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1. 成人の市中肺炎：重症度の分類および治療に適した施設の選択community acquired pneumonia in adults assessing severity and determining the appropriate site of care [show details]
…prediction rule for prognosis is desired , but its safety and effectiveness in guiding the initial site of treatment have not been empirically assessed. Patients with a CURB-65 score of 0 can be managed as… without complications (84 compared with 81 percent of hospitalized patients). Treatment length, frequency of adverse drug events, and subsequent hospital admissions were similar in the groups. However …
2. 成人の頸椎損傷の評価および急性期マネージメントevaluation and initial management of cervical spinal column injuries in adults [show details]
… Prehospital management of the trauma patient, including techniques for spine immobilization, is reviewed separately. Trauma victims may not think clearly due to head injury, shock, or drug or alcohol… These rules are NOT applicable to the following patients: With direct blows to the neck; With penetrating trauma; NEXUS is not applicable to adults >60 years; The first decision rule to be developed…
3. 胸腰椎脊柱損傷の評価evaluation of thoracic and lumbar spinal column injury [show details]
… with fractures requiring intervention may not manifest clinical findings. Indications for diagnostic imaging – Effective decision rules to determine the need for… level of consciousness; Intoxication with alcohol or drugs; Neurologic deficits; Presence of a painful,…
4. 成人における鈍的胸部外傷の初期評価およびマネージメント initial evaluation and management of blunt thoracic trauma in adults [show details]
… cardiac contusion and to rule out the rare MI. The management of MI in the setting of blunt thoracic injury is discussed separately. Major pulmonary injuries that require treatment and admission include …
5. 足首の捻挫ankle sprain [show details]
… according to the rules actually had a fracture. Subsequent reviews have confirmed the high sensitivity and variable specificity of these rules . It has been estimated that use of these rules in the emergency… functional treatment based upon the week in which they presented . After a median follow-up of eight years, fewer patients treated surgically than with functional treatment reported residual…

Japanese Journal

医療保険制度 (特集産婦人科医が押さえておくべき法・指針・医療体制 : これからの産婦人科医療のために)

三宅正裕
産科と婦人科 86(1), 23-29, 2019-01
NAID 40021766147

患者申出療養と人道的見地から実施される治験（拡大治験）について:制度運用の視点から

片山晶博
医療と社会 28(1), 37-48, 2018
… <p>我が国では「保険医療機関及び保険医療養担当規則」第18条の規定「保険医は，特殊な療法又は新しい療法等については，厚生労働大臣の定めるもののほか行ってはならない」としており，国内で承認されていない医薬品・医療機器等を使用する場合には原則として保険診療では実施できない。 …
NAID 130006744009

保険医のための元審査委員による特別講義 "保険診療"の教室(第14回)注射料算定上の留意点とは?

進藤勝久
月刊保険診療 = Journal of health insurance &medical practice 72(2), 86-88, 2017-02
NAID 40021103447

Related Pictures

1．療養担当規則要するに現在の医療・介護保険保険薬剤師療養担当規則の改正保険医療機関の指導・監督及び保険医療養担当規則より負担医療制度・療養担当規則。詳細は療養担当規則で規定

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