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Wakuya, Hiroshi,Horinouchi, Yu,Itoh, Hideaki The Korea Contents Association 2013 International Journal of Contents Vol.9 No.3
In the preceding studies, an analysis of Saga Prefectural sightseeing information by a Self-Organizing Map (SOM) has been tried. And recent development on Information and Communication Technology (ICT) will help us to access any results via the mobile devices easily. This is why the mobile devices, e.g., smartphones and tablet computers, have an operating system installed, and we can improve their functions by downloading any applications on the Web. Then, in order to realize this basic idea, development of an application for the mobile devices is investigated through some computer simulations on the standard desktop PC in this paper. As a result, it is found that i) a developed feature map is useful to identify some candidate topics, ii) a touchscreen is suitable to show the feature map, and iii) arrangement of the feature map can be modified based on our interests. Then, it is concluded that the proposed idea seems to be applicable, even though further consideration is required to brush it up.
A Call for a Rational Polypharmacy Policy: International Insights From Psychiatrists
Yukako Nakagami,Kohei Hayakawa,Toru Horinouchi,Victor Pereira-Sanchez,Marcus P,J,Tan,Seon-Cheol Park,Yong Chon Park,Seok Woo Moon,Tae Young Choi,Ajit Avasthi,Sandeep Grover,Roy Abraham Kallivayalil,Yu 대한신경정신의학회 2021 PSYCHIATRY INVESTIGATION Vol.18 No.11
Objective Recently, rational polypharmacy approaches have been proposed, regardless of the lower risk and cost of monotherapy. Considering monotherapy as first-line treatment and polypharmacy as rational treatment, a balanced attitude toward polypharmacy is recommended. However, the high prevalence of polypharmacy led the Japanese government to establish a polypharmacy reduction policy. Based on this, the association between the policy and psychiatrists’ attitude toward polypharmacy has been under debate. Methods We developed an original questionnaire about Psychiatrists’ attitudes toward polypharmacy (PAP). We compared the PAP scores with the treatment decision-making in clinical case vignettes. Multiple regression analyses were performed to quantify associations of explanatory variables including policy factors and PAP scores. The anonymous questionnaires were administered to psychiatrists worldwide. Results The study included 347 psychiatrists from 34 countries. Decision-making toward polypharmacy was associated with high PAP scores. Multiple regression analysis revealed that low PAP scores were associated with the policy factor (β=-0.20, p=0.004). The culture in Korea was associated with high PAP scores (β=0.34, p<0.001), whereas the culture in India and Nepal were associated with low scores (β=-0.15, p=0.01, and β=-0.17, p=0.006, respectively). Conclusion Policy on polypharmacy may influence psychiatrists’ decision-making. Thus, policies considering rational polypharmacy should be established.