馬塲 美年子 (ババ ミネコ)

Baba, Mineko

写真a

所属(所属キャンパス)

医学部 総合医科学研究センター (信濃町)

職名

助教

外部リンク

学歴 【 表示 / 非表示

  • 1984年04月
    -
    1989年03月

    慶應義塾, 法学部, 法律学科

    卒業

  • 1994年04月
    -
    1996年03月

    慶應義塾, 医学部

    大学院, 修了, 修士

学位 【 表示 / 非表示

  • 修士(医科学), 慶應義塾, 課程, 1996年03月

  • 博士(医学), 滋賀医科大学, 論文, 2019年03月

 

研究分野 【 表示 / 非表示

  • 法医学

  • 医療社会学

 

著書 【 表示 / 非表示

  • 交通外傷

    一杉正仁, 西山慶 他, 名古屋大学出版会, 2020年06月,  ページ数: 259

    担当範囲: 交通安全に関わる法律,  担当ページ: 16-30

  • 脳卒中後の自動車運転再開の手引き

    武原格, 一杉正仁 他, 縊死役出版株式会社, 2017年10月

  • 健康起因事故の医学と法律

    馬塲 美年子, 医学と看護社, 2016年11月

  • 医療文書 書き方マニュアル

    馬塲 美年子, メジカルビュー社, 2015年08月

    担当範囲: 医療文書と訴訟

論文 【 表示 / 非表示

  • Factors influencing the long-term hospitalization of bicyclists and motorcyclists with oral and maxillofacial injuries

    Hirobe Y., Koshinuma S., Nakamura M., Baba M., Yamamoto G., Hitosugi M.

    Dental Traumatology (Dental Traumatology)  37 ( 2 ) 234 - 239 2021年04月

    ISSN  16004469

     概要を見る

    Background/Aim: Because bicyclists and motorcyclists with oral and maxillofacial injuries often suffer from disabilities requiring long-term treatment, reducing the severity of such injuries is a valuable objective for improving these people's quality of life (QOL). The aims of this study were, first, to present the prevalence and patterns of oral and maxillofacial injuries of bicyclists and motorcyclists and to compare the features of these injuries and, second, to determine the factors contributing to long-term hospitalization for these patients and to propose effective preventive measures. Material and Methods: This was a single-center retrospective analysis. Hospital records from 2011 through 2018 were reviewed for all patients who had sustained oral and maxillofacial injuries in bicycle or motorcycle collisions and had presented at a university hospital which was the only hospital in the region attended 24 hours per day by oral and maxillofacial surgeons. Characteristics of the oral and maxillofacial injuries, injury severity, and factors influencing the length of hospitalization were examined. Results: Records of 130 patients (82 bicyclists and 48 motorcyclists) with a mean age of 28.0 years were analyzed. Thirty-three patients (25.4%) had maxillofacial fractures, with 41 fracture lines while 103 patients (79.2%) had dental injuries and 57 patients (43.8%) had soft-tissue injuries. The distribution and prevalence of oral and maxillofacial injuries were similar for bicyclists and motorcyclists. However, motorcyclists had significantly higher Abbreviated Injury Scale (AIS) scores for facial injuries and the maximum AIS score than did bicyclists. According to a multiple regression analysis, the number of fracture lines and the requirement for intermaxillary fixation were independent factors influencing long-term hospitalization (standard regression coefficients: 6.795 and 6.715, respectively; P <.001). Conclusions: The number of fracture lines and the use of intermaxillary fixation were independent factors influencing long-term hospitalization of both bicyclists and motorcyclists with oral and maxillofacial injuries.

  • Factors influencing pregnant women’s injuries and fetal loss due to motor vehicle collisions: A national crash data-based study

    Hattori S., Hitosugi M., Moriguchi S., Baba M., Takaso M., Nakamura M., Tsujimura S., Miyata Y.

    Healthcare (Switzerland) (Healthcare (Switzerland))  9 ( 3 )  2021年03月

     概要を見る

    To examine the factors that influence substantial injuries for pregnant women and negative fetal outcomes in motor vehicle collisions (MVCs), a retrospective analysis using the National Automotive Sampling System/Crashworthiness Data System was performed in Shiga University of Medical Science. We analyzed data from 736 pregnant women who, between 2001 and 2015, had injuries that were an abbreviated injury scale (AIS) score of one or more. The mean age was 25.9 ± 6.4 years and the mean gestational age was 26.2 ± 8.2 weeks. Additionally, 568 pregnant women had mild injuries and 168 had moderate to severe injuries. Logistic regression analysis revealed that seatbelt use (odds ratio (OR), 0.30), airbag deployment (OR, 2.00), and changes in velocity (21–40 km/h: OR, 3.03; 41–60 km/h: OR, 13.47; ≥61 km/h: OR, 44.56) were identified as independent predictors of having a moderate to severe injury. The positive and negative outcome groups included 231 and 12 pregnant women, respectively. Injury severity in pregnant women was identified as an independent predictor of a negative outcome (OR, 2.79). Avoiding moderate to severe maternal injuries is a high priority for saving the fetus, and education on appropriate seatbelt use and limiting vehicle speed for pregnant women is required.

  • Aging is only significant factor causing CPR-induced injuries and serious injuries

    Moriguchi S., Hamanaka K., Nakamura M., Takaso M., Baba M., Hitosugi M.

    Legal Medicine (Legal Medicine)  48 2021年02月

    ISSN  13446223

     概要を見る

    Background: Cardiopulmonary resuscitation (CPR) sometime cause severe injuries and can affect quality of life, lead to long-term disabilities or death of the patient. The aim of this study is to identify the risk factors causing CPR-induced injuries and those of serious injuries. Methods: This was a retrospective forensic autopsy study in a single institution. Among 885 forensic autopsies undertaken between 2011 and 2018, those in which the victim had undergone CPR immediately after cardiac arrest were recorded. ‘Serious injuries’ were defined as an Abbreviated Injury Scale (AIS) score ≥ 3. CPR-induced injuries were evaluated by three experienced forensic pathologists. With the background and history of the patient, the circumstances of cardiac arrest and risks of causing CPR-induced injuries were determined by multivariate analyses. Results: Seventy-five victims comprised the study cohort. CPR-induced injuries were found in 52 victims (69.3%). Rib fracture was the most common (60.0%), followed by sternal fracture (37.3%), heart injury (21.3%) and liver injury (8.0%). Multivariate analysis revealed higher age to be an independent factor causing CPR-induced injuries (odds ratio [OR], 1.07, P < 0.001). Thirty-six victims had 39 serious injuries in the chest or abdomen: fracture of ≥ 3 ribs (35 cases), aortic dissection (two), lung contusion (one) and rupture of the heart (one). Multivariate analysis revealed higher age to be an independent factor causing CPR-induced serious injuries (OR, 1.09; P < 0.001). Conclusion: Aging was the significant factor causing CPR-induced injuries and serious injuries.

  • 糖尿病による低血糖に起因した自動車事故についての刑事責任

    馬塲美年子

    日本医事新報 5047   28 - 34 2021年01月

    研究論文(学術雑誌), 単著, 査読有り

  • Factors influencing vehicle passenger fatality have changed over 10 years: a nationwide hospital-based study

    Ishii W., Hitosugi M., Takeda A., Baba M., Iizuka R.

    Scientific Reports (Scientific Reports)  10 ( 1 )  2020年12月

     概要を見る

    © 2020, The Author(s). Traffic injury trends have changed with safety developments. To establish effective preventive measures against traffic fatalities, the factors influencing fatalities must be understood. The present study evaluated data from a national medical database to determine the changes in these factors over time, as this has not been previously investigated. This observational study retrospectively analysed data from the Japanese Trauma Data Bank. Vehicle passengers involved in collisions from 2004–2008 and 2016–2017 were included. Data were compared between the two study periods, and between fatal and non-fatal patients within each period. Multivariate logistic regression analyses were performed to determine the factors influencing fatalities. In 2016–2017, patients were older and had lower fatality rates. In 2004–2008, fatalities were more likely to involve older male front-seat passengers with low d-BP, BT, and GCS values, and high AIS of the neck and abdomen. However, in 2016–2017, fatalities were more likely to involve older males with low GCS, high AIS of the abdomen, and positive focused assessment with sonography for trauma results. Our study identified independent factors influencing vehicle passenger fatalities, which will likely continue to evolve with the aging of the population and changing manners of injury.

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総説・解説等 【 表示 / 非表示

  • Tightening legal restrictions for drivers with epilepsy in Japan

    Baba M., Hitosugi M.

    Acta Neurologica Scandinavica (Acta Neurologica Scandinavica)  143 ( 6 ) 673 - 674 2021年

    ISSN  00016314

     概要を見る

    Epilepsy is a highly prevalent condition around the world, and many countries impose restrictions on drivers with epilepsy. After toughening the law in Japan, the number of refused driving license applications for patients with epilepsy increased markedly. However, the number of collisions caused by drivers with epilepsy did not decrease.

  • 【認知症を取り巻く問題】認知症患者の自動車運転

    馬塲 美年子

    日本老年医学会雑誌 53 ( 3 ) 216 - 221 2016年07月

    総説・解説(学術雑誌)

  • タクシー運転者の健康管理と事業者の責任について 【2】事業者に課せられる法的責任について

    馬塲 美年子,一杉 正仁, 相磯 貞和

    労働科学 (労働科学研究所)  89 ( 1 ) 18 - 22 2013年02月

    総説・解説(学術雑誌)

  • タクシー運転者の健康管理と事業者の責任について 【1】健康起因事故を予防するために

    馬塲 美年子,一杉 正仁, 大久保 堯夫

    労働科学 (労働科学研究所)  89 ( 1 ) 12 - 17 2013年02月

    総説・解説(学術雑誌)

研究発表 【 表示 / 非表示

  • 高齢運転者の事故における責任と予防対策について

    馬塲美年子

    第15回交通科学シンポジウム, 2021年03月, シンポジウム・ワークショップ パネル(指名)

  • Common Disease/Symptomに起因した健康起因事故の法的責任と予防策について-

    馬塲美年子

    第56回日本交通科学学会総会・学術講演会, 2020年11月, シンポジウム・ワークショップ パネル(指名)

  • 疾病管理に係る事業者の社会的責任

    馬塲美年子

    第56回日本交通科学学会総会・学術講演会, 2020年11月, シンポジウム・ワークショップ パネル(指名)

  • 健康起因事故の医学と法律

    馬塲美年子

    第23回日本臨床脳神経外科学会, 2020年11月, 口頭(招待・特別), 日本臨床脳神経外科学会

  • 疾患起因性事故における運転者の社会的責任 -眼科領域の疾患・症状-

    馬塲美年子

    第14回交通科学シンポジウム, 2019年03月, シンポジウム・ワークショップ パネル(指名)

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Works 【 表示 / 非表示

受賞 【 表示 / 非表示

  • 優秀論文賞

    2016年06月, 日本交通科学学会, タクシー運転者の健康管理と体調変化に関する意識調査

    受賞区分: 国内学会・会議・シンポジウム等の賞

  • 感謝状

    2007年10月, 警視庁

    受賞区分: その他の賞

  • 感謝状

    2007年02月, 警視庁

    受賞区分: その他の賞

 

社会活動 【 表示 / 非表示

  • 法医学CGプロジェクトセンター

     

委員歴 【 表示 / 非表示

  • 2020年
    -
    継続中

    倫理委員会委員, 日本交通科学学会

  • 2015年06月
    -
    継続中

    理事, 日本交通科学学会

  • 2013年
    -
    継続中

    倫理委員会 外部委員, 日本医学英語教育学会

  • 2010年
    -
    継続中

    受託研究審査委員会 外部委員, 国立研究開発法人国立国際医療研究センター 国府台病院

  • 2008年07月
    -
    継続中

    理事, 法医学CGプロジェクトセンター