6 0 0 0 OA 福岡県柳川市の掘割におけるニホンウナギの生息状況
- 著者
- 田嶋 宏隆 久米 学 小川 真由 渡邊 俊 内山 里美 内山 耕蔵 大坪 鉄治 古賀 春美 亀井 裕介 三田村 啓理
- 出版者
- アクオス研究所
- 雑誌
- 水生動物 (ISSN:24348643)
- 巻号頁・発行日
- vol.2023, pp.AA2023-11, 2023-06-01 (Released:2023-06-01)
ニホンウナギ Anguilla japonica はかつて日本全国で豊富に漁獲された。しかし、現在は個体数が激減している。福岡県柳川市の掘割も本種の個体数が減少した場所の一つである。これは、水門の改修に伴い、シラスウナギの川から掘割内への侵入個体が激減したことが要因であると考えられている。現在、地元の高校やNPO法人により掘割へのニホンウナギの放流活動が行われている。しかしながら、野生個体または放流個体が掘割内に定着しているかは明らかになっていない。そこで本研究では、現在、福岡県柳川市の掘割にニホンウナギが生息しているかを明らかにするため、電気ショッカーを用いて本種の採集を試みた。その結果、5回の調査(2021年10月、2022年2月・3月・11月、2023年2月)において、合計47個体のニホンウナギを採集した。採集した個体が放流個体か天然個体かは判断することができなかった。採集された個体の全長は122–623 mmの範囲であった。47個体のうち2個体の銀ウナギが2022年11月の調査時に採集され、残りの45個体は黄ウナギですべての調査時に採集された。砂泥中からは139 mmから558 mmまで様々な全長の個体が採集された。中・大礫から採集された個体に比べ、巨礫や石垣から採集された個体の全長は大きい傾向があった。調査月の違いやウナギの全長に関わりなく本種を採集できたことから、掘割はニホンウナギが生息・成長するための環境を少なからず備えていると推測した。
6 0 0 0 OA STOPP Criteriaを用いた高齢者のポリファーマシーに対する薬剤師による介入
- 著者
- 小倉 史愛 木村 丈司 宇田 篤史 戸田 飛鳥 赤澤 由子 山本 和宏 五百蔵 武士 西岡 達也 久米 学 槇本 博雄 平井 みどり
- 出版者
- 一般社団法人日本医療薬学会
- 雑誌
- 医療薬学 (ISSN:1346342X)
- 巻号頁・発行日
- vol.42, no.2, pp.78-86, 2016-02-10 (Released:2017-02-15)
- 参考文献数
- 34
- 被引用文献数
- 2 5
Polypharmacy, the co-prescribing of nonessential drugs and inappropriate prescriptions, is a worldwide issue and is a factor affecting the increase in adverse drug reactions, drug-drug and drug-disease state interactions, and the growth in medical spending. In this study, we evaluated the current status of polypharmacy in elderly patients at Kobe University Hospital and the efficacy for screening and intervention against potentially inappropriate medications (PIMs) with the screening tool of older persons' potentially inappropriate prescriptions (STOPP) criteria formulated by a pharmacist. Of 301 study patients, 81 (26.9%) patients with PIMs were identified using the STOPP criteria, and these patients had a significantly higher number of prescribed drugs than other patients. Moreover, there was a correlation between the number of prescribed drugs and the percentage of patients identified using the STOPP criteria. The STOPP criteria identified 125 cases to be PIMs, and the prescriptions were changed for 35 (28%) of them. In 125 cases of PIMs, 61 cases had been strongly recommended prescription changes by pharmacists, of which 32 cases (52.5%) had been changed. Several prescription changes were often associated with the administration of nonsteroidal anti-inflammatory drugs. Based on our findings, we suggest that the STOPP criteria are useful for screening PIMs in Japanese patients and are a helpful tool for managing polypharmacy. The benefits of this approach for pharmacists should be multilaterally evaluated by the assessment of patients and medical economic outcomes in the future.
3 0 0 0 OA 院外処方せんにおける疑義照会簡素化プロトコールの運用とアンケートによる評価
- 著者
- 石川 愛子 宇田 篤史 矢野 育子 冨田 猛 阪上 倫行 野崎 晃 西岡 達也 久米 学 槇本 博雄 濱口 常男 岩川 精吾 北河 修治 平井 みどり
- 出版者
- 一般社団法人日本医療薬学会
- 雑誌
- 医療薬学 (ISSN:1346342X)
- 巻号頁・発行日
- vol.44, no.4, pp.157-164, 2018-04-10 (Released:2019-04-10)
- 参考文献数
- 9
- 被引用文献数
- 3 3
Kobe University Hospital created a simplified 14-item protocol for resolving out-of-hospital prescription queries. The protocol was implemented in September 2016 in nine community pharmacies. If prescriptions were changed as per the new protocol or via typical query procedures, we asked community pharmacies to fax the changed prescriptions, and the hospital pharmacists, rather than medical doctors, modified the prescription history. To evaluate the effects of this simplified protocol, we examined the number of changed outpatient prescriptions and administered questionnaire surveys to community pharmacists and hospital-based medical doctors. The ratio of changed to total outpatient prescriptions decreased in January 2017 (4.1%) compared with those in September 2016 (6.4%). Ultimately, more than half of all outpatient prescriptions were changed by the protocol. Drug brand name changes accounted for 52% of the total changes during both September 2016 and January 2017, but the proportion of residual medicine adjustment increased from 12% in September 2016 to 26% in January 2017. Due to the questionnaire survey, 33% of surveyed medical doctors indicated that they knew or had heard of the protocol, and 54% responded that the protocol decreased the burden of addressing outpatient prescription queries. The community pharmacies reported that the burden of clarifying outpatient prescription queries decreased. In conclusion, implementation of the simplified protocol for outpatient prescription queries improved medical efficiency and may help promote cooperative streamlining of community patient pharmaceutical care services.
3 0 0 0 OA 日米の医薬品データベースの相互作用情報を迅速に検索できる システムの構築と質疑への活用
- 著者
- 冨田 猛 野崎 晃 宇田 篤史 山本 和宏 西岡 達也 久米 学 槇本 博雄 矢野 育子 平井 みどり
- 出版者
- Japanese Society of Drug Informatics
- 雑誌
- 医薬品情報学 (ISSN:13451464)
- 巻号頁・発行日
- vol.19, no.1, pp.1-7, 2017-05-31 (Released:2017-06-16)
- 参考文献数
- 10
Objective: When responding to questions regarding drug-drug interaction by the medical staff of our hospital, pharmacists previously collected information using some drug databases from Japan and the United States. The aim of this study was to construct a search system for interaction information using drug databases from both Japan and the United States for streamlining questions and answers regarding drug-drug interaction.Methods: Using the drug databases from Japan and the United States, we collected information on the interaction pertaining to drugs prescribed at Kobe University Hospital. This information was further assessed for consistency. Furthermore, we constructed an original search system for interaction information for streamlining questions and answers regarding drug-drug interaction.Results: The difference between information obtained from the databases from Japan and the United States was apparent. Thus, we concluded that it was necessary to obtain interaction information via a database search that included information from both the countries. Therefore, our original interaction search system was reconstructed with interaction information collected using databases from both the countries. We compared the response to questions regarding the previous and present methods using our original search system for interaction information; the time required to obtain the responses was 5.89 and 3.09 min, respectively, and it took lesser time for providing responses than the previous method.Conclusion: We evaluated the usefulness of the original search system for interaction information. We found that the original system provides a more rapid response to questions compared with the previous method. We are considering a further upgrade and update for the original system by adding information on drugs not prescribed by our hospital.
1 0 0 0 OA 薬剤師教育におけるチーム基盤型学習の有用性の検討
- 著者
- 伊藤 雄大 髙田 麻季 飯田 真之 宇田 篤史 住吉 霞美 秋山 恵里 丸上 奈穂 丹田 雅明 野間 千尋 山本 和宏 五百蔵 武士 木村 丈司 西岡 達也 久米 学 槇本 博雄 矢野 育子
- 出版者
- 一般社団法人日本医療薬学会
- 雑誌
- 医療薬学 (ISSN:1346342X)
- 巻号頁・発行日
- vol.44, no.5, pp.236-243, 2018-05-10 (Released:2019-05-10)
- 参考文献数
- 18
- 被引用文献数
- 2
Team-based learning (TBL) is an active learning method which has been designed to help students solve problems both by themselves and as a team. In this study, TBL was introduced in the journal club (gathering to read and discuss medical papers) for pharmacists, and its effectiveness was compared with that of a traditional lecture. The subjects, 29 pharmacists at Kobe University Hospital, were randomly allocated to the lecture group and TBL group. The pre-test was conducted two months before the journal club, and the post-tests were conducted immediately and one month after the journal club. There was no significant difference in the background data of the pharmacists between the lecture group and the TBL group. The score differences between the pre-test and the post-test immediately after the journal club were not significant (11.4 ± 2.3 points (mean ± SD) in the TBL group, 8.8 ± 4.2 points in the lecture group, P = 0.14). The post-test scores immediately after the journal club in the TBL group (19.6 ± 0.5 points) were significantly higher compared with those in the lecture group (17.8 ± 1.5 points) (P < 0.01), and the learning effect provided by TBL tended to be maintained one month after the TBL. In conclusion, TBL was an alternative method of the ordinal lecture and may be a useful learning method for pharmacists to read medical papers critically compared with the ordinal lecture.
