{"id":2199,"date":"2019-07-12T05:54:41","date_gmt":"2019-07-12T05:54:41","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~ACP\/?p=2199"},"modified":"2019-07-12T05:54:41","modified_gmt":"2019-07-12T05:54:41","slug":"university-of-florida-department-of-hospital-medicine%e3%81%a7%e3%81%ae%e3%82%a8%e3%82%af%e3%82%b9%e3%82%bf%e3%83%bc%e3%83%b3%e3%82%b7%e3%83%83%e3%83%97","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~ACP\/2019\/07\/12\/university-of-florida-department-of-hospital-medicine%e3%81%a7%e3%81%ae%e3%82%a8%e3%82%af%e3%82%b9%e3%82%bf%e3%83%bc%e3%83%b3%e3%82%b7%e3%83%83%e3%83%97.html","title":{"rendered":"University of Florida Department of Hospital Medicine\u3067\u306e\u30a8\u30af\u30b9\u30bf\u30fc\u30f3\u30b7\u30c3\u30d7"},"content":{"rendered":"<p>\u6771\u4eac\u30d9\u30a4\u30fb\u6d66\u5b89\u5e02\u5ddd\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u3000\u7dcf\u5408\u5185\u79d1\u5c02\u653b\u533b<\/p>\n<p>\u5185\u5c71\u3000\u79c0\u5e73<\/p>\n<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"2196\" data-permalink=\"https:\/\/plaza.umin.ac.jp\/~ACP\/2019\/07\/12\/university-of-florida-department-of-hospital-medicine%e3%81%a7%e3%81%ae%e3%82%a8%e3%82%af%e3%82%b9%e3%82%bf%e3%83%bc%e3%83%b3%e3%82%b7%e3%83%83%e3%83%97.html\/shuhei-uchiyama\" data-orig-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/07\/Shuhei-Uchiyama.jpg?fit=442%2C490&amp;ssl=1\" data-orig-size=\"442,490\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Shuhei Uchiyama\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/07\/Shuhei-Uchiyama.jpg?fit=442%2C490&amp;ssl=1\" class=\"alignnone size-medium wp-image-2196\" src=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/07\/Shuhei-Uchiyama.jpg?resize=271%2C300&#038;ssl=1\" alt=\"\" width=\"271\" height=\"300\" srcset=\"https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/07\/Shuhei-Uchiyama.jpg?resize=271%2C300&amp;ssl=1 271w, https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/07\/Shuhei-Uchiyama.jpg?w=442&amp;ssl=1 442w\" sizes=\"auto, (max-width: 271px) 100vw, 271px\" \/><\/p>\n<p>\u3053\u306e\u305f\u3073\u3001\u30a2\u30e1\u30ea\u30ab\u5185\u79d1\u5b66\u4f1a\u65e5\u672c\u652f\u90e8\u56fd\u969b\u4ea4\u6d41\u59d4\u54e1\u4f1a\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306b\u3088\u308a\u3001University of Florida Department of Hospital Medicine\u306b3\u9031\u9593\u306e\u30a8\u30af\u30b9\u30bf\u30fc\u30f3\u30b7\u30c3\u30d7\u306e\u6a5f\u4f1a\u3092\u9802\u304d\u307e\u3057\u305f\u3002\u5b66\u3093\u3060\u3053\u3068\u306f\u3042\u307e\u308a\u306b\u591a\u304f\u3001\u66f8\u304d\u304d\u308c\u306a\u3044\u4e8b\u67c4\u3082\u591a\u3005\u3042\u308a\u307e\u3059\u304c\u3001\u3067\u304d\u308b\u3060\u3051\u8a73\u7d30\u306b\u3054\u5831\u544a\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<\/p>\n<p>\u306f\u3058\u3081\u306b\u3001\u4eca\u56de\u30ed\u30fc\u30c6\u30fc\u30b7\u30e7\u30f3\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305fDepartment of Hospital Medicine\u3068\u305d\u306e\u5fd7\u671b\u7406\u7531\u306b\u3064\u3044\u3066\u8aac\u660e\u3044\u305f\u3057\u307e\u3059\u3002\u3053\u306e\u8a3a\u7642\u79d1\u306f\u3044\u308f\u3086\u308bHospitalist\u304c\u52e4\u52d9\u3057\u3066\u3044\u308b\u8a3a\u7642\u79d1\u3067\u3042\u308a\u3001\u5165\u9662\u4e2d\u306e\u60a3\u8005\u306e\u3046\u3061\u8907\u6570\u79d1\u306b\u308f\u305f\u308b\u30d7\u30ed\u30d6\u30ec\u30e0\u3092\u6301\u3064\u60a3\u8005\u3092\u4e2d\u5fc3\u306b\u62c5\u5f53\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u4ed6\u79d1(\u4e3b\u306b\u6574\u5f62\u5916\u79d1\u3001\u6ccc\u5c3f\u5668\u79d1\u3001\u7523\u5a66\u4eba\u79d1\u306a\u3069\u306e\u975e\u5185\u79d1\u7cfb\u8a3a\u7642\u79d1)\u304b\u3089\u306e\u5185\u79d1\u7684\u30b3\u30f3\u30b5\u30eb\u30c8\u3082\u5f15\u304d\u53d7\u3051\u3066\u3044\u307e\u3059\u3002\u79c1\u306f\u5c06\u6765\u7c73\u56fd\u306b\u3066Hospital Medicine\u3092\u5c02\u653b\u3057\u305f\u3044\u3068\u8003\u3048\u3066\u304a\u308a\u3001\u4eca\u56de\u306e\u30a8\u30af\u30b9\u30bf\u30fc\u30f3\u30b7\u30c3\u30d7\u306f\u672c\u5834\u306eHospital Medicine\u3092\u5b66\u3076\u307e\u305f\u3068\u306a\u3044\u597d\u6a5f\u3068\u8003\u3048\u305f\u305f\u3081\u3001\u5fdc\u52df\u3092\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002<\/p>\n<p>Hospitalist\u306e\u52e4\u52d9\u4f53\u7cfb\u306fseven days on, seven days off\u3068\u547c\u3070\u308c\u3066\u304a\u308a\u30017\u65e5\u9593\u306e\u9023\u7d9a\u52e4\u52d9\u306e\u306e\u3061\u306b7\u65e5\u9593\u306e\u4f11\u6687\u304c\u3042\u308a\u307e\u3059\u3002\u4f11\u6687\u306b\u5165\u3063\u3066\u3057\u307e\u3046\u95a2\u4fc2\u4e0a\u3001\u5358\u72ec\u306e\u533b\u5e2b\u3092Shadow\u3057\u3064\u3065\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u3044\u305f\u3081\u30017\u65e5\u9593\u3092Floor\u3067shadow\u3057\u305f\u306e\u3061\u3001\u6b21\u306e7\u65e5\u9593\u3092Consultation service\u3067\u904e\u3054\u3059\u3068\u3044\u3046\u65b9\u6cd5\u3092\u63a1\u3089\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002\u6b63\u78ba\u306b\u306f\u9031\u306e\u4e2d\u76e4\u3067seven days\u306e\u4ea4\u66ff\u304c\u884c\u308f\u308c\u308b\u305f\u3081\u3001\u30d0\u30e9\u30f3\u30b9\u3088\u304f\u3044\u305a\u308c\u30821\u9031\u9593\u534a\u305a\u3064\u6ede\u5728\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u3002<\/p>\n<p>\u2460Floor<\/p>\n<p>\u3053\u3061\u3089\u306f\u5165\u9662\u60a3\u8005\u3092\u62c5\u5f53\u533b\u3068\u3057\u3066\u53d7\u3051\u6301\u3064\u90e8\u9580\u3067\u3059\u3002\u30a2\u30e1\u30ea\u30ab\u3067\u306f\u5e74\u5ea6\u304c\u7d42\u308f\u308a\u304b\u3051\u3066\u3044\u308b\u6642\u671f\u3060\u3063\u305f\u3053\u3068\u3082\u3042\u308a\u3001attending\u306e\u533b\u5e2b\u304c\u4e00\u4eba\u3067\u62c5\u5f53\u3092\u884c\u3063\u3066\u304a\u308a\u3001\u305d\u3061\u3089\u3092\u898b\u5b66\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002<\/p>\n<p>\u5165\u9662\u60a3\u8005\u306e\u75be\u60a3\u306f\u591a\u5c90\u306b\u308f\u305f\u308a\u3001\u5fc3\u4e0d\u5168\u3001\u80ba\u708e\u3001COPD\u6025\u6027\u5897\u60aa\u3001\u8702\u7aa9\u7e54\u708e\u306a\u3069\u306e\u65e5\u672c\u3067\u3082\u6bd4\u8f03\u7684\u3088\u304f\u307f\u3089\u308c\u308b\u75be\u60a3\u304b\u3089\u3001cystic fibrosis\u3001sickle cell disease\u306b\u3088\u308bacute chest syndrome\u3001cocaine-induced ACS\u306a\u3069\u306e\u7c73\u56fd\u306a\u3089\u3067\u306f(?)\u306e\u75c7\u4f8b\u307e\u3067\u898b\u5b66\u3092\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u3002\u65e5\u672c\u3067\u3082\u898b\u3089\u308c\u308b\u75be\u60a3\u306e\u8a3a\u7642\u5185\u5bb9\u306b\u95a2\u3057\u3066\u306f\u666e\u6bb5\u304b\u3089\u79c1\u304c\u7dcf\u5408\u5185\u79d1\u533b\u3068\u3057\u3066\u884c\u3063\u3066\u3044\u308b\u3082\u306e\u3068\u5927\u304d\u306a\u5dee\u306f\u306a\u3044\u3068\u611f\u3058\u3089\u308c\u307e\u3057\u305f\u304c\u3001\u30b3\u30b9\u30c8\u306e\u610f\u8b58\u304c\u5f37\u3044\u5f71\u97ff\u304b\u9000\u9662\u306e\u30b9\u30d4\u30fc\u30c9\u306f\u975e\u5e38\u306b\u65e9\u304f\u3001case manager\u304c\u5404\u60a3\u8005\u306edisposition\u306b\u3064\u3044\u3066\u6bce\u65e5\u78ba\u8a8d\u3092\u884c\u3063\u3066\u3044\u308b\u5834\u9762\u304c\u975e\u5e38\u306b\u5370\u8c61\u7684\u3067\u3057\u305f\u3002<\/p>\n<p>\u2461Consultation service<\/p>\n<p>\u3053\u3061\u3089\u306f\u4ed6\u79d1\u304b\u3089\u306e\u30b3\u30f3\u30b5\u30eb\u30c8\u3092\u53d7\u3051\u308b\u90e8\u9580\u3067\u3059\u3002PGY-3\u306eresident\u3068attending\u306e\u533b\u5e2b\u304c\u30c1\u30fc\u30e0\u3092\u7d44\u3093\u3067\u304a\u308a\u3001\u305d\u3053\u306b\u304a\u90aa\u9b54\u3059\u308b\u5f62\u3067\u53c2\u52a0\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002<\/p>\n<p>\u4e3b\u306a\u8a3a\u7642\u5185\u5bb9\u3068\u3057\u3066\u306f\u5916\u79d1\u75c5\u68df\u5165\u9662\u4e2d\u306e\u60a3\u8005\u306e\u5185\u79d1\u7684\u201dcomanagement\u201d(\u300c\u4f75\u8a3a\u300d\u3068\u3044\u3046\u5358\u8a9e\u304c\u6700\u3082\u8fd1\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093)\u3084\u5fc3\u4e0d\u5168\u7ba1\u7406\u3001\u9ad8\u8840\u5727\u7dca\u6025\u75c7\u306a\u3069\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u3055\u3089\u306b\u9662\u5185\u3067\u8179\u8154\u7a7f\u523a\u3001\u8170\u690e\u7a7f\u523a\u3001\u4e2d\u5fc3\u9759\u8108\u30ab\u30c6\u30fc\u30c6\u30eb\u7559\u7f6e\u306a\u3069\u306e\u51e6\u7f6e\u304c\u5fc5\u8981\u306b\u306a\u3063\u305f\u5834\u5408\u306e\u30b3\u30f3\u30b5\u30eb\u30c8\u5148\u3082\u3053\u3061\u3089\u3067\u3057\u305f\u3002<\/p>\n<p>\u3082\u3068\u3082\u3068\u79c1\u304chospital medicine\u306b\u8208\u5473\u3092\u6301\u3061\u59cb\u3081\u305f\u306e\u306f\u7dcf\u5408\u5185\u79d1\u3068\u3057\u3066\u306e\u75c5\u68df\u62c5\u5f53\u3082\u3055\u308b\u3053\u3068\u306a\u304c\u3089\u3001\u3053\u306e\u3088\u3046\u306a\u4ed6\u79d1\u304b\u3089\u306ecomanagement\u306e\u30b7\u30b9\u30c6\u30e0\u304c\u7d20\u6674\u3089\u3057\u3044\u3068\u8003\u3048\u305f\u3053\u3068\u304c\u5951\u6a5f\u3067\u3057\u305f\u3002\u4f8b\u3068\u3057\u3066\u306f\u3001\u5927\u817f\u9aa8\u9838\u90e8\u9aa8\u6298\u3067\u624b\u8853\u3092\u63a7\u3048\u3066\u3044\u308b\u60a3\u8005\u306e\u4f75\u5b58\u75be\u60a3\u3067\u3042\u308b\u9ad8\u8840\u5727\u3001\u7cd6\u5c3f\u75c5\u3001\u5fc3\u4e0d\u5168\u306e\u30de\u30cd\u30b8\u30e1\u30f3\u30c8\u3092\u53d7\u3051\u6301\u3064\u3001\u3068\u3044\u3046\u3088\u3046\u306a\u5185\u5bb9\u3067\u3059\u3002\u30b3\u30f3\u30b5\u30eb\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u307f\u3092\u53d7\u3051\u6301\u3064\u90e8\u9580\u306f\u65e5\u672c\u306e\u75c5\u9662\u306b\u306f\u4e00\u822c\u7684\u3067\u306a\u3044\u3068\u601d\u308f\u308c\u307e\u3059\u304c\u3001\u975e\u5e38\u306b\u3084\u308a\u304c\u3044\u306e\u3042\u308b\u4ed5\u4e8b\u3060\u3068\u611f\u3058\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>\u3055\u3089\u306b\u3001attending\u3067\u3042\u308bDr. Kattan\u306f\u79c1\u304cECFMG certificate holder(=USMLE STEP1\/2 CK\/2 CS\u3092\u30af\u30ea\u30a2\u6e08)\u3067\u3042\u308b\u3053\u3068\u3001\u7c73\u56fd\u3067residency\u3092\u884c\u304a\u3046\u3068\u8003\u3048\u3066\u3044\u308b\u3053\u3068\u3092\u6c72\u3093\u3067\u304f\u3060\u3055\u308a\u3001\u60a3\u8005\u306e\u30d7\u30ec\u30e9\u30a6\u30f3\u30c9\u304b\u3089\u56de\u8a3a\u306b\u304a\u3051\u308b\u30d7\u30ec\u30bc\u30f3\u30c6\u30fc\u30b7\u30e7\u30f3\u3001\u3055\u3089\u306b\u306f\u51e6\u7f6e\u307e\u3067\u8a31\u53ef\u3092\u3044\u305f\u3060\u304f\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u3002\u52a0\u3048\u3066\u77ed\u6642\u9593\u3067\u306f\u3042\u308a\u307e\u3059\u304c\u65b0\u898f\u306e\u30b3\u30f3\u30b5\u30eb\u30c6\u30fc\u30b7\u30e7\u30f3\u304c\u3042\u308b\u3068\u6700\u521d\u306b\u901a\u77e5\u304c\u6765\u308bPager(\u30dd\u30b1\u30d9\u30eb)\u3082\u6e21\u3057\u3066\u3044\u305f\u3060\u304d\u3001\u5b9f\u306b\u591a\u304f\u306e\u3053\u3068\u3092\u7d4c\u9a13\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002\u3053\u308c\u3089\u306e\u7d4c\u9a13\u306f\u79c1\u306e\u5c06\u6765\u306e\u30ad\u30e3\u30ea\u30a2\u306b\u304a\u3044\u3066\u304b\u3051\u304c\u3048\u306e\u306a\u3044\u3082\u306e\u306b\u306a\u308b\u3068\u78ba\u4fe1\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u4eca\u56de\u306e\u30a8\u30af\u30b9\u30bf\u30fc\u30f3\u30b7\u30c3\u30d7\u3067\u306f\u672c\u5834\u7c73\u56fd\u306eHospitalist\u306e\u8a3a\u7642\u5185\u5bb9\u3092\u6df1\u304f\u77e5\u308b\u3053\u3068\u304c\u3067\u304d\u305f\u3060\u3051\u3067\u306a\u304f\u3001\u79c1\u81ea\u8eab\u306e\u30ad\u30e3\u30ea\u30a2\u306b\u304a\u3044\u3066\u3082\u5927\u304d\u306a\u4e00\u52a9\u3068\u306a\u3063\u305f\u3068\u611f\u3058\u3066\u304a\u308a\u307e\u3059\u3002\u5b66\u3093\u3060\u591a\u304f\u306e\u3053\u3068\u3092\u80f8\u306b\u3001\u3053\u308c\u304b\u3089\u3082\u5c06\u6765\u306b\u5411\u3051\u3066\u6311\u6226\u3057\u7d9a\u3051\u3066\u3044\u304f\u6240\u5b58\u3067\u3059\u3002<\/p>\n<p>\u6700\u5f8c\u306b\u3001\u3053\u306e\u3088\u3046\u306a\u8cb4\u91cd\u306a\u6a5f\u4f1a\u3092\u9802\u304d\u307e\u3057\u305f\u7267\u77f3\u5148\u751f\u3092\u306f\u3058\u3081\u56fd\u969b\u4ea4\u6d41\u59d4\u54e1\u4f1a\u306e\u5148\u751f\u65b9\u3001\u6ede\u5728\u524d\u3060\u3051\u3067\u306a\u304f\u73fe\u5730\u306b\u3066\u591a\u304f\u306e\u30a2\u30c9\u30d0\u30a4\u30b9\u3001\u65e5\u5e38\u306e\u624b\u52a9\u3051\u3092\u9802\u304d\u307e\u3057\u305fDr. 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https:\/\/i0.wp.com\/plaza.umin.ac.jp\/~ACP\/wp-content\/uploads\/2019\/07\/23a2c51cd4a413b688612328a2bb1f5e.jpg?w=1575&amp;ssl=1 1575w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u6771\u4eac\u30d9\u30a4\u30fb\u6d66\u5b89\u5e02\u5ddd\u533b\u7642\u30bb\u30f3\u30bf\u30fc\u3000\u7dcf\u5408\u5185\u79d1\u5c02\u653b\u533b \u5185\u5c71\u3000\u79c0\u5e73 \u3053\u306e\u305f\u3073\u3001\u30a2\u30e1\u30ea\u30ab\u5185\u79d1\u5b66\u4f1a\u65e5\u672c\u652f\u90e8\u56fd\u969b\u4ea4\u6d41\u59d4\u54e1\u4f1a\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306b\u3088\u308a\u3001University of Florida Department of Hospital Medicine\u306b3\u9031\u9593\u306e\u30a8\u30af\u30b9\u30bf\u30fc\u30f3\u30b7\u30c3\u30d7\u306e\u6a5f\u4f1a\u3092\u9802\u304d\u307e\u3057\u305f\u3002\u5b66\u3093\u3060\u3053\u3068\u306f\u3042\u307e\u308a\u306b\u591a\u304f\u3001\u66f8\u304d\u304d\u308c\u306a\u3044\u4e8b\u67c4\u3082\u591a\u3005\u3042\u308a\u307e\u3059\u304c\u3001\u3067\u304d\u308b\u3060\u3051\u8a73\u7d30\u306b\u3054\u5831\u544a\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002 \u306f\u3058\u3081\u306b\u3001\u4eca\u56de\u30ed\u30fc\u30c6\u30fc\u30b7\u30e7\u30f3\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305fDepartment of Hospital Medicine\u3068\u305d\u306e\u5fd7\u671b\u7406\u7531\u306b\u3064\u3044\u3066\u8aac\u660e\u3044\u305f\u3057\u307e\u3059\u3002\u3053\u306e\u8a3a\u7642\u79d1\u306f\u3044\u308f\u3086\u308bHospitalist\u304c\u52e4\u52d9\u3057\u3066\u3044\u308b\u8a3a\u7642\u79d1\u3067\u3042\u308a\u3001\u5165\u9662\u4e2d\u306e\u60a3\u8005\u306e\u3046\u3061\u8907\u6570\u79d1\u306b\u308f\u305f\u308b\u30d7\u30ed\u30d6\u30ec\u30e0\u3092\u6301\u3064\u60a3\u8005\u3092\u4e2d\u5fc3\u306b\u62c5\u5f53\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u4ed6\u79d1(\u4e3b\u306b\u6574\u5f62\u5916\u79d1\u3001\u6ccc\u5c3f\u5668\u79d1\u3001\u7523\u5a66\u4eba\u79d1\u306a\u3069\u306e\u975e\u5185\u79d1\u7cfb\u8a3a\u7642\u79d1)\u304b\u3089\u306e\u5185\u79d1\u7684\u30b3\u30f3\u30b5\u30eb\u30c8\u3082\u5f15\u304d\u53d7\u3051\u3066\u3044\u307e\u3059\u3002\u79c1\u306f\u5c06\u6765\u7c73\u56fd\u306b\u3066Hospital 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service\u3067\u904e\u3054\u3059\u3068\u3044\u3046\u65b9\u6cd5\u3092\u63a1\u3089\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002\u6b63\u78ba\u306b\u306f\u9031\u306e\u4e2d\u76e4\u3067seven days\u306e\u4ea4\u66ff\u304c\u884c\u308f\u308c\u308b\u305f\u3081\u3001\u30d0\u30e9\u30f3\u30b9\u3088\u304f\u3044\u305a\u308c\u30821\u9031\u9593\u534a\u305a\u3064\u6ede\u5728\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3057\u305f\u3002 \u2460Floor \u3053\u3061\u3089\u306f\u5165\u9662\u60a3\u8005\u3092\u62c5\u5f53\u533b\u3068\u3057\u3066\u53d7\u3051\u6301\u3064\u90e8\u9580\u3067\u3059\u3002\u30a2\u30e1\u30ea\u30ab\u3067\u306f\u5e74\u5ea6\u304c\u7d42\u308f\u308a\u304b\u3051\u3066\u3044\u308b\u6642\u671f\u3060\u3063\u305f\u3053\u3068\u3082\u3042\u308a\u3001attending\u306e\u533b\u5e2b\u304c\u4e00\u4eba\u3067\u62c5\u5f53\u3092\u884c\u3063\u3066\u304a\u308a\u3001\u305d\u3061\u3089\u3092\u898b\u5b66\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002 \u5165\u9662\u60a3\u8005\u306e\u75be\u60a3\u306f\u591a\u5c90\u306b\u308f\u305f\u308a\u3001\u5fc3\u4e0d\u5168\u3001\u80ba\u708e\u3001COPD\u6025\u6027\u5897\u60aa\u3001\u8702\u7aa9\u7e54\u708e\u306a\u3069\u306e\u65e5\u672c\u3067\u3082\u6bd4\u8f03\u7684\u3088\u304f\u307f\u3089\u308c\u308b\u75be\u60a3\u304b\u3089\u3001cystic fibrosis\u3001sickle cell disease\u306b\u3088\u308bacute chest syndrome\u3001cocaine-induced 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