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2. Machine learning model for predicting the cold–heat pattern in Kampo medicine: a multicenter prospective observational study.

Author

Maeda-Minami, Ayako, Yoshino, Tetsuhiro, Katayama, Kotoe, Horiba, Yuko, Hikiami, Hiroaki, Shimada, Yutaka, Namiki, Takao, Tahara, Eiichi, Minamizawa, Kiyoshi, Muramatsu, Shin-Ichi, Yamaguchi, Rui, Imoto, Seiya, Miyano, Satoru, Mima, Hideki, Uneda, Kazushi, Nogami, Tatsuya, Fukunaga, Koichi, and Watanabe, Kenji

Abstract

Objective: The purpose of this study was to predict the four cold–heat patterns in patients who have the subjective symptoms of the cold–heat pattern described in the International Classification of Diseases Traditional Medicine Conditions – Module 1 by applying a machine learning algorithm. Methods: Subjects were first-visit Kampo outpatients at six institutions who agreed to participate in this multicenter prospective observational study. The cold pattern model and the heat pattern model were created separately with 148 symptoms, body mass index, blood pressure (systolic and diastolic), age, and sex. Along with a single cold or heat pattern, the tangled heat/cold pattern is defined as being predicted by both cold and heat patterns, while the moderate (heat/cold) pattern is defined as being predicted by neither the cold pattern nor the heat pattern. Results: We included 622 participants (mean age ±standard deviation, 54.4 ± 16.9; with female 501). The accuracy, macro-recall, precision, and F1-score of a combination of the two prediction models were 96.7%, 93.2%, 85.6%, and 88.5% respectively. The important items were compatible with the definitions of the cold–heat pattern. Conclusion: We developed a prediction model on cold–heat patterns with data from patients whose subjective cold/heat-related symptoms matched the cold–heat pattern diagnosis by the physician. [ABSTRACT FROM AUTHOR]

Published
2024
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4. A structured summary of a study protocol for a multi-center, randomized controlled trial (RCT) of COVID-19 prevention with Kampo medicines (Integrative Management in Japan for Epidemic Disease by prophylactic study: IMJEDI P1 study)

Author

Namiki, Takao, Takayama, Shin, Arita, Ryutaro, Ishii, Tadashi, Kainuma, Mosaburo, Makino, Toshiaki, Mimura, Masaru, Yoshino, Tetsuhiro, Nogami, Tatsuya, Arai, Makoto, Sato, Juichi, Tanaka, Koichiro, Nakae, Hajime, Igari, Hidetoshi, Ozawa, Yoshihito, Shiko, Yuki, Kawasaki, Yohei, Nezu, Masahiko, and Ito, Takashi

Published
2021
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5. Conventional and Kampo Medicine Treatment for Mild-to-moderate COVID-19: A Multicenter, Retrospective, Observational Study by the Integrative Management in Japan for Epidemic Disease (IMJEDI Study-observation)

Author

Takayama, Shin, primary, Yoshino, Tetsuhiro, additional, Koizumi, Sayaka, additional, Irie, Yasuhito, additional, Suzuki, Tomoko, additional, Fujii, Susumu, additional, Katori, Rie, additional, Kainuma, Mosaburo, additional, Kobayashi, Seiichi, additional, Nogami, Tatsuya, additional, Yokota, Kenichi, additional, Yamazaki, Mayuko, additional, Minakawa, Satoko, additional, Chiba, Shigeki, additional, Suda, Norio, additional, Nakada, Yoshinobu, additional, Ishige, Tatsuya, additional, Maehara, Hirofumi, additional, Tanaka, Yutaka, additional, Nagase, Mahiko, additional, Kashio, Akihiko, additional, Komatsu, Kazuhisa, additional, Nojiri, Makoto, additional, Shimooki, Osamu, additional, Nakamoto, Kayo, additional, Arita, Ryutaro, additional, Ono, Rie, additional, Saito, Natsumi, additional, Kikuchi, Akiko, additional, Ohsawa, Minoru, additional, Nakae, Hajime, additional, Mitsuma, Tadamichi, additional, Mimura, Masaru, additional, Ishii, Tadashi, additional, Nochioka, Kotaro, additional, Chiu, Shih-Wei, additional, Yamaguchi, Takuhiro, additional, Namiki, Takao, additional, Hisanaga, Akito, additional, Mitani, Kazuo, additional, and Ito, Takashi, additional

Published
2023
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11. Recovery of oral feeding in Japanese elderly people after long-term tube feeding: A challenge in Miyama Hospital.

Author

Nogami, Tatsuya, Kurachi, Motonari, Hukushi, Tsugumi, and Iwasaki, Koh

Subjects
*TUBE feeding, *OLDER people, *FEEDING tubes, *ANIMAL feeding, *PERCUTANEOUS endoscopic gastrostomy
Abstract

Context: In Japan, many patients who cannot consume food orally are managed using external tube feeding over long periods. Although helpful in nutritional management, tube feeding significantly reduces a patient's quality of life. Aims: We examined the factors that affected the transition from tube to oral feeding in elderly people. Settings and Design: Single-center, retrospective, pilot study conducted from January 1, 2018 to December 28, 2019. Methods and Materials: We recruited patients who attempted to return to oral intake following tube feeding for >12 months at Miyama Hospital. Fourteen participants (male-to-female ratio = 6:8; age = 83.9 ± 2.6 years) attempted to resume oral feeding. We investigated patient diagnoses, duration of tube feeding, sex, swallowing reflex time, and Kohnan consciousness score. Patients with a swallowing reflex >4 s were administered banxia houpu tang. Results: Of the 14 patients, seven managed to resume oral feeding (group 1), while the remaining seven failed (group 2). The two groups of patients showed no significant difference in terms of mean age, duration of tube feeding, swallowing reflex time, and sex. However, the consciousness level of group 1 was significantly higher than that of group 2. Conclusions: Higher consciousness level in patients who successfully resumed oral feeding suggests that oral feeding should be considered in patients with adequate consciousness. [ABSTRACT FROM AUTHOR]

Published
2020
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