tag:blogger.com,1999:blog-82579576479714818892024-03-13T09:04:08.469+09:00リハビリテーション科医のメモリーノートとあるリハビリテーション科医の外部記憶媒体です。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.comBlogger448125tag:blogger.com,1999:blog-8257957647971481889.post-30044582948266887042021-10-18T09:57:00.006+09:002021-10-19T07:49:40.705+09:00磁気刺激を応援するクラウドファンディング「脳卒中の後遺症に悩まれている方々を磁気刺激療法で救いたい」<p>磁気刺激療法を応援するクラウドファンディング「<span style="text-align: center;">脳卒中の後遺症に悩まれている方々を磁気刺激療法で救いたい</span>」がREADYFORにて行われています。</p><p><a href="https://readyfor.jp/projects/hosp_mie-rehabil" style="text-align: center;">https://readyfor.jp/projects/hosp_mie-rehabil</a></p><p>経頭蓋磁気刺激療法は脳卒中治療ガイドラインでも推奨されている治療法です。本治療法の恩恵を受けられる方が増えることを期待しています。(本プロジェクトは<span style="text-align: center;">三重大学振興基金の事業として、レディーフォーにて実施されています。</span>)</p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://readyfor.jp/projects/hosp_mie-rehabil" style="margin-left: 1em; margin-right: 1em;" target="_blank"><img border="0" data-original-height="739" data-original-width="522" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh_pFHGTMvIY2UHo5HpqHiu2LXncqTaSC9jrRvwIghQC-dp_E__stlepDkzjGgDAfZwCN4JNjPppctx0mxjFlTiSke5KmREjEgA2GuBBlFoQ7Hxtx4Sd_d9Vuc39Us1VPQO0HdOEUkmkCs/w453-h640/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="453" /></a></div><div style="text-align: center;"><br /></div><p></p>MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-48444657890940470132021-07-24T20:18:00.002+09:002021-07-24T20:18:28.932+09:0020年間におけるリハビリテーション科医の特徴の変化<p>1996年から2016年までにおけるリハビリテーション科医の特徴の変化を調べたPRMの論文です。</p><p><a href="https://pubmed.ncbi.nlm.nih.gov/32789280/">Ishikawa M. Changes in the Characteristics of Rehabilitation Physicians over Two Decades: Analysis of National Physician Census Surveys in Japan. Prog Rehabil Med. 2020 Jun 17;5:20200012. </a></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMbDLmPn6FDs_3zeM_EZ1OKXQ5BNieFnJN0jU2dgboK5o5ay6NXWgWqjwfKdRGWO00JP81Vs9_x5bucePwuMx7j38nYVpfRjsK154-QVHKTxK0L5BKdvmqJIUa2XMbwRtDJhZQIceIju4/" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="329" data-original-width="691" height="191" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMbDLmPn6FDs_3zeM_EZ1OKXQ5BNieFnJN0jU2dgboK5o5ay6NXWgWqjwfKdRGWO00JP81Vs9_x5bucePwuMx7j38nYVpfRjsK154-QVHKTxK0L5BKdvmqJIUa2XMbwRtDJhZQIceIju4/w400-h191/image.png" width="400" /></a></div><p></p><p>20年で902人から2484人に増加していたが、40歳以下ではむしろ減少、40歳以上で大きな増加がみられた。転科組の先生が増えただけで、初めからリハビリテーション科を志す人は増えてないという結果。各大学でリハビリテーション医学の授業を増やし、若手医師のキャリアパスを作る必要があると考察されています。</p><p><br /></p>MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-88393809947615264732021-07-11T11:57:00.003+09:002021-07-11T11:57:59.905+09:00リハビリテーション医学領域におけるImpact factor(2020)<p>2021年6月30日にJouranal Citation Reportsより最新Impact factorが発表されました。</p><p>リハビリテーション医学領域におけるIFランキングは以下の通りでした。</p><p></p><ol style="text-align: left;"><li>Journal of Physiotherapy:7</li><li>EXCEPTIONAL CHILDREN:5.042</li><li>Annals of Physical and Rehabilitation Medicine:4.919</li><li>JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY:4.751</li><li>Journal of NeuroEngineering and Rehabilitation:4.262</li><li>ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION:3.966</li><li>NEUROREHABILITATION AND NEURAL REPAIR:3.919</li><li>IEEE TRANSACTIONS ON NEURAL SYSTEMS AND REHABILITATION ENGINEERING:3.802</li><li>Journal of Neurologic Physical Therapy:3.649</li><li>SUPPORTIVE CARE IN CANCER:3.603</li><li>JOURNAL OF OCCUPATIONAL REHABILITATION:3.489</li><li>CLINICAL REHABILITATION:3.477</li><li>Journal of Geriatric Physical Therapy:3.381</li><li>Brazilian Journal of Physical Therapy:3.377</li><li>Physiotherapy:3.358</li><li>DISABILITY & SOCIETY:3.314</li><li>RESEARCH IN DEVELOPMENTAL DISABILITIES:3.23</li><li>Games for Health Journal:3.204</li><li>Pediatric Physical Therapy:3.049</li><li>Focus on Autism and Other Developmental Disabilities:3.042</li><li>DISABILITY AND REHABILITATION:3.033</li><li>Physical Therapy & Rehabilitation Journal:3.021</li><li>INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS:3.02</li><li>LANGUAGE SPEECH AND HEARING SERVICES IN SCHOOLS:2.983</li><li>ADAPTED PHYSICAL ACTIVITY QUARTERLY:2.929</li><li>JOURNAL OF REHABILITATION MEDICINE:2.912</li><li>Research in Autism Spectrum Disorders:2.881</li><li>European Journal of Physical and Rehabilitation Medicine:2.874</li><li>(以下略)</li></ol><div>リハビリテーション医学領域におけるIFは平均で1.6でした。以前より点数自体は上がってきているように感じます。</div><p></p>MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-73333669069796319652019-06-22T12:52:00.002+09:002019-06-22T12:52:42.445+09:00神経医学関連誌のインパクトファクター(JCR2018)<table border="0" cellpadding="0" cellspacing="0" style="border-collapse: collapse; width: 586px;">
<colgroup><col style="mso-width-alt: 16512; mso-width-source: userset; width: 387pt;" width="516"></col>
<col style="width: 53pt;" width="70"></col>
</colgroup><tbody>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt; width: 387pt;" width="516">LANCET NEUROLOGY</td>
<td align="right" style="width: 53pt;" width="70">28.755</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nature Reviews Neurology</td>
<td align="right">21.155</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ACTA NEUROPATHOLOGICA</td>
<td align="right">18.174</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Alzheimers & Dementia</td>
<td align="right">14.423</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JAMA Neurology</td>
<td align="right">12.321</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BRAIN</td>
<td align="right">11.814</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SLEEP MEDICINE REVIEWS</td>
<td align="right">10.517</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEURO-ONCOLOGY</td>
<td align="right">10.091</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ANNALS OF NEUROLOGY</td>
<td align="right">9.496</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROLOGY</td>
<td align="right">8.689</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEUROLOGY NEUROSURGERY AND
PSYCHIATRY</td>
<td align="right">8.272</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">MOVEMENT DISORDERS</td>
<td align="right">8.061</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Neurology-Neuroimmunology &
Neuroinflammation</td>
<td align="right">7.353</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Brain Stimulation</td>
<td align="right">6.919</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Epilepsy Currents</td>
<td align="right">6.909</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROPATHOLOGY AND APPLIED NEUROBIOLOGY</td>
<td align="right">6.878</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROSCIENTIST</td>
<td align="right">6.791</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BRAIN PATHOLOGY</td>
<td align="right">6.155</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Alzheimers Research & Therapy</td>
<td align="right">6.142</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">STROKE</td>
<td align="right">6.046</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PAIN</td>
<td align="right">6.029</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Translational Stroke Research</td>
<td align="right">5.847</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Multiple Sclerosis Journal</td>
<td align="right">5.649</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Stroke</td>
<td align="right">5.571</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EPILEPSIA</td>
<td align="right">5.562</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Neurotherapeutics</td>
<td align="right">5.552</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF PAIN</td>
<td align="right">5.424</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BIPOLAR DISORDERS</td>
<td align="right">4.936</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Annals of Clinical and Translational
Neurology</td>
<td align="right">4.656</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CURRENT OPINION IN NEUROLOGY</td>
<td align="right">4.647</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROSURGERY</td>
<td align="right">4.605</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SLEEP</td>
<td align="right">4.571</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN NEUROPSYCHOPHARMACOLOGY</td>
<td align="right">4.468</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">International Journal of Stroke</td>
<td align="right">4.466</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CEPHALALGIA</td>
<td align="right">4.438</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN JOURNAL OF NEUROLOGY</td>
<td align="right">4.387</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PARKINSONISM & RELATED DISORDERS</td>
<td align="right">4.36</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PROGRESS IN NEURO-PSYCHOPHARMACOLOGY
& BIOLOGICAL PSYCHIATRY</td>
<td align="right">4.315</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF PSYCHOPHARMACOLOGY</td>
<td align="right">4.221</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">INTERNATIONAL JOURNAL OF
NEUROPSYCHOPHARMACOLOGY</td>
<td align="right">4.207</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEUROLOGY</td>
<td align="right">4.204</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CNS DRUGS</td>
<td align="right">4.192</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEUROSURGERY</td>
<td align="right">4.13</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF AFFECTIVE DISORDERS</td>
<td align="right">4.084</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CNS SPECTRUMS</td>
<td align="right">3.94</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF HEADACHE AND PAIN</td>
<td align="right">3.918</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROGASTROENTEROLOGY AND MOTILITY</td>
<td align="right">3.803</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROREHABILITATION AND NEURAL REPAIR</td>
<td align="right">3.757</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEUROTRAUMA</td>
<td align="right">3.754</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">HEADACHE</td>
<td align="right">3.749</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL NEUROPHYSIOLOGY</td>
<td align="right">3.675</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Neurodevelopmental Disorders</td>
<td align="right">3.59</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Therapeutic Advances in Neurological
Disorders</td>
<td align="right">3.58</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Current Treatment Options in Neurology</td>
<td align="right">3.574</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">DEVELOPMENTAL MEDICINE AND CHILD
NEUROLOGY</td>
<td align="right">3.532</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Brain Tumor Pathology</td>
<td align="right">3.509</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PSYCHIATRY AND CLINICAL NEUROSCIENCES</td>
<td align="right">3.489</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEUROPATHOLOGY AND
EXPERIMENTAL NEUROLOGY</td>
<td align="right">3.46</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Clinical Sleep Medicine</td>
<td align="right">3.456</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Expert Review of Neurotherapeutics</td>
<td align="right">3.453</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF SLEEP RESEARCH</td>
<td align="right">3.432</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Current Neurology and Neuroscience
Reports</td>
<td align="right">3.4</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF PAIN AND SYMPTOM MANAGEMENT</td>
<td align="right">3.378</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SLEEP MEDICINE</td>
<td align="right">3.36</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AMERICAN JOURNAL OF NEURORADIOLOGY</td>
<td align="right">3.256</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Current Alzheimer Research</td>
<td align="right">3.211</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Spine Journal</td>
<td align="right">3.196</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN ARCHIVES OF PSYCHIATRY AND
CLINICAL NEUROSCIENCE</td>
<td align="right">3.192</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN JOURNAL OF PAIN</td>
<td align="right">3.188</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Neurogastroenterology and
Motility</td>
<td align="right">3.179</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Behavioral Sleep Medicine</td>
<td align="right">3.171</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEURO-ONCOLOGY</td>
<td align="right">3.129</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BRAIN TOPOGRAPHY</td>
<td align="right">3.104</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF THE INTERNATIONAL
NEUROPSYCHOLOGICAL SOCIETY</td>
<td align="right">3.098</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nature and Science of Sleep</td>
<td align="right">3.054</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROGENETICS</td>
<td align="right">3.017</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEUROSURGERY-SPINE</td>
<td align="right">2.998</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY</td>
<td align="right">2.957</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Pain Physician</td>
<td align="right">2.942</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEURAL TRANSMISSION</td>
<td align="right">2.903</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SPINE</td>
<td align="right">2.903</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL JOURNAL OF PAIN</td>
<td align="right">2.893</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Neurosurgical Focus</td>
<td align="right">2.891</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Amyotrophic Lateral Sclerosis and
Frontotemporal Degeneration</td>
<td align="right">2.883</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Neurocritical Care</td>
<td align="right">2.857</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ACTA NEUROLOGICA SCANDINAVICA</td>
<td align="right">2.852</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROLOGIC CLINICS</td>
<td align="right">2.802</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Clinical Neuroradiology</td>
<td align="right">2.8</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Neurodegenerative Diseases</td>
<td align="right">2.798</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Clinical Neurology</td>
<td align="right">2.796</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Current Pain and Headache Reports</td>
<td align="right">2.767</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SEIZURE-EUROPEAN JOURNAL OF EPILEPSY</td>
<td align="right">2.765</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF GERIATRIC PSYCHIATRY AND
NEUROLOGY</td>
<td align="right">2.747</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Multiple Sclerosis and Related Disorders</td>
<td align="right">2.725</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROEPIDEMIOLOGY</td>
<td align="right">2.689</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CEREBROVASCULAR DISEASES</td>
<td align="right">2.681</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF HEAD TRAUMA REHABILITATION</td>
<td align="right">2.667</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROMODULATION</td>
<td align="right">2.663</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF THE NEUROLOGICAL SCIENCES</td>
<td align="right">2.651</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Frontiers in Neurology</td>
<td align="right">2.635</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Neurologic Physical Therapy</td>
<td align="right">2.614</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROMUSCULAR DISORDERS</td>
<td align="right">2.612</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CHILD NEUROPSYCHOLOGY</td>
<td align="right">2.577</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROSURGERY CLINICS OF NORTH AMERICA</td>
<td align="right">2.553</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROSURGICAL REVIEW</td>
<td align="right">2.532</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN SPINE JOURNAL</td>
<td align="right">2.513</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEURO-OPHTHALMOLOGY</td>
<td align="right">2.509</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEURORADIOLOGY</td>
<td align="right">2.504</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN JOURNAL OF PAEDIATRIC NEUROLOGY</td>
<td align="right">2.496</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Pain Practice</td>
<td align="right">2.486</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL AUTONOMIC RESEARCH</td>
<td align="right">2.485</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROLOGICAL SCIENCES</td>
<td align="right">2.484</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEURORADIOLOGY</td>
<td align="right">2.467</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF THE PERIPHERAL NERVOUS SYSTEM</td>
<td align="right">2.441</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">MUSCLE & NERVE</td>
<td align="right">2.393</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ALZHEIMER DISEASE & ASSOCIATED
DISORDERS</td>
<td align="right">2.378</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EPILEPSY & BEHAVIOR</td>
<td align="right">2.378</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PEDIATRIC NEUROLOGY</td>
<td align="right">2.326</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Sleep and Breathing</td>
<td align="right">2.326</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES</td>
<td align="right">2.286</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PSYCHIATRY RESEARCH-NEUROIMAGING</td>
<td align="right">2.27</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">HUMAN PSYCHOPHARMACOLOGY-CLINICAL AND
EXPERIMENTAL</td>
<td align="right">2.265</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">DEMENTIA AND GERIATRIC COGNITIVE
DISORDERS</td>
<td align="right">2.26</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Pain Research</td>
<td align="right">2.236</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BMC Neurology</td>
<td align="right">2.233</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Neuropsychiatric Disease and Treatment</td>
<td align="right">2.228</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EPILEPSY RESEARCH</td>
<td align="right">2.178</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">REVUE NEUROLOGIQUE</td>
<td align="right">2.177</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Neurosurgery-Pediatrics</td>
<td align="right">2.17</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROPHYSIOLOGIE CLINIQUE-CLINICAL
NEUROPHYSIOLOGY</td>
<td align="right">2.167</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROPATHOLOGY</td>
<td align="right">2.161</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF CHILD NEUROLOGY</td>
<td align="right">2.092</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEUROIMAGING</td>
<td align="right">2.08</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">OTOLOGY & NEUROTOLOGY</td>
<td align="right">2.063</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EPILEPTIC DISORDERS</td>
<td align="right">2.052</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Parkinsons Disease</td>
<td align="right">2.051</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROLOGIA</td>
<td align="right">2.038</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL NEUROPSYCHOLOGIST</td>
<td align="right">2.006</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF CLINICAL AND EXPERIMENTAL
NEUROPSYCHOLOGY</td>
<td align="right">1.994</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROLOGICAL RESEARCH</td>
<td align="right">1.983</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEUROPSYCHIATRY AND CLINICAL
NEUROSCIENCES</td>
<td align="right">1.971</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BEHAVIOURAL NEUROLOGY</td>
<td align="right">1.908</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SPINAL CORD</td>
<td align="right">1.898</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Neurosurgical Sciences</td>
<td align="right">1.883</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NERVOUS AND MENTAL DISEASE</td>
<td align="right">1.859</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ACTA NEUROCHIRURGICA</td>
<td align="right">1.834</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL EEG AND NEUROSCIENCE</td>
<td align="right">1.822</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CURRENT NEUROVASCULAR RESEARCH</td>
<td align="right">1.811</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BRAIN & DEVELOPMENT</td>
<td align="right">1.756</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Clinical Spine Surgery</td>
<td align="right">1.726</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">World Neurosurgery</td>
<td align="right">1.723</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF SPINAL CORD MEDICINE</td>
<td align="right">1.711</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Pain Research & Management</td>
<td align="right">1.701</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF CLINICAL NEUROPHYSIOLOGY</td>
<td align="right">1.673</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL NEUROLOGY AND NEUROSURGERY</td>
<td align="right">1.672</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">APHASIOLOGY</td>
<td align="right">1.669</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROPEDIATRICS</td>
<td align="right">1.654</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROLOGIA MEDICO-CHIRURGICA</td>
<td align="right">1.651</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ACTA NEUROLOGICA BELGICA</td>
<td align="right">1.612</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF CLINICAL NEUROSCIENCE</td>
<td align="right">1.593</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Korean Journal of Pain</td>
<td align="right">1.563</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Applied Neuropsychology-Adult</td>
<td align="right">1.548</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Applied Neuropsychology-Child</td>
<td align="right">1.528</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Seminars in Pediatric Neurology</td>
<td align="right">1.506</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BRITISH JOURNAL OF NEUROSURGERY</td>
<td align="right">1.481</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SEMINARS IN NEUROLOGY</td>
<td align="right">1.473</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Operative Neurosurgery</td>
<td align="right">1.47</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">American Journal of Alzheimers Disease
and Other Dementias</td>
<td align="right">1.464</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">INTERVENTIONAL NEURORADIOLOGY</td>
<td align="right">1.45</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Cognitive and Behavioral Neurology</td>
<td align="right">1.396</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CHILDS NERVOUS SYSTEM</td>
<td align="right">1.327</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL NEUROPHARMACOLOGY</td>
<td align="right">1.272</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SCHMERZ</td>
<td align="right">1.267</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Developmental Neurorehabilitation</td>
<td align="right">1.239</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN NEUROLOGY</td>
<td align="right">1.235</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Neurological Surgery Part
B-Skull Base</td>
<td align="right">1.216</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROREHABILITATION</td>
<td align="right">1.197</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Korean Neurosurgical Society</td>
<td align="right">1.187</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROCASE</td>
<td align="right">1.108</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NEUROSCIENCE NURSING</td>
<td align="right">1.096</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Neurological Surgery Part
A-Central European Neurosurgery</td>
<td align="right">1.06</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Neurologia i Neurochirurgia Polska</td>
<td align="right">1.006</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Brain Impairment</td>
<td align="right">0.958</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROCHIRURGIE</td>
<td align="right">0.948</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL NEUROPATHOLOGY</td>
<td align="right">0.947</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Annals of Indian Academy of Neurology</td>
<td align="right">0.898</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Turkish Neurosurgery</td>
<td align="right">0.896</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Neurosciences</td>
<td align="right">0.892</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Noropsikiyatri Arsivi-Archives of
Neuropsychiatry</td>
<td align="right">0.856</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NERVENARZT</td>
<td align="right">0.829</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROLOGIST</td>
<td align="right">0.802</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PEDIATRIC NEUROSURGERY</td>
<td align="right">0.783</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Sleep and Biological Rhythms</td>
<td align="right">0.752</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE</td>
<td align="right">0.635</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">REVISTA DE NEUROLOGIA</td>
<td align="right">0.485</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">KLINISCHE NEUROPHYSIOLOGIE</td>
<td align="right">0.325</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Zeitschrift fur Neuropsychologie</td>
<td align="right">0.233</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Neurology Asia</td>
<td align="right">0.218</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Ideggyogyaszati Szemle-Clinical
Neuroscience</td>
<td align="right">0.113</td>
</tr>
</tbody></table>
MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-40558967466776012462019-06-22T12:48:00.004+09:002019-06-22T12:51:10.488+09:00栄養関連誌のインパクトファクター(JCR2018)<table border="0" cellpadding="0" cellspacing="0" style="border-collapse: collapse; width: 515px;">
<colgroup><col style="mso-width-alt: 14233; mso-width-source: userset; width: 334pt;" width="445"></col>
<col style="width: 53pt;" width="70"></col>
</colgroup><tbody>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt; width: 334pt;" width="445">PROGRESS IN LIPID
RESEARCH</td>
<td align="right" style="width: 53pt;" width="70">12.54</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Annual Review of Nutrition</td>
<td align="right">8.422</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Advances in Nutrition</td>
<td align="right">7.24</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CRITICAL REVIEWS IN FOOD SCIENCE AND
NUTRITION</td>
<td align="right">6.704</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AMERICAN JOURNAL OF CLINICAL NUTRITION</td>
<td align="right">6.568</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL NUTRITION</td>
<td align="right">6.402</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">International Journal of Behavioral
Nutrition and Physical Activity</td>
<td align="right">6.037</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NUTRITION REVIEWS</td>
<td align="right">5.779</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NUTRITION RESEARCH REVIEWS</td>
<td align="right">5.595</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">FOOD CHEMISTRY</td>
<td align="right">5.399</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PROCEEDINGS OF THE NUTRITION SOCIETY</td>
<td align="right">5.017</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">INTERNATIONAL JOURNAL OF OBESITY</td>
<td align="right">4.514</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NUTRITIONAL BIOCHEMISTRY</td>
<td align="right">4.49</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN JOURNAL OF NUTRITION</td>
<td align="right">4.449</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NUTRITION</td>
<td align="right">4.416</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nutrients</td>
<td align="right">4.171</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of the Academy of Nutrition and
Dietetics</td>
<td align="right">4.141</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF PARENTERAL AND ENTERAL
NUTRITION</td>
<td align="right">4.109</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Obesity</td>
<td align="right">3.969</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NUTRITIONAL NEUROSCIENCE</td>
<td align="right">3.95</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">FOOD REVIEWS INTERNATIONAL</td>
<td align="right">3.933</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Hepatobiliary Surgery and Nutrition</td>
<td align="right">3.911</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of the International Society of
Sports Nutrition</td>
<td align="right">3.841</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">FOOD POLICY</td>
<td align="right">3.788</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nutrition & Metabolism</td>
<td align="right">3.599</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nutrition Journal</td>
<td align="right">3.592</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NUTRITION</td>
<td align="right">3.591</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CURRENT OPINION IN CLINICAL NUTRITION AND
METABOLIC CARE</td>
<td align="right">3.57</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">INTERNATIONAL JOURNAL OF EATING DISORDERS</td>
<td align="right">3.523</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">APPETITE</td>
<td align="right">3.501</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Applied Physiology Nutrition and
Metabolism</td>
<td align="right">3.455</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Current Obesity Reports</td>
<td align="right">3.454</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NUTRITION METABOLISM AND CARDIOVASCULAR
DISEASES</td>
<td align="right">3.34</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BRITISH JOURNAL OF NUTRITION</td>
<td align="right">3.319</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Maternal and Child Nutrition</td>
<td align="right">3.305</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Functional Foods</td>
<td align="right">3.197</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN JOURNAL OF CLINICAL NUTRITION</td>
<td align="right">3.114</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nutrition & Diabetes</td>
<td align="right">3.098</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF HUMAN NUTRITION AND DIETETICS</td>
<td align="right">3.088</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ANNALS OF NUTRITION AND METABOLISM</td>
<td align="right">3.051</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND
NUTRITION</td>
<td align="right">3.015</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Beneficial Microbes</td>
<td align="right">2.939</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Genes and Nutrition</td>
<td align="right">2.883</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NUTRITION EDUCATION AND
BEHAVIOR</td>
<td align="right">2.869</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">INTERNATIONAL JOURNAL OF FOOD SCIENCES
AND NUTRITION</td>
<td align="right">2.792</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF RENAL NUTRITION</td>
<td align="right">2.75</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Nutrition Health & Aging</td>
<td align="right">2.66</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Obesity Facts</td>
<td align="right">2.653</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Lipids in Health and Disease</td>
<td align="right">2.651</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NUTRITION RESEARCH</td>
<td align="right">2.627</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PLANT FOODS FOR HUMAN NUTRITION</td>
<td align="right">2.598</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NUTRITION IN CLINICAL PRACTICE</td>
<td align="right">2.587</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Food & Nutrition Research</td>
<td align="right">2.553</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PUBLIC HEALTH NUTRITION</td>
<td align="right">2.526</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Bioscience of Microbiota Food and Health</td>
<td align="right">2.488</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">INTERNATIONAL JOURNAL OF SPORT NUTRITION
AND EXERCISE METABOLISM</td>
<td align="right">2.217</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF CLINICAL BIOCHEMISTRY AND
NUTRITION</td>
<td align="right">2.19</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">LIPIDS</td>
<td align="right">2.144</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF THE AMERICAN COLLEGE OF
NUTRITION</td>
<td align="right">2.08</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Obesity Research & Clinical Practice</td>
<td align="right">2.056</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NUTRITION AND CANCER-AN INTERNATIONAL
JOURNAL</td>
<td align="right">2.029</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF MEDICINAL FOOD</td>
<td align="right">2.02</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Nutrigenetics and
Nutrigenomics</td>
<td align="right">1.943</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN JOURNAL OF LIPID SCIENCE AND
TECHNOLOGY</td>
<td align="right">1.852</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nutrition Research and Practice</td>
<td align="right">1.714</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Endocrinologia y Nutricion</td>
<td align="right">1.649</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">FOOD AND NUTRITION BULLETIN</td>
<td align="right">1.523</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ASIA PACIFIC JOURNAL OF CLINICAL
NUTRITION</td>
<td align="right">1.375</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nutrition & Dietetics</td>
<td align="right">1.339</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">World Review of Nutrition and Dietetics</td>
<td align="right">1.3</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ECOLOGY OF FOOD AND NUTRITION</td>
<td align="right">1.138</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF NUTRITIONAL SCIENCE AND
VITAMINOLOGY</td>
<td align="right">1.125</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Endocrinologia Diabetes y Nutricion</td>
<td align="right">0.934</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nutricion Hospitalaria</td>
<td align="right">0.759</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CANADIAN JOURNAL OF DIETETIC PRACTICE AND
RESEARCH</td>
<td align="right">0.681</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">FOOD AND DRUG LAW JOURNAL</td>
<td align="right">0.619</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ACTA ALIMENTARIA</td>
<td align="right">0.547</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Revista de Nutricao-Brazilian Journal of
Nutrition</td>
<td align="right">0.484</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ERNAHRUNGS UMSCHAU</td>
<td align="right">0.455</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ARCHIVOS LATINOAMERICANOS DE NUTRICION</td>
<td align="right">0.375</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Progress in Nutrition</td>
<td align="right">0.265</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">TOPICS IN CLINICAL NUTRITION</td>
<td align="right">0.241</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nutrition Clinique et Metabolisme</td>
<td align="right">0.232</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Current Topics in Nutraceutical Research</td>
<td align="right">0.228</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Correspondances en Metabolismes Hormones
Diabetes et Nutrition</td>
<td align="right">0.032</td>
</tr>
</tbody></table>
MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-29279679989981624662019-06-22T12:47:00.001+09:002019-06-22T12:50:44.275+09:00老年医学関連誌のインパクトファクター(JCR2018)<table border="0" cellpadding="0" cellspacing="0" style="border-collapse: collapse; width: 521px;">
<colgroup><col style="mso-width-alt: 14438; mso-width-source: userset; width: 338pt;" width="451"></col>
<col style="width: 53pt;" width="70"></col>
</colgroup><tbody>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt; width: 338pt;" width="451">Journal of Cachexia
Sarcopenia and Muscle</td>
<td align="right" style="width: 53pt;" width="70">10.754</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AGEING RESEARCH REVIEWS</td>
<td align="right">10.39</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AGING CELL</td>
<td align="right">7.346</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">GeroScience</td>
<td align="right">6.444</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Aging-US</td>
<td align="right">5.515</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of the American Medical Directors
Association</td>
<td align="right">4.899</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNALS OF GERONTOLOGY SERIES
A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES</td>
<td align="right">4.711</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AGE</td>
<td align="right">4.648</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AGE AND AGEING</td>
<td align="right">4.511</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROBIOLOGY OF AGING</td>
<td align="right">4.398</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Immunity & Ageing</td>
<td align="right">4.25</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Aging and Disease</td>
<td align="right">4.232</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF THE AMERICAN GERIATRICS
SOCIETY</td>
<td align="right">4.113</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">REJUVENATION RESEARCH</td>
<td align="right">3.811</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BIOGERONTOLOGY</td>
<td align="right">3.805</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">MATURITAS</td>
<td align="right">3.654</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Frontiers in Aging Neuroscience</td>
<td align="right">3.633</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">MECHANISMS OF AGEING AND DEVELOPMENT</td>
<td align="right">3.603</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY</td>
<td align="right">3.488</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNALS OF GERONTOLOGY SERIES
B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES</td>
<td align="right">3.418</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">GERONTOLOGY</td>
<td align="right">3.353</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Geriatric Oncology</td>
<td align="right">3.164</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">INTERNATIONAL JOURNAL OF GERIATRIC
PSYCHIATRY</td>
<td align="right">3.141</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EXPERIMENTAL GERONTOLOGY</td>
<td align="right">3.08</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AGING & MENTAL HEALTH</td>
<td align="right">2.956</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">DRUGS & AGING</td>
<td align="right">2.846</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BMC Geriatrics</td>
<td align="right">2.818</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF GERIATRIC PSYCHIATRY AND
NEUROLOGY</td>
<td align="right">2.747</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Nutrition Health & Aging</td>
<td align="right">2.66</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ARCHIVES OF GERONTOLOGY AND GERIATRICS</td>
<td align="right">2.611</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Clinical Interventions in Aging</td>
<td align="right">2.585</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">European Review of Aging and Physical
Activity</td>
<td align="right">2.517</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">INTERNATIONAL PSYCHOGERIATRICS</td>
<td align="right">2.478</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AGING CLINICAL AND EXPERIMENTAL RESEARCH</td>
<td align="right">2.331</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Geriatric Physical Therapy</td>
<td align="right">2.283</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">DEMENTIA AND GERIATRIC COGNITIVE
DISORDERS</td>
<td align="right">2.26</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICS IN GERIATRIC MEDICINE</td>
<td align="right">2.163</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Geriatrics & Gerontology
International</td>
<td align="right">2.118</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF AGING AND PHYSICAL ACTIVITY</td>
<td align="right">1.795</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Geriatric Cardiology</td>
<td align="right">1.763</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Clinical Gerontologist</td>
<td align="right">1.586</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Psychogeriatrics</td>
<td align="right">1.518</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">GERIATRIC NURSING</td>
<td align="right">1.517</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">American Journal of Alzheimers Disease
and Other Dementias</td>
<td align="right">1.464</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">GERODONTOLOGY</td>
<td align="right">1.46</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">International Journal of Older People
Nursing</td>
<td align="right">1.446</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">European Geriatric Medicine</td>
<td align="right">1.233</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AUSTRALASIAN JOURNAL ON AGEING</td>
<td align="right">1.206</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EXPERIMENTAL AGING RESEARCH</td>
<td align="right">1.206</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">International Journal of Gerontology</td>
<td align="right">0.933</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ZEITSCHRIFT FUR GERONTOLOGIE UND
GERIATRIE</td>
<td align="right">0.919</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Gerontological Nursing</td>
<td align="right">0.84</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Turkish Journal of Geriatrics-Turk
Geriatri Dergisi</td>
<td align="right">0.241</td>
</tr>
</tbody></table>
MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-51839913255388172352019-06-22T08:56:00.001+09:002019-06-22T12:53:39.913+09:00リハ医学関連誌のインパクトファクター(JCR2018)新しいリハ医学関連誌のインパクトファクターが公開されました<br />
<br />
<table border="0" cellpadding="0" cellspacing="0" style="border-collapse: collapse; width: 554px;">
<colgroup><col style="mso-width-alt: 15488; mso-width-source: userset; width: 363pt;" width="484"></col>
<col style="width: 53pt;" width="70"></col>
</colgroup><tbody>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt; width: 363pt;" width="484">Journal of
Physiotherapy</td>
<td align="right" style="width: 53pt;" width="70">5.55</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Annals of Physical and Rehabilitation
Medicine</td>
<td align="right">4.2</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROREHABILITATION AND NEURAL REPAIR</td>
<td align="right">3.76</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of NeuroEngineering and
Rehabilitation</td>
<td align="right">3.58</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">IEEE TRANSACTIONS ON NEURAL SYSTEMS AND
REHABILITATION ENGINEERING</td>
<td align="right">3.48</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF ORTHOPAEDIC & SPORTS
PHYSICAL THERAPY</td>
<td align="right">3.06</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PHYSICAL THERAPY</td>
<td align="right">3.04</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EXCEPTIONAL CHILDREN</td>
<td align="right">2.85</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SUPPORTIVE CARE IN CANCER</td>
<td align="right">2.75</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL REHABILITATION</td>
<td align="right">2.74</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Augmentative and Alternative
Communication</td>
<td align="right">2.71</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ARCHIVES OF PHYSICAL MEDICINE AND
REHABILITATION</td>
<td align="right">2.7</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF HEAD TRAUMA REHABILITATION</td>
<td align="right">2.67</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">MANUAL THERAPY</td>
<td align="right">2.62</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Neurologic Physical Therapy</td>
<td align="right">2.61</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF LEARNING DISABILITIES</td>
<td align="right">2.58</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Physiotherapy</td>
<td align="right">2.53</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">EUROPEAN JOURNAL OF CANCER CARE</td>
<td align="right">2.42</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF FLUENCY DISORDERS</td>
<td align="right">2.35</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Geriatric Physical Therapy</td>
<td align="right">2.28</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PSYCHIATRIC REHABILITATION JOURNAL</td>
<td align="right">2.27</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Physical Medicine and Rehabilitation
Clinics of North America</td>
<td align="right">2.25</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF OCCUPATIONAL REHABILITATION</td>
<td align="right">2.24</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ANNALS OF DYSLEXIA</td>
<td align="right">2.17</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">European Journal of Physical and
Rehabilitation Medicine</td>
<td align="right">2.1</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Learning Disabilities Research &
Practice</td>
<td align="right">2.08</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">DISABILITY AND REHABILITATION</td>
<td align="right">2.05</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PHYSICAL THERAPY IN SPORT</td>
<td align="right">2</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Topics in Stroke Rehabilitation</td>
<td align="right">1.96</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AMERICAN JOURNAL OF OCCUPATIONAL THERAPY</td>
<td align="right">1.95</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF INTELLECTUAL DISABILITY
RESEARCH</td>
<td align="right">1.94</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AMERICAN JOURNAL OF PHYSICAL MEDICINE
& REHABILITATION</td>
<td align="right">1.91</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF REHABILITATION MEDICINE</td>
<td align="right">1.91</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PM&R</td>
<td align="right">1.9</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SPINAL CORD</td>
<td align="right">1.9</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Brazilian Journal of Physical Therapy</td>
<td align="right">1.88</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">RESEARCH IN DEVELOPMENTAL DISABILITIES</td>
<td align="right">1.87</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Research in Autism Spectrum Disorders</td>
<td align="right">1.8</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">RESEARCH AND PRACTICE FOR PERSONS WITH
SEVERE DISABILITIES</td>
<td align="right">1.8</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Games for Health Journal</td>
<td align="right">1.78</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF APPLIED RESEARCH IN
INTELLECTUAL DISABILITIES</td>
<td align="right">1.77</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF ELECTROMYOGRAPHY AND
KINESIOLOGY</td>
<td align="right">1.75</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF SPEECH LANGUAGE AND HEARING
RESEARCH</td>
<td align="right">1.75</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AJIDD-American Journal on Intellectual
and Developmental Disabilities</td>
<td align="right">1.74</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF MUSIC THERAPY</td>
<td align="right">1.74</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Musculoskeletal Science and Practice</td>
<td align="right">1.73</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">BRAIN INJURY</td>
<td align="right">1.67</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">DISABILITY & SOCIETY</td>
<td align="right">1.61</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Intellectual and Developmental
Disabilities</td>
<td align="right">1.58</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">DYSLEXIA</td>
<td align="right">1.57</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Deaf Studies and Deaf
Education</td>
<td align="right">1.56</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">LANGUAGE SPEECH AND HEARING SERVICES IN
SCHOOLS</td>
<td align="right">1.54</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Nordic Journal of Music Therapy</td>
<td align="right">1.54</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF COMMUNICATION DISORDERS</td>
<td align="right">1.54</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PHYSICAL & OCCUPATIONAL THERAPY IN
PEDIATRICS</td>
<td align="right">1.54</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Hand Therapy</td>
<td align="right">1.53</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">LEARNING DISABILITY QUARTERLY</td>
<td align="right">1.53</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">INTERNATIONAL JOURNAL OF LANGUAGE &
COMMUNICATION DISORDERS</td>
<td align="right">1.5</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF SPORT REHABILITATION</td>
<td align="right">1.5</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PROSTHETICS AND ORTHOTICS INTERNATIONAL</td>
<td align="right">1.48</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Disability and Health Journal</td>
<td align="right">1.47</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF INTELLECTUAL &
DEVELOPMENTAL DISABILITY</td>
<td align="right">1.47</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">REHABILITATION PSYCHOLOGY</td>
<td align="right">1.39</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Kinesiology</td>
<td align="right">1.38</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">INTERNATIONAL JOURNAL OF REHABILITATION
RESEARCH</td>
<td align="right">1.38</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Rehabilitation Nursing</td>
<td align="right">1.37</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Focus on Autism and Other Developmental
Disabilities</td>
<td align="right">1.33</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AMERICAN JOURNAL OF SPEECH-LANGUAGE
PATHOLOGY</td>
<td align="right">1.32</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Scandinavian Journal of Occupational
Therapy</td>
<td align="right">1.32</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ARTS IN PSYCHOTHERAPY</td>
<td align="right">1.31</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF EARLY INTERVENTION</td>
<td align="right">1.29</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">International Journal of Speech-Language
Pathology</td>
<td align="right">1.28</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Australian Occupational Therapy Journal</td>
<td align="right">1.28</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL
THERAPEUTICS</td>
<td align="right">1.27</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ASSISTIVE TECHNOLOGY</td>
<td align="right">1.26</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Developmental Neurorehabilitation</td>
<td align="right">1.24</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">OTJR-OCCUPATION PARTICIPATION AND HEALTH</td>
<td align="right">1.23</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">NEUROREHABILITATION</td>
<td align="right">1.2</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PHYSIOTHERAPY THEORY AND PRACTICE</td>
<td align="right">1.16</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">ADAPTED PHYSICAL ACTIVITY QUARTERLY</td>
<td align="right">1.11</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Canadian Journal of Occupational
Therapy-Revue Canadienne d Ergotherapie</td>
<td align="right">1.1</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SEMINARS IN SPEECH AND LANGUAGE</td>
<td align="right">1.09</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">CLINICAL LINGUISTICS & PHONETICS</td>
<td align="right">1.08</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Mental Health Research in
Intellectual Disabilities</td>
<td align="right">1.06</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">TOPICS IN LANGUAGE DISORDERS</td>
<td align="right">1.05</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">SEXUALITY AND DISABILITY</td>
<td align="right">1</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">International Journal of Osteopathic
Medicine</td>
<td align="right">0.98</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Brain Impairment</td>
<td align="right">0.96</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF DEVELOPMENTAL AND PHYSICAL
DISABILITIES</td>
<td align="right">0.95</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">REHABILITATION</td>
<td align="right">0.94</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Policy and Practice in
Intellectual Disabilities</td>
<td align="right">0.93</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Education and Treatment of Children</td>
<td align="right">0.9</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Physiotherapy Canada</td>
<td align="right">0.9</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Pediatric Physical Therapy</td>
<td align="right">0.86</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Journal of Disability Policy Studies</td>
<td align="right">0.85</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">REHABILITATION COUNSELING BULLETIN</td>
<td align="right">0.85</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Education and Training in Autism and
Developmental Disabilities</td>
<td align="right">0.82</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Occupational Therapy International</td>
<td align="right">0.82</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">International Journal of Disability
Development and Education</td>
<td align="right">0.82</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF BACK AND MUSCULOSKELETAL
REHABILITATION</td>
<td align="right">0.81</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">British Journal of Occupational Therapy</td>
<td align="right">0.78</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Communication Disorders Quarterly</td>
<td align="right">0.72</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">AMERICAN ANNALS OF THE DEAF</td>
<td align="right">0.64</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF VISUAL IMPAIRMENT &
BLINDNESS</td>
<td align="right">0.63</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">FOLIA PHONIATRICA ET LOGOPAEDICA</td>
<td align="right">0.54</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">International Journal of Developmental
Disabilities</td>
<td align="right">0.47</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Infants & Young Children</td>
<td align="right">0.45</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">JOURNAL OF REHABILITATION</td>
<td align="right">0.4</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Hong Kong Journal of Occupational Therapy</td>
<td align="right">0.36</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">PHYSIKALISCHE MEDIZIN
REHABILITATIONSMEDIZIN KURORTMEDIZIN</td>
<td align="right">0.31</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">Turkish Journal of Physical Medicine and
Rehabilitation</td>
<td align="right">0.22</td>
</tr>
<tr height="24" style="height: 18.0pt;">
<td height="24" style="height: 18.0pt;">TOPICS IN GERIATRIC REHABILITATION</td>
<td align="right">0.13</td>
</tr>
</tbody></table>
MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com1tag:blogger.com,1999:blog-8257957647971481889.post-72069679366310742402017-12-05T08:20:00.000+09:002017-12-05T08:51:27.596+09:00EMBASEを格安で利用する方法<a href="http://jp.elsevier.com/online-tools/embase">EMBASE</a>はシステマティックレビューには欠かせない文献データベースですが、使用料がかなり高額であることが問題でした。EMBASEを格安で利用する方法が1つわかりましたのでお伝えします。<br />
<br />
その方法とは<a href="https://www.rsm.ac.uk/">Royal Society of Medicine(英国王立医学協会)</a>に加入することです。Royal Society of Medicineの会員は会員専用サイトで様々なデータベースを使用することができるのですが、その中にEMBASEがはいっているのです。(プラットフォームはProQuest Dialog)<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiuaN4hPE_jc80QuYHCn9a2Sdxvb4Pt0N8LqXhtd9C-qqicGlVwGtDVZmXUONBFdQPRZUynZuvDIycvVTQBq3hKLbgN6MuG4fBWz3OzLOBzBPLYgbPQlfkBBh8l6fLzy8flNffDNzG6MOI/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="356" data-original-width="911" height="156" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiuaN4hPE_jc80QuYHCn9a2Sdxvb4Pt0N8LqXhtd9C-qqicGlVwGtDVZmXUONBFdQPRZUynZuvDIycvVTQBq3hKLbgN6MuG4fBWz3OzLOBzBPLYgbPQlfkBBh8l6fLzy8flNffDNzG6MOI/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
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<br />
医師の場合、<br />
New Membership Subscription: Overseas Fellow:£272.00<br />
RSM Overseas Fellow - Joining Fee:£85.00<br />
5万5千円くらいの年会費です。<br />
<br />
他にもいい方法があるのかもしれませんが、一つの方法として情報共有させて頂きます。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-82776678827155489772017-02-25T21:07:00.002+09:002017-05-09T23:45:29.090+09:00退院調整すれば、本当に早く退院できるの?最近、高齢入院患者が多く、なかなか退院できない人も多いです。そこでいろいろと退院調整をするのですが、退院調整すると本当に早く退院できるのでしょうか?<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEis6cgwsAvaa4At31KHlY4ZbGghaG3Qipg4GjA1983qTYGSm7rWbxh_FWa0Tr6JYwSgw1QYgZmiBfyhyphenhyphenLybdE8DGyAktMqfIP_qYWl0uk3BOVSLR4syVTQYX-6wzQq4fq28tAgCv8jfEvk/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="186" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEis6cgwsAvaa4At31KHlY4ZbGghaG3Qipg4GjA1983qTYGSm7rWbxh_FWa0Tr6JYwSgw1QYgZmiBfyhyphenhyphenLybdE8DGyAktMqfIP_qYWl0uk3BOVSLR4syVTQYX-6wzQq4fq28tAgCv8jfEvk/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
<a href="http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000313.pub5/abstract">Gonçalves-Bradley DC, et al. Discharge planning from hospital. Cochrane Database Syst Rev. 2016 Jan 27;(1):CD000313.</a> 文献を調べていたところ、退院計画が早期退院に与える影響を調べたコクランレビューが見つかったので読んでみました。コクランレビューとは世界中のあらゆる健康情報を網羅的に収集し、結果をまとめたものです。<br />
<br />
CENTRAL,MEDLINE,EMBASE,CINAHL,Social Science Citation Index,ClinicalTrials.govといった文献データベースをつかって「あらゆる病気を対象に、退院計画立案(個別のアセスメントに基づいて退院計画を立てること)が、在院日数に与える影響を検討しているランダム化比較試験」を網羅的に検索しています。<br />
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検索の結果、19の論文が抽出されました。それぞれの研究が間違ったことを述べてしまっているリスクを評価した結果です。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEicU7B-6Os7T33EjbFrfCCq30nQhSPt5QtJaQtDGpPRJMJtMLIBDQttw-Mb_A9k0mJzN659C9HwfsF1UeV_ivxxoNUo-UfYN5_4FD0_8q-6gRXRdn78125EZjv_VBqGR9-NS2ho8oRuRFs/s1600/nCD000313-AFig-FIG02.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="102" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEicU7B-6Os7T33EjbFrfCCq30nQhSPt5QtJaQtDGpPRJMJtMLIBDQttw-Mb_A9k0mJzN659C9HwfsF1UeV_ivxxoNUo-UfYN5_4FD0_8q-6gRXRdn78125EZjv_VBqGR9-NS2ho8oRuRFs/s400/nCD000313-AFig-FIG02.png" width="400" /></a></div>
赤が多いと間違った内容を結論づけてしまっているリスクが高い(情報の質が低い)です。あまり赤は目立たないですね。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgo552e8UxLYO1Gj1rsZPCLwASbzgzdtazwUIiCltsFbtNspLHYfcgYsRXpqyXLBDLUWdjE6vHP2FCRdwxF9dTjflKZwHGl7dOVYhNtpSwi_A0j1Dh-pWJ8Ulxpoi1eALf3et_wqeT9hIM/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="183" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgo552e8UxLYO1Gj1rsZPCLwASbzgzdtazwUIiCltsFbtNspLHYfcgYsRXpqyXLBDLUWdjE6vHP2FCRdwxF9dTjflKZwHGl7dOVYhNtpSwi_A0j1Dh-pWJ8Ulxpoi1eALf3et_wqeT9hIM/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
こちらの図の一番下のTotalのところにある菱形が利用可能な研究をすべて統合した結果です。真ん中の線と重ならず左によっていますね。これは退院計画が在院日数を退縮させたことを意味しています。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhny3phqFKMVt8cgebBS1dON2t3StXvVTmO_z0YpbFrDJPt-ANTKkYuZcCtJ1lXRhQIURGVI6O6s7MVyjxHCubIQ65yqEO-wSFYkUgZCcIdiRjI-MJ4iUHapc6groI96o1iA8YL4IGNOBw/s1600/%25E5%259B%25B31.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="133" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhny3phqFKMVt8cgebBS1dON2t3StXvVTmO_z0YpbFrDJPt-ANTKkYuZcCtJ1lXRhQIURGVI6O6s7MVyjxHCubIQ65yqEO-wSFYkUgZCcIdiRjI-MJ4iUHapc6groI96o1iA8YL4IGNOBw/s400/%25E5%259B%25B31.jpg" width="400" /></a></div>
こちらが最終的な情報のまとめです。退院計画によって在院日数がだいたい5~12日減少する、そしてその情報の質は中ぐらいとのことです。<br />
ちなみに費用に関してはなんとも言えない結果であったのと、退院計画によって大きな問題が起こるようなことはなかったとのことです。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-39467616459830049912016-05-01T16:54:00.000+09:002016-05-01T17:14:07.430+09:00脳梗塞後tPA投与例に対する超早期リハの安全性と有効性<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggu4AY44K792nWiYLQS1C-mhk7xH4-pxfi9uP3qc6wPs37Jb8P0CcF_YXvBHo2LypxP440DRQ_COdlUID3WiCSyEtzodB6hUCu0LLXW3FlEauJFuejDJzSN2uY781PDc2C_mIWvog1Fxs/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="221" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggu4AY44K792nWiYLQS1C-mhk7xH4-pxfi9uP3qc6wPs37Jb8P0CcF_YXvBHo2LypxP440DRQ_COdlUID3WiCSyEtzodB6hUCu0LLXW3FlEauJFuejDJzSN2uY781PDc2C_mIWvog1Fxs/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
<a href="http://www.karger.com/Article/Abstract/444720">Very Early versus Delayed Rehabilitation for Acute Ischemic Stroke Patients with Intravenous Recombinant Tissue Plasminogen Activator: A Nationwide Retrospective Cohort Study. Cerebrovasc Dis. 2016;42:41-8.</a><br />
脳梗塞では急性期にtPA療法が行われていますが、tPA後のリハ開始時期はどれくらいが良いのでしょうか?これはtPAを施行された脳梗塞患者を対象に超早期リハの安全性と有効性を検討した日本からの報告です。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPlKSrWpVdD1ngl6SfB4AtWIZpCwnIYcZFA1rKzXDn96uck5GvDeDbu0ZXigJHD_DD3SI1PoNkCT6NoPMM7BWiBzpVkuRDgx5olI9tg2F8FEe4PCSeqzXxIIa9m78c7HUXjERxVrL7E-s/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="318" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPlKSrWpVdD1ngl6SfB4AtWIZpCwnIYcZFA1rKzXDn96uck5GvDeDbu0ZXigJHD_DD3SI1PoNkCT6NoPMM7BWiBzpVkuRDgx5olI9tg2F8FEe4PCSeqzXxIIa9m78c7HUXjERxVrL7E-s/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
tPAを施行された9690人のデータより超早期リハ群(tPAの翌日までにリハ開始)4266人と対照群(tPAの翌々日にリハ開始)1887人のデータを比較しています。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYJREyExolFq2UDmOO5Yv1iSdgniaxz9xdakJ3WmHCIEDvCw2fD5XnJ-RIznJ-1ObgtAgFeiYAiCTHxajBt4B52nQzQadQi9u7EF_K05MalDGDMAaJyxFI1cUDLmk6lNoYlweMKiw4YpQ/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="146" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYJREyExolFq2UDmOO5Yv1iSdgniaxz9xdakJ3WmHCIEDvCw2fD5XnJ-RIznJ-1ObgtAgFeiYAiCTHxajBt4B52nQzQadQi9u7EF_K05MalDGDMAaJyxFI1cUDLmk6lNoYlweMKiw4YpQ/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
解析した結果、超早期リハ群の方が退院時機能自立者が多く、tPA後の脳出血や7,30,90日死亡率に関しては差がなかったとの結果です。(多変量解析や操作変数法を用いた解析でも同様の結果)<br />
tPA後のリハはやや遅れがちになる傾向にあるかもしれませんが、tPA症例に対する早期リハは有害事象を増やすことなく有効に実施することができるのではないかと思います。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-32957716015699207302016-05-01T16:39:00.001+09:002016-05-01T16:57:16.200+09:00PPI使用者とH2ブロッカー使用者、脳卒中後肺炎はどちらに多いのか<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgH9fTqFrhXDoFN8u-ipjZsL8da1pC-8JzZ4Y9D7h3VWQoJpNmf81Oc4ABPlwoRunJOjrVCzlR2jieCuiOxlQ0wIzqnRibMfvRMzAX0x3jugJKJl7oJlRsNJKXSHD335VRPSl15vvN4T0E/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="183" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgH9fTqFrhXDoFN8u-ipjZsL8da1pC-8JzZ4Y9D7h3VWQoJpNmf81Oc4ABPlwoRunJOjrVCzlR2jieCuiOxlQ0wIzqnRibMfvRMzAX0x3jugJKJl7oJlRsNJKXSHD335VRPSl15vvN4T0E/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
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<a href="http://linkinghub.elsevier.com/retrieve/pii/S1052-3057(16)00031-8">Proton Pump Inhibitors versus Histamine-2 Receptor Antagonists and Risk of Pneumonia in Patients with Acute Stroke. J Stroke Cerebrovasc Dis. 2016;25:1035-40.</a><br />
脳卒中患者を対象にプロトンポンプ阻害薬(PPI)使用者とヒスタミンH2受容体拮抗薬(H2RA)使用者で肺炎の発症率を比較した日本からの報告です。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiP0bvOPiLtwwKbdG-9PyYrw_Vk6uSBWg30cd8ze5X2IGoRf0YBDUkXpj9iwCAXLDCWPOStnSy6B-RidgC660_tlEw8idMt1dBAaiuzr31o2-Gyjmtx6rPWMvRNeC1J_n1sTnMzx_w7erI/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="363" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiP0bvOPiLtwwKbdG-9PyYrw_Vk6uSBWg30cd8ze5X2IGoRf0YBDUkXpj9iwCAXLDCWPOStnSy6B-RidgC660_tlEw8idMt1dBAaiuzr31o2-Gyjmtx6rPWMvRNeC1J_n1sTnMzx_w7erI/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
22万人の脳卒中患者データより、PPI使用者13910人、H2RA使用者63980人を抽出<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjcjXu4FOcTxgdrmAlTxXH96H-vogyng0tZvH9rnVTbbXc8yzCyg8lT8tvBsOGdS_4v9sWuO3a0y67QMLBIAqDCyrjv8jiPSt8VPn7093j8_OSkyMXc3INGDokdj3NmERG4q8MjAaK7sPU/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjcjXu4FOcTxgdrmAlTxXH96H-vogyng0tZvH9rnVTbbXc8yzCyg8lT8tvBsOGdS_4v9sWuO3a0y67QMLBIAqDCyrjv8jiPSt8VPn7093j8_OSkyMXc3INGDokdj3NmERG4q8MjAaK7sPU/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
二群間で肺炎発症率を比較した結果統計学的な有意差はなく、傾向スコア解析やサブグループ解析でも同様の結果であったとのことです。<br />
PPIやH2RAを使用すると脳卒中後肺炎の発症率が上がると言われていますが、PPIとH2RA間ではそれほど差はなさそうです。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-77054048566573739172016-05-01T16:28:00.000+09:002016-05-01T17:11:13.126+09:00脳卒中に対する末梢磁気刺激治療の効果(コクランレビュー)<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiIRlZQPzxsDjJMWcEfD6PV46hLvmKZBu1UEcLg6J9FfnjAkA5WIjhLEnLi-TMJ0dUCCdX0wHl_r0W3g43uGFfaq4c_bPxNeUPKx-PcfibSRF7E5akweZLjLZkE5vVaxzufUHwyevR4hI0/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="223" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiIRlZQPzxsDjJMWcEfD6PV46hLvmKZBu1UEcLg6J9FfnjAkA5WIjhLEnLi-TMJ0dUCCdX0wHl_r0W3g43uGFfaq4c_bPxNeUPKx-PcfibSRF7E5akweZLjLZkE5vVaxzufUHwyevR4hI0/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
<a href="http://onlinelibrary.wiley.com/wol1/doi/10.1002/14651858.CD011968/abstract">Repetitive peripheral magnetic stimulation for activities of daily living and functional ability in people after stroke. Cochrane Database of Systematic Reviews. 27 October 2015.</a><br />
脳卒中に対する末梢磁気刺激の効果に関するコクランレビュープロトコルが発表されました。日本でも<a href="http://ifg.jp/products/%E7%A3%81%E6%B0%97%E5%88%BA%E6%BF%80%E8%A3%85%E7%BD%AEpathleader/">Pathleader</a>などの末梢磁気刺激治療機器が販売されています。電気刺激に比べ手軽に痛みなく末梢の筋や神経を刺激することができるので良い方法ではないかと思います。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-82977883669336072772016-05-01T16:15:00.001+09:002016-05-01T16:15:32.766+09:00DPCデータベースを使用したリハ医学研究<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhrj1uE9_F1AInx5Iur5eVX1wMjjUL_2BNUtYVvYNSfkmlA5HmpxDW7dFGJUtTkXLC8UiIZ4wkQ0lxWQS4anflQZgRjtvwztawyV2IxNrc33Q3qkp3lfUuK3Q-5b1V6rGkb7_X_2UtRV0w/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="130" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhrj1uE9_F1AInx5Iur5eVX1wMjjUL_2BNUtYVvYNSfkmlA5HmpxDW7dFGJUtTkXLC8UiIZ4wkQ0lxWQS4anflQZgRjtvwztawyV2IxNrc33Q3qkp3lfUuK3Q-5b1V6rGkb7_X_2UtRV0w/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
最近、DPCデータベースなどのビッグデータベースを用いたリハ関連領域の発表が増えてきています。特に<a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=Fushimi+database+rehabilitation">DPCデータ調査研究班のデータセットを用いた論文</a>が増えています。リアルワールドにおけるリハの効果を検証したり、リハ関連の政策の方向性を検討するには良い方法ではないかと思います。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-58834878081242205232016-05-01T09:56:00.001+09:002016-05-01T09:56:48.002+09:00日本リハビリテーションデータベース<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvVv2YNc-6ZisBGMyg_PWLfCCxwTe9GuvI-JrRdCePcdRBK_i4_quql2zNoDugcPuF_6Y1zF_oFxbN3nwIZCZxZdQIqnEebdEIKznQ-ka20Nf7zdlI6eOuePGoEd7TwfQTVPQV8PZLSiw/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="232" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvVv2YNc-6ZisBGMyg_PWLfCCxwTe9GuvI-JrRdCePcdRBK_i4_quql2zNoDugcPuF_6Y1zF_oFxbN3nwIZCZxZdQIqnEebdEIKznQ-ka20Nf7zdlI6eOuePGoEd7TwfQTVPQV8PZLSiw/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
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<a href="http://square.umin.ac.jp/JARD/index.html">日本リハビリテーションデータベース</a>はリハ医学会・PTOTST協会が協力して構築したデータベースです。最近、本データベースを用いたリハ関連論文が<a href="http://square.umin.ac.jp/JARD/presentation.html">海外の英文誌にも複数報告</a>されています。すでにデータ収集期間は終了していますが、<a href="http://square.umin.ac.jp/JARD/data_use.html">研究計画書</a>を提出すればデータの二次利用が可能とのことです。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-13861921922501517702016-05-01T00:29:00.000+09:002016-05-01T15:52:40.189+09:00コクラン日本支部設立<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRkI6aRnFNJ1djHpLSXbUqTME6alw8e4zRbz6kVLiryMfrBdLK1v9FbDIWHRZQL8UpK8wtITtz1ymTJkjFUsOtJTtwhWTa3rCCPBo7sPEmyYD6b-qB15yJpBhBj8r04ztQmkivwxd1MWE/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="193" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRkI6aRnFNJ1djHpLSXbUqTME6alw8e4zRbz6kVLiryMfrBdLK1v9FbDIWHRZQL8UpK8wtITtz1ymTJkjFUsOtJTtwhWTa3rCCPBo7sPEmyYD6b-qB15yJpBhBj8r04ztQmkivwxd1MWE/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
<a href="http://square.umin.ac.jp/cochranejp/">コクラン日本支部</a>がついに設立されました。コクランシステマティック・レビュー(コクラン共同計画の手法に基づき、診療課題に対する臨床研究を網羅的に探し出し、研究の質を評価した上で、統計学的にメタ解析すること)におけるタイトル登録のやり方、<a href="http://tech.cochrane.org/revman">Revman</a>(メタ解析やコクランレビューの執筆を行うためのフリーソフト)の使い方、<a href="http://www.grade-jpn.com/">GRADEシステム</a>(エビデンスの質と推奨の強さを系統的にグレーディングする方法)の手法、プロトコール・フルレビューの書き方について、年に数回ワークショップが開催されています。近年、リハ分野においてもシステマティックレビューや診療ガイドライン作成においてこのような、レビューに関する知識を有する人材が求められているように思いますが、そのような人材はまだまだ不足しているのが現状です。リハ分野でもコクランレビューがかけるような人が増えるといいなと思っています。<br />
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コクランレビューを実施するにはまず、レビュータイトルを登録する必要があります。Cochrane Musculoskeletal Groupのタイトル登録用紙は<a href="http://musculoskeletal.cochrane.org/sites/musculoskeletal.cochrane.org/files/uploads/Title%20registration%20form%20_v7.doc">こちら</a>です。過去にコクランレビューがないもので、RCTがひとつ以上ありそうで、臨床的にも重要な内容のほうが登録してもらえるそうです。リハ関連のコクランレビュー、過去にどのようなものがあるかお知りになりたければ<a href="http://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2012N01A0057">Eur J Phys Rehabil Medに掲載されたコクランレビューのレビュー</a>がありますのでこちらを見て頂けたらと思います。過去のリハ関連コクランレビューがリスト化されています。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-44348308810397971352016-05-01T00:14:00.003+09:002016-05-01T15:53:25.380+09:00Traumatic Brain Injury Model Systems National Database<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi9ysXHMeC7QOozgphq6wzHeRZbq24pSNVt1KCL9ucebmrzKq-B200DyzbXN6bZqXJgCZFDAZQfhTll6Px29SljOSO2pHueGDsZCirOyvLwh8Bwi6g8QUwF-qMDJ6tSsSuLGybAozgfpQw/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="267" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi9ysXHMeC7QOozgphq6wzHeRZbq24pSNVt1KCL9ucebmrzKq-B200DyzbXN6bZqXJgCZFDAZQfhTll6Px29SljOSO2pHueGDsZCirOyvLwh8Bwi6g8QUwF-qMDJ6tSsSuLGybAozgfpQw/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
<a href="https://www.tbindsc.org/">Traumatic Brain Injury Model Systems National Database (TBIMS database)</a><br />
世界最大の脳外傷リハ患者の症例登録データベースです。13666人もの脳外傷患者のデータが最長25年フォローアップされています。<a href="https://www.tbindsc.org/StaticFiles/SOP/602df%20-%20External%20Data%20Request%20and%20Use%20Agreement%20Form.pdf">研究計画書</a>を提出すれば誰でも二次利用可能です。どのような変数が含まれているかは<a href="https://www.tbindsc.org/Syllabus.aspx">こちら</a>で見ることができます。(<a href="https://www.nscisc.uab.edu/">脊髄損傷のデータベース</a>や<a href="http://burndata.washington.edu/">熱傷リハ患者のデータベース</a>もあります。)<a href="http://www.ncbi.nlm.nih.gov/pubmed/?term=traumatic+brain+injury+model+systems+(TBIMS)">本データベースを使用した論文</a>も複数出版されていますが、本データベースを使用して発表すべき研究テーマはまだまだたくさんあるように感じます。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-56080926127521637022016-05-01T00:00:00.000+09:002016-05-01T09:29:26.421+09:00The Center for Large Data Research and Data Sharing in Rehabilitation (CLDR) <div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjm1FbVCx-Pco0OH-x6nn2_QwJVAVuvC4tsun5NCTtUzTfTqy-i2EniZd991ew7R4A9rmg6x74nCKHhzDoxK3i7-AhpG_9bDHTFVid_j7wnO222vcC8bc4GJmkUIICrP5BlaL6SKxeiB_0/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="142" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjm1FbVCx-Pco0OH-x6nn2_QwJVAVuvC4tsun5NCTtUzTfTqy-i2EniZd991ew7R4A9rmg6x74nCKHhzDoxK3i7-AhpG_9bDHTFVid_j7wnO222vcC8bc4GJmkUIICrP5BlaL6SKxeiB_0/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
<a href="http://rehabsciences.utmb.edu/cldr/">The Center for Large Data Research and Data Sharing in Rehabilitation (CLDR) </a><br />
リハビリテーション関連のビッグデータベースを用いた研究・教育・共有を目的とした施設です。<a href="http://www.disabilitystatistics.org/sources-rehab.cfm">さまざまなビッグデータ</a>を利用することができ、それらを用いた<a href="http://rehabsciences.utmb.edu/cldr/_assets/Publications_Related.pdf">リハ研究が続々と発信されています</a>。<a href="http://rehabsciences.utmb.edu/cldr/scholars.asp">Visiting Scholarship</a>の制度もあり、短期留学の受け入れも可能とのこと。日本にもこのような研究センターがいつかできれば、と思います。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-10755376599897855292015-11-05T18:46:00.002+09:002016-05-01T15:55:59.443+09:00日本リハビリテーション栄養データベース<div class="separator" style="clear: both; text-align: center;">
<img border="0" height="367" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEigARq6oPX7sCMDc9ETKSpCVDUsvFEH9XSRxAUeAXShKmKlJ6h3TkQqfcb1GIJmKvN4xfdjkkBGapq38Zlb78H8CzQ2-lhtXi3CTsFeZry0ESFnn68VsZksvn4TUaGiDXtNcw0nxG_0BUY/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></div>
<a href="http://rehabnutrition.jimdo.com/">日本リハビリテーション栄養データベース(Japan Nutrition Rehabilitation Database)</a>のデータ収集が開始になりました。現在、協力してくれる施設を募集中だそうです。脳卒中、大腿骨近位部骨折、肺炎のデータを集めるとのことです。<br />
<a href="http://rehabnutrition.jimdo.com/">http://rehabnutrition.jimdo.com/</a>MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-17796389749133108252015-08-30T00:07:00.000+09:002018-05-12T20:18:39.199+09:00大腿骨近位部骨折リハ患者に対するリハ科専門医の効果<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJCerru_-BDkBFP-r37axuqev3xWAPBCtrGpBOhzDf8b-ZksjJNORKzlYKQCiEpX8D47ALFk6q2YBub5ondgP01j2WEhjq5F0R7Wa9qRV7n1tfbqpLJ7aI52CDhnIiDzABq87R49TDwD0/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="166" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJCerru_-BDkBFP-r37axuqev3xWAPBCtrGpBOhzDf8b-ZksjJNORKzlYKQCiEpX8D47ALFk6q2YBub5ondgP01j2WEhjq5F0R7Wa9qRV7n1tfbqpLJ7aI52CDhnIiDzABq87R49TDwD0/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
<a href="http://onlinelibrary.wiley.com/doi/10.1111/ggi.12582/abstract">Impact of board-certificated physiatrists on rehabilitation outcomes in elderly patients after hip fracture: An observational study using the Japan Rehabilitation Database. Geriatrics & Gerontology International. 26 AUG 2015.</a><br />
リハ科専門医の関わりが大腿骨近位部骨折リハ患者の機能改善に寄与しているかどうかを検討した論文です。<br />
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日本リハデータベースより824人の大腿骨近位部骨折リハ患者(回復期)を抽出、主治医がリハ専門医を有しているかどうかでFIM effectiveness(ADLの改善度合い)を比較しています。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYFNwUPh20WxdjYiDJUxEpRGIzFZv_4XdYTlZMzpKUVKCaE4_WWAtvV6umbBWFcIm6GjhWPKoOst6Kc9JOoxl-zFR6u5-KzZAOrUY2EQpLPM7wdt8SC3PM11UT63ktvG1GEh4jp8KNIiY/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A31.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="181" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYFNwUPh20WxdjYiDJUxEpRGIzFZv_4XdYTlZMzpKUVKCaE4_WWAtvV6umbBWFcIm6GjhWPKoOst6Kc9JOoxl-zFR6u5-KzZAOrUY2EQpLPM7wdt8SC3PM11UT63ktvG1GEh4jp8KNIiY/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A31.JPG" width="400" /></a></div>
全体の46%の患者の主治医はリハ科専門医を有していた。(整形外科専門医とのダブルライセンスの人も多いと思われます。)<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhOTp1VM8hXLHMn_MdQ9dzPKIZlvRvaRGd5fQ_6DkYgYReX2mROdhsJUij9rSHHRYr7j4Pu8CFs3x9icsKnS-2todGq2WHDTtMqoX-1dAy3Dia-_pqzQ5JFP7xCUD0XsA2Yoc8r2blhw1w/s1600/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="151" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhOTp1VM8hXLHMn_MdQ9dzPKIZlvRvaRGd5fQ_6DkYgYReX2mROdhsJUij9rSHHRYr7j4Pu8CFs3x9icsKnS-2todGq2WHDTtMqoX-1dAy3Dia-_pqzQ5JFP7xCUD0XsA2Yoc8r2blhw1w/s400/%25E3%2582%25AD%25E3%2583%25A3%25E3%2583%2597%25E3%2583%2581%25E3%2583%25A3.JPG" width="400" /></a></div>
主治医がリハ科専門医であった患者はそうでなかった患者に比べFIM effectivenessが有意に大きく、在院日数も短かった。また、施設ごとのデータのクラスタリングを一般化推定方程式を用いて補正し、傾向スコアの逆数重み付けにてベースライン共変量を調整した結果も同様であった。<br />
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リハ科専門医を有する医師が大腿骨近位部骨折リハ患者の主治医として関わることが機能改善、早期退院に寄与していそうだ、とのことです。リハ科専門医はかなり不足しているのが現状、日本のリハ医療の質を向上させるためにも、今後より多くのリハ科専門医が必要ではないかとのことです。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-25359566656807143352015-05-10T18:08:00.001+09:002015-05-10T18:51:40.484+09:00高齢誤嚥性肺炎患者の経口摂取予後因子<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh0_5WxlVdhuRnluydT6HakrkNycGTl0GwTDoBdez3MxsRhyQxGU-P_2hoqG-ItFCo6Ufu_1-qlSbF9ca51S_Wf7vTuh64ZEYDL9-Wuku3lwmsvJPUedmvzevFlSJN3JKACfT8243bRApc/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="192" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh0_5WxlVdhuRnluydT6HakrkNycGTl0GwTDoBdez3MxsRhyQxGU-P_2hoqG-ItFCo6Ufu_1-qlSbF9ca51S_Wf7vTuh64ZEYDL9-Wuku3lwmsvJPUedmvzevFlSJN3JKACfT8243bRApc/s400/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" width="400" /></a></div>
<a href="http://onlinelibrary.wiley.com/doi/10.1111/ggi.12506/abstract">Predictive factors for oral intake after aspiration pneumonia in older adults. Geriatrics & Gerontology International. 2015</a><br />
誤嚥性肺炎で入院された高齢者は、なかなか経口摂取が難しい場合も多いですが、経口摂取復帰困難者の特徴についてはよくわかっていませんでした。これは高齢誤嚥性肺炎患者における経口摂取予後因子について検討した探索的研究です。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgF6PxL4ooRvlL92bVWQN9zlxNdGesm0pMTlrpJcv1DP9BiqiWbFPMxrl-xgilwpcY0e3Q_GY1qVxaepAYipDCZa4Ntqqyyy8PcaUZB8-xIFu_D_lzqg-KWox9XaykYPP1Tz_b1U88kSA4/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="283" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgF6PxL4ooRvlL92bVWQN9zlxNdGesm0pMTlrpJcv1DP9BiqiWbFPMxrl-xgilwpcY0e3Q_GY1qVxaepAYipDCZa4Ntqqyyy8PcaUZB8-xIFu_D_lzqg-KWox9XaykYPP1Tz_b1U88kSA4/s400/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" width="400" /></a></div>
DPCデータベースより入院後経口摂取困難となった6万人以上の患者データを抽出した。30日経口摂取自立率は全体で59%であり、30日非経口摂取自立者の在院日数は有意に長く、在宅復帰率は有意に低く、30日死亡率も有意に高かった。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaKJ9coi68dJxw2X187QbxLvwOYAElyiD-dIM0GIMiSK9svRow5PDWVyVdTKo_q0TkaTNW9GVu1GEZkaPIhn42Ov6mDfkGnANBFIqOCYRnA_obAV3hKLu4tXE5N8zv2YdLEGPDnfZx_qU/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="323" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaKJ9coi68dJxw2X187QbxLvwOYAElyiD-dIM0GIMiSK9svRow5PDWVyVdTKo_q0TkaTNW9GVu1GEZkaPIhn42Ov6mDfkGnANBFIqOCYRnA_obAV3hKLu4tXE5N8zv2YdLEGPDnfZx_qU/s400/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" width="400" /></a></div>
コックス比例ハザードモデルを用いて早期経口摂取自立に関連する因子を検討したところ、<br />
男性、低いADL、低体重、重症肺炎パラメーター(脱水、低酸素、意識障害、血圧低下)、いくつかの併存疾患(悪性腫瘍、敗血症、脳血管障害、口腔疾患、精神障害、神経疾患、慢性肺疾患、腎不全)・・・これらの因子を有している高齢誤嚥性肺炎患者は、なかなか経口摂取自立しないという結果であった。<br />
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ADLが低く、痩せていて、重傷肺炎にて呼吸状態や意識状態悪く、もともといろんな病気を持っている者はなかなか経口摂取自立しない、、、臨床的にも非常にリーズナブルな結果ではないかと思います。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-33345185204468449782015-05-09T16:11:00.001+09:002015-05-09T20:17:01.618+09:00ビタミンDと脳卒中機能予後との関連性<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvHiuxF0EHLRssuc8mCzpD5BzbfMSefe5Ymz-V4m6aeULvkGuiOo7TIKVVoKotS_0Voh9vE8deygeaAFTUrlX2ysWx4DBVxpGbXeXQfVyM-JjDkzjZNCFRZBXXNu1Pu7VUnqU7A0MJBrQ/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="136" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvHiuxF0EHLRssuc8mCzpD5BzbfMSefe5Ymz-V4m6aeULvkGuiOo7TIKVVoKotS_0Voh9vE8deygeaAFTUrlX2ysWx4DBVxpGbXeXQfVyM-JjDkzjZNCFRZBXXNu1Pu7VUnqU7A0MJBrQ/s400/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" width="400" /></a></div>
<a href="http://link.springer.com/article/10.1007%2Fs11064-014-1316-0">Prognostic value of serum 25-hydroxyvitamin D in patients with stroke. Neurochem Res. 2014;39:1332-7.</a><br />
近年、ビタミンDが脳の可塑性を高めるとして注目されています。これは脳卒中の機能予後とビタミンDの血中濃度との関連性を検討した研究です。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEjQLeVBDjwtmrZPYhpPUu7yehdpaJac9Ns8uj8be_nuh4EG700O8Tk_yEN1R82i0-sCpCeQgI3X9MgvK8C6WvT5YXdy6PtkEwCzoNVja9xjD0tcjIiEmj4Sx2all5s3G4kVelXhPXQ8k/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="198" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiEjQLeVBDjwtmrZPYhpPUu7yehdpaJac9Ns8uj8be_nuh4EG700O8Tk_yEN1R82i0-sCpCeQgI3X9MgvK8C6WvT5YXdy6PtkEwCzoNVja9xjD0tcjIiEmj4Sx2all5s3G4kVelXhPXQ8k/s400/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" width="400" /></a></div>
脳卒中急性期入院患者326人中、68%はビタミンD欠乏と判定された。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilqKu6XCZUgeQUanRsp_7rgkVDtbffCaLWoR4EzQWDny8-cyRQy1bPuQU3TzzUGbJ4O9003hT_-ww7CGb7l9spd1-qGHUTqdFBeTnUDMU1ZYi7C1ZSNGCNYiAuOXWIXMk2wWTciDpr1Ww/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="295" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilqKu6XCZUgeQUanRsp_7rgkVDtbffCaLWoR4EzQWDny8-cyRQy1bPuQU3TzzUGbJ4O9003hT_-ww7CGb7l9spd1-qGHUTqdFBeTnUDMU1ZYi7C1ZSNGCNYiAuOXWIXMk2wWTciDpr1Ww/s400/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" width="400" /></a></div>
退院時、Unfavorable outcome群(中等度以上の障害が残存)はfavorable outcome群に比べ有意にビタミンDの血中濃度が低かった。<br />
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多変量解析の結果、ビタミンDの血中濃度は退院時favorable outcomeに対する有意な予後因子(オッズ比:3.96)であった。<br />
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ビタミンDの血中濃度と脳卒中患者の機能予後には関連性がみられた。ビタミンDサプリメントの投与が脳卒中患者の機能予後を改善させるかどうかの前向き研究も至急必要であると結論づけられています。<br />
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過去にもいくつか同様の論文あり、最近、JSCVDにも同様の結果が報告されました。 <a href="http://linkinghub.elsevier.com/retrieve/pii/S1052-3057(15)00119-6">Is 25(OH)D Associated with Cognitive Impairment and Functional Improvement in Stroke? A Retrospective Clinical Study. J Stroke Cerebrovasc Dis.</a><br />
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ビタミンDはニューロステロイドホルモンとも呼ばれているように、BBBを通過してBDNFなどといった脳の可塑性を高める物質の分泌を促すことが知られています。</div>
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もちろん、ビタミンD不足でない人に投与する必要はないと思いますが、脳卒中入院患者の多くにビタミンD不足がみられるとの報告もありますので、もしかしたら脳卒中リハ患者の機能改善補助薬として有力な候補ではないかと考えています。活性型ビタミンDでは高カルシウム血症も問題となりますが、サプリメントのビタミンDであればそれほど有害事象もありませんし、安価ですし、一日投与量もそれほど多くないので良いと思います。</div>
MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-38127674477287033782015-05-07T19:18:00.001+09:002015-05-07T19:18:43.227+09:00脳卒中後嚥下障害に対する反復末梢磁気刺激+嚥下リハの併用療法<div class="separator" style="clear: both; text-align: center;">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUxZPT3P_RTRMdD3WG07ugPU6DN_nbJr9dJzuJxZAuGBRFjNMGwkNQ3n1iIwsAY_6UKZaYyYS4bwjXXUSXYRCsQ3g7r5nWDHa9uZzljT3d_54-PB1pURjTg4aTeUQAqLbwfbkETPRM8fw/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="188" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUxZPT3P_RTRMdD3WG07ugPU6DN_nbJr9dJzuJxZAuGBRFjNMGwkNQ3n1iIwsAY_6UKZaYyYS4bwjXXUSXYRCsQ3g7r5nWDHa9uZzljT3d_54-PB1pURjTg4aTeUQAqLbwfbkETPRM8fw/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" width="400" /></a></div>
<a href="http://onlinelibrary.wiley.com/doi/10.1111/ner.12308/abstract">Repetitive Peripheral Magnetic Stimulation With Intensive Swallowing Rehabilitation for Poststroke Dysphagia: An Open-Label Case Series. Neuromodulation 2015</a><br />
嚥下障害に対する反復末梢性磁気刺激(Repetitive peripheral magnetic stimulation: rPMS)と集中的嚥下リハの併用療法に関する報告です。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEin-7iKRp6s2hsMJjawtfI0IQKl08l2nlgWfHfeIiG4_DE9HoeMKnHp7NaktYSX75RHcXevBYh0jI_zjzu6ulfNoxD2DOspF5TIv1wfBnUgkruWZk20stZYMWSohtbHjHY9R0n5zh6RT70/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEin-7iKRp6s2hsMJjawtfI0IQKl08l2nlgWfHfeIiG4_DE9HoeMKnHp7NaktYSX75RHcXevBYh0jI_zjzu6ulfNoxD2DOspF5TIv1wfBnUgkruWZk20stZYMWSohtbHjHY9R0n5zh6RT70/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" width="400" /></a></div>
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脳卒中後嚥下障害者(8人)に対し図のようなプログラム(一週間入院)でrPMSと嚥下リハを集中的に行った。</div>
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前後比較の結果、いくつかの嚥下機能評価項目(MASA、PAS、LEDT、SWAL-QOL)で有意な改善がみられたとのことです。</div>
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咽喉に対し直接磁気刺激をするやり方は、電気刺激よりも疼痛無く、深部組織を刺激することが可能であり効果的かも、とのことです。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-44128473525401865972015-05-02T16:31:00.000+09:002015-05-03T11:40:30.742+09:00脳卒中急性期リハ患者に対するリハ科専門医の効果<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiw6DWmEtL12ey0VocgtBZiCF3kOe6eIS2nP9E4BDVJ-XIGywOBjHB_8BG34RlECLbQ7Zjnw1-B1jkegcmQp572_-ksW6QkgebeUIHJg0eGLEbndSNKa0SbzRwd7-SzUL-ocHz89MOxO7k/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiw6DWmEtL12ey0VocgtBZiCF3kOe6eIS2nP9E4BDVJ-XIGywOBjHB_8BG34RlECLbQ7Zjnw1-B1jkegcmQp572_-ksW6QkgebeUIHJg0eGLEbndSNKa0SbzRwd7-SzUL-ocHz89MOxO7k/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" height="252" width="400" /></a></div>
<a href="http://www.strokejournal.org/article/S1052-3057(14)00639-9/abstract">Clinical Management Provided by Board-Certificated Physiatrists in Early Rehabilitation Is a Significant Determinant of Functional Improvement in Acute Stroke Patients: A Retrospective Analysis of Japan Rehabilitation Database. J Stroke Cerebrovasc Dis. 2015 Mar 23</a><br />
リハ科専門医の関わりが脳卒中急性期リハ患者の機能改善に寄与しているかどうかを検討した論文です。<br />
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日本リハデータベースより3838人の脳卒中急性期リハ患者を抽出、主治医がリハ専門医を有しているかどうかでFIM effectiveness(ADLの改善度合い)を比較しています。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgscSdf2Cni4JRycQi_y-jRSI_KYYaPeDEGAGfqC8BBTDZxSA0Z-v4kPYBCdv7GFTKn17-nLgkKeYJpmbFa2LFYgx7gjvW2-rpfsKKSQdW702-yOfnLVMitXDBUCCgOTt0Kbo-W5CHUOek/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgscSdf2Cni4JRycQi_y-jRSI_KYYaPeDEGAGfqC8BBTDZxSA0Z-v4kPYBCdv7GFTKn17-nLgkKeYJpmbFa2LFYgx7gjvW2-rpfsKKSQdW702-yOfnLVMitXDBUCCgOTt0Kbo-W5CHUOek/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" height="197" width="400" /></a></div>
全体の21%の患者の主治医はリハ科専門医を有していた。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiZCzUTciQFfALTv_bFI_DhN91BAx7l0saCKsPL2xPIRRL8voPhVR1GrFYAXuZydI4W4-LEUJsStpRTY_uyAlyNKEWXbWxtQIclYQtriEr-tpWOvFOkxzFJCmeQRCK6LuUYTyNumoihhI4/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiZCzUTciQFfALTv_bFI_DhN91BAx7l0saCKsPL2xPIRRL8voPhVR1GrFYAXuZydI4W4-LEUJsStpRTY_uyAlyNKEWXbWxtQIclYQtriEr-tpWOvFOkxzFJCmeQRCK6LuUYTyNumoihhI4/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" height="160" width="400" /></a></div>
施設ごとのデータのクラスタリングは一般化推定方程式を用いて補正、多変量解析の結果、主治医がリハ科専門医であった患者はそうでなかった患者に比べFIM effectivenessが有意に大きかった。<br />
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リハ科専門医を有する医師が脳卒中急性期リハ患者の主治医として関わることが機能改善に寄与していそうだ、とのことです。<br />
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リハ科専門医はかなり不足しているのが現状です。日本のリハ医療の質を向上させるためにも、今後より多くのリハ科専門医が必要と考えます。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-54974634376265736082015-04-30T23:12:00.001+09:002015-04-30T23:15:27.456+09:00脳卒中リハ患者に対する下肢装具の機能改善効果<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9s4A_53nCvjnIUM77HsOZDD4jJGIqW0d6Td18Xt2TMUonM9z_7oK6AdzZlemoz7R76a6V66VzoZ8sIf8Ugl0avmevO3mGB5WVINaJQE647w6mKn6hBkA_ZeUyb-6yKMi0GE06HZ3sqv0/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9s4A_53nCvjnIUM77HsOZDD4jJGIqW0d6Td18Xt2TMUonM9z_7oK6AdzZlemoz7R76a6V66VzoZ8sIf8Ugl0avmevO3mGB5WVINaJQE647w6mKn6hBkA_ZeUyb-6yKMi0GE06HZ3sqv0/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" height="195" width="400" /></a></div>
<a href="http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0122688">Effects of Ankle-Foot Orthoses on Functional Recovery after Stroke: A Propensity Score Analysis Based on Japan Rehabilitation Database. PLoS One. 2015;10:e0122688.</a><br />
下肢装具は脳卒中リハ患者においてもよく使用されていますが、訓練の中で下肢装具を使用することによる機能改善効果については、実は明らかなエビデンスがありません。これは脳卒中リハ患者に対する下肢装具療法の機能改善効果を検討した研究です。<br />
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日本リハデータベースから下肢麻痺のある1862人のデータをもとに傾向スコア解析を行っています。年齢、性別、下肢麻痺の重症度、元々の障害の有無などなどの情報から装具が処方されるか否かの傾向スコアを推定、このスコアを用いたマッチングと逆数重み付けの手法にてバックグラウンドのバランスをとり、退院時FIMなどを比較しています。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmCBNntEOPWcIU9GAevS3F4oa5QpMtPSQu8JaKzlvkrN-QuSQ7TmKze9Itdm-9n5NhaPs6QM4qfkfAH7Kic2PpJA3G-JqqP7uTC9NRFES9eyWW7rE8v3zj2iglitFk0VgN5g75z-WgrIg/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmCBNntEOPWcIU9GAevS3F4oa5QpMtPSQu8JaKzlvkrN-QuSQ7TmKze9Itdm-9n5NhaPs6QM4qfkfAH7Kic2PpJA3G-JqqP7uTC9NRFES9eyWW7rE8v3zj2iglitFk0VgN5g75z-WgrIg/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" height="150" width="400" /></a></div>
傾向スコアマッチングにて、バックグラウンドのそろった比較可能な装具群と非装具群が作成されています。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEimOn8t719HfaJrl4xSkG5ZRI1UGH_uzbGTqF8-NPdrhznGoQccIxVlWa-hn6V-dVD0UJkRbfnkHvxpJYha4Rk1aDrcvfTesj1297KYlaUqzeZ5hc96Qgmbm2TOrD5jg8Az4_88CUKg2Z8/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEimOn8t719HfaJrl4xSkG5ZRI1UGH_uzbGTqF8-NPdrhznGoQccIxVlWa-hn6V-dVD0UJkRbfnkHvxpJYha4Rk1aDrcvfTesj1297KYlaUqzeZ5hc96Qgmbm2TOrD5jg8Az4_88CUKg2Z8/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" height="150" width="400" /></a></div>
マッチング後、退院時FIM、FIM利得、FIM効率は装具群の方が非装具群にくらべ大きかった。<br />
これは逆数重み付けでも同様の結果であった。<br />
下肢装具療法には脳卒中リハ患者の機能改善効果がありそうとのことです。<br />
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脳卒中下肢装具療法のようにすでに臨床現場で広く使用されているものに関しては、エビデンスがないからといって今さらRCTをやるには倫理的な問題が大きいです。<br />
大規模データベースと統計学的因果推論の手法を用いれば、RCTの実施困難な問題も扱えるという良い例かと思います。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0tag:blogger.com,1999:blog-8257957647971481889.post-5059898845803340702014-12-14T09:57:00.002+09:002014-12-14T09:57:43.420+09:00早期リハは誤嚥性肺炎患者の死亡率を下げる?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKFNA4G5REDKhSsA_QMdsbbBoygmlh1yA8hO8pxDYg-kCl-BZCvGmlfkTX3aigJA2jacdrAIEN5QZ7FX-j64QEAFtd4jcDS3laNJoFpKZNfj0sjzTYy-5yQU93t3BZfNJjjybM8h4-sOA/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhKFNA4G5REDKhSsA_QMdsbbBoygmlh1yA8hO8pxDYg-kCl-BZCvGmlfkTX3aigJA2jacdrAIEN5QZ7FX-j64QEAFtd4jcDS3laNJoFpKZNfj0sjzTYy-5yQU93t3BZfNJjjybM8h4-sOA/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" height="218" width="400" /></a></div>
<a href="http://www.sciencedirect.com/science/article/pii/S0003999314011216">Effect of Early Rehabilitation by Physical Therapists on In-hospital Mortality after Aspiration Pneumonia in the Elderly. Arch Phys Med Rehabil. 2014 Oct 6.</a><br />
高齢誤嚥性肺炎患者に対する早期リハの死亡率減少効果を検討した論文です。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwu1gx7ShoL_OEzqNZ1z4GKdblPqTHY-RNMw65eh-l9VbgFTH5q2rru7ELEQ0S2FeLH581WXO8VYr8rOwGRvh6-0v9KlinwN6gGTzCFNJ0HxzEbDk2TSQOnP1bKdhqFvyTAmQUZILTRRE/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgwu1gx7ShoL_OEzqNZ1z4GKdblPqTHY-RNMw65eh-l9VbgFTH5q2rru7ELEQ0S2FeLH581WXO8VYr8rOwGRvh6-0v9KlinwN6gGTzCFNJ0HxzEbDk2TSQOnP1bKdhqFvyTAmQUZILTRRE/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A3.JPG" height="400" width="276" /></a></div>
日本のDPCデータセットから約7万人の高齢誤嚥性肺炎患者を抽出、早期リハ実施群と非リハ実施群の30日以内死亡率を比較しています。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilQRQdJnfunpSjqami1cj847HWUVPDJaH3uvI-6JBCsYfy_sL3oZaAxfGfqBtN12LZKzl7Fif1t_gvNjvjQM5_vY12McxTM4MkUN4B70aVIDKaF4qoa33mldFBNMYEph5_PW0sU7v77xs/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A32.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilQRQdJnfunpSjqami1cj847HWUVPDJaH3uvI-6JBCsYfy_sL3oZaAxfGfqBtN12LZKzl7Fif1t_gvNjvjQM5_vY12McxTM4MkUN4B70aVIDKaF4qoa33mldFBNMYEph5_PW0sU7v77xs/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A32.JPG" height="400" width="326" /></a></div>
病院ごとのデータのクラスタリングは一般化推定方程式(GEE)を用いて補正し、多重ロジスティック回帰分析をしたところ、早期リハ実施群は非リハ実施群に比べオッズ比で0.71倍死亡率が有意に少なかった。<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjr39r5_WeAsb3xeYCLunyYoSW2kLNCZBfSjlCOreB3zfc2-hePd_BXZKK3KZlo6ejRSfgqPTqkWZUKuCPZKHI945O3yIAq6HYXocTjTK0h0JmwubqCzWU4ME99lVu_c4eAjDgY5kw-HII/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A33.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjr39r5_WeAsb3xeYCLunyYoSW2kLNCZBfSjlCOreB3zfc2-hePd_BXZKK3KZlo6ejRSfgqPTqkWZUKuCPZKHI945O3yIAq6HYXocTjTK0h0JmwubqCzWU4ME99lVu_c4eAjDgY5kw-HII/s1600/%E3%82%AD%E3%83%A3%E3%83%97%E3%83%81%E3%83%A33.JPG" height="153" width="320" /></a></div>
サブグループ解析の結果では特に重症肺炎患者に有意な結果であった。<br />
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さらに未測定の交絡因子等を諸々調節するために操作変数法(Instrumental Variable Analysis)も追加してみたところ、これまた同様に死亡率減少効果が認められたとのことです。<br />
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リハの死亡率減少効果に関する論文はあまりないので、こういう報告も重要ですね。MOMO.Rhttp://www.blogger.com/profile/12329669261490051253noreply@blogger.com0