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Yagi A, Nakagawa S, Ueda Y, Oka E, Ikeda S, Kakuda M, Kobayashi E, Ito Y, Katayama K, Hirai K, Nakayama T, Kimura T. Effectiveness of catch-up and routine program of the 9-valent vaccine on cervical cancer risk reduction in Japan. Cancer Sci 2024; 115:916-925. [PMID: 38158850 PMCID: PMC10920980 DOI: 10.1111/cas.16055] [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: 09/14/2023] [Revised: 11/29/2023] [Accepted: 12/09/2023] [Indexed: 01/03/2024] Open
Abstract
In 2013, the national human papillomavirus (HPV) immunization program began. However, in June 2013, Japan's Ministry of Health, Labor and Welfare (MHLW) announced a "temporary" suspension of its recommendation for the human papillomavirus vaccine. Finally, in November 2021, the MHLW ended its suspension of the recommendation of the HPV vaccine. To address the 9-year gap in HPV vaccinations the suspension had caused, the MHLW conducted a program of catch-up vaccinations from April 2022 to March 2025. Finally, in April 2023, the 9-valent HPV vaccine was approved for both the routine and catch-up vaccination programs in Japan. In this study, we investigated the potential effects of the introduction of the 9-valent vaccine on the increased risk of cervical cancer in females born after fiscal year (FY) 2000. We estimated the lifetime relative risk of cervical cancer incidence and death using the improved routine and catch-up vaccination rates after the recent resumption of the governmental recommendation for women and girls to have the HPV vaccination. These relative risks were calculated using a lifetime risk of 1.000 for cervical cancer incidence and death for females born in FY 1993. We predicted that even if a 90% vaccination rate were to be achieved by FY 2024 with the 9-valent vaccine among women born between FY 2000 and FY 2005, the risk would remain higher than for the vaccination generation. Therefore, for women born between FY 2000 and FY 2005, it will be necessary to significantly improve the cervical cancer screening rate to compensate for this increased risk.
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Affiliation(s)
- Asami Yagi
- Department of Obstetrics and GynecologyOsaka University Graduate School of MedicineOsakaJapan
| | - Satoshi Nakagawa
- Department of Obstetrics and GynecologyOsaka University Graduate School of MedicineOsakaJapan
| | - Yutaka Ueda
- Department of Obstetrics and GynecologyOsaka University Graduate School of MedicineOsakaJapan
| | - Emiko Oka
- Department of Obstetrics and GynecologyOsaka University Graduate School of MedicineOsakaJapan
- Department of Medical Statistics, Research and Development CenterOsaka Medical and Pharmaceutical UniversityTakatsukiOitaJapan
| | - Sayaka Ikeda
- Department of Obstetrics and GynecologyOsaka University Graduate School of MedicineOsakaJapan
| | - Mamoru Kakuda
- Department of Obstetrics and GynecologyOsaka University Graduate School of MedicineOsakaJapan
| | - Eiji Kobayashi
- Department of Obstetrics and GynecologyOita University Graduate School of MedicineUfuOitaJapan
| | - Yuri Ito
- Department of Medical Statistics, Research and Development CenterOsaka Medical and Pharmaceutical UniversityTakatsukiOitaJapan
| | | | - Kei Hirai
- Clinical Psychology, Graduate School of Human SciencesOsaka UniversityOsakaJapan
| | - Tomio Nakayama
- Center for Public Health SciencesNational Cancer CenterTokyoJapan
| | - Tadashi Kimura
- Department of Obstetrics and GynecologyOsaka University Graduate School of MedicineOsakaJapan
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Yoshida S, Hirai K, Sasaki S, Ohtake F. How does the frame of communication affect cancer patients' decisions?-from a behavioral economics point of view. Ann Palliat Med 2024; 13:211-220. [PMID: 38584479 DOI: 10.21037/apm-23-464] [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] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 12/28/2023] [Indexed: 04/09/2024]
Abstract
BACKGROUND It has been said that physicians should provide their patients with accurate evidence in terms of information on treatment options. However, in some cases, although the physician provides accurate and sufficient information, the patient still chooses the medically not-recommended treatment. The purpose of this research is to clarify how patients' decisions differ when a physician changes the frame of an explanation when he/she provides information about cancer treatment. METHODS An online questionnaire survey was conducted in March 2017. Through the aid of a survey company, we emailed questionnaires to 1,360 cancer patients who received treatment within the last 2 years. We randomly assigned participants to 6 hypotheticals scenario of a terminal cancer patient, and presented hypothetical evidence in different ways. Subsequently, we asked survey participants whether they would choose to receive additional anti-cancer treatment. RESULTS Although there was no statistically significant difference between scenarios, the "social burden" groups showed a lower rate of patients who preferred to continue a medically ineffective anti-cancer treatment than the control group, at a 10% significance level. The scenario significantly affected the patients' sense of abandonment [F(5, 1,354)=5.680, P<0.001], sense of distress [F(5, 1,354)=3.920, P=0.002], and necessity of improvement [F(5, 1,354)=2.783, P=0.017]. CONCLUSIONS Nudges were not shown to be effective in situations where discontinuation of anticancer treatment was being considered. On the other hand, some nudges were found to be invasive and should be used with caution.
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Affiliation(s)
- Saran Yoshida
- Graduate School of Education, Tohoku University, Sendai, Japan
| | - Kei Hirai
- Graduate School of Human Science, Osaka University, Suita, Japan
| | - Shusaku Sasaki
- Center for Infectious Disease Education and Research (CiDER), Osaka University, Suita, Japan
| | - Fumio Ohtake
- Center for Infectious Disease Education and Research (CiDER), Osaka University, Suita, Japan; Graduate School of Economics, Osaka University, Toyonaka, Japan
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Yagihashi M, Murakami M, Kato M, Yamamura A, Miura A, Hirai K. Exploratory study to characterise the individual types of health literacy and beliefs and their associations with infection prevention behaviours amid the COVID-19 pandemic in Japan: a longitudinal study. PeerJ 2024; 12:e16905. [PMID: 38406277 PMCID: PMC10894591 DOI: 10.7717/peerj.16905] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2023] [Accepted: 01/17/2024] [Indexed: 02/27/2024] Open
Abstract
Background During a global infectious disease pandemic such as the coronavirus disease 2019 (COVID-19), individuals' infection prevention/risk-taking behaviours are likely to differ depending on their health literacy and beliefs regarding the disease. To effectively promote infection prevention behaviours, it is necessary to enable information dissemination and risk communication that consider individuals' health literacy and beliefs. In this study, we exploratorily characterised segments based on individual health literacy and beliefs regarding COVID-19 among the Japanese during the early stage of the COVID-19 pandemic, and investigated whether infection prevention/risk-taking behaviours and fear of COVID-19 differed among these segments. Methods In this study, we conducted two web-based longitudinal surveys in Japan (PHASE 1, 1-30 November 2020, 6,000 participants; PHASE 2, 1-31 December 2020, 3,800 participants). We characterised segments of the target population using cluster analysis on health literacy and beliefs regarding COVID-19 obtained in PHASE 1. We further investigated the associations between the clusters and infection prevention/risk-taking behaviours and fear of COVID-19, obtained from PHASE 2. Results Five clusters were identified: 'Calm/hoax denial', 'Hoax affinity/threat denial', 'Minority/indifference', 'Over vigilance', and 'Optimism'. There were significant differences in infection prevention/risk-taking behaviours and fear of COVID-19 among the five clusters. The belief in susceptibility to infection, rather than affinity for hoaxes and conspiracy theories, was coherently associated with infection prevention/risk-taking behaviours and fear of infection across clusters. This study provides foundational knowledge for creating segment-specific public messages and developing interactive risk communication to encourage infection prevention behaviours.
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Affiliation(s)
- Mao Yagihashi
- Division of Scientific Information and Public Policy, Center for Infectious Disease Education and Research, Osaka University, Suita, Osaka, Japan
| | - Michio Murakami
- Division of Scientific Information and Public Policy, Center for Infectious Disease Education and Research, Osaka University, Suita, Osaka, Japan
| | - Mai Kato
- Graduate School of Human Sciences, Osaka University, Suita, Osaka, Japan
| | - Asayo Yamamura
- Graduate School of Human Sciences, Osaka University, Suita, Osaka, Japan
| | - Asako Miura
- Division of Scientific Information and Public Policy, Center for Infectious Disease Education and Research, Osaka University, Suita, Osaka, Japan
- Graduate School of Human Sciences, Osaka University, Suita, Osaka, Japan
| | - Kei Hirai
- Division of Scientific Information and Public Policy, Center for Infectious Disease Education and Research, Osaka University, Suita, Osaka, Japan
- Graduate School of Human Sciences, Osaka University, Suita, Osaka, Japan
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Hanai A, Ishikawa T, Sugao S, Fujii M, Hirai K, Watanabe H, Matsuzaki M, Nakamoto G, Takeda T, Kitabatake Y, Itoh Y, Endo M, Kimura T, Kawakami E. Explainable Machine Learning Classification to Identify Vulnerable Groups Among Parenting Mothers: Web-Based Cross-Sectional Questionnaire Study. JMIR Form Res 2024; 8:e47372. [PMID: 38324356 PMCID: PMC10882468 DOI: 10.2196/47372] [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: 03/17/2023] [Revised: 12/20/2023] [Accepted: 12/21/2023] [Indexed: 02/08/2024] Open
Abstract
BACKGROUND One life event that requires extensive resilience and adaptation is parenting. However, resilience and perceived support in child-rearing vary, making the real-world situation unclear, even with postpartum checkups. OBJECTIVE This study aimed to explore the psychosocial status of mothers during the child-rearing period from newborn to toddler, with a classifier based on data on the resilience and adaptation characteristics of mothers with newborns. METHODS A web-based cross-sectional survey was conducted. Mothers with newborns aged approximately 1 month (newborn cohort) were analyzed to construct an explainable machine learning classifier to stratify parenting-related resilience and adaptation characteristics and identify vulnerable populations. Explainable k-means clustering was used because of its high explanatory power and applicability. The classifier was applied to mothers with infants aged 2 months to 1 year (infant cohort) and mothers with toddlers aged >1 year to 2 years (toddler cohort). Psychosocial status, including depressed mood assessed by the Edinburgh Postnatal Depression Scale (EPDS), bonding assessed by the Postpartum Bonding Questionnaire (PBQ), and sleep quality assessed by the Pittsburgh Sleep Quality Index (PSQI) between the classified groups, was compared. RESULTS A total of 1559 participants completed the survey. They were split into 3 cohorts, comprising populations of various characteristics, including parenting difficulties and psychosocial measures. The classifier, which stratified participants into 5 groups, was generated from the self-reported scores of resilience and adaptation in the newborn cohort (n=310). The classifier identified that the group with the greatest difficulties in resilience and adaptation to a child's temperament and perceived support had higher incidences of problems with depressed mood (relative prevalence [RP] 5.87, 95% CI 2.77-12.45), bonding (RP 5.38, 95% CI 2.53-11.45), and sleep quality (RP 1.70, 95% CI 1.20-2.40) compared to the group with no difficulties in perceived support. In the infant cohort (n=619) and toddler cohort (n=461), the stratified group with the greatest difficulties had higher incidences of problems with depressed mood (RP 9.05, 95% CI 4.36-18.80 and RP 4.63, 95% CI 2.38-9.02, respectively), bonding (RP 1.63, 95% CI 1.29-2.06 and RP 3.19, 95% CI 2.03-5.01, respectively), and sleep quality (RP 8.09, 95% CI 4.62-16.37 and RP 1.72, 95% CI 1.23-2.42, respectively) compared to the group with no difficulties. CONCLUSIONS The classifier, based on a combination of resilience and adaptation to the child's temperament and perceived support, was able identify psychosocial vulnerable groups in the newborn cohort, the start-up stage of childcare. Psychosocially vulnerable groups were also identified in qualitatively different infant and toddler cohorts, depending on their classifier. The vulnerable group identified in the infant cohort showed particularly high RP for depressed mood and poor sleep quality.
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Affiliation(s)
- Akiko Hanai
- Medical Data Mathematical Reasoning Team, Advanced Data Science Project, RIKEN Information R&D and Strategy Headquarters, RIKEN, Yokohama, Japan
- Artificial Intelligence Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan
- Institute for Datability Science, Osaka University, Suita, Japan
| | - Tetsuo Ishikawa
- Medical Data Mathematical Reasoning Team, Advanced Data Science Project, RIKEN Information R&D and Strategy Headquarters, RIKEN, Yokohama, Japan
- Artificial Intelligence Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan
- Institute for Datability Science, Osaka University, Suita, Japan
- Department of Extended Intelligence for Medicine, The Ishii-Ishibashi Laboratory, Keio University School of Medicine, Tokyo, Japan
| | - Shoko Sugao
- Graduate School of Human Sciences, Osaka University, Suita, Japan
| | - Makoto Fujii
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Kei Hirai
- Graduate School of Human Sciences, Osaka University, Suita, Japan
| | - Hiroko Watanabe
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Masayo Matsuzaki
- Department of Reproductive Health Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Goji Nakamoto
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Toshihiro Takeda
- Department of Medical Informatics, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Yasuji Kitabatake
- Department of Pediatrics, Graduate School of Medicine, Osaka University, Suita, Japan
| | - Yuichi Itoh
- Department of Integrated Information Technology, College of Science and Engineering, Aoyama Gakuin University, Sagamihara, Japan
| | - Masayuki Endo
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Japan
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Japan
| | - Eiryo Kawakami
- Medical Data Mathematical Reasoning Team, Advanced Data Science Project, RIKEN Information R&D and Strategy Headquarters, RIKEN, Yokohama, Japan
- Artificial Intelligence Medicine, Graduate School of Medicine, Chiba University, Chiba, Japan
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Kawasaki Y, Hirai K, Nii M, Kizawa Y, Uchinuno A. Factors Involved in Shared Decision-making Regarding Treatment Selection by Patients With Cancer. Cancer Diagn Progn 2024; 4:57-65. [PMID: 38173669 PMCID: PMC10758844 DOI: 10.21873/cdp.10286] [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] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 11/30/2023] [Indexed: 01/05/2024]
Abstract
Background/Aim Patients diagnosed with cancer are expected to choose one or more treatment modalities after receiving corresponding explanations of the options. When making these choices, patients consider the effects of treatment and aspects related to their quality of life. These concerns can cause confusion and conflict owing to the complicated information provided by medical caregivers. The objective of the study was to identify perceptions of cancer treatment in patients with cancer and the decision-making factors affecting their treatment choices. Patients and Methods In this observational (cross-sectional) study, an online questionnaire survey was administered to 194 Japanese cancer patients with treatment experience. Patient information, perceptions of explanations provided by healthcare professionals, treatment views, and reasons for treatment decisions were subjected to a simple tabulation. Content and factor analysis was conducted to determine important treatment selection elements. Results Regarding treatment perception, 60.3% of respondents (n=117) considered treatment a financial and family burden, 47.4% (n=92) had concerns about physical pain, and 40.2% (n=78) were worried about increased stress. Regarding decision-making quality, 95.9% determined their preferred treatment within one week, 49.0% reported difficulties in making their decisions, and 83.0% chose their treatment themselves. Major decisive factors were prolonging life, opinions of medical staff, and accepting treatment risks (68.0%, 68.6%, and 60.3% of patients, respectively). The main attitudes toward treatment were anxiety, expectations of benefit, and expectations of support and care. Conclusion SDM should enable patients to visualize the changes that their bodies will experience and include discussions on prognosis. Psychological care should be prioritized to alleviate anxiety and improve readiness for decision-making; attention should be paid to the extent and timing of information provision.
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Affiliation(s)
- Yuko Kawasaki
- College of Nursing Art and Science, University of Hyogo, Akashi, Japan
| | - Kei Hirai
- Osaka University Graduate School of Human Sciences, Suita, Japan
| | - Manabu Nii
- Department of Electronics and Computer Science, University of Hyogo, Himeji, Japan
| | - Yoshiyuki Kizawa
- Department of Palliative and Supportive Care, Institute of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Atsuko Uchinuno
- Faculty of Nursing, Tsuruga Nursing University, Tsuruga, Japan
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Nakagawa S, Yagi A, Ueda Y, Ikeda S, Kakuda M, Hiramatsu K, Miyoshi A, Kimura T, Hirai K, Sekine M, Nakayama T, Kobayashi E, Miyagi E, Enomoto T, Kimura T. Intentions for catch-up HPV vaccination in Japan: an internet survey. Int J Clin Oncol 2023; 28:1667-1679. [PMID: 37776388 PMCID: PMC10687105 DOI: 10.1007/s10147-023-02411-0] [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: 04/09/2023] [Accepted: 08/30/2023] [Indexed: 10/02/2023]
Abstract
PURPOSE In Japan, Japan's Ministry of Health, Labor, and Welfare decided to suspend govermental recommendation for HPV vaccination in FY 2013. The HPV vaccination rate for those born in FY 2000 or thereafter declined dramatically. In 2021, the "suspension of recommendation" ended. The catch-up vaccinations for the unvaccinated have been offered nationwide from FY 2022 to FY 2024. We aimed to quantify the vaccination intentions and characteristics of those young women now eligible for catch-up vaccination. METHODS: In February of 2022, we conducted an internet survey targeted women who were born in 1997-2004 but who had not yet been HPV vaccinated. RESULTS We received 1,648 valid responses. 41.6% of the respondents wanted to uptake the catch-up HPV vaccination, 29.7% were undecided, and 28.7% did not want to be vaccinated. The intention to uptake catch-up HPV vaccination was associated with a good history of gynecological visits, intention to receive cervical cancer screening, sexual activity, degree of anxiety about cervical cancer, familiarity with problems associated with cervical cancer, experience with vaccination recommendations, and knowledge about cervical cancer (p < 0.05, respectively). In the vaccinated generation, the proportion of the group that did not want to be vaccinated was significantly higher (p < 0.05). In the vaccine-suspended generation, the proportion of the group that wanted to be vaccinated was significantly higher (p < 0.05). CONCLUSION Our survey revealed that catch-up vaccination intentions differed depending on the vaccination environment. It is necessary for all organizations involved with HPV vaccination, such as government, medical institutions, and educational institutions, to make recommendations based on an understanding of the characteristics of the "vaccinated generation" and the "vaccine-suspended generation".
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Affiliation(s)
- Satoshi Nakagawa
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Asami Yagi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan.
| | - Yutaka Ueda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Sayaka Ikeda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Mamoru Kakuda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Kosuke Hiramatsu
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Ai Miyoshi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Toshihiro Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Kei Hirai
- Clinical Psychology, Graduate School of Human Sciences, Osaka University, 1-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Masayuki Sekine
- Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-Dori, Chuo-Ku, Niigata, 951-8510, Japan
| | - Tomio Nakayama
- Center for Public Health Sciences, National Cancer Center, 5-1-1, Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan
| | - Eiji Kobayashi
- Department of Obstetrics and Gynecology, Oita University Graduate School of Medicine, 1-1, Hasamamachiidaigaoka, Yufu, Oita, 879-5593, Japan
| | - Etsuko Miyagi
- Department of Obstetrics and Gynecology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-Ku, Yokohama, Kanagawa, 236-0004, Japan
| | - Takayuki Enomoto
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
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Kawasaki Y, Hirai K, Nii M, Kizawa Y, Uchinuno A. Actual situation of decision-making support from medical staff when cancer patients make treatment choices. Future Oncol 2023; 19:2263-2272. [PMID: 37905530 DOI: 10.2217/fon-2023-0335] [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] [Indexed: 11/02/2023] Open
Abstract
Background: We investigated factors involved in decision-making support provided by physicians, nurses, pharmacists and medical and psychiatric social workers involved in cancer care. Materials & methods: A questionnaire survey on decision-making support was conducted. The level of clinician support was classified as 'supporting patients' 'decision-making process regarding cancer treatment', 'no support for patients' 'decision-making process regarding cancer treatment' or 'team-based support for patients' 'decision-making process regarding cancer treatment'. Results: Physicians estimated that 83.7% of patients made a cancer treatment decision within 1 week, but 45.4% of patients had difficulty making a decision. Conclusion: Medical personnel should support patients who have difficulty making decisions, establish a screening method to identify those needing support and develop a system providing decision-making support through interprofessional work.
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Affiliation(s)
- Yuko Kawasaki
- College of Nursing Art & Science, University of Hyogo, Hyogo, Japan
| | - Kei Hirai
- Osaka University Graduate School of Human Sciences, Suita, Japan
| | - Manabu Nii
- Department of Electronics & Computer Science, University of Hyogo, Himeji, Japan
| | - Yoshiyuki Kizawa
- Department of Palliative & Supportive Care, Institute of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Atsuko Uchinuno
- Faculty of Nursing, Tsuruga Nursing University, Tsuruga, Japan
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Ozaki A, Saito H, Kaneda Y, Sawano T, Nishikawa Y, Murakami M, Tsubokura M, Hirai K, Ohira H. Long-term uptake rate of a breast cancer screening program in Fukushima, Japan, following the 2011 Triple Disaster: a retrospective observational study. Sci Rep 2023; 13:6654. [PMID: 37095136 PMCID: PMC10123585 DOI: 10.1038/s41598-023-33717-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Accepted: 04/18/2023] [Indexed: 04/26/2023] Open
Abstract
Little is known about how crises might affect the long-term uptake of breast cancer screening programs. This study aimed to clarify the long-term trend of breast cancer screening program uptake in Minamisoma City following the 2011 Triple Disaster in Fukushima, Japan (earthquake, tsunami, and nuclear disaster), and to evaluate the factors associated with this uptake. This study retrospectively analyzed data from the Basic Resident Registry and Breast Cancer Screening Program in Minamisoma City following the Triple Disaster. We calculated the annual breast cancer screening uptake rate for women aged 40-74 years who were of an even-numbered age at the end of each fiscal year and the incidence of at least one instance of uptake of the breast cancer screening initiative during the biennial intervals. We further performed cross-sectional and longitudinal regression analyses for the biannual screening uptake and investigated its associated factors. Breast cancer screening participation rates were 19.8% and 18.2% in 2009 and 2010, respectively. They decreased to 4.2% in 2011, and gradually increased thereafter, reaching the pre-disaster level of 20.0% in 2016. Similar but longer decrease of the uptake was observed in the biannual screening uptake rate. No pre-disaster screening uptake between 2009 and 2010, those living alone, or those who were evacuated, were factors that were found to be associated with non-uptake of the breast cancer screening program following the 2011 disaster. This study showed a long-term decline in breast cancer screening uptake in the area affected by the Triple Disaster, which was the most severe among those under evacuation, those who were isolated, and those without previous uptake. The insights emerging from this study could be used to increase awareness of this issue and establish potential countermeasures.
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Affiliation(s)
- Akihiko Ozaki
- Department of Breast and Thyroid Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan.
- Research Center for Community Health, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, Japan.
- Department of Gastrointestinal Tract Surgery, Fukushima Medical University, Fukushima, Japan.
- Department of Breast Surgery, Jyoban Hospital of Tokiwa Foundation, 57 Kaminodai, Jyoban-Kamiyunaga-Yamachi, Iwaki, Fukushima, Japan.
| | - Hiroaki Saito
- Department of Internal Medicine, Soma Central Hospital, Soma, Fukushima, Japan
- Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima, Fukushima, Japan
| | - Yudai Kaneda
- Hokkaido University School of Medicine, Sapporo, Hokkaido, Japan
| | - Toyoaki Sawano
- Department of Breast and Thyroid Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan
- Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima, Fukushima, Japan
- Department of Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Fukushima, Japan
| | - Yoshitaka Nishikawa
- Department of Internal Medicine, Hirata Central Hospital, Hirata Village, Fukushima, Japan
| | - Michio Murakami
- Department of Health Risk Communication, Fukushima Medical University School of Medicine, Fukushima, Fukushima, Japan
- Center for Infectious Disease Education and Research, Osaka University, Suita, Osaka, Japan
| | - Masaharu Tsubokura
- Research Center for Community Health, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, Japan
- Department of Radiation Health Management, Fukushima Medical University School of Medicine, Fukushima, Fukushima, Japan
| | - Kei Hirai
- Department of Clinical Psychology, Graduate School of Human Sciences, Osaka University, Osaka, Japan
| | - Hiromichi Ohira
- Department of Surgery, Minamisoma Municipal General Hospital, Minamisoma, Fukushima, Japan
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9
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Yagi A, Ueda Y, Tomine Y, Ikeda S, Kakuda M, Nakagawa S, Hiramatsu K, Miyoshi A, Kobayashi E, Kimura T, Hirai K, Kimura T. The 'best friend effect': a promising tool to encourage HPV vaccination in Japan. Int J Clin Oncol 2022; 27:1750-1757. [PMID: 36057048 PMCID: PMC9440645 DOI: 10.1007/s10147-022-02240-7] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 08/12/2022] [Indexed: 11/05/2022]
Abstract
BACKGROUND In Japan, HPV vaccination rates has dramaticaly declined since 2013. Since mothers are the ones making the decision to vaccinate their daughters against HPV, we probed the mothers' intention to receive vaccinations for themselves and to vaccinate their daughters against HPV, and their reasoning. METHODS An internet survey was conducted in March of 2021. Through the screening, 1576 participants were extracted from a survey panel and divided into 3 groups based on their daughter's birth fiscal year (Group 1: 1994 to 1999, Group 2: 2000 to 2003, Group3: 2004 to 2008). The chi-square test and residual analysis were used for the statistical analysis of comparison among the groups. Logistic regression analysis was used to identify independent variables with mothers intention to get their daughters vaccinated under specific situations. RESULTS The percentage of respondents without anxiety regarding their daughter's general vaccination was significantly higher in Group 1 (p < 0.05). In the mothers of daughters born in or after 2000 when vaccination rates declined (Groups 2 and 3), a situation in which 'The daughter's best friends were vaccinated before her' made the mothers think positively about HPV vaccination, and to the same degree as a situation in which 'You received a notice from your local government recommending vaccination' (Group 2: 41.6% (214/514) and 40.5% (208/514), Group 3: 48.5% (257/530) and 47.0% (249/530)). CONCLUSION If mothers who have had their daughters vaccinated were to recommend HPV vaccination to their close friends, 'the best friend effect' should promote others to be vaccinated.
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Affiliation(s)
- Asami Yagi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Yutaka Ueda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan.
| | - Yoshimi Tomine
- Cancer Scan, 1-3-8, Nishigotanda, Shinagawa-Ku, Tokyo, 141-0031, Japan
| | - Sayaka Ikeda
- Center for Cancer Control and Information Services, National Cancer Center, 5-1-1, Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan
| | - Mamoru Kakuda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Satoshi Nakagawa
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Kosuke Hiramatsu
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Ai Miyoshi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Eiji Kobayashi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Toshihiro Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Kei Hirai
- Clinical Psychology, Graduate School of Human Sciences, Osaka University, 1-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
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10
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Yagi A, Ueda Y, Nakagawa S, Ikeda S, Kakuda M, Hiramatsu K, Miyoshi A, Kobayashi E, Kimura T, Hirai K, Nakayama T, Miyagi E, Sekine M, Enomoto T, Kimura T. Change of HPV vaccination rates in Japan: the effect of individual notifications implemented by local governments. Int J Clin Oncol 2022; 27:1651-1659. [PMID: 35879494 DOI: 10.1007/s10147-022-02213-w] [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: 01/31/2022] [Accepted: 06/21/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND In Japan, in June 2013, The Ministry of Health, Labor and Welfare (MHLW) decided to temporarily suspend its official recommendation for the participation of girls in the national immunization program. The HPV vaccination rate in Japan soon declined to below 1%. In October 2020, the MHLW notified that the municipalities could and should begin to individually notify girls and their parents targeted for routine vaccination. We have examined how that type of individual notification has affected the number of vaccinations. METHODS From 12 municipalities (with a combined total population of approximately 4.06 million), we collected vaccination data for all girls who attended grades 6 through 10 from April 2019 to March 2021. We analyzed the number of initial-round vaccinations that occurred by month and the timing and the subjects of the individual notifications. RESULTS The annual vaccination rate for tenth-grade students in 2020 in the six municipalities that had implemented individual notification was 9.46% (342/3618), which was significantly higher than the rate of 3.22% (54/1676) in the three municipalities that had not implemented individual notification (p < 0.001). On the other hand, the annual vaccination rate for the sixth to ninth-grade students in 2020 in the six municipalities that had implemented individual notification was not significantly (p = 0.56) higher than the rate in the three municipalities that did not: 1.43% (197/13,785) versus 1.33% (83/6260), respectively. CONCLUSION This study clearly demonstrates the importance of providing information for routine vaccination directly to the targets and their parents.
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Affiliation(s)
- Asami Yagi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Yutaka Ueda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan.
| | - Satoshi Nakagawa
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Sayaka Ikeda
- Center for Cancer Control and Information Services, National Cancer Center, 5-1-1, Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan
| | - Mamoru Kakuda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Kosuke Hiramatsu
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Ai Miyoshi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Eiji Kobayashi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Toshihiro Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Kei Hirai
- Clinical Psychology, Graduate School of Human Sciences, Osaka University, 1-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Tomio Nakayama
- Center for Public Health Sciences, National Cancer Center, 5-1-1, Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan
| | - Etsuko Miyagi
- Department of Obstetrics and Gynecology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan
| | - Masayuki Sekine
- Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan
| | - Takayuki Enomoto
- Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871, Japan
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11
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Shimizu Y, Hirai K, Ueda Y, Yagi A, Ohtake F. Impact of the Threat of COVID-19 Infections on the Perceived Risk to HPV Vaccination. Vaccines (Basel) 2022; 10:vaccines10050829. [PMID: 35632585 PMCID: PMC9147999 DOI: 10.3390/vaccines10050829] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 05/15/2022] [Accepted: 05/16/2022] [Indexed: 12/07/2022] Open
Abstract
Vaccination rates for human papillomavirus (HPV) in Japan are significantly lower than other countries, and Japanese people are reluctant to be vaccinated. Repeated daily reports of COVID-19 infections and restrictions have made people more health conscious and aware of the danger of infectious diseases. In this study, we used the health belief model (HBM) to examine perceived threats of cancer and infectious diseases and to ascertain whether the new COVID-19 vaccination in addition to these perceived threats would increase vaccination intention against cervical cancer. We conducted a cluster analysis to classify the segmentation regarding the perceived threat, and a logistic regression analysis to predict factors influencing people accepting vaccination. We received 1257 completed surveys during our research. We classified the participants into six clusters, and the logistic regression analysis indicated eight factors significantly associated with the willingness to get the HPV vaccine: reliable information sources such as doctors and social networking sites (SNS), the recognition of COVID-19 symptoms, the awareness of COVID-19 vaccination, the importance of HPV prevention through vaccination, one’s own intention of COVID-19 vaccination, their intention of COVID-19 vaccination toward children, and benefits of HPV vaccination. Further research on HPV and COVID-19 vaccination is encouraged.
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Affiliation(s)
- Yumi Shimizu
- Department of Clinical Psychology, Graduate School of Human Sciences, Osaka University, 1-2, Yamadaoka, Suita 565-0871, Osaka, Japan;
| | - Kei Hirai
- Department of Clinical Psychology, Graduate School of Human Sciences, Osaka University, 1-2, Yamadaoka, Suita 565-0871, Osaka, Japan;
- Correspondence: ; Tel.: +81-668-798-124
| | - Yutaka Ueda
- Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita 565-0871, Osaka, Japan; (Y.U.); (A.Y.)
| | - Asami Yagi
- Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita 565-0871, Osaka, Japan; (Y.U.); (A.Y.)
| | - Fumio Ohtake
- Department of Economics, Graduate School of Economics, Osaka University, 1-7, Machikaneyama-cho, Toyonaka 560-0043, Osaka, Japan;
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12
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Ikeda S, Ueda Y, Yagi A, Taniguchi M, Matsuzaki S, Takiuchi T, Miyoshi A, Arahori H, Hirai K, Kimura T. Development of information dissemination methods that contribute to improving maternal and child healthcare using social networking sites: a community-based cross-sectional study in Japan. BMC Public Health 2022; 22:480. [PMID: 35272661 PMCID: PMC8913235 DOI: 10.1186/s12889-022-12877-8] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Accepted: 02/28/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In recent years, feelings of isolation among mothers caring for small children has become a significant social issue in Japan. The purpose of this study is to develop a message to alleviate their loneliness, to evaluate the impact of social networking sites (SNS) for delivering such messages, and to propose means of more effective information transmission to promote health for mothers raising small children. METHODS Our study was conducted in two stages, first an interview and then a cross-sectional study of the mothers involving a questionnaire survey. The interview was targeted two public-health nurses caring for mothers. Based on these interviews, we developed six messages intended to alleviate the mothers' sense of loneliness, which were vetted by seven mothers. The second stage was to conduct a questionnaire survey of mothers both before and after our selected message as advertisement on Instagram and analyzed the effect. The surveys were collected during routine child health check-ups in the City of Takatsuki, Japan. RESULTS From the six draft messages created based on interviews with public health nurses, we selected the message that most relieves the feeling of loneliness of the mothers who are raising small children. The survey questionnaire was taken by 494 mothers prior to our posting of Instagram advertisements (ads), and afterwards by 419 mothers. The percentage of mothers feeling loneliness tended to decrease after reading the messages (before ads.:8.1%, after ads.:5.8%). 8.6% of the mothers (36/419) remembered seeing the Instagram ads. Mothers with financial anxiety were significantly more likely to have remembered seeing the Instagram ads (p < 0.01). CONCLUSIONS Our results indicate that usefulness of SNS messaging for mothers raising small children may reduce their feeling of loneliness. Among the SNS, disseminating child-rearing information on Instagram may be more effective for people with financial instability.
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Affiliation(s)
- Sayaka Ikeda
- Department of Social and environmental medicine, Division of Environmental Medicine and Population Sciences, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Yutaka Ueda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan.
| | - Asami Yagi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan
| | - Mariko Taniguchi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan
| | - Satoko Matsuzaki
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan
| | - Tsuyoshi Takiuchi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan
| | - Ai Miyoshi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan
| | - Hitomi Arahori
- Department of Pediatrics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
| | - Kei Hirai
- Department of Clinical Psychology, Osaka University Graduate School of Human Sciences, Suita, Osaka, Japan
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2, Yamadaoka, 565-0871, Suita, Osaka, Japan
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13
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Sugao S, Hirai K, Endo M. Developing a Comprehensive Scale for Parenting Resilience and Adaptation (CPRA) and an assessment algorithm: a descriptive cross-sectional study. BMC Psychol 2022; 10:38. [PMID: 35193699 PMCID: PMC8862516 DOI: 10.1186/s40359-022-00738-3] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Accepted: 02/04/2022] [Indexed: 11/22/2022] Open
Abstract
Background Adapting to child-rearing is affected by multiple factors, including environmental and individual factors. Previous studies have reported the effect of a single factor on childcare maladjustment; however, to prevent maladaptation in and to support child-rearing, a comprehensive evaluation of factors is necessary. Therefore, this study developed a comprehensive assessment tool for childcare adaptation. Methods We conducted semi-structured interviews with specialists whose jobs entailed supporting parents. Items were extracted from the interview data and used to develop a new questionnaire. Mothers with a child aged 0–3 years completed the Quick Inventory of Depressive Symptomatology as a depression index. We performed both factor and correlation analyses on the collected, data and multiple regression analyses to determine which factors predict depressive tendencies leading to childcare maladaptation. Subsequently, an assessment algorithm model was built. Results 1,031 mothers responded to the questionnaire which had 118 items in five domains. A factor analysis was performed on each domain to develop the Comprehensive Scale for Parenting Resilience and Adaptation (CPRA). The CPRA comprised 21 factors and 81 items in five subcategories: Child’s Temperament and Health (1 factor, 5 items); Environmental Resources (5 factors, 20 items), Perceived Support (4 factors, 15 items); Mother’s Cognitive and Behavioural Characteristics (6 factors, 22 items), and Psychological Adaptation to Parenting (5 factors, 19 items). Correlations between all factors and depressive symptoms were identified. Depressive symptoms were predicted by factors from four subcategories: Environmental Resources, Perceived Support, Mother’s Cognitive and Behavioural Characteristics, and Psychological Adaptation to Parenting. A comprehensive model of mothers’ psychological adjustment was developed using the CPRA’s domain structure. Conclusions The CPRA enables researchers to understand the strengths and weaknesses of mothers. Mother’s maladaptive states can potentially be predicted by understanding the interactions between these multiple factors. The developed model can provide the necessary support to mothers and increase mothers’—and others’—awareness of the support that can prevent childcare maladjustment.
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Affiliation(s)
- Shoko Sugao
- Clinical Psychology, Graduate School of Human Sciences, Osaka University, Yamadaoka, 1-2 Suita, Osaka, 565-0871, Japan.
| | - Kei Hirai
- Clinical Psychology, Graduate School of Human Sciences, Osaka University, Yamadaoka, 1-2 Suita, Osaka, 565-0871, Japan
| | - Masayuki Endo
- Graduate School of Medicine, Osaka University, Yamadaoka, 1-7 Suita, Osaka, 565-0871, Japan
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14
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Yagi A, Ueda Y, Taniguchi M, Ikeda S, Matsuzaki S, Takiuchi T, Arahori H, Miyoshi A, Hirai K, Kimura T. A questionnaire survey on a feeling of loneliness of the mothers raising children. J Obstet Gynaecol Res 2021; 47:4298-4305. [PMID: 34558153 DOI: 10.1111/jog.15039] [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: 01/25/2021] [Revised: 08/05/2021] [Accepted: 09/12/2021] [Indexed: 11/30/2022]
Abstract
AIM A feeling of isolation childcare mothers' face is a serious social problem in Japan because the relationships with mothers and local communities have grown sparser. The purpose of this study was to clarify the feelings of isolation of mothers during childcare and the factors related to it. METHODS We conducted a questionnaire survey in Yao City, Osaka. We mailed out a questionnaire survey of 1293 mothers with infants who had either a 4-month or 42-month routine health checkup during the period from September to December of 2018. RESULTS There was no association between "feeling lonely while raising my child" and the absence of "people who helped raise my children." On the other hand, it was found that the mothers' inner feelings, such as "I wasn't satisfied with my childcare environment" (OR: 2.55, 95% CI: 1.32-4.91, p = 0.0052) or "I lacked confidence in my own childcare abilities" (OR: 6.21, 95% CI: 4.31-8.95, p < 0.0001), were associated with their sense of loneliness. CONCLUSIONS Mothers' "sense of loneliness" was shown to be best correlated with their dissatisfaction with the environment of their childcare and with their lack of confidence in raising their own children.
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Affiliation(s)
- Asami Yagi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Yutaka Ueda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Mariko Taniguchi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Sayaka Ikeda
- Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Satoko Matsuzaki
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Tsuyoshi Takiuchi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Hitomi Arahori
- Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Ai Miyoshi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Kei Hirai
- Clinical Psychology, Graduate School of Human Sciences, Osaka University, Osaka, Japan
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
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15
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Yagi A, Ueda Y, Nakagawa S, Masuda T, Miyatake T, Ikeda S, Abe H, Hirai K, Sekine M, Miyagi E, Enomoto T, Nakayama T, Kimura T. A nationwide birth year-by-year analysis of effectiveness of HPV vaccine in Japan. Cancer Sci 2021; 112:3691-3698. [PMID: 34252250 PMCID: PMC8409296 DOI: 10.1111/cas.15060] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 06/15/2021] [Accepted: 07/06/2021] [Indexed: 12/01/2022] Open
Abstract
In Japan, the age‐adjusted incidence of cervical cancer has been increasing constantly and rapidly among younger women. We set out to accurately confirm the effectiveness of the HPV vaccine in Japan. Data were collected for women born in the fiscal year (FY) 1990 to 1997, who became eligible for their 20‐y‐old cervical cancer screening between the FY 2010 to 2017. The adjusted incidence of cervical intraepithelial neoplasia (CIN)1+ in women born in FY 1990 to 1993, that is those who reached the national vaccination target age prior to the introduction of publicly subsidized HPV vaccinations, referred here after as “the pre‐introduction generation”, was 1.42% (242/17 040). The incidence in the “vaccination generation” (women born in FY 1994 to 1997, that is those who were heavily vaccinated as a group when they were of the nationally targeted age of 13‐16) was 1.66% (135/8020). There was no significant difference between these incidence rates. However, our FY birth year‐by‐year analysis revealed that the incidence of CIN1+ was obviously lower than that predicted based on just the trend for CIN1+ seen in the pre‐introduction generation. Our analysis revealed that the incidence of CIN3+ was obviously lower in the vaccination generation than in the pre‐introduction generation (P = .0008). The incidence of CIN was already tending to increase in both the pre‐introduction and vaccination generations. The changes in CIN incidence by individual birth FY must be examined to accurately determine the actual effects of the HPV vaccine for reducing mild cervical lesions.
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Affiliation(s)
- Asami Yagi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Yutaka Ueda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Satoshi Nakagawa
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Tatsuo Masuda
- StemRIM Institute of Regeneration-Inducing Medicine, Osaka University, Osaka, Japan
| | - Takashi Miyatake
- Department of Obstetrics and Gynecology, Osaka Police Hospital, Osaka, Japan
| | - Sayaka Ikeda
- Center for Cancer Control and Information Services, National Cancer Center, Tokyo, Japan
| | - Hazuki Abe
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Kei Hirai
- Graduate School of Human Sciences, Osaka University, Osaka, Japan
| | - Masayuki Sekine
- Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - Etsuko Miyagi
- Department of Obstetrics and Gynecology, Yokohama City University Graduate School of Medicine, Yokohama, Japan
| | - Takayuki Enomoto
- Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - Tomio Nakayama
- Center for Public Health Sciences, National Cancer Center, Tokyo, Japan
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
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16
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Taniguchi M, Ueda Y, Yagi A, Miyoshi A, Tanaka Y, Minekawa R, Endo M, Tomimatsu T, Hirai K, Nakayama T, Kimura T. Disparity of Cervical Cancer Risk in Young Japanese Women: Bipolarized Status of HPV Vaccination and Cancer Screening. Vaccines (Basel) 2021; 9:vaccines9030280. [PMID: 33808630 PMCID: PMC8003385 DOI: 10.3390/vaccines9030280] [Citation(s) in RCA: 3] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 03/01/2021] [Accepted: 03/09/2021] [Indexed: 11/29/2022] Open
Abstract
Women born between 1994 and 1999 achieved high vaccination rates for human papillomavirus (HPV); they are now reaching the age of cervical cancer screening programs in Japan. In this study, we aimed to investigate the health awareness of HPV-vaccinated and unvaccinated women and to create tailored leaflets recommending cervical cancer screening for each. Surveys on the cancer screening rates for HPV-vaccinated and unvaccinated women aged 20 and 21 have demonstrated that the rate was significantly higher (p < 0.01) in vaccinated (6.2%) than in unvaccinated women (3.1%). Next, interviews and Internet questionnaires clarified that there was a trend that vaccinated women have a better health consciousness than the unvaccinated ones, and that in unvaccinated women, their willingness to receive cervical cancer screening was significantly enhanced by the fear of developing cancer. Finally, in a prospective study, the increase in the screening rate for both vaccinated and unvaccinated groups after they read tailored leaflets, from 6.4% to 7.4% and from 3.9% to 5.1%, respectively, was not statistically significant compared to the groups provided with a standard reminder letter. Cervical cancer control measures might be enhanced by recommending cervical cancer screening in ways better tailored to HPV vaccination status.
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Affiliation(s)
- Mariko Taniguchi
- Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita 565-0871, Osaka, Japan; (M.T.); (A.Y.); (A.M.); (T.T.); (T.K.)
| | - Yutaka Ueda
- Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita 565-0871, Osaka, Japan; (M.T.); (A.Y.); (A.M.); (T.T.); (T.K.)
- Correspondence: ; Tel.: +81-668-793-351; Fax: +81-668-793-359
| | - Asami Yagi
- Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita 565-0871, Osaka, Japan; (M.T.); (A.Y.); (A.M.); (T.T.); (T.K.)
| | - Ai Miyoshi
- Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita 565-0871, Osaka, Japan; (M.T.); (A.Y.); (A.M.); (T.T.); (T.K.)
| | - Yusuke Tanaka
- Department of Obstetrics and Gynecology, Osaka Rosai Hospital, 1179-3 Nagasone-cho, Sakai 591-8025, Osaka, Japan;
| | - Ryoko Minekawa
- Ogata Family Clinic, 2-3 Matsunouchi-cho, Ashiya 659-0094, Hyogo, Japan;
| | - Masayuki Endo
- Department of Children’s and Women’s Health, Division of Health Sciences, Graduate School of Medicine, Osaka University, 1-7, Yamadaoka, Suita 565-0871, Osaka, Japan;
| | - Takuji Tomimatsu
- Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita 565-0871, Osaka, Japan; (M.T.); (A.Y.); (A.M.); (T.T.); (T.K.)
| | - Kei Hirai
- Department of Clinical Psychology, Graduate School of Human Sciences, Osaka University, 1-2, Yamadaoka, Suita 565-0871, Osaka, Japan;
| | - Tomio Nakayama
- Center for Public Health Sciences, National Cancer Center, 5-1-1, Tsukiji, Chuo-ku 104-0045, Tokyo, Japan;
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita 565-0871, Osaka, Japan; (M.T.); (A.Y.); (A.M.); (T.T.); (T.K.)
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Hirai K, Usuda J. P04.05 Efficacy of Uniportal Video-Assisted Thoracic Surgery (U-VATS) Simple Segmentectomy for Early Lung Cancer. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.01.384] [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: 11/29/2022]
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18
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Umeda T, Minemura H, Tanino Y, Hirai K, Koizumi T, Nikaido T, Sato Y, Togawa R, Kawamata T, Watanabe N, Tomita H, Rikimaru M, Morimoto J, Suzuki Y, Uematsu M, Fukuhara N, Fukuhara A, Saito J, Kanazawa K, Shibata Y. P44.02 Mild Interstitial Pneumonia as a Risk Factor for Chemotherapy-Induced Acute Exacerbation of Interstitial Pneumonia in Patients with Lung Cancer. J Thorac Oncol 2021. [DOI: 10.1016/j.jtho.2021.01.841] [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: 10/21/2022]
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19
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Ishikawa Y, Hirai K, Saito H, Fukuyoshi J, Yonekura A, Harada K, Seki A, Shibuya D, Nakamura Y. Correction to: Cost-effectiveness of a tailored intervention designed to increase breast cancer screening among a non-adherent population: a randomized controlled trial. BMC Public Health 2020; 20:1731. [PMID: 33198694 PMCID: PMC7670720 DOI: 10.1186/s12889-020-09822-y] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- Yoshiki Ishikawa
- Department of Public Health, Jichi Medical University, Shimotsuke, Tochigi, Japan
| | - Kei Hirai
- Center of the Study for Communication Design & Support Office for Large-scale Education and Research Projects, Osaka University, Osaka, Japan
| | - Hiroshi Saito
- Screening Assessment & Management Division, National Cancer Center, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.
| | | | | | - Kazuhiro Harada
- Japan Society for the Promotion of Science, Tokyo, Japan.,Faculty of Sport Sciences, Waseda University, Tokyo, Japan
| | - Aiko Seki
- Faculty of Human Sciences, Osaka University, Osaka, Japan
| | - Daisuke Shibuya
- Cancer Detection Center, Miyagi Cancer Society, Miyagi, Japan
| | - Yosikazu Nakamura
- Department of Public Health, Jichi Medical University, Shimotsuke, Tochigi, Japan
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20
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Hirai K, Ishikawa Y, Fukuyoshi J, Yonekura A, Harada K, Shibuya D, Yamamoto S, Mizota Y, Hamashima C, Saito H. Correction to: Tailored message interventions versus typical messages for increasing participation in colorectal cancer screening among a non-adherent population: A randomized controlled trial. BMC Public Health 2020; 20:1730. [PMID: 33198697 PMCID: PMC7670689 DOI: 10.1186/s12889-020-09823-x] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Kei Hirai
- Graduate School of Human Sciences, and Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita-shi, Osaka, 565-0871, Japan.
| | - Yoshiki Ishikawa
- Department of Health and Social Behavior, School of Public Health, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| | | | | | - Kazuhiro Harada
- Graduate School of Human Development and Environment, Kobe University, Kobe, Japan
| | - Daisuke Shibuya
- Cancer Detection Center, Miyagi Cancer Society, Miyagi, Japan
| | - Seiichiro Yamamoto
- Public Health Policy Research Division, Research Center for Cancer Prevention and Screening, National Cancer Center, Tokyo, Japan
| | - Yuri Mizota
- Public Health Policy Research Division, Research Center for Cancer Prevention and Screening, National Cancer Center, Tokyo, Japan
| | - Chisato Hamashima
- Screening Assessment and Management Division, National Cancer Center, Tokyo, Japan
| | - Hiroshi Saito
- Screening Assessment and Management Division, National Cancer Center, Tokyo, Japan
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Hirai K, Baba K, Ohtsuki S, Oh H. Cardiosphere-derived exosomal microRNAs for cardiac repair in pediatric dilated cardiomyopathy: preclinical and safety lead-in phase 1 clinical studies. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.3608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Stem cell therapies have been shown to improve cardiac function; however, therapeutic potential of cardiosphere-derived cells (CDCs) in dilated cardiomyopathy (DCM) and the underlying mechanisms of paracrine effectors include CDC-secreted exosomes (CDCex) mediating cardiac repair remain unknown. Purpose- We aimed to evaluate the safety and therapeutic efficacy of CDCs in swine model of DCM and translate the preclinical results into children with DCM.
Methods
As a preclinical study, female Yorkshire pigs (n=15) were treated by intracoronary administration of microspheres (1.0×104 particles) to develop diffuse cardiac dysfunction and animals were randomly assigned to receive placebo or 9.0×106 CDC injection pretreated by DMSO or exosome inhibitor (EI; GW4869). CDCex-derived microRNAs (miRs) profile was assessed and ventricular ejection fraction (EF) was evaluated before and 1 month after cell infusion. In safety lead-in clinical trial, 5 patients with DCM (<18 years) with reduced EF (<40%) were prospectively enrolled to receive CDC infusion. The primary endpoint was to assess safety, and the secondary outcome measure was change in cardiac function over 12 months.
Results
Compared with placebo control, DMSO-treated CDC infusion resulted in improved cardiac function with decrease in myocardial fibrosis (18.2±4.1% versus; 9.5±3.6%; P<0.001) and enhanced cardiomyocyte cycling (Ki67: 27.2±3.6/106 myocytes versus 43.9±6.0/106 myocytes; P=0.002) and neovascularization (von Willebrand factor: 644.8±84.3/mm2 versus 820.7±159.7/mm2; P=0.01) at 1 month. miR expression analysis showed that CDCex were highly enriched with miR-126, miR-132, miR-146a, miR-181b, miR-210, and miR-451. Inhibition of CDCex-derived miRs production by EI pretreatment did not affect CDC viability but rendered CDC ineffective in functional improvement (ΔEF: +5.4%±2.0% versus −1.0%±2.1%; P=0.002). One-year follow-up of clinical trial was completed in 5 patients with favorable profile and preliminary efficacy outcomes. Echocardiographic measurements revealed that CDC infusion increased EF from baseline to 12 months of follow up (28.5±10.7% versus 33.0±11.1%; P=0.038) in accordance with reduced native T1 mapping (1041.6±60.4 ms versus 984.8±39.3 ms; P=0.025). CDCex-derived miRs profiles from patients demonstrated that several miRs were exclusively enriched in CDCs but human cardiac fibroblasts included miR-126, miR-132, miR-146a, miR-181b, and miR-210. Notably, miR-146a expression levels were positively correlated with the reduction in myocardial fibrosis 12 months after CDC infusion (Δnative T1: r=0.896, P=0.040).
Conclusions
Intracoronary delivery of CDCs is safe and improves cardiac function through CDCex-derived miRs secretion in swine model of DCM. The safety lead-in results in patients warrant further assessment of clinical benefits and highlight miR-146a as a major paracrine mediator of CDC's antifibrotic function for clinical therapeutics.
Funding Acknowledgement
Type of funding source: Public grant(s) – National budget only. Main funding source(s): Research Project for Practical Application of Regenerative Medicine (16bk0104052h0001, 17bk0104052h0002, 18bk0104052h0003) by the Japan Agency for Medical Research and Development
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Affiliation(s)
- K Hirai
- Okayama University, Pediatrics, Okayama, Japan
| | - K Baba
- Okayama University, Pediatrics, Okayama, Japan
| | - S Ohtsuki
- Okayama University, Pediatrics, Okayama, Japan
| | - H Oh
- Okayama University Hospital, Regenerative Medicine, Center for Innovative Clinical Medicine, Okayama, Japan
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22
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Nishida S, Hayashi Y, Hirai K, Takekoshi A, Yamada Y, Kobayashi R, Shimizu S, Niwa T, Hayashi H, Shimohata T, Sugiyama T, Suzuki A. Effect of therapeutic plasma exchange on phenytoin plasma concentration in patients receiving intravenous fosphenytoin therapy. Pharmazie 2020; 75:488-490. [PMID: 33305722 DOI: 10.1691/ph.2020.0525] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 09/29/2022]
Abstract
We report for patients with encephalitis treated with plasma exchange (PE) and fosphenytoin. In patient 1, phenytoin levels decreased on the maintenance dose, and the phenytoin concentration was <10 μg/mL on day 12 of administration. In patient 2, the phenytoin levels was <10 μg/mL on day 4. Increasing the fosphenytoin dose pushed the phenytoin level into therapeutic range. There were no differences between the areas under the concentration-time curve of phenytoin with and without PE. We previously reported a decline in phenytoin levels after prolonged use of fosphenytoin. Therefore, dose adjustment of fosphenytoin in patients undergoing PE may be unnecessary.
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Affiliation(s)
- S Nishida
- Department of Pharmacy, Gifu University Hospital, Gifu, Japan
| | - Y Hayashi
- Departments of Neurology, Gifu University Graduate School of Medicine, Gifu, Japan
| | - K Hirai
- Department of Clinical Pharmacology & Genetics, School of Pharmaceutical Sciences, University of Shizuoka, Gifu, Japan
| | - A Takekoshi
- Departments of Neurology, Gifu University Graduate School of Medicine, Gifu, Japan
| | - Y Yamada
- Department of Pharmacy, Gifu University Hospital, Gifu, Japan
| | - R Kobayashi
- Department of Pharmacy, Gifu University Hospital, Gifu, Japan
| | - S Shimizu
- Department of Pharmacy, Gifu University Hospital, Gifu, Japan
| | - T Niwa
- Department of Pharmacy, Gifu University Hospital, Gifu, Japan
| | - H Hayashi
- Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University, Gifu, Japan
| | - T Shimohata
- Departments of Neurology, Gifu University Graduate School of Medicine, Gifu, Japan
| | - T Sugiyama
- Laboratory of Pharmacy Practice and Social Science, Gifu Pharmaceutical University, Gifu, Japan
| | - A Suzuki
- Department of Pharmacy, Gifu University Hospital, Gifu, Japan;,
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Matsui T, Hirai K, Gondo Y, Sato S. Understanding help-seeking behaviour in relation to psychosocial support services among Japanese cancer patients. Jpn J Clin Oncol 2020; 50:1175-1181. [PMID: 32564089 DOI: 10.1093/jjco/hyaa086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 02/13/2020] [Accepted: 05/19/2020] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND There are various psychosocial support services for cancer patients in Japan; however, their utilization rate is lower than in Western countries. The aim of this study was to investigate the actual status of the utilization of such services and the related factors of their use, using the transtheoretical model. METHODS We conducted an Internet survey of cancer outpatients. They were asked for information on their demographics, physical status and the usage of and intention to use psychosocial support services, and to answer the Hospital Anxiety and Depression Scale. RESULTS Data of 712 participants were analyzed; 111 had made use of psychosocial support services (15.6%). Participants who were younger, female, had breast cancer, experience with hormone therapy and did not have a good performance status (Karnofsky Performance Scale) more often used such services when comparing users/experiencers with non-users/inexperienced. Of the inexperienced, 538 were in the Precontemplation stage (89.5%), 62 were in the Contemplation stage (10.3%) and one was in the Preparation stage (0.2%). Approximately 35% of those in the Precontemplation stage would correspond to adjustment disorders or major depression. CONCLUSIONS We showed the degree of cancer patients who have used the psychosocial support services and its contents and revealed the factors related to the utilization of such services in Japan. Our study supports previous reports that cancer patients with high levels of distress do not necessarily seek support, and thus future studies should also examine other modifiable factors considering the medical settings.
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Affiliation(s)
- Tomoko Matsui
- Faculty of Human Sciences, Waseda University, Tokorozawa, Saitama, Japan
| | - Kei Hirai
- Graduate School of Human Sciences, Osaka University, Osaka, Japan
| | - Yasuyuki Gondo
- Graduate School of Human Sciences, Osaka University, Osaka, Japan
| | - Shinichi Sato
- Graduate School of Human Sciences, Osaka University, Osaka, Japan
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24
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Yagi A, Ueda Y, Masuda T, Ikeda S, Miyatake T, Nakagawa S, Hirai K, Nakayama T, Miyagi E, Enomoto T, Kimura T. Japanese Mothers' Intention to HPV Vaccinate Their Daughters: How Has It Changed over Time Because of the Prolonged Suspension of the Governmental Recommendation? Vaccines (Basel) 2020; 8:vaccines8030502. [PMID: 32899351 PMCID: PMC7577244 DOI: 10.3390/vaccines8030502] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 08/20/2020] [Accepted: 08/31/2020] [Indexed: 11/24/2022] Open
Abstract
The trend for cervical cancer in younger women has been increasing recently in Japan. However, as a result of the suspension of governmental recommendation, Japan’s HPV (human papillomavirus) vaccination rate for girls born since 2000 has dropped sharply. We conducted an internet survey in December of 2019, 76 months after the suspension of recommendation, to verify the intention of mothers to inoculate their daughter under current circumstances and compared with our previous surveys and leaflet intervention effect. The rates of mothers who replied that they would “inoculate” were significantly higher at 9 and 23 months, but by 32 months after the suspension the rate was significantly lower (p < 0.05, p < 0.05, p < 0.05, respectively). The rates of the mothers who replied they would not inoculate were significantly lower at 9 months and 23 months, but at 76 months was significantly higher (p < 0.05, p < 0.05, p < 0.05, respectively). We found that intervention with a leaflet that could be used under the current suspension of the governmental recommendation did not increase the mothers’ intention to inoculate their daughters. A leaflet that actively encourages vaccination may increase the intent of vaccination. It is strongly recommended that the MHLW promptly resume its recommendations for HPV vaccination.
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Affiliation(s)
- Asami Yagi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan; (A.Y.); (T.M.); (S.N.); (T.K.)
| | - Yutaka Ueda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan; (A.Y.); (T.M.); (S.N.); (T.K.)
- Correspondence: ; Tel.: +81-6687-933-51
| | - Tatsuo Masuda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan; (A.Y.); (T.M.); (S.N.); (T.K.)
| | - Sayaka Ikeda
- Center for Cancer Control and Information Services, National Cancer Center, Chuo-ku, Tokyo 104-0045, Japan;
| | - Takashi Miyatake
- Department of Obstetrics and Gynecology, Osaka Police Hospital, Tennoji-ku, Osaka 543-0035, Japan;
| | - Satoshi Nakagawa
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan; (A.Y.); (T.M.); (S.N.); (T.K.)
| | - Kei Hirai
- Department of Clinical Psychology, Graduate School of Human Sciences, Osaka University, Suita, Osaka 565-0871, Japan;
| | - Tomio Nakayama
- Center for Public Health Sciences, National Cancer Center, Chuo-ku, Tokyo 104-0045, Japan;
| | - Etsuko Miyagi
- Department of Obstetrics and Gynecology, Yokohama City University Graduate School of Medicine, Kanazawa-ku, Yokohama, Kanagawa 236-0004, Japan;
| | - Takayuki Enomoto
- Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Chuo-ku, Niigata 951-8510, Japan;
| | - Tadashi Kimura
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan; (A.Y.); (T.M.); (S.N.); (T.K.)
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Matsui T, Hirai K, Gondo Y, Sato S. Examination of factors contributing to help-seeking behavior in accessing psychosocial support services among Japanese cancer patients: An application of the segmentation approach. Psychooncology 2020; 29:1905-1916. [PMID: 32812271 DOI: 10.1002/pon.5523] [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: 03/25/2020] [Revised: 07/16/2020] [Accepted: 08/03/2020] [Indexed: 11/10/2022]
Abstract
OBJECTIVE Various psychosocial support services for cancer patients are available in Japan; however, their utilization rate is low. The present study aimed to examine factors contributing to help-seeking behavior in the use of psychosocial support services among cancer outpatients at three stages: Precontemplation (without adjustment disorder or major depression), Precontemplation (with adjustment disorder or major depression), and Contemplation. METHODS We conducted a web-based questionnaire survey at two points with a panel of cancer outpatients. We collected data on demographic information, physical status, the use of and intention to use psychosocial support services, psychological distress, attitude toward using psychosocial support services for cancer patients, and social support. RESULTS In total, 395 cancer patients were analyzed. In the Precontemplation (without adjustment disorder or major depression) stage, resistance to help-seeking (OR = 0.726, P = .011) and future prospects of the Brief Cancer-Related Worry Inventory (OR = 1.012, P = .019) were significant. In the Precontemplation (with adjustment disorder or major depression) stage, only recommendation by medical staff or family (OR = 0.000, P = .026) had a significant effect. In the Contemplation stage, only social and interpersonal problems (OR = 0.942, P = .080) showed a significant (negative) trend. CONCLUSIONS This study showed that contributing factors differed by stage. To encourage the use of psychosocial support services, it is desirable to recommend the use and to develop interventions for promoting, with responding to patients' conditions and intentions rather than responding to everyone in the same way.
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Affiliation(s)
- Tomoko Matsui
- Faculty of Human Sciences, Waseda University, 2- 579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan
| | - Kei Hirai
- Graduate School of Human Sciences, Osaka University, 1-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Yasuyuki Gondo
- Graduate School of Human Sciences, Osaka University, 1-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Shinichi Sato
- Graduate School of Human Sciences, Osaka University, 1-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
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Adachi H, Yamamura A, Nakamura-Taira N, Tanimukai H, Fujino R, Kudo T, Hirai K. Factors that influence psychiatric help-seeking behavior in Japanese university students. Asian J Psychiatr 2020; 51:102058. [PMID: 32294584 DOI: 10.1016/j.ajp.2020.102058] [Citation(s) in RCA: 4] [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: 11/19/2019] [Revised: 03/02/2020] [Accepted: 03/29/2020] [Indexed: 10/24/2022]
Abstract
We investigated the periods from symptom onset to the first visit to the psychiatric consultation and the factors that influence psychiatric help-seeking behavior in university students. Students who first visited the psychiatric department of university health care center were the study participants. We surveyed the elicited information such as age, sex, period from symptom onset to the first visit, main symptoms, General Health Questionnaire GHQ-12, and perception of stigma associated with receiving a psychiatric consultation. We analyzed the factors affecting the duration until a psychiatric consultation was made using logistic regression analysis, examining age, sex, contents of the problem, GHQ-12, and stigma as independent variables. Of the participants, 48.2 % did not consult with a psychiatrist for more than 6 months and 51 participants (36.7 %) took more than a year before a consultation. We divided the study participants into two groups: early examinees and delayed examinees. In order to investigate the factors affecting the two groups, logistic regression analysis was performed. Of the independent variables, one consultation content (physical symptoms; odds ratio (OR) = 9.21, 95 % CI (confidence interval) = 2.00-42.62, p = 0.004) and the GHQ-12 (OR = 1.17, 95 % CI = 1.05-1.31, p = 0.005) were significant factors. It became clear that physical symptoms significantly accelerated consultation with psychiatry. When various problems occurred, the decision to seek a psychiatry consultation required a long time. Health education focusing on the values of seeking an early consultation is required so that when students have mental health problems they will seek psychiatric services in a timely manner.
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Affiliation(s)
- Hiroyoshi Adachi
- Health and Counseling Center, Osaka University, 1-17, Machikaneyama-cho, Toyonaka, Osaka, 560-0043, Japan.
| | - Asayo Yamamura
- Faculty of Music, Kyoto City University of Arts, 13-6 Kutsukake-cho, Oe, Nishikyo-ku, Kyoto, 610-1197, Japan; Graduate School of Human Sciences, Osaka University, 1-2 Yamadaoka, Suita-shi, Osaka, 565-0871, Japan
| | - Nanako Nakamura-Taira
- Department of Psychology, Faculty of Letters, Chuo University, 742-1 Higashinakano, Hachioji-shi, Tokyo, 192-0393, Japan
| | - Hitoshi Tanimukai
- Faculty of Human Health Sciences, Graduate School of Medicine, Kyoto University, 53 Kawaharacho, Syogoin, Sakyo-ku, Kyoto, 606-8507, Japan
| | - Ryohei Fujino
- Graduate School of Human Sciences, Osaka University, 1-2 Yamadaoka, Suita-shi, Osaka, 565-0871, Japan
| | - Takashi Kudo
- Health and Counseling Center, Osaka University, 1-17, Machikaneyama-cho, Toyonaka, Osaka, 560-0043, Japan
| | - Kei Hirai
- Graduate School of Human Sciences, Osaka University, 1-2 Yamadaoka, Suita-shi, Osaka, 565-0871, Japan
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Inazu M, Hirai K, Watanabe S, Nishijima N, Shibata K, Hase A, Gido R, Yamanaka T. 25P Development of new therapeutic drugs for pancreatic cancer targeting choline transporter-like protein 1 (CTL1/SLC44A1). Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.01.044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Hirai K, Usuda J. PD1.04 Topic: Early Stage NSCLC (Stage I - III) Mid-term Outcomes of Uniportal Vats(U-VATS) for Early Lung Cancer. J Thorac Oncol 2019. [DOI: 10.1016/j.jtho.2019.09.124] [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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29
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Hirai K, Goto T, Ousaka D, Ohtsuki S, Oh H. P318Exosomes mediate myocardial regeneration of cardiac progenitor cells in a swine model of dilated cardiomyopathy. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Introduction
Stem cell therapy has been shown to improve cardiac function. The mechanisms of therapeutic efficacy are considered the secretion of paracrine factors but the details are still unknown.
Hypothesis
Exosomes are extracellular vesicles containing bioactive substances such as proteins, messenger RNAs and micro RNAs. We hypothesized that exosomes may be the main paracrine factors to mediate therapeutic efficacy of cardiosphere-derived cells (CDCs).
Methods
Farm pigs (30 kg, n=10) were treated by intracoronary administration of 10,000 microspheres (100–300 μm) into three vessels. Two weeks later, 9.0×106 CDCs pretreated by exosome inhibitor (EI; 20μM of GW4869) or DMSO as controls were selectively infused into three coronary arteries. Evaluation of ejection fraction (EF) was performed before cell infusion and 1 month after protocol treatment.
Results
Pigs developed diffuse hypokinetic heart failure (baseline EF 37.1%±2.1%) and randomly assigned into two groups (CDCs with EI: n=5, CDCs with DMSO: n=5). No serious adverse events were found during the CDCs infusion. Significant improvement of EF was observed in CDCs with DMSO group (37.1%±2.1% to 42.5%±3.0%; P=0.01), whereas no change was found in CDCs with EI group (37.1%±2.4% to 36.2%±2.9%; P=0.58). Myocardial fibrosis stained by picrosirius red was significantly reduced in CDCs with DMSO group compared with CDCs with EI group (9.5±3.6% versus 17.3±5.3%; P<0.01).
Conclusions
We confirmed the therapeutic efficacy of CDCs and these effects were mainly mediated by exosomes.
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Affiliation(s)
- K Hirai
- Okayama University, Pediatrics, Okayama, Japan
| | - T Goto
- Okayama University Hospital, Cardiovascular Surgery, Okayama, Japan
| | - D Ousaka
- Okayama University Hospital, Cardiovascular Surgery, Okayama, Japan
| | - S Ohtsuki
- Okayama University, Pediatrics, Okayama, Japan
| | - H Oh
- Okayama University Hospital, Regenerative Medicine, Center for Innovative Clinical Medicine, Okayama, Japan
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Fujimoto H, Doi N, Hirai K, Naito M, Shizuta S, Kobori A, Inoue K, Kaitani K, Kurotobi T, Morishima I, Satomi K, Yamaji H, Nakazawa Y, Kusano K, Kimura T. P5650Improvement in ejection fraction predicts heart failure after catheter ablation for atrial fibrillation in patients with left ventricular systolic dysfunction: from the KPAF registry. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Introduction
The presence of atrial fibrillation (AF) in patients with reduced left ventricular ejection fraction (LVEF) is associated with increased risks of mortality and hospitalization for heart failure (HF). Although prior studies reported that catheter ablation (CA) for AF in low LVEF patients reduced risks of all-cause mortality and HF hospitalization, the predictors of worsening HF after ablation has not been adequately evaluated.
Purpose
The purpose of this study was to investigate the impact of improvement in LVEF after AF ablation on the incidence of subsequent HF hospitalization in patients with low LVEF.
Methods
The Kansai Plus Atrial Fibrillation (KPAF) Registry is a multicenter registry enrolling 5,013 consecutive patients undergoing first-time ablation for AF. The current study population consisted of 1,031 patients with reduced LVEF of <60%. We divided the study population into 3 groups according to LVEF at follow-up; 678 patients (65.8%) with improved LVEF (≥5 U change in LVEF), 288 patients (27.9%) with unchanged LVEF (−5 U ≤ change in LVEF <5 U) and 65 patients (6.3%) with worsened LVEF (<−5 U change in LVEF).
Results
During the median follow-up of 1067 [879–1226] days, patients improved LVEF had lower rate of HF hospitalization, compared with those with unchanged and worsened LVEF (2.1%, 8.0%, and 21.5%, respectively, P<0.0001). Recurrent atrial tachyarrhythmias were documented in 43.5%, 47.2% and 67.7%, respectively (P=0.0008).
Figure 1
Conclusion
Among patients with reduced LVEF undergoing AF ablation, patients with subsequently improved LVEF in association with maintained sinus rhythm had markedly lower risk of HF hospitalization during follow-up as compared with those with unchanged or worsened LVEF.
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Affiliation(s)
- H Fujimoto
- Nara Prefectural Seiwa Medical Center, Nara, Japan
| | - N Doi
- Nara Prefectural Seiwa Medical Center, Nara, Japan
| | - K Hirai
- Nara Medical University, Cardiovascular medicine, Nara, Japan
| | - M Naito
- Naito hospital, Internal medicine, Osaka, Japan
| | - S Shizuta
- Kyoto University Graduate School of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
| | - A Kobori
- Kobe City Medical Center General Hospital, Division of Cardiology, Kobe, Japan
| | - K Inoue
- Sakurabashi-Watanabe Hospital, Cardiovascular center, Osaka, Japan
| | - K Kaitani
- Japanese Red Cross Otsu Hospital, Cardiovascular medicine, Otsu, Japan
| | - T Kurotobi
- Shiroyama Hospital, Cardiovascular center, Osaka, Japan
| | - I Morishima
- Ogaki Municipal Hospital, Department of Cardiology, Ogaki, Japan
| | - K Satomi
- National Cerebral and Cardiovascular Center, Division of of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, Osaka, Japan
| | - H Yamaji
- Okayama Heart Clinic, Cardiovascular medicine, Okayama, Japan
| | - Y Nakazawa
- Shiga University of Medical Science, Department of Cardiovascular Medicine, Heart Rhythm Center, Shiga, Japan
| | - K Kusano
- National Cerebral and Cardiovascular Center, Division of of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, Osaka, Japan
| | - T Kimura
- Kyoto University Graduate School of Medicine, Department of Cardiovascular Medicine, Kyoto, Japan
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Hirai K, Baba K, Goto T, Ousaka D, Oh H, Kasahara S, Ohtsuki S. P3651Outcomes of right ventricular outflow tract reconstruction in children: comparison between bovine jugular vein graft and expanded polytetrafluoroethylene graft. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Various types of conduits are available for right ventricular outflow tract reconstruction (RVOTR). The bovine jugular vein graft (BJVG) and expanded polytetrafluoroethylene graft (ePTFEG) have been descrived as an alternative to the homograft for RVOTR. Purpose- This study summarized the results to evaluate the single-center operation of RVOTR using BJVG and ePTFEG.
Methods
The valve functions of 27 patients under 20 years old who underwent primary RVOTR with BJVG and 26 patients with ePTFEG at our university hospital between 2013 and 2018 were retrospectively investigated. The valve conditions were assessed using echocardiography and cardiac catheterization.
Results
The median age at the time of operation was 1.8 years old (range, 6 days to 7.8 years old) with BJVG and 2.2 years old (range, 8 months to 9.1 years old) with ePTFEG. The median follow-up time was 3.4 years (range, 2 months to 5.2 years) with BJVG and 2.1 years (range, 1 month to 5.1 years) with ePTFEG. The peak RVOT gradient of BJVG was lower than ePTFEG (10.6±7.7 mmHg versus 18.1±16.2 mmHg, P=0.035). There were no differences in branch pulmonary stenosis defined as peak gradient up to 36mmHg (40.7% versus 50.0%, P=0.50) and pulmonary regurgitation graded worse than moderate (18.5% versus 11.5%, P=0.48) with BJVG and ePTFEG, respectively. Aneurysmal dilatation of the conduit was seen 22.2% with BJVG but none of patients with ePTFEG (P=0.01). All of patients with aneurysmal dilated BJVG had branch pulmonary stenosis. There were no differences in catheter intervention for branch pulmonary stenosis (22.2% versus 30.8%, P=0.48) and conduit replacement (11.1% versus 7.7%, log rank P=0.67) with BJVG and ePTFEG, respectively. There were no deaths during the fllow-up period in both groups.
Conclusions
The outcomes of RVOTR with BJVG and ePTFEG were clinically satisfactory. Aneurysmal dilatation was seen with BJVG and branch pulmonary stenosis was the risk factor for aneurysmal dilatation.
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Affiliation(s)
- K Hirai
- Okayama University, Pediatrics, Okayama, Japan
| | - K Baba
- Okayama University, Pediatrics, Okayama, Japan
| | - T Goto
- Okayama University Hospital, Cardiovascular Surgery, Okayama, Japan
| | - D Ousaka
- Okayama University Hospital, Cardiovascular Surgery, Okayama, Japan
| | - H Oh
- Okayama University Hospital, Regenerative Medicine, Center for Innovative Clinical Medicine, Okayama, Japan
| | - S Kasahara
- Okayama University Hospital, Cardiovascular Surgery, Okayama, Japan
| | - S Ohtsuki
- Okayama University, Pediatrics, Okayama, Japan
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Matsui T, Hirai K, Shokoji M, Kanai N, Yoshizaki A, Wada N, Ito N, Tokuyama M. Problems, goals and solutions reported by cancer patients participating in group problem-solving therapy. Jpn J Clin Oncol 2019; 49:245-256. [DOI: 10.1093/jjco/hyy191] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Revised: 11/19/2018] [Accepted: 12/09/2018] [Indexed: 01/29/2023] Open
Affiliation(s)
- Tomoko Matsui
- Graduate School of Human Sciences, Osaka University, Osaka, Japan
| | - Kei Hirai
- Graduate School of Human Sciences, Osaka University, Osaka, Japan
| | | | | | - Arika Yoshizaki
- Molecular Research Center for Children’s Mental Development, United Graduate School of Child Development, Osaka University, Osaka, Japan
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Hirai K, Furusho H, Kawashima N, Xu S, de Beer M, Battaglino R, Van Dyke T, Stashenko P, Sasaki H. Serum Amyloid A Contributes to Chronic Apical Periodontitis via TLR2 and TLR4. J Dent Res 2019; 98:117-125. [PMID: 30189157 PMCID: PMC6304714 DOI: 10.1177/0022034518796456] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [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] [Indexed: 11/17/2022] Open
Abstract
In the current concept of bacterial infections, pathogen-associated molecular patterns (PAMPs) derived from pathogens and damage-associated molecular patterns (DAMPs) released from damaged/necrotic host cells are crucial factors in induction of innate immune responses. However, the implication of DAMPs in apical and marginal periodontitis is unknown. Serum amyloid A (SAA) is a DAMP that is involved in the development of various chronic inflammatory diseases, such as rheumatoid arthritis. In the present study, we tested whether SAA is involved in the pathogenesis of periapical lesions, using human periapical surgical specimens and mice deficient in SAA and Toll-like receptors (TLR). SAA1/2 was locally expressed in human periapical lesions at the mRNA and protein levels. The level of SAA protein appeared to be positively associated with the inflammatory status of the lesions. In the development of mouse periapical inflammation, SAA1.1/2.1 was elevated locally and systemically in wild-type (WT) mice. Although SAA1.1/2.1 double-knockout and SAA3 knockout mice had redundant attenuation of the extent of periapical lesions, these animals showed strikingly improved inflammatory cell infiltration versus WT. Recombinant human SAA1 (rhSAA1) directly induced chemotaxis of WT neutrophils in a dose-dependent manner in vitro. In addition, rhSAA1 stimulation significantly prolonged the survival of WT neutrophils as compared with nonstimulated neutrophils. Furthermore, rhSAA1 activated the NF-κB pathway and subsequent IL-1α production in macrophages in a dose-dependent manner. However, TLR2/TLR4 double deficiency substantially diminished these SAA-mediated proinflammatory responses. Taken together, the SAA-TLR axis plays an important role in the chronicity of periapical inflammation via induction of inflammatory cell infiltration and prolonged cell survival. The interactions of PAMPs and DAMPs require further investigation in dental/oral inflammation.
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Affiliation(s)
- K. Hirai
- Department of Cariology, Restorative Sciences
and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
- Department of Immunology and Infectious
Diseases, The Forsyth Institute, Cambridge, MA, USA
| | - H. Furusho
- Department of Oral and Maxillofacial
Pathobiology, Hiroshima University, Hiroshima, Japan
| | - N. Kawashima
- Department of Pulp Biology and Endodontics,
Tokyo Medical and Dental University, Tokyo, Japan
| | - S. Xu
- Department of Immunology and Infectious
Diseases, The Forsyth Institute, Cambridge, MA, USA
- Department of Medicine, Brigham and Women’s
Hospital and Harvard Medical School, Boston, MA, USA
| | - M.C. de Beer
- Department of Physiology, University of
Kentucky, Lexington, KY, USA
| | - R. Battaglino
- Department of Physical Medicine and
Rehabilitation, School of Medicine, University of Colorado, Aurora, CO, USA
| | - T. Van Dyke
- The Forsyth Institute, Cambridge, MA,
USA
- Department of Oral Medicine, Infection, and
Immunity, Harvard School of Dental Medicine, Boston, MA, USA
| | - P. Stashenko
- Department of Immunology and Infectious
Diseases, The Forsyth Institute, Cambridge, MA, USA
- Department of Oral Medicine, Infection, and
Immunity, Harvard School of Dental Medicine, Boston, MA, USA
- Department of Endodontics, Goldman School of
Dental Medicine, Boston University, Boston, MA, USA
| | - H. Sasaki
- Department of Cariology, Restorative Sciences
and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA
- Department of Immunology and Infectious
Diseases, The Forsyth Institute, Cambridge, MA, USA
- Department of Oral Medicine, Infection, and
Immunity, Harvard School of Dental Medicine, Boston, MA, USA
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Hirai K, Ohtsuki S, Sano T, Goto T, Ousaka D, Oh H. P1854Cardiac progenitor cell therapy in a novel swine model of dilated cardiomyopathy -a translational research toward phase 1 clinical trial. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p1854] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- K Hirai
- Okayama University, Pediatrics, Okayama, Japan
| | - S Ohtsuki
- Okayama University, Pediatrics, Okayama, Japan
| | - T Sano
- Okayama University Hospital, Cardiovascular Surgery, Okayama, Japan
| | - T Goto
- Okayama University Hospital, Cardiovascular Surgery, Okayama, Japan
| | - D Ousaka
- Okayama University Hospital, Cardiovascular Surgery, Okayama, Japan
| | - H Oh
- Okayama University Hospital, Regenerative Medicine, Center for Innovative Clinical Medicine, Okayama, Japan
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Ogawa A, Okumura Y, Fujisawa D, Takei H, Sasaki C, Hirai K, Kanno Y, Higa K, Ichida Y, Sekimoto A, Asanuma C. Quality of care in hospitalized cancer patients before and after implementation of a systematic prevention program for delirium: the DELTA exploratory trial. Support Care Cancer 2018; 27:557-565. [DOI: 10.1007/s00520-018-4341-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Accepted: 07/04/2018] [Indexed: 10/28/2022]
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Yagi A, Ueda Y, Tanaka Y, Nakae R, Kakubari R, Morimoto A, Terai Y, Ohmichi M, Ichimura T, Sumi T, Murata H, Okada H, Nakai H, Matsumura N, Yoshino K, Kimura T, Saito J, Ikeda S, Asai-Sato M, Miyagi E, Sekine M, Enomoto T, Hirai K, Horikoshi Y, Takagi T, Shimura K. Time-dependent changes of the intention of mothers in Japan to inoculate their daughters with the HPV vaccine after suspension of governmental recommendation. Hum Vaccin Immunother 2018; 14:2497-2502. [PMID: 29883254 PMCID: PMC6284488 DOI: 10.1080/21645515.2018.1480240] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
In Japan, the trend for cervical cancer at younger ages has been increasing. As a countermeasure, the HPV vaccine was introduced as a routine vaccination in April 2013. However, the Ministry of Health, Labour and Welfare (MHLW) announced a “Suspension of its active inoculation recommendation for HPV vaccine” in June 2013. In 2016, 32 months after that suspension, we conducted survey via Internet and compared the results with our previous ones conducted at 9 and 23 months after suspension (in 2014 and 2015, respectively). We examined the ‘time-dependent change’ of the ‘intention of mothers to inoculate their daughters with the HPV vaccine’ in terms of efficacy of external decision-making support. 17.5% of mothers in the first survey replied that they would inoculate their daughters under the current circumstances, 12.1% in the second survey, and 6.7% in the third, showing a consistent decrease in willingness over time (p = 0.03, p < 0.01). If the government recommendation were to be reintroduced, 22.5% of mothers in the first survey replied they would inoculate their daughters, 21.0% in the second survey, which indicated no significant difference (p = 0.65) over the first interval; however, this was significantly decreased to 12.2% in the third survey (p < 0.01). Our study revealed that the intention to inoculate their daughters has been declining among Japanese mothers over time triggered by the suspension.
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Affiliation(s)
- Asami Yagi
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Suita , Osaka , Japan
| | - Yutaka Ueda
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Suita , Osaka , Japan
| | - Yusuke Tanaka
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Suita , Osaka , Japan
| | - Ruriko Nakae
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Suita , Osaka , Japan
| | - Reisa Kakubari
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Suita , Osaka , Japan
| | - Akiko Morimoto
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Suita , Osaka , Japan
| | - Yoshito Terai
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,c Department of Obstetrics and Gynecology , Osaka Medical College Graduate School of Medical Sciences , Takatsuki , Osaka , Japan
| | - Masahide Ohmichi
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,c Department of Obstetrics and Gynecology , Osaka Medical College Graduate School of Medical Sciences , Takatsuki , Osaka , Japan
| | - Tomoyuki Ichimura
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,d Department of Obstetrics and Gynecology , Osaka City University Graduate School and Faculty of Medicine , Abeno-ku , Osaka , Japan
| | - Toshiyuki Sumi
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,d Department of Obstetrics and Gynecology , Osaka City University Graduate School and Faculty of Medicine , Abeno-ku , Osaka , Japan
| | - Hiromi Murata
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,e Department of Obstetrics and Gynecology , Kansai Medical University Graduate School of Medicine , Hirakata , Osaka , Japan
| | - Hidetaka Okada
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,e Department of Obstetrics and Gynecology , Kansai Medical University Graduate School of Medicine , Hirakata , Osaka , Japan
| | - Hidekatsu Nakai
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,f Department of Obstetrics and Gynecology , Kinki University Graduate School of Medical Sciences , Osaka-Sayama , Osaka , Japan
| | - Noriomi Matsumura
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,f Department of Obstetrics and Gynecology , Kinki University Graduate School of Medical Sciences , Osaka-Sayama , Osaka , Japan
| | - Kiyoshi Yoshino
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Suita , Osaka , Japan
| | - Tadashi Kimura
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan.,b Department of Obstetrics and Gynecology , Osaka University Graduate School of Medicine , Suita , Osaka , Japan
| | - Junko Saito
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan
| | - Sayaka Ikeda
- g Department of Gynecology , Tama-Hokubu Medical Center , Higashimurayama , Tokyo , Japan
| | - Mikiko Asai-Sato
- h Department of Obstetrics and Gynecology , Yokohama City University Graduate School of Medicine , Kanazawa-ku, Yokohama , Kanagawa Japan
| | - Etsuko Miyagi
- h Department of Obstetrics and Gynecology , Yokohama City University Graduate School of Medicine , Kanazawa-ku, Yokohama , Kanagawa Japan
| | - Masayuki Sekine
- i Department of Obstetrics and Gynecology , Niigata University Graduate School of Medical and Dental Sciences , Chuo-ku , Niigata , Japan
| | - Takayuki Enomoto
- i Department of Obstetrics and Gynecology , Niigata University Graduate School of Medical and Dental Sciences , Chuo-ku , Niigata , Japan
| | - Kei Hirai
- j Department of Clinical Psychology , Osaka University Graduate School of Human Sciences , Suita , Osaka , Japan
| | - Yorihiko Horikoshi
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan
| | - Tetsu Takagi
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan
| | - Kentaro Shimura
- a The OCEAN Study Group (The Obstetrical Gynecological Society of Osaka) , Chuo-ku , Osaka , Japan
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Ueda Y, Yagi A, Nakayama T, Hirai K, Ikeda S, Sekine M, Miyagi E, Enomoto T. Dynamic changes in Japan's prevalence of abnormal findings in cervical cervical cytology depending on birth year. Sci Rep 2018; 8:5612. [PMID: 29618795 PMCID: PMC5884824 DOI: 10.1038/s41598-018-23947-6] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [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: 01/10/2018] [Accepted: 03/15/2018] [Indexed: 12/04/2022] Open
Abstract
Japan’s governmental recommendation of HPV vaccine has now been suspended for more than 4 years. In and before 2013, the targets of 20-year-old cervical cancer screening were females born in and before 1993, i.e., those who could not have received HPV vaccination because it was not yet publicly introduced. The targets during 2014–2019 are, or will be, those born in 1994–1999, i.e., those who came of age during a period with the highest HPV immunization rate. We analyzed the statistical data for each birth year, for the cumulative HPV vaccination rates achieved as of age 16, and for the corresponding results of cervical cancer screening at age 20. The rate of abnormal findings in cervical cytology increased slightly from 3.68% in 2010 (birth year: 1990) to 4.35% in 2013 (birth year: 1993); however, it dynamically dropped to 2.99% in 2014 (birth year: 1994) and 3.03% in 2015 (birth year: 1995). In total, the rate of abnormal findings in cervical cytology was 3.96% in 2010–2013, but significantly dropped to 3.01% in 2014–2015 (p = 0.014). This is the first description of dynamic changes occurring in the abnormal rate of cervical cancer screening as a result of positive changes in national HPV vaccination rates.
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Affiliation(s)
- Yutaka Ueda
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
| | - Asami Yagi
- Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Tomio Nakayama
- Department of Cancer Epidemiology, Cancer Control Center, Osaka International Cancer Institute, 3-1-69 Otemae, Chuo-ku, Osaka, 541-8567, Japan
| | - Kei Hirai
- Institute for Academic Initiatives, Osaka University, Osaka, Japan, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Sayaka Ikeda
- Department of Gynecology, Tama-Hokubu Medical Center, Tokyo Metropolitan Health and Medical Treatment Corporation, 1-7-1 Aoba-cho, Higashimurayama, Tokyo, 189-8511, Japan
| | - Masayuki Sekine
- Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan
| | - Etsuko Miyagi
- Department of Obstetrics and Gynecology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan
| | - Takayuki Enomoto
- Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Chuo-ku, Niigata, 951-8510, Japan
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Ouchi H, Tsujimoto A, Nojiri K, Hirai K, Takamizawa T, Barkmeier WW, Latta MA, Miyazaki M. Effect of Oxygen Inhibition Layer of Universal Adhesives on Enamel Bond Fatigue Durability and Interfacial Characteristics With Different Etching Modes. Oper Dent 2017; 42:636-645. [PMID: 28976848 DOI: 10.2341/16-255-l] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The purpose of this study was to evaluate the effect of the oxygen inhibition layer of universal adhesive on enamel bond fatigue durability and interfacial characteristics with different etching modes. METHODS The three universal adhesives used were Scotchbond Universal Adhesive (3M ESPE, St Paul, MN, USA), Adhese Universal (Ivoclar Vivadent, Schaan, Lichtenstein), and G-Premio Bond (GC, Tokyo, Japan). The initial shear bond strength and shear fatigue strength to enamel was determined in the presence and absence of the oxygen inhibition layer, with and without phosphoric acid pre-etching. The water contact angle was also measured in all groups using the sessile drop method. RESULTS The enamel bonding specimens with an oxygen inhibition layer showed significantly higher (p<0.05) initial shear bond strengths and shear fatigue strengths than those without, regardless of the adhesive type and etching mode. Moreover, the water contact angles on the specimens with an oxygen inhibition layer were significantly lower (p<0.05) than on those without, regardless of etching mode. CONCLUSION The results of this study suggest that the oxygen inhibition layer of universal adhesives significantly increases the enamel bond fatigue durability and greatly changes interfacial characteristics, suggesting that the bond fatigue durability and interfacial characteristics of these adhesives strongly rely on its presence.
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Tokutake T, Kasuga K, Ishiguro T, Miura T, Mezaki N, Hirai K, Onodera O, Ikeuchi T. Characteristic clinical presentations and CSF biomarker features in patients with semantic dementia. J Neurol Sci 2017. [DOI: 10.1016/j.jns.2017.08.2888] [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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Hirai K, Aso R, Ozaki Y, Kan D, Haruta M, Ichikawa N, Kurata H, Shimakawa Y. Melting of Oxygen Vacancy Order at Oxide-Heterostructure Interface. ACS Appl Mater Interfaces 2017; 9:30143-30148. [PMID: 28791864 DOI: 10.1021/acsami.7b08134] [Citation(s) in RCA: 4] [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] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Modifications in oxygen coordination environments in heterostructures consisting of dissimilar oxides often emerge and lead to unusual properties of the constituent materials. Although lots of attention has been paid to slight modifications in the rigid oxygen octahedra of perovskite-based heterointerfaces, revealing the modification behaviors of the oxygen coordination environments in the heterostructures containing oxides with oxygen vacancies have been challenging. Here, we show that a significant modification in the oxygen coordination environments-melting of oxygen vacancy order-is induced at the heterointerface between SrFeO2.5 (SFO) and DyScO3 (DSO). When an oxygen-deficient perovskite (brownmillerite structure) SrFeO2.5 film grows epitaxially on a perovskite DyScO3 substrate, both FeO6 octahedra and FeO4 tetrahedra in the (101)-oriented SrFeO2.5 thin film connect to ScO6 octahedra in DyScO3. As a consequence of accommodating a structural mismatch, the alternately ordered arrangement of oxygen vacancies is significantly disturbed and reconstructed in the 2 nm thick heterointerface region. The stabilized heterointerface structure consists of Fe3+ octahedra with an oxygen vacancy disorder. The melting of the oxygen vacancy order, which in bulk SrFeO2.5 occurs at 1103 K, is induced at the present heterointerface at ambient temperatures.
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Affiliation(s)
- Kei Hirai
- Institute for Chemical Research, Kyoto University , Uji, Kyoto 611-0011, Japan
| | - Ryotaro Aso
- Institute for Chemical Research, Kyoto University , Uji, Kyoto 611-0011, Japan
| | - Yusuke Ozaki
- Institute for Chemical Research, Kyoto University , Uji, Kyoto 611-0011, Japan
| | - Daisuke Kan
- Institute for Chemical Research, Kyoto University , Uji, Kyoto 611-0011, Japan
| | - Mitsutaka Haruta
- Institute for Chemical Research, Kyoto University , Uji, Kyoto 611-0011, Japan
| | - Noriya Ichikawa
- Institute for Chemical Research, Kyoto University , Uji, Kyoto 611-0011, Japan
| | - Hiroki Kurata
- Institute for Chemical Research, Kyoto University , Uji, Kyoto 611-0011, Japan
| | - Yuichi Shimakawa
- Institute for Chemical Research, Kyoto University , Uji, Kyoto 611-0011, Japan
- Integrated Research Consortium on Chemical Sciences , Uji, Kyoto 611-0011, Japan
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41
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Hirai K, Shirai T, Suzuki M, Akamatsu T, Suzuki T, Hayashi I, Yamamoto A, Akita T, Morita S, Asada K, Tsuji D, Inoue K, Itoh K. A clustering approach to identify and characterize the asthma and chronic obstructive pulmonary disease overlap phenotype. Clin Exp Allergy 2017; 47:1374-1382. [PMID: 28658564 DOI: 10.1111/cea.12970] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2017] [Revised: 06/05/2017] [Accepted: 06/22/2017] [Indexed: 12/20/2022]
Abstract
BACKGROUND Asthma and chronic obstructive pulmonary disease (COPD) are heterogeneous diseases. The phenotypes that have clinical features of both asthma and COPD are still incompletely understood. OBJECTIVE To clarify the best discriminators of the asthma-COPD overlap phenotype from asthma and COPD subgroups using a clustering approach. METHODS This study assessed pathophysiological parameters, including mRNA expression levels of T helper cell-related transcription factors, namely TBX21 (Th1), GATA3 (Th2), RORC (Th17) and FOXP3 (Treg), in peripheral blood mononuclear cells in asthma patients (n=152) and in COPD patients (n=50). Clusters were determined using k-means clustering. Exacerbations of asthma and COPD were recorded during the 1-year follow-up period. RESULTS The cluster analysis revealed four biological clusters: cluster 1, predominantly patients with COPD; cluster 2, patients with an asthma-COPD overlap phenotype; cluster 3, patients with non-atopic and late-onset asthma; and cluster 4, patients with early-onset atopic asthma. Hazard ratios for exacerbation were 2.5 (95% confidence interval [CI], 1.1-5.6) in cluster 1 and 2.3 (95% CI, 1.0-5.0) in cluster 2 compared with patients in other clusters. Cluster 2 was discriminated from other clusters by total serum IgE level ≥310 IU/mL, blood eosinophil counts ≥280 cells/μL, a higher ratio of TBX21/GATA3, FEV1 /FVC ratio <0.67 and smoking ≥10 pack-years with an area under the curve of 0.94 (95% CI, 0.90-0.98) in the receiver operating characteristic analysis. CONCLUSIONS AND CLINICAL RELEVANCE The asthma-COPD overlap phenotype was characterized by peripheral blood eosinophilia and higher levels of IgE despite the Th2-low endotype.
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Affiliation(s)
- K Hirai
- Department of Clinical Pharmacology & Genetics, School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan.,Laboratory of Clinical Pharmacogenomics, Shizuoka General Hospital, Shizuoka, Japan
| | - T Shirai
- Department of Respiratory Medicine, Shizuoka General Hospital, Shizuoka, Japan
| | - M Suzuki
- Department of Clinical Pharmacology & Genetics, School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan
| | - T Akamatsu
- Department of Respiratory Medicine, Shizuoka General Hospital, Shizuoka, Japan
| | - T Suzuki
- Department of Respiratory Medicine, Shizuoka General Hospital, Shizuoka, Japan
| | - I Hayashi
- Department of Respiratory Medicine, Shizuoka General Hospital, Shizuoka, Japan
| | - A Yamamoto
- Department of Respiratory Medicine, Shizuoka General Hospital, Shizuoka, Japan
| | - T Akita
- Department of Respiratory Medicine, Shizuoka General Hospital, Shizuoka, Japan
| | - S Morita
- Department of Respiratory Medicine, Shizuoka General Hospital, Shizuoka, Japan
| | - K Asada
- Department of Respiratory Medicine, Shizuoka General Hospital, Shizuoka, Japan
| | - D Tsuji
- Department of Clinical Pharmacology & Genetics, School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan.,Laboratory of Clinical Pharmacogenomics, Shizuoka General Hospital, Shizuoka, Japan
| | - K Inoue
- Department of Clinical Pharmacology & Genetics, School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan.,Laboratory of Clinical Pharmacogenomics, Shizuoka General Hospital, Shizuoka, Japan
| | - K Itoh
- Department of Clinical Pharmacology & Genetics, School of Pharmaceutical Sciences, University of Shizuoka, Shizuoka, Japan.,Laboratory of Clinical Pharmacogenomics, Shizuoka General Hospital, Shizuoka, Japan
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42
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Sano T, Ishigami S, Ousaka D, Hirai K, Goto T, Kasahara S, Ohtsuki S, Sano S, Oh H. P4242Transcoronary cardiac progenitors in patients with functional single ventricle: two-year follow-up of the phase 1/2 clinical trials. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4242] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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43
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Goto T, Ousaka D, Sano T, Hirai K, Kasahara S, Oh H. P6319Novel swine models of single systemic ventricle for stem cell therapy in univentricular heart application. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p6319] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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44
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Nakazato K, Shiozaki M, Hirai K, Morita T, Tatara R, Ichihara K, Sato S, Simizu M, Tsuneto S, Shima Y, Miyasita M. Verbal communication of families with cancer patients at end of life: A questionnaire survey with bereaved family members. Psychooncology 2017. [DOI: 10.1002/pon.4482] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | - Mariko Shiozaki
- Department of Applied Sociology; Kindai University; Osaka Japan
| | - Kei Hirai
- Department of Complementary and Alternative Medicine; Osaka University Graduate School of Medicine; Osaka Japan
| | - Tatsuya Morita
- Department of Palliative and Supportive Care, Palliative Care Team and Seirei Hospice; Seirei Mikatahara Hospital; Hamamatsu Japan
| | - Ryuhei Tatara
- Department of Palliative Medicine; Osaka City General Hospital; Osaka Japan
| | - Kaori Ichihara
- Department of Nursing; Kyoto University Hospital; Kyoto Japan
| | - Shinichi Sato
- Department of Clinical Thanatology and Geriatric Behavioral Science; Osaka University Graduate School of Human Sciences; Osaka Japan
| | - Megumi Simizu
- Department of Clinical Research, Innovation, and Education Center; Tohoku University Hospital; Sendai Japan
| | - Satoru Tsuneto
- Department of Palliative Medicine; Kyoto University Hospital; Kyoto Japan
| | - Yasuo Shima
- Department of Palliative Medicine; Tsukuba Medical Center Hospital; Tsukuba Japan
| | - Mitsunori Miyasita
- Department of Palliative Nursing; Tohoku University Graduate School of Medicine; Sendai Japan
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45
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Momino K, Mitsunori M, Yamashita H, Toyama T, Sugiura H, Yoshimoto N, Hirai K, Akechi T. Collaborative care intervention for the perceived care needs of women with breast cancer undergoing adjuvant therapy after surgery: a feasibility study. Jpn J Clin Oncol 2017; 47:213-220. [PMID: 28003321 PMCID: PMC5444337 DOI: 10.1093/jjco/hyw189] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Accepted: 11/29/2016] [Indexed: 12/29/2022] Open
Abstract
Objective This study aimed to investigate the feasibility of an intervention program for women with breast cancer undergoing adjuvant anticancer therapy, and determine its preliminary effectiveness in reducing their unmet needs and psychological distress. Methods The intervention was based on the collaborative care model, and compromised four domains: identification of unmet needs, problem-solving therapy and behavioral activation supervised by a psychiatrist, psychoeducation and referral to relevant departments. Eligible women with breast cancer were provided the collaborative care intervention over four sessions. The feasibility of the program was evaluated by the percentage of women who entered the intervention and by the percentage of adherence to the program. Self-reported outcomes were measured by the Supportive Care Needs Survey–Short Form 34 (SCNS-SF34), the Profile of Mood States (POMS), the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), the Concern about Recurrence Scale, and pre- and post-intervention satisfaction with medical care. Results In total, 40 patients participated in this study. The rate of participation in the intervention was 68%, and the rate of adherence was 93%. Participants had significantly improved scores on total perceived needs, physical needs and psychological needs on the SCNS-SF34; vigor and confusion on the POMS and function (physical, emotional and cognitive), nausea and vomiting, dyspnea, appetite loss and financial difficulties on the EORTC QLQ-C30 compared with the baseline assessment. Conclusions Our findings indicated the intervention program was feasible. Further study is needed to demonstrate the program's effectiveness in reducing unmet needs.
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Affiliation(s)
- Kanae Momino
- Nagoya City University Graduate School of Nursing, Nagoya
| | - Miyashita Mitsunori
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Sendai
| | - Hiroko Yamashita
- Department of Breast Surgery, Division of Surgery, Hokkaido University Graduate School of Medicine, Hokkaido
| | - Tatsuya Toyama
- Department of Breast Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya
| | - Hiroshi Sugiura
- Department of Breast and Endocrine Surgery, Nagoya City West Medical Center, Nagoya
| | - Nobuyasu Yoshimoto
- Department of Breast and Endocrine Surgery, Nagoya City West Medical Center, Nagoya
| | - Kei Hirai
- Graduate School of Human Sciences, and Graduate School of Medicine, Osaka University, Osaka
| | - Tatsuo Akechi
- Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School ofMedical Sciences, Nagoya, Japan
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46
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Miyashita M, Aoyama M, Nakahata M, Yamada Y, Abe M, Yanagihara K, Shirado A, Shutoh M, Okamoto Y, Hamano J, Miyamoto A, Yoshida S, Sato K, Hirai K, Morita T. Development the Care Evaluation Scale Version 2.0: a modified version of a measure for bereaved family members to evaluate the structure and process of palliative care for cancer patient. BMC Palliat Care 2017; 16:8. [PMID: 28114917 PMCID: PMC5259912 DOI: 10.1186/s12904-017-0183-2] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2016] [Accepted: 01/03/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Care Evaluation Scale (CES1.0) was designed to allow bereaved family members to evaluate the structure and process of care, but has been associated with a high frequency of misresponses. The objective of this study was to develop a modified version of CES1.0 (CES2.0) that would eliminate misresponses while maintaining good reliability and validity. METHODS We conducted a cross-sectional questionnaire survey by mail in October 2013. The participants were bereaved family members of patients who died from cancer in seven institutions in Japan. All family members were asked to complete CES2.0, the short form CES1.0, items on overall care satisfaction, the Family Satisfaction with Advanced Cancer Care (FAMCARE) Scale, the Patient Health Questionnaire-9 (PHQ-9) and the Brief Grief Questionnaire (BGQ). To examine test-retest reliability, all participants were asked to complete a second CES2.0. RESULTS Of 596 questionnaires sent, 461 (77%) were returned and 393 (66%) were analyzed. In the short form CES1.0, 17.1% of the responses were identified as misresponses. No misresponses were found in CES2.0. We identified 10 CES2.0 subscales similar to those in CES1.0 using exploratory factor analysis. Cronbach's alpha was 0.96, and the intraclass correlation coefficient was 0.83. Correlations were found between CES2.0 and overall satisfaction (r = 0.83) and FAMCARE (r = 0.58). In addition, total CES2.0 scores were negatively correlated with the PHQ-9 (r = -0.22) and BGQ (r = -0.10). CONCLUSION These results suggest that CES2.0 eliminated misresponses associated with CES1.0 while maintaining good reliability and validity and greatly improving test-retest reliability.
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Affiliation(s)
- Mitsunori Miyashita
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan.
| | - Maho Aoyama
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan
| | - Misato Nakahata
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan
| | | | - Mutsumi Abe
- Department of Palliative Care and Pain Clinic, Matsue City Hospital, Matsue, Japan
| | - Kazuhiro Yanagihara
- Department of Medical Oncology, Kansai Electric Power Hospital, Osaka, Japan
| | - Akemi Shirado
- Department of Palliative and Supportive Care, Palliative Care Team and Seirei Hospice, Seirei Mikatahara Hospital, Hamamatsu, Japan
| | - Mariko Shutoh
- Department of Palliative Medicine, Oita City Medical Association's Almeida Memorial Hospital, Oita, Japan.,Wata Clinic, Tokyo, Japan
| | - Yoshiaki Okamoto
- Department of Pharmacy, Ashiya Municipal Hospital, Ashiya, Japan
| | - Jun Hamano
- Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Aoi Miyamoto
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan
| | - Saki Yoshida
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan
| | - Kazuki Sato
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan
| | - Kei Hirai
- Institute of Academic Initiatives, & Graduate School of Human Sciences, Osaka University, Osaka, Japan
| | - Tatsuya Morita
- Department of Palliative and Supportive Care, Palliative Care Team and Seirei Hospice, Seirei Mikatahara Hospital, Shizuoka, Japan
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47
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Miyashita M, Aoyama M, Nakahata M, Yamada Y, Abe M, Yanagihara K, Shirado A, Shutoh M, Okamoto Y, Hamano J, Miyamoto A, Yoshida S, Sato K, Hirai K, Morita T. Development the Care Evaluation Scale Version 2.0: a modified version of a measure for bereaved family members to evaluate the structure and process of palliative care for cancer patient. BMC Palliat Care 2017. [PMID: 28114917 DOI: 10.1186/s12904‐017‐0183‐2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The Care Evaluation Scale (CES1.0) was designed to allow bereaved family members to evaluate the structure and process of care, but has been associated with a high frequency of misresponses. The objective of this study was to develop a modified version of CES1.0 (CES2.0) that would eliminate misresponses while maintaining good reliability and validity. METHODS We conducted a cross-sectional questionnaire survey by mail in October 2013. The participants were bereaved family members of patients who died from cancer in seven institutions in Japan. All family members were asked to complete CES2.0, the short form CES1.0, items on overall care satisfaction, the Family Satisfaction with Advanced Cancer Care (FAMCARE) Scale, the Patient Health Questionnaire-9 (PHQ-9) and the Brief Grief Questionnaire (BGQ). To examine test-retest reliability, all participants were asked to complete a second CES2.0. RESULTS Of 596 questionnaires sent, 461 (77%) were returned and 393 (66%) were analyzed. In the short form CES1.0, 17.1% of the responses were identified as misresponses. No misresponses were found in CES2.0. We identified 10 CES2.0 subscales similar to those in CES1.0 using exploratory factor analysis. Cronbach's alpha was 0.96, and the intraclass correlation coefficient was 0.83. Correlations were found between CES2.0 and overall satisfaction (r = 0.83) and FAMCARE (r = 0.58). In addition, total CES2.0 scores were negatively correlated with the PHQ-9 (r = -0.22) and BGQ (r = -0.10). CONCLUSION These results suggest that CES2.0 eliminated misresponses associated with CES1.0 while maintaining good reliability and validity and greatly improving test-retest reliability.
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Affiliation(s)
- Mitsunori Miyashita
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan.
| | - Maho Aoyama
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan
| | - Misato Nakahata
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan
| | | | - Mutsumi Abe
- Department of Palliative Care and Pain Clinic, Matsue City Hospital, Matsue, Japan
| | - Kazuhiro Yanagihara
- Department of Medical Oncology, Kansai Electric Power Hospital, Osaka, Japan
| | - Akemi Shirado
- Department of Palliative and Supportive Care, Palliative Care Team and Seirei Hospice, Seirei Mikatahara Hospital, Hamamatsu, Japan
| | - Mariko Shutoh
- Department of Palliative Medicine, Oita City Medical Association's Almeida Memorial Hospital, Oita, Japan.,Wata Clinic, Tokyo, Japan
| | - Yoshiaki Okamoto
- Department of Pharmacy, Ashiya Municipal Hospital, Ashiya, Japan
| | - Jun Hamano
- Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Aoi Miyamoto
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan
| | - Saki Yoshida
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan
| | - Kazuki Sato
- Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-machi, Aoba-ku, 980-8575, Sendai, Japan
| | - Kei Hirai
- Institute of Academic Initiatives, & Graduate School of Human Sciences, Osaka University, Osaka, Japan
| | - Tatsuya Morita
- Department of Palliative and Supportive Care, Palliative Care Team and Seirei Hospice, Seirei Mikatahara Hospital, Shizuoka, Japan
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48
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Kanaoka Y, Hirai K, Ishiko O. Microwave endometrial ablation for complex endometrial hyperplasia with atypia. Int J Gynaecol Obstet 2017; 85:181-2. [PMID: 15099788 DOI: 10.1016/j.ijgo.2003.11.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2003] [Revised: 11/10/2003] [Accepted: 11/19/2003] [Indexed: 10/26/2022]
Affiliation(s)
- Y Kanaoka
- Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Abeno-ku, Osaka, Japan.
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49
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Abstract
By a computer-controlled infrared laser machine, any types of metal–organic frameworks can be patterned on substrates.
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Affiliation(s)
- K. Hirai
- Department of Chemistry
- Faculty of Science
- Hokkaido University
- Sapporo
- Japan
| | - K. Sada
- Department of Chemistry
- Faculty of Science
- Hokkaido University
- Sapporo
- Japan
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50
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Hirai K. Can the patients always make rational choice?: Libertarian paternalism and behavioral economics perspectives. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw503.002] [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: 11/14/2022] Open
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