2009.07.23 Thursday
ÆüËÜÎóÅç¤Ë¾ÚÌÀ°åÎŤ¬ÄêÃ夷¤Ê¤¤¤ï¤±
ÀèÆü¡¢ç¹´â¤ò´µ¤Ã¤Æ¤¤¤ëµÁÍý¤ÎÊì¤Îɾõ¤Èº£¸å¤Î°åÎŷײè¤Ë´Ø¤·¤ÆôÅö°å»Õ¤ÈÏ䷹礤¤ò¤·¤¿¡£¤½¤Î°å»Õ¤Ï¼ðáçÆâ²Ê¤È¾Î¤·¤Æ¤¤¤¿¤¬¡¢¡Ö¡´ï´â¤Ë¹³¤¬¤óºÞ¤Ï͸ú¤Ê¼£ÎŤȤÏǧ¼±¤·¤Æ¤¤¤Þ¤»¤ó¡×¤È»ýÏÀ¡ÊÀõÇö¤Ç¤Ï¤¢¤ë¤¬LEEÀèÀ¸¤Ï¤¸¤á´ö¤Ä¤«¤ÎÏÀʸ¤ä¾ðÊó¤Ë¤è¤ê³Ø½¬¤·¤¿·ë²Ì¡Ë¤ò½Ò¤Ù¤¿¤È¤³¤í¡¢Èà¤Îɽ¾ð¤ÏÌÀ¤é¤«¤ËÉÔµ¡·ù¤½¤¦¤ËÊѤï¤ê¤Þ¤·¤¿¡£¤½¤ì¤Ç¤âµÁÊì¤ÎÉÔÍפʱäÌ¿Á¼Ã֤ϵñÈݤ¹¤ë¤È¤¤¤¦Ë¾¤ß¤ò¤«¤Ê¤¨¤ë¤Ù¤¯¡¢·×²è¤ò¹ç°Õ¤Ç¤¤Þ¤·¤¿¡£´û¤ËµÁÊì¤ÎÂÎÎϤä¾õÂÖ¤ò¹Í¤¨¤ë¤È¡¢Èब¹Í¤¨¤ë͸ú¤ÊÌôºÞ¤ÎÎ̤òÅêÍ¿¤Ç¤¤Ê¤¤¤È¤¤¤¦¤³¤È¤Ç¡¢·ë²Ì¤È¤·¤ÆÀѶ˼£ÎŤò¤·¤Ê¤¤¤È¤¤¤¦¶¦Ä̤ηëÏÀ¤ò¤ß¤¿¤È¤¤¤¦¤³¤È¤Ç¤¹¡£
¤Ò¤µ¤·¤Ö¤ê¤ËLEEÀèÀ¸¤Îblog¥¨¥ó¥È¥ê¡¼¤ò»²¾È¤·¤Þ¤¹¡£
¤³¤³
¤³¤ÎblogÉÑÈˤ˵»ö¤½¤Î¤â¤Î¤¬¹¹¿·¤µ¤ì¤ë¤Î¤Ç¡¢Ç°¤Î¤¿¤áËÁƬÉôʬ¤ò¾¡¼ê¤Ë°úÍѤ·¤Æ¤ª¤¤Þ¤¹¡£
2005ǯ¡¢±Ñ¹ñ¤ÎĶ°ìήÆâ²Ê»ï¤Ë¡ÖÆüËܤξÚÌÀ°åΚסÊEvidence-based medicine in¡¡Japan¡Ë¤È¤¤¤¦µ»ö*¤¬·ÇºÜ¤µ¤ì¤¿¡£²¿¸Î¡¢ÆüËܤ˾ÚÌÀ°åÎŤ¬ÄêÃ夷¤Ê¤¤¤Î¤«¤È¤¤¤¦ÆâÍƤǡ¢¡ÆüËܤΰå»Õ¤Ï¡¢¥Ç¡¼¥¿¤è¤ê·Ð¸³¤ò½Å»ë¤¹¤ë¡£¢°å¶É¹½Â¤¡¢ÀèÇÚ°å»Õ¤Ø¤Î½¾Â°¤òµó¤²¤Æ¤¤¤¿¡£
¡¡Ëͤ˸À¤ï¤»¤ì¤Ð¡¢Â¾¤Ë¤â¼¡¤ÎÍýͳ¤¬µó¤²¤é¤ì¤ë¡££¤Û¤È¤ó¤É¤ÎÆüËÜ¿Í°å»Õ¤Ï¡¢²¤ÊƤΰìή°å³Ø»ï¡Ê±Ñ¸ì¡Ë¤òÆɤޤʤ¤¡¦Æɤá¤Ê¤¤¡Ê»ä»ö¤À¤¬¡¢°å»Õ°ìǯÌܤ˹ñÆâ»ï¤ÇñÙ¤µ¤ì¤Æ°ÊÍè¡¢ÆüËܸ컨»ï¤ÏÆɤޤʤ¤¡Ë¡£¤¹ñÆâ³Ø²ñ¡Ê4ή°Ê²¼¡Ë¤ä¹ñºÝ³Ø²ñ¡Ê3ή¡Ë¡¢¤Þ¤¿À½Ìô²ñ¼Ò¼çºÅ¤Î¸¦µæ²ñ¤Ë½ÐÀʤ·¤Æ¡¢ÊÙ¶¯¤·¤¿µ¤¤Ë¤Ê¤ê¡¢½êÁ§¼ª³ØÌä¤Ç¤¢¤ë¤³¤È¡¢¤½¤·¤ÆÀöǾ¤µ¤ì¤Æ¤¤¤ë¤³¤È¤Ëµ¤¤Å¤«¤Ê¤¤¡£¥°åÎŶȳ¦¤ÎÈ˱ɤòÌÜŪ¤È¤·¤¿¡¢¸¢°Ò¼Ô¡¢À½Ìô²ñ¼Ò¡¢¤½¤·¤Æ¹ÔÀ¯¤Î¾ðÊóÁàºî¤ò¸«È´¤±¤Ê¤¤¥Þ¥¹¥á¥Ç¥£¥¢¡£§¥Ë¥»°å³Ø¡Ê´ÁÊýÌô¤Ê¤É¡Ë¤È²Ê³ØŪ¥Ç¡¼¥¿¤Ë΢ÉÕ¤±¤é¤ì¤¿°åÎŤò¶èÊ̤Ǥ¤Ê¤¤°å¼Ô¤È´µ¼Ô¡£¤½¤·¤Æ¨Êݸ±°åÎÅÀ©ÅÙ¡¢ÌµÂ̤ʸ¡ºº¤ä¼£ÎŤò¹Ô¤ï¤Ê¤¤¤ÈÌÙ¤«¤é¤Ê¤¤»ÅÁȤߡ£¡¡¡¡Ž¥Ž¥Ž¥Ž¥¡Ê°Ê²¼¾Êά¡Ë
¤¤¤è¤¤¤èÁíÁªµó¤Ç¤¹¤¬¡¢°åÎŤä²ð¸î¤ËÅö¤Æ¤ëͽ»»¤¬¾¯¤Ê¤¤¤È¤ÎµÄÏÀ¤â¤¢¤ë¤è¤¦¤Ç¤¹¤¬¡¢¤½¤â¤½¤â¸½ºß»È¤ï¤ì¤Æ¤¤¤ë°åÎÅÈñ¤ÎÃæ¿È¤ò¸«Ä¾¤¹É¬Íפ¬¤¢¤ë¤Î¤À¤í¤¦¤È¹Í¤¨¤Þ¤¹¤¬¤¤¤«¤¬¤Ç¤·¤ç¤¦¤«¡£
À¸¤±ä¤Ó¤ë¤³¤È¤¬¹ṉ̃¤Î¸¢Íø¤À¤È¤·¤¿¤é¡¢¤½¤Î¤¿¤á¤Ë¿ÈÂΤΤ³¤Èɵ¤¤Î¤³¤È¼£ÎŤΤ³¤È¸¡ºº¤Î¤³¤ÈŽ¥Ž¥Ž¥¹ṉ̃¡Ê¼«Ê¬¤ò´Þ¤á¤Æ¡Ë¤Ï¤â¤¦¾¯¤·³Ø¤ó¤ÀÊý¤¬Îɤ¤¤«¤â¤·¤ì¤Þ¤»¤ó¡£¤½¤¦¤¹¤ë¤³¤È¤Ë¤è¤Ã¤Æ¤è¤ê¸úΨ¤ÎÎɤ¤Í½»»¼¹¹Ô¤¬²Äǽ¤È¹Í¤¨¤Þ¤¹¡£
¡Ö°åÎÅÈñ¤¬¾¯¤Ê¤¤¤È¤«¡¢Áý¤ä¤¹¤È¤«¡×¡Öºâ¸»¤ò³ÎÊݤ¹¤ë¤È¤«Ž¥Ž¥Ž¥¡×¤È¤¤¤¦À¯ºö¤Î΢¤¬ÁÛÁü¤Ç¤¤Þ¤¹¡£»×¤¤²á¤´¤·¤À¤È¤·¤Æ¤â¡¢¤³¤ì¤«¤é¿ô½½Ç¯¤Ï¿Í¸ý¤â¸º¤êÀǼý¤âÂ礤¯Áý¤¨¤ë¤³¤È¤¬´üÂԤǤ¤Ê¤¤¤È»×¤¦¤Î¤Ç¤¹¡£¤Þ¤¿¤³¤ì¤«¤é¤ÎÆó½½Ç¯´Ö¤Î¿ä·×¤Ë¤è¤ë¤ÈÌÀ¼£´ü¤Î¥ì¥Ù¥ë¤Þ¤Ç·ã¸º¤¹¤ë¤³¤È¤òͽÁÛ¤·¤Æ¤¤¤ë¿Í¸ý¿ä·×¤â¤¢¤ë¤è¤¦¤Ç¤¹¡£¤½¤¦¤Ê¤ë¤È°åÎŻٽФâ·ã¸º¤¹¤ë¤Ï¤º¤Ç¤¹¡£
À¸¤±ä¤Ó¤ë¤³¤È¤¬¹ṉ̃¤Î¸¢Íø¤À¤È¤·¤¿¤é¡¢¤½¤Î¤¿¤á¤Ë¿ÈÂΤΤ³¤Èɵ¤¤Î¤³¤È¼£ÎŤΤ³¤È¸¡ºº¤Î¤³¤ÈŽ¥Ž¥Ž¥¹ṉ̃¡Ê¼«Ê¬¤ò´Þ¤á¤Æ¡Ë¤Ï¤â¤¦¾¯¤·³Ø¤ó¤ÀÊý¤¬Îɤ¤¤«¤â¤·¤ì¤Þ¤»¤ó¡£¤½¤¦¤¹¤ë¤³¤È¤Ë¤è¤Ã¤Æ¤è¤ê¸úΨ¤ÎÎɤ¤Í½»»¼¹¹Ô¤¬²Äǽ¤È¹Í¤¨¤Þ¤¹¡£
¡Ö°åÎÅÈñ¤¬¾¯¤Ê¤¤¤È¤«¡¢Áý¤ä¤¹¤È¤«¡×¡Öºâ¸»¤ò³ÎÊݤ¹¤ë¤È¤«Ž¥Ž¥Ž¥¡×¤È¤¤¤¦À¯ºö¤Î΢¤¬ÁÛÁü¤Ç¤¤Þ¤¹¡£»×¤¤²á¤´¤·¤À¤È¤·¤Æ¤â¡¢¤³¤ì¤«¤é¿ô½½Ç¯¤Ï¿Í¸ý¤â¸º¤êÀǼý¤âÂ礤¯Áý¤¨¤ë¤³¤È¤¬´üÂԤǤ¤Ê¤¤¤È»×¤¦¤Î¤Ç¤¹¡£¤Þ¤¿¤³¤ì¤«¤é¤ÎÆó½½Ç¯´Ö¤Î¿ä·×¤Ë¤è¤ë¤ÈÌÀ¼£´ü¤Î¥ì¥Ù¥ë¤Þ¤Ç·ã¸º¤¹¤ë¤³¤È¤òͽÁÛ¤·¤Æ¤¤¤ë¿Í¸ý¿ä·×¤â¤¢¤ë¤è¤¦¤Ç¤¹¡£¤½¤¦¤Ê¤ë¤È°åÎŻٽФâ·ã¸º¤¹¤ë¤Ï¤º¤Ç¤¹¡£