Possibility of the Introduction of Telemedicine in Rural Villages in Vietnam - From the Introduction of Medical Information System to the Vertical Integration-Type Medicine Management

We have been implementing the research work in order to achieve the rural clinics that can provide the similar quality of clinic performance as that of urban general hospitals. The research work involves the use of common fund in community, from the financial viewpoint, for the purpose of continuous management of clinics in rural villages of developing countries, and the introduction of telemedicine system from the viewpoint of medical quality improvement. Our research fields have been rural villages near Hanoi, Vietnam1). This report is a result of another research work concerning the telemedicine for the clinics of rural villages, covering from the introduction of the vertical integration-type medicine management pursuing the possibility of quality improvement measures in the healthcare at the Vietnamese rural villages through the field research at the Hanoi, the capital city of Vietnam as well as the hub of the IT technology

A Study on the Relationship Between Decision-making Speed and Kansei Through Data Visualization

Data visualization is the processing of data, directed at a person, content, and purpose, to simplify decision-making for the person. In practice, does data visualization affect people's decision-making time? In this study, we formulate questions using tables and graphs for three data groups, with varying amounts of information. Twenty subjects are asked to answer the questions from least to most of information, and the time taken to answer them is measured. Following the experiment, the attributes of the subjects, including gender, age, occupation are obtained via a questionnaire. The experiment reveals that as information increases in the tabular format, the answering slows proportionally. In contrast, in the graph format, the responses do not slow down proportional to the increase in information. The relationship between the subjects’ attributes and the speed of answering is determined and some significant differences are found. Six patterns of relationship between the answering time for the tables and graphs are obtained. Subsequently, the relationship between these attributes and “change of flow from data to action (hereinafter called “the decision-making process”)” are examined in Kansei engineering, and the data visualization is found to be potentially effective at speeding up the decision-making process

Model-based fault analysis of communication between supervisors and their subordinates in the Japanese workplace

This paper uses model-based fault analysis to identify the functions and factors that may cause miscommunication between supervisors and their subordinates. In describing the system model, a system-engineering approach is used to clearly define behaviors and interactions between supervisors and subordinates in the Japanese workplace. Semi-structured interviews were conducted to extract system requirements, and the functional architecture is described. The system model was verified by interviewing business persons. Using the system model, we identify the major functions and factors disrupting communication

アニサキス症による好酸球性肉芽腫を合併した早期胃癌の一例

京都府立医科大学附属北部医療センター　消化器内科京都府立医科大学　消化器内科京都府立医科大学附属北部医療センター　外科Department of Gastroenterology, North Medical Center,Kyoto Prefectural University of MedicineMolecular Gastro enterology and Hepatology, Kyoto Prefectural University of MedicineDepartment of Surgery, North Medical Center,Kyoto Prefectural University of Medicine症例は80代、男性。市民検診での胃透視で前庭部に異常所見を指摘され、精査加療目的に当院受診となった。上部消化管内視鏡検査では胃幽門部に30mm大の3型腫瘍を認めた。生検結果はadenocarcinoma tub2-porであった。胸腹部造影CT検査では所属リンパ節腫大・遠隔転移は認めず、術前診断:cT2N0M0 cStage Iとして手術加療を行った。最終病理診断はadenocarcinoma(por1>tub2>tub1)pT1b(SM2 0.7mm)Ly0V1aN0であり、腫瘍直下の筋層内に2mmの壊死を伴う肉芽腫を認めた。肉芽腫内には好酸球浸潤を認め、遺伝子解析の結果Anisakis simplexが検出された。その後術後経過良好で、現在再発なく、当院外科外来で経過観察されている。(著者抄録

Dissecting the Shared Genetic Architecture of Suicide Attempt, Psychiatric Disorders, and Known Risk Factors

Background Suicide is a leading cause of death worldwide, and nonfatal suicide attempts, which occur far more frequently, are a major source of disability and social and economic burden. Both have substantial genetic etiology, which is partially shared and partially distinct from that of related psychiatric disorders. Methods We conducted a genome-wide association study (GWAS) of 29,782 suicide attempt (SA) cases and 519,961 controls in the International Suicide Genetics Consortium (ISGC). The GWAS of SA was conditioned on psychiatric disorders using GWAS summary statistics via multitrait-based conditional and joint analysis, to remove genetic effects on SA mediated by psychiatric disorders. We investigated the shared and divergent genetic architectures of SA, psychiatric disorders, and other known risk factors. Results Two loci reached genome-wide significance for SA: the major histocompatibility complex and an intergenic locus on chromosome 7, the latter of which remained associated with SA after conditioning on psychiatric disorders and replicated in an independent cohort from the Million Veteran Program. This locus has been implicated in risk-taking behavior, smoking, and insomnia. SA showed strong genetic correlation with psychiatric disorders, particularly major depression, and also with smoking, pain, risk-taking behavior, sleep disturbances, lower educational attainment, reproductive traits, lower socioeconomic status, and poorer general health. After conditioning on psychiatric disorders, the genetic correlations between SA and psychiatric disorders decreased, whereas those with nonpsychiatric traits remained largely unchanged. Conclusions Our results identify a risk locus that contributes more strongly to SA than other phenotypes and suggest a shared underlying biology between SA and known risk factors that is not mediated by psychiatric disorders.Peer reviewe

Proposal of Visualising Model of Customer Demands Sufficiency Degree in Designing Private Life Insurance

Since May 2016, customers’ demands confirmation at the time of life insurance solicitation was strengthened by the Japanese Financial Services Agency (FSA). It requires not only confirming what the customer is requiring, but also to realize what is required through the insurance plan proposal. To realize this, life insurance companies must firstly understand their customers’ needs and then need to show how the it can be realized through the proposed insurance plan as well as how it matches with their own needs. This means that both customer needs and the matching between these needs with the proposal must be visualized. The visualisation can be realized by using a three-dimensional model which contains time, space, and products axes. These three axes represent the elements of insurance products, where time represents 'when' the insured will deserve the benefits and space represents 'for what' the insured will deserve the benefits. The customer’s insurance expectation is, in other words, a clarification of the function which a customer is expecting out of entire functions of this insurance. This clarification of required insurance functions leads to identification of that customer’s insurance demands. Therefore, the three-dimensional model can be used to visualize both what the insurance can do as well as the customer’s own demands.This paper aims to propose a visualised, three-dimensional model which represents the structure, essence, and the concept of insurance. The three-dimensional model is a model which enables the visualization of sufficiency degrees of customer demands that could be invisible in most of the cases. Each axis of the three-dimensions represents the function of insurance. The visualising model of customer demands sufficiency degree enables a comprehension of the function of insurance in public social security, private life/non-life insurance, and customer demands point of view. Through the process of understanding insurance as a system by using this model, people will understand how can insurance support their financial risk and find out what they should and should not expect for private life insurance products.Through the result of several workshops and interviews with professionals and a life insurance specialist in order to evaluate the model, it was proven that the model helped in understanding the features and functions of life insurance, and participants could better understand their needs of insurance. Additionally, they had the impression that life insurance is something valuable and will be of benefit for future financial risks