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Kambara K, Namba S, Yokoyama S, Ogata A. Thought habits and processing modes among Japanese university students do not influence dynamic associations between rumination and negative affect. Sci Rep 2024; 14:6554. [PMID: 38503786 PMCID: PMC10951286 DOI: 10.1038/s41598-024-55174-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 02/21/2024] [Indexed: 03/21/2024] Open
Abstract
The integrated model of rumination argues that two trait factors-negative thinking habits and processing modes-get people stuck in maladaptive rumination. There is little evidence showing whether these factors influence the daily dynamic associations between rumination and negative moods. To address this, in this study, we conducted an experience-sampling method on Japanese university students. We recruited 92 Japanese university students and assessed their daily rumination and negative affect (NA) eight times a day for seven days. We examined the effects of habits and processing modes on the dynamic associations between rumination and negative moods using dynamic structural equation modeling. We found that individuals were more likely to ruminate when they experienced NA. However, contrary to previous findings, this study's participants did not experience NA after engaging in rumination. Moreover, we did not detect any significant trait factor effect on these dynamic associations. Our findings imply that individuals are more likely to engage in rumination after experiencing NA, but the reverse association, particularly the autoregression of rumination, may not be maintained in natural daily life. Furthermore, negative thinking habits and processing modes may not influence the daily dynamic associations between rumination and NA among Japanese university students.
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Affiliation(s)
- Kohei Kambara
- Faculty of Psychology, Doshisha University, Kyo-Tanabe-Shi, Kyoto, Japan.
| | - Shushi Namba
- Graduate School of Humanities and Social Sciences, Hiroshima University, Higashi-Hiroshim-Shi, Hiroshima, Japan
| | - Satoshi Yokoyama
- Faculty of Humanities, Niigata University, Niigata-Shi, Niigata, Japan
| | - Akiko Ogata
- Graduate School of Humanities and Social Sciences, Hiroshima University, Higashi-Hiroshim-Shi, Hiroshima, Japan
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Kambara K, Kabir RS, Kira Y, Ogata A, Barnard PJ. Disambiguating the relationship between processing modes and mindfulness in Japan. Cogent Psychology 2023. [DOI: 10.1080/23311908.2022.2151726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/08/2023] Open
Affiliation(s)
- Kohei Kambara
- Faculty of Psychology, Doshisha University, Kyoto, Japan
| | - Russell S. Kabir
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
| | - Yugo Kira
- Department of Social and Clinical Psychology, Hijiyama University, Hiroshima, Japan
| | - Akiko Ogata
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
| | - Philip J. Barnard
- Honorary Member, MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
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Kambara K, Matsumoto M, Hako S, Shigematsu J, Yokoyama S, Ogata A. An intervention to promote concrete thinking style in young adults: Effects on depressive symptoms and its protective factors. J Behav Ther Exp Psychiatry 2023; 81:101857. [PMID: 37031477 DOI: 10.1016/j.jbtep.2023.101857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 02/21/2023] [Accepted: 03/31/2023] [Indexed: 04/11/2023]
Abstract
BACKGROUND AND OBJECTIVES Individuals with low concreteness-experiential thought (CET) tend to have exacerbated depressive symptoms. Interventions aimed at increasing CET have been shown to influence depressive symptoms. The present study examined the effects of increasing CET on depressive symptoms and its protective factors. METHODS A two-armed experimental intervention was conducted with 86 healthy university students in Japan. They were randomly allocated to the intervention and waitlist groups. Participants in the intervention group engaged in an unguided and web-based (UW) intervention to increase CET (UW-CET). This intervention included a one-off session, to explain the rationale behind increasing CET via a psychoeducation video, and a five-session training on CET over a week. We assessed depressive symptoms, thought styles, and protective factors, such as mindfulness and goal striving, both pre- and-post-assessment and at the one-month follow-up. RESULTS Participants in the intervention group had marginally increased CET in the follow-up assessments; however, participants in the waitlist group did not. Furthermore, participants in the intervention showed marginally increased mindfulness tendencies and strivings toward their personal goals, but their depressive symptoms were not affected. LIMITATIONS The present study did not include any active control conditions. Additionally, the sample consisted of only healthy university students. CONCLUSIONS The findings suggest that the UW-CET can marginally increase adaptive thinking, such as CET, and promote positive psychological aspects in healthy young adults; however, the effect is small. The findings may also help expand clinical implementations to prevent depression in young adults.
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Affiliation(s)
- Kohei Kambara
- Faculty of Psychology, Doshisha University, Kyotanabe City, Kyoto, Japan.
| | - Misuzu Matsumoto
- Graduate School of Education, Hiroshima University, Higashi-Hiroshima City, Hiroshima, Japan
| | - Suzuka Hako
- Graduate School of Humanities and Social Sciences, Hiroshima University, Higashi-Hiroshima City, Hiroshima, Japan
| | - Jun Shigematsu
- Department of Humanities, University of Toyama, Toyama City, Toyama, Japan
| | - Satoshi Yokoyama
- Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima City, Hiroshima, Japan
| | - Akiko Ogata
- Graduate School of Humanities and Social Sciences, Hiroshima University, Higashi-Hiroshima City, Hiroshima, Japan
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Abstract
Background Adults and children alike can feel anxious and afraid of needles. As a result, some people avoid necessary medical injections, leading to health problems. Assessing the fear of injections should consider fear factors, avoidance behaviors, and physical symptoms. We have developed a single scale that measures each of these variables. Conventional fear-of-injection scales do not simultaneously measure the aforementioned components, and thus may not adequately capture the fear of injections. Furthermore, no scale has been developed in Japan to measure the fear of injections. Method A multidimensional fear-of-injection scale was developed in Study 1. The participants, 419 university students, were administered a questionnaire to check the reliability and validity of the scale. In Study 2, to establish the cut-off value of the scale, we conducted a questionnaire and analyzed the data of 771 university students. The outcome is the multidimensional fear-of-injection scale. Results The results from factor analysis showed that this scale has a four-factor structure (direct fear, indirect fear, physiological response, and avoidance behaviors). The results of the receiver operating characteristic analysis showed that a cut-off value of 35 points identifies people with a subjective fear of injections. Conclusion The multidimensional fear-of-injection scale is a comprehensive measure of the fear of injections and serves as an effective indicator for intervention and screening. Additionally, it provides a quantitative assessment of the fear of injection in Japan.
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Affiliation(s)
- Suzuka Hako
- Graduate School of Humanities and Social Sciences, Hiroshima University, Higashi-Hiroshima City, Hiroshima, Japan
| | - Kohei Kambara
- Faculty of Psychology, Doshisha University, Kyotanabe-shi, Kyoto-fu, Japan
| | - Akiko Ogata
- Graduate School of Humanities and Social Sciences, Hiroshima University, Higashi-Hiroshima City, Hiroshima, Japan
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Kambara K, Kira Y, Ogata A. An experimental study of the effect of rumination processing modes on approach behavior in a task involving previous failure. Curr Psychol 2021. [DOI: 10.1007/s12144-019-00225-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Kambara K, Kira Y, Kohno R, Ogata A. Preliminary investigation of the feasibility of a long-term but low-frequency preventive intervention for depression in Japanese high schools. Int J Nurs Pract 2021; 28:e12975. [PMID: 34028128 DOI: 10.1111/ijn.12975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 03/21/2021] [Accepted: 05/09/2021] [Indexed: 12/01/2022]
Abstract
AIM We explored the feasibility of a long-term but low-frequency psychological preventive intervention in a high school setting. BACKGROUND High school students may experience depression; psychological interventions to improve social and cognitive skills may be useful to decrease such depression. A long-term but low-frequency intervention may be feasible in this setting because of its minimal time demands and lack of need for specialist human resources DESIGN: We conducted a single-arm longitudinal descriptive study with an intervention applied six times over 2 years in one high school. METHOD We conducted a psychological preventive intervention with 94 high school students in one school for 2 years (April 2014 to March 2016). This intervention aimed to improve social and cognitive skills. We measured social skills, cognitive distortion, and depression five times during the 2-year period, through a self-report scale. RESULTS/FINDINGS Scores for maintaining relationship skills tended to increase over the 2 years. However, depression did not decrease over the intervention period. CONCLUSION Although our research did not include control conditions and the intervention did not decrease depression, the six-session programme for high school adolescents improved an aspect of social skills that is a preventive factor against depression.
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Affiliation(s)
- Kohei Kambara
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
| | - Yugo Kira
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan.,Research Fellow of the Japan Society for the Promotion of Science, Tokyo, Japan
| | - Risa Kohno
- Mukainada Child Clinic, Hiroshima, Japan
| | - Akiko Ogata
- Graduate School of Humanities and Social Sciences, Hiroshima University, Hiroshima, Japan
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Ogata A, Narukawa M. [Relationship between Dose Discontinuation or Dose Reduction for Safety Reasons in Clinical Trials and Lower-dose Prescriptions in the Post-marketing Setting]. YAKUGAKU ZASSHI 2021; 141:743-749. [PMID: 33952758 DOI: 10.1248/yakushi.20-00234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Dosage of pharmaceuticals is determined and approved based on pivotal clinical trial results in Phase 3. However, in the post-marketing setting, it is often adjusted according to conditions of individual patients. Some pharmaceuticals are used at a lower dose than the approved dose for safety reasons or in elderly patients. In this study, we examined the relationships between dose discontinuation or dose reduction, for safety reasons as well as participation of elderly patients in clinical trials, and lower-dose prescriptions in the post-marketing setting. We collated the dataset of 113 eligible pharmaceuticals from those that were approved in Japan between 2005 and 2014. Subsequently, we calculated the proportions of patients who withdrew from the study, whose medication was discontinued, or dose reduced due to adverse events, and of elderly patients (over sixty-five years old) to those who were exposed to the approved dose range in the pivotal clinical trials. Then their relationships with lower-dose prescription in the post-marketing setting were examined using Mann-Whitney U test. The proportions of patients who withdrew from the study (p=0.0019), whose medication was discontinued owing to adverse events (p=0.0007), or whose dose was reduced owing to adverse events (p<0.0001) were significantly higher for "lower-dose prescription drugs" than those for other drugs; however, the proportion of elderly patients did not show this significant increase in the "lower-dose prescription drugs" group.
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Affiliation(s)
- Akiko Ogata
- Department of Clinical Medicine (Pharmaceutical Medicine), Graduate School of Pharmaceutical Sciences, Kitasato University
| | - Mamoru Narukawa
- Department of Clinical Medicine (Pharmaceutical Medicine), Graduate School of Pharmaceutical Sciences, Kitasato University
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Higashikawa F, Kanno K, Ogata A, Sugiyama M. Reduction of fatigue and anger-hostility by the oral administration of 5-aminolevulinic acid phosphate: a randomized, double-blind, placebo-controlled, parallel study. Sci Rep 2020; 10:16004. [PMID: 32994490 PMCID: PMC7525460 DOI: 10.1038/s41598-020-72763-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Accepted: 08/30/2020] [Indexed: 11/20/2022] Open
Abstract
Although large populations feel fatigue, the standardized medicinal therapy is currently absent. In this study, we determined whether 5-aminolevulinic acid (5-ALA) supplementation alleviates the feeling of fatigue in healthy subjects who feel chronic physical tiredness. Males and females between ages of 20 and 64 who felt physical fatigue on a daily basis, with a visual analogue scale (VAS) for fatigue ≥ 40 mm, a T-score of Fatigue-Inertia in the Profile of Mood States—Second Edition—Adult (POMS2-A) ≥ 50, and a T-score of Vigor-Activity in POMS2-A ≤ 60 were recruited. Seventy eligible participants were randomly assigned to either a 5-ALA or a placebo group. During the 8 weeks of consumption, the subjects completed VAS questionnaires for fatigue and POMS2-A at 4-week intervals. The VAS values for overall feeling of fatigue and feeling of work-related fatigue, and the Anger-Hostility subscale of POMS2-A were decreased by 5-ALA with significant time × group interaction effects (p = 0.040, 0.020, and 0.045, respectively). Besides, the 5-ALA group showed significant differences in Fatigue-Inertia, Depression-Dejection and Total Mood Disturbance scores, when compared between pre- and post-intervention, while the placebo group did not. In conclusion, the oral administration of 5-ALA improves fatigue and negative mood in subjects who constantly feel physical fatigue. This clinical trial was registered with University hospital Medical Information Network Clinical Trials Registry (UMIN-CTR) as UMIN000031528 on 2/3/2018.
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Affiliation(s)
- Fumiko Higashikawa
- Department of Probiotic Science for Preventive Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan
| | - Keishi Kanno
- Department of General Internal Medicine, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, Hiroshima, 734-8551, Japan
| | - Akiko Ogata
- Department of Psychology, Graduate School of Education, Hiroshima University, 1-1-1 Kagamiyama, Higashi-Hiroshima, Hiroshima, 739-8511, Japan
| | - Masanori Sugiyama
- Department of Probiotic Science for Preventive Medicine, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan.
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Kawaguchi K, Manaka D, Konishi S, Ota T, Ikeda Y, Kudo R, An H, Sasaki N, Hamasu S, Nishitai R, Mori Y, Inamoto N, Shibamoto K, Ogata A, Yamaoka T, Himoto Y. P-145 CT-based texture analysis using radiomics for hepatic sinusoidal obstruction syndrome (HSOS) in colorectal cancer patients treated with oxaliplatin containing chemotherapy. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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10
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Tsukuda F, Yutaka H, Hayashida M, Ogata A, Noboru S, Shoji K. IMRT by Helical Tomotherapy for prostate cancer increases the risk of bladder cancer at single institution. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33524-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Konishi S, Manaka D, Kawaguchi K, Ota T, Ikeda Y, Kudo R, An H, Sasaki N, Hamasu S, Nishitai R, Mori Y, Inamoto N, Shibamoto K, Ogata A, Yamaoka T, Himoto Y. SO-15 Radiomic signature for prediction of peritoneal disseminations in gastric cancer which were not detected by routine CT examinations. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Affiliation(s)
- Yugo Kira
- Research Fellow of the Japan Society for the Promotion of Science (PD)
- Hiroshima University
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Kambara K, Kira Y, Ogata A. Impact of repetitive thought and processing mode on goal striving. J Behav Ther Exp Psychiatry 2019; 65:101481. [PMID: 31112830 DOI: 10.1016/j.jbtep.2019.101481] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Revised: 03/14/2019] [Accepted: 05/08/2019] [Indexed: 12/01/2022]
Abstract
BACKGROUND AND OBJECTIVES Striving to attain personal goals is important for maintaining well-being. Previous research indicates that repetitive thoughts can influence the affect and cognition associated with personal goal strivings. Repetitive thought in the concrete-experiential processing mode improves affect and cognition after a negative event more than does repetitive thought in the abstract-analytic processing mode. We extend this prior work by examining whether repetitive thought directly influences the maintenance of personal goal strivings through a longitudinal survey. METHODS In Study 1, we examined the daily maintenance effect of repetitive thought on personal goal strivings using a multilevel analysis of 29 participants who reported their thoughts and goal strivings daily for one week. In Study 2, participants (N = 131) reported their thoughts and goal strivings over 10 weeks, and we examined the maintenance effect of repetitive thought on personal goal strivings every two weeks. RESULTS Highly repetitive thought in the abstract-analytic processing mode decreased the maintenance of short-term personal goal strivings in individuals with difficult goals. However, highly repetitive thought in the concrete-experiential processing mode increased the maintenance of long-term personal goal strivings in individuals with difficult goals. LIMITATIONS The study participants were university students; therefore, we cannot generalize the results to clinical populations or other age groups. CONCLUSION Interventions that increase repetitive thought in the concrete-experiential processing mode may be effective in facilitating long-term goal strivings in individuals attempting to overcome difficult situations and achieve important personal goals.
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Affiliation(s)
- Kohei Kambara
- Graduate School of Biomedical and Health Sciences, Hiroshima University, Japan; Research Fellow of the Japan Society for the Promotion of Science, Japan.
| | - Yugo Kira
- Graduate School of Education, Hiroshima University, Japan
| | - Akiko Ogata
- Graduate School of Education, Hiroshima University, Japan
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Ozono S, Nagamitsu S, Matsuishi T, Yamashita Y, Ogata A, Suzuki S, Mashida N, Koseki S, Sato H, Ishikawa S, Togasaki Y, Sato Y, Sato S, Sasaki K, Shimada H, Yamawaki S. Reliability and validity of the Children's Depression Inventory-Japanese version. Pediatr Int 2019; 61:1159-1167. [PMID: 31344290 DOI: 10.1111/ped.13984] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 01/09/2019] [Accepted: 07/11/2019] [Indexed: 11/27/2022]
Abstract
BACKGROUND Depression has major negative consequences for individuals and society, and psychological assessment tools for early disease detection are needed. The aim of this study was to investigate the reliability and validity of an updated Japanese version of the Children's Depression Inventory (CDI-J) and set a cut-off score for the detection of depression. METHODS The participants consisted of 465 children and adolescents aged 7-17 years. The control (CON) groups consisted of students recruited from elementary and junior-high school (CONEJ) and children recruited from among hospital staff members (CONRE), while the outpatient clinical (OPC) groups consisted of pediatric psychosomatic outpatients (OPCPD) and adolescent psychiatric outpatients (OPCPS). The CON and OPC CDI-J scores underwent factor analysis using varimax rotation, followed by measurement invariance analysis. The Youth Self-Report (YSR) was administered to assess concurrent validity. The Mini-International Neuropsychiatric Interview was administered to the OPC group to diagnose current depressive symptoms. Receiver operating characteristics (ROC) analysis was conducted to evaluate case-finding performance and to set cut-off points for the detection of depression. RESULTS The CDI-J was reliable in terms of internal consistency (Cronbach α = 0.86; mean inter-item correlation, 0.16). Re-test reliability was substantial (mean interval 18 days: γ = 0.59, P < 0.05). The four-factor solution exhibited adequate internal consistency (range, 0.52-0.73) and correspondence (Pearson correlation of 0.65 with the YSR) for both the CON and OPC groups. On ROC analysis the optimal cut-off score was 23/24. CONCLUSION The CDI-J can be used as a reliable and well-validated instrument alongside standard diagnostic procedures.
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Affiliation(s)
- Shuichi Ozono
- Department of Pediatrics and Child Health, Kurume University School of Medicine, Kurume, Fukuoka, Japan.,Developmental Neuroscience and Child Health, University of British Columbia, Vancouver, British Columbia, Canada
| | - Shinichiro Nagamitsu
- Department of Pediatrics and Child Health, Kurume University School of Medicine, Kurume, Fukuoka, Japan
| | - Toyojiro Matsuishi
- Department of Pediatrics and Child Health, Kurume University School of Medicine, Kurume, Fukuoka, Japan
| | - Yushiro Yamashita
- Department of Pediatrics and Child Health, Kurume University School of Medicine, Kurume, Fukuoka, Japan
| | - Akiko Ogata
- Department of Psychology, Hiroshima University Graduate School of Education, Hiroshima, Japan
| | - Shinichi Suzuki
- Faculty of Human Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | - Naoki Mashida
- Sakai City Mental Health Center, Sakai City, Osaka, Japan
| | - Shunsuke Koseki
- Faculty of Psychology and Education, J. F. Oberlin University, Tokyo, Japan
| | - Hiroshi Sato
- Department of Integrated Psychological Sciences, School of Humanities, Kwansei Gakuin University, Nishinomiya, Hyogo, Japan
| | | | - Yasuko Togasaki
- Faculty of Education and Culture, University of Miyazaki, Miyazaki, Japan
| | - Yoko Sato
- Faculty of Education and Culture, University of Miyazaki, Miyazaki, Japan
| | - Shoji Sato
- Faculty of Education and Culture, University of Miyazaki, Miyazaki, Japan
| | - Kazuyoshi Sasaki
- Faculty of Human Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | - Hironori Shimada
- Faculty of Human Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | - Shigeto Yamawaki
- Department of Psychiatry and Neuroscience, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima, Japan
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Affiliation(s)
- Kohei Kambara
- Graduate School of Biomedical and Health Sciences, Hiroshima University
| | - Yugo Kira
- Graduate School of Education, Hiroshima University
| | - Akiko Ogata
- Graduate School of Education, Hiroshima University
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Ogata A, Kaneko M, Narukawa M. Lower-dose prescriptions in the post-marketing situation and the influencing factors thereon. PLoS One 2019; 14:e0218534. [PMID: 31199847 PMCID: PMC6570026 DOI: 10.1371/journal.pone.0218534] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2018] [Accepted: 06/04/2019] [Indexed: 11/18/2022] Open
Abstract
The dosage of pharmaceuticals is determined through the process of clinical development and approval review based on clinical trial results; however, the information obtained from clinical trials before approval is limited. Some pharmaceutical products are used at doses lower than those approved for post-marketing use. The aim of this study was to reveal the actual state of lower-dose prescriptions for post-marketing clinical use of pharmaceuticals. We investigated the factors related to the deviation based on therapeutic area, detailed statement of the approved dosage, clinical data package, and post-marketing requirement. Among the new molecular entities approved in Japan between January 2005 and December 2014, we identified products that are orally administered and have the same daily dose for different indications, if any. For these products, we collected information on the actual daily dose from the medical information databases of Medical Data Vision Co., LTD. and JammNet Co., LTD. Products whose dose was lower than the approved dose (maintenance dose excluding the initial dose) in ≥ 30% prescriptions in 2015 were defined here as “lower-dose prescription drugs.” We identified 27 lower-dose prescription drugs out of 113 products investigated. The results of the multivariate analysis revealed that factors related to the Anatomical Therapeutic Chemical classification and the detailed statement of the approved dosage significantly influenced the occurrence of lower-dose prescription, whereas the factors related to clinical data package and post-marketing requirements did not. These results suggest the limitation in determining an optimal dosage for the actual clinical use of a drug based on the information obtained from clinical trials conducted before approval, emphasizing the importance of reexamining the optimal dosage that is applicable to a greater number of patients after marketing, if necessary. We believe that the utilization of real-world data could be of help in this regard.
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Affiliation(s)
- Akiko Ogata
- Department of Clinical Medicine (Pharmaceutical Medicine), Graduate School of Pharmaceutical Sciences, Kitasato University, Tokyo, Japan
- * E-mail:
| | - Masayuki Kaneko
- Department of Clinical Medicine (Pharmaceutical Medicine), Graduate School of Pharmaceutical Sciences, Kitasato University, Tokyo, Japan
| | - Mamoru Narukawa
- Department of Clinical Medicine (Pharmaceutical Medicine), Graduate School of Pharmaceutical Sciences, Kitasato University, Tokyo, Japan
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Takagaki K, Okamoto Y, Jinnin R, Mori A, Nishiyama Y, Yamamura T, Yokoyama S, Shiota S, Okamoto Y, Miyake Y, Ogata A, Kunisato Y, Shimoda H, Kawakami N, Furukawa TA, Yamawaki S. Enduring effects of a 5-week behavioral activation program for subthreshold depression among late adolescents: an exploratory randomized controlled trial. Neuropsychiatr Dis Treat 2018; 14:2633-2641. [PMID: 30349261 PMCID: PMC6186299 DOI: 10.2147/ndt.s172385] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND No significant effect of psychological treatment has been reported from meta-analysis of subthreshold depression patients and control subjects at 1-year follow-up. However, behavioral activation is a simpler and more cost-effective treatment than cognitive behavioral therapy. The primary purpose of this study was to assess by comparison to an assessment-only control group whether the effects of behavioral activation program for depressive symptoms can persist up to 1-year follow-up without the use of antidepressants or other psychotherapy. PATIENTS AND METHODS Late adolescent students were the population targeted in this study. Participants were allocated randomly to an intervention group (n=62) or a control group (n=56). Treatment consisted of five-weekly 60-minute sessions. Participants underwent a structured interview and completed self-report scales at 1 year post-assessment. RESULTS Late adolescent students receiving treatment had significantly lower mean Beck Depression Inventory, second edition scores at 1-year follow-up than control group students. The effect size (Hedges' g) for between-group differences at 1-year follow-up was -0.41. CONCLUSION Our behavioral activation program is simple and short. Nevertheless, the results obtained at 1-year follow-up of the control group and late adolescent students receiving treatment indicated a significant difference in their Beck Depression Inventory, second edition scores. Our 5-week behavioral activation program based on behavioral characteristics for subthreshold depression might be promising for subthreshold depression. The sample examined for this study imposed some study limitations.
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Affiliation(s)
| | - Yasumasa Okamoto
- Department of Psychiatry and Neurosciences, Hiroshima University, Hiroshima, Japan,
| | - Ran Jinnin
- Department of Psychiatry and Neurosciences, Hiroshima University, Hiroshima, Japan,
| | - Asako Mori
- Department of Psychiatry and Neurosciences, Hiroshima University, Hiroshima, Japan,
| | | | | | - Satoshi Yokoyama
- Department of Psychiatry and Neurosciences, Hiroshima University, Hiroshima, Japan,
| | - Syouichi Shiota
- Japan Society for the Promotion of Science, Tokyo, Japan.,Department of Cognitive Psychology in Education, Graduate School of Education, Kyoto University, Kyoto, Japan
| | | | | | - Akiko Ogata
- Department of Psychology, Hiroshima University, Hiroshima, Japan
| | - Yoshihiko Kunisato
- Department of Psychology, School of Human Sciences, Senshu University, Kawasaki, Japan
| | - Haruki Shimoda
- Department of Hygiene and Preventive Medicine, School of Medicine, Iwate Medical University, Morioka, Japan
| | - Norito Kawakami
- Department of Psychiatry of Mental Health, The University of Tokyo, Tokyo, Japan
| | - Toshi A Furukawa
- Department of Health Promotion and Human Behavior and of Clinical Epidemiology, Kyoto University Graduate School of Medicine/School of Public health, Kyoto, Japan
| | - Shigeto Yamawaki
- Department of Psychiatry and Neurosciences, Hiroshima University, Hiroshima, Japan,
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Hamaue N, Ogata A, Tsuchida S, Aoki T. Analysis of the serum isatin, an endogenous monoamine oxidase inhibitor, in aging and Alzheimer's disease. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Takakura Y, Otsuki M, Nakagawa Y, Tajima Y, Mito Y, Ogata A, Koshimizu S, Yoshino M, Uemori G. Comparative symptomatology of apraxia of speech/anarthrie: Patients with neurodegenerative diseases versus cerebrovascular diseases. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Shiraiwa N, Yamaguchi T, Fukushima M, Sakuraba H, Noguchi E, Ogata A, Tamaoka A, Ohkoshi N. Acupuncture treatment for peripheral facial palsy. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.2715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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22
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Ogata A, Hamaue N, Koshimizu S, Otsuki M, Shinpo K, Koyanagi I. The relation between isatin and selegiline by the alteration of serum isatin, an endogenous monoamine oxidase inhibitor, induced by selegiline hydrochloride in Parkinson's disease. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.1670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Otsuki M, Nakagawa Y, Kondo K, Houzen H, Hamada S, Tajima Y, Mito Y, Koshimizu S, Ogata A, Ura S, Kuroshima K, Yoshida K, Yabe I, Sasaki H. Longitudinal investigation of the symptoms and the imaging findings of nfvPPA:: Sub-classification for nosology. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.2174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ogata A, Ogiso K, Toida S, Yamashita S, Watanabe M, Aida N. ITEMS FOR MEASURING PERSONNEL RETENTION IN INTENSIVE CARE HOME FOR THE ELDERLY. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- A. Ogata
- Nogoya University Graduate School of Economics, Nagoya, Japan,
| | - K. Ogiso
- Gifu University Nursing Course, School of Medicine, Gifu, Japan,
| | - S. Toida
- Shubun University Faculty of Nursing, Ichinomiya, Japan,
| | - S. Yamashita
- Chubu Gakuin University Faculty of Human Well-being, Seki, Japan,
| | - M. Watanabe
- School of Health Sciences, Gifu University of Medical Science, Seki, Japan,
| | - N. Aida
- Institute of Health Science, Academic Assembly School of Medicine and Health Sciences, Shinshu University, Matsumoto, Japan
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Ge H, Yamazaki E, Yamashita N, Taniyasu S, Ogata A, Furuuchi M. Particle size specific distribution of perfluoro alkyl substances in atmospheric particulate matter in Asian cities. Environ Sci Process Impacts 2017; 19:549-560. [PMID: 28276550 DOI: 10.1039/c6em00564k] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Seasonal and local characteristics of perfluorinated alkylated substances (PFASs) were examined using size-segregated particles including an ultrafine range. The examination included sampling and analysis of ambient particles collected at four sites located in different environments in three different countries, Japan (Kanazawa and Okinawa), Hong Kong and India. To minimize the evaporation artefacts derived from PFASs during the sampling, an air sampler that permitted particles smaller than 0.1 μm (PM0.1) to be separated at a moderate pressure drop (<5-15 kPa), was used for all of the air sampling procedures. In the case of Kanazawa, a local city in Japan, the concentration of PFASs was found to be dominated by carboxylates, especially PFOA, PFNA and PFDA regardless of the particle size and sampling period. Ultrafine particles were found to be the largest contributor to the mass fraction of PFCAs, while the maximum PFOS mass fractions were determined to be in the coarse-sized fractions. The seasonal difference in the total PFAS concentration can be largely attributed to precipitation. The results were basically similar for all sites that were examined. The type of land use may be a more influencing factor on the mass fraction of the PFASs than the country of origin. The dependency of PFAS mass fraction on the specific surface of the particle suggests that ultrafine PFAS particles are segregated, not only by gas deposition but could also be segregated by a mechanism involving compositional dependence or the primary source of the particles. Other possible sources of PFASs, other than from traffic are also possible.
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Affiliation(s)
- H Ge
- School of Environmental Design, College of Science and Engineering, Kanazawa University, Kakuma-machi, Kanazawa, Ishikawa 920-1192, Japan.
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Takagaki K, Okamoto Y, Jinnin R, Mori A, Nishiyama Y, Yamamura T, Yokoyama S, Shiota S, Okamoto Y, Miyake Y, Ogata A, Shimoda H, Kawakami N, Furukawa TA, Yamawaki S. Mechanisms of behavioral activation for late adolescents: Positive reinforcement mediate the relationship between activation and depressive symptoms from pre-treatment to post-treatment. J Affect Disord 2016; 204:70-3. [PMID: 27341422 DOI: 10.1016/j.jad.2016.06.046] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2016] [Revised: 05/20/2016] [Accepted: 06/13/2016] [Indexed: 11/17/2022]
Abstract
BACKGROUND It is suggested that there is some support for notion that frequency of activity can lead to improved mood in behavioral activation, but this research is relatively imprecise. We investigated whether positive reinforcement mediates the relationship between activation and alleviation of depressive symptoms METHODS Late adolescents with sub-threshold depressive symptoms participated in the study. We conducted an intervention using behavioral activation with the participants. Then, pre-and post-treatment results of behavioral activation were compared. We used mediation analysis using the bootstrapping method to examine whether changes in reinforcement mediated the relationship between changes in activation and improvements in depressive symptoms. RESULTS Participants improved significantly at the post-intervention assessment, compared to the baseline assessment. Results of mediation analysis indicated that reinforcement significantly mediated the relationship between activation and depressive symptoms, whereas activation alone had no a direct effect on depressive symptoms. LIMITATIONS Further studies with more diverse samples of participants are required in order to generalize the results of this study to more diverse populations. CONCLUSIONS The study provides the first full mediational test of behavioral activation model including both measures of activation and positive reinforcement, and we found support for behavioral activation's presumed mechanism of action that contact with positive reinforcement mediates the relation between activity and depression.
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Affiliation(s)
- Koki Takagaki
- Department of Psychiatry and Neurosciences, Hiroshima University, Japan
| | - Yasumasa Okamoto
- Department of Psychiatry and Neurosciences, Hiroshima University, Japan.
| | - Ran Jinnin
- Department of Psychiatry and Neurosciences, Hiroshima University, Japan
| | - Asako Mori
- Department of Psychiatry and Neurosciences, Hiroshima University, Japan
| | - Yoshiko Nishiyama
- Department of Psychiatry and Neurosciences, Hiroshima University, Japan
| | - Takanao Yamamura
- Department of Psychiatry and Neurosciences, Hiroshima University, Japan
| | - Satoshi Yokoyama
- Department of Psychiatry and Neurosciences, Hiroshima University, Japan
| | - Syouichi Shiota
- Department of Psychiatry and Neurosciences, Hiroshima University, Japan
| | - Yuri Okamoto
- Health Service Center, Hiroshima University, Japan
| | | | - Akiko Ogata
- Department of Psychology, Hiroshima University, Japan
| | - Haruki Shimoda
- Department of Mental Health, The University of Tokyo, Japan
| | | | - Toshi A Furukawa
- Departments of Health Promotion and Human Behavior and of Clinical Epidemiology, Kyoto University Graduate school pf Medicine/School of Public Health, Japan
| | - Shigeto Yamawaki
- Department of Psychiatry and Neurosciences, Hiroshima University, Japan
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Takagaki K, Okamoto Y, Jinnin R, Mori A, Nishiyama Y, Yamamura T, Yokoyama S, Shiota S, Okamoto Y, Miyake Y, Ogata A, Kunisato Y, Shimoda H, Kawakami N, Furukawa TA, Yamawaki S. Behavioral activation for late adolescents with subthreshold depression: a randomized controlled trial. Eur Child Adolesc Psychiatry 2016; 25:1171-1182. [PMID: 27003390 DOI: 10.1007/s00787-016-0842-5] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2015] [Accepted: 03/11/2016] [Indexed: 10/22/2022]
Abstract
The main behavioral characteristic of subthreshold depression that is observed in adolescents is the low frequency of exposure to environmental rewards. Therefore, it was considered that a simple intervention conducted in short sessions, focusing on increasing access to positively reinforcing activities, would be efficacious in increasing the availability of rewards. We conduct a randomized controlled trial to examine the efficacy of such a behavioral activation program that was conducted weekly for 5 weeks in 60-min sessions. Late adolescent university students aged 18-19 years with subthreshold depression were randomly allocated to a treatment (n = 62) or a control group (n = 56). The primary outcome of the study was the Beck Depression Inventory-II score. Results indicated that late adolescent students in the treatment group showed significant improvements in their depressive symptoms (effect size -0.90, 95 % CI -1.28 to -0.51) compared to the control group. Students in the treatment group also showed significant improvements in self-reported rating of quality of life and in behavioral characteristics. It is concluded that this intervention had a large and significant effect despite being short and simple and that this low-intensity cognitive behavioral therapy program could be conducted in many different types of institutions. It is suggested that the long-term effects of the treatment program should be targeted for investigation in future studies.
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Affiliation(s)
- Koki Takagaki
- Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
| | - Yasumasa Okamoto
- Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
| | - Ran Jinnin
- Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
| | - Asako Mori
- Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
| | - Yoshiko Nishiyama
- Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
| | - Takanao Yamamura
- Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
| | - Satoshi Yokoyama
- Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
| | - Syouichi Shiota
- Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
| | - Yuri Okamoto
- Health Service Center, Hiroshima University, 1-7-1, Kagamiyama, Higashihiroshimashi, Hiroshima, 739-8511, Japan
| | - Yoshie Miyake
- Health Service Center, Hiroshima University, 1-7-1, Kagamiyama, Higashihiroshimashi, Hiroshima, 739-8511, Japan
| | - Akiko Ogata
- Department of Psychology, Hiroshima University, 1-1-1, Kagamiyama, Higashihiroshimashi, Hiroshima, 739-8511, Japan
| | - Yoshihiko Kunisato
- Department of Psychology, School of Human Sciences, Senshu University, 2-1-1, Higashi-Mita, Tama, Kawasaki, 214-8580, Japan
| | - Haruki Shimoda
- Department of Psychiatry of Mental Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan
| | - Norito Kawakami
- Department of Psychiatry of Mental Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan
| | - Toshi A Furukawa
- Department of Health Promotion and Human Behavior and of Clinical Epidemiology, Kyouto University Graduate school of Medicine/School of Public Health, Yoshida Konoe-cho, Sakyo-ku, Kyoto, 606-8501, Japan
| | - Shigeto Yamawaki
- Department of Psychiatry and Neurosciences, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
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Morita T, Shima Y, Kakigano A, Ogata A, Kumanogoh A. Serum anti-citrullinated protein antibodies of a mother with rheumatoid arthritis pass through the placenta but do not cause arthritis in her neonate. Scand J Rheumatol 2016; 46:85-86. [PMID: 27574903 DOI: 10.1080/03009742.2016.1195871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- T Morita
- a Department of Respiratory Medicine, Allergy and Rheumatic Diseases , Osaka University Graduate School of Medicine , Osaka , Japan
| | - Y Shima
- a Department of Respiratory Medicine, Allergy and Rheumatic Diseases , Osaka University Graduate School of Medicine , Osaka , Japan
| | - A Kakigano
- b Department of Obstetrics and Gynaecology , Osaka University Graduate School of Medicine , Osaka , Japan
| | - A Ogata
- a Department of Respiratory Medicine, Allergy and Rheumatic Diseases , Osaka University Graduate School of Medicine , Osaka , Japan.,c Division of Allergy, Rheumatology and Connective Tissue Disease , NTT WEST Japan Osaka Hospital , Osaka , Japan
| | - A Kumanogoh
- a Department of Respiratory Medicine, Allergy and Rheumatic Diseases , Osaka University Graduate School of Medicine , Osaka , Japan
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Hara Y, Maeda K, Higa S, Kawamoto K, Nishikawa N, Okazaki Y, Hiramatsu M, Nakahara H, Manabe Y, Wibowo T, Igarashi T, Ogata A. FRI0304 The Change of The Frequency of Right Heart Catheterization for The Diagnosis of Pulmonary Hypertension among Patients with Connective Tissue Diseases in A Hospital in Osaka, Japan – Comparison of The First 5 Years and The Latter 5 Years. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.3391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Fusama M, Yukioka K, Kuroiwa T, Yukioka C, Inoue M, Higashi K, Ogata A, Murata N, Kuritani T, Maeda K, Sano H, Yukioka M, Nakahara H. SAT0633-HPR Social Support May Be Important for Improving Patient Satisfaction and Health Status in Patients with Rheumatoid Arthritis Treated with Biologics. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.5277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Fusama M, Yukioka K, Kuroiwa T, Yukioka C, Inoue M, Higashi K, Ogata A, Murata N, Kuritani T, Maeda K, Sano H, Yukioka M, Nakahara H. SAT0632-HPR The Efficacy of Biologics on Health Status Including Psychological Status, Self-Efficacy and Patient Satisfaction in Patients with Rheumatoid Arthritis. Ann Rheum Dis 2016. [DOI: 10.1136/annrheumdis-2016-eular.5193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Takahashi Y, Fujimoto M, Serada S, Ogata A, Nanki T, Hattori K, Takeuchi T, Naka T. AB0489 Leucine-Rich Alpha-2 Glycoprotein (LRG) as a Potential Disease Activity Marker During IL-6 Blockade in Autoimmune Arthritis. Ann Rheum Dis 2015. [DOI: 10.1136/annrheumdis-2015-eular.5386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Takei Y, Ogata A, Ozawa M, Moritake H, Hirai K, Manabe A, Suzuki SI. Psychosocial difficulties in adolescent and young adult survivors of childhood cancer. Pediatr Int 2015; 57:239-46. [PMID: 25203461 DOI: 10.1111/ped.12495] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2013] [Revised: 07/20/2014] [Accepted: 08/21/2014] [Indexed: 11/27/2022]
Abstract
BACKGROUND With a large number of children surviving cancer worldwide, numerous investigations have assessed psychological and social adjustment among childhood cancer survivors. According to these studies, it is unclear whether childhood cancer survivors successfully adjust to daily life after being discharged from hospital, especially for adolescent and young adult survivors who have unique needs and concerns. The primary aim of this study was to identify the factors underlying psychosocial difficulties faced by adolescent and young adult survivors in their day-to-day lives after being discharged from hospital. METHODS Semi-structured interviews were conducted. Twenty-five childhood cancer survivors were recruited from two regional cancer institutions in Japan. Content analysis was applied to the responses. RESULTS Nineteen attributes were extracted and classified into four categories as follows: physical difficulties, interpersonal difficulties, behavioral difficulties, and uncertainty about the future. The attributes indicated by >50% of the participants were "I am worried about not feeling well," "I have difficulty continuing treatment in daily life," "I have difficulty moving my body," "I have to be absent from school or work because of illness," and "I am left behind academically." CONCLUSIONS This study identified important factors of psychosocial day-to-day difficulties. Clinically, these results suggest that it is important to watch for these signs and to provide early support to survivors so that their daily life and development are not hindered by the treatment and its side-effects, and to offer long-term support focusing on individual patient characteristics such as sex, age, and cancer history.
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Affiliation(s)
- Yuko Takei
- Faculty of Medicine, University of Miyazaki Hospital, Miyazaki, Japan
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Murakami H, Nishiide R, Ohira S, Ogata A. Synthesis of MDI and PCL-diol-based polyurethanes containing [2] and [3]rotaxanes and their properties. POLYMER 2014. [DOI: 10.1016/j.polymer.2014.10.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Takagaki K, Okamoto Y, Jinnin R, Mori A, Nishiyama Y, Yamamura T, Takebayashi Y, Ogata A, Okamoto Y, Miyake Y, Shimoda H, Kawakami N, Yamawaki S. Behavioral characteristics of subthreshold depression. J Affect Disord 2014; 168:472-5. [PMID: 25128753 DOI: 10.1016/j.jad.2014.07.018] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2014] [Accepted: 07/08/2014] [Indexed: 11/25/2022]
Abstract
BACKGROUND This study examines differences in behavioral characteristics among individuals who are not depressed and individuals with subthreshold depression, and depression. METHODS We conducted structured interviews with 111 undergraduate students, who also completed self-report scales. The participants were divided into a non-depression group, a subthreshold depression group, and a depression group based on results of the structured interview and the BDI-II. RESULTS There were significant differences in avoidance between depression group and other two groups. Also, for the environmental rewards, there were significant difference between the non-depressed group and the other two groups. LIMITATIONS The sample of depressed participants was small. The overall sample consisted only undergraduate students. CONCLUSIONS This study reported that there are different behavioral characteristics among non-depression, subthreshold depression, and depression groups. Whereas depression group is characterized by high frequency of avoidance and low environmental rewards, subthreshold depression group is characterized by only low environmental rewards.
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Affiliation(s)
- Koki Takagaki
- Department of Psychiatry and Neurosciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
| | - Yasumasa Okamoto
- Department of Psychiatry and Neurosciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan
| | - Ran Jinnin
- Department of Psychiatry and Neurosciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan; Health Service Center, Hiroshima University, Japan
| | - Asako Mori
- Department of Psychiatry and Neurosciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan
| | - Yoshiko Nishiyama
- Department of Psychiatry and Neurosciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan
| | - Takanao Yamamura
- Department of Psychiatry and Neurosciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan
| | | | - Akiko Ogata
- Department of Psychology, Hiroshima University, Japan
| | - Yuri Okamoto
- Health Service Center, Hiroshima University, Japan
| | | | - Haruki Shimoda
- Department of Mental Health, The University of Tokyo, Japan
| | | | - Shigeto Yamawaki
- Department of Psychiatry and Neurosciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan
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Yoshida S, Amano K, Ohta H, Kusuki S, Morita T, Ogata A, Hirai K. A comprehensive study of the distressing experiences and support needs of parents of children with intractable cancer. Jpn J Clin Oncol 2014; 44:1181-8. [PMID: 25249378 DOI: 10.1093/jjco/hyu140] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE The primary endpoints of this study were: (1) to explore the distressing experiences of parents of patients with intractable pediatric cancer in Japan from disclosure of poor prognosis to the present and (2) to explore support they regarded as necessary. METHODS A multi-center questionnaire survey was conducted that included 135 bereaved parents of patients with pediatric cancer in Japan. RESULTS The top five distressing experiences shared by over half of the bereaved parents were: 'Realize that the child's disease was getting worse' (96.7%), 'Witness the child's suffering' (96.7%), 'Make many decisions on the basis that the child will die in the not-so-distant future' (83.6%), 'Feel anxious and nervous about the child's acute deterioration' (82.0%) and 'Realize that there was nothing that I could do for the child' (78.7%). The top five support regarded as necessary were: 'Visit the room and speak to the sick child every day' (90.2%), 'Provide up-to-date information' (80.3%), 'Sufficiently explain the disadvantages of each treatment option' (80.3%), 'Show a never-give-up attitude until the end' (78.7%) and 'Make arrangements to allow the sick child to spend time with his/her siblings' (73.8%). CONCLUSIONS This study identified the common distressing experiences of parents and the support regarded as necessary by them. To provide efficient support with limited manpower in pediatric setting, healthcare professionals should recognize these tasks as high priorities when engage parents of intractable pediatric cancer patients.
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Affiliation(s)
- Saran Yoshida
- Center for Cancer Control and Information Services, National Cancer Center, Chuo-ku, Tokyo
| | - Koji Amano
- Department of Clinical Laboratory, Seirei Mikatahara General Hospital, Hamamatsu City, Shizuoka
| | - Hideaki Ohta
- Department of Pediatrics, Higashitoyonaka Watanabe Hospital, Toyonaka City, Osaka
| | | | - Tatsuya Morita
- Department of Palliative and Supportive Care, Palliative Care Team, and Seirei Hospice, Seirei Mikatahara General Hospital, Hamamatsu City, Shizuoka
| | - Akiko Ogata
- Graduate School of Education, Hiroshima University, Higashi-Hiroshima City, Hiroshima
| | - Kei Hirai
- Support Office for Large-Scale Education and Research Projects, Osaka University, Suita City, Osaka, Japan
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Yoshida Y, Ogata A, Tomita T, Kang S, Hirano T, Shima Y, Narazaki M, Tanaka T, Kumanogoh A. AB0156 Increased Soluble Semaphorin 4D in Rheumatoid Arthritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.3513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Etoh S, Noma T, Takiyoshi Y, Matsumoto S, Ogata A, Shimodozono M, Kawahira K. P248: Effect of the intensive rehabilitation on functional recovery and motor neuron excitability after stroke. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50373-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Mishima T, Serada S, Fujimoto M, Hattori K, Ogata A, Nanki T, Takeuchi T, Naka T. AB0148 Leucine-Rich Alpha-2 Glycoprotein is A Potential Disease Activity Marker under IL-6 Suppression in Autoimmune Arthritis. Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2014-eular.2180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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40
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Kudo-Tanaka E, Matsushita M, Tsuji S, Hirao M, Tsuboi H, Katada Y, Sueishi M, Suenaga Y, Chiba J, Tonai T, Saisho K, Ogata A, Hashimoto J, Ohshima S, Saeki Y. THU0235 Prevention of Development of Rheumatoid Arthritis (RA) in Patients with Undifferentiated Arthritis (UA) by Very Early Therapeutic Intervention of Methotrexate (MTX). Ann Rheum Dis 2014. [DOI: 10.1136/annrheumdis-2013-eular.763] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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41
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Otsuki M, Nakagawa Y, Ogata A, Makino K, Fukishima T, Kuwabara T. Variety of clinical symptoms of logopenic progressive aphasia in Japanese patients. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.1230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ogata A. FRI0218 Normalization of c-reactive protein within the first 8 weeks is a predictive factor for the effectiveness of subcutaneous tocilizumab monotherapy in japanese rheumatoid arthritis patients: results from the musashi study. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.1345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Yoshida Y, Kang S, Morishima A, Akihiko N, Hishitani Y, Maeda Y, Nishide M, Hamano M, Morimoto K, Hirano T, Shima Y, Narazaki M, Tanaka T, Ogata A, Kumanogoh A. AB0114 Semaphorin3a and semaphorin4d in rheumatoid arthritis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.2437] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Ogata A. FRI0180 The musashi study: Comparison of subcutaneous tocilizumab monotherapy versus intravenous tocilizumab monotherapy: Results from a double-blind, parallel-group, comparative phase III non-inferiority study in japanese patients with rheumatoid arthritis:. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.2637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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45
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Ebina K, Shi K, Tomita T, Kunugiza Y, Hishitani Y, Hirano T, Ogata A, Yoshikawa H. THU0214 Influence of Concomitant Methotrexate and Prednisolone Dose on Drug Inefficacy of Etanercept and Adalimumab in Patients with Rheumatoid Arthritis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2013-eular.742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Sato S, Ishikawa SI, Togasaki Y, Ogata A, Sato Y. Long-term effects of a universal prevention program for depression in children: a 3-year follow-up study. Child Adolesc Ment Health 2013; 18:103-108. [PMID: 32847290 DOI: 10.1111/j.1475-3588.2012.00665.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/07/2012] [Indexed: 11/30/2022]
Abstract
BACKGROUND The present study evaluates the long-term effects of a universal prevention approach for depression in children. It looks into the 2- and 3-year follow-ups of previously reported postintervention and 1-year outcomes. METHOD One hundred and eighty-nine 3rd grade (8-9 years old) children participated in a five-session, school-based, universal prevention program designed to encourage social skills and peer support. The study was conducted from 2006 to 2009 in two public schools in Miyazaki, the south main island of Japan. RESULTS Depressive symptoms decreased significantly from the pre to the postintervention periods, and this effect was maintained. Furthermore, children in the prevention group showed significantly lower depression than the normative sample. CONCLUSIONS This study reveals the beneficial long-term effects of a universal approach.
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Affiliation(s)
- Shoji Sato
- Faculty of Education and Culture, University of Miyazaki, Miyazaki, Japan
| | - Shin-Ichi Ishikawa
- Faculty of Psychology, Doshisha University, Imadegawa-dori, Higashi-iru, Kamingyokyo-ku, Kyoto, Japan
| | - Yasuko Togasaki
- Faculty of Education and Culture, University of Miyazaki, Miyazaki, Japan
| | - Akiko Ogata
- Faculty of Education, Hiroshima University, Hiroshima, Japan
| | - Yoko Sato
- Faculty of Education and Culture, University of Miyazaki, Miyazaki, Japan
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Hishitani Y, Ogata A, Shima Y, Hirano T, Ebina K, Kunugiza Y, Shi K, Narazaki M, Hagihara K, Tomita T, Yoshikawa H, Tanaka T, Kumanogoh A. Retention of tocilizumab and anti-tumour necrosis factor drugs in the treatment of rheumatoid arthritis. Scand J Rheumatol 2013; 42:253-9. [PMID: 23470089 DOI: 10.3109/03009742.2012.762037] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES The retention of the anti-rheumatic agent tocilizumab (TCZ) has not been well documented in patients with rheumatoid arthritis (RA). We conducted an observational study to compare the retention of TCZ and anti-tumour necrosis factor (TNF) drugs in the treatment of patients with RA. METHOD We reviewed continuation rates and causes of discontinuation of biological agents (biologics) by assessing medical records of patients with RA who were administered biologics at our institute from September 1999 to April 2012, using the Osaka University Biologics for Rheumatic Diseases (BiRD) registry. RESULTS A total of 401 patients were included. TCZ, infliximab (IFX), etanercept (ETN), and adalimumab (ADA) were administered to 97, 103, 143, and 58 patients, respectively. There were some differences between the baseline characteristics of the groups. The median duration (range) of TCZ, IFX, ETN, and ADA administration was 2.5 (0.1-12.6), 1.9 (0.0-7.7), 2.9 (0.0-11.3), and 1.3 (0.0-3.4) years, respectively. Continuation rates for TCZ and ETN were significantly higher than those for IFX and ADA. Multivariate analyses showed that discontinuation due to lack or loss of efficacy was significantly less common in the TCZ group than in the other groups. Discontinuation due to overall adverse events was not significantly different between treatment groups. CONCLUSION TCZ and ETN show better retention than IFX or ADA in the treatment of RA.
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Affiliation(s)
- Y Hishitani
- Department of Respiratory Medicine, Allergy and Rheumatic Diseases, Graduate School of Medicine, Osaka University, Osaka, Japan
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Etoh S, Noma T, Ikeda K, Jonoshita Y, Ogata A, Matsumoto S, Shimodozono M, Kawahira K. Effects of repetitive trascranial magnetic stimulation on repetitive facilitation exercises of the hemiplegic hand in chronic stroke patients. J Rehabil Med 2013; 45:843-7. [DOI: 10.2340/16501977-1175] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Abstract
Double-decker pulse radiolysis (DDPR), which utilizes double-decker electron beams, was investigated to develop a new pulse radiolysis with a high time resolution. The double-decker electron beams were generated by injecting two UV pulses into a photocathode radio-frequency gun. In the pulse radiolysis, one electron beam was used as a pump beam, and the other was converted to a probe pulse. Finally, as its first application, the DDPR was successfully used for observing solvated electrons in water, with a 10%-90% rise time of 8.6 ps.
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Affiliation(s)
- K Kan
- Institute of Scientific and Industrial Research, Osaka University, Osaka, Japan.
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Ylnagaki, Ogata A, Furuya H, Idemitsu K, Banba T, Maeda T. Effects of Redox Condition on Waste Glass Corrosion in the Presence of Magnetite. ACTA ACUST UNITED AC 2011. [DOI: 10.1557/proc-412-257] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
AbstractStatic corrosion tests of a powdered simulated waste glass were performed in the presence of magnetite under oxic and anoxic conditions, respectively. The corrosion tests under oxic conditions were performed in air, and those under anoxic conditions were performed in a glove box purged with mixed gas(Ar+5%H2). The experimental results showed that the presence of magnetite can enhance glass corrosion under both oxic and anoxic conditions, and the enhancement under anoxic conditions was small compared to that under oxic conditions. A large portion of the Si and insoluble elements were sorbed onto the magnetite surface, and the sorption under anoxic conditions was small compared to that under oxic conditions.It was suggested that the enhancement of glass corrosion by magnetite results from the sorption or precipitation of silica on the magnetite surface, which can be greatly affected by redox condition. Under anoxic conditions, it was suggested that precipitation of amorphous silica on the magnetite surface may be the dominant process for enhancement of glass corrosion in addition to sorption.
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