Study for the influence effectively utilizing of limited medical resources exerts on improvement of perinatal medical system in Shiga Prefecture
| Project/Area Number |
15K08548
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Shiga University of Medical Science |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
越田 繁樹 滋賀医科大学, 医学部, 特任講師 (70372547)
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| Project Period (FY) |
2015-04-01 – 2019-03-31
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| Project Status |
Completed (Fiscal Year 2018)
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| Budget Amount *help |
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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| Keywords | 周産期医療 / 地域周産期医療システム / 既存の医療資源 / 周産期死亡 / 医療政策 / 後期死産 / 新生児死亡 / 母体管理 / 胎動自覚 / 病診連携 / 社会啓発 / 医療社会学 / 地域周産期医療学 |
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| Outline of Final Research Achievements |
Our preceding population-based study for 5 years (2007-2011) in Shiga prefecture of Japan identified major causes of preventable stillbirths and neonatal death, including substandard obstetrical management, delayed referral of high-risk women from primary obstetrical clinics to higher perinatal centers, and delayed visits of pregnant women with decreased fetal movements to clinics or hospitals. After that for 5 years (2012-2016), we enlightened that education for pregnant women is required as well as the necessity of improving obstetric care to prevent stillbirths. The perinatal mortality decreased prominently with 2.4 in 2017 from 6.2 in 2007 and was good results in the fewest of Japan, and good outcome of the study appeared extremely conspicuously. Thus improvement of perinatal medical system can be expected even while effectively utilizing of limited medical resources.
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| Academic Significance and Societal Importance of the Research Achievements |
本研究は滋賀県の全医療施設を対象にした地域レベルにおける周産期死亡のpopulation-based studyであり、限られた医療資源しか持ち合わせていない地域において、新たな医療資源の導入や過剰なマンパワーを投入することなく、既存の医療資源を利用して周産期医療体制を改善する短期的な施策の有用性を科学的根拠をもって証明した。本研究で得られた成果は、他の都道府県地域にも十分活用可能であり、本邦における地域周産期医療システムの構築が可能となるので学術的および社会的意義は大なるものがある。
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Report
(5 results)
Research Products
(177 results)
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[Journal Article] Chronic endometritis modifies decidualization in human endometrial stromal cells.2017
Author(s)
Wu Di, Fuminori Kimura, Luyi Zheng, Mitsuaki Ishida, Yoko Niwa,Kimiko Hirata, Akie Takebayashi, Akiko Takashima, Kentaro Takahashi, Ryoji Kushima, Guangmei Zhang, Takashi Murakami
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Journal Title
Reproductive Biology and Endocrinology
Volume: 15
Issue: 1
Pages: 16-16
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Establishment of a culture model for mouse neonatal ovary2017
Author(s)
Luyi Zheng, Fuminori Kimura, Wu Di, Yoko Niwa, Aina Morimune, Tetsurou Hanada, Kimiko Hirata, Akie Takebayashi, Akiko Takashima, Tsukuru Amano, Shunichiro Tsuji, Tetsuo Ono,Kentaro Takahashi, Takashi Murakami
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Journal Title
The Shiga Journal for Obstetrician and Gynecologist
Volume: 9
Pages: 7-13
NAID
Related Report
Peer Reviewed
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[Journal Article] Pregnancy and Depression2016
Author(s)
髙橋健太郎
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Journal Title
Journal of Japanese Society of Psychosomatic Obstetrics and Gynecology
Volume: 21
Issue: 3
Pages: 264-269
DOI
NAID
ISSN
1345-2894, 2189-7980
Related Report
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[Journal Article] Subpopulations of Macrophages within Eutopic Endometrium of Endometriosis Patients2015
Author(s)
kie Takebayashi, Fuminori Kimura, Yohei Kishi, Mitsuaki Ishida, Akimasa Takahashi, Akiyoshi Yamanaka, Di Wu, Luyi Zheng, Kentaro Takahashi, Hiroshi Suginami, Takashi Murakami
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Journal Title
American Journal of Reproductive Immunology
Volume: 73
Issue: 3
Pages: 221-231
DOI
Related Report
Peer Reviewed / Open Access / Acknowledgement Compliant
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[Presentation] 妊娠とうつ2016
Author(s)
髙橋健太郎
Organizer
第45回日本女性心身医学会学術集会
Place of Presentation
大津
Year and Date
2016-08-07
Related Report
Invited
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