{"created":"2023-06-20T15:49:21.303677+00:00","id":3942,"links":{},"metadata":{"_buckets":{"deposit":"6625dab6-7c0f-4323-a3f1-5e3c85788124"},"_deposit":{"created_by":4,"id":"3942","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3942"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003942","sets":["1:75:81"]},"author_link":["12016"],"control_number":"3942","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-03-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"9","bibliographicPageStart":"3","bibliographicVolumeNumber":"2","bibliographic_titles":[{"bibliographic_title":"浜松医科大学小児科学雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Hamamatsu Journal of Pediatrics","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"浜松医科大学医学部附属病院では，2003年に周産母子センターが開所され，同時に6床の新生児特定集中治療室（NICU）が開設された．その後6床の新生児治療回復室（GCU）が増設され，2013年にNICUが9床に増床され現在に至っている．新生児入院数は2003年度の97例から2020年度は316例に増加し，人工呼吸器管理件数は21件から105件に増加した．\n18年間の超低出生体重児入院総数は100例で，超低出生体重児および超早産児の死亡率は，2010年の全国調査と比較して遜色ないものであった．\n2003～2011年度（前期）と 2012～2020年度（後期）の新生児診療実績を比較すると，分娩件数，新生児入院数，超低出生体重児入院数，人工呼吸器管理件数，一酸化窒素吸入療法件数，新生児低体温療法件数，未熟児網膜症治療件数，新生児外科手術件数は後期で有意に増加していた．多変量解析の結果，前・後期の差異に影響力を持つ因子は分娩数であった．\n新生児診療体制について前・後期を比較すると，新生児専従医数，常勤医数，新生児専門医数，新生児専攻医数，研修医数は有意に後期が多く，月間当直回数は有意に後期が少なかった．多変量解析によると，前・後期の差異に影響力を持つ因子は新生児専門医数であった．\n今後さらに重症化する新生児診療および医師の働き方改革に対応するためには，診療体制の充実と人材育成を推進していく必要がある．","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"浜松医科大学小児科学雑誌編集部","subitem_publisher_language":"ja"}]},"item_3_relation_27":{"attribute_name":"医中誌論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2022168181","subitem_relation_type_select":"ICHUSHI"}}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2436-2433","subitem_source_identifier_type":"EISSN"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"飯嶋, 重雄","creatorNameLang":"ja"},{"creatorName":"IIJIMA, Shigeo","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"12016","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-03-15"}],"displaytype":"detail","filename":"hjop_2_1_3.pdf","filesize":[{"value":"759.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"hjop_2_1_3","objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/3942/files/hjop_2_1_3.pdf"},"version_id":"714d3a8e-9066-4972-8f91-8ba496f333e8"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"NICU","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"新生児診療","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"診療体制","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"新生児専従医","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"新生児専門医","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"浜松医科大学医学部附属病院周産母子センターにおける18年間の新生児診療実績と診療体制の推移","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"浜松医科大学医学部附属病院周産母子センターにおける18年間の新生児診療実績と診療体制の推移","subitem_title_language":"ja"},{"subitem_title":"Development of neonatal intensive care and medical systems over 18 years at the Perinatal Center of Hamamatsu University Hospital","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["81"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-03-08"},"publish_date":"2022-03-08","publish_status":"0","recid":"3942","relation_version_is_last":true,"title":["浜松医科大学医学部附属病院周産母子センターにおける18年間の新生児診療実績と診療体制の推移"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-03-22T05:45:51.564464+00:00"}