110 research outputs found
On the separation of religion and politics in the Constitution of Japan
In this paper, We go into the question of the separation of religion and politics in the Constitution of Japan. Especially, we are to get light on the report on the Cabinet Member's taking part in the worship of the Yasukuni Shrine. This is the question whether it is constitutional or unconstitutional the Cabinet Member's taking part in the worship of the Yasukuni Shrine. there are six points on this question.departmental bulletin pape
Occurrence and Progression of White Matter Hyperintensities in Middle-aged Patients with Systemic Lupus Erythemato
To elucidate the clinical characteristics of white matter hyperintensities (WMH) deterioration in SLE, we here report the occurrence of WMH on brain magnetic resonance imaging (MRI) by age group and the WMH deterioration rate in patients with SLE. Age-adjusted ratios of periventricular hyperintensities (PVH) and deep white matter hyperintensities (DWMH) in the SLE group (n = 142) were higher than those in the control group (n = 216, p = 0.003 and p < 0.0001, respectively). The difference was remarkable in middle-aged patients (≥ 40 and < 60 years) (p < 0.0001 for PVH and DWMH). In middle-aged patients with SLE, WMH were associated with hypertension (OR, 4.0; 95 % CI, 1.1–15.8 for PVH and OR, 4.5; 95 % CI, 1.1–18.5 for DWMH) and dyslipidemia (OR, 22.2; 95 % CI, 1.6–300.5 for PVH). In Kaplan–Meier analysis, the overall rate of one grade WMH deterioration on the Fazekas scale was 8.2 % per year during a 15-year follow-up (< 60 years, n = 68). WMH in middle-aged patients deteriorated more rapidly than younger patients. Our study reveals that middle-aged patients with SLE pose a risk for developing WMH because of vascular risk factors including hypertension and dyslipidemia, and also can have progressively worsening WMH.departmental bulletin pape
An Examination of Tourist Migration Behaviour : The Case of Tourism in Okinawa
departmental bulletin pape
Illness Mapping: A time and cost effective method to estimate healthcare data needed to establish community-based health insurance
Background: Most healthcare spending in developing countries is private out-of-pocket. One explanation for low penetration of health insurance is that poorer individuals doubt their ability to enforce insurance contracts. Community-based health insurance schemes (CBHI) are a solution, but launching CBHI requires obtaining accurate local data on morbidity, healthcare utilization and other details to inform package design and pricing. We developed the "Illness Mapping" method (IM) for data collection (faster and cheaper than household surveys). Methods. IM is a modification of two non-interactive consensus group methods (Delphi and Nominal Group Technique) to operate as interactive methods. We elicited estimates from "Experts" in the target community on morbidity and healthcare utilization. Interaction between facilitator and experts became essential to bridge literacy constraints and to reach consensus.The study was conducted in Gaya District, Bihar (India) during April-June 2010. The intervention included the IM and a household survey (HHS). IM included 18 women's and 17 men's groups. The HHS was conducted in 50 villages with1,000 randomly selected households (6,656 individuals). Results: We found good agreement between the two methods on overall prevalence of illness (IM: 25.9% ±3.6; HHS: 31.4%) and on prevalence of acute (IM: 76.9%; HHS: 69.2%) and chronic illnesses (IM: 20.1%; HHS: 16.6%). We also found good agreement on incidence of deliveries (IM: 3.9% ±0.4; HHS: 3.9%), and on hospital deliveries (IM: 61.0%. ± 5.4; HHS: 51.4%). For hospitalizations, we obtained a lower estimate from the IM (1.1%) than from the HHS (2.6%). The IM required less time and less person-power than a household survey, which translate into reduced costs. Conclusions: We have shown that our Illness Mapping method can be carried out at lower financial and human cost for sourcing essential local data, at acceptably accurate levels. In view of the good fit of results obtained, we assume that the method could work elsewhere as well
- …
