• Title/Summary/Keyword: Japan Medical Association

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Life Styles and Health Care Behaviors: The Study on Japanese Elderly (일본 노인들의 라이프스타일과 건강상태에 관한 연구)

  • 문숙재;최혜경;정순회
    • Journal of Family Resource Management and Policy Review
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    • v.5 no.2
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    • pp.99-113
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    • 2001
  • The purpose of this study is to investigate the relationships of the life style to health care behavior among Japanese elderly. The sample was composed of 89 older people over 60 years old who live in Osaka area in Japan. Major findings are as follows: 1) Japanese elderly have strong interests in health care and put themselves out to care health, 2) Japanese elderly are likely to be benefited with the medical treatment in hospital, but not economically dependent upon their children, 3) Their life style reflects both Japanese traditional collectivism and the neo-aging cultural value, and 4) Life style patterns of the Japanese elderly are related to their health state and health care behaviors.

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Japanese Cancer Association Meeting UICC International Session - What is Cost-effectiveness in Cancer Treatment?

  • Akaza, Hideyuki;Kawahara, Norie;Roh, Jae Kyung;Inoue, Hajime;Park, Eun-Cheol;Lee, Kwang-Sig;Kim, Sukyeong;Hayre, Jasdeep;Naidoo, Bhash;Wilkinson, Thomas;Fukuda, Takashi;Jang, Woo Ick;Nogimori, Masafumi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.1
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    • pp.3-10
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    • 2014
  • The Japan National Committee for the Union for International Cancer Control (UICC) and UICC-Asia Regional Office (ARO) organized an international session as part of the official program of the 72nd Annual Meeting of the Japanese Cancer Association to discuss the topic "What is cost-effectiveness in cancer treatment?" Healthcare economics are an international concern and a key issue for the UICC. The presenters and participants discussed the question of how limited medical resources can be best used to support life, which is a question that applies to both developing and industrialized countries, given that cancer treatment is putting medical systems under increasing strain. The emergence of advanced yet hugely expensive drugs has prompted discussion on methodologies for Health Technology Assessment (HTA) that seek to quantify cost and effect. The session benefited from the participation of various stakeholders, including representatives of industry, government and academia and three speakers from the Republic of Korea, an Asian country where discussion on HTA methodologies is already advanced. In addition, the session was joined by a representative of National Institute for Health and Care Excellence (NICE) of the United Kingdom, which has pioneered the concept of cost-effectiveness in a medical context. The aim of the session was to advance and deepen understanding of the issue of cost-effectiveness as viewed from medical care systems in different regions.

A Study on the Rating of the Insureds' Anthropometric Data IV. Standard Body Weight (피보험체계측치(被保險體計測値)의 평가(評價)에 관한 연구(硏究) 제4보(第4報) 표준체중(標準體重))

  • Im, Young-Hoon
    • The Journal of the Korean life insurance medical association
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    • v.4 no.1
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    • pp.101-109
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    • 1987
  • The present study was undertaken to establish the standard body weight by height in Korean adults by using the actually measured heights and weights of a total of 5,496 insured persons who were examined medically at the Honam Medical Room of Dong Bang Life Insurance Company, Ltd. from January, 1983 to January, 1986. The results were as follows: 1. The linear regression equations to establish the standard body weight of Korean adults were as follows: In male, for $18{\sim}19$ age group, $y=7.272{\times}10^{-6}{\times}x^3+23.560$ for $20{\sim}29$ age group, $y=8.187{\times}10^{-6}{\times}x^3+22.031$ for $30{\sim}39$ age group, $y=8.627{\times}10^{-6}{\times}x^3+23.169$ for $40{\sim}49$ age group, $y=9.561{\times}10^{-6}{\times}x^3+20.994$ and for $50{\sim}59$ age group, $y=8.604{\times}10^{-6}{\times}x^3+23.801$ In female, for $18{\sim}19$ age group, $y=8.252{\times}10^{-6}{\times}x^3+18.920$ for $20{\sim}29$ age group, $y=7.715{\times}10^{-6}{\times}x^3+22.409$ for $30{\sim}39$ age group, $y=8.808{\times}10^{-6}{\times}x^3+21.439$ for $40{\sim}49$ age group, $y=9.691{\times}10^{-6}{\times}x^3+21.940$ and for $50{\sim}59$ age group, $y=12.500{\times}10^{-6}{\times}x^3+11.031$ 2. The standard age, height, and weight tables by author were presented with the aid of linear regression equations. 3. The values of standard body weight by height established by author reveal to be a little higher than those of other Korean reports through all age groups of both sexes, and reveal to be considerably similar, compared with those of the reports in Japan for fourth and sixth decade of female group.

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Panel Session toward Improved Communication and Engagement with the Public after the Fukushima Daiichi Nuclear Power Plant Accident: Study Reports and Discussion with Specialists from Relevant Fields

  • Yoshida, Hiroko;Kuroda, Yujiro;Kono, Takahiko;Naito, Wataru;Sakoda, Akihiro
    • Journal of Radiation Protection and Research
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    • v.46 no.3
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    • pp.134-142
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    • 2021
  • Background: From 2018 to 2020, the Expert Study on Public Understanding after the Fukushima Daiichi Nuclear Power Plant Accident (the Expert Study Group) identified and analyzed activities designed to promote public understanding of science and radiation since the Fukushima accident, and held discussions on how to achieve public understanding in the situation where public confidence has been lost, and how experts should prepare for dealing with the public. This panel session was held at the 53rd meeting of the Japan Health Physics Society on June 30, 2020. Materials and Methods: First, three subgroup (SG) leaders reported their research methods and results. Then, two designated speakers, who participated as observers of the Expert Study Group, commented on the activities. Next, the five speakers held a panel discussion. Finally, the rapporteur summarized. Results and Discussion: SG leaders presented reports from researchers and practitioners in health physics and environmental risks who provided information after the Fukushima accident. During the discussion, experts in sociology and ethics discussed the issues, focusing on the overall goals of the three groups, local (personal) and mass communication, and ethical values. Many of the activities instituted by the experts after the accident were aimed at public understanding of science (that is, to provide knowledge to residents), but by taking into account interactions with residents and their ethical norms, the experts shifted to supporting the residents' decision-making through public engagement. The need to consider both content and channels is well known in the field of health communication, and overlaps with the above discussion. Conclusion: How to implement and promote the public engagement in society was discussed in both the floor and designated discussions. Cooperation between local communities and organizations that have already gained trust is also necessary in order to develop relationships with local residents in normal times, to establish an information transmission system, and to make it work effectively.

Standardization Plan for Clinical Practice of the Physical Therapy Education in South Korea (대한민국 물리치료 임상실습 표준화 방안)

  • Ki-Song Kim;Yeon-Sub Lee;Tae-Sik Lee
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.3
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    • pp.93-100
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    • 2024
  • Purpose : This study aims to review the physical therapy training programs in the United States, Canada, Taiwan, and Japan, and propose standardization plan for clinical practice in physical therapy education to advance the development of physical therapy education in South Korea. Methods : This study investigates the clinical practice standards in advanced countries such as the United States and Canada, and refers to the clinical practice standards in Taiwan and Japan, which are members of the association of world phyisotherapy and have economic, cultural, educational, and healthcare delivery systems, as well as legal systems, similar to those of South Korea. Results : In the United States, physical therapy education programs allocate an average of 22 weeks and 880 hours for clinical practice. Foreign-trained physical therapists who wish to take the licensure exam in the United States must have their educational programs reviewed and recognized as having completed at least 1,000 hours of clinical practice. In Canada, physical therapy education programs allocate an average of 31 weeks and 1,240 hours for clinical practice. Taiwan allocates over 1,440 hours of clinical practice in its educational programs, while Japan requires 800 hours of clinical practice as a legal prerequisite for the licensure exam. Conclusion : Based on the results of this study, the following standardization plan for clinical practice of the physical therapy education in South Korea are proposed. First, a minimum of 16 weeks and 640 hours of clinical practice is necessary to produce competent physical therapists. Second, university-based basic practical training should be at least 440 hours, with the introduction of a standardized accreditation system and unification of the four-year academic system. Third, the qualifications of physical therapists who supervise clinical practice in medical institutions should be clearly defined in the curriculum, and the standards for clinical practice instructors need to be expanded.

External Validation of a Gastric Cancer Nomogram Derived from a Large-volume Center Using Dataset from a Medium-volume Center

  • Kim, Pyeong Su;Lee, Kyung-Muk;Han, Dong-Seok;Yoo, Moon-Won;Han, Hye Seung;Yang, Han-Kwang;Bang, Ho Yoon
    • Journal of Gastric Cancer
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    • v.17 no.3
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    • pp.204-211
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    • 2017
  • Purpose: Recently, a nomogram predicting overall survival after gastric resection was developed and externally validated in Korea and Japan. However, this gastric cancer nomogram is derived from large-volume centers, and the applicability of the nomogram in smaller centers must be proven. The purpose of this study is to externally validate the gastric cancer nomogram using a dataset from a medium-volume center in Korea. Materials and Methods: We retrospectively analyzed 610 patients who underwent radical gastrectomy for gastric cancer from August 1, 2005 to December 31, 2011. Age, sex, number of metastatic lymph nodes (LNs), number of examined LNs, depth of invasion, and location of the tumor were investigated as variables for validation of the nomogram. Both discrimination and calibration of the nomogram were evaluated. Results: The discrimination was evaluated using Harrell's C-index. The Harrell's C-index was 0.83 and the discrimination of the gastric cancer nomogram was appropriate. Regarding calibration, the 95% confidence interval of predicted survival appeared to be on the ideal reference line except in the poorest survival group. However, we observed a tendency for actual survival to be constantly higher than predicted survival in this cohort. Conclusions: Although the discrimination power was good, actual survival was slightly higher than that predicted by the nomogram. This phenomenon might be explained by elongated life span in the recent patient cohort due to advances in adjuvant chemotherapy and improved nutritional status. Future gastric cancer nomograms should consider elongated life span with the passage of time.

A Case Report of Three Patients with Nontuberculous Mycobacterial Pulmonary Disease Caused by Mycobacterium kansasii (Mycobacterium kansasii에 의한 비결핵성 마이코박테리아 폐질환 3례)

  • Koh, Won Jung;Kwon, O Jung;Suh, Gee Young;Chung, Man Pyo;Kim, Hojoong;Lee, Nam Yong;Kim, Tae Sung;Lee, Kyung Soo;Park, Eun Mi;Park, Young Kil;Bai, Gill Han
    • Tuberculosis and Respiratory Diseases
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    • v.54 no.4
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    • pp.459-466
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    • 2003
  • Mycobacterium kansasii is the second most common cause of nontuberculous mycobacterial pulmonary disease in Western countries and Japan. The clinical and radiological features of pulmonary disease caused by M. kansasii usually resemble those of pulmonary tuberculosis including cavitary infiltrates with an upper lobe predilection. It is also now apparent that patients with M. kansasii pulmonary disease can present with noncavitary nodular bronchiectatic infiltrates similar to lung diseases of M. avium complex. With rifampin-containing regimens, treatment success rates are almost 100%. Timely diagnosis before the development of extensive disease and effective overall treatment strategies are very important to ensure that patients receive the appropriate medications for a sufficiently long period of time. To our knowledge, there has been no Korean case report of M. kansasii pulmonary disease in the immunocompetent patient until now. We report three cases of M. kansasii pulmonary disease in immunocompetent adult patients.

A Study on the Selection of Inducement Industry in Hinterland of Busan New Port - According to Analysis on the Structure in International Division of Labor among Korea, China and Japan and the Export-Import Structure of Busan Port against China and Japan - (부산 신항 배후단지 유치산업의 선정에 관한 연구 -한.중.일 국제분업구조와 부산항의 대 중.일 수출입구조 분석에 따른-)

  • Kim, Jeong-Su
    • Journal of Korea Port Economic Association
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    • v.25 no.4
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    • pp.107-130
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    • 2009
  • Future of Busan New Port may depend even on the efficient use of the port hinterland. Accordingly, selection of which industry according to which standard in the port hinterland is another task. In order to solve this problem, it analyzed the structure in international division of labor with China and Japan, which are possessing considerable portion in the trading volume with our country, and the export-import structure of Busan Port against China and Japan, by using RCA index and GL index as well as export-import results. In addition to this, the proper industry was selected on the basis of 10 strategic industries for development in Busan. According to the analytical results, the industries, which will be induced in the hinterland of Busan New Port, include textile clothing, pulp printing matter, jewelry, basic metal nonmetallic product, machine lectric product, automobile, shipbuilding, optics accurate machinery medical treatment musical instrument, nano material, fuel battery, aerospace and intelligent robot.

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A Review of Etiology, Syndrome Differentiation, and Herbal Medicine of Epilepsy (뇌전증의 병인, 변증, 한약 치료에 대한 고찰 -한국, 일본, 중국 데이터베이스를 중심으로-)

  • Kim Hye Yeon;Kim Tae Hwan;Han Ju Hui;Bang Mi Ran;Chang Gyu Tae;Lee Jin Yong;Kim Hyo In;Lee Donghun;Lee Sun Haeng
    • The Journal of Pediatrics of Korean Medicine
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    • v.38 no.3
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    • pp.66-96
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    • 2024
  • Objectives This study aimed to establish a foundation for research on Korean medicine for epilepsy by analyzing its etiology, syndrome differentiation, and the use of herbal medicines. Methods Articles were extracted from five databases in Korea, Japan, and China: the Oriental Medicine Advanced Searching Integrated System (OASIS), Citation Information by the National Institute of Informatics (CiNii), Chinese National Knowledge Infrastructure (CNKI), Wangfang Database, and Chinese Scientific Journal Database (VIP). The etiology, syndrome differentiation, and herbal medicines used for epilepsy were investigated. Results A total of 64 articles were selected, including seven clinical studies, 16 case reports, and 41 reviews. Epilepsy is a complex disease with various etiologies, and among the five viscera, syndrome differentiation mainly involved the liver, spleen, and kidney, with pathological factors that included phlegm, wind, and blood stasis. Frequently used herbal medicines included Modified Jeongganhwan, Sihogyejitang, Yukgunjatang, and Sihogayonggolmoryotang. Conclusions This study analyzed epilepsy's etiology, syndrome differentiation, and herbal treatments. Further evidence is needed to better understand the efficacy and safety of Korean herbal medicine for treating epilepsy.

Evaluation of the Modulation Transfer Function for Computed Tomography by Using American Association Physics Medicine Phantom (컴퓨터단층검사에서 AAPM Phantom을 이용한 변조전달함수 평가)

  • Kim, Ki-Won;Choi, Kwan-Woo;Jeong, Hoi-Woun;Jang, Seo-Goo;Kwon, Kyung-Tae;Son, Soon-Yong;Son, Jin-Hyun;Min, Jung-Whan
    • Journal of radiological science and technology
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    • v.39 no.2
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    • pp.193-198
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    • 2016
  • In clinical computed tomography (CT), regular quality assurance (QA) has been required. This study is to evaluate the MTF for analyzing the spatial resolution using AAPM phantom in CT exam. The dual source somatom definition flash (siemens healthcare, forchheim, Germany), the brilliance 64 (philips medical system Netherlands) and aquilion 64 (toshiba medical system, Japan) were used in this study. The quantitative evaluation was performed using the image J (wayne rasband national institutes of health, USA) and chart method which is measurement of modulation transfer function (MTF). In MTF evaluation, the spatial frequencies corresponding to the 50% MTF for the CT systems were 0.58, 0.28, and $0.59mm^{-1}$, respectively and the 10% MTF for the CT systems were 1.63, 0.89, and $1.21mm^{-1}$, respectively. This study could evaluate the characteristic of spatial resolution of MTF using chart method, suggesting the quantitative evaluation method using the data.