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The Imbalance in Medical Demand and Supply for Pediatric Victims in an Earthquake
- Chiaki Toida, Ichiro Takeuchi, Takeru Abe, Jun Hattori, Kyoko Hattori, Kohei Takahashi, Munehito Uchiyama, Hideki Honda, Yosihide Nakagawa, Kiyoshi Matsuda, Yasushi Asari, Naoto Morimura
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- Journal:
- Disaster Medicine and Public Health Preparedness / Volume 13 / Issue 4 / August 2019
- Published online by Cambridge University Press:
- 21 December 2018, pp. 672-676
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Objectives
We quantified an absolute imbalance of the medical risks and the support needs for children at each disaster-based hospital in Kanagawa immediately following the occurrence of a large earthquake by using the risk resource ratio (RRR) and need for medical resources (NMR).
MethodsThe RRR and NMR of 33 disaster-based hospitals were estimated through dividing the estimated number of pediatric victims by the number of critically patients. We calculated the ratio of the NMR of each hospital.
ResultsThe total number of pediatric victims in Kanagawa was estimated at 8,391. The total number of vacant beds for pediatric victims was 352. The median RRR and NMR of the total number of pediatric victims were 27 and 224. The median RRR and NMR of the number of critically ill pediatric patients were 27 and 12.
ConclusionsThe absolute imbalance of the RRR and NMR for children in Kanagawa was quantified. This suggests that we might embark on preparedness strategies for children in advance. (Disaster Med Public Health Preparedness. 2018;13:672–676)
Predictive factors for hyperglycaemic progression in patients with schizophrenia or bipolar disorder
- Ichiro Kusumi, Yuki Arai, Ryo Okubo, Minoru Honda, Yasuhiro Matsuda, Yukihiko Matsuda, Akihiko Tochigi, Yoshiteru Takekita, Hiroyoshi Yamanaka, Keiichi Uemura, Koichi Ito, Kiyoshi Tsuchiya, Jun Yamada, Bunta Yoshimura, Nobuyuki Mitsui, Sigehiro Matsubara, Takayuki Segawa, Nobuyuki Nishi, Yasufumi Sugawara, Yuki Kako, Ikuta Shinkawa, Kaoru Shinohara, Akiko Konishi, Junichi Iga, Naoki Hashimoto, Shinsaku Inomata, Noriko Tsukamoto, Hiroto Ito, Yoichi M. Ito, Norihiro Sato
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- Journal:
- BJPsych Open / Volume 4 / Issue 6 / November 2018
- Published online by Cambridge University Press:
- 30 October 2018, pp. 454-460
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- Article
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Background
Patients with schizophrenia or bipolar disorder have a high risk of developing type 2 diabetes.
AimsTo identify predictive factors for hyperglycaemic progression in individuals with schizophrenia or bipolar disorder and to determine whether hyperglycaemic progression rates differ among antipsychotics in regular clinical practice.
MethodWe recruited 1166 patients who initially had normal or prediabetic glucose levels for a nationwide, multisite, l-year prospective cohort study to determine predictive factors for hyperglycaemic progression. We also examined whether hyperglycaemic progression varied among patients receiving monotherapy with the six most frequently used antipsychotics.
ResultsHigh baseline serum triglycerides and coexisting hypertension significantly predicted hyperglycaemic progression. The six most frequently used antipsychotics did not significantly differ in their associated hyperglycaemic progression rates over the 1-year observation period.
ConclusionsClinicians should carefully evaluate baseline serum triglycerides and coexisting hypertension and perform strict longitudinal monitoring irrespective of the antipsychotic used.
Declaration of interestThe authors report no financial or other relationship that is relevant to the subject of this article. Relevant financial activities outside the submitted work are as follows. I.K. has received honoraria from Astellas, Chugai Pharmaceutical, Daiichi Sankyo, Dainippon Sumitomo Pharma, Eisai, Eli Lilly, Janssen Pharmaceutical, Kyowa Hakko Kirin, Meiji Seika Pharma, MSD, Nippon Chemiphar, Novartis Pharma, Ono Pharmaceutical, Otsuka Pharmaceutical, Pfizer, Tanabe Mitsubishi Pharma, Shionogi and Yoshitomiyakuhin; has received research/grant support from AbbVie GK, Asahi Kasei Pharma, Astellas, Boehringer Ingelheim, Chugai Pharmaceutical, Daiichi Sankyo, Dainippon Sumitomo Pharma, Eisai, Eli Lilly, GlaxoSmithKline, Kyowa Hakko Kirin, Meiji Seika Pharma, MSD, Novartis Pharma, Ono Pharmaceutical, Otsuka Pharmaceutical, Pfizer, Takeda Pharmaceutical, Tanabe Mitsubishi Pharma, Shionogi and Yoshitomiyakuhin; and is a member of the advisory boards of Dainippon Sumitomo Pharma and Tanabe Mitsubishi Pharma. Y.T. has received speaker's honoraria from Dainippon-Sumitomo Pharma, Otsuka, Meiji-Seika Pharma, Janssen Pharmaceutical, Daiichi-Sankyo Company, UCB Japan and Ono Pharmaceutical. K.U. has received honoraria from Dainippon Sumitomo Pharma, Eisai, Eli Lilly, Janssen Pharmaceutical, Kyowa Hakko Kirin, Meiji Seika Pharma, MSD, Takeda Pharmaceutical, Hisamitsu Pharmaceutical, Otsuka Pharmaceutical, Pfizer, Tanabe Mitsubishi Pharma, Shionogi and Yoshitomiyakuhin. B.Y. has received speaker's honoraria from Otsuka Pharmaceutical and Janssen Pharmaceutical. J. I. has received honoraria from Dainippon Sumitomo Pharma, Eli Lilly, Janssen Pharmaceutical, Meiji Seika Pharma, MSD, Novartis Pharma, Otsuka Pharmaceutical and Mochida Pharma.
Chapter 4 - Changes in Impacts of Climate Extremes: Human Systems and Ecosystems
- from Section III
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- By John Handmer, Yasushi Honda, Zbigniew W. Kundzewicz, Nigel Arnell, Gerardo Benito, Jerry Hatfield, Ismail Fadl Mohamed, Pascal Peduzzi, Shaohong Wu, Boris Sherstyukov, Kiyoshi Takahashi, Zheng Yan, Sebastian Vicuna, Avelino Suarez, Amjad Abdulla, Laurens M. Bouwer, John Campbell, Masahiro Hashizume, Fred Hattermann, Robert Heilmayr, Adriana Keating, Monique Ladds, Katharine J. Mach, Michael D. Mastrandrea, Reinhard Mechler, Carlos Nobre, Apurva Sanghi, James Screen, Joel Smith, Adonis Velegrakis, Walter Vergara, Anya M. Waite, Jason Westrich, Joshua Whittaker, Yin Yunhe, Hiroya Yamano
- Edited by Christopher B. Field, Vicente Barros, Thomas F. Stocker, Qin Dahe
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- Book:
- Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation
- Published online:
- 05 August 2012
- Print publication:
- 28 May 2012, pp 231-290
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Summary
Executive Summary
Extreme impacts can result from extreme weather and climate events, but can also occur without extreme events. This chapter examines two broad categories of impacts on human and ecological systems, both of which are influenced by changes in climate, vulnerability, and exposure: first, the chapter primarily focuses on impacts that result from extreme weather and climate events, and second, it also considers extreme impacts that are triggered by less-than-extreme weather or climate events. These two categories of impacts are examined across sectors, systems, and regions. Extreme events can have positive as well as negative impacts on ecosystems and human activities.
Economic losses from weather- and climate-related disasters have increased, but with large spatial and interannual variability (high confidence, based on high agreement, medium evidence). Global weather- and climate-related disaster losses reported over the last few decades reflect mainly monetized direct damages to assets, and are unequally distributed. Estimates of annual losses have ranged since 1980 from a few US$ billion to above 200 billion (in 2010 dollars), with the highest value for 2005 (the year of Hurricane Katrina). In the period 2000 to 2008, Asia experienced the highest number of weather- and climate-related disasters. The Americas suffered the most economic loss, accounting for the highest proportion (54.6%) of total loss, followed by Asia (27.5%) and Europe (15.9%). Africa accounted for only 0.6% of global economic losses. Loss estimates are lower bound estimates because many impacts, such as loss of human lives, cultural heritage, and ecosystem services, are difficult to value and monetize, and thus they are poorly reflected in estimates of losses. [4.5.1, 4.5.3.3, 4.5.4.1]
Biophysical and policy drivers of landscape change in a central Vietnamese district
- THIHA, EDWARD L. WEBB, KIYOSHI HONDA
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- Journal:
- Environmental Conservation / Volume 34 / Issue 2 / June 2007
- Published online by Cambridge University Press:
- 11 June 2007, pp. 164-172
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Conservation in a dynamic setting requires understanding the factors leading to landscape change. This study integrated traditional remote sensing and geographic information systems analysis techniques with a narrative policy analysis to assess the 1975–2004 land cover changes and their determinants in Nam Dong district (central Vietnam). Total forest cover of Nam Dong remained stable, but there were major transitions within forest and non-forest categories. Recent policy initiatives, particularly forest land allocation, have resulted in short-term benefit maximization through land speculation and illegal logging, while increased awareness of the economic potential of forests and their products have motivated people to access forests more frequently, leading to a highly dynamic landscape and increased barriers to forest conservation. This study suggests that (1) state-sponsored logging needs to be reduced, (2) forest allocation should proceed more rapidly to give farmers better incentive to improve and protect allocated forests, and (3) small-scale industry should increase. Forest conservation policy must be amended. More research is needed to link household land-use choices with policies, and determine how those choices lead to changes in the landscape.