春日 義史 (カスガ ヨシフミ)

Kasuga, Yoshifumi

写真a

所属(所属キャンパス)

医学部 産婦人科学教室 (信濃町)

職名

助教(有期)

経歴 【 表示 / 非表示

  • 2007年04月
    -
    2009年03月

    慶應義塾大学病院, 初期臨床研修医

  • 2009年04月
    -
    2010年03月

    慶應義塾大学医学部, 産婦人科

  • 2010年04月
    -
    2011年03月

    川崎市立川崎病院, 産婦人科

  • 2011年04月
    -
    2012年03月

    平塚市民病院, 産婦人科

  • 2012年04月
    -
    2017年03月

    慶應義塾大学医学部, 産婦人科

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学歴 【 表示 / 非表示

  • 2001年04月
    -
    2007年03月

    日本大学, 医学部, 医学科

    大学, 卒業

  • 2013年04月
    -
    2017年03月

    慶應義塾

    大学院, 卒業, 博士

学位 【 表示 / 非表示

  • 博士(医学), 慶應義塾, 論文, 2017年03月

    Association of common polymorphisms with gestational diabetes mellitus in Japanese women: A case-control study

免許・資格 【 表示 / 非表示

  • 医師免許, 2007年

  • 日本産科婦人科学会産婦人科専門医, 2012年10月

  • 日本周産期・新生児医学会新生児蘇生法インスタラクターコース, 2013年06月

  • 母体保護法指定医, 2017年10月

  • 日本超音波医学会超音波専門医, 2017年10月

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論文 【 表示 / 非表示

  • Changes in bone metabolic profile associated with pregnancy or lactation

    Miyamoto T., Miyakoshi K., Sato Y., Kasuga Y., Ikenoue S., Miyamoto K., Nishiwaki Y., Tanaka M., Nakamura M., Matsumoto M.

    Scientific Reports (Scientific Reports)  9 ( 1 ) 6787 2019年12月

     概要を見る

    © 2019, The Author(s). Calcium and nutrients are transferred from mothers to fetuses or infants during pregnancy or lactation, respectively, promoting metabolic changes in the mother, many uncharacterized. To evaluate these changes, we undertook two parallel studies. In one we analyzed fourteen clinical cases of vertebral fragility fractures, at or before three months after partum, in mothers who breastfed their infants. In the other, we enrolled 79 additional pregnant subjects, some who chose to breastfeed and others who did not, and analyzed changes in bone metabolic status starting between 34 and 36 weeks of gestation and ending one month after partum. In the larger group, bone-resorbing and bone-forming parameters such as serum TRACP5b and osteocalcin, respectively, significantly increased after partum. Among parameters that changed after partum, serum PTH and the bone-resorbing markers serum TRACP5b and urine NTX were significantly higher in mothers who only breastfed infants compared to mothers who fed infants formula or a mix of both. However, bone-forming parameters were comparable between breastfeeding and non-breast-feeding groups after partum, suggesting that elevated bone-resorption occurs only in the breastfeeding group. Radiographic analysis after partum demonstrated that no subject among the 79 analyzed showed vertebral fractures, even those who breastfed exclusively. Among fracture cases analyzed, subjects exhibited significantly lower bone mineral density than did non-fracture cases in breastfeeding-only subjects. We conclude that bone metabolic status significantly changes over the period between pregnancy and post-partum lactation, and that low bone mineral density seen in a small subset of breastfeeding-only cases likely causes post-partum vertebral fragility fractures.

  • Ultrasound Findings of Varices at the Site of Uterovaginal Anastomosis in a Pregnant Woman After Radical Trachelectomy.

    Kasuga Y, Miyakoshi K, Tanaka M

    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2019年05月

    ISSN  0278-4297

  • Twelve-year experience of office-setting removal of lost intrauterine devices in place for more than 10 years

    Kasuga Y., Lin B., Maki J., Wang H., Yoshimura T., Nagai Y., Nakada S.

    European Journal of Contraception and Reproductive Health Care (European Journal of Contraception and Reproductive Health Care)  24 ( 3 ) 206 - 208 2019年05月

    ISSN  13625187

     概要を見る

    © 2019, © 2019 The European Society of Contraception and Reproductive Health. Objective: We investigated the effectiveness of removing lost intrauterine devices (IUDs) that had been in place for over 10 years, using Lin's biopsy grasper in an office setting. Methods:This single-centre, retrospective study conducted between March 2006 and June 2018 included 49 women who had had an IUD in place for contraception for more than 10 years and who underwent removal of the lost IUD using Lin's biopsy grasper under transabdominal sonography without use of a tenaculum, anaesthesia and analgesia, after dilation of the cervical os and hysteroscopy. Results: The women's median age was 52 years (range 34–80 years) and the median duration of insertion was 17 years (range 10–43 years). Forty-eight (98%) women had their lost IUD removed using Lin's biopsy grasper. Among the removed IUDs, there were eight FD-1 IUDs with a string, 13 FD-1 IUDs without a string, 13 Chinese IUDs, seven Ota ring IUDs, three KS ring IUDs, two Saf-T-Coil IUDs, two Lippe loop IUDs and one Wing IUD. All women tolerated the procedure and there were no major operative complications. Conclusions: Lin's biopsy grasper was effective in removing IUDs that had been in place for a long time.

  • Clinical and genetic characteristics of abnormal glucose tolerance in Japanese women in the first year after gestational diabetes mellitus

    Kasuga Y., Miyakoshi K., Tajima A., Saisho Y., Ikenoue S., Ochiai D., Matsumoto T., Arata N., Hata K., Tanaka M.

    Journal of Diabetes Investigation (Journal of Diabetes Investigation)  10 ( 3 ) 817 - 826 2019年05月

    ISSN  20401116

     概要を見る

    © 2018 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd Aims/Introduction: Risk factors of type 2 diabetes mellitus in Japanese women with recent gestational diabetes mellitus are unknown. The objective of the present study was to investigate the clinical and genetic characteristics associated with postpartum abnormal glucose tolerance in Japanese women with gestational diabetes mellitus. Materials and Methods: A total of 213 Japanese women with recent gestational diabetes mellitus who underwent a postpartum 2-h oral glucose tolerance test were investigated. The association between antepartum clinical characteristics and postpartum abnormal glucose tolerance (diabetes or prediabetes based on the Japan Diabetes Society criteria) was examined. Frequencies of 45 known type 2 diabetes mellitus-associated genetic variants were also compared between women with and without postpartum abnormal glucose tolerance. Results: A total of 59 women showed postpartum abnormal glucose tolerance (prediabetes, n = 51; diabetes, n = 8). Plasma glucose levels at 1 or 2 h, the insulinogenic index and the insulin secretion-sensitivity index-2 of the antepartum oral glucose tolerance test were independent of postpartum abnormal glucose tolerance risk factors (P = 0.006, P = 0.00002, P = 0.01 and P = 0.006, respectively). Four genetic variants (rs266729 [ADIPOQ], rs6017317 [HNF4A], rs5215 [KCNJ11] and rs7177055 [HMG20A]) showed a nominally significant association with postpartum abnormal glucose tolerance (P < 0.05, respectively). Among these, three were related to insulin secretion. Postpartum abnormal glucose tolerance risk significantly increased with increasing risk-allele number (P = 0.0005; odds ratio 1.91). Conclusions: Clinical features and genetic variants related to impaired insulin secretion are risk factors of postpartum abnormal glucose tolerance in Japanese women with recent gestational diabetes mellitus.

  • Glycemic and metabolic features in gestational diabetes: singleton versus twin pregnancies.

    Akiba Y, Miyakoshi K, Ikenoue S, Saisho Y, Kasuga Y, Ochiai D, Matsumoto T, Tanaka M

    Endocrine journal 2019年04月

    ISSN  0918-8959

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受賞 【 表示 / 非表示

  • 71st JSOG Congeress Encouragement Award

    2019年04月, 日本産科婦人科学会

    受賞区分: 国内学会・会議・シンポジウム等の賞

  • 奨励賞

    2016年05月, 日本超音波医学会

    受賞区分: 国内学会・会議・シンポジウム等の賞

  • International Session Encouragement Award

    2016年04月, 日本産科婦人科学会

    受賞区分: 国内学会・会議・シンポジウム等の賞

  • 学部長賞

    2007年03月, 日本大学医学部

    受賞区分: その他の賞