{"id":2259,"date":"2023-03-23T11:02:55","date_gmt":"2023-03-23T02:02:55","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2259"},"modified":"2023-03-23T11:02:55","modified_gmt":"2023-03-23T02:02:55","slug":"%e3%83%91%e3%83%bc%e3%82%ad%e3%83%b3%e3%82%bd%e3%83%b3%e7%97%85%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e7%b7%a9%e5%92%8c%e3%82%b1%e3%82%a2%e3%81%a8%e3%83%9b%e3%82%b9%e3%83%94%e3%82%b9%e3%81%b8%e3%81%ae","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2259","title":{"rendered":"\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u306b\u304a\u3051\u308b\u7de9\u548c\u30b1\u30a2\u3068\u30db\u30b9\u30d4\u30b9\u3078\u306e\u7d39\u4ecb\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3"},"content":{"rendered":"<p>\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002<\/p>\n<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nJ Neurol Neurosurg Psychiatry. 2021 Mar 31;92(6):629-636.<\/p>\n<p>\u2015\u8981\u7d04\u2015<\/p>\n<p>\u3010Introduction\u3011<br \/>\n\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u304a\u3088\u3073\u305d\u306e\u95a2\u9023\u75be\u60a3\uff08PDRD\uff09\u306f\u30012\u756a\u76ee\u306b\u591a\u3044\u795e\u7d4c\u5909\u6027\u75be\u60a3\u3067\u3042\u308a\u3001\u6b7b\u4ea1\u539f\u56e0\u306e\u4e0a\u4f4d\u3092\u5360\u3081\u3066\u3044\u308b\u3002\u3057\u304b\u3057\u3001PDRD\u60a3\u8005\u304c\u7d42\u672b\u671f\u306e\u7de9\u548c\u30b1\u30a2\uff08\u30db\u30b9\u30d4\u30b9\uff09\u3092\u53d7\u3051\u308b\u6a5f\u4f1a\u306f\u3001\u4ed6\u306e\u795e\u7d4c\u75be\u60a3\u3092\u542b\u3080\u75be\u60a3\u306b\u6bd4\u3079\u3066\u5c11\u306a\u3044\u3002<\/p>\n<p>\u7c73\u56fd\u3067\u306f\u3001\u30db\u30b9\u30d4\u30b9\u30b1\u30a2\u306f\u4f59\u547d6\u30f6\u6708\u306e\u4eba\u306b\u5bfe\u3059\u308b\u7de9\u548c\u30b1\u30a2\u3068\u5b9a\u7fa9\u3055\u308c\u3066\u304a\u308a\u3001\u7c73\u56fd\u306e\u30e1\u30c7\u30a3\u30b1\u30a2\u306e\u30db\u30b9\u30d4\u30b9\u7d66\u4ed8\u306f\u30012\u4eba\u306e\u533b\u5e2b\u306b\u3088\u3063\u3066\u4e88\u5f8c6\u30ab\u6708\u4ee5\u4e0b\u3068\u8a8d\u5b9a\u3055\u308c\u3001\u5ef6\u547d\u6cbb\u7642\u3067\u306f\u306a\u304f\u5b89\u697d\u306b\u91cd\u70b9\u3092\u7f6e\u3044\u305f\u533b\u7642\u3092\u9078\u629e\u3057\u305f\u60a3\u8005\u304c\u5bfe\u8c61\u3068\u306a\u308b\u3002PDRD\u306f\u4e3b\u8981\u306a\u6b7b\u56e0\u306e\u4e00\u3064\u3067\u3042\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001PDRD\u306b\u5bfe\u3059\u308b\u7d42\u672b\u671f\u7de9\u548c\u30b1\u30a2\uff0f\u30db\u30b9\u30d4\u30b9\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u5b58\u5728\u3057\u306a\u3044\u3002\u95a2\u9023\u3059\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3068\u3057\u3066\u306f\u3001\u8a8d\u77e5\u75c7\u3001ALS\u3001\u6210\u4eba\u306e\u98df\u6b32\u4e0d\u632f\u306a\u3069\u304c\u3042\u308b\u3002\uff08Table 1\uff09<\/p>\n<p>PDRD\u60a3\u8005\u306e\u6b7b\u4ea1\u7387\u306b\u95a2\u9023\u3059\u308b\u8981\u56e0\u306f\u3044\u304f\u3064\u304b\u77e5\u3089\u308c\u3066\u3044\u308b\u304c\u3001\u5168\u4f53\u7684\u306a\u300c\u4e88\u5f8c\u4e0d\u826f\u300d\u306e\u4e00\u822c\u7684\u306a\u4e88\u6e2c\u56e0\u5b50\u3068\u3001\u4eba\u751f\u306e\u6700\u5f8c\u306e\u6570\u9031\u9593\u307e\u305f\u306f\u6570\u30f6\u6708\u3092\u793a\u5506\u3059\u308b\u7279\u5b9a\u306e\u4e88\u6e2c\u56e0\u5b50\u3068\u306e\u533a\u5225\u306f\u307b\u3068\u3093\u3069\u3055\u308c\u3066\u3044\u306a\u3044\u3002PDRD\u306e\u6b7b\u4ea1\u7387\u306e\u4e88\u6e2c\u56e0\u5b50\u3092\u7279\u5b9a\u3059\u308b\u3053\u3068\u3067\u3001\u9069\u5207\u3067\u30bf\u30a4\u30e0\u30ea\u30fc\u306a\u7d39\u4ecb\u3092\u5897\u3084\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002<br \/>\n\u305d\u3053\u3067\u30db\u30b9\u30d4\u30b9\uff0f\u7d42\u672b\u671f\u7de9\u548c\u30b1\u30a2\u306e\u7d39\u4ecb\u306b\u95a2\u3059\u308b\u6307\u91dd\u3092\u5f97\u308b\u305f\u3081\u306b\u3001PDRD\u306e\u6b7b\u56e0\u3068\u6b7b\u4ea1\u4e88\u6e2c\u56e0\u5b50\u306b\u95a2\u3059\u308b\u6587\u732e\u3092\u7cfb\u7d71\u7684\u306b\u30ec\u30d3\u30e5\u30fc\u3059\u308b\u3002<\/p>\n<p>\u3010Method\u3011<br \/>\nMEDLINE\u3001PubMed\u3001EMBASE\u3001CINAHL\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\uff081970-2020\u5e74\uff09\u304b\u3089\u3001PDRD\u306e\u6b7b\u4ea1\u7387\u3001\u4e88\u5f8c\u3001\u6b7b\u56e0\u306b\u95a2\u9023\u3059\u308b\u8a3a\u7642\u8a18\u9332\u3001\u884c\u653f\u30c7\u30fc\u30bf\u3001\u8abf\u67fb\u56de\u7b54\u304b\u3089\u5f97\u3089\u308c\u305f\u60a3\u8005\u30ec\u30d9\u30eb\u3001\u533b\u7642\u8005\u30ec\u30d9\u30eb\u3001\u4ecb\u8b77\u8005\u30ec\u30d9\u30eb\u306e\u30c7\u30fc\u30bf\u3092\u7528\u3044\u305f\u30aa\u30ea\u30b8\u30ca\u30eb\u306e\u5b9a\u91cf\u7684\u7814\u7a76\u3092\u691c\u7d22\u3057\u305f\u3002PRISMA\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u5f93\u3063\u3066\u8abf\u67fb\u3057\u3001\u7d44\u307f\u5165\u308c\u57fa\u6e96\u3092\u6e80\u305f\u3057\u3066\u3044\u308b\u304b\u3069\u3046\u304b\u306f2\u540d\u306e\u7814\u7a76\u8005\u306b\u3088\u3063\u3066\u72ec\u7acb\u3057\u3066\u78ba\u8a8d\u3055\u308c\u305f\u3002<br \/>\n\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306f\u3001PDRD\u60a3\u8005\u306e\u6b7b\u4ea1\u7387\u306e\u5168\u4f53\u7684\u306a\u5b9a\u91cf\u7684\u4e88\u6e2c\u56e0\u5b50\u3068\u6b7b\u4ea16\u30f5\u6708\u524d\u306e\u6b7b\u4ea1\u7387\u306e\u4e88\u6e2c\u56e0\u5b50\u3068\u3057\u3001\u8abf\u67fb\u7d50\u679c\u306f\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u8ca1\u56e3\u306e\u652f\u63f4\u3092\u53d7\u3051\u305fPD\u3068\u7de9\u548c\u30b1\u30a2\u306b\u95a2\u3059\u308b\u56fd\u969b\u30ef\u30fc\u30ad\u30f3\u30b0\u30b0\u30eb\u30fc\u30d7\u306b\u3088\u3063\u3066\u30ec\u30d3\u30e5\u30fc\u3055\u308c\u305f\u3002<\/p>\n<p>\u3010Result\u3011<br \/>\n1183\u306e\u7814\u7a76\u8ad6\u6587\u306e\u3046\u3061\u300142\u306e\u7814\u7a76\u304c\u7d44\u307f\u5165\u308c\u57fa\u6e96\u3092\u6e80\u305f\u3057\u305f\u3002\uff08Figure 1\uff09<br \/>\nPDRD\u306e\u6b7b\u4ea1\u7387\u306b\u95a2\u9023\u3059\u308b\u8981\u56e0\u3068\u3057\u3066\u3001\uff081\uff09\u4eba\u53e3\u7d71\u8a08\u5b66\u7684\u304a\u3088\u3073\u81e8\u5e8a\u7684\u30de\u30fc\u30ab\u30fc\uff08\u5e74\u9f62\u3001\u6027\u5225\u3001\u80a5\u6e80\u5ea6\u3001\u4f75\u5b58\u75be\u60a3\uff09\u3001\uff082\uff09\u904b\u52d5\u6a5f\u80fd\u969c\u5bb3\u304a\u3088\u3073\u5168\u8eab\u6027\u969c\u5bb3\u3001\uff083\uff09\u8ee2\u5012\u304a\u3088\u3073\u611f\u67d3\u75c7\u3001\uff084\uff09\u975e\u904b\u52d5\u75c7\u72b6\u306e4\u3064\u306e\u4e3b\u8981\u306a\u9818\u57df\u304c\u3042\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u305f\u3002\uff08Table 2\uff09<\/p>\n<p>\u3010Discussion\u3011<br \/>\n\u4eca\u56de\u306e\u30ec\u30d3\u30e5\u30fc\u306b\u57fa\u3065\u3044\u3066\u3001\u7d42\u672b\u671f\u306e\u7de9\u548c\u30b1\u30a2\uff0f\u30db\u30b9\u30d4\u30b9\u3092\u7d39\u4ecb\u3059\u308b\u305f\u3081\u306b\u7d42\u672b\u671f\u306b\u5dee\u3057\u639b\u304b\u3063\u3066\u3044\u308b\u53ef\u80fd\u6027\u306e\u3042\u308bPDRD\u60a3\u8005\u3092\u7279\u5b9a\u3059\u308b\u3053\u3068\u306b\u3064\u3044\u3066\u3001\u533b\u7642\u5f93\u4e8b\u8005\u3078\u306e\u63d0\u8a00\u3092\u884c\u3046\u3002\uff08Table 3\u3001\u548c\u8a33\u3057\u305f\u3082\u306e\u304c\u4e0b\u8a18\uff09<\/p>\n<p>PDRD\u306b\u5bfe\u3059\u308b\u30db\u30b9\u30d4\u30b9\u30ac\u30a4\u30c0\u30f3\u30b9\uff1a\u4ee5\u4e0b\u306e3\u3064\u306e\u57fa\u6e96\u306e\u3046\u30611\u3064\u3092\u6e80\u305f\u3059<br \/>\n1. A\u3001B\u3001C\u306e\u3044\u305a\u308c\u304b\u306e\u57fa\u6e96\u3067\u793a\u3055\u308c\u308b\u9032\u884c\u3057\u305f\u75be\u60a3\u306e\u8a3c\u62e0\u3092\u793a\u3059\u3002<br \/>\nA. \u524d\u5e74\u306e\u91cd\u7be4\u306a\u6804\u990a\u969c\u5bb3\uff1a<br \/>\n\u5341\u5206\u306a\u6c34\u5206\u30fb\u30ab\u30ed\u30ea\u30fc\u6442\u53d6\u304c\u3067\u304d\u305a\u8131\u6c34\u75c7\u72b6\u3092\u8d77\u3053\u3057\u3066\u3044\u308b\u3001<br \/>\n\u307e\u305f\u306fBMI\u304c18\u672a\u6e80\u3067\u3042\u308b\u3001<br \/>\n\u307e\u305f\u306f6\u30f6\u6708\u4ee5\u4e0a\u306e\u4f53\u91cd\u6e1b\u5c11\u304c10\uff05\u4ee5\u4e0a\u3042\u308a\u3001\u4eba\u5de5\u6804\u990a\u6cd5\u3092\u62d2\u5426\u3057\u3066\u3044\u308b<br \/>\nB. \u524d\u5e74\u306e\u751f\u547d\u3092\u8105\u304b\u3059\u5408\u4f75\u75c7\uff1a\u8aa4\u56a5\u6027\u80ba\u708e\u306e\u518d\u767a\u3001\u9aa8\u6298\u3092\u4f34\u3046\u8ee2\u5012\u3001\u6557\u8840\u75c7\u306e\u518d\u767a\u3001\u30b9\u30c6\u30fc\u30b83\u307e\u305f\u306f4\u306e\u8925\u7621<br \/>\nC. \u30c9\u30fc\u30d1\u30df\u30f3\u4f5c\u52d5\u85ac\u3078\u306e\u53cd\u5fdc\u304c\u60aa\u3044\u3001\u307e\u305f\u306f\u8a31\u5bb9\u3067\u304d\u306a\u3044\u526f\u4f5c\u7528\u306e\u305f\u3081\u306b\u30c9\u30fc\u30d1\u30df\u30f3\u4f5c\u52d5\u85ac\u3067\u306f\u6cbb\u7642\u3067\u304d\u305a\u3001\u30bb\u30eb\u30d5\u30b1\u30a2\u80fd\u529b\u306b\u8457\u3057\u3044\u969c\u5bb3\u3092\u3082\u305f\u3089\u3059\u904b\u52d5\u75c7\u72b6\u304c\u3042\u308b\u3002<br \/>\n2. \u6025\u6fc0\u307e\u305f\u306f\u52a0\u901f\u3059\u308b\u904b\u52d5\u6a5f\u80fd\u969c\u5bb3\uff08\u6b69\u884c\u3084\u5e73\u8861\u611f\u899a\u3092\u542b\u3080\uff09\u3001<br \/>\n\u307e\u305f\u306f\u975e\u904b\u52d5\u6027\u75be\u60a3\u306e\u9032\u884c\uff08\u91cd\u5ea6\u306e\u8a8d\u77e5\u75c7\u3001\u56a5\u4e0b\u969c\u5bb3\u3001\u8180\u80f1\u6a5f\u80fd\u969c\u5bb3\u3001\u5598\u9cf4\uff08MSA\u306e\u5834\u5408\uff09\u3092\u542b\u3080\uff09\u304c\u3042\u308a\u3001\u4ee5\u4e0b\u306e\u969c\u5bb3\u3092\u6709\u3059\u308b\uff1a\u30d9\u30c3\u30c9\u3084\u6905\u5b50\u306b\u7e1b\u3089\u308c\u305f\u72b6\u614b\u3001\u610f\u5473\u4e0d\u660e\u306e\u4f1a\u8a71\u3001\u30d4\u30e5\u30fc\u30ec\u72b6\u306e\u98df\u4e8b\u304c\u5fc5\u8981\u3001ADL\u306b\u5927\u304d\u306a\u652f\u63f4\u304c\u5fc5\u8981<br \/>\n3. \u9032\u884c\u3057\u305f\u8a8d\u77e5\u75c7\u3067\u3042\u308a\u3001\u4ee5\u4e0b\u306b\u57fa\u3065\u304f\u30db\u30b9\u30d4\u30b9\u7d39\u4ecb\u57fa\u6e96\u3092\u6e80\u305f\u3057\u3066\u3044\u308b\u3002<br \/>\n\u30e1\u30c7\u30a3\u30b1\u30a2\u306e\u8a8d\u77e5\u75c7\u57fa\u6e96\u3001<br \/>\nAdvanced Dementia Prognostic Tool\u306e\u57fa\u6e96\u3001<br \/>\nMinimum Data Set-Changes in Health, End-stage disease and Symptoms and Signs Score\u306e\u57fa\u6e96<\/p>\n<p>\u672c\u30ec\u30d3\u30e5\u30fc\u306e\u5f37\u307f\u306f\u3001\u7de9\u548c\u30b1\u30a2\u3068\u904b\u52d5\u969c\u5bb3\u306e\u5c02\u9580\u5bb6\u3067\u69cb\u6210\u3055\u308c\u305f\u56fd\u969b\u30ef\u30fc\u30ad\u30f3\u30b0\u30b0\u30eb\u30fc\u30d7\u306e\u53c2\u52a0\u3092\u542b\u3080\u3001\u4f53\u7cfb\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u3068\u3063\u305f\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n<p>\u7814\u7a76\u306e\u5236\u9650\uff1a<br \/>\n\u3059\u3079\u3066\u306e\u30c7\u30fc\u30bf\u30d9\u30fc\u30b9\u3092\u691c\u7d22\u5bfe\u8c61\u3068\u305b\u305a\u3001\u82f1\u8a9e\u4ee5\u5916\u306e\u8ad6\u6587\u306f\u9664\u5916\u3057\u305f\u3002<br \/>\n\u3053\u306e\u5206\u91ce\u3067\u5229\u7528\u53ef\u80fd\u306a\u77e5\u8b58\u3092\u3059\u3079\u3066\u63d0\u793a\u3059\u308b\u305f\u3081\u306b\u3001\u4ee5\u4e0b\u306e\u7406\u7531\u304b\u3089\u54c1\u8cea\u8a55\u4fa1\u3092\u5b9f\u65bd\u3057\u306a\u304b\u3063\u305f\u3002(1\uff09\u3053\u306e\u5206\u91ce\u3067\u306f\u9650\u3089\u308c\u305f\u30c7\u30fc\u30bf\u3057\u304b\u5f97\u3089\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u3001\uff082\uff09\u63b2\u8f09\u57fa\u6e96\u3092\u5236\u9650\u3059\u308b\u3068\u8ad6\u6587\u306e\u6570\u304c\u3055\u3089\u306b\u6e1b\u308b\u3053\u3068\u3001\uff083\uff09\u53b3\u5bc6\u306b\u9664\u5916\u3059\u308b\u3068\u8457\u3057\u3044\u504f\u308a\u306e\u3042\u308b\u7279\u5b9a\u306e\u8ad6\u6587\u3060\u3051\u3092\u63b2\u8f09\u3059\u308b\u3053\u3068\u306b\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3002<\/p>\n<p>PDRD\u60a3\u8005\u304c\u30bf\u30a4\u30e0\u30ea\u30fc\u306b\u7de9\u548c\u30b1\u30a2\u3084\u30db\u30b9\u30d4\u30b9\u30b5\u30fc\u30d3\u30b9\u3092\u53d7\u3051\u3089\u308c\u308b\u3088\u3046\u306b\u3059\u308b\u3053\u3068\u3067\u6b8b\u3055\u308c\u305f\u751f\u6d3b\u306e\u8cea\u3092\u6700\u5927\u9650\u306b\u9ad8\u3081\u308b\u3068\u3044\u3046\u89b3\u70b9\u304b\u3089\u306f\u3001\u4eca\u56de\u306e\u63d0\u8a00\u306e\u6709\u52b9\u6027\u3092\u5224\u65ad\u3059\u308b\u305f\u3081\u306b\u306f\u3055\u3089\u306a\u308b\u7814\u7a76\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002\u7de9\u548c\u30b1\u30a2\u3068\u75be\u75c5\u7ba1\u7406\u3092\u7d71\u5408\u7684\u306b\u884c\u3046\u3053\u3068\u3067\u3001\u4e88\u5f8c\u304c\u77ed\u3044\u60a3\u8005\u306b\u9650\u3089\u305a\u3001\u60a3\u8005\u304c\u3067\u304d\u308b\u3060\u3051\u9577\u304f\u5143\u6c17\u306b\u66ae\u3089\u305b\u308b\u3088\u3046\u306b\u4e21\u65b9\u306e\u30b1\u30a2\u3092\u884c\u3046\u3053\u3068\u304c\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308b\u3068\u8003\u3048\u308b\u3002<br \/>\nPDRD\u60a3\u8005\u304c\u4eba\u751f\u306e\u6700\u5f8c\u306e\u6570\u30f6\u6708\u3092\u8fce\u3048\u308b\u6642\u671f\u3092\u7279\u5b9a\u3059\u308b\u3053\u3068\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u4e88\u5f8c\u7814\u7a76\u306f\u9650\u3089\u308c\u3066\u3044\u308b\u3002\u3053\u306e\u5206\u91ce\u306e\u7814\u7a76\u3068\u3001PDRD\u60a3\u8005\u3078\u306e\u5fc5\u8981\u306b\u5fdc\u3058\u305f\u7de9\u548c\u30b1\u30a2\u3092\u652f\u63f4\u3059\u308b\u653f\u7b56\u304c\u3055\u3089\u306b\u5fc5\u8981\u3068\u3055\u308c\u308b\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/237bdd5ce3a053f4048fe2bbebfc40ee.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/237bdd5ce3a053f4048fe2bbebfc40ee.png\" alt=\"\" width=\"1509\" height=\"597\" class=\"aligncenter size-full wp-image-2260\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/237bdd5ce3a053f4048fe2bbebfc40ee.png 1509w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/237bdd5ce3a053f4048fe2bbebfc40ee-300x119.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/237bdd5ce3a053f4048fe2bbebfc40ee-1024x405.png 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/237bdd5ce3a053f4048fe2bbebfc40ee-768x304.png 768w\" sizes=\"auto, (max-width: 1509px) 100vw, 1509px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/011b11392e676b45aa5b500705369b37.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/011b11392e676b45aa5b500705369b37.png\" alt=\"\" width=\"749\" height=\"810\" class=\"aligncenter size-full wp-image-2261\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/011b11392e676b45aa5b500705369b37.png 749w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/011b11392e676b45aa5b500705369b37-277x300.png 277w\" sizes=\"auto, (max-width: 749px) 100vw, 749px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/5f649ec3d1422b104f205879495732c4.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/5f649ec3d1422b104f205879495732c4.png\" alt=\"\" width=\"987\" height=\"794\" class=\"aligncenter size-full wp-image-2262\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/5f649ec3d1422b104f205879495732c4.png 987w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/5f649ec3d1422b104f205879495732c4-300x241.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/5f649ec3d1422b104f205879495732c4-768x618.png 768w\" sizes=\"auto, (max-width: 987px) 100vw, 987px\" \/><\/a><\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/691c788ff9dba44d6eba93a90587f4a1.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/691c788ff9dba44d6eba93a90587f4a1.png\" alt=\"\" width=\"1512\" height=\"463\" class=\"aligncenter size-full wp-image-2263\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/691c788ff9dba44d6eba93a90587f4a1.png 1512w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/691c788ff9dba44d6eba93a90587f4a1-300x92.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/691c788ff9dba44d6eba93a90587f4a1-1024x314.png 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/03\/691c788ff9dba44d6eba93a90587f4a1-768x235.png 768w\" sizes=\"auto, (max-width: 1512px) 100vw, 1512px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2021\u5e7412\u67081\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002 \u2015\u6587\u732e\u540d\u2015 J Neurol Neurosurg Psychiatry. 2021 &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=2259\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u306b\u304a\u3051\u308b\u7de9\u548c\u30b1\u30a2\u3068\u30db\u30b9\u30d4\u30b9\u3078\u306e\u7d39\u4ecb\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,17],"tags":[],"class_list":["post-2259","post","type-post","status-publish","format-standard","hentry","category-12","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2259","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2259"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2259\/revisions"}],"predecessor-version":[{"id":2265,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2259\/revisions\/2265"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2259"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2259"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}