170 research outputs found
Influence of patient characteristics on care time in patients hospitalized with schizophrenia
No full textYukiko Sugibayashi,1 Kimio Yoshimura,1 Keita Yamauchi,1,2 Ataru Inagaki,3 Naoki Ikegami1 1Department of Health Policy and Management, Keio University School of Medicine, Tokyo, 2Keio University Graduate School of Health Management, Kanagawa, 3Aoyama Gakuin University, School of International Politics, Economics and Communication, Tokyo, Japan Background: In the current Japanese payment system for the treatment of psychiatric inpatients, the length of hospital stay and nurse staffing levels are key determinants of the amount of payment. These factors do not fully reflect the costs of care for each patient. The objective of this study was to clarify the relationship between patient characteristics and their care costs as measured by “care time” for patients with schizophrenia.Methods: Patient characteristics and care time were investigated in 14,557 inpatients in 102 psychiatric hospitals in Japan. Of these 14,557 inpatients, data for 8,379 with schizophrenia were analyzed using a tree-based model.Results: The factor exerting the greatest influence on care time was ”length of stay”, so subjects were divided into 2 groups, a “short stay group” with length of stay ≦104 days, and “long stay group” ≧105 days. Each group was further subdivided according to dependence with regard to “activities of daily living”, “psychomotor agitation”, “verbal abuse”, and “frequent demands/repetitive complaints”, which were critical variables affecting care time. The mean care time was shorter in the long-stay group; however, in some long-stay patients, the mean care time was considerably longer than that in patients in the short-stay group.Conclusion: The results of this study suggest that it is necessary to construct a new payment system reflecting not only length of stay and nurse staffing levels, but also individual patient characteristics. Keywords: psychiatric hospital, schizophrenia, care time, case mix, tree-based mode
CYTOLOGICAL OBSERVATION ON THE POSSIBLE SITES OF RENIN FORMATION IN THE NA-TARTRATE ADMINISTERED RABBIT KIDNEY
No full text
岩手県奥州市江刺区梁川の薩摩奴踊歌とその形成過程に関する基礎的考察
No full text40019327427"Satsuma-Yakko-Odori" is an old folk parformance of lwate pref. in japan.
The author was given a copy of the libretto from Mr. Kimio Kikuchi as president of conservation party for "Nishi-Sawame Satsuma-Yakko-Odori" last year. It was an unpublished text. So l want to print it.
And neighboring area of Nishi-Sawame has some similar performances, like "Higashi-Sawame-Satsuma-Yakko-Odori", "Karuishi-Satsuma-Yakko-Odori". But they have liltle differences mutually.
Moreover there're old notes of texts of "Satsuma-Yakko-Odori" wrote down at Meiji era or Edo era.
The comparison of these texts shows a representative growth and development of "Nishi-Sawame Satsuma-Yakko-Odori"
Photoperiod-sensitive developmental delay in facet mutants of the drosophilid fly, Chymomyza costata and the genetic interaction
No full textPreviously, we demonstrated that the biological clock gene, timeless (tim), is potentially involved in photoperiodic diapause induction in the larvae of the drosophilid fly Chymomyza costata. Suppression of tim transcription was inevitably associated with the loss of diapause induction even under diapause-promoting short-day conditions. In the present paper, I report a novel gene, facet (fa), which may genetically interact with tim in photoperiodically controlled larval development in this species. I demonstrated the effect of photoperiod on the development of fa morphological mutants. Developmental delay was remarkable in fa larvae under a diapause-preventing photoperiod, 16 hr light: 8 hr dark/day, in which the wild-type individuals showed normal and synchronous development. The delay was recovered by extension of the light phase of daily light/dark cycles or the introgression of a deficient tim allele
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