Updated on 2022/04/06

写真a

 
TANAKA Haruka
 
Organization
Graduate School of Medicine Lecturer
Graduate School
Graduate School of Medicine
Undergraduate School
School of Health Sciences
Title
Lecturer
External link

Degree 2

  1. 博士(保健学) ( 2016.9   大阪大学 ) 

  2. 修士(人間健康科学系) ( 2009.3   京都大学 ) 

Research Interests 4

  1. 精神看護

  2. うつ病

  3. 認知症

  4. 疫学

Research Areas 1

  1. Life Science / Clinical nursing

Current Research Project and SDGs 5

  1. 顎顔面欠損患者に対する看護指針の開発

  2. 高血圧とうつ状態の併存に影響を与える生活習慣に関連した危険因子・予防因子の探索

  3. 科学技術と実践情報を統合した高齢者の早期問題予測ツールと最適ケアモデルの開発

  4. 糖尿病とうつ病が併存する患者への看護介入に関する実態調査

  5. 高齢者におけるうつ症状の経時的変化に影響を与える食品および栄養素の探索的縦断研究

Professional Memberships 6

  1. 日本認知症ケア学会

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  2. JAPAN ACADEMY OF PSYCHIATRIC AND MENTAL HEALTH NURSING

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  3. JAPAN ACADEMY OF NURSING SCIENCE

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  4. JAPAN ACADEMY OF NURSING EDUCATION

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  5. JAPAN EPIDEMIOLOGICAL ASSOCIATION

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  6. JAPANESE SOCIETY OF PUBLIC HEALTH

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Committee Memberships 5

  1. 日本看護科学学会   査読委員  

    2019.10   

  2. 日本精神保健看護学会   査読委員  

    2019.10   

  3. 日本看護科学学会   学術検討委員会  

    2019.9   

  4. 文化看護学会   文化看護学会第11回学術集会実行委員  

    2019.2 - 2019.3   

  5. 日本精神保健看護学会   学術連携委員  

    2017.9 - 2019.6   

 

Papers 12

  1. The change over time of vital signs with consideration for opioid use in the last 2 weeks of life among cancer patients in a palliative care unit: Continuous measurement of vital signs using a non-wearable monitor. Reviewed

    Tanaka H, Fukui S, Maeda I, Hatano Y, Higuchi A, Higami Y, Yamakawa M, Utsumi M

    Cancer medicine     2021.11

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    Authorship:Lead author   Language:English   Publishing type:Research paper (scientific journal)  

    DOI: 10.1002/cam4.4382

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  2. Nonwearable actigraphy to assess changes in motor activity before and after rescue analgesia in terminally ill patients with cancer: A pilot study. Reviewed International journal

    Yoko Higami, Akarai Higuchi, Haruka Tanaka, Yuki Moriki, Momoe Utsumi, Miyae Yamakawa, Yuri Ito, Yutaka Hatano, Isseki Maeda, Sakiko Fukui

    International journal of nursing practice     page: e13019   2021.10

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    Language:English   Publishing type:Research paper (scientific journal)  

    AIMS: This study aimed to investigate the usefulness of nonwearable actigraphy to assess changes in motor activity before and after rescue analgesic administration in terminally ill cancer patients. BACKGROUND: Evaluating pain in terminally ill cancer patients is difficult; pain assessment tools are needed. METHODS: This was an exploratory descriptive study conducted within a palliative care unit. A nonwearable actigraph was used to measure the activity score and movement index of terminally ill patients with weeks-long prognosis and pain. The actigraph and medical data were integrated, and data were compared 6 h before and after rescue analgesic administration. RESULTS: Among 10 patients (age: 75.8 ± 12.3 years; six men), we evaluated 28 pain episodes (mean activity score: 130.9 ± 180.5 counts per minute; movement index: 68.8%). When pain was relieved at night following rescue analgesic administration, activity score and movement index decreased significantly (6 h before vs. 6 h after analgesics, respectively: 113.1 to 69.7 counts per minute; 64.3% to 41.8%; both p < 0.0001). With no relief after rescue analgesic administration, activity score did not differ significantly 6 h before and after analgesics: 147.3 to 137.7 counts per minute. CONCLUSION: Pain in terminally ill cancer patients could be assessed using a nonwearable actigraph to capture motor activity and improve pain assessment.

    DOI: 10.1111/ijn.13019

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  3. Association between respiratory and heart rate fluctuations and death occurrence in dying cancer patients: continuous measurement with a non-wearable monitor. Reviewed International journal

    Sakiko Fukui, Kasumi Ikuta, Isseki Maeda, Satoshi Hattori, Yutaka Hatano, Miyae Yamakawa, Momoe Utsumi, Yoko Higami, Haruka Tanaka, Akari Higuchi

    Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer     2021.7

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    Language:English   Publishing type:Research paper (scientific journal)  

    BACKGROUND: The present study aimed to explore the association between impending death and continual changes in respiratory and heart rates measured using a non-wearable monitor every minute for the final 2 weeks of life in dying cancer patients. METHODS: In this longitudinal study, we enrolled patients in a palliative care unit and continuously measured their respiratory and heart rates via a monitor and additionally captured their other vital signs and clinical status from medical records. RESULT: A dataset was created comprising every 24-h data collected from every-minute raw data, including information from 240 days prior to death from 24 patients (345,600 data); each patient's data were measured for 3-14 days until death. After confirming the associations between the respiratory and heat rate values on the day of death (n = 24) or other days (2-14 days before death, n = 216) and the mean, maximum, minimum, and variance of respiratory and heart rates every 24 h by univariate analyses, we conducted a repeated-measures logistic regression analysis using a generalized estimating equation. Finally, the maximum respiratory rate and mean heart rate were significantly associated with death occurring within the following 3 days (0-24 h, 0-48 h, and 0-72 h), except for the maximum respiratory rate that occurs within 0-24 h. CONCLUSION: The maximum respiratory rate and mean heart rate measured every minute using a monitor can warn family caregivers and care staff, with the support of palliative care professionals, of imminent death among dying patients at home or other facilities.

    DOI: 10.1007/s00520-021-06346-y

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  4. The Differential Heritability of Social Adjustment by Sex Reviewed

    Chisato Hayashi, Soshiro Ogata, Haruka Tanaka, Kazuo Hayakawa

    International Journal of Environmental Research and Public Health   Vol. 18 ( 2 ) page: 621 - 621   2021.1

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    Publishing type:Research paper (scientific journal)   Publisher:MDPI AG  

    Sex differences in social adjustment are frequently observed; however, there has been very little research on adaptability in the individual and social domains. The aim of this study was to investigate the sex difference in social abilities, such as high self-appeal, sociability, school adaptation, and home adaptation between school-age males and females. The sample for this study included both same-sex and opposite-sex twin pairs: a total of 467 twin pairs. We classified them into three groups: a group of those in lower classes of elementary school, a group of those in higher classes of elementary school, and a group of those in junior high school. The heritability of school adaptation was estimated to be 95% in males and 54% in females in the junior high school group. The full sex-limitation model showed a better fit in this group, and this means that a qualitative genetic difference exists. For school adaptation, there was no sex difference in lower elementary school classes; however, a quantitative difference appeared in higher classes of elementary school. Moreover, a qualitative difference appeared in junior high school. From this research, it became clear that sex differences in heritability exist for school adaptation, and there was a marked increase from the elementary school children to the junior high school children.

    DOI: 10.3390/ijerph18020621

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  5. Assessing timewise changes over 15 months in life-space mobility among community-dwelling elderly persons Reviewed

    Chisato Hayashi, Haruka Tanaka, Soshiro Ogata

    BMC Geriatrics   Vol. 20 ( 1 ) page: 502   2020.12

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    Publishing type:Research paper (scientific journal)   Publisher:Springer Science and Business Media LLC  

    <title>Abstract</title><sec>
    <title>Background</title>
    The purpose of this study was to examine the differences of timewise changes in life-space mobility between elderly people living alone and those living with others among community-dwelling elderly people from a day care facility with a rehabilitation service for seniors.


    </sec><sec>
    <title>Methods</title>
    The present study used a longitudinal design with repeated measures every 3 months. In conformity with our inclusion criteria, this study included 233 community-dwelling elderly users of a day care facility with rehabilitation services for seniors in Japan. We analyzed the life-space assessment (LSA) scores collected at five time points (baseline, 3 months, 6 months, 9 months, and 12 months) using mixed-effects models with random intercepts and slopes over time. In the present study, the explanatory variables of interest were time, and living situation (living alone or with others). As possible confounders, we considered the following: (a) age, (b) sex, (c) social frailty, (d) physical frailty, (e) mild cognitive impairment (MCI), (f) depression, and (g) economic satisfaction.


    </sec><sec>
    <title>Results</title>
    The mean age of participants was 78.9 years (SD = 7.7), their mean LSA score was 60.1 points (SD = 25.7), and 42.9% of the participants were men. After adjusting for age, gender, frailty, depression, MCI, and economic satisfaction, the mean LSA score of older adults who lived with others was significantly lower (7.42 points, 95%CI = − 18.30 to − 0.15, <italic>p</italic> = 0.048) than that older adults who lived alone.


    </sec><sec>
    <title>Discussion</title>
    Community-dwelling older adults who used a day care center with rehabilitation services and lived with others had a smaller life-space at baseline than those who lived alone. This suggests that there is a need to pay more attention to social frailty among both older adults who live alone and those who live with others.


    </sec><sec>
    <title>Conclusions</title>
    According to a multilevel analysis growth model, elderly persons who lived with others had significantly lower life-space mobility than those who lived alone.


    </sec>

    DOI: 10.1186/s12877-020-01882-4

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    Other Link: http://link.springer.com/article/10.1186/s12877-020-01882-4/fulltext.html

  6. 嚥下体操のアドヒアランスにおける遺伝寄与率 双生児研究 Reviewed

    山之内 理紗, 大村 佳代子, 田中 健太郎, 尾形 宗士郎, 田中 晴佳, 神出 計

    日本摂食・嚥下リハビリテーション学会雑誌   Vol. 21 ( 3 ) page: 173 - 180   2017.12

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    Language:Japanese   Publishing type:Research paper (scientific journal)   Publisher:(一社)日本摂食嚥下リハビリテーション学会  

    【目的】高齢者の嚥下障害は肺炎の主な原因の一つであり、その予防のために嚥下体操が普及している。本研究では、嚥下体操の実施時期別に、そのアドヒアランスの遺伝・環境要因の寄与率を算出する。さらに、具体的な実施困難理由を自由記述から明らかにする。【方法】対象者は20歳以上の成人双生児とした。嚥下体操は、上半身のストレッチと、舌筋力の運動を促すパタカラ発声を実施した。介入は2週間、毎食前に1日3回実施することを依頼した。嚥下体操実施の有無は、所定の書式に各自で記載してもらった。分析は、体操導入後の時期別および曜日別に嚥下体操実施回数の平均値と標準偏差を算出した。これらの変数の遺伝寄与率を算出するため、単変量遺伝分析を行った。自由記載では、嚥下体操の実施が困難な理由に着目して内容分析を行った。【結果】分析対象者28組56名のうち、一卵性が86%、女性が77%、平均年齢は58.6歳(標準偏差11.7歳)であった。嚥下体操の実施回数は、導入初期と休日で少なかったが有意差はなかった。体操導入後の時期別にみた嚥下体操実施回数の遺伝寄与率では、第一期0.65、第二期0.58、第三期0.52であった。次に曜日別にみた嚥下体操の遺伝寄与率は、月曜から金曜は0.38〜0.50であるのに対し、土曜と日曜では0.00であった。自由記載からは、嚥下体操の実施困難理由として、[平日の就労等に関連した継続困難]や[外食時の実施困難]、[導入初期の戸惑いによる実施困難]等が挙げられた。【考察】導入時期や、曜日による嚥下体操の実施回数には有意な差はみられなかった。体操導入初期では、遺伝による寄与が大きく、休日では環境による寄与が大きかった。(著者抄録)

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  7. Association between salivary flow rate and depressive symptoms with adjustment for genetic and family environmental factors in Japanese twin study Reviewed

    Haruka Tanaka, Soshiro Ogata, Kazunori Ikebe, Yuko Kurushima, Kenichi Matsuda, Kaori Enoki, Kayoko Omura, Chika Honda, Kazuo Hayakawa

    CLINICAL ORAL INVESTIGATIONS   Vol. 21 ( 4 ) page: 1291 - 1297   2017.5

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    Authorship:Lead author, Corresponding author   Publishing type:Research paper (scientific journal)   Publisher:SPRINGER HEIDELBERG  

    The association between salivary flow rate (SFR) and depressive symptoms have been inconclusive. The present study aimed to investigate the association between SFR and depressive symptoms with and without adjustment for genetic and family environmental factors.
    We conducted a cross-sectional study using twins and measured SFR and depressive symptoms as the outcome and explanatory variables, respectively. We also performed three-step regression analyses by first analysing the association between SFR and depressive symptoms without adjustment for genetic and family environmental factors (individual-level analyses). We then performed between-within analyses using monozygotic (MZ) and same-sex dizygotic (DZ) twin pairs, and finally using only MZ twin pairs. These between-within analyses estimated the coefficients adjusted for genetic and family environmental factors. Furthermore, differences in the associations between individual-level and between-within suggest confounding by genetic and family environmental factors.
    We conducted 448 twins aged ae&lt;yen&gt;20 years. In individual-level analyses in males and between-within analyses using MZ and same-sex DZ male twin pairs, SFR associated with depressive symptoms. In between-within analyses using only MZ male twin pairs, SFR did not associate with depressive symptoms. In females, SFR did not associate with depressive symptoms in both individual-level and between-within analyses.
    The present study revealed that the association between SFR and depressive symptoms was affected by common genetic factors in males.
    Understanding this association between SFR and depressive symptoms with adjustment for genetic and family environmental factors could lead to an important consideration for the prevention and treatment of hyposalivation.

    DOI: 10.1007/s00784-016-1883-3

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  8. Chronic pain, depression and cardiovascular disease linked through a shared genetic predisposition: Analysis of a family-based cohort and twin study Reviewed International coauthorship

    Oliver van Hecke, Lynne J. Hocking, Nicola Torrance, Archie Campbell, Sandosh Padmanabhan, David J. Porteous, Andrew M. McIntosh, Andrea V. Burri, Haruka Tanaka, Frances M. K. Williams, Blair H. Smith

    PLOS ONE   Vol. 12 ( 2 ) page: e0170653   2017

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    Background
    Depression and chronic pain are the two most important causes of disability (Global Burden of Disease Study 2013). They occur together more frequently than expected and both conditions have been shown to be co-morbid with cardiovascular disease. Although shared socio-demographic risk factors (e.g. gender, deprivation) might explain the co-morbidity of these three conditions, we hypothesised that these three long-term, highly prevalent conditions co-occur and may be due to shared familial risk, and/or genetic factors.
    Methods and findings
    We employed three different study designs in two independent cohorts, namely Generation Scotland and TwinsUK, having standardised, validated questionnaire data on the three traits of interest. First, we estimated the prevalence and co-occurrence of chronic pain, depression and angina among 24,024 participants of a population-based cohort of extended families (Generation Scotland: Scottish Family Health Study), adjusting for age, gender, education, smoking status, and deprivation. Secondly, we compared the odds of co-morbidity in sibling-pairs with the odds in unrelated individuals for the three conditions in the same cohort. Lastly, examination of similar traits in a sample of female twins (TwinsUK, n = 2,902), adjusting for age and BMI, allowed independent replication of the findings and exploration of the influence of additive genetic (A) factors and shared (C) and non-shared (E) environmental factors predisposing to co-occurring chronic widespread pain (CWP) and cardiovascular disease (hypertension, angina, stroke, heart attack, elevated cholesterol, angioplasty or bypass surgery). In the Generation Scotland cohort, individuals with depression were more than twice as likely to have chronic pain as those without depression (adjusted OR 2.64 [95% CI 2.34-2.97]); those with angina were four times more likely to have chronic pain (OR 4.19 [3.64-4.82]); those with depression were twice as likely to have angina (OR 2.20 [1.90-2.54]). Similar odds were obtained when the outcomes and predictors were reversed and similar effects seen among sibling pairs; depression in one sibling predicted chronic pain in the other (OR 1.34 [1.05-1.71]), angina predicted chronic pain in the other (OR 2.19 [1.63-2.95]), and depression, angina (OR 1.98 [1.49-2.65]). Individuals with chronic pain and angina showed almost fourfold greater odds of depression compared with those manifesting neither trait (OR 3.78 [2.99-4.78]); angina showed seven-fold increased odds in the presence of chronic pain and depression (OR 7.76 [6.05-9.95]) and chronic pain nine-fold in the presence of depression and angina (OR 9.43 [6.85-12.98]). In TwinsUK, the relationship between CWP and depression has been published (R = 0.34, p&lt; 0.01). Considering the CWP-cardiovascular relationship, the most suitable model to describe the observed data was a combination of A, C and E, with a small but significant genetic predisposition, shared between the two traits (2.2% [95% CI 0.06-0.23]).
    Conclusion
    We found an increased co-occurrence of chronic pain, depression and cardiovascular disease in two independent cohorts (general population-based cohort, twins cohort) suggesting a shared genetic contribution. Adjustment for known environmental influences, particularly those relating to socio-economic status (Generation Scotland: age, gender, deprivation, smoking, education; Twins UK: age, BMI) did not explain the relationship observed between chronic pain, depression and cardiovascular disease. Our findings from two independent cohorts challenge the concept of traditional disease boundaries and warrant further investigation of shared biological mechanisms.

    DOI: 10.1371/journal.pone.0170653

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  9. Association between intake of dairy products and short-term memory with and without adjustment for genetic and family environmental factors: A twin study Reviewed

    Soshiro Ogata, Haruka Tanaka, Kayoko Omura, Chika Honda, Kazuo Hayakawa

    Clinical Nutrition   Vol. 35 ( 2 ) page: 507 - 513   2016.4

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  10. Association between subjective memory complaints and depressive symptoms after adjustment for genetic and family environmental factors in a Japanese twin study Reviewed

    Haruka Tanaka, Soshiro Ogata, Kayoko Omura, Chika Honda, Kei Kamide, Kazuo Hayakawa

    Environmental Health and Preventive Medicine   Vol. 21 ( 2 ) page: 92 - 99   2015.12

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    DOI: 10.1007/s12199-015-0473-3

  11. The relationship between body mass index and uric acid: a study on Japanese adult twins Reviewed

    Kentaro Tanaka, Soshiro Ogata, Haruka Tanaka, Kayoko Omura, Chika Honda, Kazuo Hayakawa

    Environmental Health and Preventive Medicine   Vol. 20 ( 5 ) page: 347 - 353   2015.6

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  12. 若年認知症の患者が診断を受けるまでの家族の行動プロセス 早期診断につなげるために必要な支援の考察 Reviewed

    田中 晴佳, 武地 一, 杉山 博通, 藤本 理恵子, 木下 彩栄, 櫻庭 繁

    日本認知症ケア学会誌   Vol. 9 ( 3 ) page: 507 - 518   2010.11

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Books 1

  1. 新版 精神看護学

    ( Role: Contributor)

    中央法規出版  2020.7  ( ISBN: 978-4805881774

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    Book type:Textbook, survey, introduction

MISC 1

  1. 英国ロンドンにおける看護教育体制 三重県看護師海外派遣研修事業研修報告

    大村 佳代子, 田中 晴佳

    日本看護学教育学会誌   Vol. 27   page: 261 - 261   2017.7

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    Language:Japanese   Publisher:(一社)日本看護学教育学会  

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Presentations 7

  1. センシング機器を用いた観察研究1:リハビリテーション病棟における照度、音、気温と湿度の実態

    内海桃絵、山川みやえ、樋口明里、田中晴佳、生田花澄、高橋伸平、福井小紀子

    第40回日本看護科学学術集会  2020.12.13 

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    Presentation type:Oral presentation (general)  

  2. センシング機器を用いた観察研究2:回復期リハビリテーション病棟高齢患者の睡眠障害の関連要因

    山川みやえ、内海桃絵、高橋伸平、樋口明里、田中晴佳、生田花澄、福井小紀子

    第40回日本看護科学学術集会  2020.12.13 

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  3. センシング機器を用いた観察研究4:高齢療養者の夜間の痒みの客観的評価と主観的評価の比較検証

    樋口明里、田中晴佳、内海桃絵、山川みやえ、生田花澄、高橋伸平、福井小紀子

    第40回日本看護科学学術集会  2020.12.13 

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  4. センシング機器を用いた観察研究5:緩和ケア入院中のがん患者における呼吸数増加の要因検討

    生田花澄、樋口明里、田中晴佳、内海桃絵、山川みやえ、高橋伸平、福井小紀子

    第40回日本看護科学学術集会  2020.12.13 

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  5. センシング機器を用いた観察研究7:死亡2-3週間前のがん患者におけるバイタルデータによる予後予測

    福井小紀子、生田花澄、田中晴佳、樋口明里、内海桃絵、高橋伸平、山川みやえ

    第40回日本看護科学学術集会  2020.12.13 

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  6. センシング機器を用いた観察研究6:緩和ケア病棟入院患者の永眠までの呼吸障害発生回数による予後予測

    田中晴佳、樋口明里、山川みやえ、内海桃絵、生田花澄、高橋伸平、福井小紀子

    2020.12.13 

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  7. センシング機器を用いた観察研究3:高齢者施設における便秘と睡眠の関連性

    高橋伸平、山川みやえ、内海桃絵、樋口明里、田中晴佳、生田花澄、福井小紀子

    第40回日本看護科学学術集会  2020.12.12 

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Research Project for Joint Research, Competitive Funding, etc. 2

  1. 糖尿病とうつ病が併存する患者への看護介入に関する実態調査

    2018.4 - 2019.3

    研究助成 

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    Authorship:Principal investigator  Grant type:Competitive

    Grant amount:\500000

  2. 医療介護現場(病院、施設住宅)における早期予測技術システムと最適ケアモデルの開発

    2017.10

    包括連携契約 

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    Grant type:Collaborative (industry/university)

KAKENHI (Grants-in-Aid for Scientific Research) 5

  1. 顎顔面欠損患者に対する看護指針の開発

    Grant number:20K19091  2020.4

    若手研究

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    Authorship:Principal investigator  Grant type:Competitive

  2. 科学技術と実践情報を統合した高齢者の早期問題予測ツールと最適ケアモデルの開発

    Grant number:18H03112  2018.4 - 2021.3

    基盤研究(B)

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    Authorship:Coinvestigator(s)  Grant type:Competitive

  3. 高血圧とうつ状態の併存に影響を与える生活習慣に関連した危険因子・予防因子の探索

    Grant number:17K17511  2017.4

    若手研究(B)

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    Authorship:Principal investigator  Grant type:Competitive

    Grant amount:\3640000 ( Direct Cost: \2800000 、 Indirect Cost:\840000 )

  4. 乳幼児期における双子言葉(宇宙語)現象の発生予防とファミリーケアの研究

    Grant number:16K15995  2016.4 - 2017.3

    挑戦的萌芽研究

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    Authorship:Coinvestigator(s)  Grant type:Competitive

  5. 高齢者におけるうつ症状の経時的変化に影響を与える食品および栄養素の探索的縦断研究

    Grant number:15H06542  2015.4 - 2017.3

    研究活動スタート支援

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    Authorship:Principal investigator  Grant type:Competitive

    Grant amount:\2210000 ( Direct Cost: \1700000 、 Indirect Cost:\510000 )

Industrial property rights 1

  1. 環境制御システム

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    Application no:特願2020-003216  Date applied:2020.1

 

Social Contribution 1

  1. ケアミーティング 事例検討の新たな方法を学ぶ

    Role(s):Organizing member

    2017.6 - 2018.9

Academic Activities 4

  1. 日本精神保健看護学会 研究活動推進委員

    2021.9

  2. 看護科学学会 学術用語検討委員

    2019.9

  3. 日本精神保健看護学会・査読委員

    Role(s):Peer review

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    Type:Peer review 

  4. 日本看護科学学会・査読委員

    Role(s):Peer review

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    Type:Peer review