Faculty Profiles - NAKATSUKA Mikiya

MISC - NAKATSUKA Mikiya

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診療研究性同一性障害の診療（上）―性同一性障害の診断と診療の流れ

中塚幹也

月刊保団連 ( 1201 ) 51 - 54 2016

性同一性障害の子どもへの対応

中塚幹也

健 44 ( 10 ) 38 - 41 2016

日本人妊婦における障がいを持つ子どもへの意識と非侵襲的出生前遺伝学的検査（Non-invasive prenatal testing;NIPT)への意識との比較

美甘祥子, 中塚幹也

母性衛生 57 ( 2 ) 323 - 331 2016

Language：Japanese Publisher：(公社)日本母性衛生学会

非侵襲的出生前遺伝学的検査(Non-invasive prenatal testing;NIPT)への意識と障がいを持つ子どもへの意識との関連を検討するため、無記名自記式質問紙調査を実施し、有効回答495部を分析した。「NIPTを受けてみたい」と回答した妊婦は、障がいを持つ方が「近親者にいる」群(24.1%)、「近親者以外にいる」群(20.0%)、「周囲にいない」群(27.1%)で有意差はなかった。NIPTの結果が陽性であった場合に「羊水検査を受けずに妊婦をあきらめる」と回答した率は、いずれも10%未満であったが、障がいを持つ方が「近親者にいる」群(9.3%)は、「近親者以外にいる」群(7.7%)、「周囲にいない」群(4.3%)に比較して高かった。また、「障がいを持つ子どもを温かい心で迎えられる」を選択した群(1.7%)は、選択しなかった群(10.6%)より有意に低かった(p<0.05)。障がいを持つ子どもへの意識は、NIPT受検やその後の対応への意識に関連していることを念頭にサポートを行う必要がある。(著者抄録)

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2016&ichushi_jid=J01362&link_issn=&doc_id=20160810130006&doc_link_id=%2Fcu2mater%2F2016%2F005702%2F008%2F0323-0331%26dl%3D0&url=http%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fcu2mater%2F2016%2F005702%2F008%2F0323-0331%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

「健康な女性における卵子凍結」に関する大学生の知識と意識

山本友里恵, 広保沙紀, 石畑沙樹, 大利遥, 瀬尾奏衣, 早澤知佳, 中塚幹也

岡山県母性衛生 ( 32 ) 55 - 56 2016

大学生における着床前スクリーニングに関する知識と意識

広保沙紀, 大利遥, 石畑沙樹, 瀬尾奏衣, 早澤知佳, 山本友里恵, 中塚幹也

岡山県母性衛生 ( 32 ) 53 - 54 2016

「代理出産や子宮移植で子どもを持つこと」への大学生の意識

石畑沙樹, 広保沙紀, 山本友里恵, 瀬尾奏衣, 早澤知佳, 大利遥, 中塚幹也

岡山県母性衛生 ( 32 ) 51 - 52 2016

大学生におけるＬＥＰ（低用量エストロゲン・プロゲスチン）製剤への意識

早澤知佳, 広保沙紀, 山本友里恵, 大利遥, 瀬尾奏衣, 石畑沙樹, 中塚幹也

岡山県母性衛生 ( 32 ) 49 - 50 2016

同性パートナーシップ制度および同性婚に関する大学生の意識

大利遥, 瀬尾奏衣, 広保沙紀, 山本友里恵, 石畑沙樹, 早澤知佳, 中塚幹也

岡山県母性衛生 ( 32 ) 47 - 48 2016

「妊孕性や生殖医療に関する教育」に対する養護教諭の意識

山縣未佳, 大廣香織, 長本摩耶, 難波早織, 中塚幹也

岡山県母性衛生 ( 32 ) 45 - 46 2016

教員における「性同一性障害当事者の支援に関する文部科学省の動向」の認知度

瀬尾奏衣, 大利遥, 広保沙紀, 山本友里恵, 石畑沙樹, 早澤知佳, 中塚幹也

岡山県母性衛生 ( 32 ) 43 - 44 2016

産科スタッフの考える産後１ヶ月までの母親に必要な支援

大廣香織, 長本摩耶, 難波早織, 山縣未佳, 中塚幹也

岡山県母性衛生 ( 32 ) 35 - 36 2016

「マタニティハラスメント」に関する妊産婦の意識と実態

難波早織, 大廣香織, 長本摩耶, 山縣未佳, 中塚幹也

岡山県母性衛生 ( 32 ) 25 - 26 2016

「父子手帳による育児情報取得の意義」に対する夫婦の意識

長本摩耶, 大廣香織, 難波早織, 山縣未佳, 中塚幹也

岡山県母性衛生 ( 32 ) 19 - 20 2016

生殖補助医療技術者の養成とスキルアップに高等教育機関が果たすべき役割

舟橋弘晃, 高山修, 本橋秀之, 中塚幹也

日本卵子学会誌 1 ( 1 ) 2016

生殖補助医療現場で使用されている手技等に関する全国調査結果

高山修, 倉田裕子, 小倉初音, 坂東裕香里, 大和礼, 本橋秀之, 中塚幹也, 中塚幹也, 舟橋弘晃, 舟橋弘晃, 舟橋弘晃

日本卵子学会誌 1 ( 1 ) 2016

Anxiety and Feelings toward Their Baby among Pregnant Women with Uterine Leiomyomas

Miki Senoo, Mikiya Nakatsuka

ACTA MEDICA OKAYAMA 69 ( 6 ) 339 - 348 2015.12

Language：English Publisher：OKAYAMA UNIV MED SCHOOL

Pregnant women with uterine leiomyomas may experience anxiety toward their pregnancies and unfavorable feelings toward their infants. From March to July 2010, we distributed anonymous self-recorded questionnaires to 200 pregnant women who visited Okayama Central Hospital for an antenatal check-up after informed consent was provided, and 132 women (23 pregnant women with uterine leiomyomas) were included in our study. Among the multiparous women in their first trimester, the women with uterine leiomyomas had a higher rate of anxiety than those without uterine leiomyomas. 'Avoidance' scores on the Feeling Toward the Baby Scale were significantly higher in the leiomyoma group. The conflict index scores tended to be higher in the leiomyoma group. A multivariate analysis revealed no factors associated with trait-anxiety scores, whereas high state-anxiety scores were correlated with low age; however, there was no correlation between these scores and uterine leiomyomas. Although no factors were associated with State-Trait Anxiety Inventory (STAI) and approach scores toward the baby, avoidance and conflict index scores were associated with the existence of uterine leiomyomas. In pregnant women with uterine leiomyomas, efforts should be made to reduce anxiety in the first trimester, and support should be provided to help these women develop positive feelings toward their babies.

DOI： 10.18926/AMO/53908

Web of Science

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Clinical significance of IgM measurement as a screening test for recurrent pregnancy loss Reviewed

Shiho Fujita, Mikiya Nakatsuka, Kotaro Kubo, Toru Hasegawa, Sayoko Kotani, Ai Akamoto, Yasuhiko Kamada, Yuji Hiramatsu

JOURNAL OF REPRODUCTIVE IMMUNOLOGY 112 139 - 139 2015.11

Knowledge and Attitudes toward Non-invasive Prenatal Testing among Pregnant Japanese Women

Shoko Mikamo, Mikiya Nakatsuka

ACTA MEDICA OKAYAMA 69 ( 3 ) 155 - 163 2015.6

Language：English Publisher：OKAYAMA UNIV MED SCHOOL

To assess the knowledge and attitudes of pregnant Japanese women regarding non-invasive prenatal testing (NIPT). Between March and June 2013, 557 pregnant women in the Hyogo and Hiroshima Prefectures were surveyed using an anonymous, self-completed questionnaire. A total of 91.9% respondents (512/557) stated that they "agree" or "conditionally agree" with NIPT implementation in Japan. Approximately 28.5% of respondents stated that they knew that the accuracy of a positive NIPT result can be affected by mother's age and background, while 34.5% of respondents stated that it was necessary for pregnant women with a positive result to undergo fetal chromosome diagnosis using amniocentesis; both percentages were low. Additionally, 92.3% of respondents would "like a detailed explanation of the test," 65.1% of them would "like psychological support if the NIPT test results came back positive," and 5.7% would terminate the pregnancy if the NIPT test results came back positive without undergoing fetal chromosome diagnosis via amniocentesis. Although a high proportion of pregnant Japanese women agreed with the introduction of NIPT into Japanese obstetrical care, there was insufficient knowledge regarding the test. It is necessary for women undergoing NIPT to be provided sufficient information and psychological support.

DOI： 10.18926/AMO/53522

Web of Science

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Altered autonomic nervous system activity in women with unexplained recurrent pregnancy loss

Kumie Kataoka, Yumi Tomiya, Ai Sakamoto, Yasuhiko Kamada, Yuji Hiramatsu, Mikiya Nakatsuka

JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH 41 ( 6 ) 912 - 918 2015.6

Language：English Publisher：WILEY

AimAutonomic nervous system activity was studied to evaluate the physical and mental state of women with unexplained recurrent pregnancy loss (RPL).
MethodsHeart rate variability (HRV) is a measure of beat-to-beat temporal changes in heart rate and provides indirect insight into autonomic nervous system tone and can be used to assess sympathetic and parasympathetic tone. We studied autonomic nervous system activity by measuring HRV in 100 women with unexplained RPL and 61 healthy female volunteers as controls. The degree of mental distress was assessed using the Kessler 6 (K6) scale.
ResultsThe K6 score in women with unexplained RPL was significantly higher than in control women. HRV evaluated on standard deviation of the normal-to-normal interval (SDNN) and total power was significantly lower in women with unexplained RPL compared with control women. These indices were further lower in women with unexplained RPL 4. On spectral analysis, high-frequency (HF) power, an index of parasympathetic nervous system activity, was significantly lower in women with unexplained RPL compared with control women, but there was no significant difference in the ratio of low-frequency (LF) power to HF power (LF/HF), an index of sympathetic nervous system activity, between the groups.
ConclusionsThe physical and mental state of women with unexplained RPL should be evaluated using HRV to offer mental support. Furthermore, study of HRV may elucidate the risk of cardiovascular diseases and the mechanisms underlying unexplained RPL.

DOI： 10.1111/jog.12653

Web of Science

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冬期における靴と「浮き趾」の実態

赤松恵美, 中塚幹也

日本看護福祉学会誌 20 ( 2 ) 271 - 281 2015.3

Language：Japanese Publisher：日本看護福祉学会

本研究では、女子大学生185人を対象に冬期における靴と「浮き趾」の実態を明らかにし、「浮き趾」防止に繋げることを目的とした。「浮き趾」の割合は、夏期に比べて低い結果であった。足底情報では、母趾角の大きい者に「浮き趾」の者が多く、有意差(p<0.05)が認められた。普段履く靴では、運動靴を履く者に「浮き趾」が少なく、パンプスを履く者に「浮き趾」が多く、有意差(p<0.05)が認められた。また、ヒールの高い者に左右第5趾に「浮き趾」がある者に多い結果であった。靴幅が合わないと答えた者に「浮き趾」が多く、有意差(p<0.05)が認められたが、実際には自分の足幅サイズを知らない者が多かった。母趾角やヒールの高さ、靴幅等の靴の問題は「浮き趾」に影響していることがわかった。「浮き趾」は不定愁訴との関連も報告されている。靴やそれに伴う歩行等の改善はこれらの防止に役立つ可能性があり、今後の「浮き趾」予防に繋げたいと考える。(著者抄録)

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