{"_buckets": {"deposit": "6f4649a0-6e57-496e-ab29-40cb77c7edbf"}, "_deposit": {"id": "2000301", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2000301"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:02000301", "sets": []}, "author_link": [], "control_number": "2000301", "item_6_date_granted_51": {"attribute_name": "\u5b66\u4f4d\u6388\u4e0e\u5e74\u6708\u65e5", "attribute_value_mlt": [{"subitem_dategranted": "2021-03-23"}]}, "item_6_degree_grantor_49": {"attribute_name": "\u5b66\u4f4d\u6388\u4e0e\u6a5f\u95a2", "attribute_value_mlt": [{"subitem_degreegrantor": [{"subitem_degreegrantor_language": "ja", "subitem_degreegrantor_name": "\u65b0\u6f5f\u5927\u5b66"}, {"subitem_degreegrantor_language": "en", "subitem_degreegrantor_name": "Niigata University"}], "subitem_degreegrantor_identifier": [{"subitem_degreegrantor_identifier_name": "13101", "subitem_degreegrantor_identifier_scheme": "kakenhi"}]}]}, "item_6_degree_name_48": {"attribute_name": "\u5b66\u4f4d\u540d", "attribute_value_mlt": [{"subitem_degreename": "\u535a\u58eb\uff08\u533b\u5b66\uff09", "subitem_degreename_language": "ja"}]}, "item_6_description_4": {"attribute_name": "\u6284\u9332", "attribute_value_mlt": [{"subitem_description": "Objective  The incidence of chronic heart failure (CHF) is likely to keep increasing in Japan as the population ages, placing increased burdens on medical facilities, particularly on the limited numbers of rural hospitals. We explored the appropriateness of CHF treatment in rural areas in Japan. Methods  We compared rates of adherence to therapeutic guidelines for CHF between residents with a left ventricular ejection fraction \u003c35% living in urban areas (n = 207) and those in rural areas (n = 180). Treatments included pharmacological [beta-blockers, angiotensin-converting enzyme inhibitors (ACEi)/angiotensin II receptor blocker (ARB), mineralocorticoid receptor antagonist (MRA) and anticoagulants for atrial fibrillation] and non-pharmacological [implantable cardioverter defibrillator (ICD)/cardiac resynchronization therapy (CRT), cardiac rehabilitation and HF education] approaches. Patients  This study included 387 patients with CHF, prior myocardial infarction or cardiomyopathy, and a left ventricular ejection fraction (LVEF) \u003c35% as determined by echocardiography. Results  The respective rates of treatments administered in urban and rural areas were as follows: beta-blockers, 91.3% vs. 61.7% (p\u003c0.05); ACEi/ARB, 86.5% vs. 68.3% (p\u003c0.05); MRA, 74.4% vs. 59.4% (p\u003c0.01); anticoagulants, 100% vs. 86.5%, (p\u003c0.05); ICD/CRT, 45.4% vs. 5.0% (p\u003c0.05); cardiac rehabilitation, 32.4% vs. 13.3% (p\u003c0.05) and HF education, 33.3% vs. 32.8% (p=0.75). Conclusion  Regional disparities in treatment for CHF persist, even in Japan. Improvements in the use of guideline-directed treatment in rural areas might improve the outcomes for CHF patients.", "subitem_description_language": "en", "subitem_description_type": "Abstract"}]}, "item_6_description_5": {"attribute_name": "\u5185\u5bb9\u8a18\u8ff0", "attribute_value_mlt": [{"subitem_description": "Internal Medicine. 2021, 60(4), 525-532.", "subitem_description_language": "en", "subitem_description_type": "Other"}]}, "item_6_description_53": {"attribute_name": "\u5b66\u4f4d\u8a18\u756a\u53f7", "attribute_value_mlt": [{"subitem_description": "\u65b0\u5927\u9662\u535a(\u533b)\u7b2c996\u53f7", "subitem_description_language": "ja", "subitem_description_type": "Other"}]}, "item_6_dissertation_number_52": {"attribute_name": "\u5b66\u4f4d\u6388\u4e0e\u756a\u53f7", "attribute_value_mlt": [{"subitem_dissertationnumber": "\u7532\u7b2c4842\u53f7"}]}, "item_6_relation_14": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.2169/internalmedicine.4660-20", "subitem_relation_type_select": "DOI"}}]}, "item_6_rights_15": {"attribute_name": "\u6a29\u5229", "attribute_value_mlt": [{"subitem_rights": "\u3010\u25cb!C\u3011 2021 The Japanese Society of Internal Medicine", "subitem_rights_language": "en"}, {"subitem_rights": "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International", "subitem_rights_language": "en", "subitem_rights_resource": "https://creativecommons.org/licenses/by-nc-nd/4.0/"}]}, "item_access_right": {"attribute_name": "\u30a2\u30af\u30bb\u30b9\u6a29", "attribute_value_mlt": [{"subitem_access_right": "open access", "subitem_access_right_uri": "http://purl.org/coar/access_right/c_abf2"}]}, "item_creator": {"attribute_name": "\u8457\u8005", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Matsuo, Yuji", "creatorNameLang": "en"}, {"creatorName": "\u677e\u5c3e, \u4f51\u6cbb", "creatorNameLang": "ja"}]}]}, "item_files": {"attribute_name": "\u30d5\u30a1\u30a4\u30eb\u60c5\u5831", "attribute_type": "file", "attribute_value_mlt": [{"date": [{"dateType": "Available", "dateValue": "2022-04-04"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "r2nmk996.pdf", "filesize": [{"value": "549KB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": "549KB", "url": {"label": "\u672c\u6587", "objectType": "fulltext", "url": "https://niigata-u.repo.nii.ac.jp/record/2000301/files/r2nmk996.pdf"}, "version_id": "1ad54490-4d13-4305-8fa9-a85bf74ef7f4"}, {"date": [{"dateType": "Available", "dateValue": "2022-04-04"}], "displaytype": "detail", "download_preview_message": "", "file_order": 1, "filename": "r2nmk996_a.pdf", "filesize": [{"value": "545KB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": "545KB", "url": {"label": "\u8981\u65e8", "objectType": "abstract", "url": "https://niigata-u.repo.nii.ac.jp/record/2000301/files/r2nmk996_a.pdf"}, "version_id": "a3d73ae4-54d4-4502-b182-c42cbbb9dc9b"}]}, "item_keyword": {"attribute_name": "\u30ad\u30fc\u30ef\u30fc\u30c9", "attribute_value_mlt": [{"subitem_subject": "heart failure", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "regional disparity", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "guidelines", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "\u8a00\u8a9e", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "\u8cc7\u6e90\u30bf\u30a4\u30d7", "attribute_value_mlt": [{"resourcetype": "doctoral thesis", "resourceuri": "http://purl.org/coar/resource_type/c_db06"}]}, "item_title": "Regional Disparities in Adherence to Guidelines for the Treatment of Chronic Heart Failure", "item_titles": {"attribute_name": "\u30bf\u30a4\u30c8\u30eb", "attribute_value_mlt": [{"subitem_title": "Regional Disparities in Adherence to Guidelines for the Treatment of Chronic Heart Failure", "subitem_title_language": "en"}, {"subitem_title": "\u6162\u6027\u5fc3\u4e0d\u5168\u306e\u6cbb\u7642\u306e\u305f\u3081\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u9075\u5b88\u306b\u304a\u3051\u308b\u5730\u57df\u683c\u5dee", "subitem_title_language": "ja"}]}, "item_type_id": "6", "owner": "1", "path": ["453/455", "471/561/562"], "permalink_uri": "http://hdl.handle.net/10191/0002000301", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2022-04-04"}, "publish_date": "2022-04-04", "publish_status": "0", "recid": "2000301", "relation": {}, "relation_version_is_last": true, "title": ["Regional Disparities in Adherence to Guidelines for the Treatment of Chronic Heart Failure"], "weko_shared_id": -1}