Profile of Nagoya University Hospital 2013-2014

Declaration Regarding Patients’ Rights and Responsibilities
RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR
We, the personnel of Nagoya University Hospital, will respect the wishes of our patients and their families and provide the best
possible medical care. Patients have the following rights:
1. To receive safe, high-quality, state-of-the-art medical care.
2. To have your individuality respected and receive medical care with dignity, in any situation.
3. To be fully informed about your illness and prognosis.
4. To be fully informed of all the names of your medical staff (including intern doctors and students) and their roles in your care.
5. To expect a comprehensive explanation about your medical care plan, and either consent to or refuse the proposal.
6. To tell your physician or the hospital what kind of treatment you want to receive.
7. To delegate judgment to your family member or another person by designating you when you cannot express yourwishes/opinion for some reason. You do not necessarily have to obey your family member or designated person’s decision.

8. To freely select another doctor or hospital and seek other opinions regarding the diagnosis and treatment of your illness.
9. To access your medical records through a designated procedure.
10. To be assured that we will not disclose your personal information to a third party without your permission.
11. To participate in a clinical trial based on your personal decision. Also, you can refuse a proposal to participate in a clinical trial.
12. To tell our staff if you have a problem or complaint about your treatment or care during hospitalization. If you cannot directly
tell about the problem or complaint yourself, you can have your family or a person designated by you do so. You will not be
subjected to any disadvantage by doing so.

RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR
We ask for your full cooperation so as to provide you with the best possible medical care. Based on this principle, we would like tomake the following requests.
1. Tell us honestly what you know about your current illness.
2. Tell us if you do not understand what we, the staff, tell you. Also, tell us if you feel you cannot follow our treatment instructions.
3. Refrain from behavior that would disturb others or violate other patients’ rights.
4. Follow instructions/rules during your hospitalization.
5. We ask for your cooperate in our bedside teaching program so that we can achieve our role as a primary education hospital.

01Profile of Nagoya University Hospital 2013-2014

Message From the Director

ISHIGURO, Naoki

M.D., Director, Nagoya University Hospital

02

Nagoya University Hospital was founded as a temporary public hospital in 1871 on the site of a law court of Nagoya Han, a feudal
domain. After having served as a public hospital, it became Nagoya Imperial University Hospital in 1939 and made a new start as
Nagoya University Hospital in 1949 under the nation's new education system, before obtaining the status of an incorporated entity in2004 like all other national universities. As a result, the temporary hospital that was established 140 years ago transformed into the
National University Corporation Nagoya University Hospital. The understanding and support received from many people have enabled
us to grow during this period.
In 2009, we decided that our mission is “to contribute to society through clinical care, education and research”. All these activities need“human power and creativity”. Therefore, in order to achieve the missions of Nagoya University Hospital, we will focus on “humanresource training”. More precisely, we have established the following goals: provide safe and secure medical care, conduct state-of-theart care, study and develop new medical technologies, and support community medicine through personnel exchange. Through these
activities, we aim to train a variety of human resources who will contribute to medical care in Japan and ensure that our hospital continues to support the local community and the entire country, while remaining a hospital that is relied upon by local people.
The functions of Nagoya University Hospital have rapidly improved in recent years. We have expanded the operating rooms and ICUs,
and improved hardware including state-of-the-art medical facilities and equipment such as surgical robots and devices for intensitymodulated radiation therapies. These sophisticated medical facilities play an important role not only in providing medical care but also
in human resource training. In addition, we have reinforced the system of maintaining medical quality and safety by employing specialized professors at the Department for Medical Quality and Security Management. The enhancement of medical safety education is
crucial to ensure that medical staff positively embrace safety and take thorough safety measures. Regarding research, Nagoya University
Hospital has been elected as a base for conducting translational research which ranges from developing seed technologies to preclinicalstudies, as well as a clinical trial core base to support activities ranging from human clinical research to practical application. Namely,
Nagoya University Hospital is able to develop state-of-the-art medical technologies that extend from developing seed technologies toclinical application. These elements constitute the firmware necessary for hospital management. In addition, the most important
software aspect is human resources. Although the development of next-generation medical technologies is an important task that
determines the fate of our nation, the lack of human resources in this field has remained unaddressed for a long time. We hope topromote the training of next-generation staff in charge of clinical research who can use the abovementioned hardware and firmware toresearch and develop new medical technologies. This is a key mission of university hospitals.
Medical care is always provided by humans. Therefore, human resources are a true asset and resource. Going forward, we will increasingly focus on human resources development. Good medical personnel can only be trained in a good environment, so we are striving tocontribute to the community as a center of medical education and medical care in central Japan and to strengthen the system for
publicizing information worldwide. It is our mission to meticulously train competent and committed personnel working at our hospitalin a working environment which provides safe, secure and high-quality medical services. In this increasingly harsh environment for
medicine, the medical and safety levels expected by society are constantly rising. We recognize this as a sign of trust, and will meet thisexpectation by achieving our mission as members of Nagoya University Hospital.
This brochure describes Nagoya University Hospital as it is today. We would greatly appreciate your continued support.

Gastroenterological Surgery １ ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 17

Declaration Regarding Patients’ Rights and Responsibilities ・・・・・・・・・・・・・・・・ 01

Gastroenterological Surgery ２

Message From the Director
・・・・・・・・・・・・・・・・・・・ 02
ISHIGURO, Naoki M.D., Director, Nagoya University Hospital・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 17

Breast and Endocrine Surgery ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 18
Orthopedic Surgery

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 18

Obstetrics and Gynecology ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 19
Ophthalmology

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 19

Psychiatry ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 20

Part.1 History and Organization
1-1 History

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 06

1-2 Organization Chart of University Hospital ・・・・・・・・・・・・・・・・ 07
1-3 Organization Chart of Administration Office ・・・・・・・・・・・・ 08
1-4 University Hospital Executives, Number of Staffs ・・・・・・・ 09

2-1 Department of Quality and Patient Safety ・・・・・・・・・・・・・・・・・・・・・・ 12

Gastroenterology and Hepatology ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 14
Respirology ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 14
Endocrinology and Diabetes ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 15
Nephrology ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 15
Vascular Surgery ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 16
Transplantation Surgery ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 16

Depa

Cent

Cent

Depa

Depa

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 21

CentUrology ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 21

Depa

Otorhinolaryngology ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 22

Depa

Radiology ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 22

StrokAnesthesiology

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 23

ContOral and Maxillofacial Surgery ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 23

Medi

Neurosurgery

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 24

Cente

Geriatrics

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 24

Com

Neurology

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 25

ClinicThoracic Surgery ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 25

Trans・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 26

Plastic and Reconstructive Surgery ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 26
Pediatric Surgery

2-4 Depa

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 27

Depa

General Medicine ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 27

Depa

Rheumatology ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 28

Adm

Child and Adolescent Psychiatry ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 29

Part.3 F

Hematology ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 13
Cardiology ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 13

Emer

Dermatology

Hand Surgery ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 28

2-2 Clinical Departments ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 13

Surgi

Pediatrics ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 20

Cardiac Surgery

Part.2 Information on Departments / Facilities, etc.

Depa

Contents

Idea/Basic Decision

2-3 Central Clinical Facilities, etc. ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 30

3-1 Site

Department of Clinical Laboratory ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 30
Department of Surgical Center ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 30

3-2 Floo

Central Block of Radiology

3-3 Ward

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 31

Department of Medical Supplies ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 31

3-4 Outp

Department of Blood Transfusion Service ・・・・・・・・・・・・・・・・・・・・・・ 32
Department of Pathology and Laboratory Medicine ・・・・・・・・・・・ 32

03

Department of Emergency and Critical Care Medicine ・・・・・・・・ 33

3-5 Central Consultation Building ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 50

・・・・・・・・・・・・・・・・ 17

Surgical Intensive Care Unit

・・・・・・・・・・・・・・・・ 18

Emergency and Medical Intensive Care Unit ・・・・・・・・・・・・・・・・・・ 34

3-6 Daiko District Site Map ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 52

・・・・・・・・・・・・・・・・ 18

Department of Blood Purification ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 34

・・・・・・・・・・・・・・・・ 19Center for Maternal - Neonatal Care ・・・・・・・・・・・・・・・・・・・・・・・・・・ 35

・・・・・・・・・・・・・・・・ 17Contents

・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 33

・・・・・・・・・・・・・・・・ 19Center of National University Hospital for Infection Control ・・・ 35

・・・・・・・・・・・・・・・・ 20

Department of Endoscopy ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 36

・・・・・・・・・・・・・・・・ 20

Department of Rehabilitation ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 36

・・・・・・・・・・・・・・・・ 21Center for Advanced Medicine and Clinical Research ・・・・・・・・・ 37

・・・・・・・・・・・・・・・・ 21

Department of Clinical Oncology and Chemotherapy ・・・・・・・・・ 37

・・・・・・・・・・・・・・・・ 22

Department of Clinical Engineering ・・・・・・・・・・・・・・・・・・・・・・・・・・・ 38

・・・・・・・・・・・・・・・・ 22

Stroke Care Managing Center ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 38

・・・・・・・・・・・・・・・・ 23

Continence Information Center ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 39

・・・・・・・・・・・・・・・・ 23

Medical IT Center ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 39

・・・・・・・・・・・・・・・・ 24Center for Postgraduate Clinical Training and Career Development ・・・ 40

・・・・・・・・・・・・・・・・ 24

Community Liaison Center ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 40

・・・・・・・・・・・・・・・・ 25

Clinical Nutrition ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 41

・・・・・・・・・・・・・・・・ 25

Transplant Coordination Service ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 41

・・・・・・・・・・・・・・・・ 26

・・・・・・・・・・・・・・・・ 26

・・・・・・・・・・・・・・・・ 27

・・・・・・・・・・・・・・・・ 27

・・・・・・・・・・・・・・・・ 28

・・・・・・・・・・・・・・・・ 28

2-4 Department of Hospital Pharmacy ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 42
Department of Nursing ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 42
Department of Medical Technique ・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 43
Administration Office ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 43

・・・・・・・・・・・・・・・・ 29

Part.3 Facilities and Access・・・・・・・・・・・・・・・・ 30

・・・・・・・・・・・・・・・・ 30

3-1 Site Map in Tsurumai District ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 46

・・・・・・・・・・・・・・・・ 30

3-2 Floor Guide Map ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 47

・・・・・・・・・・・・・・・・ 31

3-3 Ward Building ・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・ 48

・・・・・・・・・・・・・・・・ 31

・・・・・・・・・・・・・・・・ 32

ine ・・・・・・・・・・・ 32

04

3-4 Outpatient Building and Amenities ・・・・・・・・・・・・・・・・・・・・・・ 49■ Access

Part.1
History and Organization

1-1 H i s t o r y

06

1-2 O r g a n i z a t i o n C h a r t o f U n i v e r s i t y H o s p i t a l

07

1-3 O r g a n i z a t i o n C h a r t o f A d m i n i s t r a t i o n O f f i c e

08

1-4 University Hospital Executives, Number of Staffs

09

1-1

Month / Year
May 1871

History

April 1872
May 1873

Event
A temporary public hospital (closed in February 1872) was established at theformer site of the Nagoya Clan’s judicial council (currently 1, Marunouchi
3-chome, Naka-ku), and a temporary medical school was established at aformer town hall (abolished in August 1872).
Managed as a charity hospital based on donations, accompanying the abolition of the clan (closed in February 1873).
Managed as a temporary hospital with prefectural citizens’ donations (at the
separate temple of Nishi Honganji Temple; currently 1, Monzencho, Naka-ku)

November 1873 A medical training site was established (at the separate temple of Nishi Honganji Temple).

January 1875 The name was changed to Aichi Prefecture Hospital.
April 1876
The name was changed to Public Medical Training Site and Public Hospital.
June 1876

July 1877

The name was changed to Public Medical Center.

The Center was relocated to Tenosaki-cho (currently 17 and 18, Sakae
1-chome, Naka-ku) (hospital opening ceremony on July 1).

April 1878

The name was changed to Public Medical School

Month / Year
April 1961

School of Medicine-Affiliated Health Laboratory Technician School was established.

April 1962

School of Medicine-Affiliated Cancer Research Facility was established (reorganized in April 1983).

April 1965

July 1903

The name Aichi Medical School was changed to Aichi Prefectural Medical School.
Aichi Prefectural Medical School was newly started as Aichi Prefectural Medical Professional
School.

March 1914

A new building was built in Tsuruma-cho, Naka-ku (currently Showa-ku) andthe school was relocated.

July 1920

July 1922
June 1924
May 1931
April 1939

Promoted to Aichi Medical University status.

The name of Aichi Hospital was changed to Aichi Medical University Hospital.
The name was changed to Aichi Medical University Affiliated Hospital.
The jurisdiction was transferred; the names were respectively changed to Nagoya
Medical University and Nagoya Medical University Affiliated Hospital.
Nagoya Imperial University School of Medicine was started, and the name ofthe hospital was changed to Nagoya Imperial University School of MedicineAffiliated Hospital.

May 1939

Nagoya Imperial University Provisional Affiliated Medical Division was established.

February 1943

Nagoya Imperial University Aviation Medicine Research Institute was established (abolished in
January 1946).

April 1944

July 1944

The name was changed to Nagoya Imperial University Affiliated Medical Division.

A separate hospital of Nagoya Imperial University School of Medicine-AffiliatedHospital was established (integrated to the main Hospital in May 1996).

April 1946

Nagoya Imperial University Environmental Medicine Research Institute was established.

October 1947 The names were respectively changed to Nagoya University School of Medicine and Nagoya University School of Medicine-Affiliated Hospital.
October 1947

Part.1

May 1949

Hist or y andO rg aniz ation

06

The name was changed to Nagoya University Affiliated Medical Division (abolished in March 1948).

New Nagoya University was started. The names were respectively
changed and Nagoya University School of Medicine and Nagoya University Hospital were started.

April 1951

School of Medicine-Affiliated Nursing School was established (abolished in March 1980).

July 1955

School of Medicine-Affiliated X-ray Technician School was established.

April 1959

School of Medicine-Affiliated Midwife School was established (abolished in March 1981).

April 1959

School of Medicine-Affiliated Axenic Animal Research Facility was established (reorganized in April 1983).

School of Medicine-Affiliated Medical Fungus Research Facility was established (reorganized in April
1983).

April 1966

Honors courses were set up at the School of MedicineAffiliated X-ray Technician School.

April 1969

The name was changed to the School of MedicineAffiliated Radiological Technician School (abolished in
March 1982).

April 1972

The name was changed to the School of MedicineAffiliated Clinical Laboratory Technician School (abolishedin March 1981).

October 1977

Nagoya University Medical Technology Junior College wasestablished (reorganized in October 1997).

April 1983

School of Medicine-Affiliated Pathological Control Research Facility was established(reorganized in April 2003).

March 1986

October 1881 The name was changed to Aichi Medical School and Aichi Hospital.
August 1901

Event

The School of Medicine-Affiliated Experimental Animals Facility was established (reorganized in
May 2004).

May 1996

The separate hospital of the Nagoya University School of MedicineAffiliated Hospital was integrated.
December 1996 Clinic “Nagoya University Daiko Medical Center” was established (closed
in March 2011).
October 1997 Nagoya University School of Health Sciences was established.
April 2000

Prioritization of the Nagoya University Graduate School of Medicine was completed.

April 2001

Medical Science Program, Master’s Course, Graduate School of Medicine was established.

April 2001

The School of Medicine-Affiliated Pathological Control Research Institute and the School of
Medicine-Affiliated Experimental Animals Facility were placed under the Graduate School of
Medicine.

April 2002

Nursing Science Program of Master’s Course ; Medical Technology Program of Master’s Course;
and Rehabilitation Therapy Program of Master’s Course were established at the Graduate
School of Medicine.

April 2003

The Center for Neurological Diseases and Cancer, Affiliated with the Graduate School of Medicine was established.

April 2003

Medical Administration Course, Medical Science Program, Master’s Course was established at
the Graduate School of Medicine.

April 2004

Nursing Science Program Master’s Course; Medical Technology Program Master’s Course, andRehabilitation Therapy Program Master’s Course at the Graduate School of Medicine wereplaced under Doctoral Course (first-stage course / second-stage course).

May 2004

The Graduate School of Medicine-Affiliated Medical
Education Research Support Center was established.

July 2005

The School of Medicine-Affiliated General Medicine
Education Center was established.

June 2010

The School of Medicine-Affiliated Center for
Advanced Medicine and Clinical Research wasestablished.

October 2011 Brain and Mind Research Center was established.
April 2012

Curriculum of School of Medicine School of Health
Sciences shifted to the department system.

April 2013

Nagoya University Clinical Simulation Center (NU-CSC) was established at the Graduate Schoolof Medicine.

As of April 1, 2013

Director
Deputy Director(Deputy Department)

1 Hematology○

Director(Medical Office Manager・Ward Manager)

1 Department of Clinical Laboratory○

Director(Deputy Department)

2 Cardiology○

Director(Medical Office Manager・Ward Manager)

2 Department of Surgical Center○

Director(Deputy Department)

3 Gastroenterology and Hepatology○

Director(Medical Office Manager・Ward Manager)

3 Central Block of Radiology○

Director(Deputy Department)

4 Respirology○

Director(Medical Office Manager・Ward Manager)

4 Department of Medical Supplies○

Director(Deputy Department)

5 Endocrinology and Diabetes○

Director(Medical Office Manager・Ward Manager)

5 Department of Blood Transfusion Service Director○(Deputy Department)

6 Nephrology○

Director(Medical Office Manager・Ward Manager)

6 Department of Pathology and Laboratory Medicine Director○(Deputy Department)

7 Vascular Surgery○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

7 Department of Emergency and Critical Care Medicine Director○(Deputy Department)

8 Transplantation Surgery○

Director

8 Surgical Intensive Care Unit○

(Deputy Department)

9 Gastroenterological Surgery 2○

Director

10 Breast and Endocrine Surgery○

Director

11 Gastroenterological Surgery 1○

Director

12 Orthopedic Surgery○

Director

13 Rheumatology○

Director

14 Hand Surgery○

Director

15 Obstetrics and Gynecology○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

16 Ophthalmology○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

17 Psychiatry○

Director

18 Child and Adolescent Psychiatry○

Director

19 Pediatrics○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

20 Dermatology○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

21 Urology○

Director

22 Otorhinolaryngology○

Director

23 Radiology
○

(GRM)

(Department Member)(Outpatient Department Manager)(Medical Office Manager・Ward Manager・Outpatient Department Manager)(Medical Office Manager・Ward Manager・Outpatient Department Manager)(Medical Office Manager・Ward Manager・Outpatient Department Manager)(Department Staff)

Ce n t r a l Clin ica l F acilit ie s, etc.

Clin ica l D e p a r t me n t s

Department of Quality and Patient Safety Director

Director

9 Emergency and Medical Intensive Care Unit Director○(Deputy Department)

10 Department of Blood Purification○

Director(Deputy Department)

11 Center for Maternal - Neonatal Care○

Director(Deputy Chief of the Center)

12 Center of National University Hospital for Infection Control Director○(Team Leader)(Deputy Department)

13 Department of Endoscopy○

Director(Deputy Department)

14 Department of Rehabilitation○

Director(Deputy Department)

15 Center for Advanced Medicine and Clinical Research Director○(Team Leader)(Department Member)(Deputy Chief of the Center)

16 Department of Clinical Oncology and Chemotherapy Director○(Deputy Department)

17 Department of Clinical Engineering○

Director(Deputy Department)

18 Stroke Care Managing Center○

Director(Deputy Department)

19 Continence Information Center○

Director(Deputy Department)

20 Medical IT Center○

Director(Deputy Chief of the Center)(Medical Office Manager・Ward Manager・Outpatient Department Manager)

21 Center for Postgraduate Clinical Training and Career Development Director○(Deputy Chief of the Center)(Medical Office Manager・Ward Manager・Outpatient Department Manager)

22 Community Liaison Center○

Director(Deputy Chief of the Center)

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

23 Clinical Nutrition○

Director(Deputy Department)

24 Anesthesiology○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

24 Transplant Coordination Service○

Manager(Deputy manager)

25 Oral and Maxillofacial Surgery○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

26 Neurosurgery○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

27 Geriatrics○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

Department of Hospital Pharmacy

Director(Deputy Manager for the Department of Hospital Pharmacy)

28 Neurology○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

Department of Nursing

Director(Deputy Manager for the Department of Nursing) ( Chief Nurse ) (Deputy Chief Nurse )29 Thoracic Surgery○

Director(Medical Office Manager)

Department of Medical Technique

Director(Deputy Manager for the Department of Medical Technique)

30 Cardiac Surgery○

Director(Medical Office Manager)

Administration OfficeDirector〈See also 08 page〉

31 Plastic and Reconstructive Surgery○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

32 Pediatric Surgery○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)

33 General Medicine○

Director(Medical Office Manager・Ward Manager・Outpatient Department Manager)(Medical Office Manager・Ward Manager・Outpatient Department Manager)(Ward Manager・Outpatient Department Manager)

Organization Chart of
University Hospital

Vice-Director

1-2(Chief )(Chief )(Pharmacist)(Nurse)(Department Member)

Part.1
Hi s tor y an dOrgan i zati on

07

1-3

As of April 1, 2013

General Affairs Section
Vice-Director,General Affairs Division

General Affairs Division

Organization Chart ofAdministration OfficeVice-Director,General Affairs Division
Director, General Affairs and Planning Division

Director, General Affairs DivisionVice-Director,General Affairs Division
Director, Risk Management Division

Personnel Affairs and Labor Group, General Affairs DivisionVice-Drector, Parsonnel Affairs and Labor Group, General Affairs Division
Director, Safety and Sanitation Management Division

Supervisor of Personnel Affairs and Labor

School Administration Section
Hospital Administration Section
Clinical Training Section
Planning Section
Risk Management Section
Personnel Affairs and Labor Section I
Personnel Affairs and Labor Section II
Personnel Affairs and Labor Section III
Safety and Health Control Section
Specialist
Student Affairs Section

Student Affairs Division

Graduate School Section

Director, Student Affairs DivisionInternational Exchange and Foreign Students Section
Specialist
Specialist
Management and Planning Section

Management Planning Division
Director, Management Planning DivisionVice-Director, Management Planning Division

Specialist
Management Analysis Section

Vice Administrative Director

Administrative Director

Vice-Director, Management Planning Division
Director, Research Support Division

Research Cooperation Section
Clinical Trial Promotion Section
Advanced Medicine Support Section
Accounting Section

Accounting DivisionVice-Director, Accounting Division

Director, Accounting Division

Supplies Section
Medical Equipment Section
Specialist
Facilities Management Section
Specialist

Facilities Management Group, Accounting Division

Building and Repairs Section

Supervisor of Facilities Management

Electricity Section
Machinery Section
Medical Affairs Section
Specialist

Medical Affairs DivisionVice-Director, Medical Affairs Division

Director, Medical Affairs Division

Medical Care Payment Section
Medical Affairs and Accounting Section
Cashier's Section
Medical Record Control Section
Medical Support Section

Medical Services Support Division

Specialist

Director, Medical Services Support Division

Patient Service Section
Community Liaison Section

General Administration Division, Daiko Campus

Part.1
Hist or y andO rg aniz ation

Administration Section

Director, General Administration Division, Daiko Campus

Student Academic Affairs Section
Treasury Section

Nagoya University Medical Library
Librarian

Information Management Section
Information Service Section
Health Science Information Section(Daiko Campus)

08University Hospital Executives
As of July 1, 2013

Prof.

ISHIGURO, Naoki

Deputy Director, University Hospital Prof.

MUROHARA, Toyoaki

Prof.

UEMURA, Kazumasa(Education and Research Council Member)
Vice-Director, University Hospital

Prof.

GOTOH, Momokazu

Prof.

YAMADA, Kiyofumi

Prof.

HASEGAWA, Yoshinori

Director of Medical Techniques

YONEDA, Kazuo

Prof.

NISHIWAKI, Kimitoshi

Prof.

NAGAO, Yoshimasa

Director of Nursing

MIURA, Masako

Administrative Director

SHIOZAKI, Eiji

※Chiefs of clinical departments, etc. (as of August 1, 2013), refer to Page 12 and thereafter.

Number of Staffs
As of May 1, 2013

Classification
Educational Staff

Medical Technical Staff

Administrative Staff

University Hospital Executives,
Number of Staffs

Director, University Hospital

1-4

Number of Staff Members
Professor

35

Associate Professor

39

Lecturer

52

Assistant Professor

77

Clinical Professor

3

Clinical Associate Professor

2

Clinical Lecturer

23

Clinical Assistant Professor

97

Subtotal

328

Medical Technician

262

Nurse, Assistant Nurse

1,043

Administrative Staff

140
Total

1,773

(Including assistant nurses)

Part.1
Hi s tor y an dOrgan i zati on

09

Part.2
Information on Departments / Facilities, etc.

2-1

12

Department of Quality and Patient Safety

2-2Clinical Departments

Hematology
Cardiology
Gastroenterology and Hepatology
Respirology
Endocrinology and Diabetes
Nephrology
Vascular Surgery
Transplantation Surgery
Gastroenterological Surgery １
Gastroenterological Surgery ２
Breast and Endocrine Surgery
Orthopedic Surgery
Obstetrics and Gynecology
Ophthalmology
Psychiatry
Pediatrics
Dermatology

Urology
Otorhinolaryngology
Radiology
Anesthesiology
Oral and Maxillofacial Surgery
Neurosurgery
Geriatrics
Neurology
Thoracic Surgery
Cardiac Surgery
Plastic and Reconstructive Surgery
Pediatric Surgery
General Medicine
Rheumatology
Hand Surgery
Child and Adolescent Psychiatry

13

2-3

Central Clinical Facilities, etc.

Department of Clinical Laboratory
Department of Surgical Center
Central Block of Radiology
Department of Medical Supplies
Department of Blood Transfusion Service
Department of Pathology and Laboratory Medicine
Department of Emergency and Critical Care Medicine
Surgical Intensive Care Unit
Emergency and Medical Intensive Care Unit
Department of Blood Purification
Center for Maternal - Neonatal Care
Center of National University Hospital for Infection Control
Department of Endoscopy

2-4
Department of Hospital Pharmacy
Department of Nursing
Department of Medical Technique
Administration Officeda Vinci Surgical System

30

Department of Rehabilitation
Center for Advanced Medicine and Clinical Research
Department of Clinical Oncology and Chemotherapy
Department of Clinical Engineering
Stroke Care Managing Center
Continence Information Center
Medical IT Center
Center for Postgraduate Clinical Training and Career
Development
Community Liaison Center
Clinical Nutrition
Transplant Coordination Service

42

2-1

Department of Quality and Patient Safety
Director NAGAO, Yoshimasa (Professor)"No advanced medicine without safe medicine"
Nagoya University Hospital practices the highest-level advanced medicine in Japan.
However, medical practice by its nature is uncertain and risky. We make every effort
to minimize these risks and to ensure patient safety.

Objectives
1. Promptly detect various adverse events related to medical practice and make a collective effort
to treat patients and save lives.
2. Research and analyze accident and incident reporting and provide patients with accurate information. Provide training for the staff and improve the operating system to prevent the recurrence of accidents and incidents.
3. Aiming to provide the best possible medical services by objectively measuring the quality of care.
Seek the better medical system using improvement science methods.

Operation System
The department consists of a total of 11 members: one professor, one doctor, two nurses, one
lawyer and six staff members, in addition to about 120 quality and safety managers in all departments of the hospital. All these people work together for patient safety.

Scope of Medical Services
To provide patients with safe, high-quality medical services, we do the following:
1. Establish a hospital-wide system to deal with any matters arising during medical practice.
2. Gather and analyze incident reporting from all the departments and improve medical quality.
3. Give guidance on third-party objective research into adverse events and on measures to identify
the causes and prevent recurrence.
4. Compile safety manuals for practice and equipment in the hospital, guides to standards andother necessary literature, and facilitate coordination between departments.
5. Provide training to the hospital staff and students to foster safety-conscious medical professionals and create a safety culture.

‒Ensure that patients can receive satisfying carewith a sense of security‒

Part.2
Information on
Departments /Facilities, etc.

12

Hematology
Director KIYOI, Hitoshi (Associate Professor)

Cardiology
3W・12EWe provide the best medical care for blood diseases requiring high expertise as wellas promote the development of new diagnostic and therapeutic techniques.

Medical Care System
Our department has four dispensaries, 35 beds for inpatients(of which 10 are bioclean beds), and 10 to 15 staff always on
duty to provide expert medical care. Every effort is made to
develop new diagnostic and therapeutic techniques and to
conduct high-quality clinical research to establish evidence
based medicine (EBM).

Target Diseases
We provide medical care to patients with hematological disorders including malignant diseases,
such as leukemia, lymphoma, multiple myeloma, myelodysplastic syndromes (MDS), and hemorrhagic diseases such as hemophilia and Von Willebrand's disease.

Strong Fields
In the therapeutic field of hematopoietic malignancies, we provide the best possible treatment
based on informed consent consisting mainly of standard chemotherapies. In addition, we are
actively involved in clinical studies and the development of new therapies such as moleculartargeting therapies, and the development of new hematopoietic stem cell transplantation
processes.

Clinical Results
We aim to provide medical care of the highest quality, safety and satisfaction. We accept morethan 50 new patients with hematopoietic tumors, perform more than 20 hematopoietic stem celltransplantations, and provide medical care to more than 400 patients with congenital hemorrhagic
diseases per year.

Specialized Outpatient Clinic
We provide medical care at the "specialized outpatient hemophilia clinic," which is responsible forcomprehensive medical care for patients with hemorrhagic disease such as hemophilia and Von
Willebrand's disease, at "long-term follow-up program" for transplant patients after they leave thehospital, and at "outpatient transplant donor clinic" for follow-up of hematopoietic stem celltransplant donors.

Advanced Medicine and Research
Our department is involved in basic research on
topics such as maintenance and disorder of thehematopoietic system and in the development of awide range of advanced clinical techniques including
molecular targeting therapies, clinical application oftransplantation and regenerative medicine, andcontrol of thrombosis.

12W

From bench to bedside to prevent life-style related cardiovasculardiseases by advanced medicine such as therapeutic angiogenesis
We provide medical care to patients with ischemic heart disease (angina pectoris andmyocardial infarction), arrhythmia, valvular heart disease, cardiomyopathy, andpulmonary hypertension and various vascular diseases such as peripheral arterial
disease. Also, we provide medical care to treat life-style related disease such as
hypertension and hyperlipidemia, which may cause heart disease. We are also
involved in the prevention and management of cardiovascular disease including
medical care provided in the smoking cessation outpatient clinic.

Medical Care System
Our department presents outpatient clinic in examination rooms No. 11, 12, 13, 17, and 18 on the
2nd floor of the outpatient clinic (and in the smoking cessation outpatient clinic). Since our hospital
has introduced an appointment system in the outpatient clinic, you can make an appointment for
the first visit by having your medical institution fax an application form for treatment to our hospital.

2-2
Clinical Departments

Challenge intractable blood diseases with advanced clinical techniques

Director MUROHARA, Toyoaki (Professor)

Target Disease
Ischemic heart disease (angina pectoris and myocardial infarction), arrhythmia, valvular heartdisease, cardiomyopathy, pulmonary hypertension, and various vascular diseases such as peripheral arterial disease. Medical care to treat life-style related disease such as hypertension andhyperlipidemia, which may cause heart disease, as well as the prevention and management ofcardiovascular disease including medical care provided in the smoking cessation outpatient clinic.
Refractory peripheral arterial disease (arteriosclerosis obliterans and Buerger's disease), refractoryischemic heart disease, etc.

Strong Fields
We perform coronary angioplasty for ischemic heart disease (angina pectoris and myocardial
infarction) and drug therapy and non-drug therapy for arrhythmia. We also perform diagnosis of
diseases such as valvular heart disease, cardiomyopathy, pulmonary hypertension, and peripheralarterial disease. In addition, we perform revascularization therapy, which is an advanced medicine
beneficial for patients who are difficult to treat by conventional methods, including patients withrefractory peripheral arterial disease (arteriosclerosis obliterans and Buerger's disease).

Clinical Results
Annually, we perform heart catheterization in about 800 patients, coronary angioplasty(catheterization) in about 200 patients, acute treatment in about 50 patients with acute myocardial
infarction, and catheter ablation treatment for arrhythmia in about 300 patients.

Specialized Outpatient Clinic
Specialists in the fields such as ischemic heart disease, arrhythmia, heart failure, and smoking
cessation provide medical care in the outpatient clinic. For
patients with an implanted pacemaker, we provide medicalcare in the "outpatient pacemaker clinic" where mechanicalconditions of the pacemaker are checked regularly.

Advanced Medicine and Research
We have achievements in basic and clinical research in thefield of regenerative medicine, especially in vascular regenerative medicine. We actually perform revascularization
therapy in clinical settings. Also, we perform advanced catheter ablation treatment for complicated arrhythmia.

13

2-2

Gastroenterology and Hepatology
Director GOTO, Hidemi (Professor)

Respirology
11E・12E

Clinical Departments

We proud to offer innovative prevention, diagnosis and treatment ofdigestive diseases. Our state-of-the-art technology enables early detection of gastrointestinal, liver, pancreas cancer and improves the life
We provide the highest quality patient care for a wide spectrum of diseases for the esophagus, stomach, small intestine, colon, rectum, liver, gallbladder, pancreas, and biliary tract.

In the outpatient clinic, specialists of the gastrointestinal tract, biliary tract, pancreas, and liver
provide medical care every day. Also, we perform screening tests such as upper and lower endoscopy and abdominal ultrasound every day. In the inpatient department, specialists provide medical care to inpatients as the attending physician.

Target Disease

We provide medical care for a wide range of pulmonary and pleural diseases including lung cancer, bronchial asthma, pneumonia, and respiratory failure.

With 11 full-time doctors (academic personnel) including Professor Yoshinori Hasegawa (Director)
and eight part-time doctors, we provide medical care in the outpatient clinic every day in three
examination rooms (one room in the outpatient clinic for new patients and two rooms for specialized respiratory outpatient clinic). Number of beds: 42. Respiratory endoscopy (bronchoscopy):
twice a week.

Target Disease

Benign diseases (e.g. reflux esophagitis, gastric ulcer, inflammatory bowel disease) and malignant
diseases such as cancer of the gastrointestinal tract (esophagus, stomach, small intestine, andlarge intestine), acute / chronic hepatitis, liver cirrhosis, liver cancer, benign disease (bile duct /gallbladder stone and acute / chronic pancreatitis) and malignant disease such as cancer of thebiliary tract and pancreas.

Strong Fields

Multimodality therapy for lung cancer (comprehensive treatment in cooperation with Thoracic
Surgery, Radiology, and Department of Clinical Oncology and Chemotherapy), endoscopic diagnosis of the respiratory system, diagnosis and treatment of diffuse pulmonary disease, treatment ofchronic obstructive pulmonary disease, and diagnosis and treatment of pulmonary infection.

Clinical Results

Specialized Outpatient Clinic
Since two gastrointestinal tract specialists, two liver
specialists, and one biliary tract and pancreas specialist
provide medical care in the outpatient clinic every day, allpatients will be examined by a specialist wherever they
visit the clinic.

14

We accept patients with various conditions and have made extensive
clinical achievements

Thoracic malignant tumor (e.g. lung cancer, pleural mesothelioma), bronchial asthma, chronic
obstructive pulmonary disease (COPD), diffuse pulmonary disease (e.g. interstitial pneumonia,
sarcoidosis), pulmonary infection (e.g. pneumonia, pulmonary tuberculosis, pulmonary mycosis),
acute and chronic respiratory failure, etc.

We provide medical care to more than 200 patients with inflammatory disease a year. We perform
endoscopic therapy in 250 or more patients with early gastrointestinal cancer a year; capsuleendoscopy in 300 or more patients a year and small intestinal endoscopy in 200 or more patients a
year; interferon therapy in dozens of patients a year; and,perform diagnosis and treatment of biliary / pancreaticcancer in 30 or more patients a year.

Information on
Departments /Facilities, etc.

11W

Medical Care System
Medical Care System

We are actively involved in early detection and endoscopic therapy of gastrointestinal cancer.
Also, we are confident in performing capsule endoscopy for small-bowel disease, diagnostic treatment using small intestinal endoscope, diagnostic treatment of viral hepatitis and liver cancer,
ultrasonography for the biliary tract and pancreatic disease, and diagnostic treatment using endoscopes.

Part.2

Director HASEGAWA, Yoshinori (Professor)

Advanced Medicine and Research
We conduct research on the diagnosis and treatment ofearly gastrointestinal cancer, polypectomy and balloon
dilation using small intestinal endoscope, and immunotherapy for pancreatic cancer.

Strong Fields

Clinical Results
Clinical results for fiscal year 2012: 796 new inpatients; 16,778 outpatients; 331 patients who
underwent bronchoscopy.

Specialized Outpatient Clinic
Every day, we provide medical care in three examination rooms of the specialized outpatient respiratory
clinic (one examination room in the outpatient respiratory clinic for new patients). We provide medical carein the smoking cessation outpatient clinic (once a
week; in cooperation with Cardiology and Departmentof General Medicine).

Advanced Medicine and Research
A multicenter clinical study of chemotherapy for lungcancer, genetic testing related to adverse reactions
due to anticancer drugs, diagnosis of and pathologicalresearch on various respiratory diseases using
inhalation-induced sputum, endoscopic ultrasoundunder bronchoscopy, and argon plasma coagulationfor endotracheal malignant tumors.

Endocrinology and Diabetes
Director OISO, Yutaka (Professor)

Nephrology
12W

Director MATSUO, Seiichi (Professor)

10E

Professional diagnosis and treatment of diabetes and endocrine
diseaseWe provide medical care for all diseases related to the kidney with thelatest therapies

We are energetically involved in the diagnosis and treatment of diabetes and a wide
range of endocrine diseases.

We treat various renal diseases after carefully examining information based on accurate evidence and obtaining full understanding from the patient and family.

Medical Care System

Medical Care System

Our department has 34 consulting doctors, nine diabetologists, four supervising doctor, eightendocrine specialists, and three supervising doctors; we provide medical care every day in fiveexamination rooms in the outpatient clinic and 22 beds in the inpatient department.

Our department consists of about 15 full-time andpart-time doctors. Medical care is provided mainly byprofessors who are nephrology specialists. We hold aconference twice a week and determine the course oftreatment.

Target Disease
Pituitary disease (e.g. acromegaly, Cushing's disease, hypopituitarism, diabetes insipidus), thyroid
disease (e.g. Basedow's disease, Hashimoto's disease), adrenal disease (e.g. Cushing's syndrome,
primary hyperaldosteronism, pheochromocytoma), diabetes, and diabetic complications.

Strong Fields
We perform professional diagnosis and treatment of all endocrine diseases such as diabetes
insipidus. As for thyroid diseases, we perform echo-guided fine-needle aspiration cytology; for
Basedow's disease, we perform internal radiation therapy and retro-orbital radiation in cooperation
with Radiology. For diabetes, we conduct blood sugar control that incorporates insulin pumptherapy (CSII) and continuous glucose monitoring (CGM). Also, we promote the treatment ofdiabetes through a comprehensive approach based on team medical care for diabetes in cooperation with nurses, pharmacists, registered dietitians, and physical therapists.

Clinical Results
The number of outpatients (total number) is about
28,000 a year; the number of inpatients (total
number) is about 350 a year.

Specialized Outpatient Clinic
For medical care for endocrine disease, we perform
a professional diagnosis and treatment in all
pituitary, thyroid, and adrenal diseases. For
medical care for diabetes, we are actively involvedin providing recuperation guidance such as
nutritional guidance and foot care.

Target Disease
All diseases related to the kidney including renal
disease such as nephritis, nephrotic syndrome, renal
failure, hypertensive renal disorder, diabetic nephropathy, collagen disorder, systemic vasculitis syndrome andmanagement after renal transplantation and electrolyte
and acid-base balance disorder.

Strong Fields
We are actively involved in renal pathological diagnosis, renal replacement therapy, and new
immunosuppressive therapies using ciclosporin, tacrolimus, etc. and alpha-glucosidase replacement
therapy for diseases such as refractory nephrotic syndrome, collagen disorder, and hereditarydiseases.

Clinical Results
Annual number of inpatients: 388; number of pathological diagnoses by renal biopsy: 634 (ourhospital: 58, affiliated facilities: 576); number of patients in whom dialysis was newly introduced: 62(hemodialysis: 50, peritoneal dialysis 12); number of patients who underwent PD+HD combination
therapy: 4; other patients (plasma exchange therapy and selective blood cell component adsorption
therapy; total number of patients: 254).

Part.2

Specialized Outpatient Clinic
The outpatient clinic for peritoneal dialysis and the outpatient clinic for chronic kidney disease (CKD)
are now open to the public.

Advanced Medicine and Research

Advanced Medicine and Research

We conduct research on central diabetes insipidus,
obesity, new therapies for SIADH, lymphocytic
hypophysitis, and functions of pancreatic βcells,
fat cells, and intestinal tract in diabetes.

We are involved in laparoscopic renal biopsy (incooperation with Urology) for high-risk patients,
research on renal regeneration using adipose stem
cells, development of urinary biomarkers for acuterenal disorders, development of antihypertensive
drugs using RAS inhibitory molecules, and elucidation of the mechanism of peritoneal fibrosis.

15

2-2

Vascular Surgery
Director KOMORI, Kimihiro (Professor)

Transplantation Surgery
6E

Clinical Departments

The best system accommodating the ever-growing transplantation
therapy

We perform diagnosis and treatment of vascular diseases (e.g. arteries, veins, lymph
vessels), aneurysm, and peripheral arterial disease (surgical treatment, stent graft,and endovascular treatment).

We treat advanced liver disease mainly by liver transplantation from live and braindead donors. We also provide management of donors and transplantation counseling.

Medical Care System

Medical Care System

A total of seven personnel consisting of six academic
personnel including Professor Kimihiro Komori andother hospital staff, etc. perform diagnosis of andprovide medical care for all vascular diseases. The
outpatient clinic days are Monday, Wednesday, andFriday, and treatment days are Monday, Tuesday, andThursday; however, we also accept emergency patients
every day.

Based on the treatment information and interviews with the patient and family, we evaluate thenecessity, safety, and efficacy of transplantation therapy. In cooperation with the personnel in eachfield and with the support of transplant coordinators, we perform liver transplantation from live andbrain-dead donors, establishing a lifelong medical care system for donors.

16

Target Disease

Target Disease

Liver transplantation for fulminant hepatitis, hepatic cirrhosis, hepatocellular carcinoma, primarybiliary cirrhosis, primary sclerosing cholangitis, progressive intrahepatic cholestasis, multiple hepatic
cysts, biliary atresia, Caroli's disease, congenital metabolic liver disease, Alagille syndrome,
Budd-Chiari syndrome, etc.

All vascular diseases. Arterial disease includes aortic
aneurysm (thoracic, thoracoabdominal, and abdominal),
arteriosclerosis obliterans, Buerger's disease, carotid
artery stenosis, and renal artery stenosis; venous
disease includes varicose veins of the lower extremities
and deep vein thrombosis; lymphatic disease includes
lymphedema.

Our technique of liver transplantation therapy for adults and children is highly evaluated, and we
receive many inquiries from other facilities regarding issues such as blood type incompatible
transplantation. We provide a care system that takes into account mental and social aspects as well
as physical aspects of living donors.

Strong Fields

Strong Fields

Clinical Results

For thoracic and abdominal aortic aneurysm, we have performed stent graft implantations as well as
surgery. For patients with peripheral arterial occlusive disease, we perform bypass surgery andendovascular treatment suitable for the clinical conditions; for patients in whom revascularization isdifficult, we perform angiogenic therapy. We also conduct laser therapy for varicosis.

Our department is a certified facility for liver transplantation from brain-dead donors (22 facilities
nationwide) as well as a facility for liver transplantation from live donors, and we regularly perform
liver transplantation therapy for various liver diseases. Although treatment results differ dependingon the condition of the disease, recently, the one-year survival rate has been more than 90%.

Clinical Results

Specialized Outpatient Clinic

In 2012, we treated 124 patients with abdominal (iliac) aortic aneurysm (stent graft implantation: 63
patients), performed stent graft implantation for thoracic aortic aneurysm in 44 patients, PAD in 152
patients (of whom 69 patients received bypass surgery), and treated varices in 37 patients.

In addition to the "postoperative outpatient clinic for livertransplant recipients," we have a "postoperative outpatient
clinic for living Liver donors," where we accept patients who
underwent surgery at other facilities. In addition to theordinary outpatient clinic, our department has a reservationbased "outpatient clinic for transplantation counseling" andprovides counseling of about two hours for each session.

Specialized Outpatient Clinic

Information on
Departments /Facilities, etc.

6W

Vascular disease specialists hold a full-time position and have highexpertise

The expertise of vascular surgery specialists is extremely high because not all hospitals have thedepartment of vascular surgery: five cardiovascular surgery specialists; five vascular specialists; and,four stent graft supervising doctors hold full-time positions in our department.

Part.2

Director OGURA, Yasuhiro (Clinical Associate Professor)

Advanced Medicine and Research
For advanced medicine, we perform angiogenic therapy using autologous bone marrow celltransplantation. We are involved in the elucidation of the origin of vascular intimal hypertrophy andits control by gene therapy, elucidation of the origin of aneurysm, improvement of treatment resultsof stent graft implantation, and molecular biological research on inflammatory vascular disease.

Advanced Medicine and Research
Transplantation therapy itself is advanced medicine; in
addition to making efforts to improve the technical aspects ofsurgery, for example, we conduct research on issues such as
control of implant infection, post-transplant vaccination,
control of post-transplant viral hepatitis, control of recurrenceof hepatocellular carcinoma, control of fibrosis of transplanted
liver, and blood type incompatible transplantation.

Gastroenterological Surgery 1
Director NAGINO, Masato (Professor)

Gastroenterological Surgery 2
7W・13E

Experienced staff do their utmost to treat diseases, mainly tumors
Digestive Surgery 1 provides medical care mainly for tumors in the gastrointestinal
tract including stomach, duodenum, small intestine, and large intestine and liver,biliary tract (gallbladder and bile duct), and pancreas.

Director KODERA, Yasuhiro (Professor)

6W・13W

Globally acclaimed for expertise in multidisciplinary approach and minimally invasive
approach in all fields of gastrointestinal and hepatobiliary-pancreatic surgery
Multidisciplinary treatment with surgery at the core for neoplasms of the digestivesystem has been tailored for each patient and delivered with care.

Medical Care System

Medical Care System

A total of 28 surgeons with eight years or more of experience
provide medical care. In the outpatient clinic, 10 surgeons withspecial expertise provide medical care three times a week
(Monday, Wednesday, and Friday). In the inpatient department, at least two surgeons mainly provide medical care foreach patient, but the treatment strategy and clinical course arealways discussed with all members in our department.

11 academic and 23 medical members provide outpatient and inpatient medical care. The outpatient clinic is
open on Tuesdays, Thursdays, and Fridays, staffed by
specialists in esophageal, gastric, colon, hepatobiliary
pancreatic, and endoscopic surgery. For inpatients,
professors and doctors collaborate to provide medicalcare as a team.

Target Disease

Target Disease

We perform preoperative diagnosis, surgical therapy, perioperative management, postoperative
chemotherapy, and therapy for recurrent cancer. We treat diseases such as hepatobiliary and pancreatic malignant tumor, chronic pancreatitis, benign biliary tract disease (such as gallstones),
esophageal tumor, stomach tumor, large intestine / colorectal tumor, and pelvic tumor.

Patients with neoplasms and other intractable disorders of the digestive system including esophagus, stomach, colon, rectum, pancreas, liver and biliary system are treated. This would include
cancer of all stages, gastroesophageal reflux disease, achalasia, Crohn’s disease and ulcerative
colitis. Laparoscopic approach has been selected where applicable.

Strong Fields
We are confident in performing difficult surgery such as hepatopancreatoduodenectomy, hepatectomy with combined vascular resection for far-advanced biliary cancer and pelvic exenteration, andthoracolaparotomic esophagectomy. Especially, our department has the best treatment results forhilar cholangiocarcinoma regardless of whether in or outside of Japan. Recently we have also
actively conducted non-invasive surgeries, such as laparoscopic liver resection, laparoscopic pancreatic resection, and single incision laparoscopic cholecystectomy, as well as robot-assisted
surgeries for colorectal cancer using the da Vinci Surgical System.

Clinical Results
The total number of surgeries in 2012 was 679. Of those, hepatectomy for biliary cancer: 58; other hepatectomies: 33 (of those, 18 are laparoscopic surgery); laparoscopic cholecystectomy: 53 (of those, 45 aresingle incision type); pancreaticoduodenectomy: 37; distal pancreatectomy: 11 (of those, 1 are laparoscopic surgery); surgery for esophageal cancer: 28; other esophageal surgery: 12; gastric cancer: 29 (ofthose, 6 are laparoscopic surgery); surgery for colon cancer: 65 (of those, 37 are laparoscopic surgery);surgery for rectal cancer: 76 (of those, 45 are laparoscopic surgery, 8 are robot-assisted surgery, and 8
are pelvic exenteration). The number of resections for hilar cholangiocarcinoma is the largest in Japan.

Advanced Medicine and Research
Robot-assisted surgery for colorectal cancer using the da Vinci
Surgical System. A phase III comparative study in patients withresected cholangiocarcinoma is conducted comparing the group
receiving postoperative adjuvant chemotherapy with gemcitabine
and the group receiving surgery alone; a phase II clinical study of
postoperative adjuvant chemotherapy with TS-1 in patients who
underwent resection for liver metastasis resulting from colorectal
cancer. Research on the safety and utility of laparoscopic pancreaticoduodenectomy and hepatic lobectomy.
Website of the Department
http://www.med.nagoya-u.ac.jp/tumor/

Strong Fields
We are one of the world’s leading institutions in the combined resection of the pancreas andportal vein in pancreatic surgery using portal vein catheter bypass. A significant number of operations have been performed and it is now established as a safe procedure. For esophageal, gastric,colon, and other digestive tract cancers, we take a minimally invasive approach like endoscopic
surgery whenever possible, as well as pursuing radical cure.

Clinical Results

Part.2The numbers of resections performed per year are as follows: esophagus 60; stomach 80; large
intestine 130; pancreas 80; liver 50. Over half of stomach cancer and large intestine cancer havebeen treated endoscopically. The number of pancreatectomies performed in the department has
been outstanding in Japan.

Advanced Medicine and Research
Our class operates an organization called Chubu Clinical Oncology Group (CCOG), and actively conducts
clinical studies on surgery and chemotherapy in thefields of gastric cancer, colorectal cancer, and pancreatic cancer at many facilities including hospitals affiliated to Nagoya University Hospital.

Website of the Department
http://www.med.nagoya-u.ac.jp/surgery2/clinical/index.html

17

2-2

Breast and Endocrine Surgery
Director KIKUMORI, Toyone (Lecturer)

7E

Director NISHIDA, Yoshihiro (Extraordinary Professor)

5W・8W

Clinical Departments

We provide optimum treatment in cooperation with other fields,
which is only possible in university hospitals

A wide range of advanced medical care not limited to surgical treatment

Our department mainly performs surgical treatment for breast cancer and neoplastic
lesions in sites such as the thyroid gland, parathyroid gland, adrenal gland, and pancreas.

Our department treats diseases related to motor organs (i.e. bone, cartilage, ligament, muscle).

Medical Care System
We make efforts to provide optimum treatment based on global standard therapy and the mostadvanced techniques that are only possible in university hospitals. In addition, we actively use aclinical path to ensure efficiency and equalization of treatment.

Target Disease
Breast cancer, thyroid cancer, Cushing's syndrome, primary hyperaldosteronism, pheochromocytoma, adrenal cancer, adrenal tumor, primary and secondary hyperparathyroidism, endocrine pancreatic tumor, and multiple endocrine neoplasia.

Medical Care System
Our department has seven surgical groups (rheumatism, hip joint, spine, tumor, children, knee andshoulder, and hand surgery), and each group actively provides a high level of specialized medical
care.

Target Disease
We provide medical care to cover all fields of orthopedics including trauma surgery, joint surgery,spine surgery, hand surgery, locomotor tumor surgery, sports medicine, and rehabilitation medicine. In addition to surgical treatment, we also perform medical treatment and rehabilitation for awide range of diseases.

Strong Fields

Strong Fields

For breast cancer, we perform a high level of diagnostic imaging, surgical treatment, and drug
therapy in cooperation with specialists of many fields, which is only possible in university hospitals.
We have performed an outstanding number of total thyroidectomies for thyroid cancer and laparoscopic surgeries for adrenal tumors in Japan.

We perform treatment to achieve functional preservation of motor organs. We perform surgery
including minimally invasive surgery in a way that original joint and neurologic functions areconserved as much as possible. We also actively perform medical treatment as well as surgery. In
addition, we promote therapeutic modalities using the techniques in regenerative medicine.

Clinical Results

Clinical Results

In the previous year, we performed surgery on 190 patients with breast cancer, 60 patients withthyroid cancer, 40 patients with an adrenal tumor, and 15 patients with parathyroid disease. We
perform a mammotome biopsy, which is a minimally invasive mammary gland biopsy, three ormore times a week.

We perform an outstanding numbers of surgeries including 200 or more joint replacement surgeries a year, 120 or more spinal surgeries a year, arthroplastic surgeries, bone and soft tissue tumor
surgeries, pediatric orthopedic surgeries, arthroscopic surgeries, and upper extremity function
reconstructive surgeries.

Specialized Outpatient Clinic

Specialized Outpatient Clinic

Breast and endocrine surgery outpatient clinic
Second opinion outpatient clinic of Breast and Endocrine Surgery

Seven surgical groups (rheumatism, hip joint, spine,
tumor, children, knee and shoulder, and hand) provide
medical care in their specialized outpatient clinics.

Advanced Medicine and Research

Advanced Medicine and Research

We conduct a phase I clinical study of hyperthermic
immunotherapy using a magnetic heat generator forrecurrent tumors (approved by the advanced
biological clinical research review board of our
hospital).

For advanced medicine, we perform cell culture andtransplantation therapies based on regenerative medicine technology and conduct various clinical trials. In
addition, we have conducted numerous cooperative
studies with other universities and companies.

Part.2
Information on
Departments /Facilities, etc.

Website of the Department
http://www.med.nagoya-u.ac.jp/nyusen/

18

Orthopedic Surgery

Obstetrics and Gynecology
Director KIKKAWA, Fumitaka (Professor)

Ophthalmology
4W・4E

Director TERASAKI, Hiroko (Professor)

9W

Provide relief through treatment to the outstanding number ofpatients possible in Japan

Efforts in the most advanced treatment demonstrated by excellent
treatment results

In addition to the main fields of obstetrics and gynecology (gynecologic oncology,
perinatal medicine, and reproductive medicine), we provide medical care for all fields
of obstetrics and gynecology

Our department specializes particularly in retinal and vitreous disease and actively
performs advanced, high-quality treatment for diseases such as age-related maculardegeneration, diabetic retinopathy, and retinal detachment. We have achieved excellent treatment results including more than 700 retinal and vitreous surgeries in a year.

Medical Care System
16 academic personnel including professors and 14 consulting doctors provide inpatient medicalcare in the general outpatient clinic, specialized outpatient clinics, 4W ward (gynecology), 4E ward
(perinatal medicine), and center for maternal-neonatal care (MFICU and reproductive technique).
Two on-duty doctors are present for childbirth and emergency surgery.

Medical Care System
Professor (Terasaki, Hiroko); one associate professor; twolecturers; one clinical lecturer; three assistant professors;
one designated assistant professor; four clinical assistantprofessors, and nine part-time doctors.

Target Disease
Malignant tumor (e.g. cervical cancer, endometrial cancer, ovarian cancer), trophoblastic disease(e.g. hydatidiform mole, choriocarcinoma), high-risk pregnancy (e.g. pregnancy-induced hypertension syndrome, complicated pregnancy, placenta previa, fetal abnormality), infertility, gynecologic
disease for which endoscopic surgery is indicated (endometriosis and uterine myoma), and climacteric disturbance.

Target Disease
Retinal and vitreous disease, macular degeneration,
retinal degeneration, cataract, uveitis, dry eye, corneal
disease, strabismus / amblyopia, pediatric eye disease,
eye tumor, and ophthalmoplasty.

Strong Fields

Strong Fields

We have treated an outstanding number of patients with ovarian cancer in Japan. We also makeefforts for fertility preservation treatment of early-stage malignant tumor in younger patients. In
addition, we have broad experience in cases of trophoblastic disease, fetal abnormality, placenta
previa accreta, endoscopic surgery, and in vitro fertilization / microinsemination.

Retinal and vitreous surgery for diseases such as diabetic retinopathy, retinal detachment, macularhole, and premacular membrane. Photodynamic therapy and new drug therapies including
molecular targeted drugs such as anti-VEGF agents, and so forth, for age-related macular degeneration and macular edema.

Clinical Results

Clinical Results

Cervical cancer: 99, endometrial cancer: 65, ovarian cancer: 50, trophoblastic disease: 19, childbirth: 478 (cesarean section: 200), maternal transport: 59, fetal congenital anomaly: 60, endoscopic
surgery: 123, in vitro fertilization: 120 egg collection cycles (2012).

The annual number of first-visit patients is about 3,500, and the annual total number of revisit
patients is about 36,000. The annual total number of surgeries is about 1,400, of which 700 surgeries are for retinal and vitreous diseases. We have achieved excellent treatment results for about
480 patients a year with age-related macular degeneration who are treated with photodynamic
therapy and drug infusion.

Specialized Outpatient Clinic
As a core hospital in the Chubu District, we provide themost advanced medical care in each of the following
specialized outpatient clinics: tumor, high-risk pregnant
women, reproductive medicine, endoscopic surgery, andmenopause. We also provide second opinions.

Advanced Medicine and Research
We perform radical trachelectomy, which is a fertility preservation surgery, for early invasive cervical cancer. We
develop ALA-PDT (photodynamic therapy) and immunotherapy targeting the novel carcinoembryonic antigen andaim at their clinical application. We have introduced
robot-assisted laparoscopic surgery for hysterectomy.

Part.2

Specialized Outpatient Clinic
Retinal and vitreous disease, corneal disease, strabismic amblyopia / pediatric eye disease, uveal
disease, eye tumor, ophthalmoplasty, and low vision.

Advanced Medicine and Research
We promote elucidation of the pathology of
diseases such as age-related macular degeneration,
diabetic retinopathy, and retinal pigment degeneration and the development of new therapies. Especially, we are highly reputed worldwide in the fields
of diagnosis and assessment of retinal disease using
electroretinographic techniques.

19

2-2

Psychiatry
Director OZAKI, Norio (Professor)

Pediatrics
2E

Clinical Departments

We provide multidimensional treatment for patients and cases thathave been increasing every year
From the standpoint of mental health care, we provide an appropriate assessment,
advice, and treatment of patients with psychological problems in adulthood.

To ensure sufficient time for consultation and interview,
we have introduced a complete appointment system forfirst-visit and revisit patients. All first-visit patients are
required to either telephone or visit the outpatient clinicof our department to make an appointment.

Target Disease
We accept patients with various psychological problems
such as schizophrenia, depression, manic-depressive
illness, dementia, anxiety disorder, panic disorder,
eating disorder, and sleep disorder.

Strong Fields

Clinical Results
We provide the latest medical care for psychological problems, whose demand for medical
support is increasing year by year, in the inpatient department (50 beds) and outpatient clinic. In
addition, we also make efforts in hospital-clinic cooperation (with mental clinics in the community)and cooperation between hospitals (with mental hospitals in the community).

Specialized Outpatient Clinic
Although we do not have specialized outpatient clinics for specific diseases, we will make an
appointment with the most appropriate doctor after asking about the patient's condition and otherinformation at the time of initial consultation.

Advanced Medicine and ResearchInformation on
Departments /Facilities, etc.

20

5E

Promotion of multidisciplinary treatments for rare diseases in children
We provide medical care, mainly intensive medical service, utilizing the expertise ineach doctor's specialized field of pediatrics.

Medical Care System
Medical Care System

Our staff is familiar with psychological problems in each life stage from adolescence to older age.
We perform multidimensional treatment consisting of drug therapy, psychotherapy, and so forth.
Also, we actively perform assessment of the brain function using neuroimaging tests such as brain
MRI and SPECT, psychological tests, etc.

Part.2

Director KOJIMA, Seiji (Professor)

Our basic policy is "to determine the most appropriate diagnostic and therapeutic techniques" and"to identify the pathology and to aim at developing treatment and prevention methods appropriate
for the pathology." We work and study hard every
day to maintain the medical care we provide at thehighest level so that we can utilize the most recent
findings on psychological problems in daily clinicalsettings.

We have two types of outpatient clinics: reservation-based
specialized outpatient clinics (Hematology/Oncology, Neurology, Infectious Diseases, Neonatology, Cardiology,
Endocrinology, Genomics) and the general outpatient
clinic. In inpatient, we provide medical care mainly topatients with hematologic and neoplastic disease, neonates, patients with neurological disorder, and so forth.

Target Disease
Blood disease such as leukemia, lymphoma, and aplastic anemia, neoplastic disease such asneuroblastoma, newborn disease such as congenital diaphragmatic hernia, pediatric neurologic
disorder such as intractable epilepsy, and other diseases including congenital immunodeficiency,
chronic EBV infection, and so forth.

Strong Fields
Our department is one of the pediatric institutions that have performed the largest number ofhematopoietic stem cell transplantations in Japan. For neonates, we focus on neonatal surgicaldisease such as congenital diaphragmatic hernia; for patients with intractable epilepsy, we makediagnoses using simultaneous video and EEG recording and PET.

Clinical Results
In 2011, we provided medical care for 60 new patients with hematologic and neoplastic disease
and performed hematopoietic stem cell transplantation in 31 patients. The annual total number of
outpatients with neurological disorder such as epilepsy is about 3,000; the annual number of neonatal inpatients in NICU is 259 (2012); the number of patients with congenital diaphragmatic hernia
is 16 (2012).

Specialized Outpatient Clinic
We provide medical care in the following outpatient clinics:
pediatric blood and tumor outpatient clinic, pediatric neurologic
outpatient clinic, congenital immunodeficiency outpatient clinic,
neonatal outpatient clinic, virus outpatient clinic, pediatric circulatory organ outpatient clinic, pediatric endocrine outpatient
clinic, genetic disease outpatient clinic.

Advanced Medicine and Research
We are involved in the following: clinical research to overcome
complications associated with hematopoietic stem cell transplantation using cell therapies such as
virus-specific CTL and mesencymal stem cell electroencephalographic monitoring in neonatal
epilepsy, brain hypothermia therapy for neonatal encephalopathy, and clinical research on theidentification of epileptic focus by PET and high magnetic field MRI.

Dermatology
Director AKIYAMA, Masashi (Professor)

Urology
6E

All skin problems are within our field
All the symptoms and changes on the skin fall within the domain of dermatologists.
Even if such symptoms or changes are the result of systemic diseases, our department will treat them as long as they are on the skin.

Director GOTOH, Momokazu (Professor)

10E

Extensive achievements and expertise to treat patients with various
diseases
We provide comprehensive medical care including diagnosis and treatment of urogenital (kidney, ureter, bladder, urethra, prostate, penis, and testis) disease.

Medical Care System

Medical Care System

General outpatient clinic: Monday through Friday
Skin tumor outpatient clinic: Monday, Tuesday, Wednesday,and Friday
Collagen disorder outpatient clinic: Monday and Tuesday
Outpatient clinic for ichthyosis and inherited dyskeratosis:
Wednesday
Pigmentation disorder outpatient clinic: Thursday(All these indications are for the first visit.)

One professor (Director), one associate professor, two lecturers, six assistant professors, and fivedoctors provide medical care. Outpatient days are Monday through Friday. Surgery days are
Monday, Tuesday, Thursday, and Friday.

Target Disease
Skin cancers (e.g., malignant melanoma, squamous cell carcinoma, basal cell carcinoma, Paget’s
disease), benign skin tumors, collagen disorders (e.g., lupus erythematosus, dermatomyositis,
scleroderma, Sjogren’s syndrome), genetic skin diseases (e.g., dyskeratosis, ichthyosis, epidermolysis bullosa and pigmentation disorder), atopic dermatitis, urticaria, and other skin diseases.

Strong Fields
Diagnosis and treatment of skin cancers and benign tumors, skin surgery, skin cancer metastasis
testing with sentinel lymph node biopsy, diagnosis and treatment of collagen disorders, genetic
testing of a variety of genetic skin diseases, and detection of pathogenic factors of atopic dermatitis and filaggrin gene mutations.

Clinical Results
We operated on 450 skin tumor cases per year. Of all the cases, skin cancer accounted for 180 (50malignant melanoma, 42 squamous cell carcinoma and 44 basal cell carcinoma cases). The cumulative number of cases tested with sentinel lymph node biopsy is 200. Currently, the department
has more than 200 outpatients suffering collagen disorders, such as lupus erythematosus, dermatomyositis and scleroderma. The cumulative number of genetic tests conducted on patients withsevere genetic skin diseases is 300.

Specialized Outpatient Clinic
Skin tumor, skin surgery, collagen disorder,
ichthyosis and inherited dyskeratosis, genetic
pigmentation disorder and general dermatology.

Advanced Medicine and Research
Sentinel lymph node biopsy for the detection oflymph node metastases of malignant skin tumors(dye, RI and fluorescence methods in combination); tailor-made care of atopic dermatitis by detection of filaggrin gene mutations; research on the roles of various autoantibodies in the onset ofcollagen disorders; development of assay kits for diagnostic autoantibodies; and genetic testingand prenatal diagnosis for severe genetic skin diseases, such as ichthyosis, epidermolysis bullosa,pigmentation disorders and oculocutaneous albinism.

Target Disease
Benign and malignant tumors within the scope of our department, congenital malformation, allfunctional and organic diseases, diseases in the field of female urology (pelvic organ prolapse),urinary disturbances (neurogenic bladder, prostatic hyperplasia, and urinary incontinence), sexualand reproductive diseases including gender identity disorder and male infertility, and urinary
calculus.

Strong Fields
Laparoscopic surgery and robotic surgery for urogenital cancer (e.g. renal cancer, prostate cancer),brachytherapy for prostate cancer, surgical treatment of pelvic organ prolapse and stress urinary
incontinence, renal transplantation, medical care for urinary disturbances including neurogenic
bladder, prostatic hyperplasia, and urinary incontinence, urinary calculus, and cancer chemotherapy.

Clinical Results
The daily number of outpatients is 120 to 150; the daily average number of inpatients is 33; theannual number of surgeries is 450 (of those, 150 are laparoscopic surgeries [surgery for renal
cancer: 80, surgery for prostate cancer: 60]), the annual number of renal transplantations is 10; theannual number of brachytherapy procedures (for prostate cancer) is 45.

Part.2

Specialized Outpatient Clinic
In addition to medical care in the general outpatient
clinic, we provide medical care in the specialized
outpatient clinics for renal transplantation, urinary
incontinence, impaired urination, and prostatecancer.

Advanced Medicine and Research
For advanced medicine, we perform robotic surgery
of prostate cancer, laparoscopic retroperitoneal
lymph node dissection for testicular cancer. We
conduct clinical studies on cell therapy for urinary
incontinence using adipose-derived stem cells.

21

2-2

Otorhinolaryngology
Director NAKASHIMA, Tsutomu (Professor)

Radiology
9E

Clinical Departments

Our department provides medical imaging and radiation therapy forvarious diseases

Of the five senses, our department deals with hearing, smell, taste, and touch and is
involved in communication by vocalization and hearing.

We are responsible for diagnostic imaging, interventional radiology (IVR) and radiation therapy for cancer.

Medical Care System

Medical Care System

Our inpatient department consists of Group A (in charge of endoscopic paranasal sinus surgery,ear surgery, sleep apnea, inflammatory disease, inner ear disease including sudden deafness andMeniere's disease, etc.) and Group B (in charge of head and neck tumor, dysphagia, etc.).

Our department consists of the diagnostic imaging group and the radiation therapy group. In the
diagnostic imaging group, each specialist interprets radiological images CT, MRI, angiography,
ultrasonography, and radioisotope (RI) examination and prepares diagnostic reports. In the radiation therapy group, each specialist plans and performs irradiation mainly for malignant tumors.

Target Disease
We are deeply involved in diseases related to tumors,inflammation, malformation, and injury of ear, nose,and throat, dysphagia, and skull base tumors. Otologic vertigo is also within our field, and we are
involved in the differentiation of vertigo. We also
perform hearing aid fittings.

We perform differential diagnosis of deafness(especially, measurement of endolymphatic and perilymphatic space sizes and identification of the bloodlabyrinth barrier by diagnostic imaging using threeTesla MRI) and treatment of inner ear disease withintratympanic medication.
We have confidence in performing treatment of headand neck cancer aiming at functional preservation.

Clinical Results
Our clinical results of inner ear disease such as sudden deafness and large vestibular aqueductsyndrome are published in many journals. For treatment of head and neck tumors aiming at functional preservation and treatment of sleep apnea as well, we make achievements examining datafrom various viewpoints.

Specialized Outpatient Clinic
We provide medical care in specialized outpatient clinics including: tumor outpatient clinic, ultrasonography outpatient clinic, sudden deafness outpatient clinic, nose outpatient clinic, sleep
apnea outpatient clinic, dizziness outpatient clinic, hearing aid outpatient clinic, and dexamethasone infusion outpatient clinic (intratympanic dexamethasone infusion for inner ear disease).

Information on
Departments /Facilities, etc.

223E

We perform advanced treatment based on a high level of expertiseeven for common diseases

Strong Fields

Part.2

Director NAGANAWA, Shinji (Professor)

Advanced Medicine and Research
We perform advanced treatment such as imaging study of the inner ear using three-Tesla MRI,
measurement of cochlear blood flow during cochlear implant surgery, and endoscopic sinus
surgery with navigation. We will make an application for approval of inner ear MRI after intratympanic gadolinium administration as advanced medicine.

Target Disease
CT, MRI, RI (including PET), and IVR are performed for various diseases of the entire body such as
inflammation, tumor, and congenital anomaly. In our hospital, ultrasonography is performed
mainly for breast and thyroid disease. Radiation therapy is performed for many malignant tumors
and a few benign diseases.

Strong Fields
MRI diagnosis of inner ear diseases, CT diagnosis of biliary tract and pancreas, diagnostic imagingof the breast, PET diagnosis (including methionine), radioiodine therapy for thyroid cancer andhyperthyroidism, endovascular therapy of visceral artery aneurysm, diagnostic imaging of mammary glands, and high-precision radiation therapy.

Clinical Results
The numbers of diagnostic imaging testing performed in 2012 are as follows: CT: 44,000; MRI:
20,000; ultrasonography: 4,100; RI / PET: 5,700; IVR: 540. We performed radiotherapy for 790
patients.

Specialized Outpatient Clinic
We provide medical care in the IVR outpatient clinic on
Monday, Wednesday, and Friday morning, the outpatient
clinic of radioiodine therapy for thyroid cancer on Tuesday
morning, and the outpatient clinic of radioiodine therapy
for hyperthyroidism on Thursday afternoon. Radiation
therapy is performed by specialists every day in theoutpatient clinic.

Advanced Medicine and ResearchHigh-resolution MRI of the inner ear, virtual bronchoscopy, sentinel lymph node scintigraphy, PET using
nuclides other than FDG, ultrasonography for nonpalpable mammary gland lesions, stereotactic lung irradiation, and prostate cancer IMRT.

Anesthesiology
Director NISHIWAKI, Kimitoshi (Professor)

Oral and Maxillofacial Surgery
3E

Director UEDA, Minoru (Professor)

6E

Extensive pain treatment as well as surgical anesthesia and surgicalintensive care

Research on regenerative medicine and advanced medicine such as
implant treatments

We perform surgical anesthesia and perioperative systemic management and provide medical care in the pain clinic mainly targeting chronic pain.

We address the application of advanced medicine including regenerative medicine indental practice. We accept patients with all oral surgery diseases.

Medical Care System

Medical Care System

The department consists of 38 members. We provide generalanesthesia, epidural anesthesia, and spinal anesthesia for all
patients undergoing surgery or examinations for 24 hours. The
pain clinic is open for outpatients on Mondays, Wednesdays,
and Fridays and the clinic also provides inpatient medical care.
We also play an active role in the management of the Surgical
Intensive Care Unit.

Both new patients and revisit patients are
accepted on weekdays. New patients are
accepted until 11:00 a.m. Consultation with adentist basically requires a prior appointment.

Target Disease
Surgical anesthesia is provided for all diseases that require it. The pain clinic treats patients with all
diseases with pain, mainly chronic pain, such as postherpetic neuralgia, CRPS, and trigeminal
neuralgia. The surgical intensive care unit provides systemic management of severely ill perioperative patients.

Strong Fields
We actively perform peripheral nerve block underultrasonographic guidance both in surgical anesthesia and in the pain clinic. In the pain clinic, we
perform spinal cord electric stimulation therapy,
nerve block using high-frequency thermocoagulation, and various other nerve blocks.

Clinical Results
The number of cases where this department was incharge of the surgical anesthesia was 6,050 infiscal year 2012. The pain clinic treated 30 outpatients a day and three inpatients at one time.

Specialized Outpatient Clinic
We provide cancer treatment at a dedicatedoutpatient clinic as well as clinical examination
prior to surgery.

Advanced Medicine and Research
We conduct many research such as neurogenic
pulmonary edema, the effect of anesthetics on
vascular endothelial cells, heart rate variability, andpostoperative analgesia after peripheral nerve
block under ultrasonographic guidance.

Target Disease
Atrophy and defect of the alveolar bone, oral
neoplasia (e.g. gingival cancer, tongue cancer),cleft lip and palate, jaw deformity (e.g. mandibular prognathism, microgenia), temporomandibular arthrosis, cystic disease, injury of the maxillofacial area, impacted tooth, dental treatment
requiring systemic management, and otherdiseases (e.g. perimaxillary inflammation).

Strong Fields
Bone regenerative treatment for atrophy anddefects of the alveolar bone, implant treatment
for loss of teeth, mandibuloplasty for jaw deformity, and multimodality therapy for oral cancer.

Clinical Results

Part.2

Osteoplasty in 15 patients, implant replacement in 45 patients, surgery for jaw deformity in 95
patients, cleft lip and palate surgery in three patients, benign tumor in 10 patients, and malignant
tumor in 43 patients.

Specialized Outpatient Clinic
Minor oral surgeries such as impacted tooth extraction are conducted on Monday and Tuesday
afternoons. Implant outpatients are accepted on
Thursday afternoons and temporomandibular
joint and tumor outpatients are accepted on
Fridays. Doctors provide medical care related to
his/her specialized field in the morning.

Advanced Medicine and Research
Research on regenerative medicine such as
osteoplasty using bone marrow stem cells has
been actively conducted.

23

2-2

Neurosurgery
Director WAKABAYASHI, Toshihiko (Professor)

Geriatrics
7E

Clinical Departments

Equipped with an advanced operating room, Brain Theater, andperforming complex surgery
Our department has a long history; it was established by Professor Makoto Saito, thefounder of the Japan Neurosurgical Society. Since then, our department has always
been challenging the pioneering development of neurosurgery.

Medical Care System
We strive to improve treatment results by developing state-of-the-art brain surgery devices, establishing new therapies through university-industry cooperation, and diagnosing intracerebral conditions
and analyzing treatments using computer simulation models. We are also working to establish asystem for quickly responding to thrombolysis by establishing a medical institution network in cooperation with the emergency medical service, to establish an organic system for treatment in cooperation with convalescent rehabilitation facilities for stroke patients and home medical care facilities, andto increase awareness of preventive medicine through brain checkups.

Target Disease
High-precision image-guided navigation surgery for brain tumors, super advanced endovascularsurgery and aneurysmal clipping for stroke, surgery for pituitary tumor and intraventricular surgery
using neuroendoscope, stereotactic surgery for Parkinson's disease and essential tremor based onfunctional neurosurgery, surgery for intractable pain and epilepsy surgery, minimally invasive
surgery for spinal diseases, and development of advanced medical care including nucleic acidtechnology by the advanced neurosurgery development group.

Strong Fields
High-precision image-guided navigation surgery for brain tumors, super advanced endovascular surgery
and aneurysmal clipping for stroke, surgery for pituitary tumor and intraventricular surgery using neuroendoscope, stereotactic surgery for Parkinson's disease and essential tremor based on functional neurosurgery, surgery for intractable pain and epilepsy surgery, minimally invasive surgery for spinal diseases,
and development of advanced medical care including nucleic acid technology by the advanced neurosurgery development group.

Clinical Results
The annual number of surgeries was 614; the number amounts to 10,581 if surgeries performed inaffiliated hospitals (45 facilities) were included. The breakdown of a total of 19,976 inpatients
according to diseases, including inpatients in affiliated hospitals, was as follows: 2,919 patientswith a tumor, 2,134 patients with aneurysms, 3,203 patients with cerebral hemorrhage, 2,545
patients with cerebral infarction, 5,027 patients with head trauma, 1,110 patients with spinal
disease, and 764 patients with functional neurosurgical disease (results in 2011).

Specialized Outpatient Clinic
Brain tumor; genetic, regenerative, and cell therapies; endovascular surgery; functional and epilepsy
surgery; pituitary gland and endoscopic surgery; spinal cord and spine; peripheral nerve; stroke; rehabilitation for neural function recovery; and BMI.

Advanced Medicine and Research

Part.2
Information on
Departments /Facilities, etc.

24

Our department has adopted advancement in life scienceand medical engineering and performed the first genetherapy for brain tumor in Japan. In addition to making
efforts to develop cellular and regenerative medicine andcerebro-endovascular treatment, we introduce new technologies in computer and diagnostic imaging to establish sophisticated surgical methods. Our department is equipped withan advanced operating room (Brain Theater), which fully uses
intraoperative MRI and the high-accuracy navigation robot"Neuro Mate," which was introduced for the first time in
Asia.

Director KUZUYA, Masafumi (Professor)

10W

Comprehensive medical care for elderly people
Our department provides comprehensive medical care to elderly patients, especiallyto those with multiple medical conditions.

Medical Care System
Basically, our department provides comprehensive medical care to elderly people. Therefore,
we do not have specialized outpatient clinics.
Outpatient specialists (two or three examination
rooms every day) provide medical care topatients with the following target diseases. We
accept first-visit patients every day. We recommend you to make a prior appointment using the
hospital-clinic cooperation system.

Target Disease
1) Comprehensive evaluation and treatment of multiple coexisting symptoms and diseases
2) Diagnosis, evaluation, and treatment regimen for dementia
3) Comprehensive medical care for lifestyle-related diseases in elderly people
4) Comprehensive evaluation and treatment of geriatric syndrome including tendency to fall,decreased activities of daily living (ADL), malnutrition, and tendency of aspiration

Strong Fields
Our department specializes in providing comprehensive medical care to elderly people withmultiple chronic medical conditions.

Clinical Results
The total number of outpatients in fiscal year 2012: 9,592 outpatients
The number of inpatients in fiscal year 2012: 295 inpatients
The number of beds in fiscal year 2012: 23 beds
The bed occupancy rate in fiscal year 2012: 82.1%
The average length of stay in fiscal year 2012: 22.5 days

Specialized Outpatient Clinic
At our outpatient clinic for those presenting forgetfulness, we accept first-visit
patients from Monday through Friday.

Neurology
Director SOBUE, Gen (Professor)

Thoracic Surgery
10W

Director YOKOI, Kohei (Professor)

3E

A large number of specialists flexibly provide medical care in responseto the aging society

Extensive achievements to provide relief in diseases including lungcancer

We perform activities such as diagnosis and treatment of neurodegenerative disease
and dementia, which are expected to increase in the aging society, and stroke, which
is one of the three major causes of death.

Our department specializes in surgical treatment of thoracic malignant tumor (e.g.
lung cancer) and benign disease (e.g. pneumothorax).

Medical Care System
Medical Care System
More than 35 neurology specialists in our department provide medical care in the general outpatient clinic and specialized outpatient clinic and inpatient medical care. We provide accurate diagnosis and better treatment by utilizing techniques, such as the most advanced imaging devices,and various biopsies and electrophysiological technologies in which we have made extensive
achievements.

Target Disease
Alzheimer's disease, dementia, Parkinson's disease, amyotrophic lateral sclerosis, bulbospinal muscular atrophy, spinocerebellar degeneration, multiple sclerosis, Guillain-Barre syndrome, myasthenia gravis, polymyositis, facial spasm, epilepsy, headache, dizziness, and numbness.

10 full-time doctors (including seven thoracic surgery specialists) provide medical care. Outpatientdays are Tuesday, Thursday, and Friday. Surgery days are Monday, Wednesday, and Friday. Treatment strategies for patients are discussed and determined every Friday at the joint conference ofRespirology, Surgery, and Radiology.

Target Disease
Main target diseases are thoracic malignant tumor such as primary lung cancer, metastatic lungcancer, pleural mesothelioma, and thymoma. Non-neoplastic benign diseases such as myasthenia
gravis requiring thymectomy, inflammatory lung disease, pyothorax, pneumothorax, chest injury,
and congenital pulmonary malformation are also our target diseases.

Strong Fields
Strong Fields
Diagnosis and treatment of neurodegenerative disease such as dementia and Parkinson's diseaseusing three-Tesla MRI, PET, and SPECT. Diagnosis and treatment of diseases such as peripheral
nerve disease, muscular disease, spinal cord disease, and amyotrophic lateral sclerosis using
biopsy, electrophysiological tests, and genetic testing.

We have safely and successfully performed surgeries in patients with locally advanced lung cancer
and malignant pleural mesothelioma, which require specialized perioperative management, and inpatients with severe comorbidities (e.g. chronic obstructive pulmonary disease, heart disease,diabetes, and dialysis).

Clinical Results
Clinical Results
The annual number of outpatients: About
22,000; the annual number of new patients (onlythose with neurological disease): 1,032; theannual number of inpatients: 426.

The total annual number of surgeries in 2012 was 333 (188 patients with lung cancer, 44 patientswith mediastinal tumor, 46 patients with metastatic lung tumor, seven patients with malignant
pleural mesothelioma, 48 patients with other diseases; there was no patient who died during
surgery). More than half of the surgeries were performed for lung cancer.

Part.2

Specialized Outpatient Clinic
Specialized Outpatient Clinic
We provide medical care in specialized outpatient clinics for bulbospinal muscular atrophy,
amyotrophic lateral sclerosis, Parkinson's disease,and dementia. In addition, we are actively
involved in the second opinion outpatient clinic.

Although we do not have specialized outpatient
clinics, our department is characterized by extensive
experience in treatment of diseases, especially in lungcancer, malignant pleural mesothelioma, andadvanced invasive thymoma. We welcome patientsseeking second opinions.

Advanced Medicine and Research

Advanced Medicine and Research

A clinical study of leuprorelin in patients withbulbospinal muscular atrophy, a nationwide
multi-center prospective cohort study in patientswith amyotrophic lateral sclerosis (JaCALS),
high-dose gamma globulin therapy and plasma
exchange therapy for various intractable immunologic diseases, etc.

We conduct various basic research and clinical studies
to establish new evidence. Currently, a phase II studyof postoperative adjuvant chemotherapy and clinicalstudies on topics such as investigation of limited
surgery for early-stage lung cancer and that of multimodality therapy for malignant pleural mesothelioma
are ongoing.

25

2-2

Cardiac Surgery
Acting Director USUI, Akihiko (Professor)

Plastic and Reconstructive Surgery
3E

Clinical Departments

We protect your heart with our 24-hour-available team medical caresystemWe annually perform about 250 surgeries for acquired heart disease and thoracic
aortic disease.

Our department makes efforts to correct various conditions, whose appearance isdifferent from normal because of reasons such as tumor and injury, to as close tonormal as possible.

Medical Care System
Our department, consisting of one professor, one associate professor, one lecturer, two assistantprofessors, and three doctors, aims to provide more advanced and safer medicine. We provide
team medical care: we hold a conference for each patient including new patients to determine
therapeutic options.

Target Disease
Valvular heart disease (aortic stenosis / regurgitation, mitral stenosis / regurgitation), ischemic
heart disease, thoracic and thoracoabdominal aortic aneurysm, adult congenital heart disease, andarrhythmia.

Clinical Results
We perform about 300 surgeries of cardiac and thoracic major vessels including surgeries for
cardiac valvulopathy in about 80 patients, coronary artery bypass surgeries in about 100 patients,and surgeries of the thoracic aorta in about 100 patients. The surgical mortality rate of 1,172
patients undergoing surgery in the last five years is 1.7 %.

Target Disease
We mainly perform reconstructive surgery including reconstruction after malignant tumor resection, abnormality of ears, hands and feet, cleft lip, funnel chest, reconstruction after injury, birthmark, keloid, scar, ptosis, umbilical hernia, microtia, and absent breast. We also perform plastic
surgery for the improvement of QOL.

Strong Fields
Reconstruction using microsurgery after malignant tumor resection or injury, delayed healing ofsurgical wound or after injury, intractable ulcer including intractable ulcer associated with diabetes,
microtia, congenital anomaly of hands and feet, funnel chest, breast reconstruction, etc.

Clinical Results
Yearly we perform 140 or more reconstructions after tumor excision, especially those using microsurgery, with a success rate of 98%. We have performed treatment including reconstruction of
intractable ulcer in a large number of patients and achieved excellent results.

Specialized Outpatient Clinic

Specialized Outpatient Clinic

Monday through Friday: acquired heart disease and aortic disease
1st and 3rd Thursday: pacemaker clinic

We have outpatient clinics such as a tumor outpatient clinic, intractable ulcer outpatient clinic, pediatric plastic outpatient clinic, endoscopy outpatient
clinic, and breast outpatient clinic. We also provide
second opinions.

Advanced Medicine and Research
We use a ventricular assist device for severe heart failure, and perform hybrid therapy for thoracic
aortic aneurysm combining blood vessel prosthesis implantation with stenting.

26

We make efforts as a team for the future of patients

Medical Care System

Strong Fields

Information on
Departments /Facilities, etc.

9W・9E

We provide 24-hour quick response service with our team medical care system consisting of 15
staff members; an on-duty doctor is always available both during the day shift and the night shift.

Aortic arch surgery and thoracoabdominal aortic surgery requiring protection of the brain andspinal cord, hybrid operations involving aortic aneurysm stent graft, mitral valve repair and aortic
valve sparing operation, CABG using arterial grafts (especially off-pump coronary artery bypass
graft not using an artificial heart-lung machine), maze operation for atrial fibrillation, and auxiliary
artificial heart treatment for severe heart failure.

Part.2

Director KAMEI, Yuzuru (Professor)

Advanced Medicine and Research
Even if there are no satisfactory blood vessels of thegraft bed near the defect, we can safely perform
microsurgery by vascular anastomosis at two sites
using omentum. In addition, we perform cultured
skin grafting and conduct research on regenerative
medicine.

Pediatric Surgery
Director UCHIDA, Hiroo (Professor)

General Medicine
5W

We actively make efforts to treat pediatric surgical diseases
Our department was established as a study group in 1968 and became an independent department recently (1997); currently, it is the only graduate course in the Tokaiarea.

Director BAN, Nobutaro (Professor)

11W

The department where patients can seek for help whenever they are
not sure which specialities are appropriate
Our department provides comprehensive medicine, which takes into consideration
the physical and mental aspects of patients, patient’s family, and society.

Medical Care System

Medical Care System

A total of five staff members (one professor, one associate professor, one lecturer, two assistantprofessors) perform about 400 surgeries (50 are for neonates) a year and have 15 beds to provide
medical care to patients. Outpatient days are Monday , Wednesday , and Friday .

10 academic personnel (including academic personnel of center for medical education, department of education for community-oriented medicine, and department of community health caresystem development), five doctors, one senior resident, four registered trainee doctors, and five
health care providers provide medical care every day to patients in two to three revisit outpatient
examination rooms and three to four first-visit outpatient examination rooms and eight inpatients
beds.

Target Disease
Biliary atresia, congenital biliary dilatation, congenital esophageal atresia, gastroesophageal reflux
disease, congenital intestinal atresia, Hirschsprung's disease, anal atresia, bullous lung disease,tracheal stenosis, neuroblastoma, hepatoblastoma, lymphangioma, inguinal hernia, umbilicalhernia, and cryptorchism.

Strong Fields
In addition to medical care for hepatobiliary diseases such as biliary atresia and congenital biliary
dilatation, we actively provide the latest medicine such as partial liver transplantation from living
donors and endoscopic surgery. We also treat patients with neonatal surgical disease and pediatric malignancy in cooperation with other departments and have provided medical care to an
extensive number of patients.

Clinical Results
The number of surgeries in 2012 was 390, of which 47 were performed in neonates. The numberof surgeries for biliary atresia in the last 10 years is 54; bilirubin reduction rate: 80%. The numberof pediatric liver transplantations is 49; the survival rate is 89.8%. 168 patients had congenital
biliary dilatation. The annual number of endoscopic surgeries such as gastroesophageal reflux
disease and Hirschsprung's disease is 36.

Specialized Outpatient Clinic
We provide consultation for issues such as hepatobiliary disease, laparoscopic and thoracoscopic
surgery, and treatment of pediatric tumor in which extraction seems difficult to perform, in theoutpatient clinic on Monday, Wednesday, and Friday. We accept patients in the second opinion
outpatient clinic as needed.

Advanced Medicine and Research
We gain Grant in Aid for Scientific Research and theMinistry of Health, Labour and Welfare groupresearch fund about twice a year for activities such as
research on the mechanism of biliary dilatation forcongenital biliary dilatation, research on the mechanism of protein plug formation associated with thedevelopment of pain in congenital biliary dilatation,
bile duct cell culture, and the development of theartificial organs.

Target Disease
We provide medical care to patients for whom acertain department cannot be specified. If a patientneeds to see a specialist, we refer the patient to a
specialized department. We also accept consultations
from specialized departments.

Strong Fields
We identify various health problems of patients, interpret them comprehensively, and finally solve them.
We consider prevention, medicine, and welfare as acontinuum and are involved in each component.

Clinical Results
The daily number of revisit outpatients is about 60, and the daily number of first-visit outpatients is
15 to 20. For inpatient medical care, we are in charge of around eight beds and see two to fivepatients as a consultant. We also provide support for emergency department visits during operating hours by seeing walk-in emergency patients. We accept about 30 consultations from otherdepartments a month.

Part.2

Specialized Outpatient Clinic
We do not have outpatient clinics for specific diseases and organs. An outpatient clinic for treatments using mainly Chinese medicine is held on Thursday mornings.

Advanced Medicine and Research
We conduct various researches such as research on
education, research on medical care, and epidemiological research. What is common among theseresearches is that it is based on questions and theneeds arising in clinical settings or medical education.

27

2-2

Rheumatology
Director NISHIDA, Yoshihiro (Extraordinary Professor)

Hand Surgery
8W

Clinical Departments

The latest treatment and research and development specialized on
the hands based on high expertise

We treat patients with rheumatic diseases that cause damage to motor organs suchas joints.

We specialize in the treatment of conditions such as musculoskeletal disorders of theupper limbs including the shoulder girdle and hands, injury, nerve paralysis, circulatory disorders, and congenital malformations.

Medical Care System
We perform surgical therapy and drug therapy forpatients with rheumatic diseases. In addition, ourdepartment is one of the few facilities that arecommitted to the treatment of hemophilicarthropathy, and we safely perform surgeries incooperation with Hematology Department. We
cooperate closely with departments such as Respirology, Nephrology, and Gastroenterology andare ready to manage complications and adverse
drug reactions.

Target Disease

Strong Fields
We aim at minimally invasive and precise surgery and actively perform surgical therapy. For drug
therapy, we basically use methotrexate and actively use biologic drugs as well. In addition, we
make comparisons with inflammatory markers, bone metabolic markers, and so forth, and utilize
the findings for a better understanding of the pathology and to establish treatment strategies.

Clinical Results
We perform implantation of joint prosthesis in 60 patients a year and use biologic drugs in about
400 patients a year. To provide information on advancements in treating rheumatism, we launcheda rheumatism network and hold study meetings and open lectures.

Specialized Outpatient Clinic

Information on
Departments /Facilities, etc.

28

8W

Diversified actions include providing information on the treatment ofrheumatism

Rheumatoid arthritis (about 1,000 registered patients) and hemophilic arthropathy (three to five
surgeries per year).

Part.2

Director HIRATA, Hitoshi (Professor)

Medical Care System
Six doctors who specialize in diseases and injuries of the upper limbs provide medical care in thespecialized outpatient clinic five days a week and perform about 400 surgeries a year. While holding conferences with doctors, four occupational therapists perform post-treatment adapted toeach patient.

Target Disease
Fractures and dislocations, tendon and ligament injuries, work-related upper limb diseases, sports
injuries, entrapment neuropathy, traumatic nerve injury, spastic hand, joint diseases and contracture of the upper limbs, quadruple amputation, osteoarticular infection, circulatory disorders andaseptic bone necrosis, tumors, and neoplastic lesions.

Strong Fields
Treatment of intractable osteoarthropathy of the upper limbs, paralysis due to a peripheral nerve
disorder, hand reconstruction and treatment of pain, contracture removal and musculoskeletal
reconstruction for contracted hands, treatment of circulatory disorders of the upper limbs, minimally invasive surgery for small joint disorders, congenital anomaly, and functional reconstructionof hands.

Clinical Results
We are committed to minimally invasive surgery utilizing
endoscopy and operating microscopes, and we have
performed more than 1,000 endoscopic wrist surgeries,
which is an outstanding number in Japan. We introduce
the latest treatment techniques for the treatment of
peripheral nerve palsy as well.

Rheumatism outpatient clinic and hemophilia outpatient clinic.

Specialized Outpatient Clinic

Advanced Medicine and Research

We provide medical care in the specialized outpatient
clinic from Monday through Friday. There are six exclusive
doctors, and we accept referred patients in and outside of
Aichi Prefecture.

We actively conduct clinical studies for drug
development; we are conducting clinical studies
for the development of five antirheumatic
drugs.We are focusing on cartilage matrix andelucidation of the pathology of joint destruction,and expect to develop new methods of treatment.

Advanced Medicine and Research
We perform functional reconstruction of upper limbs using
composite tissue transplantation. In the field of research,
we promote the development of materials for the treatment of peripheral nerve disorders, artificial bone, materials for the treatment of fractures, and upper limb rehabilitation supporting devices. One patent were approved
during the past three years, and six patents are pending.

Child and Adolescent Psychiatry
Director OZAKI, Norio (Professor)

2E

Our goal is to help children with mental health issues and find a promising future
We perform diagnosis and treatment of developmental disorders and emotional
disorders in children 18 years old or younger with the goal of improving their mental
health.

Our System of Medical CareTo ensure sufficient time for consultation and interviews, wehave implemented a reservation only system for new andreturning patients. Patients making their first visit are
required to make an appointment via telephone with theoutpatient clinic of our department.

Target Disease
We provide medical care for developmental problems in infancy such as retardation in languageand development, hyperactivity, poor adaptation to peer groups, and inability to establish a good
relationship with peers about the same age as well as psychological problems in childhood andadolescence such as the inability to go to school or eat normally.

A Strong Clinical Knowledge
Our staff members have a strong clinical knowledge of developmental and emotional disorders
which occur in the life stages from infancy to adolescence. We perform multidimensional treatment
consisting of pharmacotherapy, psychotherapy, and the like. We also conduct evaluations using
measures such as psychological tests. Our staff maintain a vigorous interest in the current state ofresearch and modern therapies for the complete range of issues facing our patients.

Clinical Results
To address the increasing incidence of children's mental problems, we provide the latest treatment mainly on an outpatient basis. In addition, we are actively cooperating with mental clinics
and hospitals where children's mental problems are handled.

Part.2

Advanced Medicine and Research
While investigating the best diagnosis and treatment methods atpresent, our basic policy is to seek
to identify the pathology anddevelop treatments and preventive methods based on the pathology identified. In order to translate
the latest advances in knowledge
about children's mental problems
into clinical practice, we keep our
medical staff trained to the highest
medical level.

29

2-3
Central Clinical Facilities,etc.

Department of Clinical Laboratory

Department of Surgical Center

Director MATSUSHITA, Tadashi (Professor)

Director KAMEI, Yuzuru (Professor)

We aim to make further improvements to support safer and higherquality medical care

We provide high-level and advanced surgical medicine while ensuringsafetyOur department consists of doctors and clinical technologists. We aim to support themost advanced medical care as a clinical laboratory department of a university hospital, which is responsible for providing highly advanced medical treatment, to respondto the demand of the staff working in clinical settings, and to quickly perform lab
tests any time as patients demand.

In a comfortable environment, we provide high-level and advanced surgical medicine
required for university hospitals while ensuring utmost safety.

Operation System
We accept requests for tests made off-hours (nights andholidays) as well as requests made in the day shift of weekdays, and we provide real-time (quick) reporting of all tests
except for special tests or outsourced tests. We aim toreport the test results of inpatients before the doctor'sround and to report the test results of outpatients before
consultation. The physiology laboratory provides safe andhigh-quality medical services. In May 2009, we moved theopening time of the central blood sampling room back 30
minutes to 8:00 a.m. to shorten the waiting time for blood
sampling.

Scope of Medical Services
In addition to laboratory tests such as general tests, hematology, chemistry, immunology and serology tests, genetests, and bacteriology, we conduct physiologic tests suchas circulatory tests, respiratiory tests, and neurophysiological tests.

Features
We have introduced an internationally standardized clinical test method and promptly report accurate results, using high-precision autoanalyzers, for the staff working in clinical settings. The physiological laboratory provides patients with safe and high-quality medical care using the latest highperformance medical devices.

Other Undertakings

Part.2
Information on
Departments /Facilities, etc.

30

We considered that it is our greatest responsibility to provide higher-quality medical care topatients, aimed to make further improvements, and obtained ISO15189 certification (acertification given to laboratories that meetthe criteria of "Medical laboratories - Particularrequirements for quality and competence") in
fiscal year 2009.

Medical Care System
We have enough staff to perform 12 or more surgeries under general anesthesia and several
surgeries under local anesthesia simultaneously almost all the time from 8:30 a.m. to 6:00 p.m. fivedays a week. Furthermore, we are always ready to provide medical care for emergency surgery atnight or on holidays as well. Our staff members consist of four academic personnel of the Department of Surgical Center, and operations are conducted through cooperation among the staff ofthe Department of Anesthesiology and of various sections of surgery, and nurses working in theoperating rooms.

Scope of Medical Services
We perform almost all types of surgery, including liver transplantation, implantation of ventricularassist devices, da Vinci surgery, and awake craniotomy. In addition to performing sophisticatedand advanced surgeries, which is a characteristic of university hospitals, we have recently been
performing an increasing number of surgeries for more common conditions, meeting the needs ofthe community.

Strong Fields
Our department is equipped with a facility where
MRI can be performed to detect remnant tumor
during surgery, a facility with which radiation canbe administered in the operating room during
surgery, and so forth. In addition, our department
has multiple operating rooms where various
endoscopic surgeries, which have been increasing
recently, and robot-assisted surgeries can be
performed.

Clinical Results
The number of surgeries has been increasing
yearly; we performed about 7,750 surgeries infiscal year 2011 and 7,995 in fiscal year 2012.

Advanced Medicine and Research
Our facilities for intraoperative MRI scanning andintraoperative radiation are outstanding. The
endoscopic surgery assisting robot "da Vinci" wasintroduced in March 2010. These robots are now
used in the Urology, Obstetrics and Gastroenterological Surgery Departments.

Central Block of Radiology

Department of Medical Supplies

Director NAGANAWA, Shinji (Professor)

Director GOTOH, Momokazu (Professor)

Safe and advanced diagnostic imaging and radiation therapy

Supply and control for safer and more reliable medical equipment

Using the latest medical devices and team medicine, we perform safe and advanced
diagnostic imaging tests and radiation therapy.

Serving as administrator of the medical devices used in the hospital to provide a safer
and more reliable medical environment.

Medical Care System

Operation System

The department consists of one director (professor), one vice director (associate professor), one
assistant professor, two clinical assistant professors, six doctors, 57 radiation technologists, 20
nurses, and four administrative staff. Radiologists join this team and cooperate with doctors andnurses in each clinical department.

The management system was revised in April 2010, with the objective of centralized managementof the purchase, sterilization and conveyance of medical equipment and disposable medical products; bringing transparency to areas in the management system following purchase that are inadequate and to the selection of equipment; ensuring proper management of medical equipment
and disposable medical products, and optimizing investment in facilities. The organizational
system of the medical supply department consists of managing the sterilization of medical devices,and managing endoscopes, disposable medical products, SPD (supply, processing, distribution),
medical equipment and materials (MDI activities).

Scope of Medical Services
Diagnostic imaging tests such as general X-ray photographs, angiograms, GI series, CT, MRI,
nuclear medicine studies such as scintigraphy, SPECT, and PET and radiation treatment such as
linear accelelator, and encapsulated sealed radioactive source.

Features
The latest medical devices such as three-Tesla MRI and SPECT/CT are introduced in clinicaldivisions including image diagnosis, nuclear medicine, and radiation treatment.

Clinical Results
General X-ray photographs (simple) 128,226 cases,
general X-ray photographs (contrast radiography)
6,269 cases, angiogram 2,483 cases, CT 44,230
cases, MRI 20,852 cases, radioisotope examination
5,735 cases, mammary gland and thyroid ultrasound 4,189 cases, bone mineral measurement
1,391 cases, radiation treatment 20,420 (in fiscal
year 2012)

Advanced Medicine and Research
The department is working on the development ofadvanced medicine such as clinical imaging using
high field MRI, high precision radiation treatment,
novel nuclear medicine diagnostic method, as wellas our presenting research results at domestic andinternational academic conferences or in papers.

Scope of Medical Services(1) Supervise the central medical supply department in their cleaning, assembly and sterilization of
medical equipment and devices, and the endoscope cleaning department in their cleaning,sterilization and management of endoscopes. Give advice and provide guidance to ensure
proper management of sterilized equipment.
(2) Hold meetings of the materials committee to discuss fair purchasing of medical equipment anddisposable medical products, and proper use thereof.
(3) Submit proposals to the steering committee on the medical supply department in the event ofpurchasing durable medical equipment to enable all related departments to discuss the adjustment and effective utilization of equipment. Also, submit the views of the medical supply
department to the management meeting.
(4) Centralized management of purchase, supply,
conveyance, usage, lot numbers, etc. of all
disposable medical products and pharmaceuticals through the operational management of
SPD (Supply, Processing and Distribution).
(5) Collect information on all medical equipmentused in the hospital through MDI (Medical
Device Information) activities, inform relevant
information to all related departments in thehospital, and make necessary requests torelevant departments to address the related
information. Reports on the status of measures
are received and information on related medical
equipment is collected and publicized.
(6) In addition to the steering committee of the
medical supply department and material committee, to ensure smooth operation, meetingsof the steering committees on endoscope management, SPD, and medical equipment sterilization are also held.

Part.2The objective of the medical supply department isto enhance the quality and safety of our medicalcare, and achieve a stable management basis through the above activities.

31

2-3

Department of Blood Transfusion Service

Department of Pathology and Laboratory Medicine

Director MATSUSHITA, Tadashi (Professor)

Director NAKAMURA, Shigeo (Professor)

Central Clinical Facilities,etc.

Aiming at opening doors to medical staff in various fields

Accurately providing pathological diagnosis indispensable for diagnosing diseases

The department consists of two full-time doctors, one part-time doctor, four clinicaltechnologists, and one resident nurse. Any time we, Department of Blood Transfusion Service, open a door for every medical staff in various fields.

As a pathological diagnosis center, we provide reliable, safe medical services
through an accurate and high-quality pathological diagnosis.

Scope of Medical Services

Medical Care System

Accept transfusion orders and prepare blood for blood transfusions, examination required fortransfusion, collection and storage of stem cells required for cell therapy, collection and storage of
autologous blood donation of preoperative patients, and other various kinds of consultation forblood transfusion therapy.

The department consists of five full-time doctors and two part-time doctors (including sevendoctors specialized in Clinical Pathology certified by Japanese Society of Pathology, two
doctors specialized in cytodiagnosis certified by
Japanese Society of Clinical Cytology), nine
medical technologists (including five cytoscreeners), and four administrative staff.

.

Features

The department provides guidelines for theadministration of blood product for preventing
severe bleeding during surgery, as well as
providing storage for peripheral blood stem
cells, mononuclear cells, or blood platelets
against clotting abnormality including DIC byconsultation or apheresis.

Undertakings
Promoting proper use of blood products
through consultation for blood transfusion
therapy, and reducing amount of preparations(especially, fresh frozen plasma and blood
platelets). Promoting the conversion of unused
blood product, and planning to largely reduce
dispose of preparations.

Advanced Medicine and Research
As part of advanced regenerative medicine,sampling and storage of (peripheral blood orbone marrow origin) stem cells for immune celltherapy and revascularization therapy. In addition, prepare autoserum for self-tissue culture
during implant treatment.

Scope of Medical Services
The department performs a pathological diagnosis by observing tissues through a microscope during a biopsy, operation, or cytologicalexamination. A pathological diagnosis is indisp en s a b l e f o r di agn os i s of a di s e as e an dprovides important information for decision ona treatment policy or prognostic. An autopsy ofa patient, who sadly passed away, not only
reveals the whole aspect of disease but also
affords clues for new developments in medical
treatment.

Strong Fields
The department performs as many as 1,000 intraoperative rapid diagnoses annually. An intraoperative rapid diagnosis is a pathological diagnosis of a sample collected during an operation overa short period of time to provide new information, and to use that information to make a decisionon treatment policy.

Clinical Results
About 14,000 histological assessments, about 12,000 cytological diagnoses, and 33 autopsies
were performed last year. We accept a second opinion diagnosis of sample diagnosed in otherfacilities to provide equal standards of medical care.

Advanced Medicine and Research

Part.2
Information on
Departments /Facilities, etc.

32

The department diagnoses and researches rarediseases such as hematopoietic tumors including malignant lymphoma.

Department of Emergency and Critical Care Medicine

Surgical Intensive Care Unit

Director MATSUDA, Naoyuki (Professor)

Director KAINUMA, Motoshi (Clinical Professor)

An emergency medical care system that enables patients to receive
safe and secure treatment

Providing the worldʼs highest standard of medical services in a completely closed ICU system

Provision of the best possible medical services to patients ranging from primary totertiary emergencies in cooperation with all clinical departments, with a focus on specialist physicians at the Emergency Department. We deal with patients in serious conditions who need urgent care.

The department provides multimodality and cross-sectional Systematic control andmedical care services to all patients with severe diseases from a diagnostic, therapeutic and nursing aspect.

Medical Care System

Medical Care System

An emergency outpatient clinic is operated around the clock according to instructions by specialists working at the Emergency Department. For patients in a serious condition who require urgent
care, we conduct triage and provide medical care on the basis of priority.

Our ICU has a completely closed system, in which doctors are exclusively stationed in the ICU for
24 hours under the direction of anesthesiologists where they hold conferences in the morning andthe evening and provide medical care around-the-clock with support from specialized clinicaldepartments. The nursing staff ratio is one to two nurses per patient.

Target Disease

Target Disease

Our department handles all emergency cases
from walk-in primary patients to tertiary patientsin a serious condition transported by ambulance.
Our treatment policy is that in principle we do
not refuse any emergency patients who haveconsulted us before.

The department implements systemic controls,
such as artificial respiration control, circulatory
management, infection control, and nutrition
management; after highly invasive cardiac
surgery, great vessel surgery, abdominal surgery,and any other major surgical operations; or forpatients with multi-organ disorders and severe
infections.

Features
Emergency medicine supervising doctors andspecialists are stationed around the clock in theemergency outpatient clinic, preparing for every
kind of medical emergency. In addition, we haveintroduced an on-duty system in every medical
department to seek medical care in each specialized field. Patients in a serious condition are thendealt with at the ICU of the Emergency Department or one of the various sections of the Internal Medicine Department.

Among hospitals affiliated with national university
medical schools, a completely closed ICU system
is rare, and we achieve the highest level of medical care. Doctors and nurses work to improvesafety management and service quality andpromote advanced medicine.

Clinical Results

In fiscal year 2012, we received 1,246 patientsand the death rate was 1.77%. We actively accept
severely-ill surgical outpatients and inpatients.

The number of emergency patients totaled
11,901 in fiscal year 2012. The department
collaborates on pre-employment and in-service
training for emergency medical technicians. As
a disaster base hospital, it is actively preparing for
major disasters.

Other Undertakings
Even if a patient develops a medical emergency
that is different from their regular medical problems, they can visit the Emergency Department
so that we can provide specialized emergency
care. This system allows patients to receive treatment at an appropriate specialized medical
department in case they can be dealt with there.

Features

Part.2Clinical Results

Other Undertakings
The department aims to provide medical services
compliant with world standards. By introducing
Evidence-Based Medicine (EBM), we eliminate ad
hoc medical services. In addition, working closelywith the Medical and Emergency Intensive Care
Unit, we are developing therapies for refractorydiseases as a university hospital ICU.

33

2-3
Central Clinical Facilities,etc.

Emergency and Medical Intensive Care Unit

Department of Blood Purification

Director MATSUDA, Naoyuki (Professor)

Director TSUBOI, Naotake (Lecturer)

Covering all critical care, a complete attending physician system
during the acute phase

Undertaking blood purification therapy that responds to the increasing demand

The Emergency and Medical ICU (EM-ICU) responds swiftly to acute clinical conditions
and provides advanced acute-phase management. In addition to dealing with patientstransported in an emergency and treating primary conditions of inpatients in such areas
as internal medicine and pediatrics, we provide basic management, such as reduction ofsystemic inflammation, acceleration of regeneration, infection control, and nutritional
management, to ensure appropriate management and prevent multiple organ failure.

The department takes charge of the hospital’s blood purification therapy in collaboration with the ICU.

Medical Care System
EM-ICU has 10 beds in total. Open seven days a week, the department is staffed by emergency medicine
specialists and ICU specialists. It is a highly independent, completely closed ICU. A full-time doctor specializedin emergency medicine / ICU is assigned as the attending physician for each patient in the ICU. This helps toprovide acute-phase medical services with treatment policies defined by the team. Professors, associate
professors, lecturers and assistant professors give appropriate guidance to the attending physicians.

Target Conditions
The ICU provides treatment to adults and children with conditions
requiring acute-phase systemic management, such as disturbed
consciousness or coma, acute respiratory failure or acute exacerbation of chronic respiratory failure, shock, acute drug intoxication,
serious metabolic disorder (e.g., hepatic or renal dysfunction,
diabetic ketoacidosis or environmental disorder), multiple trauma,
postresuscitation encephalopathy and severe sepsis.

FeaturesOur results in treating systemic inflammatory response syndromes
such as sepsis and disseminated intravascular coagulation syndrome
are far better than the world average, and the ICU is staffed bypersonnel highly skilled in acute-phase management and handling of
all of the abovementioned acute clinical conditions systemically andcomprehensively from multiple perspectives.

Clinical Results
The ICU opened in May 2011. The number of beds was increased to six
on June 1, 2011 and to ten on October 1, 2011. The ICU is designed tohandle more than 500 urgent cases in serious conditions a year.

Specialized Outpatient Clinic

Part.2
Information on
Departments /Facilities, etc.

34

At the Emergency and Medical Intensive Care Unit, we run a rapid response system in case of an acute deterioration of patients, by immediately detecting such condition and promptly transferring the patient to our unit.

Other Undertakings
We provide state-of-the-art acute-phase treatment, which is strength of university hospitals. We understand theglobal level of evidence-based medicine (EBM), and possess world-leading knowledge about refractory cases.
Clinical research on such treatments is carried out after obtaining approval from the Ethics Committee andinformed consent from the patients. Our hospital is internationally-renowned for collaboration with otherinstitutions inside and outside the country in the field of intensive care.

Medical Care System
There are 10 beds in the department. The department is open on Monday, Wednesday, and Friday
for a morning and afternoon shift, and Tuesday, Thursday and Saturday for a morning shift, which
are handled by doctors, clinical technicians and exclusive nurses. Various blood purification
therapies such as PE, DFPP, L/G-CAP in addition to HD/HDF are also performed. The specialist
nurses also give guidance to outpatients on peritoneal dialysis (CHPD).

Target Disease
Blood purification therapy is administered for diseases such as hemodialysis for patients with
end-stage kidney disease, surgical perioperative dialysis of patients on maintenance hemodialysis,or acute kidney failure or hepatic failure due to medicine, an operation, auto immune disease or
sepsis, inflammatory Crohn's disease, and diseases of the nervous system.

Features
Only our hospital performs highly-specialized and advanced medical services protocol for ICU,
cardiac surgery, organ transplantation, marrow transplant, cancer chemotherapy for severe
infections, multi-organ failure, cardiovascular system, as well as for malignant diseases and acuteblood purification for severe multiple complications.

Clinical Results
Total number of cases: blood dialysis 2,200
sessions, plasma exchange 45 sessions,leukocyte reduction 160 sessions, and new
dialysis patients totaled 50 (all numbers areapproximate figures in 2012)

Other Undertakings
The department started Tuesday, Thursday
and Saturday shifts in May 2009 to meet theincreasing demand. In October 2009, thedepartment was renamed Department of
Blood Purification. The department actively
undertakes research on devices, medicines,
and equipment relating to the total blood
purification therapy, as well as establishmentof safe dialysis for acute patients.

Center for Maternal - Neonatal Care
Director HAYAKAWA, Masahiro (Clinical Professor)

Center of National University Hospital for Infection Control
4E

Director YAGI, Tetsuya (Professor)

Comprehensive support for the health of mothers and babies using
advanced medicine

Special team for infection control & prevention and support for treating infectious diseases in Nagoya University Hospital

The Center performs obstetric medical care, reproductive medicine, intensive carefor premature babies and sick newborn infants including high risk childbirth.

This department specializes in promoting cross-departmental nosocomial infection
control and prevention activities and officially manages the Japan Infection Prevention and Control Conference for National and Public University Hospitals.

Medical Care System
Nine specialized doctors in the departments ofobstetrics and reproductive medicine and 10
specialized doctors in the neonatal department
provide medical care. Even at night and on
holidays, specialized doctors are assigned to
the respective departments, who perform
emergent childbirth delivery procedures andoperations, handle emergent hospital admission,and monitor severe newborn infants.

Target Disease
The Center targets high risk pregnancy (pregnancy induced hypertension, pregnancy complicatedby maternal disorders, placenta praevia, fetal disorder, etc.), infertility (endometriosis, uterine
fibroid, fertility-preserving and recovery treatment), premature / low birth weight infants, critical ill
infants (neonatal asphyxia, newborn infants with surgical disease complications, etc.).

Medical Care System
We coordinate as the secretariat of the Japan
Infection Prevention and Control Conference for
National and Public University Hospitals. The
infection control team consisting of ICDs (fiveInfection Control Doctors), ICNs (one Infection
Control Nurse), one laboratory technician, two
pharmacists, and one administrative staff
collaborate in controlling health care-associatedinfections and supporting diagnosis and treatment of infectious diseases. We also vaccinate
on an outpatient clinic basis once a week.

Target Disease

Fetal abnormality, placenta praevia accreta, total assisted reproductive technique such as in vitro
fertilization, microinsemination, monitoring of severe newborn infants using advanced medical
technology such as extracorporeal membrane oxygenation or hypothermia.

Surveillance against drug-resistant bacteria andvarious healthcare-associated infections, planning and implementation of infection control
measures, consultation on cases of refractory
infections, measures against occupational infections (prevention of needlestick injuries, blood
exposure, vaccinations, etc.)

Clinical Results

Features

Recorded the following numbers of clinical cases in 2012: childbirth delivery (478 cases including
200 cases of caesarean operation); mother conveyance (59 cases); congenital abnormal fetus (60cases); in vitro fertilization (120 ovum collection periods); embryo transfer (185 periods); newborn
intensive care unit (NICU) hospital admission (265 cases); extremely low birth weight infant (13cases); and congenital diaphragmatic hernia (10 cases).

Surveillance for drug resistant bacteria and device-related infections. Cross-sectional activities forplanning and implementing infection control measures. Rapid feed back of clinical microbiologicalinformation to doctors in charge in cooperation with the microbiology laboratory. Working as asecretariat for Japan Infection Prevention and Control Conference for National and Public University Hospitals.

Strong Fields

Advanced Medicine and Research
Researching clinical conditions of placenta previa
accreta, predicting severity of fetus' diaphragmatic hernia, continuously observing embryonicdevelopment using an incubator with a microscope and studying regeneration medicine using
stem cells for perinatal brain damage.

Part.2Clinical Results
Standardization in reprocessing endoscopes,
vaccination outpatient clinic, infection control
management for novel influenza and outbreakcontrol of drug resistant bacteria, consultations
for diagnosis and treatment of difficult-to-treat
infectious diseases and support in the treatment
for positive blood culture cases (about 900
cases annually).

Advanced Medicine and Research
Clinical and microbiological research on drug
resistant bacterial infections and mycobacterial infections.

35

2-3
Central Clinical Facilities,etc.

Department of Endoscopy

Department of Rehabilitation

Director GOTO, Hidemi (Professor)

Director NISHIDA, Yoshihiro (Extraordinary Professor)

Providing the ultimate level of medical services such as various endoscopic or ultrasonic examinations

Targeting early recovery through early rehabilitation

Providing the ultimate level of medical services in cooperation with the five exclusive
doctors (concurrent 10 doctors), four exclusive nurses (concurrent three nurses) andthe Department of Clinical Laboratory.

Medical Care System
Diagnosis and treatment using an upper endoscope; diagnosis and treatment using a lower endoscope, diagnosis and treatment using an endoscopic ultrasonogrophy for the biliary tract and pancreatic disease and an external ultrasonic examination and treatment (treatment of hepatophyma)
are conducted basally from 8:30 a.m. daily.

Target Disease
Benign tumors (inflammation and ulceration, and so forth) and malignancy (carcinoma, sarcoma) of
the stomach, esophagus, duodenum, small intestine, colon (upper and lower gastrointestinal tract),
hepatocellular carcinoma, pancreatic tumors (pancreatic cancer and so forth), gallbladder neoplasm, biliary tract tumors, and so forth.

Endoscopic mucosal resection, endoscopic
submucosal dissection for the early cancer ofgastrointestinal tract, endosonography-guided
fine-needle aspiration biopsy, transduodenalpancreato-biliary diagnosis.

Clinical Results

Advanced Medicine and ResearchInformation on
Departments /Facilities, etc.

36

Medical Care System
Two exclusive doctors
22 physical therapists
Four occupational therapists
Three speech therapists

Scope of Medical Services
The department conducts physical therapy,
occupational therapy and eating / swallowing therapy for cerebrovascular diseases,
motor system diseases, breathing problems,
cardiac macrovascular diseases, and cancer
patients.

Strong Fields
Strong Fields

Endoscopic examinations totaled about 9,600
cases in last year (upper part: 5,600, lower part:2,800, gallbladder and pancreas: 1,000, small
intestine: 270), of which endoscopic treatments
accounted for about 1,400 cases. Ultrasonography and related treatments were performed for
5,700 cases annually. (results during the fiscal
year 2012)

Part.2

In principle, we mainly perform rehabilitation in the acute stage.

Diagnosis of the digestive tract and clarificationof physiological functions of the human bodyusing capsule endscopy, immune cell therapy of
pancreatic cancer, somatoscopy of cell ultrastructure using a confocal endoscope, researchon gene expression profiling using a small
amount of biopsy material, and development of
a new method of endoscopic treatment applying endoscopic treatment for digestive tract tumors (ESD).

The main task of the department is to respond to the needs for early rehabilitation after pathogenesis and operations. There is a high ratio of intractable neurological diseases, artificial joints after anoperation, and postoperative hands.

Clinical Results
2,739 registered patients started rehabilitation in 2012 (including cerebral vascular disturbance 25%,
motor system diseases 23%, respiratory diseases 25%, cardiac macrovascular diseases 24%, and other3%.

Other Undertakings
Education for other departments in the hospital about transfer, falling, and so forth.

Center for Advanced Medicine and Clinical Research

Department of Clinical Oncology and Chemotherapy

Director ISHIGURO, Naoki (Professor)

Director ANDO, Yuichi (Professor)

Center that explores new medical treatments to lead the next generation

Aiming at improvement the quality of chemotherapy

We support the advanced medical development, practical studies on the collaboration between medical and engineering institutions, and the implementation of accurate and smooth clinical studies. We carry out exploitation of new medical treatments
to lead the next generation. It is one of the missions of Nagoya University Hospital.

Operation System
Under the direction of a director (concurrently assumed)
and seven full-time faculty members, the Department ofAdvanced Medical Support is staffed by one researcher,six technologists, one in charge of information systems
and another for intellectual property management. The
Department of Clinical Research Support is staffed by
five members for clinical trial examination and drug
management, 23 clinical research coordinators, six data
managers, three monitors and one medical writer. The
Management Department is staffed by 13 administrators.

Scope of Medical Services
The Department of Advanced Medical Support has the largest cell processing room in Japan. Its
operations are conducted under strict control according to international standards of quality
assurance. This department supports advanced medicine to provide essential health care involving
new treatments, such as genes, cells, tissue culture. The Department of Clinical Research Support
implements clinical tests accurately and smoothly in compliance with laws, ordinances andguidelines relating to clinical tests such as pharmaceuticals. Moreover, the Management Department conducts administrative tasks related to the program for training human resources in charge ofclinical research, the progress management of seed technologies and supported projects, andcooperation with external organizations.

FeaturesWe support creating a protocol of a clincal trial, implementing a trial and analyzing data, by allocating teachers who areversed in data management and biostatistics. The Center
works to protect trial subjects' rights, safety, and welfare,and support implementation of high-quality clinical trials
while securing reliability of data, by following the ICH-GCP,
which are international rules.

Other Undertakings
This center conducts the "Translational Research Network
Program" adopted in 2012 by the MEXT (Ministry of
Education, Culture, Sports, Science and Technology) as
well as the "Clinical Research Core Hospital Program" ofthe Ministry of Health, Labour and Welfare, thus improving
and reinforcing the capacity to develop state-of-the-art andadvanced medical technologies at Nagoya University.

3W

The department performs high-level outpatient pharmacotherapy for cancers that
occur in all organs.

Medical Care System
With the presence of specialists in cancer pharmacotherapy, we perform medical care through cooperation
among doctors, nurses and pharmacists of various
departments in order to improve the quality of cancer
pharmacotherapy throughout the hospital. In addition
to receiving advice from the staff of other clinicaldepartments, we run special beds for inpatients.

Scope of Medical Services
The department performs medical care in cooperation with other clinical departments specializingin organ-specific cancers, such as digestive organ, breast and lung cancers, and runs chemotherapy
rooms for outpatients, acts as a palliative care team, arranges for chemotherapy regimens, conducts
clinical trials of anticancer drugs, and provides medical staff training relating to chemotherapy.

Features
We provide global-standard chemotherapy for patients with cancers that occur in all organs andpalliative care for patients with cancer symptoms or side effects of treatment. We are also engaged
in the development and clinical trial of new anticancer drugs, as well as education and enlightenment on cancer pharmacotherapy for people in various professions working inside and outside thehospital.

Clinical Results
About 35 chemotherapy regimens per day areadministered at the chemotherapy room for
outpatients. The palliative care team has been
responding to 240 requests in total between July
2006 and March 2013. Since 2009, the department
has been entrusted with a total of 10 industrysponsored clinical trials for registration.

Part.2

Specialist Outpatients
Palliative care

Other Undertaking and Researches
The department serves as a Designated Cancer
Hospital, and, for training, takes part in the Cancer
Professional Training Plan, a program of the Ministryof Education, Culture, Sports, Science and Technology from an educational aspect. The department
promotes the study focusing on the differences ofthe side effects of anticancer agents among different
individuals.

37

2-3
Central Clinical Facilities,etc.

Department of Clinical Engineering

Stroke Care Managing Center

Director USUI, Akihiko (Professor)

Director MIZUNO, Masaaki (Clinical Professor)

Rapidly responding to troubles with artificial respirators and operating
room equipment

Enhancement of the quality of stroke care

The department makes a profound study to provide safe and high quality medical
services. This is our department’s basic objective.

Operation System

Operation System

Total of 23 members consisting of 13 full-time employees and 10 fixed-term employees provide
support for circulatory and metabolic medical treatment and manage the controlling equipment.
In addition, the department introduced 24-hour system so as to react in an emergency at night
and on holidays.

The doctor in charge of stroke medical care plays a central role in establishing new diagnostic
measures and medical treatment for strokes and verifying their effectiveness.

Scope of Medical Services
The scope of business includes hemocatharsis,
artificial heart lungs, cardiac catheter tests,
pacemakers, and central management of ME
equipment. In addition, the department
supports the ward round checks of artificial
respirators, or equipment trouble in the intensive
care unit or operating rooms.

Features

Information on
Departments /Facilities, etc.

38

Scope of Medical Services
The center supports stroke medical care from both diagnostic and therapeutic aspects in related
institutions and so forth, by operating a network integrating medicine and welfare supported byelectronic engineering, establishes a stroke association medical care system, and strives toenhance the quality of stroke medical care.

Strong Fields
The center developed the standardization of medical information on an electronic basis (HL7,
CDA, DICOM) and the technology of sharing (XDS) technology intended for the stroke medical
field to demonstrate the effectiveness of the stroke association medical care system as a first inJapan.

The features of the department include manycases of cardiac surgery for large vessels using
an artificial heart and lung apparatus, as well as
supporting medical treatment by skillfully
applying advanced medical equipment such as
catheter ablation and a pacemaker, or
implantable card iove rter defibrillator fo r
circulatory system.

The system for transmitting CT and MRI images to a cellular phone to support acute care forstrokes has been utilized more than 1,500 times. In addition, the standardization and sharing of
medical information developed by our center is becoming a Japanese national standard specification.

Medical Service Results

NAGOYA-RHIE (Regional Health Information Exchange) of our center is highly evaluated fromoverseas and useful for constructing a Japanese version of EHR and System for Community General Support.

The department's medical treatment support in
fiscal year 2012: hemoperfusion services (3,166
cases); artificial heart lung machine services (274cases); percutaneous transluminal coronary
angioplasty (200 cases); catheter ablation
services (463 cases); pacemaker services(157 cases); and pacemaker follow-up
services (2,131 cases).

Part.2The department targets to link together with medical institutions in the Tokai region
using information technology and establishing stroke association medical care centering on the patients and citizens.

Other Undertakings
The department positively participates inacademic conferences or study sessions
relating to hemocatharsis, extracorporeal
circulation, and so forth, to collectinformation on cutting-edge medicine, inan effort to provide high-quality medical
treatment support.

Medical Service Results

Other Undertakings /Advanced Medicine

Continence Information Center

Medical IT Center

Director GOTOH, Momokazu (Professor)

Director ISHIGURO, Naoki (Professor)

Committing ourselves to the treatment of continence disorders

Supporting hospital operations through information technology andmanagement

This center serves local communities by making full use of the expertise and humanresources of Nagoya University with the aim of QOL improvement of elderly people
through improvement in continence treatment.

Operation System

This center developed a comprehensive hospital information system (electronic
medical records), which controls and manages total medical records in the hospital.
This system is state-of-the-art system in Japan, so that patients’ personal information
is well protected and high-quality medical services are provided.

This center consists of two urologists (concurrent doctor) and one administrative staff member.

Scope of Medical Services
This center provides various services and operations for continence control improvement in collaboration with municipalities and commercial establishment (e.g., NPO Aichi Continence Care Society).
The services and operations include workshops, open lectures, counsel through the Internet, andtraining of paramedical staff specializing continence care.

Strong Fields
This center provides promotion, training, information service, construction of local networks, andcounsel regarding continence treatment.

Features
The following efforts are made by this center:- Provision of information through website: http://www.m-haisetsu.info/ (in Japanese)- Building interactive consulting system- Training of paramedical staff specializing continence care

Medical Service Results
This center has conducted the following services:- Public lectures (once a year)- Local workshops (about five times a year)- Education and training of 206 Licensed Continence
Nurses since 2004
- Publication of Guideline of Continence Care for the
Elderly- Internet counseling service (about 200 counseling)- Continence care and control training workshop (oncea year)Other Undertakings
This center conducted the “Development of Care Site
Evaluation Criteria and Local Models on Continence
Rehabilitation for the Elderly at Care Site and Home”
project, which is a “Comprehensive Research Projecton Longevity Science” funded by the Ministry of
Health, Labour, and Welfare (fiscal year 2005 to 2007:
Prof. Goto’s team). Moreover, the center created a local
continence control model in cooperation with local
comprehensive support centers, hospitals, elderly carefacilities, home-visit nursing care service, and medical
associations in Hekinan-city, Aichi Prefecture.

Operation System
This center was developed to controls and manages medical records with comprehensive hospital
information system. The comprehensive control and management is conducted collaboratively
with administrative divisions of IT System and the Medical Records.

Scope of Medical Services
Furthermore the development, control, and management of electronic medical records, the centerpromotes IT literacy of staff and enhances IT intelligence for research using clinical information.

FeaturesOur comprehensive hospital information system use an object-oriented database Caché, which isan advanced system in Japan and operate a large-scale, stable system. Integrating hospital information system and FileMaker, our comprehensive hospital information system covers large hospital operation.

Medical Service Results
Nagoya University Hospital was first to integrate operations between commercial
software (FileMaker) and Hospital information
system among national university hospitals inJapan. This enabled clinical information ateach department to be successfully integrated. The center focuses on establish athree-layer hospital information system.

Part.2Other Undertakings
The center utilizes data entered in electronic
medical records statistically using a clinicaldata warehousing system on a trial basis.
Analyzing the data that may be beneficial toclinical applications, the center will help
improve the quality of our medical services.
Furthermore, the center aims to develop the
CDSS (Clinical Decision Support system) andto create intelligent clinical information
system.

39

2-3

Center for Postgraduate Clinical Training and Career Development

Community Liaison Center

Director UEMURA, Kazumasa (Professor)

Director KUZUYA, Masafumi (Professor)

Central Clinical Facilities,etc.

Developing professional competencies of young doctors for their
futureLiaison with communities to focus on the quality of life of patients

This center provides postgraduate medical training for young doctors and lifelong
training for the hospital staff.

Operation System
This center works together with the Center for Medical Education, which educates undergraduate
medical students of Nagoya University. The section of postgraduate clinical training conducts
training for medical and dental residents and the section of faculty development lifelong training forthe hospital staff.

Activities
Providing postgraduate clinical training for postgraduate doctors and dentists, this center supports
the career planning of young doctors in Tokai region. The center also works together with the
Nagoya University Clinical Simulation Center (NU-CSC), which provides an effective training environment and training programs for all staff of the hospital.

Features
Together with the Center for Medical Education, as the headquarter for medical and clinical training,
this center provides seamless education and training programs from undergraduate, postgraduate,
up to lifelong for all medical staff of the hospital.

Results
Lectures for the residents and workshops for the hospital staff were held periodically, and last year,
20 lectures and workshops were held with a total of 150 people attending. The Skills and IT Laboratory, which was the forerunner of the NU-CSC, was used by at least 1,000 groups (approx. 18,000
people) a year, which is the highest usage in Japan.

Other Undertakings
As the 2008 fiscal year project by the Ministry of Education, Nagoya University Hospital conducts a
medical specialist qualification acquisition support programs for young doctors’ training in cooperation with seven university hospitals in the Tokai region (Tokai Career Support Program for Young
Doctors). This program will help solve the shortage of doctors in the region.

Part.2
Information on
Departments /Facilities, etc.

This center supports liaison with communities in medical services, nursing, and social work.

Operation System
This center has personnel from various fields: three
doctors, six nurses, and seven medical social workers.
Featuring cross-functional collaboration groups, thecenter provides various support programs that link
hospitals and local communities. The major tasks ofthe center are:- Supporting patients when they leave the hospital- Acceptance of patient into the hospital- Provide hospital information- Consultations with patients- Promotion programs for collaboration

Scope of Medical Services
Local support nurses and medical social workers collaboratively provide coordination of homecare
and transfer of hospitals to support patients when they leave the hospital. Hospital-to-Clinic
Collaboration Group conducts administrative work on hospital-to-clinic collaboration andhospital-to-hospital collaboration (providing and accepting introduction). In addition, the center
provides a wide range of counseling about cures, medical and welfare systems for cures, provides
information on social resource utilization, and patient support.

FeaturesTo flexibly cope with functions required for local
collaboration, this center employs a cross-functional
structure that integrates various fields. Establishing a
support structure that places importance on patientsas living people and their quality of life is thecenter’s goal.

Medical Service Results
The number of patients who receive supports when
discharging hospital has been gradually increasing,totaling 987 in fiscal year 2012. The number ofregistered doctors promoting collaboration among
medical facilities in the community exceeded 1,600
as of March 2013. This center proactively holds
lectures for registered doctors, workshops oncommunity collaboration among multiple
occupations, and in-house workshops on support forpatients discharge.

Other Undertakings
The center plans and hosts a variety of symposiums with the keywords of “local collaboration”.

40Clinical Nutrition

Transplant Coordination Service

Director OISO, Yutaka (Professor)

Manager GOTOH, Momokazu (Professor)

Providing safe, delicious, and clinically beneficial food

The basis for organ transplantation within the hospital, local clinics,
and patient services

This department aims at providing food paid attention to safety and catering withhigh quality patient service and engaging in clinically beneficial nutrition management for hospitalized patients.

Scope of Medical Services
This department offers the following services:- Nutrition management focusing on nutrition screening and nutrition management planning for
inpatients- Nutrition and dietary advice to inpatients- Feeding service for inpatients
In addition to the above, the department provides dietary counseling and promotional education for
outpatients.

Operation System
This department participates in the nutrition support
team (NST) and is involved in the operation of the NST. In
a regular NST briefing, to increase the effects of medical
treatment, a custom-tailored nutrition intervention basedon the nutrition assessment is made for inpatients withnutritional risk.

FeaturesThis department provides high quality food-services featuring:
1. Selection menu
2. Food provision with face-to-face service at patients’ cafeteria
3. Birthday menu for inpatients on their birthday (exclude some food)

Medical Service Results
Dietary counseling is offered for individuals and group. In particular, dietary counseling for
inpatients with diabetes in the Endocrinology and Diabetes ward includes practical programs suchas dietary therapy lectures and cafeteria-style menu.

Other Undertakings
This department proactively participates in thehospital-to-clinic collaboration programs thatare funded by Chronic Kidney Disease (CKD)
Local Collaboration System, Frontier of Renal
Outcome Modifications in Japan. For outpatients with CKD, the department provides
medical treatment and care in a collaborative
manner with doctors and paramedical staff,
and holds a kidney disease class on Saturday
once a month.

The department provides patients requiring organ transplantation with information
and advice and serves as a liaison between the related departments in the hospitaland with outside institutions.

Operation System
Two full-time transplant coordinators (nurses) provide patients with physical and psychosocial carethroughout the process, from initial consultation and waiting list, to hospital admission, surgery
and medical care after discharge from the hospital, while working closely with related clinics anddepartments in the hospital and with local medical institutions.

Scope of Medical Services
In addition to the above, another importantrole is to protect living donors (organ
donors) and provide them with psychosocial
care for life. For transplantation from braindead donors, which is now increasing, thedepartment manages the conditions ofpatients waiting for donation in close liaison
with local institutions. It also serves as a basefor information when the donor is an inpatient of the hospital.

Medical Service Results
At present, the hospital mainly handles liver, small intestine and kidney transplantations, and isconsidering handling transplantations of other organs in the future. The department also provides
psychosocial care and consultation on the medical costs in cooperation with psychiatrists, clinicalpsychotherapists, and the Department of Social Service.

Part.2Other Undertakings
We strive to establish the best system to address various issues regarding not only technical matters but also ethical, financial, and psychosocial aspects that arise during the period
while the patient is waiting for a donororgan to when a donor is found and thepatient undergoes the transplantation, andthen while the patient is receiving lifelong
care.

41

2-4

Department of Hospital Pharmacy

Department of Nursing

Director YAMADA, Kiyofumi (Professor)

Director MIURA, Masako

Solely in charge of management of the large quantities of medicinesand drugs

Aiming to provide safe nursing care that enables patients to feel asense of security and trust

The department consists of the director, five deputy directors, 13 team leaders, 56
pharmacists, 10 pharmacist residents, and four administrative staff members.

Respecting patients' rights and aiming to provide the possible highest-quality nursing services. Also, making various efforts to foster excellent nurses.

Operation System

Operation System

The department consists of a drug dispensing section, injection dispensing section, drug formulation sections (I, II and III), narcotic drug section, drug information section, medication record
management sections (I, II and III), testing laboratory, drug affairs section, advanced medical drug
support section, drug safety control support section, and administration office.

In order to build a sense of trust and security while respecting
patients' rights, and to provide nursing care of the highest
possible quality through united efforts by the entire organization, head nurses are assigned to respective wards, outpatient
clinics, and the Clinical Laboratory and Examination Center.
These head nurses include the Deputy Hospital Director, who isthe chief of the Department of Nursing, six deputy chiefs of the
Department of Nursing, the human resources chief, and headnurses respectively specialized in education, research, infection,
safety and community support.

Scope of Medical Services
The department purchases, prepares, formulates, and manages drugs; prepares infusion solutions
and antineoplastic drugs; keeps control of narcotic drugs; and gathers and provides information on
drugs. The department is also in charge of the operations of the pharmaceutical affairs committee,
therapeutic drug monitoring (TDM), administration planning, medication guidance, checks for drugs
brought to the hospital by inpatients, and medication guidance upon discharge from the hospital.

Features
Upon request from the primary doctor or the patient,
we provide guidance (pharmacist clinic) on inhalation
therapy for bronchial asthma and use of warfarin andAricept to help optimize the effectiveness and safetyof drug therapies.

Medical Service Results
Other support includes checking prescriptions forcancer chemotherapy, preparing antineoplastic drugs
according to certified regimens (Department ofClinical Oncology and Chemotherapy), and testing
drugs used for PET (Central Block of Radiology).

Other Undertakings and Research

Part.2
Information on
Departments /Facilities, etc.

4242In our depar tment, there are 32 pharmacists(board-certified pharmacists and pharmacy specialists
certified by academic societies) and 17 doctoral
degree holders. The Director for the Department of
Hospital Pharmacy and one of five Deputy Directors
for the Department of Hospital Pharmacy also teachat the School of Medicine and the Department of
Neuropsychopharmacology and Hospital Pharmacy of
the Graduate School of Medicine.

Scope of Medical Services
The Department of Nursing of a university hospital, which provides advanced comprehensive medical services, should provide quality nursing. We therefore pursue higher levels of specialization andadvancement to meet the changing needs of the times and communities in our operations forhuman resource management, administration, education, medical information processing, recruitment, nursing services, and safety. We promote collaboration with the community not only in thefacilities, through the university hospital's practical knowledge and education.

FeaturesThis department has an in-depth training system that produces nurses with sophisticated skills, deep
knowledge and a sense of hospitality through both practical and theoretical training. Since fiscal
2009, the department has been conducting post-graduation clinical training for new nurses, aheadof other hospitals throughout the nation. In fiscal 2012, the career development system using
e-portfolio started, through which we systematically provide education that allows them to grow anddevelop as professionals. Since fiscal 2006, we have been working to revitalize the organization byalways approaching nursing care from the viewpoint of customer service, through implementing goal
management based on BSC in nursing administration.

Medical Service Results
Certified nurse specialists and certified nurses who haveadvanced special knowledge and high-quality nursing skills, areworking in a wide variety of areas in a cross-functional mannerand striving to improve the quality of nursing care. The hospitalconducts three in-house certification courses: the management
course, the critical care course and the infection control course.

Other Undertakings
We are creating a system to always repond to changes according to the needs of the times. In fiscal
year 2010, the "Saving Life Nurse Fostering Plan" was adopted in the university reform promotion
project by the Ministry of Education, Culture, Sports, Science and Technology, and efforts are being
made to foster nurses who can accurately handle critical situations. In fiscal year 2011, we started
reviewing the nursing system and international exchange with Asian countries.

Department of Medical Technique

Administration OfficeDirector YONEDA, Kazuo

Director SHIOZAKI, Eiji

Providing safe and high-quality medical services

Processing a variety of administrative work and supporting smooth
hospital operations

This department aims at maintaining excellent personnel, flexibly responding to avariety of needs from the clinical side, providing safe and high-quality medical
services (medical examination and treatment aid). Through these aims, the department built its solid foundation as a university hospital with advanced medical practices and services.

Operation System
This department has five groups of specialists withmedical technology certifications. The groups are:
- Clinical examination group: 64 medical technologists- Radiology group: 57 radiological technologists- Rehabilitation group: 22 physical therapists, four
occupational therapists, three speech therapists, and10 orthoptists- Clinical engineering and dentistry group: 23 clinicalengineers, one dental hygienist, one dental
technician- Special technological group: two medical technologists, two clinical engineers

Scope of Medical Services
Medical technologists aid clinical examinations at the Department of Clinical Laboratory, Department of Pathology, and Department of Blood Transfusion Service. Radiological technologists play arole in image diagnosis examination, radiographic examination and radiation therapy at the Central
Block Radiology. Physical therapists, occupational therapists, and speech therapists aid the rehabilitation of patients at the Department of Rehabilitation. Clinical engineers maintain the heart-lungmachine during an operation and the dialysis machine during dialysis at the Department of ClinicalEngineering.

Features
The clinical examination group acquired ISO15189 accreditation in fiscal year 2009 to provide data
based on international-level quality examination to doctors.
The radiology group introduces the most advanced medical equipment to provide the highestquality diagnosis image and radiation therapy.
The rehabilitation group has provided its
services on Saturday as well as weekdays
since April 2009 to facilitate the recoveryof patients.
In the clinical engineering group, skilled
clinical engineers provide safe medical
services with high-performance equipment.

The Administration Office processes a variety of administrative work of this hospitalas well as the graduate school of medicine and faculty of medicine. Fast, smooth processing is made through collaboration with each department.

Operation System
The following functions are controlled by the Administrative Director:
Vice Administrative Director, General Affairs Division, Personnel Affairs and Labor Group, Student Affairs
Division, Management Planning Division, Accounting Division, Facilities Management Group, Medical
Affairs Division, Medical Services Support Division, and General Administration Division, Daiko Campus.

Scope of Medical Services■General Affairs DivisionThis division designs, plans, and improves hospital management
and operations, publicizes our services, plans clinical training, andhandles administrative tasks related to the safety management of
medical care and prevention of nosocomial infections.
■Personnel Affairs and Labor Group
This division handles the administration of human resources, payroll, labor
management, benefits and welfare, and occupational safety and health.
■Student Affairs Division
Services related to studentship, school affairs, student life, support for students, international
exchange, and foreign students, etc.
■Management Planning DivisionThis division provides administrative support related to the hospital’s business plans, budgets,settlement of accounts, contracted clinical research, joint research, contracted research, contracted
businesses, donations and receipt of external funds as well as grants for scientific research. In addition
to providing administrative support in the survey, analysis, assessment and improvement of the hospitalmanagement, administrative support is provided for operating the University Hospital Management
Accounting System (HOMAS). The division also provides support for advanced medicine.
■Accounting DivisionThis division handles the accounting of pharmaceuticals and medical materials, patient meals, andspecified procurement contracts.

Part.2■Facilities Management Group
This division designs, plans, and improves facilities and equipment for future hospital design. The
division also handles improvements to the in-house environment, asset management, security, andthe prevention of fire and disaster.
■Medical Affairs DivisionThis division is involved in medical service contracts, billing and receipt of medical fees, acceptanceof patients, patient reimbursement claims on medical fees, application of a comprehensive evaluation system regarding medical fees, and the management and disclosure of medical records.
■Medical Services Support DivisionThis division handles a variety of administrative work related to the clinical laboratory and examination center, the functions of a core hospital, team medicine, patient service, complaints, counseling,
regional medical cooperation and so on.
■General Administration Division, Daiko Campus
Services related to the Graduate School of Medicine (Daiko Campus) and the School of Health
Sciences.

43

Part.3
Facilities and Access

3-1 S i t e M a p i n T s u r u m a i D i s t r i c t

46

3-2 F l o o r G u i d e M a p

47

3-3 W a r d B u i l d i n g

48

3-4 O u t p a t i e n t B u i l d i n g a n d A m e n i t i e s49

3-5 C e n t r a l C o n s u l t a t i o n B u i l d i n g

50

3-6 D a i k o D i s t r i c t S i t e M a p

52■ Access

3-1
Site map in Tsurumai District

Bus StopK

E

Cafeterias & Shops

F

G

❹

❺

Car Entrance

J

D

H

❻

Bicycle-parking area

❼

❷

B

A

❶

Parking❸❾❽
Parking

ParkingI

Meikodai-mae

Area: 89,137 m2
Location: 65 Tsurumai-cho, Showa-ku, Nagoya city
Building: building area: 35,252 m2; gross floor area: 202,139 m2
University Hospital

Part.3
Fa cilitie s andAcce s s❶ Outpatient Building❷ Central Consultation Building❸ Ward Building❹ Residence for Nurses A❺ Residence for Nurses B❻ Old Ward Building West❼ Old Ward Building East
❽ Oasis Cube(welfare facility)

Graduate School of Medicine/School of Medicine
A Medical Science Research Building 1

S13-2

1,493

20,875RC7

1,515

10,300

RC4-1

1,651

6,585

RC5

695

3,158

RC7-1

889

6,488

RC4-1

974

3,138

RC3

308

760

Kakuyu Kaikan (Alumni Hall)

RC3

550

1,354

Radioisotope Research Center

RC4・RC2

695

1,803

RC1

301

301

6,844

8,003

RC4

5,309

19,446

SRC7-2

5,881

43,612

S14-2

4,721

52,297

SRC10

675

6,158

E Basic Medical Research Building Annex

RC6

563

2,741

Center for Promotion of Medical Research and

RC6-1

1,584

14,525〈Included in ⑥Old Ward Building West〉
S1
604
595

B Medical Science Research Building 2

D Basic Medical Research Building
F

Education(Experimental Animals Division)

G Medical Library / Co-op Cafeteria

H Welfare Facility
IJ

K Human Anatomy Laboratory

Others46

As of April 1, 2013

As of May 1, 2013
Bathing Room
Meeting Room

Dermatology
Plastic and Reconstructive Surgery
Pediatric Surgery
Orthopedic Surgery
Rheumatology
Otorhinolaryngology

Gastroenterological Surgery ２
Common Ward for All Departments
Cafeteria

Gastroenterological Surgery １
Common Ward for All Departments

Cardiology
Endocrinology and Diabetes

Hematology
Gastroenterology and Hepatology

Ophthalmology
Oral and Maxillofacial Surgery

Respirology
General Medicine

Gastroenterology and Hepatology

Psychiatry
Neurosurgery

Neurology
Geriatrics

Nephrology
Urology

Gastroenterology and Hepatology
Nephrology
Neurology

Ophthalmology
Plastic and Reconstructive Surgery

Otorhinolaryngology
Plastic and Reconstructive Surgery

Radiology
Infectious Diseases
Clinical Management Medicine
Department of Clinical Oncology andChemotherapy

Orthopedic Surgery
Rheumatology
Hand Surgery

Meeting Room
Staff Resting Room

8F

Hematology
Cardiology
Pathology and Laboratory Medicine

Public Health and Health Systems
Occupational and Environmental Health
Division for Medical ResearchEngineering
Global COE Promotion Office

Department of Nursing
Administration Office
Meeting Room

Gastroenterological Surgery １

Breast and Endocrine Surgery
Neurosurgery

7F

Respiratory Medicine
Endocrinology and Diabetes
Geriatrics

Preventive Medicine
Physiology 1
Physiology 2

Surgical Intensive Care Unit
Emergency and Medical Intensive Care Unit
Center for Advanced Medicine and Clinical Research

Gastroenterological Surgery ２
Transplantation Surgery

Vascular Surgery
Oral and Maxillofacial Surgery
Dermatology

6F

Obstetrics and Gynecology
Pediatrics

lmmunology
Cancer Biology
Molecular Carcinogenesis

Department of Surgical Center
Chart Course Room

Pediatric Surgery
Orthopedic Surgery

Pediatrics

5F

Urology
Anesthesiology

Pharmacodynamics
Bacteriology
Neurogenetics

Department of Quality and Patient Safety / Department of Central Medical
Supplies / Center for Advanced Medicine and Clinical Research /Center for Maternal - Neonatal Care / Department of Blood Purification(Dialysis Room) / Department of Clinical Engineering

Gynecology

Obstetrics
Center for Maternal - Neonatal Care

Medical IT Center
Administration Office
Clinical Record Management Office
Meeting Room

4F

Gastroenterological Surgery 1
Vascular Surgery
Cardiac Surgery
Thoracic Surgery

Biochemistry 1
Biochemistry 2
Molecular Virology

Radiology
Cardiac Surgery
Thoracic Surgery
Anesthesiology
RI Therapy Room

Obstetrics and Gynecology / Urology /Oral and Maxillofacial Surgery / Dermatology /Plastic and Reconstructive Surgery / Surgery /Anesthesiology / Operating Room 2 /Breast Feeding Room / Children’s Room / Meeting Rooms

3F

Gastroenterological Surgery 2
Transplantation Surgery
Breast and Endocrine Surgery
Emergency and Critical Care
Medicine

Pathology 1
Pathology 2
Anatomy 1

PsychiatryChild and Adolescent Psychiatry

Psychiatry /Child and Adolescent Psychiatry /Pediatrics / Pediatric Surgery
Otorhinolaryngology / Internal Medicine /Radiology / Group Counseling Room / Transplant Coordination Service

2F

General Medicine
Department of Hospital Pharmacy
Convenience Store

Anatomy 2
Anatomy 3
Legal Medicine and Bioethics
Division for Medical ResearchEngineering

Psychiatry
Department of Hospital Pharmacy

Ophthalmology / Neurosurgery / Orthopedic Surgery /Rheumatology / Hand Surgery / General Information /Community Liaison Center / Admission Information Center /Reception for Hospital-Clinic Collaborative Service /Reception for Outpatient Referrals /Cash Desk Section / Bank ATM Section

Lecture Rooms 3 and 4

Department of Renal Replacement Therapy /Hematology
Department of Metabolic Medicine /Department of Clinical Laboratory (e.g., endoscope cleaning room and
Department of Clinical Oncology andDepartment of Transplantlaboratory testing) / Auditorium / Department of Blood Transfusion Service /Chemotherapy
Immunology /Center of National University Hospital for Infection Control (ICT) /Center of National University Hospital
Biochemistry 2 / Cardiology /Department of Pathology / Meeting room
for Infection Control (ICT)
Lecture Rooms 1 and 2 / Seminar Room
Department of Clinical Laboratory (Genetic Screen, Laboratory Testing,
Department of Molecular Cardiology /Microorganism Testing and Pathological Testing Rooms) / Department of
Department of Advanced Research of
Rehabilitation (Speech Therapy Room) / Central Block of Radiology (MRGastroenterology / Human Nutrition /Examination Room) / Nadic Hall / Department of Endoscopy / Administration
Molecular Pathology /Office / Central Phlebotomy Room / Clinical Nutrition (Dietary Counseling
Seminar Room / LoungeRoom) / Tsukushi Library
Office of International Affairs
Young Leaders' Program (YLP)
Meeting Rooms
Changing Rooms
Administration Office

Disaster Prevention Center /Security Administration Staff Room /Post Office / Japan Post Bank’s ATM /Reception for Hospital Admission andDischarge / Restaurant / Convenience
Store / Barber / Vending Machine Section

Central Block of Radiology(RI Examination Room / PET Room)
Center for Advanced Medicine and Clinical Research

Meeting Room
Hand Surgery

Medical Science Research
Building 2

Basic Medical Research
Building

Facilities of the Nagoya University Graduate School of Medicine

Central Consultation Building

Convenience Store
Coffee Shop
Shop for nursing care products(nursing care shop)

B1F

Clinical Nutrition
Feeding Service Facility

West Side (W)East Side (E)Ward Building

Facilities of the Nagoya University Hospital

1F

Outpatient Building

Oasis Cube(welfare facility)

Floor
NumberMedical Science Research
Building 1

General Medicine / Outpatient Chemotherapy Room /Department of Emergency and Critical Care Medicine /Center for Postgraduate Clinical Training and Career Development /Central Block of Radiology (X-ray Room) / Disaster Prevention Center /After-Hours Consultation Reception

Department of Rehabilitation
Kyosaidan Reception

3-2
Floor Guide Map

14F
13F
12F
11F
10F
9F

Restaurant

Part.3
Faci li ti es an dAcces s47

3-3
Ward Building

Restaurant

14F

Restaurant (14F)

Cafeteria

13F
Cafeteria (13F)

Kyosaidan Reception (2F)
Restaurant (1F)

Kyosaidan Reception

Department of Rehabilitation

Disaster Prevention Center (1F)

2F

Reception for Hospital Admission and Discharge (1F)
Emergency After-Hours Entrance/Exit
Disaster
Reception for
Hospital Admission Prevention
Centerand Discharge

Part.3
Fa cilitie s andAcce s s￥

Post Office48

TV card vending machine and Public Telephone (1F)

BarberConvenience
Store
Restaurant

Vending Machine
SectionPharmacy After-Hours Reception Desk

Department of
Hospital Pharmacy

1F￥

Reception

Men’s W.C.

Women’s W.C.

ElevatorATM

Vending Machine

Public Telephone

TV card vending machine

Amenities

Obstetrics and Gynecology
Urology

Entrance

Surgery/
Anesthesiology

Convenience StoreOperating Room 2
Breast-Feeding Room

Entrance

Clerk Desk

Entrance

Children’s Room (3F)Children’s Room

Entrance
Entrance

Oral and Maxillofacial Surgery
Coffee Shop

Pediatrics

Otorhinolaryngology

Pediatric Surgery

2F

Satellite Examination RoomInternal Medicine/Radiology

Clerk Desk (3F)Group Counseling Room

Psychiatry

Clerk Desk

Child and Adolescent Psychiatry

Publicly Funded Medical Service Reception

Oasis Cube(welfare facility) (1F)

Hospital-Clinic Collaborative Service
Community Liaison Center

1F

Reception for Outpatient Referrals

Outpatient Building and Amenities

3F

Entrance

3-4

Dermatology/
Plastic and Reconstructive Surgery

Automated Check-In Machine (1F)

Billing

Ophthalmology

Medical Records/CertificatesCashier (Receipts)
Neurosurgery
Automated Cashier
Admission
information
お薬渡し口Center
Pharmacy
Central
Waiting Hall
Coin Lockers

Orthopedic Surgery
Rheumatology
Hand Surgery
Out-of-Hospital
Prescriptions (fax) ￥General Information

Out-of-Hospital Prescriptions (fax) (1F)

Automated Check-In Machine
Entrance

Part.3
Faci li ti es an dAcces sReception

Automated Reception

StairsEscalator￥

Men’s W.C.

Women’s W.C.

Handicapped W.C.

ElevatorATM

Vending Machine

Public Telephone

Children’s Corner
Central Waiting Hall (1F)

49

3-5

1F

B1F

2F

Central Consultation Building

Center for Postgraduate Clinical Training
and Career Development
Speech Therapy Room

RI Examination Room / PET Room

Outpatient Chemotherapy Room

Dietary Counseling Room
Electrocardiogram / Echocardiography RoomCentral Phlebotomy and Urinalysis Reception (2F)

Waiting
Room

Waiting
Room 2Central Block ofRadiology
Radiotherapy
Room
Waiting
Room 1
Waiting Room 2 (1F)

Clinical Laboratory
and Examination
Center Information
Desk

General
Medicine

Radiology Examination Reception Machine (1F)Center for Advanced Medicine and Clinical Research

After-Hours Consultation Reception

After-Hours Consultation Reception (1F)

Part.3
Fa cilitie s andAcce s sRadiotherapy Reception (B1F)

Central Consultation Building Information Desk (1F)

Endoscope Cleaning Room

AuditoriumMR
Examination
Room

Laboratory
Testing Room

Waiting
Room

Waiting
Room
Waiting Room
Rehabilitation Space

Department ofEmergency andCritical Care
Medicine

50

3F

Vaulted Ceiling
DesignDepartment ofEndoscopy

Nadic Hall
Tsukushi Library
Respiratory Function RoomCentral Phlebotomy RoomUrinalysis Room

Department of
Pathology andLaboratory
Medicine
Center of National University Hospitalfor Infection Control (ICT)
Department of Blood Transfusion Service
Electroencephalogram / Electromyogram Room

6F

5F

4F
Center for Advanced Medicine and Clinical Research
Department of Blood Purification (Dialysis Room)Space for General Medical Education

Center for Advanced Medicine and Clinical Research

Vaulted Ceiling
DesignVaulted Ceiling
DesignVaulted
Ceiling Design

Surgical Intensive Care Unit (6F)
Department ofCentral Medical
Supplies

Vaulted
Ceiling
DesignDepartment of Surgical Center

Vaulted
Ceiling
DesignVaulted
Ceiling
DesignCenter for
MaternalNeonatal Care

Department of Clinical Engineering
Department of Quality and Patient Safety

Vaulted
Ceiling
DesignSurgical Intensive
Care Unit

Waiting Space for Family

Waiting Space for Family
Emergency and Medical Intensive Care Unit

Emergency and Medical Intensive Care Unit (6F)Part.3

Waiting Space for Family (5F)Center for Maternal-Neonatal Care (4F)

Nadic Hall (2F)

Waiting Room/Rehabilitation Space (2F)

Reception

Automated Reception

Men’s W.C.

Women’s W.C.

Handicapped W.C.

Elevator

StairsPublic Telephone

51

3-6

Daiko 3 - Chome S.

Yada Jr.H.S.N

Daiko District Site Map

❼
❾

❷
❸
❶

❻

❺
Bus Stop❹

Cafeterias & Shops
Car Entrance❿

Entrance❽⓫⓬

Area: 48,463 m2
Location: 1-20, Daiko Minami 1-chome, Higashi-ku, Nagoya city
Building: building area: 10,470 m2; gross floor area: 28,429 m2

Part.3
Fa cilitie s andAcce s s52

Namestructure

❶
❷
❸
❹
❺
❻
❼
❽
❾
❿
⓫
⓬

RC4
RC5
SRC1
RC1
RC2
RC2
RC4

School of Health Scienses (South Building)School of Health Scienses (Main Building)
Gymnasium
Radioisotope Laboratory
Energy Center
Student Hall
School of Health Scienses (Annex)
Kyudo (Japanese Archery) Hall
School of Health Scienses (East Building)Researchers Village Daiko
Tennis Court
GroundOthersRC4
RC3

Building area(m2)

3,021
1,414
1,369
353
606
678
579
88
843
280
−
−
1,239

Gross floor area (m2)

8,067
5,835
1,369
353
894
1,338
2,431
88
3,331
720
−
−
4,003
As of April 1, 2013

■AccessN

Ts ur um a i Di s t r i ct
Nagoya University Hospital■Address
65, Tsurumai-cho, Showa-ku, Nagoya 466-8560
TEL（052）741-2111／FAX（052）744-2785

Nagoya University Graduate School of Medicine■Address
65, Tsurumai-cho, Showa-ku, Nagoya 466-8550
TEL（052）741-2111／FAX（052）744-2785■Access① 3-minute walk from JR Chuo Line Tsurumai Station (Nagoya University Hospital exit side).

Nagoya University Daiko District
School of Medicine (Health Sciences)
Graduate School of Medicine② 8-minute walk from Subway (Tsurumai Line) Tsurumai Station.
③ Take the “Sakae” route No. 18 city bus headed for Myokencho from Sakae Bus Terminaland get off at “Meidai Byoin (Nagoya University Hospital).”Da i ko Di s t r i ct
Nagoya University School of Medicine (Health Sciences)/
Graduate School of Medicine (Program in Nursing, Radiological and Medical Laboratory
Nagoya University
Higashiyama District

Sciences, and Physical and Occupational Therapy)■Address
1-1-20, Daiko-minami, Higashi-ku, Nagoya 461-8673
TEL（052）719-1504／FAX（052）719-1506

Nagoya University Tsurumai District
Nagoya University Hospital
Nagoya University Graduate School of Medicine■Access① 15-minute walk from JR Chuo Line Ozone Station (north exit).
② 10-minute walk from Subway (Meijo Line) Nagoya dome-mae Yada Station or 7-minute
walk from Sunadabashi Station.
③ Take the Meieki route No. 15 city bus headed for Sunadabashi from “Nagoya Station”“Ozone Bus Terminal” and get off at “Daiko 3-chome” .

Profile of Nagoya University Hospital 2013-2014

General Affairs Division, Nagoya University School of Medicine and Graduate School of Medicine
65,Tsurumai-cho,Showa-ku,Nagoya 466-8550
TEL（052）741-2111
http://www.med.nagoya-u.ac.jp/hospital/