2021/12/30 更新

写真a

トクマス カズキ
德増 一樹
TOKUMASU Kazuki
所属
岡山大学病院 助教
職名
助教
連絡先
メールアドレス
プロフィール

プライマリ・ケア研究(患者ー医師信頼関係)

地域医療研究

医学教育研究(学生教育、研修医教育:自己の成長、モチベーション、自己効力感)

不明熱診療、自己炎症性疾患

外部リンク

学位

  • 医学士 ( 2013年3月   岡山大学 )

  • 薬学士 ( 2009年3月   東邦大学 )

研究分野

  • ライフサイエンス / 医療管理学、医療系社会学

  • ライフサイエンス / 内科学一般

  • 人文・社会 / 地域研究

経歴

  • 日本内科学会   総合内科専門医

    2019年12月 - 現在

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  • 日本病院総合診療医学会   認定医

    2019年4月 - 現在

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  • 岡山大学病院   総合内科・総合診療科   助教

    2018年6月 - 現在

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  • 岡山大学病院   総合内科・総合診療科   医員

    2018年4月 - 2018年5月

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  • 沖縄県立北部病院   総合内科   医員

    2017年4月 - 2018年3月

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  • 日本内科学会   認定内科医

    2016年9月 - 現在

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  • 沖縄県立中部病院   総合チーフレジデント

    2016年4月 - 2017年3月

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  • 沖縄県立中部病院 内科後期研修   Senior Resident of Internal Medicine

    2015年4月 - 2017年3月

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  • 沖縄県立中部病院 初期研修   Jounior Resident

    2013年4月 - 2015年3月

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  • 岡山大学医学部医学科

    2009年4月 - 2013年3月

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▼全件表示

所属学協会

  • 日本病院総合診療医学会

    2016年8月 - 現在

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  • 日本内科学会

    2013年5月 - 現在

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  • 日本プライマリ・ケア連合学会

    2012年9月 - 現在

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  • 日本医学教育学会

    2012年7月 - 現在

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委員歴

  • 日本医学教育学会   学会国際化委員会  

    2021年11月 - 現在   

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    団体区分:学協会

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  • 日本医学教育学会   若手による医学教育とそのキャリア支援部会  

    2020年6月 - 現在   

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  • 日本内科学会   内科学会中国支部評議員  

    2018年11月 - 現在   

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論文

  • Idiopathic combined adrenocorticotropin and growth hormone deficiency mimicking chronic fatigue syndrome. 国際誌

    Kazuki Tokumasu, Kanako Ochi, Fumio Otsuka

    BMJ case reports   14 ( 10 )   2021年10月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    A 42-year-old man who had suffered from severe fatigue for 5 years was diagnosed as having chronic fatigue syndrome (CFS) and fibromyalgia. Endocrinological workup using combined anterior pituitary function tests showed that the patient had adrenocorticotropin hormone (ACTH) deficiency, with a normal pituitary MRI. Treatment with a physiologic dose of oral hydrocortisone replacement physically ameliorated his general fatigue. A secondary workup using a growth hormone-releasing peptide-2 test revealed that he also had growth hormone (GH) deficiency, and GH replacement therapy was started. His muscle pain and depression were improved by the therapy. Here, we present a rare case of combined deficiency of ACTH and GH in a middle-aged man with severe general fatigue. This case report aims to raise awareness of combined deficiency of ACTH and GH as a differential diagnosis of CFS and its mimics.

    DOI: 10.1136/bcr-2021-244861

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  • Clinical Characteristics of Japanese Patients Who Visited a COVID-19 Aftercare Clinic for Post-Acute Sequelae of COVID-19/Long COVID. 国際誌

    Yuki Otsuka, Kazuki Tokumasu, Yasuhiro Nakano, Hiroyuki Honda, Yasue Sakurada, Naruhiko Sunada, Daisuke Omura, Kou Hasegawa, Hideharu Hagiya, Mikako Obika, Keigo Ueda, Hitomi Kataoka, Fumio Otsuka

    Cureus   13 ( 10 )   e18568   2021年10月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)  

    Introduction The long-term clinical course, prognosis, and optimal management of symptoms and conditions after the acute phase of coronavirus disease 2019 (COVID-19) remain to be elucidated. The purpose of this study was to clarify the characteristics of patients referred to a COVID-19 aftercare (CAC) clinic established at a tertiary academic hospital in Japan. Methods This study was a descriptive case series study. All patients who visited the CAC clinic between February 15 and September 17 in 2021 were included. Patients' background, chief complaints, and clinical courses after the onset of COVID-19 were described. Results A total of 87 Japanese patients (median age, 40.0 years; interquartile range [IQR], 26.5-53.0 years; 52.9% women) were referred to the CAC clinic. The median interval between the onset of COVID-19 and the visit to the clinic was 79.0 (IQR, 52.5-112.0) days. Referral sources were hospitals (36 patients), clinics (47 patients), a local healthcare center (3 patients), and other (1 patient). The most common chief complaint was general fatigue (50.4%) followed by dysosmia (28.7%), dysgeusia (26.4%), hair loss (18.4%), headache (17.2%), dyspnea (16.1%), and dyssomnia (13.1%). Respiratory symptoms were common in the early stages of the disease but were less common as the chief complaints when visiting the clinic. On the other hand, neurological, psychiatric, and extremity symptoms were predominant one month after the onset of COVID-19. Conclusions Regardless of the severity in the acute phase, patients visiting our CAC clinic suffered from a variety of symptoms. General physicians skilled in using a comprehensive approach would be optimal to see patients with such complex symptoms.

    DOI: 10.7759/cureus.18568

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  • Gender-Dependent Characteristics of Serum 1,25-Dihydroxyvitamin D/25-Hydroxyvitamin D Ratio for the Assessment of Bone Metabolism 国際誌

    Manami Fujita-Yamashita, Koichiro Yamamoto, Hiroyuki Honda, Yoshihisa Hanayama, Kazuki Tokumasu, Yasuhiro Nakano, Kou Hasegawa, Hideharu Hagiya, Mikako Obika, Hiroko Ogawa, Fumio Otsuka

    CUREUS   13 ( 9 )   e18070   2021年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:CUREUS INC  

    Y ObjectivesVitamin D deficiency, which is common worldwide, increases the risks of falls and fractures and can lead to increased morbidity and mortality. However, the clinical utility and relevance of vitamin D activation remain unknown. The aim of the present study was to clarify the clinical usefulness of serum 1,25-dihydroxyvitamin D (1,25D)/25-hydroxyvitamin D (25D) ratio for assessment of the extent of bone metabolism.MethodsWe retrospectively screened data for 87 patients whose serum 1,25D and 25D levels were measured. Eight patients who were taking vitamin D preparations were excluded, and data for 79 patients (33 males and 46 females) were analyzed. Since menopausal status can be associated with serum vitamin D level, we divided the patients by gender and divided the female patients into two groups at the age of 50 years.ResultsThe median serum 1,25D/25D ratio was significantly lower in males than in females, with the most considerable difference in all males [4.1 (interquartile range: 2.3-5.8) x 10(-3)] versus elderly females (aged >= 50 years) [7.9 (3.3-10.1) x 10(-3)). Main disorders were endocrine (30.6%), inflammatory (18.5%), and bone related (16.7%) disorders. The ratios of serum 1,25D/25D had significant negative correlations with femoral dual-energy X-ray absorptiometry % young adult mean (DEXA %YAM) (R=-0.35) and lumbar DEXA %YAM (R=-0.32). Significant correlations were found between the 1,25D/25D ratio and serum levels of inorganic phosphate (iP), parathyroid hormone, and alkaline phosphatase (ALP). The 1,25D/25D ratio had gender specific characteristics: the ratio was significantly correlated with age in males (R=-0.49), while it was significantly correlated with BMI in females (R=0.34).ConclusionsThe results of this study suggested that vitamin D activity is negatively correlated with bone mineral density, being reduced in aged males but enhanced in obese females.

    DOI: 10.7759/cureus.18070

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  • Interrelationships Between Serum Levels of Procalcitonin and Inflammatory Markers in Patients Who Visited a General Medicine Department

    Jo Araki, Kosuke Oka, Koichiro Yamamoto, Yoshihisa Hanayama, Kazuki Tokumasu, Hideharu Hagiya, Hiroko Ogawa, Koichi Itoshima, Fumio Otsuka

    ACTA MEDICA OKAYAMA   75 ( 3 )   299 - 306   2021年6月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    Various laboratory markers of inflammation are utilized in general practice, but their clinical diagnostic significance is often ambiguous. In the present study, we determined the clinical significance of the examination of serum levels of procalcitonin (PCT) by comparing the PCT levels with the levels of other inflammatory markers, based on a retrospective review of 332 PCT-positive patients, including cases of bacterial infection (20.5%), non-specific inflammation (20.8%), neoplasm (9.9%), connective tissue diseases (8.4%), and non-bacterial infection (7.2%), were analyzed. The serum PCT level was highest in the bacterial infection group (1.94 ng/ml) followed by the non-specific inflammatory group (0.58 ng/ml) and neoplastic diseases group (0.34 ng/ml). The serum PCT level was positively correlated with serum levels of C-reactive protein (rho = 0.62), soluble interleukin-2 receptor (sIL-2R; rho = 0.69), and ferritin, the plasma level of D-dimer, and white blood cell count, and negatively correlated with the serum albumin level (rho = -0.52), hemoglobin concentration, and platelet count. The serum PCT level showed a stronger positive correlation with the serum sIL-2R level than the other biomarkers. The results suggest that an increased PCT level may indicate not only an infectious state but also a non-bacterial inflammatory condition in the diagnostic process in general practice.

    DOI: 10.18926/AMO/62221

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  • Isolated adrenocorticotropin deficiency induced by pembrolizumab for hypopharyngeal cancer: A case report. 国際誌

    Koichiro Yamamoto, Kazuki Tokumasu, Kosuke Oka, Kou Hasegawa, Fumio Otsuka

    Clinical case reports   9 ( 6 )   e04305   2021年6月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:WILEY  

    We report a case of isolated adrenocorticotropin deficiency caused by pembrolizumab. This condition can be fatal, but its rarity causes under-recognition. Oncologists should pay attention to adrenal insufficiency due to pembrolizumab.

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  • Clinical Utility of the Ratio of Urinary Free Cortisol to Aldosterone as an Index for Inflammatory and Metabolic Dysregulation 国際誌

    Yuki Otsuka, Yasuhiro Nakano, Kazuki Tokumasu, Hiroyuki Honda, Mikako Obika, Kou Hasegawa, Yoshihisa Hanayama, Koichi Itoshima, Fumio Otsuka

    ANNALS OF CLINICAL AND LABORATORY SCIENCE   51 ( 3 )   352 - 358   2021年5月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:ASSOC CLINICAL SCIENTISTS  

    Objective. Urinary free cortisol (UFC) is a reliable marker to avoid cortisol fluctuation and the effects of binding proteins. However, UFC levels are affected by fluid intake and urine volume, and the normal levels range widely. Methods. To discover the utility of the ratio of urinary cortisol to aldosterone excretions, 246 patients in whom daily excretions of UFC and aldosterone (UAC) were measured were retrospectively analyzed. Results. The UFC/UAC ratio showed significant positive and negative correlations with the levels of serum cortisol (R=0.287) and aldosterone (R=-0.762), respectively. The UFC/UAC ratio increased with aging in female patients, while it was not altered by the level of BMI in either gender. Markers for metabolic and inflammatory status, including hemoglobin A1c (R=0.327), albumin (R=-0.331), C-reactive protein (R=0.317), ferritin (R=0.473), and D-dimer (R=0.569), showed correlations with the ratio of UFC/UAC that were more significant than the correlations with the serum level of cortisol or UFC alone. Of note, the UFC/UAC ratio was shown to be an indicator for the risk of diabetes (AUC: 0.765), hypoalbuminemia (0.839), hyper-CRPemia (0.748), and thrombophilia (0.824), in which the cut-off levels of the UFC/UAC ratio were around 12. Conclusion. The UFC/UAC ratio is a variable for detecting metabolic and inflammatory complications related to adrenocortical dysfunction.

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  • Droopy eyelid due to IgG4-related dacryoadenitis 国際誌

    Ryosuke Takase, Hideharu Hagiya, Kazuki Tokumasu, Yoshito Nishimura, Atsunobu Sakurai, Kou Hasegawa, Yoshihisa Hanayama, Fumio Otsuka

    POSTGRADUATE MEDICAL JOURNAL   97 ( 1147 )   333 - 334   2021年5月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:BMJ PUBLISHING GROUP  

    DOI: 10.1136/postgradmedj-2020-138416

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  • Endogenous Bacterial Endophthalmitis Caused by Iliopsoas Abscess

    Weiying Sun, Yusuke Shiode, Kazuki Tokumasu, Shuhei Kimura, Mio Hosokawa, Shinichiro Doi, Kosuke Takahashi, Ryo Matoba, Fumio Otsuka, Yuki Morizane

    ACTA MEDICA OKAYAMA   75 ( 2 )   249 - 253   2021年4月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    A 79-year-old woman presented to our hospital with a 10-day history of gradually worsening binocular vision and severe backache. Further investigations revealed poor bilateral best-corrected visual acuities (BCVA), bilateral vitreous opacities, gray-white lesions scattered throughout the retina, and a left iliopsoas abscess on CT that later grew out methicillin-sensitive S. aureus. The abscess was drained and intravenous antibiotics were initiated, but the left eye additionally required intravitreal vancomycin. BCVA for both eyes normalized within 1 year. Intramuscular abscess should be considered as a possible primary lesion in cases of endogenous bacterial endophthalmitis.

    DOI: 10.18926/AMO/61909

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  • Clinical Characteristics of Low Androgen Status in Males with Type 2 Diabetes Mellitus

    Jun Hamahara, Hiroyuki Honda, Koichiro Yamamoto, Kazuki Tokumasu, Yoshihisa Hanayama, Hideharu Hagiya, Mikako Obika, Keigo Ueda, Masayuki Kishida, Fumio Otsuka

    ACTA MEDICA OKAYAMA   75 ( 1 )   1 - 8   2021年2月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    To determine the clinical characteristics of low androgen status in adult males with diabetes, we retrospectively analyzed the medical records of patients with type 2 diabetes mellitus in whom serum free testosterone (FT) levels were examined for 1 year. Among the 46 patients (56 +/- 1.5 years old), decreases in serum FT levels to <8.5 pg/ml (indicating the occurrence of late-onset hypogonadism [LOH]) were detected in 18 (39%). The percentages of patients with low FT levels were high in the >= 50 years age group (83%), the HbA1c <7% group (67%), and the 25 <= BMI < 30 kg/m(2) group (56%). The serum FT levels tended to decrease age-dependently. The level of HbA1c was significantly correlated with the Heinemann Aging Male Symptoms (AMS) score (R= 0.47). The low-FT group had decreased levels of hemoglobin. Of note, the serum FSH level (R = -0.32) was negatively correlated with the serum FT level, whereas the serum TSH level (R= 0.36) was positively correlated with the serum FT level. Collectively, these results revealed that many diabetic males may have low FT levels and that the AMS score is related to the HbA1c level. A slightly anemic condition, thyroid dysfunction, and obesity (class 1) might be involved in LOH in middle-aged diabetic males.

    DOI: 10.18926/AMO/61424

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  • Impact of the COVID-19 Pandemic on the Psychological Distress of Medical Students in Japan: Cross-sectional Survey Study 国際誌

    Yoshito Nishimura, Kanako Ochi, Kazuki Tokumasu, Mikako Obika, Hideharu Hagiya, Hitomi Kataoka, Fumio Otsuka

    JOURNAL OF MEDICAL INTERNET RESEARCH   23 ( 2 )   e25232   2021年2月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:JMIR PUBLICATIONS, INC  

    Background: The COVID-19 pandemic has negatively affected medical education. However, little data are available about medical students' distress during the pandemic.Objective: This study aimed to provide details on how medical students have been affected by the pandemic.Methods: A cross-sectional study was conducted. A total of 717 medical students participated in the web-based survey. The survey included questions about how the participants' mental status had changed from before to after the Japanese nationwide state of emergency (SOE).Results: Out of 717 medical students, 473 (66.0%) participated in the study. In total, 29.8% (141/473) of the students reported concerns about the shift toward online education, mostly because they thought online education would be ineffective compared with in-person learning. The participants' subjective mental health status significantly worsened after the SOE was lifted (P<.001). Those who had concerns about a shift toward online education had higher odds of having generalized anxiety and being depressed (odds ratio [OR] 1.97, 95% CI 1.19-3.28) as did those who said they would request food aid (OR 1.99, 95% CI 1.16-3.44) and mental health care resources (OR 3.56, 95% CI 2.07-6.15).Conclusions: Given our findings, the sudden shift to online education might have overwhelmed medical students. Thus, we recommend that educators inform learners that online learning is not inferior to in-person learning, which could attenuate potential depression and anxiety.

    DOI: 10.2196/25232

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  • De-escalation concept and MIC literacy among medical students and clinical residents. 国際誌

    Hideharu Hagiya, Kazuki Tokumasu, Mikako Obika, Fumio Otsuka

    Postgraduate medical journal   2021年1月

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  • Without a silhouette 国際誌

    Yosuke Sazumi, Kazuki Tokumasu, Hideharu Hagiya, Fumio Otsuka

    CLINICAL CASE REPORTS   9 ( 1 )   574 - 575   2021年1月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:WILEY  

    Primary effusion lymphoma (PEL) is a kind of malignant lymphoma that develops without a tumor mass. A fluid smear is of no use for the diagnosis of miscellaneous condition. Repeated cell-block smear with immunostaining is useful for the diagnosis of PEL.

    DOI: 10.1002/ccr3.3469

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  • Antibiotic literacy among Japanese medical students 国際誌

    Hideharu Hagiya, Hideo Ino, Kazuki Tokumasu, Hiroko Ogawa, Tomoko Miyoshi, Kanako Ochi, Fumio Otsuka

    JOURNAL OF INFECTION AND CHEMOTHERAPY   26 ( 10 )   1107 - 1109   2020年10月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:ELSEVIER  

    Antimicrobial resistance (AMR) is an urgent global issue. After the AMR action plan was introduced in 2016, a study on antibiotic literacy (i.e., awareness, knowledge, and attitude relating to antimicrobial use) among clinicians and lay people was conducted in Japan. However, no studies have hitherto targeted medical students who are expected to have a high level of antibiotic literacy. The present study was conducted between September 2019 and February 2020, enrolling undergraduate students at Okayama University Medical School. We collected data using a paper-based questionnaire form with 11 questions about antibiotic literacy. The response rate was 93.8% (661/705 students). Overall, 92.6% of the students knew that antibiotics inhibit the growth of bacteria. Student reporting that antibiotics could treat the common cold accounted for 77.0% (Year 1), 50.9% (Year 2), 48.2% (Year 3), 49.1% (Year 4), 23.8% (Year 5), and 26.2% (Year 6). Only 43 (6.5%) had heard about the AMR action plan. The study data suggested that medical students' level of literacy on antimicrobial use should be further enhanced to address AMR and promote antimicrobial stewardship. (C) 2020 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

    DOI: 10.1016/j.jiac.2020.06.021

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  • Clinical Relevance of Serum Prolactin Levels to Inflammatory Reaction in Male Patients

    Koichiro Yamamoto, Yoshihisa Hanayama, Kou Hasegawa, Kazuki Tokumasu, Tomoko Miyoshi, Hideharu Hagiya, Hiroko Ogawa, Mikako Obika, Koichi Itoshima, Fumio Otsuka

    ACTA MEDICA OKAYAMA   74 ( 5 )   381 - 389   2020年10月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:OKAYAMA UNIV MED SCHOOL  

    To clarify the relevance of prolactin (PRL) to clinical parameters in patients who visited our general medicine department, medical records of 353 patients in whom serum PRL levels were measured during the period from 2016 to 2018 were retrospectively reviewed. Data for 140 patients (M/F: 42/98) were analyzed after excluding patients lacking detailed records and patients taking dopaminergic agents. Median serum PRL levels were significantly lower in males than females: 6.5 ng/ml (IQR: 4.2-10.3) versus 8.1 ng/ml (5.9-12.9), respectively. Pain and general fatigue were the major symptoms at the first visit, and past histories of hypertension and dyslipidemia were frequent. Male patients with relatively high PRL levels (>= 10 ng/ml) had significantly lower levels of serum albumin and significantly higher levels of serum LDH than those with low PRL (< 10 ng/ml). There were significant correlations of male PRL level with the erythrocyte sedimentation rate (R=0.62), serum LDH level (R=0.39) and serum albumin level (R=-0.52), while the level of serum CRP (R=0.33) showed an insignificant but weak positive correlation with PRL level. Collectively, these results show that PRL levels had gender-specific relevance to various clinical factors, with PRL levels in males being significantly related to inflammatory status.

    DOI: 10.18926/AMO/60797

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  • Mycobacterium chelonae bloodstream infection induced by osteomyelitis of toe: A case report 国際誌

    Yayoi Ueda, Kazuki Tokumasu, Hideharu Hagiya, Koji Iio, Takumi Fujimori, Ayaka Kakehi, Mami Okura, Hiroshi Minabe, Fumio Otsuka

    JOURNAL OF INFECTION AND CHEMOTHERAPY   26 ( 8 )   843 - 846   2020年8月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:ELSEVIER  

    Mycobacterium chelonae is a rapidly growing mycobacterium that has the potential to cause refractory infections in humans. Mycobacteremia resulting from the organism is extremely rare, and its clinical features are yet to be uncovered. We herein present a case of M. chelonae bloodstream infection involving an immunocompromised older patient. A 79-year-old woman, on a long-term treatment with prednisolone plus tacrolimus for rheumatoid arthritis, visited our outpatient department complaining of deteriorating pain and swelling at her right 1st toe. Laboratory parameters showed elevated C-reactive protein and leukocytosis, and magnetic resonance imaging indicated osteomyelitis at the proximal phalanx of her right 1st toe. Considering the refractory course, the infected toe was immediately amputated. M. chelonae was isolated from bacterial cultures of the resected tissue and blood (BD BAC-TECT (TM) FX blood culture system, Becton Dickinson, Sparks, MD, USA), leading to a diagnosis of disseminated M. chelonae infection. We treated the patient with an antibiotic combination of clarithromycin, minocycline, and imipenem (2 weeks), which was converted to oral therapy of clarithromycin, doxycycline, and levofloxacin. This case highlighted the potential pathogenesis of M. chelonae to cause mycobacteremia in an immunocompromised patient. (C) 2020 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

    DOI: 10.1016/j.jiac.2020.03.004

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  • 【パンデミック下の医学教育-現在進行形の実践報告-】卒後教育 COVID-19パンデミック下における初期研修医教育

    橋本 忠幸, 小杉 俊介, 徳増 一樹

    医学教育   51 ( 3 )   320 - 322   2020年6月

  • Calciphylaxis of the fingers

    Ko Harada, Jo Araki, Kazuki Tokumasu, Hideharu Hagiya, Fumio Otsuka

    JOURNAL OF GENERAL AND FAMILY MEDICINE   21 ( 2 )   25 - 26   2020年3月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:WILEY  

    A 69-year-old Japanese man with a 10-year history of hemodialysis for end-stage renal disease presented with painful necrosis of the fingers of his right hand. A plain radiograph of the right hand revealed severely calcified arteries, particularly in the ring finger, suggesting the diagnosis of calciphylaxis of the fingers.

    DOI: 10.1002/jgf2.296

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  • Myxedema coma accompanied by sick sinus syndrome and hypoventilation: A case report

    Ko Harada, Shuntaro Murakami, Kazuki Tokumasu, Yu Togawa, Fumio Otsuka

    JOURNAL OF GENERAL AND FAMILY MEDICINE   20 ( 5 )   206 - 208   2019年9月

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    記述言語:英語   掲載種別:研究論文(学術雑誌)   出版者・発行元:WILEY  

    Myxedema coma is an emergency presentation of hypothyroidism, and cardiopulmonary manifestations of the disease are related to a high mortality rate. We herein report a case of myxedema coma accompanied by sick sinus syndrome requiring temporary cardiac pacing and hypercapnic respiratory failure in an 87-year-old woman. This case is unique because both of the cardiac and pulmonary manifestations were reversible and successfully treated with thyroid hormone replacement. Our case indicates that early detection of the condition and administration of levothyroxine are essential to improve the life-threatening condition and avoid invasive treatment such as permanent pacemaker implantation or intubation.

    DOI: 10.1002/jgf2.267

    Web of Science

    PubMed

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  • 初期研修後の勤務先はどのようにして決めましたか?(研修4ヵ月)

    徳増 一樹

    岡山医学会雑誌   131 ( 1 )   46 - 46   2019年4月

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    記述言語:日本語   出版者・発行元:岡山医学会  

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  • インフルエンザウイルス感染後に二次性肺炎でMSSA菌血症に至った1例

    白壁勝大, 永田恵蔵, 板野雄基, 徳増一樹

    沖縄医学会雑誌   56 ( 4 )   2018年

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MISC

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講演・口頭発表等

  • My Eyes Opened. Processes of Increasing Medical Residents Intrinsic Motivation: A Qualitative Study

    徳増一樹, 小比賀美香子, 尾原晴雄, 菊川誠, 大塚文男

    ヨーロッパ医学教育学会  2021年8月30日 

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    開催年月日: 2021年8月27日 - 2021年8月30日

    記述言語:英語   会議種別:口頭発表(一般)  

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  • Potential of online medical interviews during clinical clerkship; Leading to reflection on traditional face-to-face interviews and recognition of importance of non- verbal communication

    大塚勇輝, 徳増一樹, 小比賀美香子, 大塚文男

    ヨーロッパ医学教育学会  2021年8月29日 

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    開催年月日: 2021年8月27日 - 2021年8月30日

    記述言語:英語   会議種別:口頭発表(一般)  

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  • Online and confused: Japanese medical students’ learning experience during the COVID-19 pandemic

    青景珠実, 徳増一樹, 小比賀美香子, 大塚文男

    ヨーロッパ医学教育学会  2021年8月 

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    開催年月日: 2021年8月27日 - 2021年8月30日

    記述言語:英語   会議種別:口頭発表(一般)  

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  • 若手医学教育者のキャリアパス<なぜ私は医学教育を選んだのか> 招待

    徳増一樹

    第53回日本医学教育学会大会  2021年7月30日 

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    開催年月日: 2021年7月29日 - 2021年8月1日

    記述言語:日本語   会議種別:シンポジウム・ワークショップ パネル(指名)  

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  • どのように臨床研修医のモチベーションは上がるのか?~プライマリ・ケ ア:主体的診療の重要性~

    徳増 一樹, 小比賀 美香子, 尾原 晴雄, 菊川 誠, 大塚 文男

    第12回 日本プライマリ・ケア連合学会学術大会  2021年5月23日 

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    開催年月日: 2021年5月21日 - 2021年5月23日

    記述言語:日本語   会議種別:口頭発表(一般)  

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  • 地域連携セミナー:岡山大学病院での開催報告~多職種連携を考え る~

    徳増 一樹, 石井 愛美, 松下 かおる, 眞宮 昌代, 貝島 隆雄, 濱村 真央, 村上 優梨恵, 前川 珠木, 正富 智美, 福田 順子, 小比賀 美香子, 小川 弘子, 萩谷 英大, 大塚 文男

    第12回 日本プライマリ・ケア連合学会学術大会  2021年5月22日 

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    開催年月日: 2021年5月21日 - 2021年5月23日

    記述言語:日本語   会議種別:口頭発表(一般)  

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  • The Differences of Educational Environment Between PGY-1 and PGY-2 at a Rural Teaching Hospital in Japan Evaluated by PHEEM

    徳増一樹, 永田恵蔵, 久貝忠男, 小比賀美香子, 大塚文男

    アジア医学教育学会  2019年1月 

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    開催年月日: 2019年1月9日 - 2019年1月13日

    記述言語:英語   会議種別:口頭発表(一般)  

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  • Reflections from the patients’ point of view: a comparison between the United States and Japan.

    徳増 一樹

    ヨーロッパ医学教育学会  2017年8月 

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    記述言語:英語  

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  • How does clinical experience influence resident’s personal growth?: A qualitative study.

    徳増 一樹

    The Association for Medical Education in Europe 2016  2016年8月 

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    記述言語:英語  

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受賞

  • キャリアセンターMUSCAT 優秀指導医賞

    2021年10月   岡山大学病院 ダイバーシティ推進センター  

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  • テーマ別討論会 「優秀討論者賞」

    2016年4月   第113回内科学会総会サテライトシンポジウム;ことはじめ  

    徳増 一樹

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  • テーマ別討論会「優秀討論者賞」

    2015年4月   第112回内科学会総会サテライトシンポジウム;ことはじめ  

    徳増 一樹

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  • ベストレジデント

    2015年3月   沖縄県立中部病院  

    徳増 一樹

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  • ベストインターン

    2014年3月   沖縄県立中部病院  

    徳増 一樹

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  • 学生セッション「優秀演題賞」

    2012年7月   第44回 日本医学教育学会大会  

    徳増 一樹

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共同研究・競争的資金等の研究

  • 医療不信の源流〜患者医師信頼関係はどのように作られるのか〜

    2021年03月 - 2023年02月

    上廣倫理財団 

    徳増一樹

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  • 臨床研修医の「内的動機付け」教育プログラム開発のための調査研究

    2020年12月 - 2021年11月

    岡山医学振興財団 

    徳増一樹

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担当授業科目

  • 総合内科学(基本臨床実習) (2021年度) 特別  - その他

  • 総合診療医学(臓器・系別統合講義) (2021年度) 特別  - その他

  • 総合内科学(基本臨床実習) (2020年度) 特別  - その他

  • 総合診療医学(臓器・系別統合講義) (2020年度) 特別  - その他

 

メディア報道

  • 【岡山】県内初の「コロナ・アフターケア外来」、月に15人以上受診-

    m3.com  https://www.m3.com/news/kisokoza/904834?pagefrom=tw_news  2021年4月23日

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    執筆者:本人以外 

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  • コロナ後遺症外来開設

    山陽新聞  2021年2月28日

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    執筆者:本人以外 

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  • コロナ後遺症外来開設 岡山大病院・徳増助教に聞く 「複数の診療科連携し治療」 インターネットメディア

    山陽新聞デジタル  2021年2月28日

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    執筆者:本人以外 

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  • 岡山大病院「不明熱外来」を開設 受け入れ窓口を明確化 インターネットメディア

    山陽新聞デジタル  2019年5月14日

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    執筆者:本人以外 

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  • 岡山大病院「不明熱外来」を開設 新聞・雑誌

    山陽新聞  山陽新聞  2019年5月14日

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