Rinshō shinkeigaku = Clinical neurology
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Historical Article
[The growing-up and background of clinical neurology in Japan].
Japan strictly closed the country to foreigners except for the Dutch and Chinese in the days of Tokugawa Regime for about 200 years (1639-1858). During this period, Japanese neurology made a start. In 1774, five Dutch scholars in Edo (Tokyo at present) translated the Dutch version of a German textbook "Anatomische Tabellen". ⋯ Kinnosuke MIURA founded the first neurological journal in Japan in 1902. These two pioneers in Japanese neurology had their medical education under Prof. Erwin Baelz at the University of Tokyo during the last-eighteenth century.
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An effectiveness of neurointensive care unit for the treatment of neurological diseases and an application of the information technology (IT) for this and a critical pathway were discussed. A critical pathway is useful to make a standardized treatment, to reduce the days in hospital and to obtain an informed consent. But the hospital information system should include the critical pathway in itself otherwise doctors have to make duplicated order to nurses and the hospital ordering system.