Search

This article describes a collaborative project between an English language class in Japan and one in the United States. The institutions involved were Tokyo International University (TIU), located in Kawagoe, Saitama, Japan, and its branch campus, Tokyo International University of America (TIUA) in Salem, Oregon. This project created an interactive learning environment via the World Wide Web, in which Japanese students collaborated to construct an online exchange of cultural and linguistic information. The project had two phases. Phase one was a trial run of the collaborative course, and phase two built upon what was learned in phase one to create a better course. The project had three goals: (1) to provide a collaborative model for a collaborative course involving TIU and TIUA faculty and students; (2) to provide students participating in the project the opportunity to more fully refine their English language skills by transforming the traditional teacher/student dichotomy and empowering students to learn through mentoring; and (3) to explore and showcase the various ways technology, specifically the World Wide Web, can be used to create an interactive language learning environment. It was concluded that the introduction of computer and Internet skills into the course helped stimulate students to learn English. (Contains 12 references.) (KFT)

Looks at new information technologies and highlights how Japanese students use of the World Wide Web often lacks an appreciation of the quality differences that exist between traditional and net-sourced research. Argues academic writing courses need to address this issue and calls for "a more critical mindset" among those using the Web for research purposes to distinguish between good and poor quality sources. (Author/VWL)

Describes the author's Web site, which is devoted to the Japanese poet-painter Yosa Buson (1716-1784) and contains articles on Buson, bibliographic resources, and a pictorial catalog of haiku and paintings. This paper covers project purpose and background, subject area and materials, contexts of the development, structure of the Web site, pedagogical strategy and learners' responses, access trends, and evaluation. (MES)

Describes use of an ICT (information and communications technology) Learning Model that integrated videoconferencing and data sharing with online Web materials to form a collaborative educational community of students and teachers from three countries (United States, United Kingdom, and Japan) that involved space science research. (LRW)

Describes the "Brochure Project" in which the Japanese Language II honors students at Punahou School in Honolulu (Hawaii) concentrated on language study, global education, and technology when producing brochures about Hawaii in Japanese. Suggests that in a social studies classroom, the focus could be on global education and cultural comparison. (CMK)

Presents the AIPD (attracting, informing, positioning, and delivering) approach to the evaluation of commercial Web sites that assess the strategic potential of Web sites, provides a framework for the development of competitive sites, and compares Web site strategies within and across national boundaries. Compares Internet strategies of Japanese and American banks. List of some banks evaluated in 1998 is appended. Contains 50 references. (Author/LRW)

Delineates the process of how a Web site called the Virtual Learning Environment (VLE) was created to meet the language learning needs of a group of learners at a graduate school in Japan. The focus of discussion is on factors that influenced the design and evolution of the VLE site. (Author/VWL)

Describes a project conducted by the Massachusetts Institute of Technology (MIT) Libraries in collaboration with the MIT Japan Program; its objectives are to increase information exchange and enhance cooperation between Japan and the United States through a World Wide Web page and an interactive listserv. Examines usage statistics and issues in accessing Japanese science and technology information. (AEF)

Background: Digital therapeutics (DTx) have attracted attention as the substitutes or add-ons to conventional pharmacotherapy and the number of DTx products authorized with the regulatory reviews of the clinical evidence is increasing. Insomnia is one of the major targets of the DTx due to the benefit from cognitive behavioral interventions and several products have been launched in the market with regulatory reviews. However, common features of the products and the clinical evidence required by each regulatory agency have not been investigated. Methods: In this study, we identified the DTx products with the primary indication of insomnia authorized with regulatory reviews of clinical evidence by literature and website searches, and investigated the common features of the products and of the study designs for the pivotal clinical trials. Results: The total of 6 DTx products were identified. The components of cognitive behavioral therapy for insomnia (CBT-I) were identified as common features of the products. All the pivotal clinical trials were randomized, parallel-group, blind studies against insomnia patients. No products have been authorized in multiple countries regardless of the similarity of the features of the products and of the study designs for the pivotal clinical trials. Conclusions: Our study revealed that the components of CBT-I and gold standard design in pivotal clinical trials were adopted in all the DTx products for insomnia authorized with reviews of clinical evidence. At the same time, our findings suggest the needs of internationally harmonized regulatory review and authorization system to facilitate the early patient access to the promising DTx products. [ABSTRACT FROM AUTHOR]

The medical information about anemia prevention produced by health-care professionals is difficult to understand because of its complicated terminology. To evaluate quantitatively for the first time the clarity of existing online information about anemia prevention in Japanese. On January 20, 2023, we used the keyword "anemia" to evaluate 200 websites, followed by use of the Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) and the Clear Communication Index (CCI) to evaluate understandability and actionability. The PEMAT-P and CCI were both evaluated as excellent in terms of understandability and actionability, with cutoff values of 70% or higher and 90% or higher, respectively. We also evaluated readability using jReadability and quality using the Journal of the American Medical Association (JAMA) Benchmark Criteria and The Global Quality Scale (GQS). The PEMAT-P scores for understandability and actionability exceeded the cutoff value in 59 (29.5%) and 36 cases (18.0%), respectively, while the CCI exceeded the cutoff value in two cases (1.0%). With respect to web pages, nine (4.5%) were considered "readable" and 96 (48.0%) "neutral." These findings suggest that websites on anemia in Japanese have poor "understandability," "actionability," and "readability," and are therefore inaccessible to the general public. Improving existing anemia websites using indicators such as the PEMAT-P could improve behaviors related to anemia prevention. [ABSTRACT FROM AUTHOR]

This study aimed to determine the relationship between specific information source usage and uptake of the coronavirus disease 2019 (COVID-19) vaccine. We analyzed 3348 participants aged 20 to 65 years who were not diagnosed with COVID-19 in a case-control study in Sapporo, Japan. The most prevalent information source on COVID-19 was television (TV; 87.8%), followed by online news sites (74.3%), newspapers (38.7%), websites of public institutions (30.9%), and families (29.7%). Multivariate logistic regression showed that the adjusted odds ratios of incompletion of second vaccinations for users of TV and newspaper to gather COVID-19 information were 0.31 and 0.32, respectively, whereas those for users of books, commercial video sites, Facebook, and "personal blog or bulletin board system" were 3.34, 2.22, 2.36, and 4.81, respectively. Social media use among older or male participants was associated with lower vaccine uptake. [ABSTRACT FROM AUTHOR]

Background: As chromatographic techniques have advanced, many articles that analyze the constituting compounds of medicinal materials have been published in relation to Northeast Asian traditional medicine, including traditional Chinese medicine (TCM). TM-MC was launched in 2015, providing information about the chemical compounds in medicinal materials from chromatographic articles in PubMed. Since 2015, through continuous curation efforts, we have now released TM-MC 2.0 with significant improvements to the quantity and quality of the data (https://tm-mc.kr). Description: TM-MC 2.0 contains 635 medicinal materials, 34,107 chemical compounds (21,306 identified and de-duplicated), 13,992 targets, 27,997 diseases, and 5,075 prescriptions (2,393 de-duplicated by name). The database provides the largest number of identified compounds for medicinal materials listed in the pharmacopoeia compared to all TCM databases. In particular, marker compounds of medicinal materials and many newly discovered compounds were added through the manual curation of recent chromatographic articles. Conclusion: TM-MC 2.0 provides the largest collection of information about the chemical compounds of the medicinal materials listed in the Korean, Chinese, and Japanese pharmacopoeias. Our database can be utilized for network pharmacology in traditional medicine and for the compound screening of medicinal materials for modern drug discovery. [ABSTRACT FROM AUTHOR]

Background: The application of standardized patient summaries would reduce the risk of information overload and related problems for physicians and nurses. Although the International Patient Summary (IPS) standard has been developed, disseminating its applications has challenges, including data conversion of existing systems and development of application matching with common use cases in Japan. This study aimed to develop a patient summary application that summarizes and visualizes patient information accumulated by existing systems. Methods: We converted clinical data from the Standardized Structured Medical Information eXchange version 2 (SS-MIX2) storage at Tohoku University Hospital into the Health Level 7 Fast Healthcare Interoperability Resource (FHIR) repository. Subsequently, we implemented a patient summary web application concerning the IPS and evaluated 12 common use cases of the discharge summary. Results: The FHIR resources of seven of the necessary IPS sections were successfully converted from existing SS-MIX2 data. In the main view of the application we developed, all the minimum necessary patient information was summarized and visualized. All types of mandatory or required sections in the IPS and all structured information items of the discharge summary were displayed. Of the discharge summary, 75% of sections and 61.7% of information items were completely displayed, matching 12 common use cases in Japan. Conclusions: We implemented a patient summary application that summarizes and visualizes patient information accumulated by existing systems and is evaluated in common use cases in Japan. Efficient sharing of the minimum necessary patient information for physicians is expected to reduce information overload, workload, and burnout. [ABSTRACT FROM AUTHOR]

Objective: To determine the effectiveness of a web‐based educational program regarding local healthcare planning by public health nurses (PHNs) in Japan. Design: A single‐blind randomized controlled trial. Sample: Full‐time PHNs working for local governments across Japan. Measurements: The primary outcome was nurses' self‐perception of competencies in public health policy. The secondary outcome was self‐perception of knowledge, skills, and perspectives regarding local healthcare planning. We analyzed intergroup differences using the intention‐to‐treat principle and the Mann–Whitney U‐test. Intervention: The intervention group received six web‐based learning modules including substantial knowledge and skills regarding local healthcare planning based on the analysis, design, development, implementation, and evaluation model and adult learning theory. Results: Totally, 273 PHNs registered, and 38 were excluded without completing the baseline survey; 235 were randomly allocated to either the intervention (n = 118) or control (n = 117) groups. Sixty‐four participants in the intervention group completed the program. Over 70% of the participants lacked opportunities to learn about local healthcare planning. The intervention group showed significant improvement in self‐perception of competencies, knowledge, and skills regarding local healthcare planning, except for items related to evaluation. Conclusions: The web‐based learning program effectively improved participants' self‐perception of competencies in local healthcare planning. [ABSTRACT FROM AUTHOR]

Background: Discrepancies in symptom assessment between providers and patients are reported in cancer care, and the use of patient-reported outcome measures (PROMs) has been recommended for patients receiving palliative care. However, the status of the routine use of PROMs in palliative care in Japan is presently unclear. Therefore, this study aimed to clarify this complex question. To this end, we administered a questionnaire survey either online or via telephone interviews (questionnaire: sent to 427 designated cancer hospitals, 423 palliative care units [PCUs], and 197 home hospices; interviews: conducted at 13 designated cancer hospitals, nine PCUs, and two home hospices). Results: Questionnaires were returned from 458 institutions (44% response rate). We found that 35 palliative care teams (PCTs, 15%), 66 outpatient palliative care services (29%), 24 PCUs (11%) and one (5%) home hospice routinely used PROMs. The most frequently implemented instrument was the Comprehensive Care Needs Survey questionnaire. Moreover, 99 institutions (92%) that routinely used PROMs responded these instruments as useful in relieving patients' symptoms; and moreover, the response rate in regard to usefulness in symptom management was higher than that of institutions that did not routinely use PROMs (p = 0.002); > 50% of the institutions that routinely used PROMs stated that use of these instruments was influenced by disease progression and patients' cognitive function. Moreover, 24 institutions agreed to be interviewed, and interviews demonstrated the benefits of and the barriers to the implementation of PROMs. Effective methods used in the implementation of PROMs were introduced as efforts to reduce the burden placed on patients and to promote healthcare providers' education in the use of PROMs. Conclusions: This survey quantified the status of the routine use of PROMs within specialized palliative care in Japan, revealed barriers to wider PROM use, and identified needed innovations. Only 108 institutions (24%) routinely used PROMs within specialized palliative care. Based on the results of the study, it is necessary to carefully consider the usefulness of PROs in clinical palliative care, perform careful selection of PROMs according to the patient's condition, and evaluate how specifically to introduce and operate PROMs. [ABSTRACT FROM AUTHOR]

Physical activity has significant health benefits for the heart, body, and mind. However, the percentage of people engaging in exercise routines is low in Japan. Goals are important components of motivation. Scholars suggest that appropriately setting both subordinate goals of what to do and superordinate goals of why to do it may motivate the audience and promote behavior. However, it is not known what goals are presented in print materials that promote physical activity. Therefore, this study aimed to understand the presented goals by performing content analysis of those materials in Japan. We collected print materials such as leaflets, brochures, and posters via website search. The presence of subordinate and superordinate goals and topics for each goal was analyzed. A total of 224 print materials were systematically collected and analyzed. The results showed that 14.3% of the print materials did not present any superordinate goals, whereas 100% of them presented subordinate goals. For superordinate goals, healthy aging was frequently presented. For subordinate goals, 67.4% presented only exercise. There is a difference in presenting goals between the private and government sectors. Since goals affect motivation and behavior change, it may be beneficial to incorporate the findings of the goal theory in future print materials. [ABSTRACT FROM AUTHOR]

Introduction: Hikikomori is a Japanese term etymologically derived from ' hiku ' (i.e. ' to pull back ') and ' komoru ' (i.e. ' seclude oneself '), which identifies those subjects who deliberately withdraw themselves by social life, remaining confined into their own home/room. The phenomenon is widely diffused in Japan, even though it is currently spread outside the Japanese culture. However, a universally shared and cross-cultural adaptation of Hikikomori definition, phenomenological and psychopathological characterization is still missing. Methodology: An expert-guided opinion paper was here provided to clinical characterize the Hikikomori-like social withdrawal in the Italian context, by considering the transformation from a family-based society to a 'fluid' digital-structured culture, also discussing the concept of modern-type depression. This was provided deepening the principal current studies available in literature and giving an interpretation based on clinical experience in the Italian society. The work was supervised through a consensus by the most international expert of Japanese Hikikomori syndrome. Results: Current individual, family and social trajectories may potentially act as a mediator in favouring the occurrence of Hikikomori-like social withdrawal also in western countries, including Italy. Despite the differences between Japanese and Italian society and culture, the recent shaping of family structure and intra-familial dynamics, typical of the current post-modern society, may potentially influence the emergence of psychopathologies not typical of Italian culture. Unemployment and 'Not in Employment Education or Training' (NEET) conditions may represent another potential risk factor for economical/social marginalization of youngsters, together with the recent dramatic emergence of web-based psychopathologies. Conclusion: A diagnostic culturally-adapted flow-chart is proposed for clinical characterizing Hikikomori in Italian context, which may help in proposing preventive strategies, ensuring early identification and prompt therapeutic interventions, particularly among youngsters. [ABSTRACT FROM AUTHOR]

Objective: This study examines the extent to which retracted articles pertaining to COVID-19 have been shared via social and mass media based on altmetric scores. Methods: Seventy-one retracted articles related to COVID-19 were identified from relevant databases, of which thirty-nine had an Altmetric Attention Score obtained using the Altmetrics Bookmarklet. Data extracted from the articles include overall attention score and demographics of sharers (e.g., geographic location, professional affiliation). Results: Retracted articles related to COVID-19 were shared tens of thousands of times to an audience of potentially hundreds of millions of readers and followers. Twitter was the largest medium for sharing these articles, and the United States was the country with the most sharers. While general members of the public were the largest proportion of sharers, researchers and professionals were not immune to sharing these articles on social media and on websites, blogs, or news media. Conclusions: These findings have potential implications for better understanding the spread of misleading or false information perpetuated in retracted scholarly publications. They emphasize the importance of quality peer review and research ethics among journals and responsibility among individuals who wish to share research findings. [ABSTRACT FROM AUTHOR]

Infection with human papillomavirus (HPV) is the main cause of cervical cancer, and vaccination is an effective method to prevent HPV infection. In Japan, adverse reactions were reported in some HPV-vaccinated people in March 2013, and while Japan's Ministry of Health, Labor, and Welfare withdrew active recommendation of the vaccine in June 2013, the social movement to refuse vaccination has continued. The Ministry of Health, Labor, and Welfare (MHLW) has devised a plan to accurately disseminate information that promotes vaccination, but less than 1% of the eligible population was vaccinated, and the number has not increased. Besides, inaccurate information about health information can disseminate rapidly on social networks. Social networking services (SNS), mainly used by young people, can be used by the public to obtain medical information. However, according to the World Health Organization (WHO), SNSs are prone to spreading inauthentic and misleading information when it comes to information related to health and medical care. "Infodemic" is defined as a situation in which unidentified and false information is widely disseminated on SNS, causing WHO to issue international alerts. This study aimed to organize information about HPV vaccination disseminated on SNS in Japan. We extracted 208 tweets with the keyword "HPV vaccine" posted in Japan between April 1, 2014, and September 30, 2017. The extracted tweets included data points such as ID, language, posting date and time, and latitude and longitude. The location information of the senders was obtained from the latitude and longitude, and the tweets were organized by prefecture, city, town, village, and ID. Then, we evaluated whether the information at the URLs was accurate by examining retweets, likes, and the number of comments on the tweet. Python version 3.7.7 was used to extract the tweets. The results of classification of the tweets by prefecture are as follows: the Hokkaido prefecture accounted for four tweets; the northeast, six tweets; southern Kanto, 123 tweets; northern Kanto-Koshin, six tweets; Hokuriku, five tweets; Tokai, 35 tweets; Kinki, 10 tweets; Chugoku 4 tweets; Shikoku, three tweets; and Kyushu, nine tweets. A total of 93 users posted tweets; four users posted five or more tweets; 14 users posted 2–4 tweets, and 75 users posted one tweet. In particular, 66 tweets in Kanagawa prefecture, 14 tweets in Shizuoka prefecture, and two tweets in Tokyo were posted from the same ID. Regarding the type of tweet, there were 109 tweets, 65 retweets, and 34 replies. There were 137 tweets with and 71 tweets without URLs. When organized by the linked URL, 50 posts linked to a blog, 46 posts linked to a news item, seven posts linked to Facebook, five posts linked to a government agency homepage, four posts linked to YouTube, three posts linked to the home page of the City Council rep, two posts linked to a medical site, and 20 posts linked to other sources that could not be categorized. In terms of the authenticity of the posts, 25 tweets were judged as "accurate," 14 were judged to be "inaccurate," and 16 were judged as "unknown." We classified the posts as follows; "accurate" for those that contained accurate information and "inaccurate" for those that contained inaccurate information. The distribution of tweets and the uneven distribution of the users suggest that few people spread information about the HPV Vaccine on Twitter in Japan. Regarding the content, more than half of the tweets could not be judged as accurate or inaccurate because the verification results regarding adverse reactions of the HPV vaccine were not published at the time of sending, and in news and blog articles, personal opinions were stated rather than authentic medical information. In this study, we clarified the characteristics of tweets regarding HPV vaccination in Japan and the status of transmission. In the future, it will be necessary to change the keywords and time periods for which tweets need to be extracted, and the data set used for the analysis will need to be compared and examined. [ABSTRACT FROM AUTHOR]

Comparative studies often cannot be conducted for cancer types with a small patient population. We reviewed the efficacy evaluations of new drug approvals in Japan based on the results of single-arm clinical trials. We reviewed review reports on anticancer agents approved in Japan between 2006 and 2019 that are publicly available on the website of the Pharmaceuticals and Medical Devices Agency, Japan. The number of single-arm trial-based approvals increased, with a total of 43 drugs approved during the study period. Compared with comparative trial-based approvals, single-arm trial-based approvals had a tendency toward more biomarker-related indications (37.2% vs 22.6%, p =.053), as well as more approvals for hematological malignancies, orphan designation, and response-related outcomes as the primary endpoint. Only 13 of the pivotal trials of single-arm trial-based approvals had a predefined threshold for efficacy based on the same target population as the pivotal trial, and nearly half of the trials did not have an appropriate predefined threshold for efficacy. In particular, the efficacy thresholds for clinical trials for 4 molecular targeted agents were set based on the results of the nonbiomarker-selected population. Evidence on standard cancer therapies for rare molecular subtypes is lacking. External control data from registries might support the efficacy evaluations of new drugs for newly established rare molecular subtypes. [ABSTRACT FROM AUTHOR]

The Karitane Parenting Confidence Scale is a valid and reliable measure used to assess perceived parental self‐efficacy, which is a critical component in facilitating adaptation to parenthood. In the current study, we translated the original version of the scale, developed in Australia, into Japanese and examined the validity and reliability of the translation, including its factor structure. A Web‐based survey was administered to 316 mothers of children aged 0–12 months between May and June 2016. The results revealed that the Japanese version had a two factor structure: "self‐efficacy for infant care" and "self‐efficacy for parental role". The concurrent/convergent validity of the Japanese version was examined with an acceptable Cronbach's alpha coefficient for each subscale. The present findings indicate that the Japanese version of the Karitane Parenting Confidence Scale is a valid and reliable measure to assess parenting self‐efficacy among Japanese mothers of infants. The results suggest further assessment of parental self‐efficacy by using each subscale. Additionally, future studies should replicate the factor structures across varied or large populations. [ABSTRACT FROM AUTHOR]