日医総研ワーキングペーパー
|
|
|
- かずまさ とくやす
- 4 years ago
- Views:
Transcription
1 DRG 64 14
2 DRG IR-DRGJ-DRG R 2 NHS-Clinical Indicators PCICABG ,418 9, HCFA-DRGAP-DRGAPR-DRGJ-DRG( ) IR-DRG(International Refined-DRG) J-DRG IR-DRG J-DRG( ) R J-DRG(0.3070) IR-DRG IR-DRG R 2 J-DRG R 2 MDC3 MDC6 MDC7 MDC J-DRG ICD IR-DRG
3
4 DRG 3 DRG DRG 21 DRG ICD , ICD10 ICD9-CM 1, DRG 250,418 DRG HCFA-DRGHealth Care Financing Administration-DRGAP-DRGAll Patient-DRGAPR-DRGAll Patient-DRG APR-DRGAll Patient Refined-DRG 1
5 183 J-DRG IR-DRG International Refined-DRG267 J-DRG IR-DRG MHIS AP-DRG DRG DRG AP-DRG DRG IR-DRG DRG J-DRG J-DRG MDC.DRG R IR-DRG J-DRG R DRG (yia) 2 (yiag) 2 R 2 = i i yia 2 i yi=i A= Ag DRG J-DRG IR-DRG R IR-DRG IR-DRG R J-DRG R DRG MHIS 2
6 R MDC:Major Diagnostic Categories R 2 IR-DRG J-DRG J-DRG MDC3 MDC6 MDC7 MDC J-DRG DRG DRG 20 DRG J-DRG 1.0 IR-DRG 51.1 J-DRG IR-DRG 43.5 J-DRG J-DRG IR-DRG DRG AP-DRGJ-DRG IR-DRG.DRGICD DRG ICD 3
7 DRG DRG DRG IR-DRG ,2 No.30 No.2 No.30 No.30 No.2 R IR-DRG1341 A DRG No.1 DRG B DRG DRG C DRG ICD NHS NHS-Clinical Indicators Hospital Episode Statistics(HES) Health Authority HES 4
8 HES NHS HES 1995/ / NHS HES 5.04 No.17 No.17 ICD-10 S72.0 S72.1 S ICD-10 S72.0S72.1 S NHS Clinical Indicator ICD- I21 I ICD-10 I21 I / / / ICD-10 I60-I
9 ICD NHS 56 ICD-10 I60-I / / / ( ICD-10 S72.0S72.1S72.2) ( ICD-10 S72.0S72.1S72.2) () 1995/ / / NHS ICD-10 HES ICD ICD ICD ICD ABO R 6
10 No DPMO Defects per Million Opportunity ,210 No.8No.11No.14No.16No.22No.33No IR-DRG DRG5413 DPMO No.8 No.17 No.8 No ,211 66,807 DRG CMICase Mix Index No.8 CMI 1.2 No No No No..DRG
11 13 IR-DRG (American Heart Association) (American College of Cardiology) Percutaneous Coronary Intervention(PCI) Coronary Artery Bypass Graft Surgery(CABG) PCI PCI PCI PCI Quality Assurance(QA) QA PCI PCI 500 American Board of Internal Medicine(ABIM) 75 PCI 150 PCI PCI 75 Privilege Privilege Case-Mix ABIM PCI 400 8
12 75 PCI 75 PCI 400 PCI PCI. BRCT 1 RCT a 75 PCI PCI C 75 PCI 400 PCI 75 PCI 150 mentor 75 PCI 600 PCI C 75 PCI PCI 200 PCI C PCI PCI 10 PCI 75 PCI PCI 36 PCI 9
13 Intra-aortic balloon pump(iabp) CCU IABP Primary PCI Primary PCI Primary PCI CABG Primariy PCI 36 Coronary Artery Bypass Graft Surgery PCI CABG CABG 100 CABG PCI CABG PCI No.2No.15No.32 10
14 14 10 No.2 PCI 10 No.15 No.32 No No No.32 PCI 15 PCI 75 PCI No UtilizationReview peer review DRG ICD DRG ICD ICD J-DRG ICD DRG CMI DRG 11
15 Percutaneous Coronary Intervention (PCI) PCI (PTCA) PTCA ( ) (DCA) (TEC) PCI PTCA ( ) glycoprotein IIb/IIIa receptor blocker (Food and Drug Administration; FDA) ( (TEC) (DCA) )angiojet FDA PCI Primary PCI rescue PCI following failed thrombolysis PCI PTCAballoon ICD-9-CM 36.01,36.02,36.04,36.05,
16 .NHS Executive, Performance Assessment Framework : Quality and performance in the NHS: Clinical Indicators. June Executive, Performance Assessment Framework : Quality and performance in the NHS: Clinical Indicators, technical support. June Jr.SC, et al. ACC/AHA guidelines for percuraneous Coronary Intervention(Revision of the1993 PTCA guideline). A report of the American college of Cardiology/ American Heart Association task Force on Practice Guidelines.JACC 2001;37:.Kimmel SE, et al. The relationship between coronary angioplasty procedure volume and major complications.jama1995; 274: Eagle KA, et al.acc/aha Guidelines for Coronary Artery Bypass Graft Surgery. A report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines. JACC 1999; 34: Smith Jr. SC, et al. ACC/AHA guidelines for percutaneous coronary intervention (revision of the 1993 guidelines). A report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2000; 37: 2239i-2239lxvi 13
17 DRG , ,067 1, ,260 14
18 DRG ALOS
19 IR-DRG J-DRG , , , , , ,703 16
20
21
22
23
24
25
26
27 24
28
29 26
30 27
31
32
33
34
35
36
37
38
39 9% 病院別 PCI 死亡率比較 全疾病対象 8% 08 7% 6% 死亡率 5% 4% 3% 2% y = Ln(x) R 2 = % 0% 症例数 症例数 10 以上の病院
40 20% 主治医別 PCI 死亡率比較 全疾病対象 18% 16% % 死亡率 12% 10% 8% 6% 4% 2% E M y = -0.03Ln(x) R 2 = O % 症例数 症例数 10 以上の医師
14 BSC 15 3
14 BSC 15 3 BSC 36 Evidence-Based Policy BSC BSC BSC 36 BSC BSC BSC 133 36 25 Spearman 0.5 BSC 3 0.06 36 1 1 2 1 2 7 3 36 1 5 1 23 1 36 2 1 1 3 2 10 1 15 36 23 2 1 36 1 13 4 36 Peer Group 3 BSC BSC BSC
BSC BSC 2
15326 1 BSC BSC 2 1992 3 4 BSC 5 6 Kaplan Norton BSC 7 8 BSC BSC BSC 9 1 National Health Services NHS NHS BSC 3 2 1 4 12 9 3 5 4 21 10 11 BSC 28 30 6 13 4 12 2 2000 (District Health Board: DHB) 12 13 BSC
C/NC : committed/noncommitted
C/NC : committed/noncommitted 110 time post-icd implant 1) The Cardiac Arrhythmia Suppression Trial (CAST) Investigators Preliminary report : Effect of encainaide and flecainide on mortality in a
PCI(percutaneous Coronary Intervention)
HP No.5 3 PCI HP No.5 3 PCI PCI Catheter Guide Wire Balloon Stent Guiding Catheter t-pa UK PCI PCI Filtering Collimating I.I. size X Framing I.I. Guiding Catheter Guide Wire size Balloon PCI PCI ACC American
21-07_後藤論文.smd
2015; 21: 5866 Yoichi Goto: Current status and future perspective of cardiac rehabilitation in Japan. J Jpn Coron Assoc 2015; 21: 5866 I 1 1 3 1 2 3 QOL 2 Fig. 1 1 196070 AMI AMI 1980 AMI CABG comprehensive
GL_高野班_D.indd
Circulation Journal Vol. 72, Suppl. IV, 2008 1443 PCI CCU STEMI CABG ST ST1 EBM ST ST ST ST ST ST 1 EBMEvidence-Based Medicine 1444 Circulation Journal Vol. 72, Suppl. IV, 2008 ACS ST T ST CLBBB ST ACS
3 4 6 7 8 9 10 12 14 2 3
3 4 6 7 8 9 10 12 14 2 3 POINT 4 5 3053 1323 4 7 6 1 1 4 7 Yamada N. et al : Int J Cardiol. 98, 409-411, 2005 6 7 POINT 0 20 40 60 80 100 60 80 Ota M. et al: Heart Vessels. 17, 7-11,2002 40 60 20 50 15
.k....-._.C.W.F.X.g01-01
20042005 Guidelines for the Clinical Application of Bypass Grafts and the Surgical Techniques (JCS 2006) 2006 11 1 2 2.1 2.1.1 CCAB 2.1.2 2.1.3 2.1.4 2.1.5 2.1.6 2.1.7 2.2 2.2.1 MIDCAB 2.2.2 2.3 CCAB OPCAB
p _
Index ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap. ap.
特殊病態下感染症における抗菌薬治験の手引き作成委員会報告書（案）
VOL.51 NO.6 JUNE 2003 JUNE 2003 9) Niederman MS et al: Guidelines for the management of adults with community-acquired pneumonia. Diagnosis, assessment of severity, antimicrobial therapy and prevention.
PTCA CABG 2PTCA & CABG 3 4 PTCA CABG 1 2 3PTCA & CABG 4 5 PTCA CABG follow-up Japanese Circulation Journal Vol. 64, Suppl. IV, 2000
19981999 JR PTCACABG 1 2 PTCA 3 PTCA 4 OP-CABG MID-CAB PTCACABG 1 PTCA PTCA CABG 2 1 PTCA PTCA PTCA PTCA PTCA 2CABG CABG CABG CABG 3PTCA CABG Japanese Circulation Journal Vol. 64, Suppl. IV, 2000 1009
本文.indd
CQ ACC/AHA PECO PatientExposure Comparison OutcomePECO low-density lipoprotein cholesterol LDL C cholesterol cholesterol intensive OR agressive CQ target LDL C PubMed Systematic Reviews Clinical Study
01
2 017 INDEX 01 02 03-04 05 06 07 08 09-10 11-13 14 15 16 17-21 21 22 24 26 27 28 29 30 31 32 34 36 37 38 OSAKA CHILD CARE & HEALTH COLLEGE 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21
V. 7 1 ICD ICD F00 F99 2 ICD G40 3 1 1. 2. 3. 4. 2 1. 2. 3. 4. 3 1. 2. 3. 4 1. 2. 3. 4. 5 1. 2. 3. 4. 6 1. 2. 3. 4. 5. 6. 7 1. 2. 3. 4. 5. 8 1. 2. 3. 9 1. 2. 3. 4..... 10 1.... 2. 3. 4..... 5. 6. 7.
1 2 3 4 5 6
1 2 3 4 5 6 1 2 12% 21% 2% 22% 2% 23% 6% 5% 13% 76% 1,2 1, 8 6 4 2 8 822 851 935 152 16 176 2 1,84 257 '2/3 '3/3 '4/3 '5/3 '6/3 9 8 7 6 5 4 3 2 1 75 73 9.4 5.4 8.8 53 6.2 64 4.2 4. 4.5 79 6.9 7.3 3.7
スライド 1
Wilhelm Conrad Röntgen Mr. and Mrs. Röntgen s hands (1895) X 1895 11 8 CT 0.6 500 CT NPO 0.8 /1 CT MDCT 4 1998 0.35 /1 8 16 64 2004 Takayasu CAD+PAD CT CT Angiography CTA SG Adamkiewicz PCI CABG CTA plaque
ヘルスケアレポートvol.17
KAO HEALTH CARE REPORT No.17 C O N T E N T S http://www.kao.co.jp/rd/healthcare/ INTERVIEW TOPICS REPORT P. 2 P. 4 P. 6 P. 8 P.10 P.11 P.12 INTERVIEW 2KAO HEALTH CARE REPORT KAO HEALTH CARE REPORT3 T O
ヘルスケアレポートvol.16
KAO HEALTH CARE REPORT No.16 C O N T E N T S INTERVIEW P. 2 http://www.kao.co.jp/rd/healthcare/ TOPICS REPORT P. 4 P. 6 P. 8 P.10 P.11 P.12 INTERVIEW 2KAO HEALTH CARE REPORT KAO HEALTH CARE REPORT3 T O
JHN Journal Club 手稲渓仁会病院
JHOSPITALIST network GUIDE-IT trial; The Guiding Evidence Based Therapy Using Biomarker Intensified Treatment in Heart Failure multicentre randomised clinical trial 20171010 1 70 (EF 30%), (PCI), (HbA1c
NAVIGATION MD Consult MD Consult Home home Books Book List page Journals Journal Search page Drugs Drug Look-up:Drug UpdatesDrug Information News This
NAVIGATION...2 BOOKS...4 JOURNALS...5 DRUGS...8 NEWS...8 NEWS...9 CURRENT PRACTICE...10 PATIENT HANDOUTS...11 LEARNING CENTER...12 Search...13 My Folder...14 1 NAVIGATION MD Consult MD Consult Home home
untitled
72 22 30 1985 Conductance Vessels flow Vessels< - Shear stress conductance vessel Exercise and Adenosine SPECT in the Patient with Angina SPECT,PET ACC/AHA/ASNC Guideline 2003 Dicarli JNM 2007;48:783
Journal Club 2017/05/30 Tomohiro Matsumoto PGY-2
Journal Club 2017/05/30 Tomohiro Matsumoto PGY-2 本 の論 March 21, 2017 2 Introduc)on 3 : (CIN) 3 25% 44µmol/L(0.5mg/dL) CIN 4 European Society of Urogenital Radiology. ESUR guidelines on contrast media,
104
103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 Episode 124 125 126 127 128 129 130 131 132 133 134 135 v 136 137 138 139 140 Episode 141 142 143 144 145 146 147 148
第６１巻５・６号（１２月号）／特集１頁目（本刷）
Special Issue 1Sudden cardiac death symposium in Tokushima Special Issue 2How to do for your health? Reviews Original Epidemiologic problems of sudden death of school children in Tokushima Prefecture
商学 ６３‐１・２☆／５．冨田
70 1 Donabedian1980 Parasuraman, Berry, and Zeithaml1988 71 1Donabedian Donabedian1980 2 1 1 2 2 Donabedian1980 Donabedian1980 3 1 3 Donabedian1980Donabedian1982 Donabedian1985 Donabedian1966 72 1 Donabedian1968,
RESPONSIBLE CARE REPORT 2004
RESPONSIBLE CARE REPORT 2004 RESPONSIBLE CARE REPORT 2004 RESPONSIBLE CARE REPORT 2004 RESPONSIBLE CARE REPORT 2004 RESPONSIBLE CARE REPORT 2004 RESPONSIBLE CARE REPORT 2004 RESPONSIBLE CARE REPORT
‹Àfi¡‚¾”O/…_…C…W…F…X…g/01-01
2002 2003 Guidelines for the Diagnosis,Treatment and Prevention of Pulmonary Thromboembolism and Deep Vein Thrombosis (JCS 2004) h 1 2 3 1 1 2 2-1 2-2 2-3 2-4 2-5 2-6 2 1 2 2-1 2-2 3 1 2 4 Circulation
レジャー産業と顧客満足の課題
1 1983 1983 2 3700 4800 5500 3300 15 3 100 1000 JR 4 14 2000 55% 72% 1878 2000 5 ( ) 22 1,040 5 946 42 15 25 30 30 4 14 39 1 24 8 6 390 33 800 34 34 3 35 () 37 40 1 50 40 46 47 2 55 4.43 4 16.98 40 55
医療事故の現状と課題－医療事故への対応策の整備を中心に－
1 2 1 2 3 1 2 3 1 I II 1 1 1993 5 442 2002 896 10 1 5 14 http://courtdomino2.courts.go.jp/shanyou.nsf/0258b7a1680aa82849256467004875a6/352546364a541 14049256d5c000dde7f?OpenDocument 22% 2 3 4 5 2 6 1997
Microsoft Word - JASTNECプログラム doc
JASTNEC 5 The 5 th Annual Meeting of Japanese Society for Treatments at Neck in Cerebrovascular Disease 2006 4 14 15 650-0046 6-9-1 TEL: 078-302-5200, FAX: 078-302-6485 () 650-0047 2-2 TEL: 078-304-5200,
untitled
5 K 5 3 HP http://www.mhlw.go.jp/bunya/shakaihosho/iryouseido01/taikou03.html 2004 1 2 1 http://www.dm-net.co.jp/calendar/2007/06/005835.php 6 85cm 100cm 2 90cm 2 TG 150mg/dl HDLHDL-C 40mg/dl 130mmHg 85mmHg
診療ガイドラインのカラクリ
EBM EBM 2-3 (evidence-based medicine: EBM) EBM 1 1 1 2 B burden belief bargain barrier A. JAMA EBMer JAMA EBM 3 EBM 3 EBM 3 3 B. peer review Field(IOM) Shaneyfelt ( Guidelines Qualities Assessment Questionnaire:
P01...R.s.[
234400 FFFFFFFFFFFFFF FFFFFFFFFFFFFF 0 2 660 99 ^ 2 4 5 6 7 3 230300 0 2 3 4 5 6 200230 666 752 22 300 30 3 300345 300500 23 300345 24 830945 230345 25 830945 230345 26 830945 230345 27 300 28 230345
JPドメイン名レジストリレポート 2013
2013.1-12 Registry Report Registry Report Index 03 06 19 21 02 22 23 24 25 26 27 28 29 31 34 35 36 Registry Report 01 02 Registry Report Registry Report 03 04 Registry Report Registry Report 05 06 Registry
Q-...g.L..465
20 8 H e a r t F u l l I n f o r m a t i o n No.465 2 Heart Full Information 3 3 27 6 0 22 3 Heart Full Information 29 42 79 50 29 20 30 5 9 5 5 22 96 86 22 4 Heart Full Information 53 24 5 Heart Full
第３回委員会（２月２０日）資料NO
ISO9001 ISO9001 E.Codman A.Donabedian Benefit, utility and risk A.Donabedian risk Output Output Output Adequacy Continuity / over time Efficacy (randomized controlled clinical trials) 7 Effectiveness
untitled
1) American College of Surgeons:Advanced Trauma Life Support Course Manual. American College of Surgeons 1997;103-112 24 2) American Society of Anesthesiologists Task Force:Practice guideline for blood
234 50cm
234 50cm () 1 10 2 3 4 1 5 6 2 2 1 7 ( ー ) っ ー っ 8 1 2 10 10 2m 4m 6m 15m 457-2472 585-1154 9 10 2 60 2 100 RC SRC 30 80 500 1 500 500 ) 10 B b A 2 A B 2m 457-2473 585-1154 11 20m a 2m 3 3 1m 75cm 120cm
41
40 41 42 43 44 45 46 47 etc etc etc etc 48 49 etc 50 etc etc etc 51 etc etc etc 52 etc etc 53 etc etc 54 etc 55 etc 56 57 58 59 60 61 62 etc etc etc 63 64 65 etc etc 66 67 68 69 70 71 72 72 73 74 2009
ARCTIC-Interruption
ジャーナルクラブ DES 留置後の DAPT 投与期間 Lancet 2014; 384: 1577 85 東京ベイ 浦安市川医療センター 洛和会 病院 PGY5 安冨義親 本 の論 DES の歴史 1993 年 BMS が使 開始 BMS の問題点 : 再狭窄 (30%) NEJM339:1672-1678,1998 管平滑筋細胞の増殖による新 内膜形成が原因 増殖抑制する免疫抑制剤を溶出するステントが開発
不安障害研究, 9(1), 17-32, 2017
9(1), 17 32, 2017 Panic and Agoraphobia Scale 1 2 3 2 2 2 2 4 4 1 2 3 4 Panic and Agoraphobia Scale PAS DSM-IV-TR APA, 2000 3 4 PAS PAS PAS Patient Global Impression Improvement PAS 1980 Diagnostic and
BMI18 1
The role of nutrition intervention for increasing body weight in college girls with BMI less than 18. Yukiko Miyake BMI18 1 BMI18 1950 2 1/10 2007 1 14 NY DSMIV WHO ICD101992 2 17 20 BMI18.5 22.6 21 21
Unknown
Journal of Breast and Thyroid Sonology Journal of Breast and Thyroid Sonology Vol.2, No.3 July 2013 Report The 30 th Meeting of Japan Association of Breast and Thyroid Sonology... 1 Department of Organ
Perclose Suture-Based VCD: For PPI as well as PCI Yamashita T, MD, PhD, FACC Vice-Chairman Cardiology CV Ctr Hokkaido Ohno Hospital Sapporo, JAPAN
Perclose Suture-Based VCD: For PPI as well as PCI Yamashita T, MD, PhD, FACC Vice-Chairman Cardiology CV Ctr Hokkaido Ohno Hospital Sapporo, JAPAN Perclose Suture-Based VCD: For PPI as well as PCI Yamashita
1950 1970 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 6,788 7,123 5,384 4,915 4,908 4,927 4,895 4,919 4,936 4,927 4,897 5,010 5,008 1,456 1
1950 1970 1990 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 6,788 7,123 5,384 4,915 4,908 4,927 4,895 4,919 4,936 4,927 4,897 5,010 5,008 1,456 1,616 927 824 826 821 813 808 802 803 801 808 806 18,483
＠０８４６００２５ヨコ／伊東 ２１７号
A B B A B A B A B stratification inequality Marmot, Smith, Why are the Japanese living longer?, British Medical Journal, 1989 Kondo, Kawachi, Subramanian, Takeda, Yamagata Do social comparisons
1. - - - 2 - - 3 - - 4 - 1 Muser KT, Bond GR, Drake RE, et al(1998). Model of community care for severe mental illness: A review of research on case management. Schizophrenia Bulletin, 24(1): 33-74. -
Special IssueCardiovascular therapeutics -Up-to-Date techniques and managements- Reviews Report Case reports Early treatment of acute myocardial infarction -chain of survival- Masataka Sata Department
食道がん化学放射線療法後のsalvage手術
2006 2 17 52 Daly JM, et al. J Am Coll Surg 2000;190:562-573 Esophageal Cancer: Results of an American College of Surgeons Patient Care Evaluation Study Daly JM, et al. J Am Coll Surg 2000;190:562-573
19 Donabedian 1. 2. 3. 1 1. a s d 2. 3. a s d f 3 1 2 2 a Avedis Donabedian, Quality Improvement through Monitoring Health Care- 1996 s 50 6 1991 458-462 20 3 JCAHO JCAHO JCAHO JCAHO a JCAHO The Joint
1) Delbet P: Retrocissement du choledoque. Cholecysto-duodenostomie. Bull Mem Soc Nat Chir 50: 1144-1146, 1924 2) Wiesner RH, LaRusso NF: Clinicopathologic Features of the Syndrome of Primary Sclerosing
Special IssueDiagnoses and therapeutic agents for age-related diseases Reviews Original Case reports β Medicinal drugs affecting on clinical laboratory blood test results and adverse effects of them
WINET情報
WINETCONTENTS 1 2 3 Q&A Q A 4 Q A 5 Q A 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 No. 10. 1. 11. 2. 12. 3. 4. 13. 5. 14. 6. 7. 15. 8. 9. 16. 33 17. 33. 34. 35. 18. 19. 36.
<4D F736F F D2095BD90AC E937890B68A888F4B8AB E397C394EF82CC93AE8CFC82C98AD682B782E992B28DB895AA90CD2E646F6378>
28 3 IT 1,124 1,414 9,986 1,205 247 2 6,663 6,802 3 4,155 ICD-10 p.2 26 3 4,155 1,124 10 3,628 10.62% 10 31.29%30.75%15.62% 36.31% 29.88%20.94% 928 692 412 205 6,127 4,971 3,246 2,291 1,968 1,658 35.77
untitled
gold standard CT gold standard 1960 1970 1980 1990 CABG ) New device 2000 DES Cumulative Survival rate 100 90 80 70 60 SVD DVD TVD 96.0 94.5 80.7 n=453 n=220 n=198 91.9 87.4 64.2 50 1 2 3 4 5 6 7 8 9
001 No.3/12 1 1 2 3 4 5 6 4 8 13 27 33 39 001 No.3/12 4 001 No.3/12 5 001 No.3/12 6 001 No.3/12 7 001 8 No.3/12 001 No.3/12 9 001 10 No.3/12 001 No.3/12 11 Index 1 2 3 14 18 21 001 No.3/12 14 001 No.3/12
PROGRAM【J】.fm
プログラム 1 27 1 [2F 一橋講堂 ] 9:00 9:10 9:10 10:40 1 S1-1 Ebstein Cone S1-2 S1-3 Fontan TCPC conversion S1-4 S1-5 Optimal timing of pulmonary valve replacement in repaired Tetralogy of Fallot: Review of our
AHA ACC Class Class Class Class critical 1 High risk 4 METS Canadian Class 2 Canadian Class Q 3 ST-T S3 11
2001 2002 Guidelines for perioperative cardiovascular evaluation and management for noncardiac surgery (JCS 2003) 1 2 3 1 2 3 4 5 6 7 8 9 Circulation Journal Vol. 67, Suppl. IV, 2003 1239 2001 2002 13
.T.C.Y._.E..
25 No.33 C O N T E N T S REVIEW 1 2 5 4 3 6 7 8 9 1 11 1, 1, 7,5 75 916,95 (121) 756,67 (15) 718,89 (13) 91,496 (169) 54,2 (179) 3,243 (75) 727,333 (129) 564,47 (112) 55,458 (11) 6,68,953 (18) 5,624,957
特 集 conditionally essential amino acid, グルタミンジペプチド (Glutamine dipeptide), 多臓器不全 Ⅰ はじめに sepsis RE- DOXS Ⅱ 重症患
143 特 集 conditionally essential amino acid, グルタミンジペプチド (Glutamine dipeptide), 多臓器不全 Ⅰ はじめに 1980 2013 sepsis RE- 173 8605 2 11 1 Ⅱ 重症患者における生体内でのグルタミンの役割 1950 Eagle 1 1970 2 1/3 40 50 144 30 conditionally
Journal of Breast and Thyroid Sonology Journal of Breast and Thyroid Sonology Vol.2, No.1 January 2013 Overview History of JABTSJapan Association of Breast and Thyroid Sonology : Dawn of a JABTS Age; The
08医療情報学22_1_水流final.PDF
22 (1), 702002: 59 59- The Problem of Nursing Common Language for the Information Sharing in Clinical Practice The fact-finding in regard to the correspondence between name and content of nursing action
サービス付き高齢者向け住宅賠償責任保険.indd
1 2 1 CASE 1 1 2 CASE 2 CASE 3 CASE 4 3 CASE 5 4 3 4 5 6 2 CASE 1 CASE 2 CASE 3 7 8 3 9 10 CASE 1 CASE 2 CASE 3 CASE 4 11 12 13 14 1 1 2 FAX:03-3375-8470 2 3 3 4 4 3 15 16 FAX:03-3375-8470 1 2 0570-022808
脈管学55巻7号 pp.105-110
Online publication August 10, 2015 105 原 著 55 要 旨 : 18 29 31 27 87.1 EHIT class 1 class 2, 3 1 J Jpn Coll Angiol 2015; 55: 105 110 Key words: saphenous vein surgery, saphenous vein stump, endovenous heat-induced
精神障害者
13 ACT 156-8585 2-1-8 TEL03-3304-5701 14 10 30 ACTassertive community treatment 1 ACT ACT ACT ACT Fidelity ScaleACT ACT ACT ACT ACT Fidelity 2000, 2001; 1994 Tessler & Gamache 2000 14 1 2002 1986 1994