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4. The impact of uncertainty in society on the use of traditional, complementary and alternative medicine: a comparative study on visits to alternative/traditional/folk health care practitioners

Author

Misawa, Jimpei, Ichikawa, Rie, Shibuya, Akiko, Maeda, Yukihiro, Arai, Ichiro, Hishiki, Teruyoshi, Kondo, Yoshiaki, Misawa, Jimpei, Ichikawa, Rie, Shibuya, Akiko, Maeda, Yukihiro, Arai, Ichiro, Hishiki, Teruyoshi, and Kondo, Yoshiaki

Abstract

Background: While traditional, complementary and alternative medicine (TCAM) is gaining increased interest worldwide, the structural factors associated with the usage of TCAM at the social level have not been sufficiently explored. We aim to understand the social structure of uncertainty in society that affects the TCAM usage for men and women. Methods: We studied 32 countries using data from the International Social Survey Programme and the World Bank. In this study, we defined TCAM usage as visits to an alternative/traditional/folk health care practitioner during the past 12 months. We performed a correlation analysis and used a generalized linear model . Results: The prevalence of TCAM usage in terms of visits to practitioners was 26.1% globally, while usage varied across the 32 countries. Generalized linear models showed that unemployment rate was associated with the prevalence of TCAM usage in terms of visits to practitioners. Conclusions: At the social-structural level TCAM usage involving visits to practitioners was related to job insecurity. Job insecurity led to a decrease in TCAM usage regarding visits to practitioners. These findings suggest that it is necessary to consider the social-structural factors of uncertainty in society when designing health policies related to TCAM.

Published
2021

6. Additional file 1: of The impact of uncertainty in society on the use of traditional, complementary and alternative medicine: a comparative study on visits to alternative/traditional/folk health care practitioners

Author

Jimpei Misawa, Ichikawa, Rie, Shibuya, Akiko, Maeda, Yukihiro, Arai, Ichiro, Teruyoshi Hishiki, and Kondo, Yoshiaki

Abstract

Table S1. The process of TCAM practitioner usage, age and gender exclusion in 32 countries. The process in which TCAM practitioner usage, age and sex were excluded in each country is shown. (DOCX 16 kb)

Published
2019
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10. Confirmed cardiac output on emergency medical services arrival as confounding by indication: an observational study of prehospital airway management in patients with out-of-hospital cardiac arrest

Author

Sakurai, Atsushi, primary, Kinoshita, Kosaku, additional, Maeda, Yukihiro, additional, Homma, Yosuke, additional, Tahara, Yoshio, additional, Yonemoto, Naohiro, additional, Nagao, Ken, additional, Yaguchi, Arino, additional, and Morimura, Naoto, additional

Published
2019
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15. Physician Electronic Medical Records Needs Measure

Author

Shibuya, Akiko, primary, Misawa, Jimpei, additional, Maeda, Yukihiro, additional, Ichikawa, Rie, additional, Kamata, Michiyo, additional, Inoue, Ryusuke, additional, Morimoto, Tetsuji, additional, Nakayama, Masaharu, additional, Hishiki, Teruyoshi, additional, and Kondo, Yoshiaki, additional

Published
2017
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16. Confirmed cardiac output on emergency medical services arrival as confounding by indication: an observational study of prehospital airway management in patients with out-of-hospital cardiac arrest.

Author

Atsushi Sakurai, Kosaku Kinoshita, Yukihiro Maeda, Yosuke Homma, Yoshio Tahara, Naohiro Yonemoto, Ken Nagao, Arino Yaguchi, Sakurai, Atsushi, Naoto Morimura, Kinoshita, Kosaku, Maeda, Yukihiro, Homma, Yosuke, Tahara, Yoshio, Yonemoto, Naohiro, Nagao, Ken, Yaguchi, Arino, Morimura, Naoto, and SOS-KANTO 2012 Study Group

Abstract

Objectives: Many registry studies on patients with out-of-hospital cardiac arrest (OHCA) have reported that conventional bag-valve-mask (BVM) ventilation is independently associated with favourable outcomes. This study aimed to compare the data of patients with OCHA with confirmed cardiac output on emergency medical services (EMS) arrival and consider the confounding factors in prehospital airway management studies.Methods: This was a cohort study using the registry data for survivors after out-of hospital cardiac arrest in the Kanto region at 2012 in Japan (SOS-KANTO 2012). Survivors who received advanced airway management (AAM) group and a BVM group were compared for confirmed cardiac output on EMS arrival and neurolgical outcome at 1 month. Favourable neurological outcome was defined as a score of one or two on the Cerebral Performance Categories Scale. Multivariable logistic regression was used to adjust the neurological outcome by age, gender, cardiac aetiology, witnessed arrest, shockable rhythm, cardiopulmonary resuscitation performed by a bystander, BVM at prehospital ventilation and presence of confirmed cardiac output on EMS arrival.Results: A total of 16 452 patients were enrolled in the SOS-KANTO 2012 study, and of those data 12 867 were analysed; 5893 patients comprised the AAM group and 6974 comprised the BVM group. Of the study participants, 386 (2.9%) had confirmed cardiac output on EMS arrival; 340 (2.6%) of the entire study group had a favourable neurological outcome. The proportion of patients with confirmed cardiac output on EMS arrival was significantly higher in the BVM group (272: 3.9%) than in the AAM group (114: 1.9%) (95% CI: 1.65 to 2.25). The proportion of patients with favourable neurological outcomes was 30% (117/386) in those with cardiac output on EMS arrival compared with 1.8% (223/12481) in those without. The OR for a good neurological outcome with BVM decreased from 3.24 (2.49 to 4.20) to 2.60 (1.97 to 3.44) when confirmed cardiac output on EMS arrival was added to the multivariable model analysis.Conclusion: Confirmed cardiac output on EMS arrival should be considered as confounding by indication in observational studies of prehospital airway management. [ABSTRACT FROM AUTHOR]

Published
2019
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26. Direct laser trapping of single globular DNA molecules

Author

Hirano, Ken, Mori, Kohei, Maeda, Yukihiro, Matsuzawa, Yukiko, Katsura, Shinji, and Mizuno, Akira

Abstract

We show herein that a single T4 phage DNA molecule which was transformed from coiled to globular state, was trapped directly by Nd:YAG laser (1064 nm). We also estimated trapping force of globular DNA molecules.

Published
1999
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27. [Quality assurance of medical treatment and preventable trauma death].

Author

Maeda Y, Umesato Y, Ohmichi H, Dohi K, Miyake Y, Aruga T, and Nakamura N

Subjects
Craniocerebral Trauma diagnosis, Emergency Service, Hospital standards, Humans, Injury Severity Score, Predictive Value of Tests, Risk, Trauma Centers standards, Treatment Outcome, Craniocerebral Trauma mortality, Craniocerebral Trauma prevention & control, Quality Assurance, Health Care standards
Published
2006

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