Sophora flavescens , which was first recorded in Shen Nong s Herbal Classic , has the functions of clearing away heat, drying dampness, killing parasites and promoting urination. In its long-term application, traditio...Sophora flavescens , which was first recorded in Shen Nong s Herbal Classic , has the functions of clearing away heat, drying dampness, killing parasites and promoting urination. In its long-term application, traditional Chinese medicine has gradually deepened its understanding of the origin and efficacy of S. flavescens . In order to explore changes in the origin and efficacy of traditional Chinese herb S. flavescens in the history of China and Japan, in this paper, the origin and development of S. flavescens in China and Japan were compared from three aspects: the origin, medicinal efficacy, and processing methods of S. flavescens in China and Japan, hoping to provide clear understanding of the medicinal plant S. flavescens .展开更多
Hypertension is a major determinant of health and is likely to have an effect on medical economics.The economic burden due to hypertension may be attributable not only to antihypertensive medication but also to the ve...Hypertension is a major determinant of health and is likely to have an effect on medical economics.The economic burden due to hypertension may be attributable not only to antihypertensive medication but also to the very expensive procedures required for cases of cardiovascular disease that occur more frequently in hypertensive compared with normotensive individuals.The objective of this article was to review articles published on prospective cohort studies that measured medical expenditure attributable to hypertension in community-dwelling populations in Japan.Many medical services in these populations are provided under the medical insurance system that requires the enrolment of all Japanese residents.Personal medical expenditure attributable to hypertension increases with worsening severity of the condition.Medical expenditure was increased further in cases of hypertensive patients who have another concomitant cardiovascular risk factor.In particular,hypertension,especially moderate-to-severe untreated hypertension,increases the risk of long-term hospitalization resulting in considerably higher medical expenditure,compared with non-hospitalized cases.Therefore,assuming that the use of antihypertensive medication is essential for hypertensive patients to prevent serious vascular diseases,a cost-effective highrisk strategy needs to be considered to reduce both ill-health and the economic burden due to hypertension.However,from a population perspective,medical expenditure attributable to hypertension comes mainly from pre-to-mild hypertension.Therefore,there is also a need to consider a population strategy that aims to shift the entire population to lower levels of blood pressure.展开更多
The Umitaka Spur and Joetsu Knoll region,eastern margin of the Japan Sea,has been investigated as the gas hydrate field associated with the occurrence of methane-related/induced activities.Massive to vein-like gas hyd...The Umitaka Spur and Joetsu Knoll region,eastern margin of the Japan Sea,has been investigated as the gas hydrate field associated with the occurrence of methane-related/induced activities.Massive to vein-like gas hydrates are found on/near the seafloor where huge methane plumes,reaching 600-650 m height, have been observed on the echo sounding images around the summits.Columnar chaotic gas-charged sediment structures are observed beneath the gas hydrate occurrences on the seismic images。展开更多
The link between income inequality and obesity inJapanwas evaluated. Income inequality of all 47 prefectures of Japan as expressed by Gini coefficient was obtained from National Statistics Center, Japan. The rate of o...The link between income inequality and obesity inJapanwas evaluated. Income inequality of all 47 prefectures of Japan as expressed by Gini coefficient was obtained from National Statistics Center, Japan. The rate of obesity (%) was also obtained from National NutritionSurvey,Japan. The effect of income inequality on obesity was evaluated by ecological study. Income inequality as expressed by Gini coefficient was 0.31 ± 0.01 and the rate of obesity was 31.6% ± 5.6%. Gini coefficient was significantly and positively correlated with the rate of obesity (r = 0.490, p = 0.0005). Income inequality was might be associated with the rate of obesity inJapan.展开更多
Early drinking is considered to result in making tolerant of alcohol consumption and a higher prevalence of alcohol related disorders in the later. We focused generational impacts on drinking rate among high school st...Early drinking is considered to result in making tolerant of alcohol consumption and a higher prevalence of alcohol related disorders in the later. We focused generational impacts on drinking rate among high school students based on multiple nationwide data. The surveys were nationwide, cross-sectional random sampling surveys given every 4 years from the Japanese Youth Tobacco and Alcohol Surveys, 1996 to 2008. Participants were male 53,925 high school students from 7th grade to 11th grade. We divided to the three follow-up groups every 4 years from 1996 to 2004 for male junior high school students in 7th grades and the end periods were 4 years later in 11th grades. Outcome measures in this study were life time drinking, current drinking within 30 days and weekly drinking. All drinking rates decreased each at 7th and at 11th grade. The increments in these drinking rates from 7th grade to 11th grade in males decreased gradually in recent follow-up groups. Generational impacts should be considered by using follow-up groups to study drinking behaviors among students.展开更多
Backgrounds: Smoking in childhood has become an important public health concern. Previous studies have reported on secular trends in childhood smoking rates and compared with smoking rates at fixed ages. They also des...Backgrounds: Smoking in childhood has become an important public health concern. Previous studies have reported on secular trends in childhood smoking rates and compared with smoking rates at fixed ages. They also described secular trends regarding the prevalence of smoking at fixed ages. The variations in smoking rate of young children and adolescents by follow-up groups have not been studied by follow-up groups at a national level. Objective: We looked at trends and generational impacts on smoking rate by using follow-up groups of male Japanese high school students to quantitatively assess differences in trends, based on multiple nationwide data from the Japanese Youth Tobacco and Drinking Surveys gathered every 4 years between 1996 and 2008. Methods: The surveys were nationwide, cross-sectional random sampling surveys given every 4 years from 1996 to 2008, using the single-stage cluster sampling methodology. The cluster unit of the sampling was school. The survey targeted junior and senior high school students from schools selected through Japan using the National School Directory. Students enrolled in the sampled schools were subjects of the study. Participants were 53,925 high school students from 7th grade to 11th grade in 1996, 2000, 2004 and 2008. We divided the three follow-up groups every 4 years from 1996 to 2004 for male junior high school students in 7th grades, age 13. The end periods were 4 years later when they had become 11th graders, age 17, from 2000 to 2008. Main outcome measures in this study were life time smoking, current smoking within 30 days and daily smoking at 7th or 11th grade and the trend of the smoking rates between 7th to 11th grades. Results: Life time smoking rate, current smoking rate and daily smoking rate in Japanese high school students decreased at 7th grade from 1996 to 2004. They also decreased at 11th grade from 2000 to 2008. However, the slopes differed among their follow-up groups. The increments in their smoking rates from 7th grade to 11th grade in male high school students were smaller in recent follow-up groups both in 2000 and in 2004 than in follow-up groups in 1996. Then, those increments in follow-up groups between in 2000 and in 2004 were similar in lifetime smoking rate and current smoking rate. Conclusions: We have shown that monitoring trends by follow-up group are important in studying smoking for public health. Values of smoking rates from a young age to adolescence by follow-up group should be examined. Values of smoking rate and regular changes in smoking rate are important because smoking rate changes dynamically during adolescence. Not only trends in smoking rates at fixed ages, but also generational impacts should be considered by using follow-up groups to study smoking behaviors among students. We need to continue careful monitoring of follow-up group smoking prevalence. When long-term health promotions are planned or assessed, policy makers need to look at changes in follow-up groups.展开更多
The objective of the present study was to qualitatively assess the obstructive and facilitative factors affecting adolescent girls and their caregivers when the adolescent had received or was considering receiving the...The objective of the present study was to qualitatively assess the obstructive and facilitative factors affecting adolescent girls and their caregivers when the adolescent had received or was considering receiving the Human Papilloma Virus (HPV) vaccination. Using these data, we propose recommendations for medical and nursing staff concerned with HPV vaccination. Participants were 20 adolescent girls (aged 10 - 19 years) and their caregivers, who had visited any of the 3 pediatric clinics in the Tokyo metropolitan area during a specified period since HPV vaccination began in Japan. The girls and their caregivers were separately interviewed by 2 child and/or family nursing care specialists with a semi-structured interview. The responses were qualitatively analyzed by 2 specialists, and the obstructive and facilitative factors affecting participants’ decision to receive HPV vaccination were extracted from the responses. Among the 20 sets of participants, 7 adolescents had completed HPV vaccination, 9 were going to receive vaccination, and 4 had not received any vaccination. The obstructive/facilitative factors related to considering or receiving HPV vaccination and actual vaccination were extracted and 4 main categories of factors were identified. Facilitators toward HPV-vaccination of daughters included clear future self-image and visions, fear Cervical Cancer (CC) and desire to escape from CC, having discussion with mothers about HPV-vaccination and CC, and to have a boyfriend. Barriers toward vaccination included the mothers’ reluctance to explain the sexual matters about HPV-vaccination to their daughters and difficulty with find the appropriate clinic or hospital to HPV-vaccination. Relevant factors about vaccination included positive family attitudes toward vaccination, having family system allowing consultation and having a public financial support for vaccination for daughters. Our conceptual model adapted from the Katz, et al. conceptual framework integrated the key barriers and facilitators as factors within each of four domains. These four domains have an important link. Especially, the environmental factors and the structural and sociocultural factors domain affect the individual adolescent and the caregiver factors domain, respectively. The results of present study suggest that medical/nursing activities centered on promoting HPV vaccination in Japan should comprehensively cover CC/vaccination/sex education in an integrated fashion, while schools and public health centers should provide opportunities for caregivers and adolescents to jointly participate in awareness education on HPV vaccination.展开更多
The link between suicide and daily step counts was evaluated in all 47 prefectures of Japan by ecological study. The crude rate of suicide was significantly and negatively correlated with daily step counts. However, t...The link between suicide and daily step counts was evaluated in all 47 prefectures of Japan by ecological study. The crude rate of suicide was significantly and negatively correlated with daily step counts. However, the association between the age-adjusted rate of suicide and daily step counts was noted only in men. These results suggest that increasing daily step counts may be useful for preventing suicide, especially in men, in Japan.展开更多
We evaluated the road traffic accidents and drinking habits in all 47 prefectures of Japanby ecological study. Data on traffic accidents were obtained from Ministry of Internal Affairs and Communications,Japan. Drinki...We evaluated the road traffic accidents and drinking habits in all 47 prefectures of Japanby ecological study. Data on traffic accidents were obtained from Ministry of Internal Affairs and Communications,Japan. Drinking habits were also obtained from Ministry of Health Labour and Welfare and The General Insurance Association of Japan. The effect of drinking on road traffic accidents was evaluated by ecological study. Road traffic accidents were 15442.0 ± 14404.9 deaths due to road traffic accidents were 103.5 ± 57.5 and injured subjects due to road traffic accidents were 19068.3 ± 17433.6 in 2010 inall 47 prefectures of Japan. Drinking habits was significantly and negatively correlated with injured subjects due to road traffic accidents. However, road traffic accidents due to drinking was positively correlated with injured subjects due to road traffic accidents (r = 0.492, p = 0.0004). In conclusion, drinking habits and road traffic accidents due to drunk driving were closely linked to injured subjects due to road traffic accidents inJapan.展开更多
Currently, the most important feature of Chinese Studies in Japan is to focus on the value orientation of "facts" and "problems". Chinese Studies in Japan originates from the deeper tradition of Si...Currently, the most important feature of Chinese Studies in Japan is to focus on the value orientation of "facts" and "problems". Chinese Studies in Japan originates from the deeper tradition of Sinology. And the socalled "Sinology" refers to the study of annotations in the Han Dynasty, i.e., the predecessor of the textual research in the Qing Dynasty. Japanese scholars tend to prefer facts and problems to theories and doctrines. Their essays or papers are not to find facts for arguments and frameworks but to discuss matters and imply arguments in factual statements. Sometimes, the arguments may even be concealed by too many facts.展开更多
Ritsumeikan Asia Pacific University (APU) in Beppu city, Japan has a large body of students from well over 90 countries, especially from the Asia Pacific region, including Japanese, Korean, Chinese, Thai, Vietnamese...Ritsumeikan Asia Pacific University (APU) in Beppu city, Japan has a large body of students from well over 90 countries, especially from the Asia Pacific region, including Japanese, Korean, Chinese, Thai, Vietnamese, and Indonesian students. To improve analytical thinking skills among college students, a course on "bioethics" was introduced and offered in two consecutive semesters to undergraduate students for which 245 students registered at each semester. The course was taught in the form of 14 lecture and discussion sessions, each for 95 minutes based on the content of A Cross-Cultural Introduction to Bioethics (2006) edited by Darryl Macer, and reviewed a wide variety of ethical and bioethical issues. In the next semester, the students received a similar teaching content that was rearranged to reflect the 15 universal principles of bioethics and human rights covered in the Bioethics Core Curriculum (2008). Case studies were also added to each unit of the Core Curriculum with the support of the UNESCO's Asia Pacific Regional Office, Bangkok (Case Studies for Bioethics 2010). To evaluate the results of teaching and to compare the achieved objectives between the two groups of students, a short questionnaire was given to all students who finished the course and took up the final written examination. In the whole, 454 students (225 in group I and 229 in group 2) completed the course and took the final examination and 427 (218 in group 1 and 209 in group 2) responded to the questionnaire which inquired into their interest in the discussion of bioethical issues: why they believed they were important, and what they had learned through them. The results of the questionnaire have been examined and compared to evaluate the success of "bioethics" in stimulating the interest and thinking ability of the students and enriching their experience of a cross-cultural discussion over bioethical issues using universal principles as general guidance. The result of this examination was so impressive that from 2011 bioethics has been formalized into the reformed curriculum of our international school.展开更多
基金Supported by Anhui University of Chinese Medicine(2023LCTH18,2021LCTH04)Fuyang Health Commission(FY2023-007)。
文摘Sophora flavescens , which was first recorded in Shen Nong s Herbal Classic , has the functions of clearing away heat, drying dampness, killing parasites and promoting urination. In its long-term application, traditional Chinese medicine has gradually deepened its understanding of the origin and efficacy of S. flavescens . In order to explore changes in the origin and efficacy of traditional Chinese herb S. flavescens in the history of China and Japan, in this paper, the origin and development of S. flavescens in China and Japan were compared from three aspects: the origin, medicinal efficacy, and processing methods of S. flavescens in China and Japan, hoping to provide clear understanding of the medicinal plant S. flavescens .
文摘Hypertension is a major determinant of health and is likely to have an effect on medical economics.The economic burden due to hypertension may be attributable not only to antihypertensive medication but also to the very expensive procedures required for cases of cardiovascular disease that occur more frequently in hypertensive compared with normotensive individuals.The objective of this article was to review articles published on prospective cohort studies that measured medical expenditure attributable to hypertension in community-dwelling populations in Japan.Many medical services in these populations are provided under the medical insurance system that requires the enrolment of all Japanese residents.Personal medical expenditure attributable to hypertension increases with worsening severity of the condition.Medical expenditure was increased further in cases of hypertensive patients who have another concomitant cardiovascular risk factor.In particular,hypertension,especially moderate-to-severe untreated hypertension,increases the risk of long-term hospitalization resulting in considerably higher medical expenditure,compared with non-hospitalized cases.Therefore,assuming that the use of antihypertensive medication is essential for hypertensive patients to prevent serious vascular diseases,a cost-effective highrisk strategy needs to be considered to reduce both ill-health and the economic burden due to hypertension.However,from a population perspective,medical expenditure attributable to hypertension comes mainly from pre-to-mild hypertension.Therefore,there is also a need to consider a population strategy that aims to shift the entire population to lower levels of blood pressure.
文摘The Umitaka Spur and Joetsu Knoll region,eastern margin of the Japan Sea,has been investigated as the gas hydrate field associated with the occurrence of methane-related/induced activities.Massive to vein-like gas hydrates are found on/near the seafloor where huge methane plumes,reaching 600-650 m height, have been observed on the echo sounding images around the summits.Columnar chaotic gas-charged sediment structures are observed beneath the gas hydrate occurrences on the seismic images。
文摘The link between income inequality and obesity inJapanwas evaluated. Income inequality of all 47 prefectures of Japan as expressed by Gini coefficient was obtained from National Statistics Center, Japan. The rate of obesity (%) was also obtained from National NutritionSurvey,Japan. The effect of income inequality on obesity was evaluated by ecological study. Income inequality as expressed by Gini coefficient was 0.31 ± 0.01 and the rate of obesity was 31.6% ± 5.6%. Gini coefficient was significantly and positively correlated with the rate of obesity (r = 0.490, p = 0.0005). Income inequality was might be associated with the rate of obesity inJapan.
文摘Early drinking is considered to result in making tolerant of alcohol consumption and a higher prevalence of alcohol related disorders in the later. We focused generational impacts on drinking rate among high school students based on multiple nationwide data. The surveys were nationwide, cross-sectional random sampling surveys given every 4 years from the Japanese Youth Tobacco and Alcohol Surveys, 1996 to 2008. Participants were male 53,925 high school students from 7th grade to 11th grade. We divided to the three follow-up groups every 4 years from 1996 to 2004 for male junior high school students in 7th grades and the end periods were 4 years later in 11th grades. Outcome measures in this study were life time drinking, current drinking within 30 days and weekly drinking. All drinking rates decreased each at 7th and at 11th grade. The increments in these drinking rates from 7th grade to 11th grade in males decreased gradually in recent follow-up groups. Generational impacts should be considered by using follow-up groups to study drinking behaviors among students.
文摘Backgrounds: Smoking in childhood has become an important public health concern. Previous studies have reported on secular trends in childhood smoking rates and compared with smoking rates at fixed ages. They also described secular trends regarding the prevalence of smoking at fixed ages. The variations in smoking rate of young children and adolescents by follow-up groups have not been studied by follow-up groups at a national level. Objective: We looked at trends and generational impacts on smoking rate by using follow-up groups of male Japanese high school students to quantitatively assess differences in trends, based on multiple nationwide data from the Japanese Youth Tobacco and Drinking Surveys gathered every 4 years between 1996 and 2008. Methods: The surveys were nationwide, cross-sectional random sampling surveys given every 4 years from 1996 to 2008, using the single-stage cluster sampling methodology. The cluster unit of the sampling was school. The survey targeted junior and senior high school students from schools selected through Japan using the National School Directory. Students enrolled in the sampled schools were subjects of the study. Participants were 53,925 high school students from 7th grade to 11th grade in 1996, 2000, 2004 and 2008. We divided the three follow-up groups every 4 years from 1996 to 2004 for male junior high school students in 7th grades, age 13. The end periods were 4 years later when they had become 11th graders, age 17, from 2000 to 2008. Main outcome measures in this study were life time smoking, current smoking within 30 days and daily smoking at 7th or 11th grade and the trend of the smoking rates between 7th to 11th grades. Results: Life time smoking rate, current smoking rate and daily smoking rate in Japanese high school students decreased at 7th grade from 1996 to 2004. They also decreased at 11th grade from 2000 to 2008. However, the slopes differed among their follow-up groups. The increments in their smoking rates from 7th grade to 11th grade in male high school students were smaller in recent follow-up groups both in 2000 and in 2004 than in follow-up groups in 1996. Then, those increments in follow-up groups between in 2000 and in 2004 were similar in lifetime smoking rate and current smoking rate. Conclusions: We have shown that monitoring trends by follow-up group are important in studying smoking for public health. Values of smoking rates from a young age to adolescence by follow-up group should be examined. Values of smoking rate and regular changes in smoking rate are important because smoking rate changes dynamically during adolescence. Not only trends in smoking rates at fixed ages, but also generational impacts should be considered by using follow-up groups to study smoking behaviors among students. We need to continue careful monitoring of follow-up group smoking prevalence. When long-term health promotions are planned or assessed, policy makers need to look at changes in follow-up groups.
文摘The objective of the present study was to qualitatively assess the obstructive and facilitative factors affecting adolescent girls and their caregivers when the adolescent had received or was considering receiving the Human Papilloma Virus (HPV) vaccination. Using these data, we propose recommendations for medical and nursing staff concerned with HPV vaccination. Participants were 20 adolescent girls (aged 10 - 19 years) and their caregivers, who had visited any of the 3 pediatric clinics in the Tokyo metropolitan area during a specified period since HPV vaccination began in Japan. The girls and their caregivers were separately interviewed by 2 child and/or family nursing care specialists with a semi-structured interview. The responses were qualitatively analyzed by 2 specialists, and the obstructive and facilitative factors affecting participants’ decision to receive HPV vaccination were extracted from the responses. Among the 20 sets of participants, 7 adolescents had completed HPV vaccination, 9 were going to receive vaccination, and 4 had not received any vaccination. The obstructive/facilitative factors related to considering or receiving HPV vaccination and actual vaccination were extracted and 4 main categories of factors were identified. Facilitators toward HPV-vaccination of daughters included clear future self-image and visions, fear Cervical Cancer (CC) and desire to escape from CC, having discussion with mothers about HPV-vaccination and CC, and to have a boyfriend. Barriers toward vaccination included the mothers’ reluctance to explain the sexual matters about HPV-vaccination to their daughters and difficulty with find the appropriate clinic or hospital to HPV-vaccination. Relevant factors about vaccination included positive family attitudes toward vaccination, having family system allowing consultation and having a public financial support for vaccination for daughters. Our conceptual model adapted from the Katz, et al. conceptual framework integrated the key barriers and facilitators as factors within each of four domains. These four domains have an important link. Especially, the environmental factors and the structural and sociocultural factors domain affect the individual adolescent and the caregiver factors domain, respectively. The results of present study suggest that medical/nursing activities centered on promoting HPV vaccination in Japan should comprehensively cover CC/vaccination/sex education in an integrated fashion, while schools and public health centers should provide opportunities for caregivers and adolescents to jointly participate in awareness education on HPV vaccination.
文摘The link between suicide and daily step counts was evaluated in all 47 prefectures of Japan by ecological study. The crude rate of suicide was significantly and negatively correlated with daily step counts. However, the association between the age-adjusted rate of suicide and daily step counts was noted only in men. These results suggest that increasing daily step counts may be useful for preventing suicide, especially in men, in Japan.
文摘We evaluated the road traffic accidents and drinking habits in all 47 prefectures of Japanby ecological study. Data on traffic accidents were obtained from Ministry of Internal Affairs and Communications,Japan. Drinking habits were also obtained from Ministry of Health Labour and Welfare and The General Insurance Association of Japan. The effect of drinking on road traffic accidents was evaluated by ecological study. Road traffic accidents were 15442.0 ± 14404.9 deaths due to road traffic accidents were 103.5 ± 57.5 and injured subjects due to road traffic accidents were 19068.3 ± 17433.6 in 2010 inall 47 prefectures of Japan. Drinking habits was significantly and negatively correlated with injured subjects due to road traffic accidents. However, road traffic accidents due to drinking was positively correlated with injured subjects due to road traffic accidents (r = 0.492, p = 0.0004). In conclusion, drinking habits and road traffic accidents due to drunk driving were closely linked to injured subjects due to road traffic accidents inJapan.
文摘Currently, the most important feature of Chinese Studies in Japan is to focus on the value orientation of "facts" and "problems". Chinese Studies in Japan originates from the deeper tradition of Sinology. And the socalled "Sinology" refers to the study of annotations in the Han Dynasty, i.e., the predecessor of the textual research in the Qing Dynasty. Japanese scholars tend to prefer facts and problems to theories and doctrines. Their essays or papers are not to find facts for arguments and frameworks but to discuss matters and imply arguments in factual statements. Sometimes, the arguments may even be concealed by too many facts.
文摘Ritsumeikan Asia Pacific University (APU) in Beppu city, Japan has a large body of students from well over 90 countries, especially from the Asia Pacific region, including Japanese, Korean, Chinese, Thai, Vietnamese, and Indonesian students. To improve analytical thinking skills among college students, a course on "bioethics" was introduced and offered in two consecutive semesters to undergraduate students for which 245 students registered at each semester. The course was taught in the form of 14 lecture and discussion sessions, each for 95 minutes based on the content of A Cross-Cultural Introduction to Bioethics (2006) edited by Darryl Macer, and reviewed a wide variety of ethical and bioethical issues. In the next semester, the students received a similar teaching content that was rearranged to reflect the 15 universal principles of bioethics and human rights covered in the Bioethics Core Curriculum (2008). Case studies were also added to each unit of the Core Curriculum with the support of the UNESCO's Asia Pacific Regional Office, Bangkok (Case Studies for Bioethics 2010). To evaluate the results of teaching and to compare the achieved objectives between the two groups of students, a short questionnaire was given to all students who finished the course and took up the final written examination. In the whole, 454 students (225 in group I and 229 in group 2) completed the course and took the final examination and 427 (218 in group 1 and 209 in group 2) responded to the questionnaire which inquired into their interest in the discussion of bioethical issues: why they believed they were important, and what they had learned through them. The results of the questionnaire have been examined and compared to evaluate the success of "bioethics" in stimulating the interest and thinking ability of the students and enriching their experience of a cross-cultural discussion over bioethical issues using universal principles as general guidance. The result of this examination was so impressive that from 2011 bioethics has been formalized into the reformed curriculum of our international school.