研究者詳細 - 錦織　宏

論文 - 錦織　宏

分割表示 162 件中 21 - 40 件目／全件表示 >>

精神医療の多職種を対象とした文化的プログラムの開発査読有り

佐野樹, 森下真理子, 錦織宏

医学教育 53 巻 ( 5 ) 頁： 447 - 452 2022年10月

記述言語：日本語出版者・発行元：日本医学教育学会

精神医療の多職種を対象に文化的コンピテンシーの修得を目指した教育プログラムを開発した. 支配的なイデオロギーを批判的に問い直す社会的公正教育を参考に, 特定の集団の文化だけに焦点を当てるのではなく, KumagaiとLypsonの提唱する批判的自己内省を通して「他者には私の知り得ない部分 (他者性) がある」と気づくことを目指し, 会も他者性勉強会と命名した. 医療における人文学の研究者が書いた医療現場の文化についての論考を主な教材として, そのレンズで現場を見たときに, 自分たちの医療文化について問題となることを話し合った. 本稿では, 現在までに見えてきた課題, その対応と今後の展開について考察する.

DOI： 10.11307/mededjapan.53.5_447

CiNii Research

「医学教育研究室の抄読会から」 (連載第14回) 査読有り

木村武司, 錦織宏

医学教育 53 巻 ( 4 ) 頁： 393 - 394 2022年8月

「医学教育研究室の抄読会から」 (連載第13回) 査読有り

及川沙耶佳, 木村武司, 錦織宏

医学教育 53 巻 ( 3 ) 頁： 270 - 273 2022年6月

高久史麿先生を偲ぶ査読有り

岩崎榮, 錦織宏

医学教育 53 巻 ( 3 ) 頁： 268 - 269 2022年6月

「医学教育研究室の抄読会から」 (連載第12回) 査読有り

木村武司, 種村文孝, 錦織宏

医学教育 53 巻 ( 2 ) 頁： 184 - 186 2022年4月

アンプロフェッショナルな行動査読有り

木村武司, 錦織宏

医学教育 53 巻 ( 2 ) 頁： 163 - 169 2022年4月

記述言語：日本語出版者・発行元：日本医学教育学会

医学教育においてプロフェッショナリズム教育は重要なテーマの一つだが, その教育や評価は困難である. そのため, プロフェッショナリズム教育における特に評価の観点から, 観察可能な「行動behavior」に焦点をあて, アンプロフェッショナルな行動として捉え直す議論が2000年頃から北米を中心に活発化している. 本稿では, 国内の動向も交えつつ, アンプロフェッショナルな行動についての分類, 評価, 対応に関する概念を整理し, 関連した概念について啓蒙するとともに, 本邦の文脈に即した研究の促進を目指す. また, その適切な対応を通して, より社会の要請に耐える医学生・医師の育成に繋がることを期待したい.

DOI： 10.11307/mededjapan.53.2_163

CiNii Research

「医学教育研究室の抄読会から」 (第11回) 査読有り

木村武司, 錦織宏

医学教育 53 巻 ( 1 ) 頁： 104 - 108 2022年2月

小児集中治療に携わる医師に求められる能力とその評価査読有り

染谷真紀, 松井智子, 錦織宏, 及川沙耶佳

医学教育 53 巻 ( 1 ) 頁： 110 - 111 2022年2月

Preface 査読有り

Claramita M., Findyartini A., Samarasekera D.D., Nishigori H.

Challenges and Opportunities in Health Professions Education: Perspectives in the Context of Cultural Diversity 頁： v - vii 2022年1月

文化人類学にとっての医学教育モデル·コア·カリキュラム改訂の意義査読有り

医療者向け人類学教育連携委員会, 木村周平, 飯田淳子, 伊藤泰信, 倉田誠, 錦織宏, 浜田明範, 春田淳志, 星野晋

文化人類学 86 巻 ( 3 ) 頁： 511 - 514 2021年12月

4. 京大FCME (ふくみん) : 現場で働く指導医のための医学教育学プログラム査読有り

錦織宏, 及川沙耶佳, 谷昇子, 木村武司, 種村文孝

医学教育 52 巻 ( 6 ) 頁： 515 - 523 2021年12月

記述言語：日本語出版者・発行元：日本医学教育学会

2015年に文部科学省の助成を受けて開講した京都大学の「現場で働く指導医のための医学教育学プログラムー基礎編」は対面型と遠隔型を組み合わせた形で医学教育学を体系的に学ぶプログラムである. 1年間で約120時間学修することになる受講生は, 課題に追われながらも12名の仲間と強固な学修コミュニティを形成していき, その様は講師が羨むほどである. また, プログラムに思想・哲学を掲げていること, そして文化人類学を重視したプログラムであることが特徴である.

DOI： 10.11307/mededjapan.52.6_515

CiNii Research

「医学教育研究室の抄読会から」 (第10回) 査読有り

木村武司, 錦織宏

医学教育 52 巻 ( 6 ) 頁： 574 - 577 2021年12月

Maternal sleep duration and neonatal birth weight: the Japan Environment and Children’s Study Open Access

Murata T., Kyozuka H., Fukuda T., Yasuda S., Yamaguchi A., Morokuma S., Sato A., Ogata Y., Shinoki K., Hosoya M., Yasumura S., Hashimoto K., Nishigori H., Fujimori K., Kamijima M., Yamazaki S., Ohya Y., Kishi R., Yaegashi N., Mori C., Ito S., Yamagata Z., Inadera H., Nakayama T., Iso H., Shima M., Kurozawa Y., Suganuma N., Kusuhara K., Katoh T.

BMC Pregnancy and Childbirth 21 巻 ( 1 ) 2021年12月

出版者・発行元：BMC Pregnancy and Childbirth

Background: The adequate maternal sleep duration required for favorable obstetric outcomes is unknown. We evaluated the association between maternal sleep duration and low birth weight infants, small for gestational age infants, and macrosomia. Methods: Participants enrolled in the Japan Environment and Children’s Study, a nationwide birth cohort study, with singleton pregnancies after 22 weeks, who gave birth between 2011 and 2014 were enrolled and categorized into five groups according to maternal sleep duration during pregnancy: < 6.0 h, 6.0–7.9 h, 8.0–8.9 h, 9.0–9.9 h, and 10.0–12.0 h. We evaluated the association between maternal sleep duration and the incidence of low birth weight infants (< 2500 g), very low birth weight infants (< 1500 g), small for gestational age infants, and macrosomia (> 4000 g), with women with maternal sleep duration of 6.0–7.9 h as the reference, using a multiple logistic regression model. Results: In total, 82,171 participants were analyzed. The adjusted odds ratios (95% confidence intervals) for low birth weight infants in women with maternal sleep duration of 9.0–9.9 h and 10.0–12.0 h and for small for gestational age infants in women with maternal sleep duration of 9.0–9.9 h were 0.90 (0.83–0.99), 0.86 (0.76–0.99), and 0.91 (0.82–0.99), respectively, before adjusting for excessive gestational weight gain. No significant association was observed between maternal sleep duration and these outcomes after adjusting for excessive gestational weight gain. Among women with appropriate gestational weight gain, the adjusted odds ratios (95% confidence intervals) for low birth weight infants and for small for gestational age infants with sleep duration of 9.0–9.9 h were 0.88 (0.80–0.97) and 0.87 (0.78–0.97), respectively. Conclusions: Maternal sleep duration of 9.0–9.9 h was significantly associated with the decreased incidence of low birth weight infants and small for gestational age infants in pregnant women with appropriate gestational weight gain, compared with that of 6.0–7.9 h. Care providers should provide proper counseling regarding the association between maternal sleep duration and neonatal birth weight and suggest comprehensive maternal lifestyle modifications to prevent low birth weight and small for gestational age infants.

DOI： 10.1186/s12884-021-03670-3

Open Access

Scopus

Immunoglobulin E levels and pregnancy-induced hypertension: Japan Environment and Children’s Study Open Access

Kyozuka H., Murata T., Fukuda T., Endo Y., Yamaguchi A., Yasuda S., Kanno A., Sato A., Ogata Y., Hosoya M., Yasumura S., Hashimoto K., Nishigori H., Fujimori K., Kamijima M., Yamazaki S., Ohya Y., Kishi R., Yaegashi N., Mori C., Ito S., Yamagata Z., Inadera H., Nakayama T., Iso H., Shima M., Kurozawa Y., Suganuma N., Kusuhara K., Katoh T.

Scientific Reports 11 巻 ( 1 ) 2021年12月

出版者・発行元：Scientific Reports

High serum immunoglobulin E (IgE) levels are associated with cardiovascular events. We aimed to evaluate the association between total IgE levels during the first trimester of pregnancy and pregnancy-induced hypertension (PIH) development in a large Japanese cohort. We analysed data pertaining to singleton primipara pregnancies recorded in the Japan Environment and Children’s Study involving births from 2011 to 2014. Serum IgE levels were determined using the immunonephelometric technique. High serum IgE was defined as level ≥ 170 IU/ml. Hypertensive disorders in pregnancy (HDP) were categorized into early onset (Eo) PIH (developed < 34 weeks) or late onset (Lo) PIH (developed ≧ 34 weeks). A multiple logistic regression model was used to estimate the risk of high serum IgE levels on PIH, Eo-PIH, and Lo-PIH. Overall, 32,518 participants were enrolled. The prevalence of total, Eo-, and Lo-PIH was 3.2%, 0.6%, and 2.3%, respectively. Patients with high serum IgE levels had an increased risk of Lo-HDP (adjusted odds ratio [aOR]:1.19, 95% confidence interval 1.01–1.40). No correlation was found with either PIH (total) or Eo-PIH. High serum IgE levels during the first trimester were associated with the risk of Lo-PIH. Our results could influence and shape further research regarding the pathogenesis of Lo hypertension.

DOI： 10.1038/s41598-021-88227-2

Open Access

Scopus

Maternal pre-pregnancy body mass index and foetal acidosis in vaginal and caesarean deliveries: The Japan Environment and Children’s Study Open Access

Murata T., Kyozuka H., Yamaguchi A., Fukuda T., Yasuda S., Sato A., Ogata Y., Shinoki K., Hosoya M., Yasumura S., Hashimoto K., Nishigori H., Fujimori K., Kamijima M., Yamazaki S., Ohya Y., Kishi R., Yaegashi N., Mori C., Ito S., Yamagata Z., Inadera H., Nakayama T., Iso H., Shima M., Kurozawa Y., Suganuma N., Kusuhara K., Katoh T.

Scientific Reports 11 巻 ( 1 ) 2021年12月

出版者・発行元：Scientific Reports

A high maternal body mass index (BMI) is associated with increased risks of asphyxia-related neonatal morbidity. We evaluated the association between maternal pre-pregnancy BMI and foetal acidosis while accounting for the mode of delivery. Participants from the Japan Environment and Children’s Study with singleton pregnancies after 22 weeks of gestation who gave birth during 2011–2014 were included. The participants (n = 71,799) were categorised into five groups according to the pre-pregnancy BMI: G1 (BMI < 18.5 kg/m2), G2 (18.5 to < 20.0 kg/m2), G3 (20.0 to < 23.0 kg/m2), G4 (23.0 to < 25.0 kg/m2), and G5 (≥ 25.0 kg/m2). Foetal acidosis was defined as umbilical artery pH (UmA-pH) < 7.20 or < 7.10. Multiple logistic regression analyses were used to evaluate the effect of pre-pregnancy BMI on foetal acidosis risk, accounting for the mode of delivery. In Japanese women, pre-pregnancy BMI ≥ 25.0 kg/m2 significantly increased the likelihood of foetal acidosis in newborns delivered vaginally. We found no association between pre-pregnancy BMI and foetal acidosis in newborns delivered via caesarean section. Counselling for body weight control before pregnancy and adequate management and selection of the mode of delivery in pregnant women with a high BMI who are in labour may be essential to avoid foetal acidosis.

DOI： 10.1038/s41598-020-79178-1

Open Access

Scopus

Author Correction: Gestational weight gain and foetal acidosis in vaginal and caesarean deliveries: The Japan Environment and Children’s Study (Scientific Reports, (2020), 10, 1, (20389), 10.1038/s41598-020-77429-9) Open Access

Scientific Reports 11 巻 ( 1 ) 2021年12月

A collaborative clinical case conference model for teaching social and behavioral science in medicine: an action research study 査読有り Open Access

Miyachi, J; Iida, J; Shimazono, Y; Nishigori, H

BMC MEDICAL EDUCATION 21 巻 ( 1 ) 頁： 574 2021年11月

記述言語：英語出版者・発行元：BMC Medical Education

Background: Effective social and behavioral sciences teaching in medical education requires integration with clinical experience, as well as collaboration between social and behavioral sciences experts and clinical faculty. However, teaching models for achieving this integration have not been adequately established, nor has the collaboration process been described. This study aims to propose a collaborative clinical case conference model to integrate social and behavioral sciences and clinical experience. Additionally, we describe how social and behavioral science experts and clinical faculty collaborate during the development of the teaching method. Methods: A team of medical teachers and medical anthropologists planned for the development of a case conference based on action research methodology. The initial model was planned for a 3-h session, similar to a Clinicopathological Conference (CPC) structure. We evaluated each session based on field notes taken by medical anthropologists and post-session questionnaires that surveyed participants’ reactions and points of improvement. Based on the evaluation, a reflective meeting was held to discuss revisions for the next trial. We incorporated the development process into undergraduate medical curricula in clinical years and in a postgraduate and continuous professional development session for residents and certified family physicians in Japan. We repeated the plan-act-observe-reflection process more than 15 times between 2015 and 2018. Results: The development of the collaborative clinical case conference model is summarized in three phases: Quasi-CPC, Interactive, and Co-constructive with unique structures and underlying paradigms. The model successfully contributed to promoting the participants’ recognition of the clinical significance of social and behavioral sciences. The case preparation entailed unique and significant learning of how social and behavioral sciences inform clinical practice. The model development process promoted the mutual understanding between clinical faculty and anthropologists, which might function as faculty development for teachers involved in social and behavioral sciences teaching in medical education. Conclusions: The application of appropriate conference models and awareness of their underlying paradigms according to educational situations promotes the integration of social and behavioral sciences with clinical medicine education. Faculty development regarding social and behavioral sciences in medical education should focus on collaboration with scholars with different paradigmatic orientations.

DOI： 10.1186/s12909-021-03009-8

「医学教育研究室の抄読会から」 (第9回) 査読有り

及川沙耶佳, 木村武司, 錦織宏

医学教育 52 巻 ( 5 ) 頁： 443 - 445 2021年10月

「医学教育研究室の抄読会から」 (第8回) 査読有り

森下真理子, 木村武司, 錦織宏

医学教育 52 巻 ( 4 ) 頁： 337 - 341 2021年8月

医学教育に社会科学を活かすために査読有り

飯田淳子, 木村周平, 伊藤泰信, 倉田誠, 浜田明範, 星野晋, 春田淳志, 錦織宏

医学教育 52 巻 ( 4 ) 頁： 342 - 344 2021年8月

　前のページ - 次のページ　

<錦織 宏>

論文 - 錦織 宏

<錦織　宏>

論文 - 錦織　宏