1,662 results match your criteria japan's

Construction of an evacuee placement model for tsunami shelters considering physical distancing to prevent COVID-19 infection.

Prog Disaster Sci 2021 Oct 16;11:100183. Epub 2021 Jun 16.

Susaki Regional Welfare and Health Center, Kochi, Japan.

Earthquakes and tsunamis are expected to occur within the next 30 years along Japan's Nankai Trough. Existing disaster prevention plans and calculated evacuation capacities in the coastal areas that would be affected do not account for physical distancing in the context of COVID-19. Therefore, we developed a tsunami evacuation placement model incorporating physical distance guidelines for infection control and living space per person into calculations of evacuation center accommodation capacities in Aki City, Kochi Prefecture. Read More

View Article and Full-Text PDF
October 2021

Current Status, Challenges, and Future Perspectives of Real-World Data and Real-World Evidence in Japan.

Drugs Real World Outcomes 2021 Jun 19. Epub 2021 Jun 19.

Bristol Myers Squibb K.K., Tokyo, Japan.

The aim of this article is to help develop a common understanding of the current status, challenges, and future perspectives of real-world data (RWD) and real-world evidence (RWE) in Japan. RWD and RWE are very widely used terms, but standardized definitions are lacking. Given broad and growing applications of RWD/RWE from the perspective of clinical development and medical affairs, the PhRMA Japan Medical Affairs Committee Working Group 1 have proposed the following definitions: "RWD are the data relating to patient health status and/or the delivery of health care routinely collected from a variety of sources" and "RWE is the evidence derived from analysis of RWD. Read More

View Article and Full-Text PDF

Kobe project for the exploration of newer strategies to reduce the social burden of dementia: a study protocol of cohort and intervention studies.

BMJ Open 2021 Jun 18;11(6):e050948. Epub 2021 Jun 18.

World Health Organization Centre for Health Development, Kobe, Hyogo, Japan.

Introduction: This research project addresses the lack of screening tools for the early detection of high-risk individuals for long-term care, through four individual studies.Study 1 investigates the predictive ability of the 'Kihon Check List', study 2 the 'Cognitive Function instrument' and EuroQol-5 Dimension (EQ-5D) and study 3 the 'Cognitive Function instrument' and EQ-5D as well as the 'Frail Kenshin' health check-up, for incident long-term care certification over a follow-up period of up to 4 years. This is the first large prospective study to evaluate the predictive ability of these tools for the outcome measure long-term care certification. Read More

View Article and Full-Text PDF

Development of Kampo(traditional Japanese medicine)e-learning program: evaluation of the flipped classroom for medical students.

Med Educ Online 2021 Dec;26(1):1938504

Medical Education Center, Aichi Medical University School of Medicine, Aichi, Japan.

In May 2019, the World Health Assembly, in an unprecedented move, endorsed the inclusion of traditional medicine in the International Classification of Diseases, 11th Revision. In Japan, traditional medicine (known as Kampo) is regulated by the government and prescribed by over 90% of physicians along with modern medicine under the national health insurance system. Although Kampo education must be included in Japan's core medical curricula, there are significant challenges to implementation. Read More

View Article and Full-Text PDF
December 2021

Japan's voluntary lockdown.

PLoS One 2021 10;16(6):e0252468. Epub 2021 Jun 10.

Faculty of Business and Commerce, Keio University, Minato, Tokyo, Japan.

Japan's government has taken a number of measures, including declaring a state of emergency, to combat the spread COVID-19. We examine the mechanisms through which the government's policies have led to changes in people's behavior. Using smartphone location data, we construct a daily prefecture-level stay-at-home measure to identify the following two effects: (1) the effect that citizens refrained from going out in line with the government's request, and (2) the effect that government announcements reinforced awareness with regard to the seriousness of the pandemic and people voluntarily refrained from going out. Read More

View Article and Full-Text PDF

Intermittent Estimator-Based Mixed Passive and H∞ Control for High-Speed Train With Actuator Stochastic Fault.

IEEE Trans Cybern 2021 Jun 7;PP. Epub 2021 Jun 7.

This article is concerned with the intermittent estimator-based mixed passive and H∞ control for the high-speed train (HST) with multiple noises, actuator stochastic fault, and sensor packet loss. First, an intermittent estimator is designed to track the undetectable status of HSTs in response to only partial information available due to sensor failures. Then, two different stability criteria are developed by adopting two different Lyapunov function strategies. Read More

View Article and Full-Text PDF

Singlehood in contemporary Japan: Rating, dating, and waiting for a good match.

Demogr Res 2021 Jan-Jun;44:239-276. Epub 2021 Feb 5.

Department of Sociology, University of Oxford, UK.

Background: Late age at marriage and rising rates of singlehood increasingly characterize East Asian societies. For Japan, these are major contributors to the very low birth rate.

Objective: We analyze two unique data sets: dating records covering a two-year period from one of Japan's largest marriage agencies and in-depth interviews with 30 highly-educated Japanese singles. Read More

View Article and Full-Text PDF
February 2021

Introduction and Diffusion: Useful and Reliable Knowledge in Early Modern Industrial Japan.

Technol Cult 2021 ;62(2):423-441

This article explores a key theme in recent scholarship: the impact of the circulation movement of ideas and information by examining, in this case focusing on the spread of weaving techniques across Japanese markets during the Tokugawa (1603-1868) reign. The dissemination of useful knowledge in this period relied on practitioners like artisans and merchants, on wealthy farmers, and family networks in regional communities also influenced this process, as did the conditions inhibiting or encouraging the development, adoption, adaptation, and elaboration of new technologies. Mobility, public culture, and networks played a significant role in the diffusion of knowledge in eighteenth-century Europe, and Japan's weaving in the Tokugawa period provides a non-Western parallel. Read More

View Article and Full-Text PDF
January 2021

[Elderly Glioma].

No Shinkei Geka 2021 May;49(3):647-659

Department of Neurosurgery, Hiroshima University Hospital.

Treatment of elderly glioma patients is a challenge in neurosurgery/neuro-oncology. The International Society of Geriatric Oncology(SIOG)recommends that elderly cancer patients undergo comprehensive geriatric assessment(CGA). The CGA score proved to be a significant predictor of mortality in this cohort, and it could be a useful treatment decision tool. Read More

View Article and Full-Text PDF

[Epidemiology for Glioma].

Naoki Shinojima

No Shinkei Geka 2021 May;49(3):491-499

Department of Neurosurgery, Kumamoto University.

Recently, Japan's population has been aging with a declining birth rate at an unprecedented rate compared to that worldwide, and Kumamoto Prefecture is no exception. In this chapter, we examine whether the recent changes in vital statistics have affected the incidence of glioma based on data from the latest Kumamoto Prefecture Brain Tumor Data Bank. We compare the age-adjusted incidence of glioma extracted from the Brain Tumor Registry of Japan and Central Brain Tumor Registry of the United States(CBTRUS)for the period from 1990 to 2017 when data on the annual transition of the population composition in Kumamoto Prefecture were obtained. Read More

View Article and Full-Text PDF

Evaluation of a training program for community-based end-of-life care of older people toward aging in place: A mixed methods study.

Nurse Educ Pract 2021 May 19;54:103091. Epub 2021 May 19.

Division of Community/Gerontological Nursing, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-kogushi, Ube, Yamaguchi 755-8505, Japan. Electronic address:

Aims: To evaluate a training program that supports community-based service staff in implementing aging-in-place and end-of-life care programs.

Background: Globally, as the population ages, the need for end-of-life care has never been greater. Since Japan is facing the issues of a super-aged population sooner than most countries, there is a particularly urgent need to enhance end-of-life care for older people. Read More

View Article and Full-Text PDF

Increased cervical Chlamydia trachomatis and syphilis infections in Japanese females of reproductive age in the late 2010s: Possible cause.

J Infect Chemother 2021 May 30. Epub 2021 May 30.

Department of Obstetrics and Gynecology Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.

From 2000 to 2019, Japan's reproductive-age population gradually declined by 24%. In comparison, the Chlamydia trachomatis infection rate increased from 2016, with the syphilis infection rate increasing more sharply from 2014. Since 2013, the numbers of foreign tourists to Japan have also increased. Read More

View Article and Full-Text PDF

New frontiers in Japanese Forest Policy: Addressing ecosystem disservices in the 21st century.

Ambio 2021 Jun 1. Epub 2021 Jun 1.

Graduate School of Agriculture, Kyoto University, Kitashirakawa Oiwake-cho, Sakyo-ku, Kyoto, 606-8502, Japan.

Forests are a potential solution to numerous global environmental issues, and their restoration is widely pursued. Forty percent of Japan's forests are planted forests. This has caused the common occurrence of forest ecosystem disservices in the country, like-wildlife damage, pollinosis, and driftwood damage. Read More

View Article and Full-Text PDF

Measuring attentiveness toward oral care needs: a comparative study of Indonesian care workers in Japan and Indonesia.

Hum Resour Health 2021 Jun 1;19(1):71. Epub 2021 Jun 1.

Faculty of Health Sciences, University of Respati Indonesia, Jakarta, Indonesia.

Background: Japan has opened its labor market to care workers from Indonesia under the Japan-Indonesia Economic Partnership Agreement (EPA). However, few studies have examined the types of care skills transferred between countries. We therefore analyzed Indonesian care workers employed in Japan and Indonesia to identify discrepancies in their attentiveness toward oral care in older adults. Read More

View Article and Full-Text PDF

Preliminary Examination of an Appropriate Price Calculation Method and Medical Treatment Costs for Foreign Visitors in Japan.

Int J Environ Res Public Health 2021 May 29;18(11). Epub 2021 May 29.

Department of Healthcare Economics and Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8655, Japan.

This study proposes a method for calculating the appropriate medical treatment price level for foreign visitors (FVs) in Japan. Hospital management costs and foreign prices were analyzed from a market principles perspective to determine the medical treatment price. The study involved two stages: a preliminary survey and an extended survey, supplemented by an international survey. Read More

View Article and Full-Text PDF

Willing or Hesitant? A Socioeconomic Study on the Potential Acceptance of COVID-19 Vaccine in Japan.

Int J Environ Res Public Health 2021 05 2;18(9). Epub 2021 May 2.

School of Economics, Hiroshima University, Higashi-Hiroshima 739-8525, Japan.

The worldwide COVID-19 vaccination program is already underway, raising hopes and aspirations to contain the spread of the COVID-19 pandemic that halted economic and social activities. However, the issue of vaccine effectiveness and its side-effects is influencing the potential acceptance of vaccines. In this uncertain situation, we used data from a nationwide survey in Japan during February 2021, following the Japanese government's initial phase of COVID-19 vaccination. Read More

View Article and Full-Text PDF

Analysis of Injuries and Pitching Performance Between Major League Baseball and Nippon Professional Baseball: A 2-Team Comparison Between 2015 to 2019.

Orthop J Sports Med 2021 May 18;9(5):23259671211008810. Epub 2021 May 18.

Hiroshima Toyo Carp, Hiroshima, Japan.

Background: There has been minimal research investigating injury and pitching performance differences between Major League Baseball (MLB) and other professional leagues.

Purpose/hypothesis: This 2-team comparison between MLB and Japan's Nippon Professional Baseball (NPB) involved affiliated players over 5 years. We hypothesized that teams would differ in the injury incidence, mechanism of injury, pitch velocity, and pitch type usage. Read More

View Article and Full-Text PDF

Japan's Special Approval for Emergency System During the COVID-19 Pandemic.

Hideki Maeda

Clin Pharmacol Ther 2021 May 25. Epub 2021 May 25.

Department of Regulatory Science, Faculty of Pharmacy, Meiji Pharmaceutical University, Tokyo, Japan.

The development of drugs for coronavirus disease 2019 (COVID-19) is a global challenge. In Japan, remdesivir was approved in May 2020 for COVID-19 caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In February 2021, a vaccine against COVID-19 was approved. Read More

View Article and Full-Text PDF

Reflection on the enactment and impact of safety laws for regenerative medicine in Japan.

Stem Cell Reports 2021 Jun 20;16(6):1425-1434. Epub 2021 May 20.

Uehiro Research Division of iPS Cell Ethics, Center for iPS Cell Research and Application, Kyoto University, Kyoto 606-8507, Japan. Electronic address:

Japan's Act on the Safety of Regenerative Medicine (ASRM) created an innovative regulatory framework intended to safely promote the clinical development of stem cell-based interventions (SCBIs) while subjecting commercialized unproven SCBIs to greater scrutiny and accountability. This article reviews ASRM's origins, explains its unprecedented scope, and assesses how it envisions the regulation of SCBIs. This analysis is used to highlight three key insights that are pertinent to the current revision of the ASRM: clarifying how the concept of safety should be defined and assessed in research and clinical care settings; revisiting risk criteria for review of SCBIs; and taking stronger measures to support the transition from unproven interventions to evidence-based therapies. Read More

View Article and Full-Text PDF

Comparison of outcomes between laparoscopic and open pancreaticoduodenectomy without radical lymphadenectomy: Results of coarsened exact matching analysis using national database systems.

Asian J Endosc Surg 2021 May 16. Epub 2021 May 16.

Japanese Society of Hepato-Biliary-Pancreatic Surgery, Tokyo, Japan.

Introduction: Laparoscopic pancreaticoduodenectomy has recently been covered under Japan's insurance system for patients not requiring lymph node dissection. Only high-volume hospitals that meet specific criteria are permitted to perform laparoscopic pancreaticoduodenectomy. Although open and laparoscopic pancreaticoduodenectomy outcomes with lymph node dissection have been described previously, procedures performed without lymph node dissection have not been compared using a nationwide database. Read More

View Article and Full-Text PDF

COVID-19 and Long-Term Care Policy for Older People in Japan.

J Aging Soc Policy 2021 May 14:1-15. Epub 2021 May 14.

Project Associate Professor, Institute for Future Initiatives, The University of Tokyo, Tokyo, Japan.

Japan's initial response to COVID-19 was similar to that of the US. However, the number of deaths in Japan has remained very low. Japan also stands out for the relatively low incidence of viral transmission in Long-Term Care Facilities (LTCFs) compared to both European countries and the United States. Read More

View Article and Full-Text PDF

Identifying factors associated with criminal responsibility by analyzing court trial verdicts.

Int J Law Psychiatry 2021 May 4;77:101702. Epub 2021 May 4.

Chiba University Center for Forensic Mental Health, Inohana 1-8-1, Chuo-ku, Chiba-shi, Chiba, Japan. Electronic address:

The criminal responsibility of offenders with mental disorders is a key issue in forensic psychiatry. Japan's implementation of the Medical Treatment and Supervision Act and Lay Judge Act in the early 2000s raised public awareness of this issue. To determine how criminal court judges in Japan assess the criminal responsibility of offenders, we examined 453 district court verdicts that mention psychiatric evidence. Read More

View Article and Full-Text PDF

Comparison of influenza surveillance data from the Republic of Korea, selected northern hemisphere countries and 
Hong Kong Special Administrative Region SAR (China) from 2012 to 2017.

Western Pac Surveill Response J 2020 Jul-Sep;11(3):1-9. Epub 2020 Sep 30.

Division of Strategic Planning for Emerging Infectious Diseases, Korea Centers for Disease Control and Prevention, Cheongju-si, Republic of Korea.

Influenza surveillance is conducted in many countries; it is one of the most important types of infectious disease surveillance due to the significant impact and burden of the influenza virus. The Republic of Korea has a temperate climate, and influenza activity usually peaks in the winter as in other temperate-climate countries in the northern hemisphere. This descriptive study compared the influenza surveillance data from the Korea Centers for Disease Control and Prevention with that from other countries and areas in the northern hemisphere, namely China, including Hong Kong Special Administrative Region SAR, Japan and the United States of America, to identify seasonal influenza patterns from 2012 to 2017. Read More

View Article and Full-Text PDF
September 2020

Utilizing Population Distribution Patterns for Disaster Vulnerability Assessment: Case of Foreign Residents in the Tokyo Metropolitan Area of Japan.

Int J Environ Res Public Health 2021 04 12;18(8). Epub 2021 Apr 12.

Graduate School of Media and Governance, Keio University (SFC), 5322 Endo, Fujisawa-shi, Kanagawa 252-0882, Japan.

Foreign residents in Japan are amongst the vulnerable groups at risk to disasters in the country. Improvement is crucial in meeting Japan's vison of zero casualties in major disaster events. If the case of the 2005 Hurricane Katrina is to offer an insight into migrants' characteristics in mega-disaster situations, then a broader analysis of vulnerabilities is needed to avoid mass casualties should the anticipated megathrust earthquake occur. Read More

View Article and Full-Text PDF

[Factors of professional caregivers' intention to work: A qualitative study].

Nihon Koshu Eisei Zasshi 2021 Apr 26. Epub 2021 Apr 26.

Research Center for Social Science and Medicine, Tokyo Metropolitan Institute of Medical Science.

Objectives The shortage of professional caregivers is a critical issue in care facilities, which are a key social resource in the community-based integrated care system for Japan's super-aging society. However, professional caregivers report a high intention to continue working. This study aims to reveal the factors surrounding working intentions among professional caregivers, from a positive perspective, using a qualitative design. Read More

View Article and Full-Text PDF

Projections of disability-adjusted life years for major diseases due to a change in vegetable intake in 2017-2040 in Japan.

BMC Public Health 2021 04 21;21(1):770. Epub 2021 Apr 21.

Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.

Background: Low vegetable intake is one of the key dietary risk factors known to be associated with a range of health problems, including cardiovascular diseases (CVDs), cancer, and diabetes and kidney diseases (DKDs). Using data from Japan's National Health and Nutrition Surveys and the Global Burden of Diseases study in 2017, this study aimed to forecast the impact of change in vegetable intake on disability-adjusted life years (DALYs) between 2017 and 2040 for three diseases.

Methods: We generated a three-component model of cause-specific DALYs, including changes in major behavioural and metabolic risk predictors, the socio-demographic index and an autoregressive integrated moving average model to project future DALY rates for 2017-2040 using the data between 1990 and 2016. Read More

View Article and Full-Text PDF

Do Japan's Health Care Personnel Meet the Personal Health Goals of the "National Health Promotion Program"?

Asia Pac J Public Health 2021 Apr 19:10105395211008749. Epub 2021 Apr 19.

Saitama Medical University, Iruma-gun, Saitama, Japan.

To improve health among the population and reduce the societal burden of care and health-related costs in a rapidly aging environment, the Japanese government launched the "National Health Promotion Program in the 21st Century" (HJ21), which contains goals concerning areas such as lifestyle behavior and the use of preventive medicine. While health care personnel are responsible for guiding others' health choices, they may not maintain healthy lifestyles themselves. Whether these individuals are meeting the HJ21 goals has not yet been examined. Read More

View Article and Full-Text PDF

Service Delivery Reforms for Asian Ageing Societies: A Cross-Country Study Between Japan, South Korea, China, Thailand, Indonesia, and the Philippines.

Int J Integr Care 2021 Apr 6;21(2). Epub 2021 Apr 6.

Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, 207 Uehara, Nishihara-cho, Nakagami-gun, Okinawa 903-0213, JP.

Introduction: Japan's health policies to address the most advanced-aged society have been the target of focus in Asia, but no studies have investigated this issue using tools for cross-country comparisons.

Theory And Methods: A cross-country study design was used to compare healthcare reform policies with a framework in Japan, Korea, Thailand, China, Indonesia, and the Philippines. Data were collected via document reviews and key informant interviews. Read More

View Article and Full-Text PDF