Investigation for the effects of exercise training combined with heat stress as a new strategy for patients with interstitial pneumonia

• Project/Area Number: 26350614
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Rehabilitation science/Welfare engineering
• Research Institution: Nagasaki University
• Principal Investigator: KOZU Ryo 長崎大学, 医歯薬学総合研究科(保健学科), 教授 (80423622)
• Co-Investigator(Kenkyū-buntansha): 花田 匡利 長崎大学, 病院(医学系), 技術職員 (00596869) ; 及川 真人 長崎大学, 病院(医学系), 技術職員 (80646109)
• Project Period (FY): 2014-04-01 – 2018-03-31
• Project Status: Completed (Fiscal Year 2017)
• Budget Amount: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000); Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000); Fiscal Year 2015: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000); Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
• Keywords: 間質性肺炎 / 温熱刺激 / 運動トレーニング / 骨格筋 / 運動耐容能 / 呼吸困難

Outline of Final Research Achievements

The aim of this study is to investigate the effect of low intensity exercise training combined with heat stress on functional exercise capacity and muscle strength in patients with interstitial pneumonia (IP). We randomly assigned moderate to severe patients with IP to receive 60 min heat stress by using heating pad, or sham, 5 days/week over a 4-week. The patients exercised at low intensity in the same program. The primary outcome measure was 6 min walk distance, isometric quadriceps force and its muscle thickness.
The patients was well tolerated with no adverse events associated with applying heat stree. Exercise training combined with heat stress tended to improve functional exercise capacity and muscle strength. These findings suggest that this intervention was feasible and safe, and would enhance the effect of exercise training even if intensity was low in patients with moderate to severe IP.

Research Products

• [Journal Article] 特発性間質性肺炎患者の運動に伴う心拍数，経皮的酸素飽和度の変化と身体機能の関係 (2017)
  • Author(s): 城石涼太，角野 直，小柳春美，山下はるか，北川知佳，出川 聡，力富直人，神津 玲
  • Journal Title: 日本呼吸ケア・リハビリテーション学会誌 Volume: 26 Pages: 485-490
  • NAID: 130006899525
  • Peer Reviewed
• [Journal Article] The clinical practice guideline for the management of ARDS in Japan (2017)
  • Author(s): Hashimoto S, Sanui M, Egi M, Ohshimo S, Shiotsuka J, Seo R, Tanaka R, Tanaka Y, Norisue Y, Hayashi Y, Nango E, Aoki Y, Andoh K, Iizuka Y, Imaizumi H, Okamori S, Kainuma M, Kataoka J, Kamo T, Kawaguchi A, et al
  • Journal Title: J Intensive Care Volume: 5
  • DOI: 10.1186/s40560-017-0222-3
  • Peer Reviewed / Open Access
• [Journal Article] 心臓血管外科手術後における呼吸不全と呼吸器感染症の発生因子 (2017)
  • Author(s): 田渕優衣，森本陽介，矢野雄大，俵 祐一，佐藤俊太朗，谷川和好，江石清行，神津 玲
  • Journal Title: 胸部外科 Volume: 70 Pages: 1051-1058
  • Peer Reviewed
• [Journal Article] ncidence of orthostatic hypotension and cardiovascular response to postoperative early mobilization in patients undergoing cardiothoracic and abdominal surgery (2017)
  • Author(s): Hanada M, Tawara Y, Miyazaki T, Sato S, Morimoto Y, Oikawa M, Niwa H, Eishi K, Nagayasu T, Eguchi S, Kozu R
  • Journal Title: BMC surgery Volume: 17 Pages: 111-111
  • DOI: 10.1186/s12893-017-0314-y
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Pulmonary rehabilitation in patients with idiopathic pulmonary fibrosis: comparison with chronic obstructive pulmonary disease (2017)
  • Author(s): Arizono S, Taniguchi H, Sakamoto K, Kondoh Y, Kimura T, Kataoka K, Ogawa T, Watanabe F, Tabira K, Kozu R
  • Journal Title: Sarcoidosis Vasc Diffuse Lung Dis Volume: 34 Pages: 283-289
  • Peer Reviewed
• [Journal Article] Effect of long-term treatment with corticosteroids on skeletal muscle strength, functional exercise capacity and health status in patients with interstitial lung disease (2016)
  • Author(s): Hanada M, Sakamoto N, Ishimatsu Y, Kakugawa T, Obase Y, Kozu R, Senjyu H, Izumikawa K, Mukae H, Kohno S
  • Journal Title: Respirology Volume: 21 Pages: 1088-1093
  • DOI: 10.1111/resp.12807
  • Peer Reviewed / Open Access
• [Journal Article] A comparison of objective physical activity, muscle strength and depression among community-dwelling older women living in sloped versus non-sloped environments. (2016)
  • Author(s): T Tanaka, K Tanaka, K Suyama, S Honda, H Senjyu, R Kozu
  • Journal Title: J Nutr Health Aging Volume: 20 Pages: 520-524
  • DOI: 10.1007/s12603-015-0602-0
  • Peer Reviewed
• [Journal Article] 韓国における在宅酸素療法の現状と課題：呼吸リハビリテーションに携わる理学療法士の立場から (2016)
  • Author(s): 禹 炫在，松澤 靖，李 世源，金 原營，千住秀明，髻谷 満，田中貴子，神津 玲
  • Journal Title: 保健学研究 Volume: 28 Pages: 63-69
  • NAID: 120005702473
  • Peer Reviewed
• [Journal Article] 病病連携・病診連携の実際 (2016)
  • Author(s): 北川知佳，角野 直，城石涼太，小柳春美，山下はるか，出川 聡，力富直人，神津 玲
  • Journal Title: 日本呼吸ケア・リハビリテーション学会誌 Volume: 26 Pages: 301-305
  • NAID: 130005111136
  • Peer Reviewed
• [Journal Article] 術後の管理：リスクマネジメント，スクリーニングと対策 (2016)
  • Author(s): 神津 玲，花田匡利，及川真人，名倉弘樹
  • Journal Title: JOURNAL OF CLINICAL REHABILITATION Volume: 25 Pages: 1180-1185
• [Journal Article] Effect of a Chronic Obstructive Pulmonary Disease (COPD) Intervention on COPD Awareness in a Regional City in Japan (2015)
  • Author(s): Asai M,Tanaka T. Kozu R, Kitagawa C, Tabusadani M, Senjyu H
  • Journal Title: Intern. Med. Volume: 54 Issue: 2 Pages: 163-169
  • DOI: 10.2169/internalmedicine.54.2916
  • NAID: 130004903011
  • ISSN: 0918-2918, 1349-7235
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Factors associated with the annual change in forced expiratory volume in 1 second of officially acknowledged victims of pollution-related illness in improved environments: a longitudinal study (2015)
  • Author(s): Yano Y, Senjyu H, Tanaka T, Asai M, Yanagita Y, Nishinakagawa T, Miyamoto N, Kotaki K, Kozu R, Honda S.
  • Journal Title: J Phys Ther Sci Volume: 27 Issue: 5 Pages: 1411-1416
  • DOI: 10.1589/jpts.27.1411
  • NAID: 130005072230
  • ISSN: 0915-5287, 2187-5626
  • Peer Reviewed
• [Journal Article] Value of systematic intervention for chronic obstructive pulmonary disease in a regional Japanese city based on case detection rate and medical cost. (2015)
  • Author(s): Tawara Y, Senjyu H, Tanaka K, Tanaka T, Asai M, Kozu R, Tabusadani M, Honda S, Sawai T.
  • Journal Title: Int J Chron Obstruct Pulmon Dis Volume: 10 Pages: 1531-1542
  • DOI: 10.2147/copd.s82872
  • NAID: 120005649212
  • Peer Reviewed / Open Access
• [Journal Article] Heat treatment inhibits skeletal muscle atrophy of glucocorticoid-induced myopathy in rats. (2015)
  • Author(s): Morimoto Y, Kondo Y, Kataoka H, Honda Y, Kozu R, Sakamoto J, Nakano J, Origuchi T, Yoshimura T, Okita M.
  • Journal Title: Physiol Res Volume: 64 Pages: 897-905
  • Peer Reviewed
• [Journal Article] Evaluation of activity limitation in patients with idiopathic pulmonary fibrosis grouped according to medical research council dyspnea grade (2014)
  • Author(s): Kozu R, Jenkins S, Senjyu H
  • Journal Title: Arch Phys Med Rehabil Volume: 95 Pages: 950-955
  • DOI: 10.1016/j.apmr.2014.01.016
  • NAID: 120005476990
  • Peer Reviewed
• [Journal Article] Endurance time is the most responsive exercise measurement in idiopathic pulmonary fibrosis (2014)
  • Author(s): Arizono S, Taniguchi H, Sakamoto K, Kondoh Y, Kimura T, Kataoka K, Ogawa T, Watanabe F, Nishiyama O, Nishimura K, Kozu R, Tabira K
  • Journal Title: Respir Care Volume: 59 Pages: 1108-1115
  • DOI: 10.4187/respcare.02674
  • Peer Reviewed
• [Journal Article] Pulmonary rehabilitation improves exercise capacity and dyspnea in air pollution-related respiratory disease (2014)
  • Author(s): Miyamoto N, Senjyu H, Tanaka T, Asai M, Yanagita Y, Yano Y, Nishinakagawa T, Kotaki K, Kitagawa C, Rikitomi N, Kozu R, Honda
  • Journal Title: Tohoku J Exp Med Volume: 232 Pages: 1-8
  • NAID: 130004460105
  • Peer Reviewed
• [Presentation] 急性期呼吸リハビリテーション．教育講演 (2017)
  • Author(s): 神津 玲
  • Organizer: 第4回日本呼吸ケア・リハビリテーション学会九州・沖縄支部学術集会
  • Invited
• [Presentation] 重症呼吸不全に対する呼吸リハビリテーション．特別講演Ⅱ (2017)
  • Author(s): 神津 玲
  • Organizer: 第4回日本呼吸ケア・リハビリテーション学会東海地方学会
  • Invited
• [Presentation] 急性期・急性期からの回復期の呼吸リハビテーション．共同企画5（日本呼吸ケア・リハビリテーション学会，呼吸リハビリテーションの新ステートメント） (2017)
  • Author(s): 神津 玲
  • Organizer: 第57回日本呼吸器学会学術講演会
  • Invited
• [Presentation] Long-Term Effect of Pulmonary Rehabilitation Under Nintedanib Treatment in Idiopathic Pulmonary Fibrosis: Methodology of the FITNESS Study (2017)
  • Author(s): Kondoh Y, Taniguchi H, Kataoka K, Arizono S, Ogawa T, Watanabe F, Kozu R, Nishimura K, Nishiyama O, Ogura T, Saka H
  • Organizer: American Thoracic Society 2017 International Conference
  • Int'l Joint Research
• [Presentation] Physical Activity patients following lung resection for non-small cell lung cancer (2017)
  • Author(s): Yanagita Y, Oomagari M, Machiguchi H, Ogawa T, Arizono S, Kozu R
  • Organizer: 27th International Congress of the European Respiratory Society
  • Int'l Joint Research
• [Presentation] Effects of mean pulmonary arterial pressure and supplemental oxygen on exercise capacity in IPF patients with exercise-induced hypoxemia (2017)
  • Author(s): Arizono S, Taniguchi H, Kondoh Y, Kimura T, Kataoka K, Furukawa T, Ogawa T, Watanabe F, Kozu R
  • Organizer: 27th International Congress of the European Respiratory Society
  • Int'l Joint Research
• [Presentation] 非COPD患者に対する呼吸リハビリテーションの動向．国際シンポジウム3「呼吸リハビリテーション up-to-date－改訂ステートメントを踏まえて－」 (2017)
  • Author(s): 神津 玲
  • Organizer: 第27回日本呼吸ケア・リハビリテーション学会学術集会
  • Invited
• [Presentation] 呼吸リハビリテーションの動向．ワークショップ2「間質性肺炎の包括的管理」 (2017)
  • Author(s): 神津 玲，及川真人，花田匡利，名倉弘樹，坂本憲穂，迎 寛
  • Organizer: 第27回日本呼吸ケア・リハビリテーション学会学術集会
  • Invited
• [Presentation] 神津玲：急性ならびに慢性呼吸不全に対する予防対策について．セミナー2：呼吸器 (2016)
  • Author(s): 神津 玲
  • Organizer: 第34回東北理学療法学術大会
  • Place of Presentation: 秋田市文化会館（秋田県・秋田市）
  • Year and Date: 2016-11-12
  • Invited
• [Presentation] 栄養障害の改善と呼吸リハビリテーション．ワークショップ6「高齢者肺炎と栄養療法：高齢慢性呼吸器疾患患者の低栄養にどう対処していくか」 (2016)
  • Author(s): 神津 玲，北川知佳，角野 直，山下はるか，伊東 宏，河辺千鶴子，出川 聡，力富直人
  • Organizer: 第26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: パシフィコ横浜（神奈川県・横浜市）
  • Year and Date: 2016-10-10
  • Invited
• [Presentation] 急性期・回復期呼吸リハビテーションの現状と課題．ワークショップ2「呼吸リハビリテーションのステートメント改定を考える：急性期から維持期のトータルマネジメント」 (2016)
  • Author(s): 神津 玲
  • Organizer: 第26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: パシフィコ横浜（神奈川県・横浜市）
  • Year and Date: 2016-10-10
  • Invited
• [Presentation] The contributing factors to mean pulmonary artery pressure in idiopathic pulmonary fibrosis (2016)
  • Author(s): Arizono S, Taniguchi H, Kondoh Y, Kimura T, Kataoka K, Ogawa T, Watanabe F, Tabira K, Kozu R
  • Organizer: European Respiratory Society International Congress 2016
  • Place of Presentation: ロンドン（イギリス）
  • Year and Date: 2016-09-03
  • Int'l Joint Research
• [Presentation] Impact of peripheral muscle strength and functional exercise capacity on health-related quality of life after surgical treatment in patients with non-small-cell lung cancer (2016)
  • Author(s): Oikawa M, Hanada M, Nagura H, Yamasaki N, Tsuchiya T, Matsumoto K, Miyazaki T, Nagayasu T, Kozu R
  • Organizer: European Respiratory Society International Congress 2016
  • Place of Presentation: ロンドン（イギリス）
  • Year and Date: 2016-09-03
  • Int'l Joint Research
• [Presentation] 慢性呼吸器疾患の急性増悪における理学療法．教育講演1 (2016)
  • Author(s): 神津 玲
  • Organizer: 第3回日本呼吸ケア・リハビリテーション学会中国・四国支部学術集会
  • Place of Presentation: 岡山大学医学部保健学科（岡山県・岡山市）
  • Invited
• [Presentation] 間質性肺炎のリハビリテーション (2015)
  • Author(s): 神津玲
  • Organizer: 第10回呼吸リハビリテーションサイエンスフォーラム
  • Place of Presentation: 東北大学星陵キャンパス・星陵オーディトリアム（宮城県・仙台市）
  • Year and Date: 2015-11-28
  • Invited
• [Presentation] Early mobilization and exercise in critically ill patients: a survey of physical therapy practices in Japanese intensive care units. (2015)
  • Author(s): Kozu R, Hanada M, Oikawa M, Sekino M.
  • Organizer: Fourth Annual Johns Hopkins Critical Care Rehabilitation Conference
  • Place of Presentation: Baltimore, US
  • Year and Date: 2015-11-12
  • Int'l Joint Research
• [Presentation] 国民の期待に応える呼吸理学療法士を目指して：Respiratory DiseaseからRespiratory Healthの関わりへ (2015)
  • Author(s): 神津玲
  • Organizer: 第2回日本呼吸理学療法学会学術集会
  • Place of Presentation: 北里大学白金キャンパス・薬学部コンベンションホール（東京都）
  • Year and Date: 2015-10-17
  • Invited
• [Presentation] 間質性肺疾患患者の運動に伴う心拍変動，SpO2の回復と身体諸機能の関係 (2015)
  • Author(s): 城石涼太，角野直，小柳春美，山下はるか，北川知佳，出川聡，力富直人，神津玲
  • Organizer: 第25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: 東京ベイ舞浜ホテル クラブリゾート（千葉県・浦安市）
  • Year and Date: 2015-10-15
• [Presentation] Effects of position on tidal volume changes from manual breathing assist techniques. (2015)
  • Author(s): Tanaka T, Senjyu H, Kitagawa C, Asai M, Kozu R.
  • Organizer: European Respiratory Society Annual Congress 2015
  • Place of Presentation: Amsterdam, Netherland
  • Year and Date: 2015-09-26
  • Int'l Joint Research
• [Presentation] Relationships between orthostatic hypotension and cardiovascular responses to postoperative early mobilization. (2015)
  • Author(s): Hanada M, Kozu R, Tawara Y, Mio N, Oikawa M, Morimoto Y, Yano Y, Senjyu H.
  • Organizer: European Respiratory Society Annual Congress 2015
  • Place of Presentation: Amsterdam, Netherland
  • Year and Date: 2015-09-26
  • Int'l Joint Research
• [Presentation] Benefits of supplemental oxygen on exercise capacity in IPF patients with exercise-induced hypoxemia. (2015)
  • Author(s): Arizono S, Taniguchi H, Sakamoto K, Kondoh Y, Kimura T, Kataoka K, Ogawa T, Watanabe F, Hirasawa J, Kozu R.
  • Organizer: European Respiratory Society Annual Congress 2015
  • Place of Presentation: Amsterdam, Netherland
  • Year and Date: 2015-09-26
  • Int'l Joint Research
• [Presentation] 急性期から回復期における呼吸リハビリテーション（セミナーⅣ） (2014)
  • Author(s): 神津玲
  • Organizer: 九州理学療法士・作業療法士合同学会2014 in 佐賀
  • Place of Presentation: 佐賀市文化会館（佐賀市）
  • Year and Date: 2014-11-23 – 2014-11-24
  • Invited
• [Presentation] 間質性肺疾患に対する呼吸リハビリテーションの新展開（ワークショップ2） (2014)
  • Author(s): 神津玲，花田匡利，及川真人，石松祐二，坂本憲穂，河野茂，北川知佳，千住秀明
  • Organizer: 第24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: なら100年会館（奈良市）
  • Year and Date: 2014-10-24 – 2014-10-25
  • Invited
• [Presentation] 長崎大学病院における肺移植前後のリハビリテーションにおける現状と課題（ワークショップ7） (2014)
  • Author(s): 神津玲，及川真人，花田匡利，山崎直哉，土谷智史，松本桂太郎，宮﨑拓郎，永安武，千住秀明
  • Organizer: 第50回日本移植学会総会
  • Place of Presentation: 京王プラザホテル（東京都新宿区）
  • Year and Date: 2014-09-12 – 2014-09-13
  • Invited
• [Presentation] Efficacy of early COPD diagnosis and intervention system (2014)
  • Author(s): Tanaka K, Tanaka T, Tawara Y, Asai M, Nishinakagawa T, Itaki M, Kozu R, Senjyu H
  • Organizer: European Respiratory Society Annual Congress 2014
  • Place of Presentation: Munich, Germany
  • Year and Date: 2014-09-06 – 2014-09-10
• [Presentation] Reference values for the incremental shuttle-walking test in Japanese adults (2014)
  • Author(s): Itaki M, Nishinakagawa T, Asai M, Suyama K, Tanaka K, Tanaka T, Kozu R, Senjyu H
  • Organizer: European Respiratory Society Annual Congress 2014
  • Place of Presentation: Munich, Germany
  • Year and Date: 2014-09-06 – 2014-09-10
• [Presentation] Skeletal muscle strength and functional exercise capacity in patients undergoing surgery for lung cancer (2014)
  • Author(s): Oikawa M, Kozu R, Hanada M, Yano Y, Yamasaki N, Tsuchiya T, Matsumoto K, Miyazaki T, Nagayasu T, Senjyu H
  • Organizer: European Respiratory Society Annual Congress 2014
  • Place of Presentation: Munich, Germany
  • Year and Date: 2014-09-06 – 2014-09-10
• [Presentation] Incremental shuttle walking test in young to elderly healthy subjects (2014)
  • Author(s): Nishinakagawa T, Itaki M, Asai M, Tanaka K, Tanaka T, Kozu R, Senjyu H
  • Organizer: European Respiratory Society Annual Congress 2014
  • Place of Presentation: Munich, Germany
  • Year and Date: 2014-09-06 – 2014-09-10
• [Book] 非がん性呼吸器疾患の緩和ケア 全ての人にエンドオブライフケアの光を！ (2017)
  • Author(s): 石川 朗，井上真美，井本久紀，岩城 基，梅木健二，大池由旗，大平峰子，桂 秀樹，門田淳一，角野 直，門脇 徹，北川知佳，木村 弘，小泉美緒，神津 玲，近藤康博，末松利加，高橋仁美，竹川幸恵，他
  • Total Pages: 267
  • Publisher: 南山堂
  • ISBN: 9784525248819
• [Book] エビデンスに基づく理学療法クイックリファレンス (2017)
  • Author(s): 阿部敏彦，有薗信一，石川 朗，石倉 隆，板場英行，伊藤俊一，井上 優，臼田 滋，内山 靖，遠藤康裕，大渕修一，岡西哲夫，沖侑太郎，加賀谷善教，角野 直，片田圭一，神谷健太郎，河合 恒，神津 玲，小島 肇，他
  • Total Pages: 189
  • Publisher: 医歯薬出版
  • ISBN: 9784263216736
• [Book] 内部障害理学療法学テキスト 改訂第3版 (2017)
  • Author(s): 山崎裕司，木村雅彦，井澤和大，信太雅洋，松永篤彦，米澤隆介，田畑 稔，村岡卓哉，丸岡 弘，内山 覚，笠原酉介，渡辺 敏，林 久恵，三村美穂，齋藤正和，片山訓博，小川智也，川俣幹雄，大池貴行，神津 玲，他
  • Total Pages: 456
  • Publisher: 南江堂
  • ISBN: 9784524254798
• [Book] 運動療法学総論（標準理学療法学・専門分野）第4版 (2017)
  • Author(s): 森田正治，西村由香，谷 浩明，大西秀明，久保雅義，神津 玲，高橋哲也，木村 朗，小栁麿毅，沼田憲治，弓削 類，竹井 仁，加藤 浩，永井将太，横田一彦，吉尾雅春，石塚和重，小塚直樹
  • Total Pages: 295
  • Publisher: 医学書院
  • ISBN: 9784260027861
• [Book] Surviving ICU シリーズ ICUから始める早期リハビリテーション 病態にあわせて安全に進めるための考え方と現場のコツ (2016)
  • Author(s): 神津 玲，森本陽介
  • Total Pages: 255
  • Publisher: 羊土社
• [Book] 動画でわかる呼吸リハビリテーション 第4版 (2016)
  • Author(s): 神津 玲
  • Total Pages: 344
  • Publisher: 中山書店
• [Book] 運動療法学総論 (2016)
  • Author(s): 神津 玲
  • Total Pages: 295
  • Publisher: 医学書院
• [Book] リアルフィジカルアセスメント リハ臨床のためのケーススタディ (2016)
  • Author(s): 角野 直，神津 玲
  • Total Pages: 200
  • Publisher: 文光堂
• [Book] 摂食嚥下リハビリテーション 第3版 (2016)
  • Author(s): 神津 玲
  • Total Pages: 432
  • Publisher: 医歯薬出版
• [Book] Textbook of Palliative Medicine and Supportive Care, 2nd edition (2015)
  • Author(s): Kozu R.
  • Total Pages: 1322
  • Publisher: Taylor & Francis Group, LLC
• [Book] 実践！こうすればできる心臓リハビリテーション (2015)
  • Author(s): 神津玲
  • Total Pages: 255
  • Publisher: メディカルレビュー社
• [Book] 今日の理学療法指針 (2015)
  • Author(s): 神津玲
  • Total Pages: 542
  • Publisher: 医学書院
• [Book] 理学療法MOOK 17 理学療法技術の再検証：科学的技術の確立に向けて (2015)
  • Author(s): 神津玲
  • Total Pages: 220
  • Publisher: 三輪書店
• [Book] 人工呼吸器離脱のための標準テキスト (2015)
  • Author(s): 神津玲
  • Total Pages: 199
  • Publisher: 学研メディカル秀潤社
• [Book] Textbook of Palliative Medicine and Supportive Care, 2nd edition (2015)
  • Author(s): Ryo Kozu
  • Total Pages: 1322
  • Publisher: Taylor & Francis Group, LLC
• [Book] 臨床実習フィールドガイド，改訂第2版 (2014)
  • Author(s): 神津玲
  • Total Pages: 542
  • Publisher: 南江堂