Oba, Masakazu Takagi

  Oct. 2016, JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 223(4) (4), E92 - E92, English

  [Refereed]


• An extremely rare case of tubo-ovarian abscesses involving corynebacterium striatum as causative agent

  Tetsuya Yamamoto, Tsuneaki Kenzaka, Shimpei Mizuki, Yuki Nakashima, Houu Kou, Motoyoshi Maruo, Hozuka Akita

  Sep. 2016, BMC INFECTIOUS DISEASES, 16(1) (1), 527 - 527, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• A case of epidemic myalgia with symptoms resembling acute purulent spondylitis and discitis

  Tsuneaki Kenzaka, Yukariko Hida, Masanori Matsumoto, Hozuka Akita

  Aug. 2016, BMC MUSCULOSKELETAL DISORDERS, 17(1) (1), 323 - 323, English, International magazine

  [Refereed]

  Scientific journal


• Dynamic ECG change in Brugada syndrome during coronary angiography

  Y. Kadoya, T. Kenzaka

  Jul. 2016, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 109(7) (7), 495 - 495, English, International magazine

  [Refereed]

  Scientific journal


• Extensive ischemic ulcers due to limb occlusion after endovascular aneurysm repair: a case report

  Yoshito Kadoya, Tsuneaki Kenzaka, Daisuke Naito

  Jun. 2016, SPRINGERPLUS, 5(1) (1), 782 - 782, English, International magazine

  [Refereed]

  Scientific journal


• A Case of Pyogenic Vertebral Osteomyelitis: Importance of Physical Examination for Correct Diagnosis

  OzakaA, OnishiT, UedaY, Kenzaka Tsuneaki, MatsumuraM

  Jun. 2016, JOURNAL OF GENERAL AND FAMILY MEDICINE, 17(2) (2), 160 - 163, English

  [Refereed]

  Scientific journal


• Electrocardiographic findings in left-sided pneumothorax

  T. Kenzaka, Y. Yamazaki

  Jun. 2016, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 109(6) (6), 421 - 422, English

  [Refereed]

  Scientific journal


• Scurvy Seen in Japan

  Kenzaka Tsuneaki, YamamotoT

  Jun. 2016, JOURNAL OF CLINICAL AND MOLECULAR ENDOCRINOLOGY, 1(2) (2), 16, English

  [Refereed]

  Scientific journal


• Electrocardiographic findings in left-sided pneumothorax

  T. Kenzaka, Y. Yamazaki

  Jun. 2016, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 109(6) (6), 421 - 422, English, International magazine

  [Refereed]

  Scientific journal


• Right upper lobe pulmonary edema

  T. Kenzaka, S. Kusano

  May 2016, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 109(5) (5), 357 - 357, English, International magazine

  [Refereed]

  Scientific journal


• Clinically mild encephalitis/encephalopathy with a reversible splenial lesion caused by methicillin-sensitive Staphylococcus aureus bacteremia with toxic shock syndrome: a case report

  Koki Kosami, Tsuneaki Kenzaka, Yuka Sagara, Kensuke Minami, Masami Matsumura

  Apr. 2016, BMC INFECTIOUS DISEASES, 16(1) (1), 160 - 160, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Severe fever with thrombocytopenia syndrome presenting as hemophagocytic syndrome: two case reports

  Akihito Kitao, Ryuji Ieki, Hiroki Takatsu, Yuki Tachibana, Masaaki Nagae, Takuya Hino, Hitoshi Nakaji, Masayuki Shimojima, Masayuki Saijo, Masanobu Okayama, Tsuneaki Kenzaka

  Mar. 2016, SPRINGERPLUS, 5(1) (1), 361 - 361, English, International magazine

  [Refereed]

  Scientific journal


• Prostatic abscess in a patient with ST-elevation myocardial infarction: a case report

  Yoshito Kadoya, Tsuneaki Kenzaka

  Feb. 2016, BMC CARDIOVASCULAR DISORDERS, 16(1) (1), 48 - 48, English, International magazine

  [Refereed]

  Scientific journal


• Spontaneous Isolated Common Hepatic Artery Dissection

  Tetsuo Yamaji, Tsuneaki Kenzaka, Ryo Nishio, Satoru Kawasaki

  2016, INTERNAL MEDICINE, 55(11) (11), 1507 - 1507, English, Domestic magazine

  [Refereed]

  Scientific journal


• Pancreatic Exocrine Insufficiency with Systemic Edema after Pancreaticoduodenectomy: A Case Report

  KensukeMinami, AyakoKumabe, YukaSagara, Kenzaka Tsuneaki

  Jan. 2016, JOP, 17(1) (1), 102 - 105, English

  [Refereed]

  Scientific journal


• Magnetic resonance imaging of cardiac amyloidosis

  R. Nakamura, T. Kenzaka

  Jan. 2016, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 109(1) (1), 63 - 63, English, International magazine

  [Refereed]

  Scientific journal


• Hepatic computed tomography changes caused by amiodarone

  Tsuneaki Kenzaka

  Sep. 2015, KOREAN JOURNAL OF INTERNAL MEDICINE, 30(5) (5), 745 - 746, English, International magazine

  [Refereed]

  Scientific journal


• Hyperammonemia in Urinary Tract Infections

  Tsuneaki Kenzaka, Ken Kato, Akihito Kitao, Koki Kosami, Kensuke Minami, Shinsuke Yahata, Miho Fukui, Masanobu Okayama

  Aug. 2015, PLOS ONE, 10(8) (8), e0136220 - e0136220, English, International magazine

  [Refereed]

  Scientific journal

  Link to Kobe Univ. Repository (Kernel)


• Spontaneous arteriovenous fistula of left internal iliac artery aneurysm

  Yu Yamamoto, Tsuneaki Kenzaka, Shigehiro Kuroki, Eiji Kajii

  Jul. 2015, EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 16(7) (7), 817 - 817, English, International magazine

  [Refereed]

  Scientific journal


• Spontaneous arteriovenous fistula of left internal iliac artery aneurysm

  Yu Yamamoto, Tsuneaki Kenzaka, Shigehiro Kuroki, Eiji Kajii

  Jul. 2015, EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 16(7) (7), 817 - 817, English, International magazine

  [Refereed]

  Scientific journal


• A case of fascioliasis treated successfully without sequelae in a Japanese expatriate living in Jakarta

  Masataro Norizuki, Teppei Sasahara, Harumi Gomi, Yuji Morisawa, Noriko Takamura, Tsuneaki Kenzaka, Tetsuro Kobayashi, Yoshihiro Fujiya, Yasuyuki Kato, Hiroyuki Matsuoka

  Jun. 2015, Clinical Medicine Insights: Case Reports, 8, 61 - 63, English, International magazine

  [Refereed]

  Scientific journal


• Purple urine bag syndrome in a patient with a urethral balloon catheter and a history of ileal conduit urinary diversion

  Tsuneaki Kenzaka

  May 2015, KOREAN JOURNAL OF INTERNAL MEDICINE, 30(3) (3), 420 - 420, English, International magazine

  [Refereed]

  Scientific journal


• A rare case of anasarca caused by infiltration of the pituitary gland by diffuse large B-cell lymphoma

  Ayako Kumabe, Tsuneaki Kenzaka, Yoshioki Nishimura, Masaki Aikawa, Masaki Mori, Masami Matsumura

  Mar. 2015, BMC ENDOCRINE DISORDERS, 15(1) (1), 10 - 10, English, International magazine

  [Refereed]

  Scientific journal


• A rare case of anasarca caused by infiltration of the pituitary gland by diffuse large B-cell lymphoma

  Ayako Kumabe, Tsuneaki Kenzaka, Yoshioki Nishimura, Masaki Aikawa, Masaki Mori, Masami Matsumura

  Mar. 2015, BMC ENDOCRINE DISORDERS, 15, 10 - 10, English, International magazine

  [Refereed]

  Scientific journal


• Influenza follicles in the posterior pharyngeal wall

  Tsuneaki Kenzaka

  BMJ Publishing Group, Jan. 2015, Postgraduate Medical Journal, 91(1078) (1078), 472 - 472, English, International magazine

  [Refereed]

  Scientific journal


• Adult-onset kawasaki disease (Mucocutaneous lymph node syndrome) and concurrent coxsackievirus A4 infection: A case report

  Yuki Ueda, Tsuneaki Kenzaka, Ayako Noda, Yu Yamamoto, Masami Matsumura

  Dove Medical Press Ltd, 2015, International Medical Case Reports Journal, 8, 225 - 230, English, International magazine

  [Refereed]

  Scientific journal


• Top of the Basilar Syndrome With Disturbed Consciousness

  Tsuneaki Kenzaka, Tsubasa Onishi

  Jan. 2015, MAYO CLINIC PROCEEDINGS, 90(1) (1), 162 - 162, English, International magazine

  [Refereed]

  Scientific journal


• Top of the Basilar Syndrome With Disturbed Consciousness

  Tsuneaki Kenzaka, Tsubasa Onishi

  Jan. 2015, MAYO CLINIC PROCEEDINGS, 90(1) (1), 162 - 162, English, International magazine

  [Refereed]

  Scientific journal


• Purple urine bag syndrome in a patient with a urethral balloon catheter and a history of ileal conduit urinary diversion

  Tsuneaki Kenzaka

  Korean Association of Internal Medicine, 2015, Korean Journal of Internal Medicine, 30(3) (3), 420 - 420, English, International magazine

  [Refereed]

  Scientific journal


• Adult-onset kawasaki disease (Mucocutaneous lymph node syndrome) and concurrent coxsackievirus A4 infection: A case report

  Yuki Ueda, Tsuneaki Kenzaka, Ayako Noda, Yu Yamamoto, Masami Matsumura

  Dove Medical Press Ltd, 2015, International Medical Case Reports Journal, 8, 225 - 230, English, International magazine

  [Refereed]

  Scientific journal


• String test of hypervirulent Klebsiella pneumonia

  A. Kumabe, T. Kenzaka

  Dec. 2014, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 107(12) (12), 1053 - 1053, English, International magazine

  [Refereed]

  Scientific journal


• Response: Blood culture for suspected disseminated tuberculosis

  Tsuneaki Kenzaka

  Oct. 2014, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 107(10) (10), 861 - 861, English, International magazine

  [Refereed]


• A case of thyroid storm with cardiac arrest

  Yutaka Nakashima, Tsuneaki Kenzaka, Masanobu Okayama, Eiji Kajii

  Dove Medical Press Ltd, May 2014, International Medical Case Reports Journal, 7(1) (1), 89 - 92, English, International magazine

  [Refereed]

  Scientific journal


• Infective endocarditis caused by Streptococcus gallolyticus subspecies pasteurianus and colon cancer

  Noriko Takamura, Tsuneaki Kenzaka, Kensuke Minami, Masami Matsumura

  BMJ Publishing Group, May 2014, BMJ Case Reports, 2014, English, International magazine

  [Refereed]

  Scientific journal


• Kikuchi-Fujimoto's disease with abdominal pain due to intra-abdominal lymphadenitis

  Ayako Noda, Tsuneaki Kenzaka, Takashi Sakatani, Eiji Kajii

  BMJ Publishing Group, Mar. 2014, BMJ Case Reports, 2014, English, International magazine

  [Refereed]

  Scientific journal


• Three-dimensional transoesophageal echocardiography for the diagnosis of prosthetic valve endocarditis

  Tsuneaki Kenzaka, Yoshioki Nishimura

  BMJ Publishing Group, Mar. 2014, BMJ Case Reports, 2014, English, International magazine

  [Refereed]

  Scientific journal


• Nocardia sputum staining

  T. Kenzaka, A. Kumabe

  Mar. 2014, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 107(3) (3), 229 - 229, English, International magazine

  [Refereed]

  Scientific journal


• Analysis of regional differences in the expression frequency of salt-sensitive genes in Japan.

  Kenzaka T, Okayama M, Fujiwara S, Takeshima T, Kumada M, Kamesaki T, Eto M, Harada M, Takamura K, Kajii E, The Jichi Community, Genetics Team

  2014, Exp Clin Cardiol., 20(10) (10), 6523 - 6536, English

  [Refereed]

  Scientific journal


• Spontaneous Isolated Celiac Artery Dissection

  Tsuneaki Kenzaka

  2014, INTERNAL MEDICINE, 53(8) (8), 923 - 923, English, Domestic magazine

  [Refereed]

  Scientific journal


• Cerebral tuberculoma

  T. Kenzaka, A. Noda

  Jan. 2014, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 107(1) (1), 81 - 81, English, International magazine

  [Refereed]

  Scientific journal


• A case of subacute infective endocarditis and blood access infection caused by Enterococcus durans

  Tsuneaki Kenzaka, Noriko Takamura, Ayako Kumabe, Koichi Takeda

  Dec. 2013, BMC INFECTIOUS DISEASES, 13(1) (1), 594 - 594, English, International magazine

  [Refereed]

  Scientific journal


• Skin rash from dengue fever

  Tsuneaki Kenzaka, Ayako Kumabe

  Nov. 2013, BMJ Case Reports, 2013, English, International magazine

  [Refereed]

  Scientific journal


• Hyperammonemia in a patient with obstructive urinary tract infection due to Corynebacterium urealyticum

  Tsuneaki Kenzaka, Ayako Kumabe, Yuka Urushibara, Kensuke Minami, Takeshi Ishida

  Oct. 2013, CENTRAL EUROPEAN JOURNAL OF MEDICINE, 8(5) (5), 597 - 599, English

  [Refereed]

  Scientific journal


• Magnetic resonance imaging of mid-ventricular obstructive hypertrophic cardiomyopathy

  T. Kenzaka, Y. Yamamoto

  Sep. 2013, QJM-AN INTERNATIONAL JOURNAL OF MEDICINE, 106(9) (9), 873 - 873, English, International magazine

  [Refereed]

  Scientific journal


• Infectious cerebral embolism.

  Kenzaka T, Ueda Y

  5, Sep. 2013, Revista da Associacao Medica Brasileira (1992), 59(5) (5), 411 - 412, English, International magazine

  [Refereed]

  Scientific journal


• A rare case of Lemierre's syndrome caused by Porphyromonas asaccharolytica

  K. Takeda, T. Kenzaka, Y. Morita, S. Kuroki, E. Kajii

  Aug. 2013, INFECTION, 41(4) (4), 889 - 892, English, International magazine

  [Refereed]

  Scientific journal


• Skin rash in a patient with infectious mononucleosis

  Tsuneaki Kenzaka, Yuki Ueda

  Jul. 2013, BMJ Case Reports, 2013, English, International magazine

  [Refereed]

  Scientific journal


• Hodgkin's lymphoma preceded by haemophagocytic lymphohistiocytosis

  Yoshinori Morita, Tsuneaki Kenzaka, Hideyuki Yoshimoto, Nobuhito Ohno

  Jun. 2013, BMJ Case Reports, 2013, English, International magazine

  [Refereed]

  Scientific journal


• Costal osteoid osteoma with chest pain

  Tsuneaki Kenzaka

  Jun. 2013, BMJ Case Reports, 2013, English, International magazine

  [Refereed]

  Scientific journal


• [Case report: a case of hyperammonemia due to obstructive urinary tract infection].

  Soeno S, Kenzaka T, Takeda K, Tanaka Y, Kuroki S

  4, Apr. 2013, Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine, 102(4) (4), 976 - 978, Japanese, Domestic magazine

  [Refereed]

  Scientific journal


• Magnetic Resonance Myelography in a Patient with Cerebrospinal Fluid Hypovolemia

  Tsuneaki Kenzaka

  2013, INTERNAL MEDICINE, 52(23) (23), 2691 - 2691, English, Domestic magazine

  [Refereed]

  Scientific journal


• Computed tomography images of rhabdomyolysis

  Tsuneaki Kenzaka, Koichi Takeda

  15, 2013, Internal Medicine, 52(15) (15), 1761 - 1761, English, Domestic magazine

  [Refereed]

  Scientific journal


• Corpus cavernosum abscess from a blind-ending urethra after urinary diversion surgery

  Ayako Kumabe, Tsuneaki Kenzaka, Yu Yamamoto, Eiji Kajii

  2013, BMJ Case Reports, 2013, English, International magazine

  [Refereed]

  Scientific journal


• Acute crystal deposition arthritis of the pubic symphysis

  Tsuneaki Kenzaka, Tetsuji Wakabayashi, Yoshinori Morita

  2013, BMJ Case Reports, 2013, English, International magazine

  [Refereed]

  Scientific journal


• Use of a semiquantitative procalcitonin kit for evaluating severity and predicting mortality in patients with sepsis

  Tsuneaki Kenzaka, Masanobu Okayama, Shigehiro Kuroki, Miho Fukui, Shinsuke Yahata, Hiroki Hayashi, Akihito Kitao, Eiji Kajii, Masayoshi Hashimoto

  2012, International Journal of General Medicine, 5, 483 - 488, English, International magazine

  [Refereed]

  Scientific journal


• Melanuria in the Diagnosis of Metastatic Melanoma

  Koichi Takeda, Tsuneaki Kenzaka, Shigehiro Kuroki, Eiji Kajii

  2012, INTERNAL MEDICINE, 51(12) (12), 1649 - 1649, English, Domestic magazine

  [Refereed]

  Scientific journal


• Importance of Vital Signs to the Early Diagnosis and Severity of Sepsis: Association between Vital Signs and Sequential Organ Failure Assessment Score in Patients with Sepsis

  Tsuneaki Kenzaka, Masanobu Okayama, Shigehiro Kuroki, Miho Fukui, Shinsuke Yahata, Hiroki Hayashi, Akihito Kitao, Daisuke Sugiyama, Eiji Kajii, Masayoshi Hashimoto

  2012, INTERNAL MEDICINE, 51(8) (8), 871 - 876, English, Domestic magazine

  [Refereed]

  Scientific journal


• Positron emission tomography scan can be a reassuring tool to treat difficult cases of infective endocarditis

  Tsuneaki Kenzaka, Miho Shimoshikiryo, Akihito Kitao, Kazuomi Kario, Masayoshi Hashimoto

  Aug. 2011, JOURNAL OF NUCLEAR CARDIOLOGY, 18(4) (4), 741 - 743, English, International magazine

  [Refereed]

  Scientific journal


• [Case report: a case of crowned dens syndrome during pneumonia treatment].

  Hayashi H, Yahata S, Shimoshikiryo M, Kitao A, Kato C, Kenzaka T

  8, Aug. 2011, Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine, 100(8) (8), 2253 - 2255, Japanese, Domestic magazine

  [Refereed]

  Scientific journal


• 糖尿病非専門医が診る地域病院での2型糖尿病治療の特徴 兵庫県但馬地方の調査より

  Kenzaka Tsuneaki

  Apr. 2009, 糖尿病, 52巻, Suppl.1, pp. S-123, Japanese

  International conference proceedings


• 運動療法の頻度が糖尿病患者の血流依存性血管拡張反応およびHbA1cに与える影響

  Kenzaka Tsuneaki

  Apr. 2009, 糖尿病, 52巻, Suppl.1, pp. S-112, Japanese

  International conference proceedings


• 敗血症の早期重症度判定におけるプロカルシトニンキットの有用性についての検討

  Kenzaka Tsuneaki

  Mar. 2009, 感染症学雑誌, 83巻, 臨増, pp. 170-170, Japanese

  International conference proceedings


• へき地における2型糖尿病治療の特徴 兵庫県但馬地方の調査より

  Kenzaka Tsuneaki

  Feb. 2009, 日本内科学会雑誌, 98巻, Suppl., pp. 183-183, Japanese

  International conference proceedings


• Virtual Histologyを用いたGrayscale IVUSにおける後方エコー減衰を伴うプラークの検討

  Kenzaka Tsuneaki

  Oct. 2008, Japanese Journal of Interventional Cardiology, 23巻, 5号, pp. 343-349, Japanese

  [Refereed]

  Scientific journal


• 女性生活習慣病患者における血流依存性血管拡張反応に関する検討 運動療法施行群と非施行群での比較

  Kenzaka Tsuneaki

  【目的】血管内皮は、脈管トーン、細胞増殖、血小板と白血球の相互作用、血栓形成を管理している多数の因子を分泌する大きなパラクライン器官である。血管内皮機能の障害は、アテローム性動脈硬化症、高血圧および心疾患の病態における重要な要因の一つであると考えられている。血流依存性血管拡張反応（FMD）は、血管内皮機能を評価し、動脈硬化性疾患の早期診断における検査として注目されている。本研究の目的は、女性生活習慣病患者のFMDが通院による運動療法の有無により違いがあるかどうかを検討することである。
  【方法】対象は、高血圧、糖尿病、脂質異常症のいずれかの診断を受けた当院に受診中の女性患者18名である。当院リハビリ室に通院し、週2回以上の運動療法を1年以上継続している10名（年齢69.6±5.1歳）を施行群、運動療法を実施していない8名（年齢59.0±10.0歳）を非施行群として両群の上腕動脈のFMD（ユネクス社製汎用超音波画像診断装置UNEXEF18Gを使用）を比較した。FMDは変化率、拡張量、最大拡張到達時間について測定し、対応のないt検定を用いて統計解析を行った。運動療法はトレッドミル、自転車エルゴメータを用い、無酸素性代謝閾値の範囲内における強度での有酸素運動を中心に実施した。
  【結果】両群の比較において、変化率、拡張量に有意な差は認めなかった。最大拡張到達時間は、施行群44.8±9.5秒、非施行群60.3±17.6秒であり、施行群は非施行群に対し有意に短縮していた(p<0.05)。また、年齢は施行群が有意に高かった(p<0.01)。
  【考察】安静時血管径は性別により差があり、女性は男性と比較して明らかに小さいとの報告がある。Davidらの行った大規模研究では、FMDは年齢に強く依存していることが判明し、50歳代より変化率は低下し、最大拡張到達時間については延長することが報告されている。女性生活習慣病患者に限定した本研究では、定期的な運動療法を施行している群と非施行群のFMDの違いを検討した。その結果、両群の変化率と拡張量いわゆる血管径の変化に差はなかったが、最大拡張到達時間については、施行群は非施行群に対し、明らかに高齢であるにも関わらず有意に短縮していた。このことは、FMDはずり応力に反応した血管内皮のNO(一酸化窒素)の産生を反映しているとされることから、運動療法はNOの拡散速度など、血管内皮の反応速度の改善に関与している可能性が示唆された。運動療法の介入による血管内皮機能の生理学的変化は十分解明されていないが、1型糖尿病患者を対象にした研究において運動療法が変化率を改善させたという報告がある。今回は横断的な検討であるため、今後、一定期間の運動療法が変化率および最大拡張到達時間に与える効果を見出し、FMDが運動療法の効果判定の一手段となり得るかを検証していきたい。

  公益社団法人日本理学療法士協会, Apr. 2008, 理学療法学, 35巻, Suppl.2, pp. 221-221, D0389 - D0389, Japanese


• スキー場直近医療施設でのスキー・スノーボード外傷の検討

  Kenzaka Tsuneaki

  Sep. 2007, 中部日本整形外科災害外科学会雑誌, 50巻, 秋季学会, pp. 133-133, Japanese

  International conference proceedings


• 多量の血栓を伴う左外腸骨動脈閉塞に対しdistal protection下にPTAを施行した1例

  Kenzaka Tsuneaki

  Apr. 2007, Circulation Journal, 71巻, Suppl.II, pp. 923-923, Japanese

  International conference proceedings


• 左総腸骨動脈慢性閉塞に対するPTA後、対側下肢動脈急性閉塞を生じた一例

  Kenzaka Tsuneaki

  Apr. 2007, Circulation Journal, 71巻, Suppl.II, pp. 923-923, Japanese

  International conference proceedings


• IVUSによるdeep attenuationの臨床的意義Virtual HistologyTMを用いた検討

  KENZAKA TSUNEAKI, ISHIDA TAKESHI

  Feb. 2007, 日本内科学会雑誌, 96巻, Suppl., pp. 185-185, Japanese

  International conference proceedings

• 皮膚原発のCryptococcus neoformans感染で播種性クリプトコックス症を来した1例

  丸田実奈, 京谷萌, 見坂恒明, 見坂恒明

  2025, 感染症学雑誌(Web), 99(2) (2)


• AFBN(acute focal bacterial nephritis)の診断におけるMRI DWIBS(diffusion-weighted whole-body magnetic resonance imaging)と造影CT(computed tomography)の比較

  中田円仁, 湧川朝雅, 見坂恒明

  2025, 日本内科学会雑誌, 114


• 肥満の経過中にステロイド軟膏使用が原因と考えられる医原性クッシング症候群を呈した一例

  永井貞之, 樫木孝次, 松岡輝, 松本泰右, 市川裕太, 井上真太郎, 見坂恒明

  2025, 近畿小児科学会プログラム・抄録集, 38th


• Difficult Diagnosis of Spontaneous Intracranial Hypotension with Nausea and Lower Abdominal Pain as Main Complaints: A Case Report

  Yokoi, Misaki, Kenzaka, Tsuneaki, Asano, Mari, Sugimoto, Ryu, Nishisaki, Hogara

  Background and Clinical Significance: Symptoms of spontaneous intracranial hypotension include orthostatic headaches due to decreased cerebrospinal fluid (CSF) levels. Here, we present a 24-year-old female admitted to an obstetrics and gynecology department with primary complaints of lower abdominal pain and dysmenorrhea with subsequent diagnosis of spontaneous intracranial hypotension (SIH). Case Presentation: The patient had experienced nausea and lower abdominal pain independent of her menstrual cycle 5 days before admission, for which she visited the emergency department 3 days later. On admission, her symptoms were temporarily relieved by administering analgesics; thus, she was discharged. However, later, the symptoms worsened. Consequently, she returned to the emergency department for further evaluation, including blood tests, imaging, and endoscopy, which revealed no nausea- or abdominal pain-related organic abnormalities. On day 10, she developed a headache, aggravated by lying in the supine position and improved by sitting. Additional history revealed a diagnosis of SIH owing to the worsening abdominal pain in the supine position. An ¹¹¹In CSF cavity scintigram showed no spinal fluid leakage; early intrabladder radioisotope (RI) accumulation was observed, and the residual 24 h CSF cavity RI was >30%. At a referral specialist hospital, an epidural saline infusion test was performed, which improved her headache and lower abdominal pain. Blood patch therapy improved her lower abdominal pain, headache, and dysmenorrhea. Conclusions: The final diagnosis was SIH, with symptoms attributed to CSF depletion. The patient also experienced rare paradoxical postural-related headaches and lower abdominal pain, aggravated by lying in the supine position, contributing to the final diagnosis.

  Dec. 2024, Reports, 7(4) (4), 115, English


• ホームステイ実習を組み込んだ地元住民との相互作用を強化する地域基盤型医学教育プログラムの中期的効果の検討—The medium-term effects of a community-based medical education program with enhanced interaction with local residents through homestay

  見坂 恒明

  東京 : 北隆館, May 2024, 地域ケアリング / 地域ケアリング企画編集委員会 編, 26(5) (5), 59 - 65, Japanese


• ホームステイ実習を組み込んだ地元住民との相互作用を強化する地域基盤型医学教育プログラムの中期的効果の検討—The medium-term effects of a community-based medical education program with enhanced interaction with local residents through homestay

  見坂 恒明

  東京 : 北隆館, Mar. 2024, Bio clinica = バイオクリニカ, 39(3) (3), 270 - 276, Japanese


• Cellulitis caused by Roseomonas mucosa in a child

  松久雄紀, 廣瀬英生, 後藤忠雄, 見坂恒明, 見坂恒明

  2024, 日本小児科学会雑誌, 128(2) (2)


• 長時間の正座姿勢により下腿の蜂窩織炎,横紋筋融解症を来した1例

  小林崇人, 林友鴻, 林友鴻, 見坂恒明, 見坂恒明

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• 自殺企図でOTC医薬品のジフェンヒドラミンを過量内服した1例

  松井算, 林友鴻, 林友鴻, 見坂恒明, 見坂恒明

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• 下垂体腺腫増大によるSIADHの難治性低ナトリウム血症に対してトルバプタンが奏功した1例

  光丸誠紘, 京谷萌, 見坂恒明, 見坂恒明

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• 発熱に先行して蕁麻疹が出現した新型コロナウイルス感染症の1例

  京谷萌, 中西潤, 見坂恒明, 見坂恒明

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• 浮動性めまいで発症した中枢神経原発性悪性リンパ腫の1例

  加藤歩, 大塚喜久, 森寛行, 見坂恒明, 見坂恒明

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• Providencia rettgeriを起因菌とする閉塞性尿路感染で高アンモニア血症を来した1例

  切石菜々美, 藤原稜, 見坂恒明, 見坂恒明

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• 診療所で経験した肺結核の1例を通じた診療体制の整備構築活動

  樫木孝次, 樫木孝次, 京谷萌, 京谷萌, 見坂恒明, 見坂恒明, 見坂恒明

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• 鯖の摂取を契機に発症したアニサキスアレルギーの1例

  片山大地, 見坂恒明, 見坂恒明, 森寛行

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• 丹波圏域初の日本紅斑熱の1例

  高田京加, 林友鴻, 林友鴻, 見坂恒明, 見坂恒明

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• 詳細な問診により白血球増多の原因がヒアルロン酸ナトリウム関節注射の副作用と診断できた1例

  塚本進之介, 見坂恒明, 見坂恒明

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• Albumin-refractory Transudative Ascites for the Diagnosis of Protein-losing Gastric Cancer: A Case Report

  水谷直也, 森寛行, 見坂恒明, 見坂恒明

  2024, 日本プライマリ・ケア連合学会誌(Web), 47(3) (3)


• 日本プライマリ・ケア連合学会医師会員の論文作成に関連するワークライフバランスに関する要因の検討

  見坂恒明, 見坂恒明, 八幡晋輔, 水谷直也, 藤原稜, 京谷萌, 森寛行, 隈部綾子, 隈部綾子

  2024, 日本プライマリ・ケア連合学会学術大会(Web), 15th


• Study for attitude to community medicine of residents comparing face-to-face and online lectures.

  見坂恒明, 見坂恒明, 林友鴻, 林友鴻, 水谷直也, 隈部綾子, 岡山雅信

  2024, 医学教育, 55(Suppl.) (Suppl.)


• 本邦初となるHaemophilus Influenzae serotype aによる侵襲性インフルエンザ菌感染症(IHD)の1症例

  高柳光佑, 前田郁子, 井元明美, 西本恵美子, 上霜剛, 見坂恒明, 見坂恒明, 鬼岡萌, 久保田眞由美

  2024, HYOGO JOURNAL, 45(1) (1)


• 皮膚原発のCryptococcus neoformans感染で播種性クリプトコックス症を来した1例

  丸田実奈, 京谷萌, 見坂恒明, 見坂恒明

  2024, 日本感染症学会西日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集(CD-ROM), 94th-72nd


• ”ことはじめ”後の論文化及び関連因子の研究

  見坂恒明, 隈部綾子, 合田建, 八幡晋輔

  2023, 日本内科学会雑誌, 112


• 多職種勉強会における,医師職,看護職,介護職の多職種連携教育の学習準備段階の違いの検討

  清水健史, 清水健史, 合田建, 合田建, 合田建, 京谷萌, 京谷萌, 見坂恒明, 見坂恒明, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• COVID-19ワクチンによる1,2回目の副反応と3回目の副反応の関連

  合田建, 合田建, 見坂恒明, 見坂恒明, 八幡晋輔, 岡山雅信, 西崎朗

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• 日本内科学会総会“ことはじめ”症例報告での学会発表後の論文化率と論文化に関連する因子の探索研究

  見坂恒明, 見坂恒明, 見坂恒明, 隈部綾子, 隈部綾子, 隈部綾子, 合田建, 合田建, 合田建, 八幡晋輔

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• 地域中核病院内科に所属する医師のバーンアウトの調査

  京谷萌, 藤川萌恵美, 見坂恒明, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• COVID-19罹患後に全身倦怠感を認め二次性副腎皮質機能低下症と診断した1例

  藤原稜, 合田建, 合田建, 森寛行, 板倉崇泰, 見坂恒明, 見坂恒明

  2023, 日本病院総合診療医学会雑誌(Web), 19


• メトトレキサート連日内服による汎血球減少症を来たした1例

  神野一平, 藤原稜, 見坂恒明, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• 医師が調理教室で栄養講義を行うことで得られる効果

  山本大暉, 山本大暉, 京谷萌, 京谷萌, 長谷川貴也, 長谷川貴也, 藤川萌恵美, 藤川萌恵美, 西崎朗, 合田建, 合田建, 合田建, 見坂恒明, 見坂恒明, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• 歯科処置の病歴から感染性心内膜炎とSnap diagnosisを行い認知バイアスに陥った急性腎盂腎炎の1例

  加藤歩, 京谷萌, 見坂恒明, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• 初期臨床研修中に急性期から退院後まで継続的,包括的に関わることができた末期大腸癌の1例

  松浦泰葉, 松浦泰葉, 藤原稜, 藤原稜, 見坂恒明, 見坂恒明, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• 外国人技能実習生の全身性エリテマトーデス発症に対し,社会的サポートを要した1例

  新野花, 板垣実幸, 高田京加, 迫健太郎, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• Trueperella bernardiaeによる急性腎盂腎炎から敗血症を起こした1例

  松久雄紀, 松久雄紀, 小林真一朗, 田口潤, 廣瀬英生, 後藤忠雄, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• 当院で経験した紫色尿バック症候群から考える予防医学

  山泉琴音, 京谷萌, 見坂恒明, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• 悪性胸水による体動困難が出現し,患者や家族と話し合うことで安らかな看取りができた1例を振り返る

  荒木昭博, 西崎朗, 見坂恒明, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• 通信障害の在宅医療への影響から連絡手段を再考した1例

  園田育未, 園田育未, 合田建, 合田建, 合田建, 見坂恒明, 見坂恒明, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• リウマチ性多発筋痛症様症状で発症し,診断に難渋した全身性エリテマトーデスの1例

  高田京加, 古畑博史, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• 喉頭部の違和感で発症し診断に時間を要した橋本病の症例の診断過程を振り返る

  田口真理子, 見坂恒明, 見坂恒明

  2023, 日本プライマリ・ケア連合学会学術大会(Web), 14th


• Near-peer teaching efficacy in community medicine by junior residents for medical students

  合田建, 合田建, 見坂恒明, 見坂恒明

  2023, 医学教育, 54(Suppl.) (Suppl.)


• The medium-term effect of a community-based educational program for medical students.

  見坂恒明, 見坂恒明, 八幡晋輔, 合田建, 合田建, 隈部綾子, 岡山雅信

  2023, 医学教育, 54(Suppl.) (Suppl.)


• The medium-term effects of a community-based medical education program with enhanced interaction with local residents through homestay

  見坂恒明, 見坂恒明

  東京 : 北隆館, 2023, Bio Clinica, 38(8) (8), 699 - 705, Japanese


• 片側性の舌血管性浮腫を繰り返した1例

  松久雄紀, 松久雄紀, 清水洋範, 廣瀬英生, 後藤忠雄, 見坂恒明

  2023, アレルギー, 72(6/7) (6/7)


• COVID-19患者の第1波から第5波にかけての入院までの意識と差別・風評被害の変化についての検討

  合田建, 合田建, 見坂恒明, 見坂恒明

  2023, 日本感染症学会総会・学術講演会・日本化学療法学会学術集会合同学会プログラム・抄録集(CD-ROM), 97th-71st


• テグートカゲからの創傷後にSalmonella enterica subsp.chester椎体椎間板炎を来たした一例

  来住知美, 大郷義也, 見坂恒明, 見坂恒明, 白野倫徳

  2023, 日本感染症学会東日本地方会学術集会・日本化学療法学会東日本支部総会合同学会プログラム・抄録集, 72nd-70th


• Remitting seronegative symmetrical synovitis with pitting edema (PS3PE) syndrome.

  見坂恒明, 見坂恒明

  2023, 月刊リウマチ科, 70(5) (5)


• Hafnia alveiによる肝膿瘍の1例

  塚本進之介, 京谷萌, 見坂恒明, 見坂恒明

  2023, 日本感染症学会西日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集(CD-ROM), 93rd-71st


• MEPM出荷調整時の抗菌薬適正使用について

  青井直樹, 福山裕季子, 廣瀬晃子, 見坂恒明

  2023, 日本感染症学会西日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集(CD-ROM), 93rd-71st


• 植込型除細動器(ICD)に関連したBacillus cereusによる感染性心内膜炎の1例

  小田木緋里, 見坂恒明

  2023, 日本感染症学会西日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集(CD-ROM), 93rd-71st


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･12【最終回】 Haemophilus influenzae type aによる多発関節炎を伴う侵襲性インフルエンザ菌感染症の症例〜稀もしくは新規の病気･病原体〜

  見坂 恒明

  株式会社医学書院, 10 Dec. 2022, medicina, 59(13) (13), 2487 - 2491


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･11 重症COVID-19肺炎治療中に気管挿管チューブ閉塞をきたした症例〜稀もしくは新規の病気･病原体における注意喚起〜

  杉本 龍, 見坂 恒明

  株式会社医学書院, 10 Nov. 2022, medicina, 59(12) (12), 2304 - 2308


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･10 甲状腺クリーゼによる心停止をきたした23歳男性〜ある疾患の新規な症状･所見･経過〜

  中嶋 裕, 見坂 恒明

  株式会社医学書院, 10 Oct. 2022, medicina, 59(11) (11), 2068 - 2071


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･9 間質性肺炎に対して在宅HFNCを導入した75歳男性〜ある疾患の新規な治療方法,予想外の治療効果〜

  合田 建, 見坂 恒明

  株式会社医学書院, 10 Sep. 2022, medicina, 59(10) (10), 1766 - 1769


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･8 RS3PE症候群の71歳女性〜ある疾患の新規な診断方法(治療効果の判定方法)〜

  見坂 恒明

  株式会社医学書院, 10 Aug. 2022, medicina, 59(9) (9), 1574 - 1578


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･7 難治性吃逆をきたした87歳男性〜ある疾患の新規な症状･所見･経過〜

  八幡 晋輔, 見坂 恒明

  株式会社医学書院, 10 Jul. 2022, medicina, 59(8) (8), 1379 - 1383


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･6 IgA血管炎に対して血液透析中に回路内圧が上昇して透析を中断した87歳男性〜2つの疾患間に予想外の関連性〜

  京谷 萌, 見坂 恒明

  株式会社医学書院, 10 Jun. 2022, medicina, 59(7) (7), 1166 - 1170


• 進行大腸癌が侵入門戸と考えられる Listeria monocytogenes 菌血症の1例と当院における侵襲性リステリア感染症のレビュー

  見坂 恒明, 長谷川 貴也, 迫 健太郎, 合田 健, 森 寛行, 板倉 崇泰, 大野 伯和

  リステリア感染症は経口的に摂取されたリステリアが腸粘膜に浸透し全身感染症となる。症例提示および当院におけると侵襲性リステリア感染症のレビューを報告する。症例は 89 歳女性。数ヶ月前に上行結腸癌（cT3N1bM0）を指摘されたが，手術を希望せず経過観察となっていた。入院 1 週前から食欲不振が出現し，悪心が持続するため当院を受診し，入院した。血液培養でListeria monocytogenesが検出され，侵襲性リステリア感染症として，第 6 病日から抗菌薬をアンピシリン 4g/ 日に変更し，計 21 日間治療した。 当院開設後 2 年間で，培養検査で Listeria monocytogenes が培養された症例をまとめた。本症例を含めた 7 例あり，年齢は 65 歳-93 歳（中央値 88 歳）。全例血液培養陽性であった。消化器症状は 4 例のみ，6 例に発熱，5 例で悪性腫瘍合併（4 例消化器癌）を認めた。侵襲性リステリア感染症では，悪性腫瘍の併存を念頭 に置くことが重要である。また担癌状態での発熱では，消化器症状がなくともリステリア感染症を念頭におく必要がある。

  一般社団法人 日本病院総合診療医学会, 31 May 2022, 日本病院総合診療医学会雑誌, 18(3) (3), 151 - 155, Japanese


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･5 メトトレキサート内服中に椎体の溶骨性変化をきたした76歳男性〜ある薬剤の新規な副作用･薬剤相互作用〜

  平田 千尋, 見坂 恒明

  株式会社医学書院, 10 May 2022, medicina, 59(6) (6), 950 - 953


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･4 カンピロバクター腸炎の51歳男性〜ある疾患の新規な症状･所見･経過〜

  眞川 昌大, 見坂 恒明

  株式会社医学書院, 10 Apr. 2022, medicina, 59(5) (5), 741 - 744


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･3 腹腔内リンパ節腫脹をきたした29歳女性〜ある疾患の新規な症状･所見･経過〜

  見坂 恒明

  株式会社医学書院, 10 Mar. 2022, medicina, 59(3) (3), 586 - 590


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･2 アシクロビル脳症の70歳男性〜ある疾患の新規な症状･所見･経過〜

  見坂 恒明

  株式会社医学書院, 10 Feb. 2022, medicina, 59(2) (2), 386 - 389


• 連載 続･ケースレポートを書こう! "論文の軸の設定"トレーニング･1【新連載】 ケースレポートにできる症例と｢structureの原則｣のおさらい

  見坂 恒明

  株式会社医学書院, 10 Jan. 2022, medicina, 59(1) (1), 193 - 195


• 対象診療圏の診療所医師のヒアリングから得た出石医療センターに求められる役割の検討

  鈴木智大, 西岡顯, 見坂恒明

  公益社団法人 地域医療振興協会, 2022, 月刊地域医学, 36(2) (2), 48, Japanese


• 肺炎重症度指標

  見坂恒明, 見坂恒明

  2022, Jmed Mook, (79) (79)


• 結核診断に苦慮した非定型抗酸菌との混合感染の1例

  高柳光佑, 見坂恒明, 見坂恒明

  2022, 日本化学療法学会雑誌, 70(Supplement-A) (Supplement-A)


• Early predictive factors associated with recovery of oral intake after post-extubation dysphagia.

  杉本龍, 見坂恒明, 見坂恒明, 小松弘和, 西崎朗

  2022, 日本集中治療医学会学術集会(Web), 49th


• A case of cholinergic crisis with sudden onset type II respiratory failure

  園田育未, 杉本龍, 見坂恒明, 見坂恒明, 西崎朗

  2022, 日本集中治療医学会学術集会(Web), 49th


• Diffuse multiple organ ischemia possibly associated with high serum aldosterone

  田口真理子, 杉本龍, 見坂恒明, 見坂恒明, 河崎悟, 西崎朗

  2022, 日本集中治療医学会学術集会(Web), 49th


• Eikenella corrodensによる化膿性脊椎炎の1例

  高田京加, 見坂恒明

  2022, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 92nd-65th-70th


• 当院で経験したDesulfovibrio desulfuricans菌血症の2例

  山泉琴音, 京谷萌, 見坂恒明, 見坂恒明

  2022, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 92nd-65th-70th


• The long term relation between community medicine practical training and future workplace selection: Report 3.

  見坂恒明, 見坂恒明, 八幡晋輔, 合田建, 合田建, 隈部綾子, 岡山雅信

  2022, 医学教育, 53(Suppl.) (Suppl.)


• COVID-19ワクチンによる1回目の副反応と2回目の副反応の関連

  合田建, 合田建, 見坂恒明, 見坂恒明, 八幡晋輔, 岡山雅信, 西崎朗

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• サイトメガロウイルスIgM抗体が上昇したEBウイルスによる伝染性単核球症の1例

  上田康雅, 森寛行, 西崎朗, 見坂恒明, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• 文献レビューによる蛋白漏出性胃癌の臨床的特徴について

  水谷直也, 森寛行, 見坂恒明, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• 無症状で偶発的にCTで発見された特発性腎梗塞の1例.

  田口真理子, 藤川萌恵美, 見坂恒明, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• 日本プライマリ・ケア連合学会(JPCA)医師会員におけるケースレポートポート作成の障壁となる要因の検討

  見坂恒明, 見坂恒明, 合田建, 合田建, 高田京加, 鈴木智大, 水谷直也, 鎌田百香, 立花祐毅, 小佐見光樹, 浦瀬靖代, 角谷慶人, 隈部綾子, 隈部綾子, 森寛行, 八幡晋輔

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• めまいを主訴として受診し,身体診察で同名半盲を認め脳梗塞の診断に至った1例

  阿野悟士, 山本大暉, 合田建, 合田建, 見坂恒明, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• 栄養補助食品の摂取によるミルクアルカリ症候群の1例

  高田京加, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• 耳性めまいの既往が認知バイアスとなり中枢性めまいの診断が困難だった1例

  小林崇人, 高木一光, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• 治療終了12年後に初発の心不全症状を呈した遅発性アドリアマイシン心筋症の1例

  千田有紗, 松本賢亮, 見坂恒明, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• 移住を契機に難治性続発性副腎皮質機能低下症を発症し,帰郷により軽快した1例

  松浦泰葉, 森寛行, 見坂恒明, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• 血清CA125値が上昇した濾胞性リンパ腫の1例

  京谷萌, 水谷優, 見坂恒明, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• アピキサバンとアゼルニジピンの薬物相互作用で出血傾向を呈した心房細動の1例

  平尾勇介, 清水健史, 合田建, 合田建, 見坂恒明, 見坂恒明, 玉置尚, 西崎朗

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• 腸結核や副腎皮質機能低下症を併発し,診断に難渋したLOH症候群の1例

  加藤聡一郎, 京谷萌, 合田建, 合田建, 見坂恒明, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• 進行大腸癌が侵入門戸と考えられるListeria monocytogenes菌血症の1例と当院における後方視的検討

  長谷川貴也, 迫健太郎, 森寛行, 西崎朗, 見坂恒明, 見坂恒明

  2022, 日本病院総合診療医学会雑誌(Web), 18


• A case of Listeria monocytogenes bacteremia with advanced colorectal cancer as a possible portal of entry and a review of invasive Listeria infections at our hospital

  見坂恒明, 見坂恒明, 長谷川貴也, 迫健太郎, 合田建, 合田建, 森寛行, 板倉崇泰, 大野伯和

  2022, 日本病院総合診療医学会雑誌(Web), 18(3) (3)


• Edwardsiella tardaによる菌血症,腸腰筋膿瘍,後腹膜膿瘍の治療中に直腸癌を診断できた1例

  高田京加, 高田京加, 見坂恒明

  2022, 感染症学雑誌(Web), 96


• 著明な握力低下,陰嚢痛を来たしたヒトパレコウイルス3型による流行性筋痛症の1例

  藤原稜, 見坂恒明, 見坂恒明

  2022, 感染症学雑誌(Web), 96


• 四肢の落屑からToxic Shock Syndromeを想起できた1例

  高橋克仁, 京谷萌, 見坂恒明, 見坂恒明

  2022, 日本プライマリ・ケア連合学会学術大会(Web), 13th


• トクシュウ イマ ミナオシタイ 、 ハツネツ シンリョウ ノ キホン : ハツネツ ノ キジョ 、 カンベツ シンダン 、 ゲネツ ノ イギ ナド 、 COVID-19 ガ アル イマ コソ オサエタイ タイセツ ナ コト

  藤原 稜, 見坂 恒明

  東京 : 羊土社, Aug. 2021, レジデントノート, 23(7) (7), 949 - 956, Japanese


• COVID-19患者の入院前後での意識変容と差別・風評被害

  合田建, 見坂恒明, 合田建, 見坂恒明

  2021, 日本化学療法学会雑誌, 69(Supplement-A) (Supplement-A)


• 同定不能であったEnterobacter sp.による急性胆嚢炎の1例

  高柳光佑, 見坂恒明, 見坂恒明

  2021, 日本化学療法学会雑誌, 69(Supplement-A) (Supplement-A)


• 妊婦に発症し,子宮内感染を合併したSalmonella schwarzengrund菌血症の1例

  高田悠司, 高田悠司, 隈部綾子, 隈部綾子, 見坂恒明

  2021, 日本化学療法学会雑誌, 69(Supplement-A) (Supplement-A)


• いま見直したい,発熱診療のキホン 感染症による発熱(成人)

  藤原稜, 見坂恒明, 見坂恒明

  2021, レジデントノート, 23(7) (7)


• 入院経過中に発症したPlatypnea-Orthodeoxia Syndromeの1例

  杉本龍, 見坂恒明, 見坂恒明, 塚本祥太, 合田建, 新倉悠人, 河崎悟, 秋田穂束

  2021, 日本集中治療医学会学術集会(Web), 48th


• 当地域で同時期に多発した肝蛭症4例の報告

  隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明, 丸山治彦

  2021, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 91st-64th-69th


• Abiotrophia defectivaによる感染性心内膜炎の1例

  高田京加, 隈部綾子, 隈部綾子, 見坂恒明

  2021, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 91st-64th-69th


• 血清型7Cによる侵襲性肺炎球菌感染症を契機に多発性骨髄腫の診断に至った1例

  加藤聡一郎, 合田建, 合田建, 常彬, 見坂恒明, 見坂恒明

  2021, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 91st-64th-69th


• COVID-19患者へのレムデシビル投与の安全性の評価

  福山裕季子, 馬場奈津美, 玉置尚, 入江優美, 見坂恒明

  2021, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 91st-64th-69th


• Successful home care of a Trousseau’s syndrome patient using heparin subcutaneous infusion

  園田育未, 上田康雅, 森寛行, 秋田穂束, 見坂恒明, 見坂恒明

  2021, 日本プライマリ・ケア連合学会学術大会(Web), 12th


• Mental state of hospitalized patients admitted with COVID-19

  合田建, 合田建, 見坂恒明, 見坂恒明, 八幡晋輔, 桂田雅大, 秋田穂束

  2021, 日本プライマリ・ケア連合学会学術大会(Web), 12th


• A case of hypercalcemia due to milk alkali syndrome caused by multiple drug use

  三井宏明, 合田建, 合田建, 水谷直也, 秋田穂束, 見坂恒明, 見坂恒明

  2021, 日本プライマリ・ケア連合学会学術大会(Web), 12th


• COVID-19 severe pneumonia treated with prone positioning using our customized protocol: a case report

  荒木昭博, 藤川萌恵美, 杉本龍, 川崎悟, 秋田穂束, 見坂恒明, 見坂恒明

  2021, 日本プライマリ・ケア連合学会学術大会(Web), 12th


• Factors Influencing Hospital Death and Home Death by a Home Care Score

  合田建, 合田建, 合田建, 見坂恒明, 見坂恒明, 見坂恒明, 八幡晋輔, 鎌田百香, 水谷直也, 水谷直也, 森寛行, 森寛行, 秋田穂束

  2021, 日本プライマリ・ケア連合学会学術大会(Web), 12th


• Diabetic ketoacidosis caused by pseudohypoglycemia due to improper blood glucose measuring; a case report.

  小林崇人, 隈部綾子, 隈部綾子, 岸本一郎, 見坂恒明

  2021, 日本プライマリ・ケア連合学会学術大会(Web), 12th


• Reviewing the diagnostic process in a case of pernicious anemia with gastric cancer where the diagnosis was delayed.

  藤田佳奈, 合田建, 秋田穂束, 見坂恒明, 見坂恒明

  2021, 日本プライマリ・ケア連合学会学術大会(Web), 12th


• Reviewing for thought process of a diagnosis difficult case of hypernatremia due to renal diabetes insipidus.

  山本大暉, 藤川萌恵美, 杉本龍, 秋田穂束, 見坂恒明, 見坂恒明

  2021, 日本プライマリ・ケア連合学会学術大会(Web), 12th


• Schmidt’s Syndrome presenting hyponatremia, chronic headache, and back pain; a case report

  上田康雅, 森寛行, 秋田穂束, 見坂恒明, 見坂恒明

  2021, 日本プライマリ・ケア連合学会学術大会(Web), 12th


• Albumin-refractory transudative ascites leading to the diagnosis of protein-losing gastric cancer; a case report.

  水谷直也, 森寛行, 秋田穂束, 見坂恒明, 見坂恒明

  2021, 日本プライマリ・ケア連合学会学術大会(Web), 12th


• 血糖測定電極の不適切な保管により偽性低血糖となり糖尿病性ケトアシドーシスを発症した1例

  小林崇人, 隈部綾子, 隈部綾子, 岸本一郎, 見坂恒明

  2021, 日本病院総合診療医学会雑誌(Web), 17


• 多剤併用によりミルクアルカリ症候群を来した1例

  水谷直也, 合田建, 合田建, 見坂恒明, 見坂恒明

  2021, 日本病院総合診療医学会雑誌(Web), 17


• Hyogo Prefectural Tamba Medical Center

  見坂 恒明

  Japan Society for Medical Education, 25 Dec. 2020, Igaku Kyoiku / Medical Education (Japan), 51(6) (6), 711 - 711, Japanese


• 連載 ケースレポートを書こう! acceptされるために必要なこと･9 ケースレポート作成の障壁とは?

  見坂 恒明, 合田 建, 鎌田 百香

  株式会社医学書院, 10 Dec. 2020, medicina, 57(13) (13), 2366 - 2370


• 連載 ケースレポートを書こう! acceptされるために必要なこと･8 査読の流れと"心折ポイント"

  八幡 晋輔, 見坂 恒明

  株式会社医学書院, 10 Nov. 2020, medicina, 57(12) (12), 2215 - 2218


• 連載 ケースレポートを書こう! acceptされるために必要なこと･7 投稿先の選択と投稿の実際

  見坂 恒明

  株式会社医学書院, 10 Oct. 2020, medicina, 57(11) (11), 1977 - 1983


• 連載 ケースレポートを書こう! acceptされるために必要なこと･6 英文校正

  見坂 恒明

  株式会社医学書院, 10 Sep. 2020, medicina, 57(10) (10), 1761 - 1765


• 連載 ケースレポートを書こう! acceptされるために必要なこと･5 倫理審査およびインフォームド･コンセント

  八幡 晋輔, 見坂 恒明

  株式会社医学書院, 10 Aug. 2020, medicina, 57(9) (9), 1597 - 1601


• 連載 ケースレポートを書こう! acceptされるために必要なこと･4 structureの原則

  合田 建, 見坂 恒明

  株式会社医学書院, 10 Jul. 2020, medicina, 57(8) (8), 1358 - 1364


• 連載 ケースレポートを書こう! acceptされるために必要なこと･3 文献はどう探す?

  隈部 綾子, 見坂 恒明

  株式会社医学書院, 10 Jun. 2020, medicina, 57(7) (7), 1187 - 1194


• 連載 ケースレポートを書こう! acceptされるために必要なこと･2 ケースレポートにできる症例･できない症例って?(後編)

  見坂 恒明

  株式会社医学書院, 10 May 2020, medicina, 57(6) (6), 999 - 1005


• 連載 ケースレポートを書こう! acceptされるために必要なこと･1【新連載】 ケースレポートにできる症例･できない症例って?(前編)

  見坂 恒明

  株式会社医学書院, 10 Apr. 2020, medicina, 57(5) (5), 762 - 766


• 入院経過中に発症したPlatypnea-Orthodeoxia Syndromeの1例

  杉本龍, 見坂恒明, 見坂恒明, 塚本祥太, 合田建, 新倉悠人, 河崎悟, 秋田穂束

  2020, 日本集中治療医学会学術集会(Web), 47th


• 当院で経験した肝蛭症の1例

  吉野裕美, 井関進也, 大前佳菜, 成田晃貴, 加藤早苗, 竹中恵美, 永田純子, 見坂恒明

  2020, 超音波検査技術, 45(1) (1)


• ホジキンリンパ腫患者に発症した,播種性クリプトコッカス症の1例

  隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明

  2020, 感染症学雑誌, 94


• EUS-FNA施行後に発症した,胃粘膜下腫瘍を侵入門戸とするStreptococcus intermidiusによる肝膿瘍の1例

  藤原稜, 隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明

  2020, 感染症学雑誌, 94


• 肝腫瘤性病変と鑑別困難であった肝蛭症の1症例

  吉野裕美, 大前佳菜, 成田晃貴, 加藤早苗, 竹中恵美, 井関進也, 永田純子, 見坂恒明

  2020, HYOGO JOURNAL, 41(1) (1)


• ホジキンリンパ腫患者に発症した,播種性クリプトコッカス症の1例

  隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明

  2020, 感染症学雑誌, 94(6) (6)


• EUS-FNA施行後に発症した,胃粘膜下腫瘍を侵入門戸とするStreptococcus intermidiusによる肝膿瘍の1例

  藤原稜, 隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明

  2020, 感染症学雑誌, 94(6) (6)


• 後腹膜脂肪肉腫の右横隔膜後リンパ節転移が疑われたメトトレキサート関連リンパ増殖性疾患の1例

  合田建, 合田建, 見坂恒明, 見坂恒明, 秋田穂束

  2020, 日本病院総合診療医学会雑誌, 16


• Integrating Longitudinality and Holistic Patient Care in Community Medicine Training

  合田建, 合田建, 見坂恒明, 見坂恒明

  2020, ジェネラリスト教育コンソーシアム, 15


• Providencia rettgeriによる高アンモニア血症を伴う閉塞性尿路感染症の1例

  藤原稜, 藤原稜, 隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明

  2020, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 90th-63rd-68th


• Haemophilus influenzae type aによる侵襲性細菌感染症の1例

  横井美咲, 合田建, 合田建, 見坂恒明, 見坂恒明

  2020, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 90th-63rd-68th


• Enterobacter asburiaeによる急性胆嚢炎の1例

  今井貞之, 見坂恒明, 見坂恒明

  2020, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 90th-63rd-68th


• 当地域で同時期に多発した肝蛭症4例の報告

  隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明, 丸山治彦

  2020, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 90th-63rd-68th


• 薬疹後にトキシックショック症候群を発症した1例

  藤原稜, 隈部綾子, 隈部綾子, 杉山陽介, 中治仁志, 岸本一郎, 恒成徹, 見坂恒明

  2020, 日本プライマリ・ケア連合学会学術大会(Web), 11th


• 非ステロイド性消炎鎮痛薬と比較した偽痛風に対するアセトアミノフェンの有効性と有害事象の後方視的検討

  水谷直也, 八幡晋輔, 見坂恒明, 見坂恒明, 岡山雅信

  2020, 日本プライマリ・ケア連合学会学術大会(Web), 11th


• インフルエンザワクチン接種当日の生活習慣がインフルエンザワクチンの効果と副反応出現に及ぼす影響

  鎌田百香, 見坂恒明, 見坂恒明, 隈部綾子, 隈部綾子, 八幡晋輔, 八幡晋輔, 岡山雅信

  2020, 日本プライマリ・ケア連合学会学術大会(Web), 11th


• 透析治療を拒否する患者に対して患者中心医療の手法を用いて“価値に基づく診療”が実践できた1例

  長谷川貴也, 石田長次, 見坂恒明

  2020, 日本プライマリ・ケア連合学会学術大会(Web), 11th


• 併設する診療所と病院の役割や機能を病院祭の研修医劇を通じて地域住民へ広報した効果についての検討

  上田康雅, 上田康雅, 合田建, 合田建, 合田建, 浅井毅, 見坂恒明, 見坂恒明, 見坂恒明, 秋田穂束

  2020, 日本プライマリ・ケア連合学会学術大会(Web), 11th


• ADA高値を示し帯状疱疹ウイルスによる髄膜炎が疑われた1例

  小林崇人, 井崎真里, 杉本龍, 秋田穂束, 見坂恒明, 見坂恒明

  2020, 日本プライマリ・ケア連合学会学術大会(Web), 11th


• 対象診療圏の診療所医師のヒアリングから得た当院に求められる役割の検討

  鈴木智大, 西岡顯, 見坂恒明

  2020, 日本プライマリ・ケア連合学会学術大会(Web), 11th


• ケースレポートポート論文作成の障壁となる要因の検討 第2報

  見坂恒明, 見坂恒明, 合田建, 合田建, 水谷直也, 鎌田百香, 立花祐毅, 小佐見光樹, 角谷慶人, 隈部綾子, 隈部綾子, 八幡晋輔

  2020, 日本プライマリ・ケア連合学会学術大会(Web), 11th


• 医学科生の地域医療に対する意欲は、どのように変化するのか 神戸大学における4年間の追跡

  八幡 晋輔, 見坂 恒明, 河野 誠司, 岡山 雅信

  (一社)日本医学教育学会, Jul. 2019, 医学教育, 50(Suppl.) (Suppl.), 233 - 233, Japanese


• 臨床研修制度の地域医療研修で経験すべき項目 初期研修医のSignificant Event Analysisからの検討

  見坂 恒明, 隈部 綾子, 八幡 晋輔, 岡山 雅信, 河野 誠司

  (一社)日本医学教育学会, Jul. 2019, 医学教育, 50(Suppl.) (Suppl.), 237 - 237, Japanese


• ニューキノロン系抗菌薬による抗菌薬関連脳症をきたした1例

  隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明

  01 Mar. 2019, 感染症学雑誌, 93, 356, Japanese


• Osteitis Condensans Ilii(和訳中)

  Kenzaka Tsuneaki, Kamada Momoka

  (一社)日本内科学会, Mar. 2019, Internal Medicine, 58(6) (6), 899 - 900, English


• Mandibular Herpes Zoster(和訳中)

  Kosami Koki, Kenzaka Tsuneaki

  (一社)日本内科学会, Feb. 2019, Internal Medicine, 58(3) (3), 459 - 460, English


• Spontaneous Pneumoperitoneum Detected Incidentally by Secondary Examination after Health Checkup

  小佐見光樹, 小佐見光樹, 水谷直也, 見坂恒明, 見坂恒明

  2019, 日本プライマリ・ケア連合学会誌(Web), 42(4) (4)


• Fusobacterium nucleatumによる横隔膜周囲多発膿瘍をきたした1例

  隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明

  2019, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 89th-62nd-67th


• Campylobacter腸炎後に発症した反応性関節炎の1例

  合田建, 合田建, 見坂恒明, 見坂恒明

  2019, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 89th-62nd-67th


• 夫婦間で発症したHaemophilus influenzae肺炎の2例

  杉本和真, 合田建, 合田建, 見坂恒明, 見坂恒明

  2019, 日本感染症学会西日本地方会学術集会・日本感染症学会中日本地方会学術集会・日本化学療法学会西日本支部総会合同開催プログラム・抄録集, 89th-62nd-67th


• 「勉強会を始めよう!―継続するカンファレンス開催のために必要なこと―」:第16回秋季セミナーの活動報告

  水谷直也, 合田建, 小佐見光樹, 浦瀬靖代, 角谷慶人, 隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明

  2019, 日本プライマリ・ケア連合学会学術大会抄録集, 10th (Web), ROMBUNNO.P‐KATSU‐140 (WEB ONLY), Japanese


• 頸髄損傷後に中枢性塩類喪失症候群(CSWS)をきたした1例

  隈部綾子, 隈部綾子, 長谷川貴也, 清水健史, 杉山陽介, 恒成徹, 見坂恒明

  2019, 日本プライマリ・ケア連合学会学術大会抄録集, 10th (Web), ROMBUNNO.P‐SHO‐026 (WEB ONLY), Japanese


• 膀胱刺激症状を呈する成年男性2事例に対する診断推論を振り返って

  水谷直也, 見坂恒明

  2019, 日本プライマリ・ケア連合学会学術大会抄録集, 10th (Web), ROMBUNNO.P‐SHO‐108 (WEB ONLY), Japanese


• ヨードホルム中毒により意識障害及び甲状腺中毒症を呈した1例

  長谷川貴也, 片山篤志, 杉山陽介, 隈部綾子, 恒成徹, 見坂恒明

  2019, 日本プライマリ・ケア連合学会学術大会抄録集, 10th (Web), ROMBUNNO.P‐SHO‐005 (WEB ONLY), Japanese


• 健康診断の二次検査で偶発的に発見された特発性気腹症の1例:特発性気腹症の症例報告及び文献レビュー

  小佐見光樹, 小佐見光樹, 水谷直也, 見坂恒明, 見坂恒明

  JAPAN PRIMARY CARE ASSOCIATION, 2019, 日本プライマリ・ケア連合学会学術大会抄録集, 10th (Web)(4) (4), ROMBUNNO.O‐056 (WEB ONLY) - 208, Japanese


• 緩和ケア病棟へ入院した大腸がん患者へ,QOLを考慮した意思決定を促し,根治術が行われた1例

  合田建, 見坂恒明, 見坂恒明, 板倉崇泰, 秋田穂束

  2019, 日本プライマリ・ケア連合学会学術大会抄録集, 10th (Web), ROMBUNNO.P‐SHO‐014 (WEB ONLY), Japanese


• Helicobacter pylori感染の関与が示唆された鉄欠乏性貧血の1例

  松崎三徳, 見坂恒明, 松崎三徳, 見坂恒明, 上田康雅, 鎌田百香, 合田建, 秋田穂束

  2019, 日本プライマリ・ケア連合学会学術大会抄録集, 10th (Web), ROMBUNNO.P‐SHO‐139 (WEB ONLY), Japanese


• Clostridium ramosumによる胆嚢炎及び菌血症の1例

  京谷萌, 見坂恒明

  17 Oct. 2018, 日本化学療法学会西日本支部総会プログラム・講演抄録, 66th, 196, Japanese


• インフルエンザ罹患後にStaphylococcus simulans(S.simulans)菌血症を伴いToxic shock syndrome(TSS)を来たした1例

  合田建, 見坂恒明, 見坂恒明

  17 Oct. 2018, 日本化学療法学会西日本支部総会プログラム・講演抄録, 66th, 179, Japanese


• ESBL産生大腸菌による感染性心内膜炎2例と文献レビュー

  隈部綾子, 隈部綾子, 見坂恒明, 見坂恒明

  17 Oct. 2018, 日本化学療法学会西日本支部総会プログラム・講演抄録, 66th, 178, Japanese


• 月単位の時間差で夫婦間に発症した過粘稠性Klebsiella pneumoniaeによる侵襲性肝膿瘍症候群の2例

  藤川萌恵美, 合田建, 見坂恒明, 見坂恒明

  17 Oct. 2018, 日本化学療法学会西日本支部総会プログラム・講演抄録, 66th, 162, Japanese


• 一般内科医および総合診療医と呼吸器科医間における肺炎ケアの質の比較検討(A comparison of pneumonia care quality between general physicians and pulmonologists)

  Kenzaka Tsuneaki, Kumabe Ayako, Mabuchi Mai, Goda Ken, Yahata Shinsuke

  (一社)日本プライマリ・ケア連合学会, Sep. 2018, Journal of General and Family Medicine, 19(5) (5), 160 - 165, English


• ホームステイ型地域医療実習が医学生の意識変化に及ぼす実習効果の検討

  見坂恒明, 見坂恒明, 八幡晋輔, 馬渕真依, 合田建, 隈部綾子, 秋田穂束, 岡山雅信

  (一社)日本医学教育学会, 01 Jul. 2018, 医学教育, 49(Suppl.) (Suppl.), 128 - 128, Japanese


• 夏季休暇に実施した地域医療体験実習(地域医療夏季セミナーinひょうご)による医学生の意識の経年変化

  八幡晋輔, 樫木孝次, 見坂恒明, 岡山雅信

  (一社)日本医学教育学会, 01 Jul. 2018, 医学教育, 49(Suppl.) (Suppl.), 240 - 240, Japanese


• 侵襲的歯科治療時における抗菌薬の予防投与の現況についての検討―兵庫県歯科医師会調査より―

  見坂恒明, 見坂恒明, 合田建

  (公社)日本化学療法学会, 25 Apr. 2018, 日本化学療法学会雑誌, 66(Supplement-A) (Supplement-A), 306 - 306, Japanese


• 胆汁から肺炎球菌が培養された侵襲性肺炎球菌感染症を伴う急性胆嚢炎の1例

  戸田誠也, 合田建, 見坂恒明, 見坂恒明, 常彬

  (公社)日本化学療法学会, 25 Apr. 2018, 日本化学療法学会雑誌, 66(Supplement-A) (Supplement-A), 264 - 264, Japanese


• 夫婦間で発症した侵襲性肺炎球菌感染症/肺炎球菌性脊椎炎の2例

  合田建, 見坂恒明, 見坂恒明, 常彬

  (公社)日本化学療法学会, 25 Apr. 2018, 日本化学療法学会雑誌, 66(Supplement-A) (Supplement-A), 289 - 289, Japanese


• Actinomyces orisによる膿胸の1例

  山本 直希, 見坂 恒明

  (一社)日本感染症学会, Mar. 2018, 感染症学雑誌, 92(2) (2), 257 - 258, Japanese


• Bacteriological testing and recurrence prevention efforts in the diagnosis and treatment of nursing- and healthcare-associated pneumonia and aspiration pneumonia: A questionnaire survey of hospitals across Japan

  Tsuneaki Kenzaka, Ayako Kumabe, Koki Kosami, Yasufumi Matsuoka, Kensuke Minami, Daisuke Ninomiya, Ayako Noda, Shinsuke Yahata

  Elsevier B.V., 01 Mar. 2018, Respiratory Investigation, 56(2) (2), 150 - 157, English


• 侵襲的歯科治療時における抗菌薬の適正使用についての検討―丹波市歯科医師会調査より―

  見坂恒明, 山本哲也, 秋田穂束

  (一社)日本内科学会, 20 Feb. 2018, 日本内科学会雑誌, 107(Suppl.) (Suppl.), 269 - 269, Japanese


• 骨吸収抑制薬関連顎骨壊死(ARONJ)に関する,歯科医師の意識調査

  八幡晋輔, 見坂恒明, 山本哲也, 岡山雅信, 秋田穂束

  (一社)日本内科学会, 20 Feb. 2018, 日本内科学会雑誌, 107(Suppl.) (Suppl.), 264 - 264, Japanese


• 歯科治療における抗凝固薬の適正使用についての検討

  山本哲也, 見坂恒明, 星島正彦, 秋田穂束

  (一社)日本内科学会, 20 Feb. 2018, 日本内科学会雑誌, 107(Suppl.) (Suppl.), 204 - 204, Japanese


• 初期研修医が入院カンファレンスでプレゼンテーションすることの教育効果

  合田建, 見坂恒明, 見坂恒明, 馬渕真依, 鈴木智大, 松崎三徳, 秋田穂束

  2018, 日本プライマリ・ケア連合学会学術大会抄録集, 9th, 282, Japanese


• 初期研修医が地域住民に健康講話を行うことによる,地域医療に対する意識変化の検討

  馬渕真依, 見坂恒明, 見坂恒明, 合田建, 鈴木智大, 松崎三徳, 秋田穂束

  2018, 日本プライマリ・ケア連合学会学術大会抄録集, 9th, 317, Japanese


• ホストファミリーから見た,ホームステイ型地域医療実習の検証―兵庫県立柏原病院夏季セミナーより―

  見坂恒明, 見坂恒明, 八幡晋輔, 馬渕真依, 合田建, 秋田穂束, 岡山雅信

  2018, 日本プライマリ・ケア連合学会学術大会抄録集, 9th, 271, Japanese


• 小学校での一次救命処置講習会が,児童の医療・介護職に対する興味に及ぼす効果

  辻村英二, 八幡晋輔, 迫健太郎, 見坂恒明, 岡山雅信

  2018, 日本プライマリ・ケア連合学会学術大会抄録集, 9th, 381, Japanese


• 下顎神経領域の帯状疱疹の1例

  小佐見光樹, 見坂恒明

  2018, 日本プライマリ・ケア連合学会学術大会抄録集, 9th, 321, Japanese


• 総合診療が地域医療における専門医や他職種連携等に与える効果についての研究 第6部 総合診療医の活動に関するモデルとなる事例集 総合診療医として急性期から退院後まで包括的に関わり,全人的ケアを提供した事例

  合田建, 鄭真徳, 小松裕和, 見坂恒明, 見坂恒明

  2018, 総合診療が地域医療における専門医や他職種連携等に与える効果についての研究 平成29年度 総括研究報告書(Web), 477‐481 (WEB ONLY), Japanese


• 明日から使える! 臨床英語論文の書き方,書かせ方(第6回)

  Kenzaka Tsuneaki

  (株)南江堂, Dec. 2017, 内科, 120(6号) (6号), 1369 - 1372, Japanese

  [Invited]

  Introduction commerce magazine


• Actinomyces orisによる膿胸の1例

  山本直希, 見坂恒明, 見坂恒明

  11 Sep. 2017, 日本化学療法学会西日本支部総会プログラム・講演抄録, 65th, 304, Japanese


• 感中肝膿瘍でメトロニダゾール(MNZ)を長期投与後、MNZ誘発性脳症を来した1例

  迫健太郎, 南建輔, Kenzaka Tsuneaki

  (一社)日本感染症学会, May 2017, 感染症学雑誌, 91(3号) (3号), 522 - 522, Japanese

  Meeting report


• Physicians' opinions regarding the criteria for resuming oral intake after aspiration pneumonia: A questionnaire survey and cluster analysis of hospitals across Japan

  Tsuneaki Kenzaka, Ayako Kumabe, Koki Kosami, Yasufumi Matsuoka, Kensuke Minami, Daisuke Ninomiya, Ayako Noda, Masanobu Okayama

  May 2017, GERIATRICS & GERONTOLOGY INTERNATIONAL, 17(5) (5), 810 - 818, English


• Physicians' opinions regarding the criteria for resuming oral intake after aspiration pneumonia: A questionnaire survey and cluster analysis of hospitals across Japan

  Tsuneaki Kenzaka, Ayako Kumabe, Koki Kosami, Yasufumi Matsuoka, Kensuke Minami, Daisuke Ninomiya, Ayako Noda, Masanobu Okayama

  May 2017, GERIATRICS & GERONTOLOGY INTERNATIONAL, 17(5) (5), 810 - 818, English

  Link to Kobe Univ. Repository (Kernel)


• 誤嚥性肺炎治療における禁食の理想と現実

  見坂恒明, 見坂恒明

  医歯薬出版(株), 01 Apr. 2017, 臨床栄養, 130(4) (4), 420‐421 - 421, Japanese


• 地域小規模医療機関における,看護師分野編成の取り組み

  八幡晋輔, 八幡晋輔, 見坂恒明, 辻村英二, 岡山雅信

  2017, 日本プライマリ・ケア連合学会学術大会抄録集, 8th, 347, Japanese


• A Patient with Cat-scratch Disease Diagnosed by Detailed Medical History and Physical Examination

  草野俊亮, 見坂恒明, 見坂恒明, 山本哲也, 秋田穂束

  Cat-scratch disease occurs after a scratch from a cat infected with Bartonella henselae. We report a 64-year-old man with cat-scratch disease who had swollen lymph nodes. Consequently, metastasis of a malignant tumor was suspected as the most likely cause in the differential diagnosis. Therefore, the diagnosis was delayed and several diagnostic examinations were performed. Although diagnosis was difficult in this case, an accurate diagnosis was achieved by taking a detailed medical history, including questioning about pet ownership, and by carefully examining the lower limbs including the femoral region. These steps are important to diagnose cat-scratch disease.

  JAPAN PRIMARY CARE ASSOCIATION, 2017, 日本プライマリ・ケア連合学会誌(Web), 40(3) (3), 156‐159(J‐STAGE) - 159, Japanese


• Acute calcific prevertebral tendinitis

  Tsuneaki Kenzaka, Ayako Kumabe

  Japanese Society of Internal Medicine, 2017, Internal Medicine, 56(12) (12), 1611 - 1611, English

  Report scientific journal


• Clostridium paraputrificum Bacteremia in an Older Patient with No Predisposing Medical Condition

  Miho Fukui, Shunsuke Iwai, Ryunosuke Sakamoto, Hiroko Takahashi, Tsuneo Hayashi, Tsuneaki Kenzaka

  2017, INTERNAL MEDICINE, 56(24) (24), 3395 - 3397, English


• リンパ節腫脹および脾腫

  見坂恒明, 見坂恒明, 秋田穂束

  (一社)日本病院総合診療医学会, 22 Dec. 2016, 日本病院総合診療医学会雑誌, 11(2) (2), 87‐90 - 90, Japanese


• The Difference between Ideal and Actual Fasting Duration in the Treatment of Patients with Aspiration Pneumonia: A Nationwide Survey of Clinicians in Japan

  Tsuneaki Kenzaka, Koki Kosami, Yasufumi Matsuoka, Ayako Noda, Ayako Kumabe

  Nov. 2016, TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE, 240(3) (3), 227 - 233, English, Domestic magazine


• The Difference between Ideal and Actual Fasting Duration in the Treatment of Patients with Aspiration Pneumonia: A Nationwide Survey of Clinicians in Japan

  Tsuneaki Kenzaka, Koki Kosami, Yasufumi Matsuoka, Ayako Noda, Ayako Kumabe

  Nov. 2016, TOHOKU JOURNAL OF EXPERIMENTAL MEDICINE, 240(3) (3), 227 - 233, English


• 担癌患者のMSSA菌血症の治療中に生じたEnterococcus raffinosusを含む複数菌菌血症の1例

  京谷萌, 見坂恒明, 見坂恒明

  13 Oct. 2016, 日本化学療法学会西日本支部総会プログラム・講演抄録, 64th, 249, Japanese


• 肝膿瘍でメトロニダゾール(MNZ)を長期投与後,MNZ誘発性脳症を来した一例

  迫健太郎, 南建輔, 見坂恒明

  13 Oct. 2016, 日本化学療法学会西日本支部総会プログラム・講演抄録, 64th, 460, Japanese


• 医学生主体の地域住民対象健康講話の地域医療教育への導入とその効果

  長谷川貴也, 八幡晋輔, Kenzaka Tsuneaki, 河野誠司, Okayama Masanobu

  (一社)日本医学教育学会, Jul. 2016, 医学教育, 47(Suppl.) (Suppl.), 244 - 244, Japanese

  [Refereed]

  Meeting report


• TV会議システムによるインタラクティブカンファレンスの学習効果及び有用性の検討

  Kenzaka Tsuneaki, Okayama Masanobu, 八幡晋輔, 在間梓, 金澤健司, 河野誠司

  (一社)日本医学教育学会, Jul. 2016, 医学教育, 47(Suppl.) (Suppl.), 250 - 250, Japanese

  [Refereed]

  Meeting report


• 化膿性脊椎炎の1例 正確な診断のための身体検査の重要性(A Case of Pyogenic Vertebral Osteomyelitis: Importance of Physical Examination for Correct Diagnosis)

  Ozaka Akihiro, Onishi Tsubasa, Ueda Yuki, Kenzaka Tsuneaki, Matsumura Masami

  (一社)日本プライマリ・ケア連合学会, Jun. 2016, Journal of General and Family Medicine, 17(2) (2), 160 - 163, English


• 髄膜炎を伴うCampylobacter insulaenigrae菌血症の1例

  京谷萌, 見坂恒明, 見坂恒明, 上霜剛, 中村竜也, 荒川創一

  (公社)日本化学療法学会, 09 May 2016, 日本化学療法学会雑誌, 64(Supplement-A) (Supplement-A), 162 - 162, Japanese


• 手指の水疱を伴う黒色皮膚病変を有したメチシリン感受性黄色ブドウ球菌(MSSA)による感染性心内膜炎の1例

  小林久也, 隈部綾子, 大西翼, 畠山修司, 森澤雄司, Kenzaka Tsuneaki

  (一社)日本感染症学会, May 2016, 感染症学雑誌, 90(3号) (3号), 414 - 414, Japanese

  Meeting report


• 黄色ブドウ球菌によるProbable Toxic Shock Syndromeに可逆性脳梁膨大部病変を伴う脳症を合併した1例

  Kenzaka Tsuneaki, 南建輔

  (一社)日本感染症学会, Mar. 2016, 感染症学雑誌, 90(2号) (2号), 253 - 253, Japanese

  Meeting report


• 積極的な病歴聴取が診断に寄与した三日熱マラリアの1例

  松岡保史, 松岡保史, 見坂恒明, 見坂恒明, 西村芳興, 西村芳興, 松村正巳

  2016, 日本プライマリ・ケア連合学会学術大会抄録集, 7th, 304, Japanese


• NHCAP及び誤嚥性肺炎診療での細菌学的検査と再発予防に関する取組の検討―呼吸器科医と総合診療医の比較―

  見坂恒明, 見坂恒明, 八幡晋輔, 八幡晋輔, 小佐見光樹, 岡山雅信

  2016, 日本プライマリ・ケア連合学会学術大会抄録集, 7th, 232, Japanese


• Spontaneous Isolated Common Hepatic Artery Dissection

  Tetsuo Yamaji, Tsuneaki Kenzaka, Ryo Nishio, Satoru Kawasaki

  2016, INTERNAL MEDICINE, 55(11) (11), 1507 - 1507, English

  Others


• 総合診療のプラクティス 患者の声に耳を傾ける 最終回 患者がいつも真実を語るとは限らない

  小佐見光樹, 見坂恒明

  (株)医学書院, 10 Dec. 2015, Medicina, 52(13) (13), 2448 - 2451, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第16回 病歴から想定される疾患を念頭に置き,注意深く身体診察する

  隈部綾子, 見坂恒明

  (株)医学書院, 10 Nov. 2015, Medicina, 52(12) (12), 2252‐2254 - 2254, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第15回 診断が難しい時こそ徹底討論による分析的推論を用いる

  八幡晋輔, 見坂恒明

  (株)医学書院, 10 Oct. 2015, Medicina, 52(11) (11), 2002 - 2005, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第14回 患者が自ら語らない症候を引き出す

  山崎海成, 見坂恒明

  (株)医学書院, 10 Sep. 2015, Medicina, 52(10) (10), 1838 - 1841, Japanese


• 黄色ブドウ球菌によるProbable Toxic Shock Syndromeに可逆性脳梁膨大部病変を伴う脳症を合併した1例

  見坂恒明, 見坂恒明, 南建輔, 南建輔

  01 Sep. 2015, 日本化学療法学会西日本支部総会プログラム・講演抄録, 63rd, 310, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第13回 診断確定で満足せず,合併症も検索する

  見坂恒明

  (株)医学書院, 10 Aug. 2015, Medicina, 52(9) (9), 1599 - 1603, Japanese


• Influenza follicles in the posterior pharyngeal wall

  Tsuneaki Kenzaka

  Aug. 2015, POSTGRADUATE MEDICAL JOURNAL, 91(1078) (1078), 472 - 472, English

  Others


• 総合診療のプラクティス 患者の声に耳を傾ける 第12回 薬剤性の疾患は,薬剤開始直後におきるとは限らない

  松岡保史, 見坂恒明

  10 Jul. 2015, Medicina, 52(8) (8), 1376 - 1378, Japanese


• 医学部1年を対象としたワークショップ形式による地域医療教育プログラムの紹介

  岡山雅信, 見坂恒明, 河野誠司

  (一社)日本医学教育学会, 10 Jul. 2015, 医学教育, 46(Suppl.) (Suppl.), 209 - 209, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける(第12回) 薬剤性の疾患は,薬剤開始直後に起きるとは限らない

  松岡保史, Kenzaka Tsuneaki

  (株)医学書院, Jul. 2015, Medicina, 52(8号) (8号), 1376 - 1378, Japanese

  Introduction commerce magazine


• 研修医のプレゼンテーション能力向上の教育の有効性についての検討

  Kenzaka Tsuneaki, 山本祐, 隈部綾子, 上田祐樹, 松村正巳

  (一社)日本医学教育学会, Jul. 2015, 医学教育, 46(Suppl.) (Suppl.), 165 - 165, Japanese

  Meeting report


• 総合診療のプラクティス 患者の声に耳を傾ける 第11回 海外渡航歴は直近だけでなく遡って聞く

  松岡保史, 見坂恒明

  (株)医学書院, 10 Jun. 2015, Medicina, 52(7) (7), 1222 - 1224, Japanese


• 繰り返し行った身体診察が診断に有用だった化膿性椎間板炎/脊椎炎の1例

  小坂明博, 大西翼, 上田祐樹, 見坂恒明, 森澤雄司, 松村正巳, 苅尾七臣, 杉山幸比古

  栃木県医学会, Jun. 2015, 栃木県医学会々誌, 45, 102 - 104, Japanese


• 感染症診療 それ,ホント?入院編 菌血症がきっかけで悪性腫瘍が見つかることがあるってホント?

  見坂恒明

  10 May 2015, Medicina, 52(6) (6), 908 - 909, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第10回「患者の訴える部位」を丁寧に診察する

  隈部綾子, 見坂恒明

  10 May 2015, Medicina, 52(6) (6), 984 - 985, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける(第10回) 「患者の訴える部位」を丁寧に診察する

  隈部綾子, Kenzaka Tsuneaki

  (株)医学書院, May 2015, Medicina, 52(6号) (6号), 984 - 985, Japanese

  Introduction commerce magazine


• 黄色ブドウ球菌菌血症に可逆性脳梁膨大部病変を伴う脳症を合併した1例

  平岡希生, 小林遼真, 小佐見光樹, 上田祐樹, Kenzaka Tsuneaki, 森澤雄司, 松村正巳, 苅尾七臣, 杉山幸比古

  日本内科学会-関東地方会, May 2015, 日本内科学会関東地方会 614回, 614回, 26 - 26, Japanese

  Meeting report


• 【感染症診療 それ,ホント?】 入院編 菌血症がきっかけで悪性腫瘍が見つかることがあるってホント?

  Kenzaka Tsuneaki

  (株)医学書院, May 2015, Medicina, 52(6号) (6号), 908 - 909, Japanese

  [Invited]

  Introduction commerce magazine


• 総合診療のプラクティス 患者の声に耳を傾ける 第9回 皮膚所見の陰に隠れた基礎疾患を見逃さない

  KENZAKA TSUNEAKI

  (株)医学書院, 10 Apr. 2015, Medicina, 52(5) (5), 771 - 773, Japanese


• TOXIC SHOCK SYNDROME FOLLOWING INFLUENZA B INFECTION

  Suzuki Hirofumi, Ayako Kumabe, Yuka Sagara, Yoshioki Nishimura, Tsuneaki Kenzaka, Masami Matsumura

  Apr. 2015, JOURNAL OF GENERAL INTERNAL MEDICINE, 30, S473 - S473, English

  Summary international conference


• 2か所の痂疲からPCR陽性になった栃木県初の日本紅斑熱の1例

  隈部綾子, 南建輔, 法月正太郎, 見坂恒明, 森澤雄司

  20 Mar. 2015, 感染症学雑誌, 89, 243, Japanese


• 誤嚥性肺炎診療の現況と感染症専門医の関わりについての検討

  見坂恒明, 南建輔, 隈部綾子

  20 Mar. 2015, 感染症学雑誌, 89, 174, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第8回 尿道カテーテルを留置中の患者では尿色の変化に注意

  KENZAKA TSUNEAKI

  (株)医学書院, 10 Mar. 2015, Medicina, 52(3) (3), 571 - 573, Japanese


• 大動脈食道穿通を伴った複数菌による人工血管感染の1例

  堀内俊男, 相良由佳, 隈部綾子, 新畑博英, Kenzaka Tsuneaki, 森澤雄司, 松村正巳, 苅尾七臣, 杉山幸比古

  日本内科学会-関東地方会, Mar. 2015, 日本内科学会関東地方会 613回, 613回, 51 - 51, Japanese

  Meeting report


• 早期に診断しえた多発性骨髄腫合併ALアミロイドーシスの1例

  中村諒, 隈部綾子, 西村芳興, 新畑博英, Kenzaka Tsuneaki, 森澤雄司, 松村正巳, 苅尾七臣, 杉山幸比古, 藤原慎一郎

  日本内科学会-関東地方会, Mar. 2015, 日本内科学会関東地方会 613回, 613回, 54 - 54, Japanese

  Meeting report


• 誤嚥性肺炎診療の現況と感染症専門医の関わりについての検討

  Kenzaka Tsuneaki, 南建輔, 隈部綾子

  (一社)日本感染症学会, Mar. 2015, 感染症学雑誌, 89(臨増) (臨増), 174 - 174, Japanese

  Meeting report


• MSSAによる恥骨結合部膿瘍の1例

  隈部 綾子, 大西 翼, 見坂 恒明

  (一社)日本感染症学会, Mar. 2015, 感染症学雑誌, 89(2) (2), 327 - 327, Japanese


• 2ヶ所の痂疲からPCR陽性になった栃木県初の日本紅斑熱の1例

  隈部綾子, 南建輔, 法月正太郎, Kenzaka Tsuneaki, 森澤雄司

  (一社)日本感染症学会, Mar. 2015, 感染症学雑誌, 89(臨増) (臨増), 243 - 243, Japanese

  Meeting report


• 総合診療のプラクティス 患者の声に耳を傾ける 第7回 red flag signを見逃さない

  KENZAKA TSUNEAKI

  (株)医学書院, 10 Feb. 2015, Medicina, 52(2) (2), 396 - 398, Japanese


• Group G Streptococcus菌血症を契機に発見された直腸癌の1例

  OMATA SHINGO, YAMAMOTO YU, KENZAKA TSUNEAKI, MORISAWA YUJI, MATSUMURA MASAMI, KARIO KAZUOMI, SUGIYAMA YUKIHIKO

  日本内科学会-関東地方会, Feb. 2015, 日本内科学会関東支部関東地方会, 612th, 51 - 51, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第6回 必要な情報は積極的に問い合わせる

  SUZUKI KOJI, KENZAKA TSUNEAKI

  (株)医学書院, 10 Jan. 2015, Medicina, 52(1) (1), 172 - 175, Japanese


• 手指の水疱を伴う黒色皮膚病変を有したメチシリン感受性黄色ブドウ球菌(MSSA)による感染性心内膜炎の一例

  小林久也, 隈部綾子, 大西翼, 畠山修司, 畠山修司, 森澤雄司, 見坂恒明

  2015, 日本感染症学会東日本地方会学術集会・日本化学療法学会東日本支部総会合同学会プログラム・抄録集, 64th-62nd


• 当科における血管内リンパ腫の臨床的特徴の検討

  鈴木紘史, 見坂恒明, 小佐見光樹, 隈部綾子, 山本祐, 上田祐樹, 西村芳興, 松村正巳

  2015, 日本プライマリ・ケア連合学会学術大会抄録集, 6th


• 当科における後期高齢者尿路感染症の臨床的特徴についての検討

  小佐見光樹, 見坂恒明, 鈴木紘史, 隈部綾子, 山本祐, 上田祐樹, 松村正巳

  2015, 日本プライマリ・ケア連合学会学術大会抄録集, 6th


• 実臨床医が誤嚥性肺炎患者の経口摂取開始の目安とする項目の抽出―全国質問紙調査結果より―

  見坂恒明, 上田祐樹, 小佐見光樹, 隈部綾子, 南建輔, 松村正巳, 岡山雅信

  2015, 日本プライマリ・ケア連合学会学術大会抄録集, 6th, 262, Japanese


• 医療・介護関連肺炎(NHCAP)における血液培養陽性に関連する因子の検討

  見坂恒明, 隈部綾子, 松岡保史, 南建輔, 南建輔, 北尾章人, 上田祐樹, 松村正巳

  2015, 日本プライマリ・ケア連合学会学術大会抄録集, 6th, 254, Japanese


• 黄色ブドウ球菌菌血症に可逆性脳梁膨大部病変を伴う脳症を合併した1例

  平岡希生, 小林遼真, 小佐見光樹, 上田祐樹, 見坂恒明, 森澤雄司, 松村正巳, 苅尾七臣, 杉山幸比古

  日本内科学会-関東地方会, 2015, 日本内科学会関東支部関東地方会, 614th, 26 - 26, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第5回 症状を訴える部位の診察は必須である

  MINAMI KENSUKE, KENZAKA TSUNEAKI

  (株)医学書院, 10 Dec. 2014, Medicina, 51(13) (13), 2420 - 2422, Japanese


• MRI検査が診断に寄与した胃癌による肥厚性幽門狭窄症の1例

  小坂 明博, 大西 翼, 上田 祐樹, 見坂 恒明, 森澤 雄司, 松村 正巳, 苅尾 七臣, 杉山 幸比古

  日本内科学会-関東地方会, Dec. 2014, 日本内科学会関東地方会, 611回, 44 - 44, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第4回 突然発症の痛みは診断が絞れ,かつ緊急を要する

  KENZAKA TSUNEAKI

  (株)医学書院, 10 Nov. 2014, Medicina, 51(12) (12), 2199 - 2201, Japanese


• 早期の治療介入により救命できた粟粒結核に続発した急性呼吸窮迫症候群(ARDS)の1例

  奥山 貴文, 相良 由佳, 隈部 綾子, 牛尾 純, 見坂 恒明, 森澤 雄司, 松村 正巳, 苅尾 七臣, 杉山 幸比古

  日本内科学会-関東地方会, Nov. 2014, 日本内科学会関東地方会, 610回, 41 - 41, Japanese


• Enterobacter aerogenes持続菌血症の原因として感染性動脈血栓が疑われた1例

  三玉 唯由季, 鈴木 紘史, 岡部 太郎, 上田 祐樹, 見坂 恒明, 森澤 雄司, 松村 正巳, 苅尾 七臣, 杉山 幸比古

  日本内科学会-関東地方会, Nov. 2014, 日本内科学会関東地方会, 610回, 44 - 44, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第3回 症状と曝露の時系列を考慮する

  KENZAKA TSUNEAKI

  (株)医学書院, 10 Oct. 2014, Medicina, 51(10) (10), 1974 - 1976, Japanese


• 全身浮腫を来した膵頭十二指腸切除術後の膵外分泌機能不全の1例

  竹内 菜緒, 相良 由佳, 隈部 綾子, 西村 芳興, 見坂 恒明, 森澤 雄司, 松村 正巳, 苅尾 七臣, 杉山 幸比古

  日本内科学会-関東地方会, Oct. 2014, 日本内科学会関東地方会, 609回, 23 - 23, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第2回 随伴症状がある時は多臓器疾患を考慮する

  KENZAKA TSUNEAKI

  (株)医学書院, 10 Sep. 2014, Medicina, 51(9) (9), 1764 - 1768, Japanese


• 診断に難渋した、バザン硬結性紅斑を伴う結核性リンパ節炎の1例

  隈部 綾子, 武田 孝一, 見坂 恒明

  (一社)日本感染症学会, Sep. 2014, 感染症学雑誌, 88(5) (5), 746 - 746, Japanese


• 重症皮膚軟部組織感染症を契機に診断に至ったCushing症候群の1例

  宮里 紘太, 大西 翼, 田辺 毅, 上田 祐樹, 見坂 恒明, 森澤 雄司, 松村 正巳, 苅尾 七臣, 杉山 幸比古

  日本内科学会-関東地方会, Sep. 2014, 日本内科学会関東地方会, 608回, 35 - 35, Japanese


• NHCAPにおける血液培養の有用性についての検討

  見坂 恒明, 隈部 綾子, 南 建輔, 武田 孝一

  (一社)日本感染症学会, Sep. 2014, 感染症学雑誌, 88(5) (5), 731 - 732, Japanese


• MSSAによる恥骨結合部膿瘍の1例

  KUMABE AYAKO, ONISHI TSUBASA, KENZAKA TSUNEAKI

  Sep. 2014, 日本感染症学会東日本地方会学術集会・日本化学療法学会東日本支部総会合同学会プログラム・抄録集, 63rd-61st, 113, Japanese


• 総合診療のプラクティス 患者の声に耳を傾ける 第1回 魅力的なキーワードに固執しない

  見坂恒明

  (株)医学書院, 10 Aug. 2014, Medicina, 51(8) (8), 1530 - 1533, Japanese


• 初期臨床研修医に対するSignificant Event Analysis(SEA)を用いた振り返りの検討

  上田祐樹, 見坂恒明, 松村正巳, 石川鎮清

  (一社)日本医学教育学会, 03 Jul. 2014, 医学教育, 45(Suppl.) (Suppl.), 181 - 181, Japanese


• インフルエンザB型罹患後に発症したToxic Shock Syndromeの1例

  鈴木紘史, 相良由佳, 隈部綾子, 西村芳興, 見坂恒明, 森澤雄司, 松村正巳, 苅尾七臣, 杉山幸比古

  日本内科学会-関東地方会, Jul. 2014, 日本内科学会関東支部関東地方会, 607th, 41 - 41, Japanese


• 非誤嚥性肺炎と比較した、誤嚥性肺炎の血液培養の有用性についての検討

  隈部 綾子, 南 建輔, 武田 孝一, 見坂 恒明

  栃木県医学会, Jun. 2014, 栃木県医学会々誌, 44, 50 - 51, Japanese


• 初発痙攣を契機に診断された左横S状静脈洞硬膜動静脈瘻の1例

  池田奈津子, 南建輔, 牛尾純, 見坂恒明, 森澤雄司, 松村正巳, 苅尾七臣, 杉山幸比古, 難波克成

  日本内科学会-関東地方会, Jun. 2014, 日本内科学会関東支部関東地方会, 606th, 28 - 28, Japanese


• 産褥期のtoxic shock syndromeの1例

  高村 典子, 山本 祐, 上田 祐樹, 見坂 恒明

  栃木県医学会, Jun. 2014, 栃木県医学会々誌, 44, 38 - 40, Japanese


• 経尿道的膀胱腫瘍切除術遠隔期にみられたpseudo‐renal failureの1例

  滝直也, 隈部綾子, 工藤路子, 西村芳興, 見坂恒明, 森澤雄司, 松村正巳, 苅尾七臣, 杉山幸比古

  日本内科学会-関東地方会, Jun. 2014, 日本内科学会関東支部関東地方会, 606th, 23 - 23, Japanese


• 診断に難渋した,バザン硬結性紅斑を伴う結核性リンパ節炎の1例

  隈部綾子, 武田孝一, 見坂恒明

  (公社)日本化学療法学会, 19 May 2014, 日本化学療法学会総会プログラム・講演抄録, 62nd(Suppl.A) (Suppl.A), 242 - 242, Japanese


• NHCAPにおける血液培養の有用性についての検討

  見坂恒明, 隈部綾子, 南建輔, 武田孝一

  (公社)日本化学療法学会, 19 May 2014, 日本化学療法学会総会プログラム・講演抄録, 62nd(Suppl.A) (Suppl.A), 224 - 224, Japanese


• 自発性孤立性腹腔動脈解離(Spontaneous Isolated Celiac Artery Dissection)

  Kenzaka Tsuneaki

  (一社)日本内科学会, Apr. 2014, Internal Medicine, 53(8) (8), 923 - 923, English


• 地域医療臨床実習において診療以外で地域住民とふれ合う機会

  南 建輔, 岡山 雅信, 上田 祐樹, 小松 憲一, 森田 喜紀, 山本 祐, 見坂 恒明, 竹島 太郎, 中村 剛史, 梶井 英治

  (公社)全国国民健康保険診療施設協議会, Mar. 2014, 地域医療, 53rd (CD-ROM)(第53回特集号) (第53回特集号), 752 - 753, Japanese


• 健康成人に発症したA群β溶連菌による筋間膿瘍を形成した左大腿部化膿性筋炎の1例

  南 建輔, 隈部 綾子, 武田 孝一, 見坂 恒明

  (一社)日本感染症学会, Mar. 2014, 感染症学雑誌, 88(2) (2), 252 - 252, Japanese


• 悪性リンパ腫の下垂体浸潤により著明な全身性浮腫を来した1例

  滝直也, 隈部綾子, 西村芳興, 見坂恒明, 松村正巳, 相川政紀, 森政樹, 小澤敬也, 佐久間裕司

  日本内科学会-関東地方会, Mar. 2014, 日本内科学会関東支部関東地方会, 604th, 36 - 36, Japanese


• 連載 目でみるトレーニング

  見坂 恒明, 西 和男, 矢島 隆二, 西澤 正豊

  株式会社医学書院, 10 Feb. 2014, medicina, 51(2) (2), 362 - 367


• 東南アジア長期在住歴がある患者に発症した肝蛭症の1例

  上田佳孝, 高村典子, 二宮大輔, 山本祐, 見坂恒明, 松村正巳, 法月正太郎, 五味晴美, 森澤雄司, 松岡裕之

  日本内科学会-関東地方会, Feb. 2014, 日本内科学会関東支部関東地方会, 603rd, 73 - 73, Japanese


• 意識障害で来院した脳底動脈先端症候群の1例

  安済達也, 見坂恒明, 田辺毅, 大西翼, 森田喜紀, 森澤雄司, 松村正巳, 苅尾七臣, 杉山幸比古

  日本内科学会-関東地方会, Feb. 2014, 日本内科学会関東支部関東地方会, 603回, 67 - 67, Japanese


• 総胆管結石による胆管炎に門脈血栓症を合併した1例

  南建輔, 宮崎賢治, 牛尾純, 見坂恒明, 松村正巳

  2014, 日本プライマリ・ケア連合学会学術大会抄録集, 5th, 251, Japanese


• 食道アカラシアによる繰り返す嘔吐から高度の代謝性アルカローシスを呈した1例

  滝直也, 隈部綾子, 西村芳興, 牛尾純, 見坂恒明, 松村正巳

  2014, 日本プライマリ・ケア連合学会学術大会抄録集, 5th, 246, Japanese


• 誤嚥性肺炎における週末からの経口摂取再開が診療へ及ぼす影響

  見坂恒明, 岡山雅信, 隈部綾子, 南建輔, 武田孝一, 二宮大輔, 上田祐樹, 高橋毅, 竹島太郎, 松村正巳, 梶井英治

  2014, 日本プライマリ・ケア連合学会学術大会抄録集, 5th, 148, Japanese


• 海外渡航歴が存在したために診断に苦慮した大腸憩室炎の1例

  宮崎賢治, 南建輔, 牛尾純, 見坂恒明, 松村正巳

  2014, 日本プライマリ・ケア連合学会学術大会抄録集, 5th, 247, Japanese


• MRI検査が病態の理解に有用であった心室中部閉塞性肥大型心筋症の1例

  見坂恒明

  Japan Heart Foundation, 15 Dec. 2013, 心臓, 45(12) (12), 1525 - 1528, Japanese


• 脳脊髄液減少症患者における磁気共鳴脊髄造影(Magnetic Resonance Myelography in a Patient with Cerebrospinal Fluid Hypovolemia)

  Kenzaka Tsuneaki

  (一社)日本内科学会, Dec. 2013, Internal Medicine, 52(23) (23), 2691 - 2691, English


• 連載 目でみるトレーニング

  隈部 綾子, 見坂 恒明, 藤田 映輝, 稲葉 芳絵

  株式会社医学書院, 10 Oct. 2013, medicina, 50(10) (10), 1862 - 1867


• 両肺のすりガラス陰影の診断に経気管支肺生検が有用であった悪性リンパ腫の1例

  宮永明子, 南建輔, 森田喜紀, 見坂恒明, 間藤尚子, 大嶺謙

  日本内科学会-関東地方会, Oct. 2013, 日本内科学会関東支部関東地方会, 600回, 33 - 33, Japanese


• 大腸癌を合併したStreptococcus gallolyticusによる感染性心内膜炎の1例

  高村典子, 南建輔, 森田喜紀, 見坂恒明

  日本内科学会-関東地方会, Oct. 2013, 日本内科学会関東支部関東地方会, 600回, 41 - 41, Japanese


• 健康成人に発症したA群β溶連菌による筋間膿瘍を形成した左大腿部化膿性筋炎の一例

  南建輔, 隈部綾子, 武田孝一, 見坂恒明

  Oct. 2013, 日本感染症学会東日本地方会学術集会・日本化学療法学会東日本支部総会合同学会プログラム・抄録集, 62nd-60th, 142, Japanese


• 横紋筋融解症のCT画像(Computed Tomography Images of Rhabdomyolysis)

  Kenzaka Tsuneaki, Takeda Koichi

  (一社)日本内科学会, Aug. 2013, Internal Medicine, 52(15) (15), 1761 - 1761, English


• 特徴的なCT画像所見を認めた横紋筋融解症の1例

  齋藤浩史, 上田祐樹, 武田孝一, 見坂恒明, 山本佑, 森田善紀

  日本内科学会-関東地方会, Jun. 2013, 日本内科学会関東支部関東地方会, 597th, 21 - 21, Japanese


• S状結腸憩室炎を契機に発症した門脈血栓症の1例

  小川真由子, 上田祐樹, 武田孝一, 山本祐, 森田喜紀, 見坂恒明

  日本内科学会-関東地方会, Jun. 2013, 日本内科学会関東支部関東地方会, 597回, 25 - 25, Japanese


• 連載 目でみるトレーニング

  鳥飼 圭人, 宇根 一暢, 野田 章子, 見坂 恒明

  株式会社医学書院, 10 May 2013, medicina, 50(5) (5), 908 - 914


• 誤嚥性肺炎における血液培養についての検討

  武田孝一, 隈部綾子, 見坂恒明

  (一社)日本感染症学会, 07 May 2013, 感染症学雑誌, 87(臨増) (臨増), 225 - 225, Japanese


• 胸痛 (特集 動きながら判断する! 内科エマージェンシー)

  森田 喜紀, 見坂 恒明

  羊土社, May 2013, レジデントノート, 15(3) (3), 460 - 468, Japanese


• 動きながら判断する!内科エマージェンシー 胸痛

  森田喜紀, 見坂恒明

  (株)羊土社, May 2013, レジデントノート, 15(3) (3), 460 - 468, Japanese


• A case of hyperammonemia due to obstructive urinary tract infection

  SOENO Shoko, KENZAKA Tsuneaki, TAKEDA Koichi, TANAKA Yuichiro, KUROKI Shigehiro

  症例は88歳，女性．基礎疾患として肝機能障害はなく，神経因性膀胱とAlzheimer型認知症がある．高アンモニア血症による意識障害で当院に入院した．尿閉があり導尿したところ，速やかに意識障害は消失し高アンモニア血症も改善した．尿培養からウレアーゼ試験陽性のCorynebacterium urealyticumが検出され，ウレアーゼ産生菌が原因の閉塞性尿路感染症による高アンモニア血症と診断した．高齢者の高アンモニア血症の鑑別疾患として，排尿障害，特にウレアーゼ産生菌による尿路感染症を考える必要がある．
  

  The Japanese Society of Internal Medicine, 10 Apr. 2013, 日本内科学会雑誌, 102(4) (4), 976 - 978, Japanese


• 閉塞性尿路感染症にて高アンモニア血症を呈した1例

  添野祥子, 見坂恒明, 武田孝一, 田中裕一郎, 黒木茂広

  The Japanese Society of Internal Medicine, 10 Apr. 2013, 日本内科学会雑誌, 102(4) (4), 976 - 978, Japanese


• 実習前の学生は地域医療臨床実習において地域社会活動の経験が必要と思っているのか?

  岡山雅信, 小松憲一, 山本祐, 森田喜紀, 見坂恒明, 竹島太郎, 神田健史, 石川鎮清, 三瀬順一, 梶井英治

  (公社)全国国民健康保険診療施設協議会, Mar. 2013, 地域医療, 52nd (CD-ROM)(第52回特集号) (第52回特集号), 1099 - 1100, Japanese


• 誤嚥性肺炎における経口摂取再開後の再誤嚥に関連する要因の検討

  見坂恒明, 竹島太郎, 隈部綾子, 武田孝一, 野田章子, 上田祐樹, 岡山雅信, 黒木茂広, 梶井英治

  (一社)日本内科学会, 20 Feb. 2013, 日本内科学会雑誌, 102(Suppl.) (Suppl.), 229 - 229, Japanese


• 成人発症川崎病の1例

  永江世佳, 上田祐樹, 野田章子, 山本祐, 森田喜紀, 見坂恒明

  日本内科学会-関東地方会, Feb. 2013, 日本内科学会関東支部関東地方会, 594回, 47 - 47, Japanese


• 地域の理解や住民との交流の経験は地域医療臨床実習の評価に影響するか

  岡山雅信, 小松憲一, 森田喜紀, 山本祐, 上田祐樹, 見坂恒明, 竹島太郎, 中村剛史, 梶井英治

  2013, 日本プライマリ・ケア連合学会学術大会抄録集, 4th, 285, Japanese


• 心臓刺激伝導障害による失神を来したマイコプラズマ肺炎の1例

  隈部綾子, 見坂恒明, 森田喜紀, 黒木茂広

  2013, 日本プライマリ・ケア連合学会学術大会抄録集, 4th, 325, Japanese


• 誤嚥性肺炎における早期からの経口摂取再開の有用性の検討

  見坂恒明, 竹島太郎, 隈部綾子, 武田孝一, 野田章子, 上田祐樹, 南建輔, 高橋毅, 岡山雅信, 黒木茂広, 梶井英治

  2013, 日本プライマリ・ケア連合学会学術大会抄録集, 4th, 146, Japanese


• コクサッキーウイルスA4型の関与が考えられた成人発症川崎病の一例

  上田祐樹, 山本祐, 森田喜紀, 見坂恒明

  2013, 日本プライマリ・ケア連合学会学術大会抄録集, 4th, 326, Japanese


• Magnetic Resonance Myelography in a Patient with Cerebrospinal Fluid Hypovolemia

  Kenzaka Tsuneaki

  The Japanese Society of Internal Medicine, 2013, Internal Medicine, 52(23) (23), 2691 - 2691


• Magnetic Resonance Myelography in a Patient with Cerebrospinal Fluid Hypovolemia

  KENZAKA TSUNEAKI

  2013, Intern Med (Web), 52(23) (23), 2691 - 2691, English


• Computed tomography images of rhabdomyolysis

  Tsuneaki Kenzaka, Koichi Takeda

  The Japanese Society of Internal Medicine, 2013, Internal Medicine, 52(15) (15), 1761 - 1761, English

  Report scientific journal


• Computed Tomography Images of Rhabdomyolysis

  KENZAKA TSUNEAKI, TAKEDA KOICHI

  2013, Intern Med (Web), 52(15) (15), 1761 - 1761, English


• 自治医大附属病院総合診療部グランドカンファレンス

  見坂 恒明, 高村 典子, 山本 祐, 坂谷 貴司

  (一社)日本プライマリ・ケア連合学会, 21 Dec. 2012, 日本プライマリ・ケア連合学会誌, 35(4) (4), 363 - 370, Japanese


• Enterococcus duransにより亜急性感染性心内膜炎とblood access感染を来した1例

  高村典子, 隈部綾子, 野田章子, 山本祐, 上田祐樹, 見坂恒明

  日本内科学会-関東地方会, Dec. 2012, 日本内科学会関東支部関東地方会, 593rd, 36 - 36, Japanese


• ERで感染症診療をはじめる前に 2 ERでの感染症診療に役立つ検査と微生物学的検査 生化学,画像検査/培養,迅速キット

  見坂恒明

  20 Nov. 2012, 救急・ERノート, 6, 25 - 34, Japanese


• 【症候と疾患から迫る!ERの感染症診療 疑い、探し、組み立てる実践的な思考プロセス】 (序章)ERで感染症診療をはじめる前に ERでの感染症診療に役立つ検査と微生物学的検査 生化学、画像検査/培養、迅速キット

  見坂 恒明

  (株)羊土社, Nov. 2012, レジデントノート, 別冊(救急・ERノート6) (救急・ERノート6), 25 - 34, Japanese


• 膀胱精嚢合併切除・尿路変更術後に陰茎海綿体膿瘍を来した1例

  隈部綾子, 武田孝一, 山本祐, 見坂恒明

  日本内科学会-関東地方会, Oct. 2012, 日本内科学会関東支部関東地方会, 591st, 33 - 33, Japanese


• 恥骨結合の偽痛風(急性結晶沈着性関節炎)の1例

  若林徹治, 武田孝一, 森田喜紀, 見坂恒明

  日本内科学会-関東地方会, Oct. 2012, 日本内科学会関東支部関東地方会, 591回, 19 - 19, Japanese


• 自治医科大学におけるAdvanced OSCEの試み

  見坂恒明, 石川鎮清, 黒木茂広, 岡崎仁昭

  (一社)日本医学教育学会, 04 Jul. 2012, 医学教育, 43(Suppl.) (Suppl.), 163 - 163, Japanese


• 患者コンテクストを意識した臨床推論能力獲得を目的とした参加型臨床実習の新たな試み

  山本祐, 岡山雅信, 見坂恒明, 牧野伸子, 三瀬順一, 石川鎮清, 黒木茂広, 梶井英治

  (一社)日本医学教育学会, 04 Jul. 2012, 医学教育, 43(Suppl.) (Suppl.), 139 - 139, Japanese


• 繰り返し施行した尿中抗原が診断に有用であったレジオネラ肺炎の1例

  武田孝一, 見坂恒明, 黒木茂広, 五家里栄, 齋藤奈緒子, 長坂昌一郎

  日本内科学会-関東地方会, Jul. 2012, 日本内科学会関東支部関東地方会, 589th, 43 - 43, Japanese


• 基礎心疾患を有さず,右心室中隔膜様部に黄色ブドウ球菌による感染性心内膜炎を来した1例

  福井美保, 福井美保, 山邊健司, 見坂恒明

  日本心臓病学会, 15 Jun. 2012, 日本心臓病学会誌, 7(2) (2), 86 - 90, Japanese


• 転移性悪性黒色腫の診断におけるメラニン尿(Melanuria in the Diagnosis of Metastatic Melanoma)

  Takeda Koichi, Kenzaka Tsuneaki, Kuroki Shigehiro, Kajii Eiji

  (一社)日本内科学会, Jun. 2012, Internal Medicine, 51(12) (12), 1649 - 1649, English


• 実地医家のための臨床検査のすすめかた・評価のしかた 1 初期診療の基本検査とその評価

  見坂恒明, 梶井英治

  22 May 2012, Med Pract, 29, 2 - 8, Japanese


• 閉塞性尿路感染症にて高アンモニア血症を呈した1例

  添野祥子, 見坂恒明, 武田孝一, 田中裕一郎, 津本順史, 黒木茂広

  日本内科学会-関東地方会, May 2012, 日本内科学会関東支部関東地方会, 587th, 27 - 27, Japanese


• 【実地医家のための臨床検査のすすめかた・評価のしかた 疑いから確定診断までの検査項目の選択と総合評価】 初期診療の基本検査とその評価

  見坂 恒明, 梶井 英治

  (株)文光堂, May 2012, Medical Practice, 29(臨増) (臨増), 2 - 8, Japanese


• Lemierre症候群の1例

  武田孝一, 小屋敷洋平, 浅岡真理子, 見坂恒明, 津本順史, 黒木茂広, 梶井英治

  日本内科学会-関東地方会, May 2012, 日本内科学会関東支部関東地方会, 587th, 27 - 27, Japanese


• 北関東3県における診療所への空間的アクセスの比較

  中村晃久, 岡山雅信, 中村剛史, 原田昌範, 見坂恒明, 古城隆雄, 阿江竜介, 藍原雅一, 梶井英治

  (公社)全国国民健康保険診療施設協議会, Mar. 2012, 地域医療, 51st (CD-ROM)(第51回特集号) (第51回特集号), 1128 - 1129, Japanese


• 診療科目別にみた診療所へのアクセス~距離を用いた指標~

  中村剛史, 岡山雅信, 中村晃久, 原田昌範, 古城隆雄, 見坂恒明, 阿江竜介, 藍原雅一, 梶井英治

  (公社)全国国民健康保険診療施設協議会, Mar. 2012, 地域医療, 51st (CD-ROM)(第51回特集号) (第51回特集号), ROMBUNNO.14 - 302, Japanese


• 実習前の学生が地域医療臨床実習で学びたいと思っている実習項目

  小松憲一, 岡山雅信, 森田喜紀, 山本祐, 見坂恒明, 竹島太郎, 神田健史, 中村剛史, 石川鎮清, 三瀬順一, 梶井英治

  2012, 日本プライマリ・ケア連合学会学術大会抄録集, 3rd, 199, Japanese


• 自治医大附属病院総合診療部グランドカンファレンス

  見坂 恒明, 高村 典子, 山本 祐, 坂谷 貴司

  JAPAN PRIMARY CARE ASSOCIATION, 2012, 日本プライマリ・ケア連合学会誌, 35(4) (4), 363 - 370, Japanese


• 高血圧治療患者は減塩しているのか?

  村上順一, 岡山雅信, 竹島太郎, 原田昌範, 藤原真治, 永山学, 中村剛史, 小松憲一, 見坂恒明, 梶井英治

  2012, 日本プライマリ・ケア連合学会学術大会抄録集, 3rd, 151, Japanese


• 急性腎盂炎に化膿性脊椎炎と腸腰筋膿瘍を合併した一例

  鎮西祐美, 見坂恒明, 津本順史, 黒木茂広, 梶井英治

  2012, 日本プライマリ・ケア連合学会学術大会抄録集, 3rd, 209, Japanese


• 咽頭痛から始まるkiller disease―Lemierre症候群の2例―

  山本祐, 見坂恒明, 武田孝一, 森田喜紀, 梶井英治

  2012, 日本プライマリ・ケア連合学会学術大会抄録集, 3rd, 266, Japanese


• プライマリ・ケアセッティングにおける敗血症死亡の臨床予測ルール

  見坂恒明, 竹島太郎, 岡山雅信, 南建輔, 黒木茂広, 梶井英治

  2012, 日本プライマリ・ケア連合学会学術大会抄録集, 3rd, 146, Japanese


• Melanuria in the Diagnosis of Metastatic Melanoma

  Koichi Takeda, Tsuneaki Kenzaka, Shigehiro Kuroki, Eiji Kajii

  2012, INTERNAL MEDICINE, 51(12) (12), 1649 - 1649, English

  Others


• Melanuria in the Diagnosis of Metastatic Melanoma

  Koichi Takeda, Tsuneaki Kenzaka, Shigehiro Kuroki, Eiji Kajii

  2012, INTERNAL MEDICINE, 51(12) (12), 1649 - 1649, English

  Others


• Importance of Vital Signs to the Early Diagnosis and Severity of Sepsis: Association between Vital Signs and Sequential Organ Failure Assessment Score in Patients with Sepsis

  Tsuneaki Kenzaka, Masanobu Okayama, Shigehiro Kuroki, Miho Fukui, Shinsuke Yahata, Hiroki Hayashi, Akihito Kitao, Daisuke Sugiyama, Eiji Kajii, Masayoshi Hashimoto

  2012, INTERNAL MEDICINE, 51(8) (8), 871 - 876, English, Domestic magazine


• Importance of Vital Signs to the Early Diagnosis and Severity of Sepsis: Association between Vital Signs and Sequential Organ Failure Assessment Score in Patients with Sepsis

  Tsuneaki Kenzaka, Masanobu Okayama, Shigehiro Kuroki, Miho Fukui, Shinsuke Yahata, Hiroki Hayashi, Akihito Kitao, Daisuke Sugiyama, Eiji Kajii, Masayoshi Hashimoto

  2012, INTERNAL MEDICINE, 51(8) (8), 871 - 876, English


• これからの高齢者医療―診断・治療・予防への対応《高齢者と地域医療》地域で行う高齢者医療の卒後教育

  見坂恒明, 橋本正良

  (株)南江堂, 01 Dec. 2011, 内科, 108(6) (6), 1224 - 1226, Japanese


• 抗菌薬投与中に発熱・頸部痛を来たしcrowned dens syndromeと診断した1例

  林宏樹, 八幡晋輔, 下敷領美保, 北尾章人, 加藤知恵子, 見坂恒明

  The Japanese Society of Internal Medicine, 10 Aug. 2011, 日本内科学会雑誌, 100(8) (8), 2253 - 2255, Japanese


• 感染症のエンピリックセラピー(経験的治療)のすすめかたとコツ 2.外来診療における主な感染症のエンピリックセラピーの抗菌薬の選択と使いかた

  見坂恒明, 橋本正良

  11 Apr. 2011, Med Pract, 28, 177 - 182, Japanese


• 【新版 感染症診療実践ガイド 有効な抗菌薬の使いかたのすべて】 感染症のエンピリックセラピー(経験的治療)のすすめかたとコツ 外来診療における主な感染症のエンピリックセラピーの抗菌薬の選択と使いかた

  見坂 恒明, 橋本 正良

  (株)文光堂, Apr. 2011, Medical Practice, 28(臨増) (臨増), 177 - 182, Japanese


• ノカルジア肺炎の経過中に急性心筋梗塞を併発し循環不全・呼吸不全を来たした1剖検例

  下敷領美保, 見坂恒明, 林宏樹, 北尾章人

  (一社)日本感染症学会, 20 Mar. 2011, 感染症学雑誌, 85(2) (2), 203 - 203, Japanese


• 当科にて経験した硬膜外膿瘍の3症例

  稲熊良仁, 松本一宏, 原田拓, 福島秀彰, 阿久津博彦, 見坂恒明, 原田昌範, 津本順史, 黒木茂広

  日本内科学会-関東地方会, Mar. 2011, 日本内科学会関東支部関東地方会, 579th, 38 - 38, Japanese


• 痛風発作後に導入されたアロプリノールによる薬剤性過敏症症候群(Drug‐induced Hyper sensitivity;DIHS)が強く疑われた1症例

  稲熊良仁, 松本一宏, 原田拓, 福島秀彰, 阿久津博彦, 見坂恒明, 原田昌範, 津本順史, 森田真紀子

  日本内科学会-関東地方会, Mar. 2011, 日本内科学会関東支部関東地方会, 579th, 24 - 24, Japanese


• 食道アカラシアに合併した高Ca血症を伴う食道癌の1例

  福島秀彰, 見坂恒明, 稲熊良仁, 原田昌範, 津本順史, 黒木茂広

  日本内科学会-関東地方会, Feb. 2011, 日本内科学会関東支部関東地方会, 578th, 39 - 39, Japanese


• 敗血症におけるバイタルサインの評価~呼吸数の重要性について~

  見坂恒明, 岡山雅信, 八幡晋輔, 下敷領美保, 北尾章人, 林宏樹, 梶井英治, 黒木茂広, 橋本正良

  2011, 日本プライマリ・ケア連合学会学術大会抄録集, 2nd, 150, Japanese


• 研究対象外地域の情報がアクセシビリティ評価に与える影響

  中村剛史, 岡山雅信, 藍原雅一, 原田昌範, 竹島太郎, 見坂恒明, 関根沙耶花, 梶井英治

  2011, 日本プライマリ・ケア連合学会学術大会抄録集, 2nd, 172, Japanese


• e‐ラーニングを用いた若手医師に対する臨床教育への試み

  見坂恒明, 伊藤光宏, 橋本正良

  (一社)日本医学教育学会, 10 Jul. 2010, 医学教育, 41(Suppl.) (Suppl.), 54 - 54, Japanese


• サイトメガロウイルスによる伝染性単核球症に脾梗塞を合併した1例

  北尾 章人, 金田 好弘, 下敷領 美保, 林 宏樹, 見坂 恒明

  (一社)日本感染症学会, May 2010, 感染症学雑誌, 84(3) (3), 387 - 387, Japanese


• 糖尿病患者における運動療法の頻度と血流依存性血管拡張反応およびHbA_1Cとの関連

  谷口勝茂, 井垣誠, 見坂恒明

  25 Apr. 2010, 糖尿病, 53(Supplement 1) (Supplement 1), S.139, Japanese


• 糖尿病患者における運動療法の頻度と血流依存性血管拡張反応およびHbA1cとの関連

  谷口 勝茂, 井垣 誠, 見坂 恒明

  (一社)日本糖尿病学会, Apr. 2010, 糖尿病, 53(Suppl.1) (Suppl.1), S - 139, Japanese


• 基本手技習得の場としての総合診療科

  見坂恒明, 下敷領美保, 濱口敏和, 南建輔, 松岡裕樹, 八幡晋輔, 林宏樹, 北尾章人, 中村幸子

  2010, 日本プライマリ・ケア連合学会学術大会抄録集, 1st, 67, Japanese


• 右心室中隔膜様部に感染性心内膜炎を来たした一例

  下敷領美保, 見坂恒明, 北尾章人, 山邊健司, 佐藤友昭

  2010, 日本循環器学会近畿地方会(Web), 110th, WEB ONLY KINKI110,B33, Japanese


• レスパイト入院により在宅人工呼吸管理を継続できたCOPDおよび拡張型心筋症に合併した中枢型睡眠時無呼吸の1例

  水守康之, 石田長次, 井田恭正, 見坂恒明, 米田正樹

  公立八鹿病院, 01 Nov. 2009, 公立八鹿病院誌, (18) (18), 9 - 12, Japanese


• サイトメガロウイルスによる伝染性単核球症に脾梗塞を合併した一例

  北尾章人, 金田好弘, 下敷領美保, 林宏樹, 見坂恒明

  26 Oct. 2009, 日本化学療法学会西日本支部総会プログラム・講演抄録, 57th, 257, Japanese


• 日常診療のピットフォール 腹痛を主訴とした糖尿病の1初診例

  Kenzaka Tsuneaki

  (株)羊土社, Oct. 2009, レジデントノート, 11巻, 7号, pp. 1024-1025(7) (7), 1024 - 1025, Japanese

  Introduction scientific journal


• 敗血症の早期重症度判定におけるプロカルシトニンキットの有用性についての検討

  見坂恒明, 下敷領美保, 北尾章人, 林宏樹, 高部倫敬

  20 Jul. 2009, 感染症学雑誌, 83(4) (4), 458 - 459, Japanese


• 診療の秘訣 慢性閉塞性肺疾患の急性増悪に対する基本的留意点

  Kenzaka Tsuneaki

  (株)新興医学出版社, Jul. 2009, Modern Physician, 29巻, 7号, pp. 1064-1064(7) (7), 1064 - 1064, Japanese

  Introduction scientific journal


• 糖尿病非専門医が診る地域病院での2型糖尿病治療の特徴―兵庫県但馬地方の調査より―

  見坂恒明, 石田岳史, 高部倫敬

  (一社)日本糖尿病学会, 25 Apr. 2009, 糖尿病, 52(Supplement 1) (Supplement 1), S.123 - 123, Japanese


• 積極的な運動療法の介入が生活習慣病患者の血流依存性血管拡張反応に与える影響

  井垣誠, 谷口勝茂, 石田岳史, 見坂恒明, 西岡正明

  (一社)日本糖尿病学会, 25 Apr. 2009, 糖尿病, 52(Supplement 1) (Supplement 1), S.112 - 112, Japanese


• 運動療法の頻度が糖尿病患者の血流依存性血管拡張反応およびHbA_1Cに与える影響

  谷口勝茂, 井垣誠, 石田岳史, 見坂恒明, 西岡正明

  25 Apr. 2009, 糖尿病, 52(Supplement 1) (Supplement 1), S.112, Japanese


• 日常診療のピットフォール 敗血症を呈した腎盂腎炎の1症例

  八幡 晋輔, 見坂 恒明, 小谷 和彦, 石田 岳史

  羊土社, Apr. 2009, レジデントノート, 11(1) (1), 92 - 94, Japanese


• 日常診療のピットフォール こんなところに落とし穴が?!敗血症を呈した腎盂腎炎の1症例

  八幡晋輔, 見坂恒明, 小谷和彦, 石田岳史

  羊土社, 01 Apr. 2009, レジデントノート, 11(1) (1), 92 - 94, Japanese


• 日常診療のピットフォール 腸腰筋膿瘍合併高齢者肺炎の1症例

  見坂 恒明, 高部 倫敬, 小谷 和彦, 石田 岳史

  羊土社, Mar. 2009, レジデントノート, 10(12) (12), 1871 - 1874, Japanese


• 日常診療のピットフォール こんなところに落とし穴が?!腸腰筋膿瘍合併高齢者肺炎の1症例

  見坂恒明, 高部倫敬, 小谷和彦, 石田岳史

  羊土社, 01 Mar. 2009, レジデントノート, 10(12) (12), 1871 - 1874, Japanese


• 尿路感染に伴う高アンモニア血症の検討

  加藤健, 日野拓耶, 高部倫敬, 加藤知恵子, 林宏樹, 三村令児, 見坂恒明, 石田岳史

  (一社)日本内科学会, 20 Feb. 2009, 日本内科学会雑誌, 98(Suppl.) (Suppl.), 246 - 246, Japanese


• へき地における2型糖尿病治療の特徴―兵庫県但馬地方の調査より―

  見坂恒明, 石田岳史

  (一社)日本内科学会, 20 Feb. 2009, 日本内科学会雑誌, 98(Suppl.) (Suppl.), 183 - 183, Japanese


• 日常診療のピットフォール うつ状態を前景とした小脳腫瘍の1症例

  見坂恒明, 石田岳史, 下敷領美保, 山本はるか, 小谷和彦

  (株)羊土社, 01 Feb. 2009, レジデントノート, 10(11) (11), 1730 - 1731, Japanese


• 救急領域の不整脈診療に関する調査

  山田博之, 見坂恒明

  2009, 日本プライマリ・ケア学会学術会議プログラム・抄録集, 32nd, 184, Japanese


• 感染性心内膜炎の診断にPETが有用であった一例

  下敷領美保, 見坂恒明, 北尾章人, 山邊健司, 名越良治, 矢坂義則

  2009, 日本循環器学会近畿地方会(Web), 108th, WEB ONLY KINKI108,E-09, Japanese


• プロカルシトニンキットと敗血症診療 プライマリ・ケアにおけるプロカルシトニン検査の位置づけ

  見坂恒明, 下敷領美保, 北尾章人, 林宏樹, 山田博之, 高部倫敬, 加藤健

  2009, 日本プライマリ・ケア学会学術会議プログラム・抄録集, 32nd, 184, Japanese


• 日常診療のピットフォール CT検査にて胃内異物が疑われた1症例

  Kenzaka Tsuneaki

  (株)羊土社, Jan. 2009, レジデントノート, 10巻, 10号, pp. 1541-1542(10) (10), 1541 - 1542, Japanese

  Introduction scientific journal


• 日常診療のピットフォール こんなところに落とし穴が?!CT検査にて胃内異物が疑われた1症例

  加藤健, 見坂恒明, 石田岳史, 小谷和彦

  01 Jan. 2009, レジデントノート, 10(10) (10), 1541 - 1542, Japanese


• Usefulness of virtual histology™ in identifying the ultrasound attenuation behind coronary atheroma

  Tsuneaki Kenzaka, Takeshi Ishida, Atsushi Hayashi, Ryoji Nagoshi, Shinko Kyo, Akihiko Ishida, Nobuaki Igarashi, Yoshinori Yasaka

  12 Dec. 2008, Japanese Journal of Interventional Cardiology, 23, 343 - 349


• 日常診療のピットフォール アルコール臭のしない急性アルコール中毒の1症例 アルコール臭がしないこともある 分類 診断のピットフォール

  Kenzaka Tsuneaki

  (株)羊土社, Dec. 2008, レジデントノート, 10巻, 9号, pp. 1393-1394(9) (9), 1393 - 1394, Japanese

  [Refereed]

  Introduction scientific journal


• 日常診療のピットフォール こんなところに落とし穴が?!アルコール臭のしない急性アルコール中毒の1症例

  見坂恒明, 小谷和彦, 石田岳史

  01 Dec. 2008, レジデントノート, 10(9) (9), 1393 - 1394, Japanese


• Virtual Histologyを用いたGrayscale IVUSにおける後方エコー減衰を伴うプラークの検討

  見坂恒明, 石田岳史, 林篤志, 名越良治, 姜臣鎬, 石田明彦, 五十嵐宣明, 矢坂義則

  40MHzのgrayscale血管内超音波検査(IVUS)でエコー減衰を観察した連続10症例(全例男性、平均64.7±11.6歳)について、20MHz Virtual Histology IVUS(VH-IVUS)を用いてその組織構成を検討した。エコー減衰を伴うプラークをその組織構成によりlipid rich群とnecrotic core群の2群に分類し、更にnecrotic core群を石灰化の特徴等から石灰化なし、塊状石灰化、微小石灰化の三つの亜型に分類した。プラークの組織構成で、fibro-fatty成分又はnecrotic core成分を多く含むこと、高いプラーク面積率を有することがエコー減衰の要因となっている可能性がある。また微小石灰化を伴う多量のnecrotic coreはPCI後にslow flowを生じやすいことが示唆された。

  日本心血管インターベンション学会, 10 Oct. 2008, Jpn J Interv Cardiol, 23(5) (5), 343 - 349, Japanese


• Usefulness of Virtual Histology^ in identifying the Ultrasound Attenuation behind Coronary Atheroma

  KENZAKA Tsuneaki, ISHIDA Takeshi, HAYASHI Atsushi, NAGOSHI Ryoji, KYO Shinko, ISHIDA Akihiko, IGARASHI Nobuaki, YASAKA Yoshinori

  10 Oct. 2008, Japanese journal of interventional cardiology, 23(5) (5), 343 - 349, Japanese


• 日常診療のピットフォール RSウイルス感染症の1成人例

  日野 拓耶, 見坂 恒明, 石田 岳史, 小谷 和彦

  羊土社, Oct. 2008, レジデントノート, 10(7) (7), 1064 - 1066, Japanese


• こんなところに落とし穴が?!日常診療のピットフォール RSウイルス感染症の1成人例

  日野拓耶, 見坂恒明, 石田岳史, 小谷和彦

  羊土社, 01 Oct. 2008, レジデントノート, 10(7) (7), 1064 - 1066, Japanese


• 日常診療のピットフォール こんなところに落とし穴が?!デング熱の1例

  坂田純一, 見坂恒明, 石田岳史, 小谷和彦

  (株)羊土社, 01 Aug. 2008, レジデントノート, 10(5) (5), 794 - 795, Japanese


• 日常診療のピットフォール 急性の左胸痛で発見された骨腫瘍の1例

  見坂 恒明, 石田 岳史, 加藤 健, 小谷 和彦

  羊土社, Jul. 2008, レジデントノート, 10(4) (4), 638 - 640, Japanese


• 日常診療のピットフォール こんなところに落とし穴が?!急性の左胸痛で発見された骨腫瘍の1例

  見坂恒明, 石田岳史, 加藤健, 小谷和彦

  羊土社, 01 Jul. 2008, レジデントノート, 10(4) (4), 638 - 640, Japanese


• 日常診療のピットフォール こんなところに落とし穴が?!健診でスポーツ心臓とされてきた症例

  懸樋英一, 小谷和彦, 見坂恒明, 石田岳史

  (株)羊土社, 01 Jun. 2008, レジデントノート, 10(3) (3), 484 - 485, Japanese


• 生活習慣病患者における運動療法の実践は年齢と血流依存性血管拡張反応の関係に影響を与えるか

  井垣誠, 谷口勝茂, 西岡正明, 石田岳史, 見坂恒明, 謝紹東

  JAPANESE PHYSICAL THERAPY ASSOCIATION, 20 Apr. 2008, 理学療法学, 35(Supplement 2) (Supplement 2), 221 - D0390, Japanese


• 女性生活習慣病患者における血流依存性血管拡張反応に関する検討―運動療法施行群と非施行群での比較―

  谷口勝茂, 井垣誠, 西岡正明, 石田岳史, 見坂恒明, 謝紹東

  【目的】血管内皮は、脈管トーン、細胞増殖、血小板と白血球の相互作用、血栓形成を管理している多数の因子を分泌する大きなパラクライン器官である。血管内皮機能の障害は、アテローム性動脈硬化症、高血圧および心疾患の病態における重要な要因の一つであると考えられている。血流依存性血管拡張反応（FMD）は、血管内皮機能を評価し、動脈硬化性疾患の早期診断における検査として注目されている。本研究の目的は、女性生活習慣病患者のFMDが通院による運動療法の有無により違いがあるかどうかを検討することである。<BR>【方法】対象は、高血圧、糖尿病、脂質異常症のいずれかの診断を受けた当院に受診中の女性患者18名である。当院リハビリ室に通院し、週2回以上の運動療法を1年以上継続している10名（年齢69.6±5.1歳）を施行群、運動療法を実施していない8名（年齢59.0±10.0歳）を非施行群として両群の上腕動脈のFMD（ユネクス社製汎用超音波画像診断装置UNEXEF18Gを使用

  JAPANESE PHYSICAL THERAPY ASSOCIATION, 20 Apr. 2008, 理学療法学, 35(Supplement 2) (Supplement 2), 221 - D0389, Japanese


• 390 生活習慣病患者における運動療法の実践は年齢と血流依存性血管拡張反応の関係に影響を与えるか(内部障害系理学療法,一般演題(ポスター発表演題),第43回日本理学療法学術大会)

  井垣 誠, 谷口 勝茂, 西岡 正明, 石田 岳史, 見坂 恒明, 謝 紹東

  【目的】多くの血管は血流の増加、すなわち、shear stress（ずり応力）によって反応する。この現象を血流依存性血管拡張反応（FMD）と称し、FMDの主要なメディエーターは、血管内皮に由来するNO（一酸化窒素）である。近年、血管内皮機能障害の重症度が心、脳血管イベントの危険性に関係することが報告されており、FMDは早期の動脈硬化性変化としての血管内皮機能を評価することができる。本研究の目的は、年齢とFMDにおける変化率の関係が定期的な運動療法を実行している生活習慣病患者と健常者において違いがあるかどうかを検討することである。
  【方法】対象は、高血圧、糖尿病、脂質異常症のいずれかの診断を受けた当院に受診中の患者15名（年齢68.7±6.7歳、男性3名、女性12名）である。患者は当院リハビリ室に通院し、週2回以上の運動療法を1年以上継続している。運動療法はトレッドミル、自転車エルゴメータを使用し、無酸素性代謝閾値の範囲内における強度での有酸素運動を主体に実施した。一方、41歳以上の健常者51名（年齢50.6±5.9歳、男性13名、女性38名）を対照群とした。FMDは汎用超音波画像診断装置UNEXEF18G（ユネクス社製）を使用し、上腕動脈の変化率を測定した。変化率とは、駆血再灌流後の最大拡張血管径と安静時血管径との差を安静時血管径で除し、その値を百分率で示したものである。患者群、対照群それぞれの年齢と変化率の相関関係を検討し、その回帰直線の位置関係を比較した。
  【結果】年齢と変化率の関係について、患者群では有意な相関を示し（r=－0.56、p<0.05）、対照群においても有意な相関を認めた（r=－0.47、p<0.01）。両群の回帰直線の比較では、患者群は対照群よりも上方へほぼ平行にシフトしていた。
  【考察】年齢と変化率の関係は負の相関関係にあることが報告されているが、本研究においても同様の結果を得た。生活習慣病の病態では変化率は低値を示すことが予測され、FMDは動脈硬化の早期診断における検査として期待されている。我々は生活習慣病患者に対し、通院での運動療法の実践により病態のコントロールを目指す取り組みを展開しており、本事業において、腹囲の減少およびインスリン抵抗性に関する指標の改善が得られたことを報告した（第42回本学術大会）。運動療法がFMDを改善させることについてはいくつかの報告はあるものの、本装置を用いた知見は十分得られていない。患者群の年齢と変化率の回帰直線が対照群と比較して上方へシフトしていたという本研究の結果から、運動療法は生活習慣病を有していても血管内皮機能を改善させ、加齢による変化率の低下を緩徐にさせる可能性が示唆された。今後は、年齢層をマッチングさせたうえでの検討を行い、FMDが生活習慣病の運動療法教育において活用できるよう検証していきたい。
  

  公益社団法人日本理学療法士協会, 20 Apr. 2008, 理学療法学, 35(2) (2), D0390 - D0390, Japanese


• 心臓MRI検査が病態の理解に有用であった心室中部閉塞性肥大型心筋症の一例

  見坂恒明, 石田岳史, 林篤志, 名越良治, 姜臣鎬, 石田明彦, 五十嵐宣明, 矢坂義則, 上田通雅

  (一社)日本循環器学会, 20 Oct. 2007, Circ J, 71(Supplement 3) (Supplement 3), 996 - 996, Japanese


• 63)心臓MRI検査が病態の理解に有用であった心室中部閉塞症肥大型心筋症の一例(第103回日本循環器学会近畿地方会)

  見坂 恒明, 石田 岳史, 林 篤志, 名越 良治, 姜 臣鎬, 石田 明彦, 五十嵐 宣明, 矢坂 義則, 上田 通雅

  社団法人日本循環器学会, 20 Oct. 2007, Circulation journal : official journal of the Japanese Circulation Society, 71(0) (0), 996 - 996, Japanese


• スキー場直近医療施説でのスキー・スノーボード外傷の検討

  脇貴洋, 桜井敦志, 澤村悟, 中山伸一, 見坂恒明, 石田長次

  01 Sep. 2007, 中部日本整形外科災害外科学会雑誌, 50, 133, Japanese


• Usefulness of Virtual Histology to Identify the Ultrasound Attenuation behind a Coronay Atheroma

  KENZAKA TSUNEAKI, ISHIDA TAKESHI, HAYASHI ATSUSHI, NAGOSHI RYOJI, KAN SHINKO, ISHIDA AKIHIKO, IGARASHI NOBUAKI, YASAKA YOSHINORI

  30 May 2007, Jpn J Interv Cardiol, 22(Supplement 1) (Supplement 1), 263, English


• 多量の血栓を伴う左外腸骨動脈閉塞に対しdistal protection下にPTAを施行した1例

  林篤志, 名越良治, 見坂恒明, 姜臣鎬, 石田明彦, 五十嵐宣明, 矢坂義則

  (一社)日本循環器学会, 20 Apr. 2007, Circ J, 71(Supplement 2) (Supplement 2), 923 - 923, Japanese


• 左総腸骨動脈慢性閉塞に対するPTA後,対側下肢動脈急性閉塞を生じた一例

  姜臣鎬, 林篤志, 名越良治, 見坂恒明, 石田明彦, 五十嵐宣明, 矢坂義則

  (一社)日本循環器学会, 20 Apr. 2007, Circ J, 71(Supplement 2) (Supplement 2), 923 - 923, Japanese


• 180 通院での運動療法によるインスリン抵抗性に関する指標の変化について(内部障害系理学療法2, 第42回日本理学療法学術大会)

  井垣 誠, 謝 紹東, 山崎 陽一郎, 佐野 憲康, 西岡 正明, 見坂 恒明, 石田 岳史

  公益社団法人日本理学療法士協会, 20 Apr. 2007, 理学療法学, 34(2) (2), 90 - 90, Japanese


• 176)左総腸骨動脈慢性閉塞に対するPTA後,対側下肢動脈急性閉塞を生じた一例(第102回日本循環器学会近畿地方会)

  姜 臣鎬, 林 篤志, 名越 良治, 見坂 恒明, 石田 明彦, 五十嵐 宣明, 石田 明彦, 矢坂 義則

  社団法人日本循環器学会, 20 Apr. 2007, Circulation journal : official journal of the Japanese Circulation Society, 71(0) (0), 923 - 923, Japanese


• 169)多量の血栓を伴う左外腸骨動脈閉塞に対しdistal protection下にPTAを施行した1例(第102回日本循環器学会近畿地方会)

  林 篤志, 名越 良治, 見坂 恒明, 姜 臣鎬, 石田 明彦, 五十嵐 宣明, 矢坂 義則

  社団法人日本循環器学会, 20 Apr. 2007, Circulation journal : official journal of the Japanese Circulation Society, 71(0) (0), 923 - 923, Japanese


• 通院での運動療法によるインスリン抵抗性に関する指標の変化について

  井垣 誠, 謝 紹東, 山崎 陽一郎, 佐野 憲康, 西岡 正明, 見坂 恒明, 石田 岳史

  JAPANESE PHYSICAL THERAPY ASSOCIATION, Apr. 2007, 理学療法学, 34巻, Suppl.2, pp. 90-90(0) (0), D0180 - D0180, Japanese


• へき地小規模病院におけるスキー・スノーボード外傷の検討

  脇貴洋, 中山伸一, 寺下聡, 見坂恒明, 上田通雅, 石田長次

  (一社)日本臨床救急医学会, Apr. 2007, 日本臨床救急医学会雑誌, 10(2) (2), 224 - 224, Japanese


• へき地でのICLSコース開催

  脇貴洋, 山邊健司, 上田通雅, 黒田達実, 高木信明, 矢坂義則, 見坂恒明, 石田岳史

  (一社)日本臨床救急医学会, Apr. 2007, 日本臨床救急医学会雑誌, 10(2) (2), 262 - 262, Japanese


• 医学教育におけるへき地医療経験の有用性

  石田岳史, 見坂恒明, 秋田穂束

  (一社)日本内科学会, 20 Feb. 2007, 日本内科学会雑誌, 96(Suppl.) (Suppl.), 234 - 234, Japanese


• IVUSによるdeep attenuationの臨床的意義Virtual Histologyを用いた検討

  見坂恒明, 石田岳史, 林篤志, 五十嵐宣明, 石田明彦, 姜臣鎬, 名越良治, 矢坂義則

  20 Feb. 2007, 日本内科学会雑誌, 96, 185, Japanese


• 有酸素運動が血流依存性血管拡張反応に与える影響について

  谷口 勝茂, 井垣 誠, 西岡 正明, 謝 紹東(MD), 見坂 恒明(MD), 石田 岳史(MD)

  【目的】生活習慣病患者の治療の目的は、動脈硬化性疾患の予防にある。これまで、動脈硬化度を評価する検査には頚動脈エコー、脈波伝播速度が用いられてきた。近年、より早期の動脈硬化の危険性を評価できる血流依存性血管拡張反応（FMD）を用いた検査が開発されたが、この方法を使用し運動療法の効果を評価した研究は少ない。本研究の目的は血管内皮機能を反映するとされるFMDを用いて血管径を評価し、有酸素運動前後の急性効果としての反応を観察することである。
  【方法】対象は健常男性１名（31歳）、メタボリックシンドロームの男性1名（57歳）の2名であり、それぞれ症例1、症例2とした。FMDの測定は、20分間のエルゴメーターによる有酸素運動の前後に行った。本来、空腹、安静時に測定するが、今回は、上腕動脈を探る5分間を安静の条件とした。運動強度は運動負荷試験にてAT pointを測定し、ATレベルの心拍数にて実施した。検査は、ユネクス社製汎用超音波画像診断装置UNEXEF18Gを使用し、マンシェットで収縮期血圧に70mmHgを加えた値で上腕を5分間駆血し、その後、駆血を開放し、虚血再灌流による血管径の変化を経時的に測定した。今回は、本測定機器で表される安静時血管径を駆血前血管径、最大拡張径を虚血再灌流後血管径とした。
  【結果】症例1：駆血前血管径は運動前3.44mm、運動後3.61mm、虚血再灌流後血管径はそれぞれ3.86mm、4.13mm、拡張量は0.42mm、0.52mmであった。症例2：駆血前血管径は運動前4.08mm、運動後4.08mm、虚血再灌流後血管径はそれぞれ4.25mm、4.27mm、拡張量は、0.17mm、0.19mmであった。
  【考察】FMDは血管内皮細胞から分泌される血管拡張作用を有するNOの反応を観察しているとされている。今回の結果から、症例1において、有酸素運動の急性効果として、駆血前血管径、虚血再灌流後血管径が拡張する血管内皮機能が忠実に確認できたと思われる。症例2では、運動前後を比較して、駆血前血管径は全く拡張せず、虚血再灌流後血管径の変化が殆んどなかった。この理由としてインスリン抵抗性に起因する動脈硬化の病態を表していることが考えられ、また、加齢による血管の器質的変化の影響も否定できない。今回使用したFMDは、血管の探索は手動でありながらも測定は自動化され、臨床検査として汎化し易い検査機器である。このように、血流が増加するshear stressによる血管拡張が簡便に数値化できることは、運動療法の効果判定に臨床上利用するデータとして有用であると考えられた。しかし現在、基礎データの集積が不十分であり、健常者、生活習慣病患者の血管動態が認識できているとは言えない。今後、長期間の運動療法におけるデータの収集に加え、脈波伝播速度など他のデータとの比較が必要である。
  

  社団法人 日本理学療法士協会近畿ブロック, 2007, 近畿理学療法学術大会, 2007, 94 - 94, Japanese


• 急性発症の左胸痛で発見された類骨骨腫の1例

  2007


• 日常診療のピットフォール ペースメーカー不全を疑った1例

  KENZAKA TSUNEAKI, ISHIDA TAKESHI

  (株)羊土社, Jan. 2007, レジデントノート, 8巻, 10号, pp. 1460-1461(10) (10), 1460 - 1461, Japanese

  Introduction scientific journal


• 日常診療のピットフォール こんなところに落とし穴が?! ペースメーカー不全を疑った1例

  見坂恒明, 石田岳史, 石田明彦, 小谷和彦

  01 Jan. 2007, レジデントノート, 8(10) (10), 1460 - 1461, Japanese


• 当院における生活習慣病患者に対する運動療法の取り組み

  井垣 誠, 山崎 陽一郎, 佐野 憲康, 西岡 正明, 謝 紹東, 見坂 恒明, 石田 岳史

  30 Nov. 2006, 日本病態栄養学会誌, 9(4) (4), 394 - 394, Japanese


• メタボリックシンドローム 当院における生活習慣病患者に対する運動療法の取り組み

  井垣誠, 山崎陽一郎, 佐野憲康, 西岡正明, 謝紹東, 見坂恒明, 石田岳史

  (一社)日本病態栄養学会, 20 Nov. 2006, 日本病態栄養学会誌, 9(4) (4), 394 - 394, Japanese


• 兵庫県但馬地域での外傷救急システム

  脇貴洋, 中山伸一, 椋棒農夫也, 倉橋卓男, 山邊健司, 上田通雅, 見坂恒明, 石田長次

  20 Apr. 2006, 日本外傷学会雑誌, 20(2) (2), 204, Japanese


• 日常診療のピットフォール ペースメーカー不全を疑った1例

  2006, レジデントノート, 8巻, 10号, pp. 1460-1461


• 医学教育におけるへき地医療経験の有用性

  2006, 日本内科学会雑誌, 96巻, Suppl., pp. 234-234


• IVUSによるdeep attenuationの臨床的意義Virtual HistologyTMを用いた検討

  2006, 日本内科学会雑誌, 96巻, Suppl., pp. 185-185

• オールインワン経験症例を学会・論文発表するTips

  見坂, 恒明

  金芳堂, Feb. 2025, Japanese, ISBN: 9784765320252


• 絶対身につけたい効果的な症例プレゼンテーションの仕方とその応用 : 即役立つ!

  見坂, 恒明

  金芳堂, Apr. 2024, Japanese, ISBN: 9784765319942


• オールインワン経験症例を学会・論文発表するTips

  見坂, 恒明

  金芳堂, Dec. 2020, Japanese, ISBN: 9784765318488


• 病院総合診療医学 I症候編 / リンパ節腫脹及び脾腫

  Kenzaka Tsuneaki, 秋田穂束

  Others, 大道学館出版部, Sep. 2017, Japanese

  Textbook


• 総合診療専門医マニュアル / インフルエンザ，喘息，慢性閉塞肺疾患（COPD）

  Kenzaka Tsuneaki

  Others, 南江堂, May 2017, Japanese

  Textbook


• 目でみるトレーニング 第3集． / 問題20・問題70・問題119

  Kenzaka Tsuneaki

  Others, 医学書院, 2016, Japanese

  Scholarly book


• 新・総合診療医学 病院総合診療医学編 第2版 / 医療面接

  Kenzaka Tsuneaki

  Others, カイ書林, 2015, Japanese

  Textbook


• 新・総合診療医学―病院総合診療医学編第2版

  見坂 恒明

  カイ書林, 2015


• 症状と患者背景に合わせた頻用薬の使い分け / 抗インフルエンザ薬

  Kenzaka Tsuneaki

  Others, 羊土社, 2015, Japanese

  Scholarly book


• 初期対応に自信がつく！治療薬レジデントマニュアル

  見坂 恒明

  羊土社, 2014


• サンフォード感染症治療ガイド2014

  見坂 恒明

  ライフサイエンス社, 2014


• Inner Consultation 内なる診療 / Problem? What problem?

  Kenzaka Tsuneaki

  Others, －, 2014, Japanese

  Scholarly book


• Inner Consultation 内なる診療

  見坂 恒明

  カイ書林, 2014


• 症例を診て問題を解いて学ぶ自治医科大学内科研修トレーニング

  見坂 恒明

  メジカルビュー社, 2013


• サンフォード感染症治療ガイド2013

  見坂 恒明

  ライフサイエンス社, 2013


• 治療薬・治療指針ポケットマニュアル2012

  見坂 恒明

  羊土社, 2012


• サンフォード感染症治療ガイド2012

  見坂 恒明

  ライフサイエンス社, 2012


• つまずき症例で学ぶ 薬の処方徹底トレーニング

  見坂 恒明

  羊土社, 2011


• サンフォード感染症治療ガイド2011

  見坂 恒明

  ライフサイエンス社, 2011


• サンフォード感染症治療ガイド2010

  見坂 恒明

  ライフサイエンス社, 2010

• 肋骨骨折の疼痛刺激によりSIADH(抗利尿ホルモン分泌異常症)を来した1例

  中井翼, 辻村英二, 山本哲也, 中治仁志, 恒成徹, Kenzaka Tsuneaki

  第219回日本内科学会近畿地方会, Mar. 2018, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• 慢性腎臓病患者に発症した慢性肉芽腫性浸潤性副鼻腔真菌症の1例

  京谷萌, 山崎海成, 浦瀬靖代, 後藤葉一, 谷本俊次, Kenzaka Tsuneaki

  第219回日本内科学会近畿地方会, Mar. 2018, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• 高齢者の非アルコール性ウェルニッケ脳症の1例

  岡副佑城, 合田建, 佐和琢磨, 藤井康和, 河崎悟, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第219回日本内科学会近畿地方会, Mar. 2018, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• 好酸球浸潤を伴う急性胆嚢炎を合併した血管免疫芽球性T細胞性リンパ腫(AITL)の1例

  玉川晃太朗, 坂本龍之介, 藤井康和, 西崎朗, 秋田穂束, 大宮悟志, 藤田恒憲, Kenzaka Tsuneaki, 北尾章人

  第219回日本内科学会近畿地方会, Mar. 2018, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• Enterococcus faecalisによる急性腎盂腎炎から菌血症及び髄膜炎を合併した1例

  木村敬一, 山本哲也, 中治仁志, 恒成徹, Kenzaka Tsuneaki

  第219回日本内科学会近畿地方会, Mar. 2018, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• 大腸腺腫を合併したstreptococcus salivariusによる頸椎化膿性脊椎炎/椎間板炎の1例

  辻村英二, 山本哲也, 中治仁志, 岸本一郎, 恒成徹, Kenzaka Tsuneaki

  第218回日本内科学会近畿地方会, Dec. 2017, Japanese, 日本内科学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• 帯状疱疹によるElsberg症候群にSIADHを合併した1例

  藤川萌恵美, 松本正憲, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第218回日本内科学会近畿地方会, Dec. 2017, Japanese, 日本内科学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• 人工関節置換術後の腸恥滑液包炎により下肢浮腫を生じた1例

  坂本龍之介, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, 振角和利, Kenzaka Tsuneaki

  第218回日本内科学会近畿地方会, Dec. 2017, Japanese, 日本内科学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• 癌性髄膜炎による食欲不振、性格変化を認めた肺腺癌の1例

  西垣春菜, 鎌田百香, 中治仁志, Kenzaka Tsuneaki

  第218回日本内科学会近畿地方会, Dec. 2017, Japanese, 日本内科学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• IgA血管炎の経過中にヘパリン起因性血小板減少症を合併した1例

  山崎海成, 京谷萌, 浦瀬靖代, 後藤葉一, Kenzaka Tsuneaki

  第218回日本内科学会近畿地方会, Dec. 2017, Japanese, 日本内科学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• 入院カンファレンスで医学生がプレゼンテーションを行うことの教育効果

  合田建, Kenzaka Tsuneaki, 馬渕真依, 戸田誠也, 鈴木智大, 坂本龍之介, 秋田穂束

  第31回日本プライマリ・ケア連合学会近畿地方会, Nov. 2017, Japanese, 日本プライマリ・ケア連合学会, 大津, Domestic conference

  [Invited]

  Poster presentation


• 下肢感覚異常と膀胱直腸障害で発症したVZVによる髄膜炎尿閉症候群の1例

  馬渕真依, Kenzaka Tsuneaki, 藤川萌恵美, 坂本龍之介, 合田建, 秋田穂束

  第31回日本プライマリ・ケア連合学会近畿地方会, Nov. 2017, Japanese, 日本プライマリ・ケア連合学会, 大津, Domestic conference

  [Invited]

  Oral presentation


• Actinomyces orisによる膿胸の1例

  山本直希, Kenzaka Tsuneaki

  第60回日本感染症学会中日本地方会学術集会, Oct. 2017, Japanese, 日本感染症学会, 長崎, Domestic conference

  [Invited]

  Oral presentation


• 全身性エリテマトーデスによるプロテインS活性低下の経過中に，ワルファリン誘発性皮膚壊死を認めた1例

  鎌田百香, 中治仁志, 恒成徹, Kenzaka Tsuneaki

  第217回日本内科学会近畿地方会, Sep. 2017, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• 出血性脳梗塞を来した左房粘液腫の1例

  松本正憲, 佐和琢磨, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第217回日本内科学会近畿地方会, Sep. 2017, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• ラニナミビルが誘因と考えられた虚血性腸炎の1例

  鈴木智大, 上田隆, 合田建, 野村雄大, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第217回日本内科学会近畿地方会, Sep. 2017, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• Moraxella catarrhalis菌血症を契機に多発性骨髄腫の診断に至った1例

  徳田浩亮, 山本哲也, 中治仁志, 岸本一郎, 恒成徹, Kenzaka Tsuneaki

  第217回日本内科学会近畿地方会, Sep. 2017, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• Epstein-Barr Virus（EBV）による伝染性単核球症に急性精巣上体炎を合併した1例

  迫健太郎, Kenzaka Tsuneaki, 恒成徹

  第217回日本内科学会近畿地方会, Sep. 2017, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• 兵庫県における地域医療教育の取り組み：地域医療夏期セミナーinひょうご（活動報告）

  Yahata Shinsuke, 樫木 孝次, Kenzaka Tsuneaki, Okayama Masanobu

  日本プライマリ・ケア連合学会第31回近畿地方会, Jul. 2017, Japanese, Japan Primary Care Association, 大津, Domestic conference

  [Invited]

  Poster presentation


• 単純ヘルペスによる急性心筋炎及び急性肝炎を来した1例

  山本哲也, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第216回日本内科学会近畿地方会, Jul. 2017, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• オセルタミビルによる免疫学的薬剤性血小板減少が疑われた1例

  阿瀬井宏佑, 樋田紫子, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第216回日本内科学会近畿地方会, Jul. 2017, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• インフルエンザ感染に右腸腰筋炎を合併した1例

  水木真平, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第216回日本内科学会近畿地方会, Jul. 2017, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• Clinically Mild Encephalitis/Encephalopathy with a Reversible Splenial Lesion Caused by Infection.

  Kenzaka Tsuneaki, 小佐見 光樹

  15th Annual Congress of International Drug Discovery Science & Technology (IDDST), Jul. 2017, English, BIT Congress, 大阪, International conference

  [Invited]

  Oral presentation


• 地域小規模医療機関における、看護師分野編成の取り組み

  Yahata Shinsuke, Kenzaka Tsuneaki, 辻村 英二, Okayama Masanobu

  第8回日本プライマリ・ケア連合学会学術大会, May 2017, Japanese, 日本プライマリ・ケア連合学会, 高松, Domestic conference

  [Invited]

  Poster presentation


• ホームスティ型地域医療実習におけるホストファミリーの思いの調査－兵庫県立柏原病院夏季セミナーより―

  Kenzaka Tsuneaki, Yahata Shinsuke, Okayama Masanobu

  The 8th Annual Conference of Japan Primary Care Association, May 2017, Japanese, Japan Primary Care Association, 高松, Domestic conference

  [Invited]

  Poster presentation


• 関節リウマチの経過中にたこつぼ型心筋症を発症した1例

  辻本誠長, Kenzaka Tsuneaki, 樋田紫子, 山本哲也, 佐和琢磨, 西尾亮, 河﨑悟, 西崎朗, 秋田穂束

  第215回日本内科学会近畿地方会, Mar. 2017, Japanese, 日本内科学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• リファンピシンによる免疫学的薬剤性血小板減少をきたした結核性胸腹膜炎の1例

  鈴木智大, 水木真平, 松本正憲, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第215回日本内科学会近畿地方会, Mar. 2017, Japanese, 日本内科学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• 地域住民に対する健康講話の意義とその学び

  楠原 達樹, 八幡 晋輔, Kenzaka Tsuneaki, Kawano Seiji, Okayama Masanobu

  日本プライマリ・ケア連合学会第30回近畿地方会, Nov. 2016, Japanese, Japan Primary Care Association, 和歌山, Domestic conference

  [Invited]

  Poster presentation


• 担癌患者のMSSA菌血症の治療中に生じたEnterococcus raffinosus を含む複数菌菌血症の1例

  京谷萌, Kenzaka Tsuneaki

  第59回日本感染症学会中日本地方会学術集会, Nov. 2016, Japanese, 日本感染症学会, 那覇, Domestic conference

  [Invited]

  Oral presentation


• 小学校での一次救命処置講習会が、児童とその保護者、および教員に与える影響

  辻村 英二, 八幡 晋輔, Kenzaka Tsuneaki, Okayama Masanobu

  日本プライマリ・ケア連合学会第30回近畿地方会, Nov. 2016, Japanese, Japan Primary Care Association, 和歌山, Domestic conference

  [Invited]

  Poster presentation


• 肝膿瘍でメトロニダゾール（MNZ）を長期投与後，MNZ脳症を来した一例

  迫健太郎, 南建輔, Kenzaka Tsuneaki

  第59回日本感染症学会中日本地方会学術集会, Nov. 2016, Japanese, 日本感染症学会, 那覇, Domestic conference

  [Invited]

  Oral presentation


• 咽頭後壁のリンパ濾胞を認めたマイコプラズマ肺炎の一例

  水木真平, 京谷萌, 樋田紫子, 秋田穂束, Kenzaka Tsuneaki

  第30回日本プライマリ・ケア連合学会近畿地方会, Nov. 2016, Japanese, 日本プライマリ・ケア連合学会, 和歌山, Domestic conference

  [Invited]

  Oral presentation


• へき地小病院での医学部生病院実習が、病院職員に与える影響

  八幡 晋輔, 辻村 英二, Kenzaka Tsuneaki, Okayama Masanobu

  日本プライマリ・ケア連合学会第30回近畿地方会, Nov. 2016, Japanese, Japan Primary Care Association, 和歌山, Domestic conference

  [Invited]

  Poster presentation


• Cause and Responsible Microorganisms of Bacteremia after Gastrointestinal Surgery

  Yusuke Taki, Kenzaka Tsuneaki, Ko Ohata, Masaya Watanabe, Hideyuki Kanemoto, Shinsuke Sato, Takashi Nakamura, Taro Takeshima, Noriyuki Oba, Masakazu Takagi

  American College of Surgeons, Clinical Congress 2016, Oct. 2016, English, American College of Surgeons, Washington, DC, USA, International conference

  [Invited]

  Poster presentation


• 急性胆嚢炎にたこつぼ型心筋症を合併した1例

  宮田潮, 樋田紫子, 山本哲也, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第213回日本内科学会近畿地方会, Sep. 2016, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• メチシリン耐性黄色ブドウ球菌（MRSA）による脳室心房（VA）シャント感染を発症した1例

  鎌田百香, 藤原えり, 南建輔, 中治仁志, 恒成徹, Kenzaka Tsuneaki

  第213回日本内科学会近畿地方会, Sep. 2016, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• Probable Toxic Shock Syndrome（TSS）の経過中にRS3PE症候群を発症した1例

  京谷萌, 西尾亮, Kenzaka Tsuneaki, 河崎悟, 藤井康和, 西崎朗, 秋田穂束

  第213回日本内科学会近畿地方会, Sep. 2016, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• 医学部生主体の地域住民対象健康講話の卒前教育への導入とその効果

  長谷川貴也, 八幡晋輔, Kenzaka Tsuneaki, Kawano Seiji, Okayama Masanobu

  第48回日本医学教育学会大会, Jul. 2016, Japanese, 日本医学教育学会, 大阪, Domestic conference

  [Invited]

  Poster presentation


• 医学生主体の地域住民対象健康講話の地域医療教育への導入とその効果

  長谷川 貴也, 八幡 晋輔, Kenzaka Tsuneaki, Kawano Seiji, Okayama Masanobu

  The 46th Annual Meeting of the Japan Society for Medical Education, Jul. 2016, Japanese, Japan Society of Medical Education, 大阪, Domestic conference

  [Invited]

  Poster presentation


• TV会議システムによるインタラクティブカンファレンスの学習効果及び有用性の検討

  Kenzaka Tsuneaki, Okayama Masanobu, 八幡晋輔, Zaima Azusa, 金澤健司, Kawano Seiji

  第48回日本医学教育学会大会, Jul. 2016, Japanese, 日本医学教育学会, 大阪, Domestic conference

  [Invited]

  Poster presentation


• 認知症診療に関するプライマリ・ケアに対する地域住民の期待

  八幡晋輔, Kenzaka Tsuneaki, Okayama Masanobu

  第7回日本プライマリ・ケア連合学会学術大会, Jun. 2016, Japanese, 日本プライマリ・ケア連合学会, 東京, Domestic conference

  [Invited]

  Poster presentation


• 帯状疱疹治療後の急性腎障害及びアシクロビル脳症の1例

  刀坂公崇, 山本哲也, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第212回日本内科学会近畿地方会, Jun. 2016, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• 積極的な病歴聴取が診断に寄与した三日熱マラリアの1例

  松岡保史, Kenzaka Tsuneaki, 西村芳興, 松村正巳

  第7回日本プライマリ・ケア連合学会学術大会, Jun. 2016, Japanese, 日本プライマリ・ケア連合学会, 東京, Domestic conference

  [Invited]

  Poster presentation


• 髄膜炎を伴うCampylobacter insulaenigrae菌血症の1例

  京谷萌, Kenzaka Tsuneaki, 上霜剛, 中村竜也, 荒川創一

  第64回日本化学療法学会総会, Jun. 2016, Japanese, 日本化学療法学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• 後下小脳動脈領域の小脳梗塞により偽性前庭症候群をきたした1例

  山本直希, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第212回日本内科学会近畿地方会, Jun. 2016, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• メチシリン感受性黄色ブドウ球菌（MSSA）によるペースメーカー感染に対し、経皮的デバイス抜去後に感染性塞栓を合併した1例

  李侑香, 南建輔, 合田菜穂, 藤原えり, 布施由佳, 中治仁志, Kenzaka Tsuneaki

  第212回日本内科学会近畿地方会, Jun. 2016, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• NHCAP及び誤嚥性肺炎診療での細菌学的検査と再発予防に関する取組の検討―呼吸器科医と総合診療医の比較―

  Kenzaka Tsuneaki, 八幡晋輔, 小佐見光樹, Okayama Masanobu

  第7回日本プライマリ・ケア連合学会学術大会, Jun. 2016, Japanese, 日本プライマリ・ケア連合学会, 東京, Domestic conference

  [Invited]

  Oral presentation


• 肺膿瘍との鑑別に苦慮した多発血管炎性肉芽腫症の1例

  藤原えり, 南建輔, 中治仁志, Kenzaka Tsuneaki

  第211回日本内科学会近畿地方会, Mar. 2016, Japanese, 日本内科学会, 京都, Domestic conference

  [Invited]

  Oral presentation


• コーンスターチが有効であったインスリン自己免疫症候群の1例

  山本哲也, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第211回日本内科学会近畿地方会, Mar. 2016, Japanese, 日本内科学会, 京都, Domestic conference

  [Invited]

  Oral presentation


• 卵管卵巣膿瘍による敗血症性ショックの1例

  水木真平, 山本哲也, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, 中島由貴, 黄豊羽, 丸尾原義, Kenzaka Tsuneaki

  第210回日本内科学会近畿地方会, Nov. 2015, Japanese, 日本内科学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• 著明な末梢血好酸球増多を呈した，悪性胸膜中皮腫の1例

  松本正憲, 田中健雄, 河崎悟, 藤井康和, 西崎朗, 秋田穂束, Kenzaka Tsuneaki

  第210回日本内科学会近畿地方会, Nov. 2015, Japanese, 日本内科学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• 淡水曝露によりEdwardsiella tardaを含む複数菌菌血症を起こした1例

  迫健太郎, 山縣朋浩, 南建輔, 中治仁志, Kenzaka Tsuneaki

  第210回日本内科学会近畿地方会, Nov. 2015, Japanese, 日本内科学会, 神戸, Domestic conference

  [Invited]

  Oral presentation


• 手指の水疱を伴う黒色皮膚病変を有したメチシリン感受性黄色ブドウ球菌(MSSA)による感染性心内膜炎の一例

  小林久也, 隈部綾子, 畠山修司, 大西翼, 畠山修司, 森澤雄司, Kenzaka Tsuneaki

  第64回日本感染症学会東日本地方会学術集会, Oct. 2015, Japanese, 日本感染症学会, 札幌, Domestic conference

  [Invited]

  Oral presentation


• 黄色ブドウ球菌によるProbable Toxic Shock Syndromeに可逆性脳梁膨大部病変を伴う脳症を合併した1例

  Kenzaka Tsuneaki, 南建輔

  第58回日本感染症学会中日本地方会学術集会, Oct. 2015, Japanese, 日本感染症学会, 奈良, Domestic conference

  [Invited]

  Oral presentation


• 健常成人に発症した肺炎球菌による化膿性脊椎炎の1例

  山崎海成, 合田菜穂, 南建輔, 中治仁志, Kenzaka Tsuneaki

  第209回日本内科学会近畿地方会, Sep. 2015, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• 血球貪食症候群を合併した脾臓原発びまん性大細胞型B細胞リンパ腫(DLBCL)の1例

  草野俊亮, 北尾章人, 田中健雄, Kenzaka Tsuneaki, Kawamoto Shinichiro, 市川大哉, 倉田啓史, Matsuoka Hiroshi, Minami Hironobu, 秋田穂束

  第209回日本内科学会近畿地方会, Sep. 2015, Japanese, 日本内科学会, 大阪, Domestic conference

  [Invited]

  Oral presentation


• 研修医のプレゼンテーション能力向上の教育の有効性についての検討

  Kenzaka Tsuneaki, 山本祐, 隈部綾子, 上田祐樹, 松村正巳

  第47回日本医学教育学会大会, Jul. 2015, Japanese, 日本医学教育学会, 新潟, Domestic conference

  [Invited]

  Oral presentation


• 医学部1年を対象としたワークショップ形式による地域医療教育プログラムの紹介

  Okayama Masanobu, Kenzaka Tsuneaki, Kawano Seiji

  第47回日本医学教育学会大会, Jul. 2015, Japanese, 日本医学教育学会, 新潟, Domestic conference

  [Invited]

  Poster presentation


• 当科における後期高齢者尿路感染症の臨床的特徴についての検討

  小佐見光樹, Kenzaka Tsuneaki, 鈴木紘史, 隈部綾子, 山本祐, 上田祐樹, 松村正巳

  第6回日本プライマリ・ケア連合学会学術大会, Jun. 2015, Japanese, 日本プライマリ・ケア連合学会, つくば, Domestic conference

  [Invited]

  Oral presentation


• 当科における血管内リンパ腫の臨床的特徴の検討

  鈴木紘史, Kenzaka Tsuneaki, 小佐見光樹, 隈部綾子, 山本祐, 上田祐樹, 西村芳興, 松村正巳

  第6回日本プライマリ・ケア連合学会学術大会, Jun. 2015, Japanese, 日本プライマリ・ケア連合学会, つくば, Domestic conference

  [Invited]

  Oral presentation


• 実臨床医が誤嚥性肺炎患者の経口摂取開始の目安とする項目の抽出ー全国質問調査結果よりー

  Kenzaka Tsuneaki, 上田 佑樹, 小佐見 光樹, 隈部 綾子, 南 建輔, 松村 正巳, Okayama Masanobu

  The 6th Annual Conference of Japan Primary Care Association, Jun. 2015, Japanese, Japan Primary Care Association, つくば, Domestic conference

  [Invited]

  Oral presentation


• 医療・介護関連肺炎(NHCAP)における血液培養陽性に関連する因子の検討

  Kenzaka Tsuneaki, 隈部綾子, 松岡保史, 南建輔, 上田祐樹, 松村正巳, 南建輔, 北尾章人

  第6回日本プライマリ・ケア連合学会学術大会, Jun. 2015, Japanese, 日本プライマリ・ケア連合学会, つくば, Domestic conference

  [Invited]

  Oral presentation


• 黄色ブドウ球菌菌血症に可逆性脳梁膨大部病変を伴う脳症を合併した1例

  平岡希生, 小林遼真, 小佐見光樹, 上田祐樹, Kenzaka Tsuneaki, 森澤雄司, 松村正巳, 苅尾七臣, 杉山幸比古

  第614回日本内科学会関東地方会, May 2015, Japanese, 日本内科学会, 東京, Domestic conference

  [Invited]

  Oral presentation


• 誤嚥性肺炎診療の現況と感染症専門医の関わりについての検討

  Kenzaka Tsuneaki, 南建輔, 隈部綾子

  第89回日本感染症学会学術講演会, Apr. 2015, Japanese, 日本感染症学会, 京都, Domestic conference

  [Invited]

  Oral presentation


• Toxic shock syndrome following influenza B infection

  鈴木紘史, 隈部綾子, 相良由佳, 西村芳興, Kenzaka Tsuneaki, 松村正巳

  Society of General Internal Medicine 38th Annual Meeting, Apr. 2015, English, the Society of General Internal Medicine, トロント, カナダ, International conference

  [Invited]

  Poster presentation


• 2か所の痂疲からPCR陽性になった栃木県初の日本紅斑熱の1例

  隈部綾子, Kenzaka Tsuneaki, 南建輔, 法月正太郎, 森澤雄司

  第89回日本感染症学会学術講演会, Apr. 2015, Japanese, 日本感染症学会, 京都, Domestic conference

  [Invited]

  Oral presentation


• 急性発症の左胸痛で発見された類骨骨腫の1例

  KENZAKA TSUNEAKI, ISHIDA TAKESHI

  第104回日本内科学会近畿地方会, Sep. 2007, Japanese, 日本内科学会, 京都, Domestic conference

  [Invited]

  Oral presentation

• JAPANESE SOCIETY OF CHEMOTHERAPY


• THE JAPANESE ASSOCIATION FOR INFECTIOUS DISEASES


• JAPAN PRIMARY CARE ASSOCIATION


• JAPANESE ASSOCIATION FOR ACUTE MEDICINE


• JAPAN SOCIETY FOR MEDICAL EDUCATION


• 日本プライマリケア学会


• 日本循環器病学会


• 日本内科学会

• Examining the medium-term effects of community-based medical education that brings residents into close contact with each other

  見坂 恒明, 岡山 雅信, 隈部 綾子, 水谷 直也

  Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Kobe University, 01 Apr. 2025 - 31 Mar. 2028


• Clarification of the actual conditions of doctor shortage and investigation of countermeasures to secure doctors for targeting employed doctors and organizers in rural areas

  廣瀬 昌博, 岡山 雅信, 今中 雄一, 見坂 恒明, 原田 昌範

  Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Kobe University, 01 Apr. 2025 - 31 Mar. 2028


• Midium-term impact of undergraduate community-based medical education in Japan

  見坂 恒明, 岡山 雅信, 合田 建, 隈部 綾子

  Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Kobe University, Apr. 2022 - Mar. 2025


• 地域創成まちづくり事業を活用した医療の枠組みを超えた地域医療教育の検証

  岡山 雅信, 八幡 晋輔, 見坂 恒明, 合田 建

  日本学術振興会, 科学研究費助成事業, 挑戦的研究(萌芽), 神戸大学, Jun. 2019 - Mar. 2023

  町づくり事業：夢前町花街道事業の一つである加点式健診事業（「よいとこ健診」）は、学生主体に実施されている。姫路市夢前町地区の住民（主に65歳以上）を対象として、高齢者総合的機能評価（CGA）で用いられる項目：社会背景とライフスタイル、手段的日常生活動作、意欲、社会活動、運動機能、口腔機能、体脂肪、認知機能を評価し、良い結果に対してポジティブフィードバックを学生が行う形式でよいとこ健診は実施されている。よいとこ健診は、「健康に良い習慣・努力」を「発見して、ほめてもらう体験」を通して、健康づくりへのモチベーションアップとフレイル予防（介護予防）、家族・地域の社会関係を育むこと、および高齢者健診受診率の引き上げを目的としている。実施体制は、神戸大学医学部、経済学部、文学部、甲南女子大学栄養学部の学生による実行委員会と学生のコアメンバーと教員とで構成されるよいとこ健診共同研究会となっている。実施方法は、学生委員会で検討し、共同研究会で決定した。2022年度は、9月にオンライン形式で、3月は対面形式での実施となった。学生は、実施前に地元自治会の役員と意見交換会にも参加し、健診受診者の募集等にも関与している。学生が実施した住民による健診の評価および地区自治会との反省会での意見を参考に、次回の実施方法を検討する、いわゆるPDCAサイクルを学生が実施している。このように、他業種による学生による連携事業が構築された。オンライン形式と対面形式の違いとして、「現場の雰囲気が肌で感じることができ、より地域の理解が深まった。」「対面でフィードバックすることによって、より受診者との距離が近くなった感じがする。」「他の健診項目の実施状況が把握でき、健診への理解が深まった」「対面での協働作業ができたことで、学生間の繋がりが強まった感じがした」などの意見が多かった。


• 誤嚥性肺炎の経口摂取再開時期の基準の研究

  見坂 恒明

  文部科学省, 科学研究費補助金(若手研究(B)), 2013 - 2015, Principal investigator

  Competitive research funding


• 地域医療臨床実習に係る標準プログラムの考案

  岡山 雅信

  文部科学省, 科学研究費補助金(基盤研究(B)), 2012 - 2014

  地域医療臨床実習で学生が体験している内容および実習内容に対する学生の事前意識の検討を行った。自習での体験項目については、自治医科大学で5年生対象に実施された実習(2週間)の実習報告から、その抽出と分析とを行った。抽出された実習項目は71項目であった。それらの項目は、医療、在宅・介護・福祉、保健、救急、産業保健、地域(現場)の理解、講義、その他に大きく分類された。さらに、医療は、診療の見学、診療の体験、死の体験、他職種業務の体験、施設内カンファランスの参加に区分された。これらから、地域医療臨床実習で提供される実習項目が多岐にわたっていることがわかった。標準プログラムを提案する際には、実習内容を施設別に類型化することが必要であることがわかった。実習内容に対する学生の実習前の意識について、自治医科大学医学部5年生を対象に、実習前の実習内容希望質問紙調査を行って、その回答から分析を行った。実習項目への希望を、

  Competitive research funding


• Exploratory study of a usability of gene information on the health promotion and prevention of disease in the community setting

  Masanobu OKAYAMA

  Ministry of Education, Culture, Sports, Science and Technology, Grants-in-Aid for Scientific Research(基盤研究(B)), Grant-in-Aid for Scientific Research (B), Jichi Medical University, 2009 - 2011

  This study found that people worrying about some disease were likely to take genetic tests detecting the susceptibility to the same disease. Thus they may be more easily affected by the tests than others. The questionnaire survey found that the negative genetic test had risk to recurrence an undesirable lifestyle, especial in people restricting their preferred lifestyle. The genetic information should be carefully informed in this case. It is found that the effect of the notification of the genetic test was not observed in most items about the lifestyle. Although we need detailed analyses in future, the genetic tests might not be usable to the health promotion and prevention of disease.

  Competitive research funding