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Epidemiology in patients with COPD with depression and sleep disorder and systemic biomakers in depressed COPD patients in Japan

Research Project

Project/Area Number 23591130
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Respiratory organ internal medicine
Research InstitutionKurume University

Principal Investigator

KAWAYAMA Tomotaka  久留米大学, 医学部, 准教授 (80289389)

Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2012: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2011: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords慢性閉塞性肺疾患 / 喫煙 / うつ病 / 睡眠障害 / モノアミン / バイオマーカー / COPD / カナダ / うつ
Research Abstract

The prevalence of depression and sleep disorder in patients with COPD was significantly higher than in the controls, and the relative risk of depression and sleep disorder in COPD was 7.6 and 1.8-folds, respectively. The COPD patients with depression had significantly more frequent exacerbations and hospitalizations than those without depression or sleep disorder.
The plasma 5-hydroxyindole acetic acid (5-HIAA), metabolite of serotonin, level in depressed COPD patients was significantly higher than in non-depressed COPD patients and non-smokers, but not smokers. The plasma 5-HIAA level was significantly associated with the severity of depression in patients with COPD.
The management for depression and sleep disorder is necessary in patients with COPD, and the measurement of plasma 5-HIAA levels may be helpful to detect the depression in patients with COPD.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (57 results)

All 2014 2013 2012 2011 Other

All Journal Article (30 results) (of which Peer Reviewed: 16 results) Presentation (24 results) (of which Invited: 1 results) Book (1 results) Remarks (2 results)

  • [Journal Article] Natural regulatory T cells in isolated early responders compared with dual responders with allergic asthma2014

    • Author(s)
      Kinoshita T, Baatjes A, Smith SG, Dua B, Watson R, Kawayama T, Larche M, Gauvreau GM, O'Byrne PM
    • Journal Title

      J Allergy Clin Immunol

      Volume: 133 Pages: 696-703

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Increased serum levels of soluble IL-18 receptor complex in patients with allergic asthma2013

    • Author(s)
      Imaoka H, Takenaka S, Kawayama T, Oda H, Kaku Y, Matsuoka M, Sakazaki Y, O'Byrne PM, Hoshino T
    • Journal Title

      Allergol Int

      Volume: 62 Pages: 513-515

    • NAID

      130004873083

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Prognostic value of EGFR mutation and ERCC1 in patients with non-small cell lung cancer undergoing platinum-based chemotherapy2013

    • Author(s)
      Yamashita F, Azuma K, Yoshida T, Yamada K, Kawahara A, Hattori S, Takeoka H, Zaizen Y, Kawayama T, Kage M, Hoshino T
    • Journal Title

      PLoS One

      Volume: 8

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Positive association between the plasma levels of 5-hydroxyindoleacetic acid and the severity of depression in patients with chronic obstructive pulmonary disease2013

    • Author(s)
      Sekiduka-Kumano T, Kawayama T, Ito K, Shoji Y, Matsunaga K, Okamoto M, Edakuni N, Imaoka H, Uchimura N, Hoshino T
    • Journal Title

      BMC Psychiatry

      Volume: 13 Pages: 159-159

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Decreased CTLA4(+) and Foxp3(+) CD25(high)CD4(+) cells in induced sputum from patients with mild atopic asthma2013

    • Author(s)
      Kawayama T, Matsunaga K, Kaku Y, Yamaguchi K, Kinoshita T, O'Byrne PM, Hoshino T
    • Journal Title

      Allergol Int

      Volume: 62 Pages: 203-213

    • NAID

      130004873069

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Successful treatment with tacrolimus in a case of lung-dominant connective tissue disease2013

    • Author(s)
      Okamoto M, Fujimoto K, Nakamura M, Yoshida T, Idemoto A, Kitasato Y, Kawayama T, Fukuoka J, Ichiki M, Hoshino T
    • Journal Title

      Intern Med

      Volume: 52 Pages: 605-609

    • NAID

      130003365926

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] IL-18 induces airway hyperresponsiveness and pulmonary inflammation via CD4+ T cell and IL-132013

    • Author(s)
      Sawada M, Kawayama T, Imaoka H, Sakazaki Y, Oda H, Takenaka S, Kaku Y, Azuma K, Tajiri M, Edakuni N, Okamoto M, Kato S, Hoshino T
    • Journal Title

      PLoS One

      Volume: 8

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] シンポジウムII COPD assessment test(CAT)を用いたCOPD管理2013

    • Author(s)
      川山智隆、田尻守拡、木下隆
    • Journal Title

      日呼ケアリハ学誌

      Volume: 23 Pages: 127-132

    • Related Report
      2013 Final Research Report
  • [Journal Article] 特集ガイドラインをふまえ、気管支喘息の病態研究・治療の最前線に迫る「心不全合併喘息の臨床対応はどのようにおこなうか」2013

    • Author(s)
      川山智隆、木下隆、一木裕子、松永和子、星野友昭
    • Journal Title

      Respiratory Medical Research

      Volume: 1 Pages: 43-49

    • Related Report
      2013 Final Research Report
  • [Journal Article] 特集「COPDの併存症とその治療」うつ・睡眠障害2013

    • Author(s)
      川山智隆、伊藤光佑、嶋田知生、内田奈菜、松永和子、星野友昭
    • Journal Title

      呼吸器内科

      Volume: 23 Pages: 577-584

    • Related Report
      2013 Final Research Report
  • [Journal Article] 特集/喘息とCOPDの合併合併病態の治療と予後2013

    • Author(s)
      川山智隆、木下隆、嶋田知生、川野(内田)奈菜、松永和子、星野友昭.
    • Journal Title

      アレルギーの臨床

      Volume: 33 Pages: 43-48

    • Related Report
      2013 Final Research Report
  • [Journal Article] Positive association between the plasma levels of 5-hydroxyindoleacetic acid and the severity of depression in patients with chronic obstructive pulmonary disease.2013

    • Author(s)
      Sekiduka-Kumano T, Kawayama T, Ito K, Shoji Y, Matsunaga K, Okamoto M, Edakuni N, Imaoka H, Uchimura N, Hoshino T.
    • Journal Title

      BMC Psychiatry

      Volume: 13 Issue: 1 Pages: 159-159

    • DOI

      10.1186/1471-244x-13-159

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Increased Serum Levels of Soluble IL-18 Receptor Complex in Patients with Allergic Asthma2013

    • Author(s)
      Imaoka H, Takenaka S, Kawayama T, Oda H, Kaku Y, Matsuoka M, Sakazaki Y, O'Byrne PM, Hoshino T.
    • Journal Title

      Allergology International

      Volume: 62 Issue: 4 Pages: 513-515

    • DOI

      10.2332/allergolint.13-LE-0548

    • NAID

      130004873083

    • ISSN
      1323-8930, 1440-1592
    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 特集/喘息とCOPDの合併 合併病態の治療と予後2013

    • Author(s)
      川山智隆、木下隆、嶋田知生、川野(内田)奈菜、松永和子、星野友昭
    • Journal Title

      アレルギーの臨床

      Volume: 33 Pages: 43-48

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 特集「COPDの併存症とその治療」 うつ・睡眠障害2013

    • Author(s)
      川山智隆、伊藤光佑、嶋田知生、内田奈菜、松永和子、星野友昭
    • Journal Title

      呼吸器内科

      Volume: 23 Pages: 577-584

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 特集ガイドラインをふまえ、気管支喘息の病態研究・治療の最前線に迫る 「心不全合併喘息の臨床対応はどのようにおこなうか」2013

    • Author(s)
      川山智隆、木下隆、一木裕子、松永和子、星野友昭
    • Journal Title

      Respiratory Medical Research

      Volume: 1 Pages: 43-49

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Interleukin-18 in pulmonary inflammatory diseases2012

    • Author(s)
      Kawayama T, Okamoto M, Imaoka H, Kato S, Young HA, Hoshino T
    • Journal Title

      J Interferon Cytokine Res

      Volume: 32 Pages: 443-449

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Depression but not sleep disorder is an independent factor affecting exacerbations and hospitalization in patients with chronic obstructive pulmonary disease2012

    • Author(s)
      Ito K, Kawayama T, Shoji Y, Fukushima N, Matsunaga K, Edakuni N, Uchimura N, Hoshino T
    • Journal Title

      Respirology

      Volume: 17 Pages: 940-949

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Associated demographics of persistent exhaled nitric oxide elevation in treated asthmatics2012

    • Author(s)
      Matsunaga K, Yanagisawa S, Hirano T, Ichikawa T, Koarai A, Akamatsu K, Sugiura H, Minakata Y, Matsunaga K, Kawayama T, Ichinose M
    • Journal Title

      Clin Exp Allergy

      Volume: 42 Pages: 775-781

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Development of the Japanese version of the copd assessment test2012

    • Author(s)
      Tsuda T, Suematsu R, Kamohara K, Kurose M, Arakawa I, Tomioka R, Kawayama T, Hoshino T, Aizawa H
    • Journal Title

      Respir Investig

      Volume: 50 Pages: 34-39

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 研修医・一般医に知ってほしい呼吸器疾患診断・治療法.胸部単純X線写真2012

    • Author(s)
      川山智隆、中川原寛子、井上譲、松永和子、星野友昭
    • Journal Title

      呼吸

      Volume: 31 Pages: 166-173

    • Related Report
      2013 Final Research Report
  • [Journal Article] 特集/嚥下性肺疾患と胃食道逆流症(GERD).「GERDと喘息、COPD」2012

    • Author(s)
      川山智隆、中川原寛子、外山貴之、松永和子、星野友昭
    • Journal Title

      呼吸器内科

      Volume: 21 Pages: 412-419

    • Related Report
      2013 Final Research Report
  • [Journal Article] 重症、難治性喘息における薬物治療のコツ2012

    • Author(s)
      川山智隆、三木康行、古賀智絵、星野友昭
    • Journal Title

      呼吸器内科

      Volume: 21 Pages: 89-94

    • NAID

      40019202051

    • Related Report
      2013 Final Research Report
  • [Journal Article] 特集:COPD(慢性閉塞性肺疾患)の最新治療.「JRS:COPDガイドライン2009の治療戦略」2012

    • Author(s)
      川山智隆、佐々木潤、中川原寛子、外山貴之、松永和子、星野友昭
    • Journal Title

      医薬ジャーナル

      Volume: 48 Pages: 1689-1696

    • Related Report
      2013 Final Research Report
  • [Journal Article] COPD薬物療法の新展開.疾患進行に対する薬物療法2012

    • Author(s)
      川山智隆、三木康行、古賀智絵、松永和子、星野友昭
    • Journal Title

      Medinal

      Volume: 2 Pages: 34-42

    • Related Report
      2013 Final Research Report
  • [Journal Article] Depression but not sleep disorder is an independent factor affecting exacerbations and hospitalization in patients with chronic obstructive pulmonary disease.2012

    • Author(s)
      Ito K, Kawayama T, Shoji Y, Fukushima N, Matsunaga K, Edakuni N, Uchimura N, Hoshino T.
    • Journal Title

      Respirology

      Volume: 6 Issue: 6 Pages: 940-949

    • DOI

      10.1111/j.1440-1843.2012.02190.x

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Periostin, a matrix protein, is a novel biomarker for idiopathic interstitial pneumonias2011

    • Author(s)
      Okamoto M, Hoshino T, Kitasato Y, Sakazaki Y, Kawayama T, Fujimoto K, Ohshima K, Shiraishi H, Uchida M, Ono J, Ohta S, Kato S, Izuhara K, Aizawa H
    • Journal Title

      Eur Respir J

      Volume: 37 Pages: 1119-1127

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Overexpression of chitinase 3-like 1/ykl-40 in lung-specific il-18-transgenic mice, smokers and COPD2011

    • Author(s)
      Sakazaki Y, Hoshino T, Takei S, Sawada M, Oda H, Takenaka S, Imaoka H, Matsunaga K, Ota T, Abe Y, Miki I, Fujimoto K, Kawayama T, Kato S, Aizawa H
    • Journal Title

      PLoS One

      Volume: 6

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 成人喘息に対する早期介入2011

    • Author(s)
      川山智隆、三木康行、星野友昭
    • Journal Title

      アレルギーの臨床

      Volume: 31 Pages: 32-36

    • Related Report
      2013 Final Research Report
  • [Journal Article] COPDの新しいQOLの評価法―CAT―2011

    • Author(s)
      川山智隆、竹中慎一、相澤久道
    • Journal Title

      Medical Practice

      Volume: 28 Pages: 483-487

    • Related Report
      2013 Final Research Report
  • [Presentation] Chronic obstructive pulmonary disease as the risk factors of post-operative lung complications in the patients with unreputured aortic aneurisms2013

    • Author(s)
      Tajiri M, Kawayama T, Kinoshita T, Okamoto M, Hoshino T
    • Organizer
      18^<th> Congress of the Asian pacific society of respirology
    • Place of Presentation
      Yokohama
    • Year and Date
      2013-11-12
    • Related Report
      2013 Final Research Report
  • [Presentation] ワークショップ1吸入療法の実際と理論気管支喘息およびCOPDの吸入療法2013

    • Author(s)
      川山智隆
    • Organizer
      第23回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      東京
    • Year and Date
      2013-10-10
    • Related Report
      2013 Final Research Report
  • [Presentation] Increased serum levels of soluble IL-18 receptor complex in patients with allergic asthma2013

    • Author(s)
      Matsuoka M, Imaoka H, Takenaka S, Kawayama T, Oda H, Kaku Y, Sakazaki Y, Hoshino T
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Philadelphia, PA, USA
    • Year and Date
      2013-05-19
    • Related Report
      2013 Final Research Report
  • [Presentation] Validation of deep inspiratory and expiratory plane chest radiography technique for detection of chronic obstructive pulmonary disease2013

    • Author(s)
      Kinoshita T, Kawayama T, Sakazaki Y, Imamura Y, Ikedow Y, Hirai R, Matsunaga K, Shimada T, Hoshino T
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Philadelphia, PA, USA
    • Year and Date
      2013-05-19
    • Related Report
      2013 Final Research Report
  • [Presentation] M2 macrophage marker CD163 and CD204 expression on alveolar macrophages in the lungs of patients with COPD2013

    • Author(s)
      Kaku Y, Imaoka H, Morimatsu Y, Sakazaki Y, Sawada M, Oda H, Takenaka S, Matsuoka M, Kawayama T, Hoshino T
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Philadelphia, PA, USA
    • Year and Date
      2013-05-19
    • Related Report
      2013 Final Research Report
  • [Presentation] COPD assessment tests can predict exacerbations in patients with mild to severe chronic obstructive pulmonary disease2013

    • Author(s)
      Suetomo M, Kawayama T, Matsunaga K, Shimada T, Hoshino T
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Philadelphia, PA, USA
    • Year and Date
      2013-05-19
    • Related Report
      2013 Final Research Report
  • [Presentation] Perception of dyspnea after methacholine-induced bronchoconstriction in asthmatics as evaluated by spirometry and impulse oscillometry system2013

    • Author(s)
      Matsunaga K, Kawayama T, Kinoshita T, Shimada T, Imaoka H, Hoshino T
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Philadelphia, PA, USA
    • Year and Date
      2013-05-19
    • Related Report
      2013 Final Research Report
  • [Presentation] COPD assessment tests can predict exacerbations in patients with mild to severe chronic obstructive pulmonary disease.2013

    • Author(s)
      Suetomo M, Kawayama T, Matsunaga K, Shimada T, Hoshino T.
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Philadelphia, PA, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] M2 macrophage marker CD163 and CD204 expression on alveolar macrophages in the lungs of patients with COPD.2013

    • Author(s)
      Kaku Y, Imaoka H, Morimatsu Y, Sakazaki Y, Sawada M, Oda H, Takenaka S, Matsuoka M, Kawayama T, Hoshino T
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Philadelphia, PA, USA
    • Related Report
      2013 Annual Research Report
  • [Presentation] 吸入療法の実際と理論 気管支喘息およびCOPDの吸入療法2013

    • Author(s)
      川山智隆
    • Organizer
      第23回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] シンポジウム2初期から終末までのCOPD管理-医療連携に基づいて-「COPD assessment test (CAT)を用いたCOPD管理2012

    • Author(s)
      川山智隆
    • Organizer
      第22回日本呼吸ケア・リハビリテーション学会学術集会
    • Place of Presentation
      福井市
    • Year and Date
      2012-11-23
    • Related Report
      2013 Final Research Report
  • [Presentation] Safety and efficacy of NVA237 once daily in Japanese patients : the GLOW4 trial2012

    • Author(s)
      Sekiya M, Kawayama T, Fukuchi Y, Takahashi T, Kaiso T, Ikeda K, Overend T, Banerji D
    • Organizer
      European Respiratory Society annual congress
    • Place of Presentation
      Vienna, Austria
    • Year and Date
      2012-09-03
    • Related Report
      2013 Final Research Report
  • [Presentation] COPDの気道炎症とその制御2012

    • Author(s)
      川山智隆
    • Organizer
      第47回日本呼吸器学会中国・四国地方会
    • Place of Presentation
      下関市
    • Year and Date
      2012-07-21
    • Related Report
      2013 Final Research Report
  • [Presentation] Sputum inflammatory cells and allergen-induced airway responses in allergic asthmatic subjects2012

    • Author(s)
      Imaoka H, Kawayama T, Hoshino T
    • Organizer
      22^<nd> Congress of interasthma Japan/North Asia
    • Place of Presentation
      Fukuoka, Japan
    • Year and Date
      2012-06-06
    • Related Report
      2013 Final Research Report
  • [Presentation] Overexpression of chitinase-3-like 1/YKL-40 in lung-specific IL-18 transgenic mice, smokers and COPD2012

    • Author(s)
      Kaku Y, Sakazaki Y, Imakoka H, Takei S, Sawada S, Oda H, Takenaka S, Matsunaga K, Kawayama T, Hoshino T
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      San Francisco, CA, USA
    • Year and Date
      2012-05-19
    • Related Report
      2013 Final Research Report
  • [Presentation] Biomarkers in the patients with depressive COPD2012

    • Author(s)
      Matsunaga K, Kawayama T, Miki Y, Hoshino T
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      San Francisco, CA, USA
    • Year and Date
      2012-05-19
    • Related Report
      2013 Final Research Report
  • [Presentation] Biomarkers in the patients with depressive COPD.2012

    • Author(s)
      Matsunaga K, Kawayama T, Miki Y, Hoshino T
    • Organizer
      ATS International conference 2012
    • Place of Presentation
      San Fransisco
    • Related Report
      2012 Research-status Report
  • [Presentation] Expression of IL-18 receptor i the lungs of chronic obstructive pulmonary disease (COPD)2011

    • Author(s)
      Takenaka S, Hoshino T, Sakazaki Y, Sawada M, Oda H, Imaoka H, Takei S, Kinoshita T, Kawayama T, Aizawa H
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Denver, CO, USA
    • Year and Date
      2011-05-16
    • Related Report
      2013 Final Research Report
  • [Presentation] IL-18 and IL-18 receptor alpha expression in allergic asthma2011

    • Author(s)
      Imaoka H, Hoshino T, Sakazaki Y, Sawada M, Oda H, Takenaka S, Kawayama T, Gauvreau G, O'Byrne PM, Aizawa H
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Denver, CO, USA
    • Year and Date
      2011-05-16
    • Related Report
      2013 Final Research Report
  • [Presentation] Prevalence of depression and sleep disorder in COPD in Japan2011

    • Author(s)
      Ito K, Kawayama T, Toda R, Fukushima N, Matsunaga K, Hoshino T, Aizawa H
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Denver, CO, USA
    • Year and Date
      2011-05-16
    • Related Report
      2013 Final Research Report
  • [Presentation] Insulin resistance associated with systemic inflammation in COPD2011

    • Author(s)
      Kawayama T, Sekizuka T, Matsunaga K, Hoshino T, Aizawa H
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Denver, CO, USA
    • Year and Date
      2011-05-16
    • Related Report
      2013 Final Research Report
  • [Presentation] The profiles of sputum regulatory T cells in mild asthma2011

    • Author(s)
      Matsunaga K, Kawayama T, Hoshino T, Aizawa H
    • Organizer
      American Thoracic Society international conference
    • Place of Presentation
      Denver, CO, USA
    • Year and Date
      2011-05-13
    • Related Report
      2013 Final Research Report
  • [Presentation] 呼吸器疾患とGERD「GERDと喘息、慢性咳嗽」2011

    • Author(s)
      川山智隆
    • Organizer
      第51回日本呼吸器学会学術講演会
    • Place of Presentation
      東京
    • Year and Date
      2011-04-22
    • Related Report
      2013 Final Research Report
  • [Presentation] 我が国におけるうつや睡眠障害併存COPD患者の臨床像および予後の解析と血中バイオマーカーの探索についての検討

    • Author(s)
      川山智隆
    • Organizer
      第21回Pneumo Forum
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report
  • [Book] 喘息予防・管理ガイドライン2012

    • Author(s)
      川山智隆(共著).日本アレルギー学会編纂
    • Publisher
      協和企画
    • Related Report
      2013 Final Research Report
  • [Remarks]

    • URL

      http://www.kurume-ichinaika.com/

    • Related Report
      2013 Final Research Report
  • [Remarks] 久留米大学医学部第一内科

    • URL

      http://www.kurume-ichinaika.com/

    • Related Report
      2013 Annual Research Report

URL: 

Published: 2011-08-05   Modified: 2019-07-29  

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