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  1. Article: Disease Trends in Children and Adolescents in Japan: A Retrospective Observational Study Using the Nationwide Claims Data for 2012-2016.

    Suto, Maiko / Takehara, Kenji / Morisaki, Naho / Moriichi, Akinori / Gai, Ruoyan / Mori, Rintaro

    Children (Basel, Switzerland)

    2024  Volume 11, Issue 1

    Abstract: This study aimed to clarify diseases that occur more frequently by age and identify the peaks and trends of each disease from infancy to adolescence for early detection and treatment. This retrospective observational study was conducted using Japan's ... ...

    Abstract This study aimed to clarify diseases that occur more frequently by age and identify the peaks and trends of each disease from infancy to adolescence for early detection and treatment. This retrospective observational study was conducted using Japan's National Database of Health Insurance Claims Specific Health Checkups from January 2012 to December 2016. Using peak ages and trends in the number of patients, we grouped diseases by the International Classification of Diseases chapters. Although diseases that peaked during infancy were the most common (10 disease chapters), other diseases peaked at school-going age and adolescence. Diseases in four chapters peaked during adolescence and continued to increase toward the age of 18. These four chapters included mental, behavioral, and neurodevelopmental disorders; diseases of the nervous system; the genitourinary system; and pregnancy, childbirth, and the puerperium. Childhood-onset diseases can affect long-term health and healthcare needs, and timely screening and guidance based on disease trends can provide an effective intervention. To establish a child healthcare system that provides preventive support for children and adolescents' physical, psychological, and social health, further research is needed to comprehensively understand the issues per age and developmental stage.
    Language English
    Publishing date 2024-01-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children11010081
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Gender disparity in the individual attitude toward longevity among Japanese population: Findings from a national survey.

    Gai Tobe, Ruoyan / Izumida, Nobuyuki

    PloS one

    2021  Volume 16, Issue 8, Page(s) e0254779

    Abstract: The unprecedented population aging brings profound influences to the social values of longevity. The individual attitudes toward the expended life time deserves scrutiny, as it reflects the impacts of social networks and social welfare on people's life ... ...

    Abstract The unprecedented population aging brings profound influences to the social values of longevity. The individual attitudes toward the expended life time deserves scrutiny, as it reflects the impacts of social networks and social welfare on people's life and wellbeing. This study aims to examine whether and how gender disparity is affecting the individual anticipation to longevity among Japanese citizen. We used the dataset of National Survey on Social Security and Peoples Life implemented in 2017 to calculate the odds ratios (OR) of the individual anticipation to longevity. Besides gender, other demographic characteristics, physical and mental health, the experience of nursing care for the elderly, financial conditions and social networks are examined by performing the multilevel mixed-effects logistic regression analysis. The results indicate the robust effects of gender disparity on the individual aspiration for longevity. The proportion of those who inclined the positive statement on longevity was estimated to be 69.7% (95% CI: 68.6% - 70.9%) in the whole population, and 70.9% (95% CI: 69.4% - 72.5%) and 68.7% (95% CI: 67.1% - 70.2%) in male and female, respectively. Besides gender, independent factors significantly affecting the individual valuation of longevity include age, annual household income, the experience of nursing care, household saving, having a conversation with others and the availability of reliable partner(s) for relevant supports; while the common factors affecting the outcome variable were self-perceived health status and mental distress measured by K6. The interaction of gender and these significant factors were determined as well. In conclusion, with relevant representativeness and quality of data source, this analysis adds knowledge on gender disparity in the individual anticipation on longevity. The findings are suggestive to reform the social security system in the super aged society.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Asian Continental Ancestry Group ; Female ; Humans ; Japan ; Longevity/physiology ; Male ; Middle Aged ; Odds Ratio ; Sexism ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2021-08-18
    Publishing country United States
    Document type Journal Article
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0254779
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Gender disparity in the individual attitude toward longevity among Japanese population

    Ruoyan Gai Tobe / Nobuyuki Izumida

    PLoS ONE, Vol 16, Iss 8, p e

    Findings from a national survey.

    2021  Volume 0254779

    Abstract: The unprecedented population aging brings profound influences to the social values of longevity. The individual attitudes toward the expended life time deserves scrutiny, as it reflects the impacts of social networks and social welfare on people's life ... ...

    Abstract The unprecedented population aging brings profound influences to the social values of longevity. The individual attitudes toward the expended life time deserves scrutiny, as it reflects the impacts of social networks and social welfare on people's life and wellbeing. This study aims to examine whether and how gender disparity is affecting the individual anticipation to longevity among Japanese citizen. We used the dataset of National Survey on Social Security and Peoples Life implemented in 2017 to calculate the odds ratios (OR) of the individual anticipation to longevity. Besides gender, other demographic characteristics, physical and mental health, the experience of nursing care for the elderly, financial conditions and social networks are examined by performing the multilevel mixed-effects logistic regression analysis. The results indicate the robust effects of gender disparity on the individual aspiration for longevity. The proportion of those who inclined the positive statement on longevity was estimated to be 69.7% (95% CI: 68.6% - 70.9%) in the whole population, and 70.9% (95% CI: 69.4% - 72.5%) and 68.7% (95% CI: 67.1% - 70.2%) in male and female, respectively. Besides gender, independent factors significantly affecting the individual valuation of longevity include age, annual household income, the experience of nursing care, household saving, having a conversation with others and the availability of reliable partner(s) for relevant supports; while the common factors affecting the outcome variable were self-perceived health status and mental distress measured by K6. The interaction of gender and these significant factors were determined as well. In conclusion, with relevant representativeness and quality of data source, this analysis adds knowledge on gender disparity in the individual anticipation on longevity. The findings are suggestive to reform the social security system in the super aged society.
    Keywords Medicine ; R ; Science ; Q
    Subject code 390
    Language English
    Publishing date 2021-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Managing healthcare delivery system to fight the COVID-19 epidemic: experience in Japan.

    Gai, Ruoyan / Tobe, Makoto

    Global health research and policy

    2020  Volume 5, Page(s) 23

    Abstract: Amid the global pandemic of a novel Coronavirus Disease 2019 (COVID-19), healthcare delivery system is being stretched. In Japan, rapid spread of the epidemic brings hospitals to the brink of exhaustion. This commentary aims to briefly review related ... ...

    Abstract Amid the global pandemic of a novel Coronavirus Disease 2019 (COVID-19), healthcare delivery system is being stretched. In Japan, rapid spread of the epidemic brings hospitals to the brink of exhaustion. This commentary aims to briefly review related policies of Japan in managing healthcare delivery system. Among the relevant actions, strengthening the hospitalized care is emphasized to save lives. Despite of limitations, the policies show a success in preventing a collapse of healthcare delivery system and skyrocketing mortality from happening so far. On the other hand, huge concerns remain if the infections continue to rapidly increase. The experience in Japan indicates the urgency of planning of healthcare delivery system, mobilizing all relevant social sectors by consensus, and guiding people with calm manner based on the best shared knowledge and evidences.
    MeSH term(s) COVID-19/epidemiology ; COVID-19/prevention & control ; Delivery of Health Care/organization & administration ; Humans ; Japan/epidemiology ; Pandemics/prevention & control
    Keywords covid19
    Language English
    Publishing date 2020-05-13
    Publishing country England
    Document type Journal Article
    ISSN 2397-0642
    ISSN (online) 2397-0642
    DOI 10.1186/s41256-020-00149-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Managing healthcare delivery system to fight the COVID-19 epidemic

    Ruoyan Gai / Makoto Tobe

    Global Health Research and Policy, Vol 5, Iss 1, Pp 1-

    experience in Japan

    2020  Volume 4

    Abstract: Abstract Amid the global pandemic of a novel Coronavirus Disease 2019 (COVID-19), healthcare delivery system is being stretched. In Japan, rapid spread of the epidemic brings hospitals to the brink of exhaustion. This commentary aims to briefly review ... ...

    Abstract Abstract Amid the global pandemic of a novel Coronavirus Disease 2019 (COVID-19), healthcare delivery system is being stretched. In Japan, rapid spread of the epidemic brings hospitals to the brink of exhaustion. This commentary aims to briefly review related policies of Japan in managing healthcare delivery system. Among the relevant actions, strengthening the hospitalized care is emphasized to save lives. Despite of limitations, the policies show a success in preventing a collapse of healthcare delivery system and skyrocketing mortality from happening so far. On the other hand, huge concerns remain if the infections continue to rapidly increase. The experience in Japan indicates the urgency of planning of healthcare delivery system, mobilizing all relevant social sectors by consensus, and guiding people with calm manner based on the best shared knowledge and evidences.
    Keywords Public aspects of medicine ; RA1-1270 ; covid19
    Subject code 950
    Language English
    Publishing date 2020-05-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Association Between Transient Newborn Hypoglycemia and Test Proficiency.

    Tobe, Ruoyan Gai

    JAMA pediatrics

    2016  Volume 170, Issue 3, Page(s) 297

    MeSH term(s) Achievement ; Blood Glucose/physiology ; Female ; Humans ; Hypoglycemia/epidemiology ; Infant, Newborn, Diseases/epidemiology ; Male
    Chemical Substances Blood Glucose
    Language English
    Publishing date 2016-03
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 2701223-2
    ISSN 2168-6211 ; 2168-6203
    ISSN (online) 2168-6211
    ISSN 2168-6203
    DOI 10.1001/jamapediatrics.2015.4073
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Managing healthcare delivery system to fight the COVID-19 epidemic

    Gai, Ruoyan / Tobe, Makoto

    Global Health Research and Policy

    experience in Japan

    2020  Volume 5, Issue 1

    Keywords covid19
    Language English
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    ISSN 2397-0642
    DOI 10.1186/s41256-020-00149-0
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Trends of global burden related to HBV and HCV from 1990 to 2019: An age-period-cohort analysis.

    Wu, Bin / Tobe, Ruoyan Gai / Yan, Mengxia / Lin, Houwen / Zhou, Hua

    Journal of medical virology

    2023  Volume 95, Issue 3, Page(s) e28663

    Abstract: The spread of disease related to Hepatitis B and C poses a significant public health problem. There have been a few studies that examine the effects of cohort and period on the trend of mortality caused by Hepatitis B and C. This analysis aims to use an ... ...

    Abstract The spread of disease related to Hepatitis B and C poses a significant public health problem. There have been a few studies that examine the effects of cohort and period on the trend of mortality caused by Hepatitis B and C. This analysis aims to use an age-period-cohort (APC) framework to explore trends in mortality attributed to Hepatitis B and C worldwide and in different socio-demographic index (SDI) regions between 1990 and 2019. The data for this analysis were taken from the Global Burden of Disease study, which was used to perform an APC analysis. The age effects reflect differences in exposure to risk factors at different stages of life. The period effects reflect population-wide exposures at a circumscribed year. The cohort effects indicate different risks across birth cohorts. The results of the analysis include both the net drift and local drift, which are reported as the annual percentage change and that by age group. The age-standardized mortality rate for Hepatitis B declined from 12.36 to 6.74 per 100 000, and for Hepatitis C from 8.45 to 6.67 per 100 000 between 1990 and 2019. The net drifts in mortality were -2.41% (95% confidence interval (CI) -2.47 to -2.34) for Hepatitis B and -1.16% (95% CI, -1.23 to -1.09) for Hepatitis C, with negative local drifts in most age groups. Mortality from Hepatitis B increased with age until 50+ years, while mortality from Hepatitis C rose steadily with age. The period effect for Hepatitis B was profound, suggesting effective national efforts in controlling the disease and the need for similar programs for Hepatitis B and C. Mortality varied across the world and had moderate to weak negative correlations with the SDI, which substantially decreases in the high-middle and middle SDI regions, but has persistently high rates in the low SDI region. Global efforts to manage Hepatitis B and C have shown positive trends, but variations in trends were observed across regions with divergent age, cohort, and period effects. The national efforts of a comprehensive strategy are crucial to further strengthen the elimination of Hepatitis B and C.
    MeSH term(s) Humans ; Middle Aged ; Hepatitis B virus ; Hepatitis C/epidemiology ; Risk Factors ; Hepatitis B/epidemiology ; Hepacivirus ; Cohort Studies ; Global Health
    Language English
    Publishing date 2023-04-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 752392-0
    ISSN 1096-9071 ; 0146-6615
    ISSN (online) 1096-9071
    ISSN 0146-6615
    DOI 10.1002/jmv.28663
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Managing healthcare delivery system to fight the COVID-19 epidemic: experience in Japan

    Gai, Ruoyan / Tobe, Makoto

    Global Health Research and Policy

    Abstract: Amid the global pandemic of a novel Coronavirus Disease 2019 (COVID-19), healthcare delivery system is being stretched In Japan, rapid spread of the epidemic brings hospitals to the brink of exhaustion This commentary aims to briefly review related ... ...

    Abstract Amid the global pandemic of a novel Coronavirus Disease 2019 (COVID-19), healthcare delivery system is being stretched In Japan, rapid spread of the epidemic brings hospitals to the brink of exhaustion This commentary aims to briefly review related policies of Japan in managing healthcare delivery system Among the relevant actions, strengthening the hospitalized care is emphasized to save lives Despite of limitations, the policies show a success in preventing a collapse of healthcare delivery system and skyrocketing mortality from happening so far On the other hand, huge concerns remain if the infections continue to rapidly increase The experience in Japan indicates the urgency of planning of healthcare delivery system, mobilizing all relevant social sectors by consensus, and guiding people with calm manner based on the best shared knowledge and evidences
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #245608
    Database COVID19

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  10. Article ; Online: Parents' preferences for respite care of children with medical complexity.

    Yamamoto, Yoshiko / Aoki, Ai / Fuji, Hiroshi / Chen, Gang / Bolt, Timothy / Suto, Maiko / Mori, Rintaro / Uchida, Katsuyasu / Takehara, Kenji / Gai, Ruoyan

    Pediatrics international : official journal of the Japan Pediatric Society

    2023  Volume 65, Issue 1, Page(s) e15703

    Abstract: Background: The number of children with medical complexity (CMC) is increasing worldwide. For these children and their families, various forms of support are legislated; among them, short-stay respite care has a great unmet need. We examined such ... ...

    Abstract Background: The number of children with medical complexity (CMC) is increasing worldwide. For these children and their families, various forms of support are legislated; among them, short-stay respite care has a great unmet need. We examined such children's parents' preferences for respite care and their willingness to pay.
    Methods: We used discrete choice experiments (DCEs) to estimate the parents' preferences and willingness to pay. Parents whose children used overnight short-stay respite services answered a questionnaire to compare two hypothetical facilities of respite care having seven attributes and three levels. The DCE data was analyzed using the conditional logit model. The willingness to pay was calculated based on DCE estimates.
    Results: A total of 70 parents participated in this study and mean age of their children was 7.8 years (standard deviation [SD] 4.3). Among those children, 67 (96%) had the severest certification of disability, and 27 (38%) used a ventilator at home. We found that the parents' highest preferences was the best level of medical care level that can manage ventilators (coefficient 1.61, 95% confidence interval [CI]: 1.32-1.90). The better and best level of medical care, daily care, education/nursing, and emergency care were preferred over basic quality services. Willingness to pay for the best level of medical care was approximately 75,367 JPY per night.
    Conclusion: This study shows a need for respite care that can deliver high-level medical care, especially for the management of ventilators, to CMC. This finding can serve as a basis for promoting respite care services.
    MeSH term(s) Child ; Humans ; Respite Care ; Parents ; Home Care Services ; Surveys and Questionnaires ; Logistic Models
    Language English
    Publishing date 2023-12-13
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1470376-2
    ISSN 1442-200X ; 1328-8067
    ISSN (online) 1442-200X
    ISSN 1328-8067
    DOI 10.1111/ped.15703
    Database MEDical Literature Analysis and Retrieval System OnLINE

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