Updated on 2024/06/28

写真a

 
Yokota Yuya
 
Organization
Faculty of Medicine, Dentistry and Pharmaceutical Sciences Special-Appointment Assistant Professor
Position
Special-Appointment Assistant Professor
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Degree

  • Doctor of Philosophy ( 2023.3   Okayama University, Graduate School of Medicine , Dentistry and Pharmaceutical Sciences )

  • Medical Doctor ( 2017.3   Okayama University )

Research Interests

  • family medicine

  • primary care

  • general practice, generalist medicine

  • social determinants of health

Research Areas

  • Life Science / General internal medicine

  • Life Science / Medical management and medical sociology

  • Humanities & Social Sciences / Area studies

Education

  • Okayama University   大学院医歯薬学総合研究科  

    2019.4 - 2023.3

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  • Okayama University   医学部   医学科

    2011.4 - 2017.3

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Research History

  • 岡山大学病院   助教

    2024.5

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  • 新見市国民健康保険新郷診療所   所長

    2024.5

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  • 奈義ファミリークリニック   医師

    2022.4 - 2024.4

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  • 津山中央病院   医員

    2021.10 - 2022.3

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  • 渡辺病院   医員

    2021.4 - 2021.9

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  • 岡山市立市民病院   医員

    2020.4 - 2021.3

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  • 岡山大学病院   医員

    2019.4 - 2020.3

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  • 岡山協立病院   初期研修医

    2017.4 - 2019.3

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Professional Memberships

  • 日本プライマリ・ケア連合学会

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Committee Memberships

  • 日本プライマリ・ケア連合学会   中国ブロック 代議員  

    2024.4   

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    Committee type:Academic society

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  • 日本プライマリケア・連合学会   中国ブロック 研修支援委員会 委員  

    2022.4   

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    Committee type:Academic society

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  • NPO法人 岡山医師研修支援機構   理事  

    2022.4   

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    Committee type:Other

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  • 日本プライマリケア・連合学会   健康の社会的決定要因検討委員会 委員  

    2021.10   

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    Committee type:Academic society

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  • 日本プライマリケア・連合学会   広報委員会 委員  

    2021.8   

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    Committee type:Academic society

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  • 日本プライマリケア・連合学会   中国ブロック 若手医師部会 委員  

    2021.6   

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  • 日本プライマリケア・連合学会   専攻医部会 中四国ブロック代表 連携交流事業部 委員  

    2019.7 - 2021.6   

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    Committee type:Academic society

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  • 中四国若手医師フェデレーション   代表  

    2019.7 - 2020.3   

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    Committee type:Other

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  • 岡山GIMカンファレンス   世話人  

    2018.10 - 2019.11   

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    Committee type:Other

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Papers

  • Identifying Unmet Social Needs in a Patient Living in Isolation: A Case Report. International journal

    Junki Mizumoto, Yukinori Harada, Toshihiro Terui, Saori Horo, Yumi Otaka, Yuya Yokota, Masanari Komatsu, Yuko Takeda

    Cureus   16 ( 1 )   e52429   2024.1

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    Loneliness and social isolation are common among older adults. To deliver high-quality care to older patients, healthcare professionals should know the social conditions of their patients. Addressing social determinants of health (SDH) in daily practice is beneficial to both patients and healthcare professionals. We illustrate a patient with congestive heart failure and cognitive decline whose social conditions improved through an SDH assessment. An SDH assessment has some potential advantages, which include facilitating a comprehensive understanding of patients' social conditions, visualizing how patients' social conditions have changed, deepening interprofessional collaboration, and ameliorating unnecessary negative emotions toward patients. This case report conveys two key messages. Firstly, healthcare professionals have the capability to evaluate patients' social backgrounds and enhance their health and social conditions through routine care. Secondly, the utilization of an SDH screening toolkit can support and enhance this initiative.

    DOI: 10.7759/cureus.52429

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  • A report of the social determinants of health workshop: Muddle cleared up in a polylogue.

    Gemmei Iizuka, Junki Mizumoto, Maho Haseda, Yuya Yokota

    Journal of general and family medicine   23 ( 6 )   411 - 412   2022.11

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    Language:English   Publishing type:Research paper (scientific journal)  

    This letter illustrated our online workshop about clinical practice and postgraduate education about social determinants of health (SDH) to family medicine residents and attending physicians in Japan. The participants were encouraged not only by acquiring knowledge and skills but by sharing their experience and talking reflectively. The opportunities for family physicians in Japan to learn about SDH and reflect on their practices should be warranted.

    DOI: 10.1002/jgf2.561

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  • Various perspectives of "General Medicine" in Japan-Respect for and cooperation with each other as the same "General Medicine Physicians".

    Yuya Yokota, Takashi Watari

    Journal of general and family medicine   22 ( 6 )   314 - 315   2021.11

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    In Japan, the general medicine category includes various specialties: "family physician," "hospitalist," and "hospital family physician." These specialties can be illustrated from two perspectives for an easy understanding of their characteristics.

    DOI: 10.1002/jgf2.500

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  • Clinical Application of the Ratio of Serum Bone Isoform to Total Alkaline Phosphatase in General Practice.

    Yuya Yokota, Yoshito Nishimura, Akemi Ando, Yoshihisa Hanayama, Kou Hasegawa, Hideharu Hagiya, Hiroko Ogawa, Mikako Obika, Keigo Ueda, Fumio Otsuka

    Acta medica Okayama   74 ( 6 )   467 - 474   2020.12

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    Alkaline phosphatase (ALP) is an enzyme that is expressed in a variety of tissues. Among the isoforms of ALP, bone-specific alkaline phosphatase (BAP) is used as a marker for evaluating bone metabolism. We investigated the clinical usefulness of the ratio of serum BAP to total ALP for the diagnosis of various disorders in general practice. We retrospectively analyzed the cases of 107 Japanese patients whose serum BAP levels were exam-ined, focusing on clinical characteristics. We observed that the BAP/ALP ratios of the patients with fever and those with inflammatory diseases were significantly lower than the ratios of other patient groups. The BAP/ALP ratios of the patients with osteoporosis and those with metabolic bone diseases were higher than those of the patients with other conditions. The BAP/ALP ratio was found to be negatively correlated with age, a cor-relation that has not been found in other ethnicities. The serum BAP/ALP ratio was inversely correlated with serum CRP levels but was positively correlated with serum albumin levels and hemoglobin concentrations. Collectively, our results suggest that the BAP/ALP ratio could be a useful predictor for important geriatric con-ditions seen in general practice.

    DOI: 10.18926/AMO/61205

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  • Massive pheochromocytoma. International journal

    Terumitsu Anai, Kosuke Oka, Yuya Yokota, Yoshito Nishimura, Hideharu Hagiya, Fumio Otsuka

    Clinical case reports   8 ( 11 )   2308 - 2309   2020.11

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    Complications of pheochromocytoma, such as hypertensive emergency, can be critical. Clinicians should recognize that pheochromocytoma is not uncommon in patients with large adrenal tumors, and screening should be undertaken prior to any intervention.

    DOI: 10.1002/ccr3.3124

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  • Adult-onset Still's disease accompanying noninfective endocarditis.

    Kosuke Oka, Yokota Yuya, Miho Yasuda, Fumio Otsuka

    Journal of general and family medicine   21 ( 6 )   268 - 269   2020.11

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    Adult-onset Still's disease can develop valve lesions. Since AOSD may complicate valvular lesion, differentiation of endocarditis in patients with AOSD is required.

    DOI: 10.1002/jgf2.339

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  • Disseminated Mycobacterium genavense infection mimicking TAFRO syndrome. International journal

    Kosuke Oka, Mai Yamane, Yuya Yokota, Miho Yasuda, Kou Hasegawa, Takumi Fujimori, Koji Iio, Hideharu Hagiya, Fumio Otsuka

    Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy   26 ( 10 )   1095 - 1099   2020.10

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    TAFRO syndrome is a rare variant of idiopathic multicentric Castleman's disease, for which disseminated non-tuberculous mycobacteria (NTM) infection must be excluded. However, due to the slow and fastidious growth of the organisms, identification of the pathogen is often challenging. We herein describe a case of disseminated Mycobacterium genavence infection, in which manifestations of the patient were confusingly similar to those of TAFRO syndrome. A 69-year-old Japanese man presented with prolonged fever accompanying pain in his back and ribs on the right side. Systemic investigations revealed thrombocytopenia, marked elevation of alkaline phosphatase, anasarca (pleural effusion and ascites), megakaryocytosis in the bone marrow, and hepatomegaly. Magnetic resonance imaging (MRI) showed diffuse, T1-and T2-low-intensity spotted lesions on his vertebral bodies, but biopsy showed inconclusive results. The patient met the diagnostic criteria of TAFRO syndrome and was started on prednisolone, which improved his general condition shortly thereafter. Blood culture after 42 days of incubation revealed the presence of Mycobacterium; however, we considered it a contamination at that time because no organisms grew on conventional agars, and the patient was discharged. Ten weeks after the isolation of Mycobacterium, he developed persistent fever and was readmitted. This time, vertebral bone mallow biopsy demonstrated a large amount of mycobacterium, which was later successfully identified as M. genavense by sequencing analysis. Under a final diagnosis of disseminated M. genavense infection, we treated the patient with clarithromycin, rifampicin, and ethambutol. This case highlighted that disseminated NTM infection may follow a similar clinical course as that of TAFRO syndrome.

    DOI: 10.1016/j.jiac.2020.06.020

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  • Invasive non-typeable Haemophilus influenzae infection due to endometritis associated with adenomyosis. International journal

    Yoshito Nishimura, Hideharu Hagiya, Kaoru Kawano, Yuya Yokota, Kosuke Oka, Koji Iio, Kou Hasegawa, Mikako Obika, Tomoko Haruma, Sawako Ono, Hisashi Masuyama, Fumio Otsuka

    BMC infectious diseases   20 ( 1 )   521 - 521   2020.7

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    BACKGROUND: The widespread administration of the Haemophilus influenzae type b vaccine has led to the predominance of non-typable H. influenzae (NTHi). However, the occurrence of invasive NTHi infection based on gynecologic diseases is still rare. CASE PRESENTATION: A 51-year-old Japanese woman with a history of adenomyoma presented with fever. Blood cultures and a vaginal discharge culture were positive with NTHi. With the high uptake in the uterus with 67Ga scintigraphy, she was diagnosed with invasive NTHi infection. In addition to antibiotic administrations, a total hysterectomy was performed. The pathological analysis found microabscess formations in adenomyosis. CONCLUSIONS: Although NTHi bacteremia consequent to a microabscess in adenomyosis is rare, this case emphasizes the need to consider the uterus as a potential source of infection in patients with underlying gynecological diseases, including an invasive NTHi infection with no known primary focus.

    DOI: 10.1186/s12879-020-05193-2

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  • Osmotic Demyelination Syndrome Triggered by Pituitary Apoplexy.

    Yuya Yokota, Kosuke Oka, Miho Yasuda, Fumio Otsuka

    Internal medicine (Tokyo, Japan)   59 ( 6 )   869 - 870   2020.3

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    DOI: 10.2169/internalmedicine.3678-19

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  • Successful intravenous administration of argatroban in the management of heparin-resistant and surgery-resistant mesenteric vein thrombosis. International journal

    Yuya Yokota, Takashi Yoshioka, Mayumi Senoh, Kazuharu Sunami

    BMJ case reports   12 ( 8 )   2019.8

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    A 78-year-old woman visited the emergency department with complaints of progressively worsening abdominal pain for a week. Nausea and vomiting started at the time of the visit. An abdominal contrast-enhanced CT (CECT) revealed a filling defect of portal vein, splenic vein and superior mesenteric vein (SMV) which was diagnosed as portal vein and mesenteric venous thrombosis (MVT). Intravenous administration of unfractionated heparin was initiated. However, her symptoms did not improve, and she underwent surgical thrombectomy on the second day of hospitalisation. On the sixth day, CECT revealed the recurrence of thrombi in the portal vein, SMV and along the central venous catheters. We switched heparin to argatroban on the eighth day. After administering argatroban, CECT revealed that the thrombi had almost disappeared by the 40th day. In this case, argatroban was considered effective for heparin-resistant and surgery-resistant portal vein and MVT.

    DOI: 10.1136/bcr-2018-228427

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Books

  • 症例から学ぶ栄養素欠乏

    横田雄也, 大塚文男( Role: Contributor ,  症例クイズ 手足がしびれてしびれて……)

    南山堂  2023.11  ( ISBN:9784525239411

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    Total pages:viii, 206p   Language:Japanese

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  • 症例から学ぶ栄養素欠乏

    横田雄也,大塚文男( Role: Contributor ,  Pitfallに気をつけたい、微量元素・ビタミン欠乏 ビタミンD)

    南山堂  2023.11  ( ISBN:9784525239411

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    Total pages:viii, 206p   Language:Japanese

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  • 総合診療グリーンノート

    横田雄也( Role: Contributor ,  緊張型頭痛)

    中外医学社  2022.12  ( ISBN:9784498120020

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    Total pages:iii, 343p   Language:Japanese

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  • 総合診療グリーンノート

    横田雄也( Role: Contributor ,  高Ca血症)

    中外医学社  2022.12  ( ISBN:9784498120020

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    Total pages:iii, 343p   Language:Japanese

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  • Common diseases up to date

    横田雄也( Role: Contributor ,  私の勉強法 ─ すべての学びを記録する)

    南山堂  2022.4  ( ISBN:9784525210717

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    Total pages:vi, 656p   Language:Japanese

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  • General Mindで攻める総合内科で診る内分泌疾患

    副島佳晃, 横田雄也( Role: Contributor ,  低ナトリウム血症への対応)

    中外医学社  2020.4  ( ISBN:9784498020849

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    Total pages:iv,369p   Language:Japanese

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  • General Mindで攻める総合内科で診る内分泌疾患

    横田雄也( Role: Contributor ,  副甲状腺ホルモンとカルシウム・リン調節系)

    中外医学社  2020.4  ( ISBN:9784498020849

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    Total pages:iv,369p   Language:Japanese

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  • General Mindで攻める総合内科で診る内分泌疾患

    横田雄也( Role: Contributor ,  下垂体卒中への対応:ヒドロコルチゾン投与を忘れずに)

    中外医学社  2020.4  ( ISBN:9784498020849

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    Total pages:iv,369p   Language:Japanese

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MISC

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Presentations

  • プライマリ・ケアにできることは?『52ヘルツのくじらたち』読書会・症例検討会

    田島 明野, 横田 雄也, 吉羽 史織, 藤沼 康樹, 金久保 祐介, 近藤 慶太

    第15回日本プライマリ・ケア連合学会学術大会  2024.6 

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  • 人文学がもたらすプライマリ・ケアの深みと広がり

    横田雄也, 孫大輔, 松川えり, 井川裕覚, 高橋在也

    第15回日本プライマリ・ケア連合学会学術大会  2024.6 

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  • 外来・病棟診療で必ず役立つ!研修医が知っておくべき家庭医療学のスキル Invited

    NPO法人岡山医師研修支援機構 研修医向けセミナー  2023.12 

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  • 社会的困難を抱えた患者にどう対応する? -SDHに取り組むためのフレームワーク- Invited

    ケアネットライブGT  2023.8 

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  • 合水塾 「あなたのおすすめの一冊、教えて下さい」

    21世紀適々斎塾  2023.3 

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  • 在宅こそ社会的決定要因を意識しよう! Invited

    在宅医療Webセミナー2022  2022.9 

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  • 「健康の社会的決定要因とアドボカシーおよびアクセス」概論 Invited

    日本プライマリ・ケア連合学会 指導医養成講習会 オンライン・オンデマンド動画  2022.4 

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  • 病気になるのは 本当に自己責任? 〜健康格差と健康の社会的決定要因〜 Invited

    岡山県地域枠医師・医学生向け 勉強会  2022.3 

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  • 合水塾 「あなたのおすすめの一冊、教えて下さい」

    21世紀適々斎塾  2022.3 

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  • 病気になるのは 本当に自己責任? 〜健康格差と健康の社会的決定要因〜 Invited

    岡山県民医連 医学生向け講演会  2021.12 

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  • 合水塾 「臨床実習のトリセツ 〜カルテの書き方と問診の不安、解消します〜」

    21世紀適々斎塾  2021.12 

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  • ゆるりと始める 学術的アウトプット 〜臨床の疑問を研究ネタにするには〜

    プライマリ・ケア連合学会中国ブロック支部 若手有志企画  2021.12 

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  • シニア世代のための家庭医療学ドリル その1 地域志向のプライマリ・ケア Invited

    21世紀適々斎塾  2021.11 

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  • 適々斎塾 特別企画「グループディスカッションをとことん味わう症例検討100分1本勝負!」

    21世紀適々斎塾  2021.10 

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  • コロナ禍で、あなたにも迫る健康格差 〜社会的処方で乗り越えよう〜

    第33回 学生・研修医のための家庭医療学夏期セミナー  2021.8 

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  • 合水塾 第2回臨床推論セミナー

    21世紀適々斎塾  2021.5 

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  • ダイバシティを阻む最大の敵?スティグマについて学ぶ

    第12回日本プライマリ・ケア連合学会学術大会  2021.5 

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  • 人に優しく、モノの見方が広がる本:平野 啓一郎「わたしとは何か」 Invited

    お医者さんの本棚~あなたにも読んでもらいたい~  2021.4 

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  • 血中骨型アルカリホスファターゼ(BAP/ALP)比の臨床的有用性の検討

    横田 雄也, 西村 義人, 安藤 明美, 花山 宜久, 長谷川 功, 萩谷 英大, 小川 弘子, 小比賀 美香子, 植田 圭吾, 大塚 文男

    第118回日本内科学会総会  2021.4 

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  • 血中骨型アルカリホスファターゼ/アルカリホスファターゼ(BAP/ALP)比の臨床的有用性に関する検討

    横田雄也, 西村義人, 安藤明美, 花山宜久, 長谷川功, 萩谷英大, 小川弘子, 小比賀美香子, 植田圭吾, 大塚文男

    第22回日本病院総合診療医学会学術総会  2021.2 

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  • 下垂体卒中による意識障害を契機に浸透圧性脱髄症候群をきたした一例

    横田雄也, 大塚文男

    第31回間脳・下垂体・副腎系研究会  2020.11 

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  • 困難事例から学ぶ家庭医療学 Invited

    21世紀適々斎塾  2020.8 

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  • 家庭医療学×社会疫学 患者さんの困りごと,その正体わかりますか?

    第32回 濁世・研修医のための家庭医療学夏期セミナー  2020.8 

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  • 新たな専門領域!総合診療専門研修の未来を語る Invited

    Antaaオンライン講演  2020.6 

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  • 病気になるのは本当に自己責任?健康格差と健康の社会的決定要因 Invited

    Antaaオンライン講演  2020.3.20 

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  • 全体講演「介護と医療で創り出す理想のケアとは?」

    第15回若手医師のための家庭医療学冬期セミナー  2020.2 

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  • SDHにできることはまだあるかい?

    第15回日本プライマリ・ケア連合学会 若手医師のための家庭医療学冬期セミナー  2020.2 

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  • 地域とのつながりの重要性を実感できた訪問診療研修報告会

    横田 雄也, 角南 和治, 眞鍋 良二, 西田 裕子, 吉崎 振起, 西野 正人, 福田 好世, 黒瀬 浩通, 猪阪 梨子

    第18回日本病院総合診療医学会学術総会  2019.2 

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