{"title":"Foreword. Maintenance and improvement of the functions of hospitals.","authors":"Tsuneo Sakai","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 33","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32603639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthcare for the future.","authors":"Tsuneo Sakai","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 32","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The 62th Japan Hospital Association Congress. Healthcare for the future.","authors":"Tsuneo Sakai","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 32","pages":"3-16"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The challenge of estimating the prevalence of dementia in the elderly.","authors":"Kiichiro Onishi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Aim: </strong>To examine the validity of the estimation of the prevalence of dementia in the elderly based on long-term care insurance (LTCI) data.</p><p><strong>Methods: </strong>Japanese LTCI data among frail elders over 65 years of age (193 men, 360 women) from a central area of Osaka prefecture in 2005 was analyzed using the dementia discrimination criteria of a dementia autonomy level higher than level 2. Of those, no cases with a prior diagnosis of dementia were reexamined to ascertain dementia-equivalent status.</p><p><strong>Results: </strong>Of the 70 reexamined cases (25 men, 45 women), 6 men and 16 women scored as dementia-equivalent. In addition, 7 men and 7 women experienced severe sequelae of cerebrovascular disease (CVD). Two men and 8 women showed symptoms equivalent to mild cognitive impairment (MCI). Ten men and 14 women showed no dementia/MCI. Based on the sum of subjects previously diagnosed with dementia and those with symptoms equivalent to dementia upon reexamination, the estimated prevalence of dementia in subjects over 65 years in the study region was 5%.</p><p><strong>Conclusions: </strong>Assuming a 50% capture rate of dementia based on the LTCI data (N = 553) from a review of previous research, the estimated prevalence of dementia was increased to 10% after incorporating the results of this study. The prevalence of elderly dementia according to LTCI data should be estimated based on a determination of dementia-equivalence in terms of the level of care required: dementia, equivalent to dementia (i.e., requiring daily care similar to that for dementia), and severe sequelae of CVD. Furthermore, the capture rate should be carefully considered.</p>","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 32","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A trial of improvement of immunity in cancer patients by laughter therapy.","authors":"Yoshinori Sakai, Kazue Takayanagi, Mitue Ohno, Rumiko Inose, Hideomi Fujiwara","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>The study was on the impact of laughter therapy on immunological improvement of patients with gastrointestinal cancer undergoing surgery and chemotherapy.</p><p><strong>Materials & method: </strong>Immunological measurements were performed in 41 cases with patients aged 68.9 years suffering from gastric or colorectal cancer. Intervention using Laughter Therapy was applied to 12 out of the 25 patients subjected to laproscopic surgery and 12 out of 19 patients subjected to chemotherapy.</p><p><strong>Results: </strong>Immunity of patients within the control group who had surgery decreased. Immunity of patients within the control group who had chemotherapy decreased. With intervention of Laughter Therapy, the immunity of patients with surgery had either decreased or was the same. However, with intervention of Laughter Therapy using the Smile-Sun Method, the immunity of chemotherapy patients increased, notably in patients with colorectal cancer. The improvement of immunity within the control group was 0 out of 7.</p><p><strong>Conclusion: </strong>Patients with advanced cancer have lower immunity which is further decreased with surgery or chemotherapy. Chemotherapy patients who undertook the Laughter Therapy using the Smile-Sun Methodology during treatment in the hospital showed significantly higher immunity levels. The results of this study indicate that patients with gastrointestinal cancer, who undergo laparoscopic surgery or chemotherapy for stomach or colorectal cancer, benefit from a formal program of psychotherapeutic support during the in-patient hospital stay in terms of immunological improvement.</p>","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 32","pages":"53-9"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical manifestation and outcome of oldest old patients with cancer.","authors":"Kazue Takayanagi, Yoshikuni Sato","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 32","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ongoing physician practice evaluation (OPPE): challenges in implementation in Japan--an opinion.","authors":"John C Wocher","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 32","pages":"23-7"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chika Horikawa, Noriko Wakita, Gen Shimada, Tsuguya Fukui
{"title":"Japan Hospital Association QI Project 2011: results and future issues.","authors":"Chika Horikawa, Noriko Wakita, Gen Shimada, Tsuguya Fukui","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 32","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evidence-based policy making for sustainable healthcare in Japan: 2025 and beyond.","authors":"Koichi Kawabuchi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 32","pages":"29-37"},"PeriodicalIF":0.0,"publicationDate":"2013-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31689580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Resumption of medical services after Great East Japan Earthquake.","authors":"Tsuneo Sakai","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79651,"journal":{"name":"Japan-hospitals : the journal of the Japan Hospital Association","volume":" 31","pages":"3-22"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30914304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}