Abstract We sought to verify the reliability of machine learning (ML) in developing diabetes prediction models by utilizing big data. To this end, we compared gradient boosting decision tree (GBDT) and logistic regression (LR) using data obtained from Kokuho-database Osaka prefecture, Japan. develop models, focused on 16 predictors health checkup April 2013 December 2014. A total 277,651 eligible participants were studied. The developed a light (LightGBM), which is an effective GBDT...

To the authors' knowledge, there had been no evidence for efficacy of psychosocial intervention among Japanese cancer patients. The objective this study was to determine effect a group in reducing psychologic distress and enhancing coping population randomized controlled trial.The patient selection criteria were age younger than 65 years, lymph node metastasis positive and/or histologic or nuclear Grade 2-3, surgery undergone within previous 4-18 months as start study. We conducted 6-week,...

Although the place of death patients with terminal cancer is influenced by multiple factors, few studies have systematically investigated its determinants. The purpose this study was to examine influence patients' sociodemographic, clinical and support network variables on terminally ill under care home agencies in Japan. Among 528 from 259 agencies, 342 (65%) died at 186 (35%) a hospital. From multivariate logistic regression model, who expressed desire for receiving referral [odds ratio...

Abstract BACKGROUND. Although studies have shown the usefulness of improving health professionals' communication skills by training, to authors' knowledge none demonstrated efficacy skill training (CST) for professionals in terms patient outcomes. This study aimed assess CST nurses psychologic distress and coping among patients after being informed a cancer diagnosis. METHODS. Nurses who mainly provide with informational support their diagnosis physicians at screening center were randomly...

Background Discrepancy between preferred and actual place of death is common in cancer patients. While previous research has elucidated the factors associated with congruence patients' death, it not known how perspective family influences death. This study examined whether preference for mediates relationship patient Methods A total 258 patients (home n = 142; hospital 116) who had received terminal care Japan were analyzed. Measures included demographic variables, preferences functional...

Abstract Introduction : The importance of effective communication skills to sustain the cancer patient quality life (QOL) and their satisfaction with healthcare professionals is well documented. This study aims assess effectiveness training (CST) nurses for QOL just after being diagnosed cancer. Methods a secondary analysis randomized controlled trial. Eight nurses, who mainly provide psychological informational support patients soon they were informed diagnosis by physicians at screening...

Although osteoarthritis (OA) of the knee joints is most common and debilitating joint disease in developed countries, factors that determine severity symptoms are not yet understood well. Subjects with symptomatic medial OA were followed up prospectively to explore relationship between radiographic changes or physical examination findings.One-hundred six knees 68 subjects (mean age 71.1 years; 85% women) at 6-month intervals over 36 months. At each visit, radiographs obtained, assessed by a...

Abstract Background : A randomized study was performed to investigate whether a communication skill (CS) training program can improve nurse's ability detect the distress of patients who have just been informed cancer diagnosis. Methods Nurses were randomly assigned experimental or control group, and those in former group had undergone CS program. both groups then requested support their Intervention consisted one‐on‐one nurse interviews 3 times (on day, 1 week, month after diagnosis)....

Abstract Though psychosocial group intervention is considered in the West to be an important source of support for reducing distress cancer patients, Asian countries, there has been no research as yet on needs such intervention. This study investigated level participation and interest plus any associated factors 151 primary breast patients. All were less than 65 years old at 4–18 months post‐surgery. Of 126 subjects who responded (response rate 83%), 53 (42%) participated (participants) 73...

Background The aging of populations is rapidly accelerating worldwide. Especially, Japan has maintained the highest rate population As countermeasures, Japanese government prioritized promotion local comprehensive care systems and collaboration in medical social (long-term) care. Development a system to connect services community necessary for increasing older people, especially people stage end life. Objective This study aimed assess effect multidisciplinary end-of-life educational...

The present study examined the information needs of family caregivers terminally ill cancer patients. Data were obtained by a structured interview from 66 Japanese patients institutionalized in palliative care unit. Needs for disease-related (the disease, treatment and prognosis) care-related patient members) investigated, demographic situational characteristics related to individual assessed. More than 60% wanted information, approximately half these information. These had significant...

The number of home-visit nursing agencies in Japan has greatly increased over the past 20 years since Japanese government first introduced it 1992 to meet needs home-bound elderly. Since then, come serve for a variety populations such as those with terminal-stage cancer, neurological diseases, psychiatric conditions, or children chronic conditions; currently reached 6,801 (as April 2013). Yet little been known about details their characteristics terms patient types differences/similarities...

Our goal was to investigate the association between actual place of death among Japanese home end-of-life care patients with advanced cancer and individual, illness, environmental factors, including presence or absence symptoms.Using structured interviews, we asked 44 nurses from 19 home-visit nursing agencies about changes in status all 123 their April September 2013. The main outcome variable (Home/Hospital/Still surviving) independent variables were patient's symptoms as a time-dependent...

Through a cross-sectional nationwide survey, this study identified the associations between Japanese people's choice of end-of-life care location and their sense being burden or source concern to family members. A total 1,042 people responded survey (a response rate 55 percent). Of these, 44 percent said they would prefer receive at home, 15 in hospital, 19 palliative unit, 10 public nursing 2 private home. Multinomial logistic regression analysis revealed that those who thought it most...

Provider-centered factors contribute to unexplained variation in the quality of death (QOD). The relationship between healthcare providers (HCPs) and patients, bidirectional communication, consistency longitudinal care planning are important provider-centered factors.To explore whether level trust HCPs, continuity care, coordination among home HCPs associated with QOD for cancer patients dying at home.This study was a part nationwide multicenter questionnaire survey bereaved family members...

This paper examines the applicability of psychosocial group intervention for Japanese patients with primary breast cancer. The study included two phases. First, we examined an model developed in a Western country. model, based on work Fawzy and (1994) structured cancer patients, is series six 1.5-h sessions that incorporate health education, coping-skills training, relaxation training psychological support. Second, formulated version by modifying areas identified as inappropriate...

目的:訪問看護による終末期がん患者への訪問時期別のアドバンスケアプランニング(Advance Care Planning;以下ACP)の実態を把握し,希望死亡場所での死亡の実現との関連を明らかにする.

Causal relations among many statistical variables have been assessed using a Linear non-Gaussian Acyclic Model (LiNGAM). Using access to large amounts of health checkup data from Osaka prefecture obtained during the six fiscal years 2012-2017, we applied DirectLiNGAM algorithm as trial extract causal indices for age groups and genders. Results show that LiNGAM yields interesting reasonable results, suggesting correlation used these analyses.

Objective: To estimate the prevalence of Japanese adolescents' alcohol use in Japan and situations surrounding their drinking. Method: A general population self-administered questionnaire survey was conducted with a sample 5,240 junior high school students obtained from 12 representative schools Chiba Prefecture Japan. Results: Almost 80% boys 75% girls reported having consumed an alcoholic beverage on at least one occasion. Consumption occurred most frequently ceremonial occasion (52.4%),...

Discrepancy between preferred and actual place of death is common in patients with advanced cancer.To investigate the association advance care planning (ACP) home cancer.Using structured interviews, 44 primary nurses from 19 home-visit nursing agencies Japan were asked about status changes for 123 cancer receiving care. The main outcome was death.Of patients, 16 alive, 54 died at 53 hospital. Multivariate analyses revealed that more likely if: i) physicians or practised ACP during whole...