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Influences of Allocating HIV/AIDS Specialized Nurses on Clinical Outcomes in Japan
Masakazu Nishigaki,Yuko Sugino,Jongmi Seo,Megumi Shimada,Kazuko Ikeda,Keiko Kazuma 한국간호과학회 2011 Asian Nursing Research Vol.5 No.1
Purpose This retrospective cohort study was conducted to demonstrate how allocation of nurses specialized in HIV care influences clinical outcomes of antiretroviral therapy (ART) for people living with HIV (PLWH). Methods The medical records of 116 PLWH who started ART between January 2002 and December 2004 were analyzed. Occurrence of viral suppression and viral relapse after suppression achievement and their time from baseline were observed as clinical outcomes related to ART. Clinical outcomes were obtained from medical records between January 2002 and December 2006. PLWH were classified into two groups according to allocation (n = 95, nurse allocated group) or nonallocation (n = 21, nurse nonallocated group) of nurses specialized in HIV. Results Survival analysis showed that HIV viral load was suppressed more rapidly and continuously in nurse allocated group than nonallocated group (p < .0001). Viral relapse after suppression achievement occurred easily in nurse nonallocated group than allocated group (p = .003). Conclusions The present findings demonstrated that the role of specialized nurses is critically important from the viewpoint of clinical outcome. [Asian Nursing Research 2011;5(1):11–18]
Kaori Nishigaki,Yutaka Kanamori,Mari Ikeda,Masahiko Sugiyama,Hideko Minowa,Kiyoko Kamibeppu 한국간호과학회 2016 Asian Nursing Research Vol.10 No.2
Purpose: This research was conducted to reveal Japanese mothers' changing perceptions towards their technology-dependent children in the home care setting. Methods: Fourteen Japanese mothers participated in semi-structured interviews, which were analyzed using a grounded theory approach. Results: “Degree of preoccupation with the child” emerged as the category representing the mothers' perceptions towards their child. Three categories emerged that represented the progression of maternal perceptions over time: “accepting the child's conditions”, “mastering the management of care in various conditions”, and “considering social participation for the child”. Conclusions: First, mothers gradually accepted the conditions of their child after his/her disease and disability were known. Second, others managed technology-required care and concurrently considered the social participation of their child through daily care at home. Third, the level of preoccupation with the child was affected by the mothers' management of care and their attitude towards the social participation of their child in home care. In this study, as is widely alleged in historical recognition of Japan, mothers provided daily care almost without help from other family members. Additionally, they thought it natural and good for their children. Above all, especially in Japan, professional support for mothers are necessary so that they can take breaks from care.
A NON-LINEAR APPROACH TO JAPANESE BUSINESS CYCLES
Yasuyuki Nishigaki,Yuichi Ikeda,Mitsuhiko Satake People&Global Business Association 2007 Global Business and Finance Review Vol.12 No.3
A considerable amount of interest has been taken in empirical tests to determine chaos in business cycles after the introduction of the non-linear approach to economics. Amongst the several empirical works on macro-economic time series. Frank. Gencay and Stengos (1988) found the strong non-linearity in the Japanese data. This paper attempts to provide a precise mathematical version of empirical tests on Japanese time series for the presence of low-dimensional deterministic chaos. The "residual diagnostics" which was first presented by Brock(1986) is conducted on the Japanese macro-economic quarterly time series. including the periods of "rapid growth", "two oil crises" and "bubble economy and after bubble depression "(from 1955 to 2000). For the low-dimensional deterministic chaos tests. the correlation integral correlation dimension and BDS statistics are examined Empirical results show that the correlation dimension grew linearly with the embedding dimension and did not saturate at any value. The BDS statistics distribution has a large peak near 0. Based on these results, evidence for chaos in the Japanese quarterly macro-economic time series is weak. and fluctuations are primarily caused by "random noise."
의약분업 실시 전ㆍ후 영도지역 주민의 약국 및 의료기관 의료이용 양상 변화 분석
南銀祐,朴宰成,M. Nishigaki,T. Hamai 고신대학교 영도발전연구소 2000 영도연구 Vol.2 No.-
The purpose of this study is to assess the effects of the separation of prescribing and dispensing in Korea and to find how civilians' usage behaviors on medical institutes such as hospital, clinics, drugstore, and community health center are changed due to the policy. To examine the differences of usage behaviors, this study used a before-after design. Using self-administered questionnaires, this study performed survey from June 26 to August 1, 2000. Chi-square test and generalized logit model was utilized in each observation period. Based on the results of each observation period, this study evaluated the effects of the policy. On the basic finings, most civilians did not agree to the separation policy regardless of both observation periods. However, after the separation, civilians' behaviors seemed to be modified as the policy maker had intended. Most of civilians purchased their drugs from pharmacists after receiving physicians' prescriptions. Specifically, males and elder persons had the exactly same behaviors as the intended utilization behaviors. All study subjects agreed to the basic purpose of the policy for the purpose of the reduction of drug abuse and misuses. The implications of this study are two fold: First, how civilians' short-term inconvenience caused by the policy should be alleviated without interrupting well-established usage patterns. Second, a special attention to the elderly is needed.