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The incidence of thyroid carcinoma has been increasing worldwide. This is interpreted as an increase in the incidental detection of papillary thyroid microcarcinomas (PTMCs). However, mortality has not changed, suggesting overdiagnosis and overtreatment. Prospective clinical trials of active surveillance for low-risk PTMC (T1aN0M0) have been conducted in two Japanese institutions since the 1990s. Based on the favorable outcomes of these trials, active surveillance has been gradually adopted worldwide. A task force on the management of PTMC in adults organized by the Japan Thyroid Association therefore conducted a systematic review and has produced the present position paper based on the scientific evidence concerning active surveillance. This paper indicates evidence for the increased incidence of PTMC, favorable surgical outcomes for low-risk PTMC, recommended criteria for diagnosis using fine needle aspiration cytology, and evaluation of lymph node metastasis (LNM), extrathyroidal extension (ETE) and distant metastasis. Active surveillance has also been reported with a low incidence of disease progression and no subsequent recurrence or adverse events on survival if conversion surgery was performed at a slightly advanced stage. Active surveillance is a safe and valid strategy for PTMC, because it might preserve physical quality of life and reduce 10-year medical costs. However, some points should be noted when performing active surveillance. Immediate surgery is needed for PTMC showing high-risk features, such as clinical LNM, ETE or distant metastasis. Active surveillance should be performed under an appropriate medical team and should be continued for life.

Insulation aging of oiled paper is a common malfunction of transformers. It is of great value to recognize the insulation aging status of oiled paper and predict the service life of transformers using appropriate methods. In this study, an aging state recognition method based on partial discharge was proposed. Partial discharge signals were collected, the feature values were obtained through analysis of the principle component factor, and the state was identified by using a support vector machine. A Weibull distribution‐based method was proposed for the prediction of service life, and the residual life of transformers was determined using failure rate function. Through analysis, it was found that the fault analysis method had an accuracy rate of 80.55% in the recognition of the aging state, which was higher than that of Hidden Markov Model (HMM). In the case analysis, the accuracy rate of the method in recognizing the aging state of 100 transformers reached 82.06%. The accuracy of the failure rate function was also verified in the prediction of service life. This study provides some new ideas for the effective recognition of insulation aging of oiled paper in transformers and the prediction of service life. © 2019 Institute of Electrical Engineers of Japan. Published by John Wiley & Sons, Inc. [ABSTRACT FROM AUTHOR]

In the production of facial oil blotting papers, a certain number of papers must be counted before packaging. Currently, the papers are counted by hand, and this is hard work. Also, there are risks of adhesion of dust and wrinkles. In order to solve these problems, we propose a vision‐based approach. After the papers, which are arranged by shifting, are captured, the proposed image processing steps detect the boundaries of the papers. By counting the detected boundaries, the number of papers can be counted. Since the parameters for the proposed image processing are optimized by genetic algorithm, prior setting by a user is not necessary. For the experiments, an image dataset was constructed with six types of facial oil blotting papers. The proposed method achieved higher F‐measure than in other related works. © 2019 Institute of Electrical Engineers of Japan. Published by John Wiley & Sons, Inc. [ABSTRACT FROM AUTHOR]

In order to publish good research papers from Japan, it is necessary to conduct good (i.e., meaningful) research, obtain good (i.e., meaningful) results, and write good manuscripts that convey the significance of research. In particular, when aiming for publication in an English medical journal, the manuscript should be written in correct and accurate English, which is a major challenge for authors who are non-native speakers of English, such as those from Japan. At the same time, to ensure that the manuscript is a "good paper," attention should also be paid to elements other than language. To write a paper that will be accepted by reliable medical journals, including top-ranked ones, the content should be appropriately written according to the requirements based on international standards, such as the reporting guidelines endorsed by the EQUATOR Network and the recommendations of the International Committee of Medical Journal Editors; this is a common challenge not only for Japanese authors but for authors around the world. Medical writers are professionals who improve the quality of manuscripts and facilitate the publication of research. Based on my own expertise and experience as a medical writer for 20 years in supporting clinical research, I would like to describe the steps I think should be followed to produce good manuscripts. I would also like to focus on the importance of education and of collaboration with professionals in writing and publishing research papers. [ABSTRACT FROM AUTHOR]

We conducted an event study on the concealment of the blending ratio of waste paper with virgin pulp in Japan. By investigating 10 companies in the paper industry between May 30, 2007 and January 18, 2008, we clearly show that stock prices of the relevant companies were affected by the news on the concealment of the blending ratio of waste paper. In addition, the impact of the second event was found to be greater than that of the first event. Therefore, the concealment of major companies negatively affects the stock prices of non-major companies, which did not conceal information during this period. Thus, bad news is negatively assessed by the market, and this influence has spread in the paper industry in general. [Copyright &y& Elsevier]

Paper City (2021), directed by Adrian Francis, is a documentary film that highlights the 70th anniversary of the firebombing of Tokyo on March 10, 1945. The film presents three elderly survivors' oral accounts of the firebombing and observes their work as memory activists in a long campaign to compel the Japanese government to publicly memorialize the event in a way commensurate with its enormous devastation. Reflecting on issues of memory and forgetting, Francis intends the film as a way of passing survivors' experiences to audiences, who can help to transfer memory to others and to generations beyond. [ABSTRACT FROM AUTHOR]

This paper describes a patient identification system with a disposable paper card. In general, total costs of cards themselves, equipments and personnel are remarkable, not negligible for the hospital management. Therefore, a disposable identification cards made of a paper were issued to out-patients in our hospital. Many order forms were integrated into only one sheet. Patient identification data were printed on this sheet by a computer system when a patient came to the reception desk, and quickly transmitted to physicians. We could save the hospital costs and printing works by physicians, and also shorten the waiting time of patients at reception desks.

A risk assessment study of seven phthalates in paper diapers for newborn babies produced in Japan was performed. The diapers were purchased and the contents of the seven phthalates were determined and estimated amounts of exposure were calculated based on the eluted rate into artificial medium of urine or sweat, average weight of infants, and frequency of use. Di-2-ethylhexyl phthalate and di-n-butyl phthalate were detected in the topsheets and determined to be 0.6 μg/g and 0.2 μg/g, respectively. The daily estimated exposure volume was calculated to be in the range of 1.86 × 10(-10)-2.98 × 10(-6) mg/kg/day as follows: content of seven phthalates in the topsheet (0.1-1 μg/g) × eluted rate of phthalates into artificial sweat (0.0006-2.4%) × weight of the topsheet of a diaper (1.5 g) × the number of diapers used per day (12 sheets) × skin absorption rate (0.005-0.1)/average body weight (2.9 kg). For hazard assessment, we used 0.2-300 mg/kg/day for the seven phthalates based on the data available at international agencies. The margin of exposure to the seven phthalates was 6.71 × 10(4)-1.99 × 10(11), indicating that the risk of exposure to phthalates from the diapers produced in Japan was negligible., (Copyright © 2015 Elsevier Inc. All rights reserved.)

Abstract: A novel carbon paper has been prepared by pyrolysis from traditional Japanese paper called washi in Japan, which is mainly composed of cellulose microfibers. The washi was iodine-treated before pyrolysis. The effect of iodine-treatment on pyrolysis of the washi was investigated using thermogravimetric analysis. The structural and electrical properties of the carbon papers were also investigated using Raman scattering, X-ray diffraction, electron microscopy, and resistivity measurements. The iodine-treatment prevents cellulose from thermally decomposing and is effective in increasing the carbon yield and retaining its fibrillar structure. Porous carbon papers consisting of many micro and nanofibrils were prepared by the pyrolysis of the iodine-treated washi at 800°C. Those prepared at 800°C and then heat-treated at higher temperatures than 1800°C show electrical conductivities of 3Scm−1 and 24–27Scm−1. The degree of crystallinity and the electrical conductivity of the papers are improved by the heat treatment at higher temperatures. [Copyright &y& Elsevier]

A highly cited paper is seen as a landmark in any field and can influence both research and clinical practice. This study aimed to quali-quantitatively analyze the 100 most-cited papers in Cariology. A search strategy was first determined using specific keywords related to the field. A comprehensive search was then conducted in the Thompson Reuters Web of Science citation indexing database up to April 2019. Papers focused on any aspect of Cariology were included. A panel of 4 researchers conducted the selection of papers and extracted data on the number of citations, title, authors, country, year, journals, study design, and topic of interest. Scopus and Google Scholar were also searched to compare the number of citations. The VOSviewer software was used to generate bibliometric networks. The number of citations among the top 100 most-cited papers ranged from 168 to 1,961 with a mean of 292,66. Three papers had more than 1,000 citations. The Journal of Dental Research (20%) and Caries Research (17%) had more top papers. The oldest and the most recent papers were published in 1960 and 2015. Literature reviews (35%) and laboratorial studies (31%) were the most common study designs. The countries with the highest number of most-cited papers were the USA (40%), Sweden (10%), and Japan (9%). The most studied fields of interest were etiology/pathogenesis (41%) and prevention (20%). VOSviewer maps revealed collaborative networks between countries and organizations. The top 100 most-cited papers in Cariology were published mainly by European and Anglo-Saxon American authors and were composed mainly of literature reviews with etiology/pathogenesis as the most frequent topic of interest., (© 2020 S. Karger AG, Basel.)

Aim: To explore the health beliefs of clinical and academic nurses from Japan, Australia and China regarding wearing paper masks to protect themselves and others, and to identify differences in participants' health beliefs regarding masks. Background: The correct use of face masks and consensus among health professionals across the globe is essential for containing pandemics, and nurses need to act according to policy to protect themselves, educate the public and preserve resources for frontline health workers. Paper masks are worn by health professionals and the general public to avoid the transmission of respiratory infections, such as COVID‐19, but there appear to be differences in health beliefs of nurses within and between countries regarding these. Methods: This qualitative descriptive study used content analysis with a framework approach. Findings: There were major differences in nurse participants' beliefs between and within countries, including how nurses use paper masks and their understanding of their efficacy. In addition, there were cultural differences in the way that nurses use masks in their daily lives and nursing practice contexts. Conclusion: Nurses from different working environments, countries and areas of practice hold a variety of health beliefs about mask wearing at the personal and professional level. Implications for nursing policy and health policy: The COVID‐19 pandemic has sparked much discussion about the critical importance of masks for the safety of health professionals, and there has been considerable discussion and disagreement about health policies regarding mask use by the general public. Improper use of masks may have a role in creating mask shortages or transmitting infections. An evidence‐based global policy on mask use for respiratory illnesses for health professionals, including nurses, and the general public needs to be adopted and supported by a wide‐reaching education campaign. [ABSTRACT FROM AUTHOR]

In Polistes paper wasps, haploid early males can mate with early emerging females and leave viable offspring. In contrast, diploid early males are eventually sterile because they contribute triploid offspring via diploid sperm. Clarifying the ploidy of early males is important for determining whether early male production is a reproductive strategy for the species. We examined the mating behavior and the ploidy of early males in the Japanese paper wasp, Polistes rothneyi iwatai van der Vecht. Thirteen early males from four colonies were all diploid. Two of the nine early males (22.2%) attempted to mate with females, but only one individual (11.1%) was successful (the female's spermatheca contained spermatozoa). These results suggest that although most early males of P. rothneyi iwatai do not produce offspring, their mating may be linked to the occasional production of triploid females. [ABSTRACT FROM AUTHOR]

Paper can be reused to efficiently manage biomass consumption, meaning that it has potential as an environmentally friendly material. On the other hand, because of high energy usage during the recycling process and transportation inefficiencies, there is a call for the development of technologies that can mitigate this environmental burden. This study evaluated, from a lifecycle perspective, a new technology that can collect and recycle paper within the office. This technology can reduce by over 90% the amount of water used compared with the conventional recycled paper that is pulped and bleached once by the dry process. It also eliminates transportation from paper collection facilities to recycling factories, reducing greenhouse gas emissions. This new technology is already in use in Japan, and analyses by user data indicate that evaluation results differ greatly depending on the utilization rate of the machine. In the future, environmental information should be shared by both users and manufacturers, so that users could increase their utilization rate, and manufacturers could develop alternative bonding agents in order to further reduce the total environmental burden. [ABSTRACT FROM AUTHOR]

The purpose of this case report is to describe a minimally invasive technique for non-vital tooth bleaching using traditional Japanese paper, known as washi. Non-vital tooth bleaching with a mixture of sodium perborate and 30% hydrogen peroxide rolled in Japanese paper for a traumatically injured tooth, and in-office vital-tooth bleaching for the upper front six teeth and first premolars, were performed. Five-year follow-up showed satisfactory stability in the bleaching effects and did not show any problems in the traumatically injured tooth. The use of Japanese paper for non-vital tooth bleaching may minimize damage to discolored non-vital teeth.

The Clinical Practice Guidelines for Bladder Cancer edited by the Japanese Urological Association were first published in 2009 and a revised edition was released in 2015. Four years has passed since the 2015 edition, and the clinical practice environment surrounding bladder cancer has drastically changed during that time. The main changes include: (i) insurance coverage of a new diagnostic method for non-muscle-invasive bladder cancer; (ii) insurance coverage of an immune checkpoint inhibitor in advanced and metastatic bladder cancer; and (iii) advances in robot-assisted radical cystectomy as a minimally invasive treatment for muscle-invasive bladder cancer. A paradigm shift in bladder cancer diagnosis and treatment is occurring day by day. Therefore, in this 2019 edition, while dealing with the above changes, we carefully selected clinical questions with clear evidence and included other clinically important points in the general statement. We also added a new chapter on rare cancers of the urinary tract. As a new method for the evaluation of study evidence level, we introduce "The Grading of Recommendations Assessment, Development and Evaluation" system modified to Japanese by the Medical Information Network Distribution Service., (© 2020 The Japanese Urological Association.)

Objectives: Digitised patient-reported outcome may be beneficial for physicians and patients. The Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ) can only be completed with paper and pencil (pJHEQ). We newly developed a web version of the JHEQ (wJHEQ). This study aimed to determine whether the scores obtained with the wJHEQ are equivalent to those from the pJHEQ, how much the wJHEQ would decrease missing answers, and which JHEQ the participants preferred to use. Methods: To measure equivalence between the pJHEQ and wJHEQ, we evaluated the mean score difference for each subscale (pain, movement, mental) and Visual Analogue Scale (VAS; satisfaction, right hip pain, left hip pain) and then assessed the intraclass correlation coefficients (ICC) between the two scores. ICC values ≥0.75 were defined as excellent agreement. We used Bland-Altman analysis to assess level of agreement between the values of the two questionnaires. We compared the number of incomplete forms and amount of missing data between the two questionnaires. We investigated ease of use by asking the participants which format was easier to use. Results: This study comprised 113 patients (mean age 58.1 years, 81% female) with hip disease. Mean score differences for each subscale between the wJHEQ and pJHEQ were not significantly different. The values of ICC for each subscale and each VAS were all >0.75. All 113 participants completed the wJHEQ questionnaire, whereas nine patients did not complete the pJHEQ form. There was a significant statistical difference between the completion rate of the wJHEQ and that of the pJHEQ ( p  = .0017). Fifty-seven participants (55%) preferred the wJHEQ, whereas 33 participants (32%) preferred the pJHEQ. Conclusion: The wJHEQ was found to be equivalent to the original pJHEQ. The wJHEQ significantly decreased the numbers of missing answers and incomplete forms. The participants felt ease of use was nearly equivalent. The wJHEQ might help facilitate more complete assessments in clinical trials and research.

Introduction: Citation analysis has been used to evaluate the impact of papers in medicine. There has been multitude of orthopaedic oncology-related papers in literature, to our knowledge no citation analysis of orthopaedic oncology papers has been performed. We identified the 50 most-cited orthopaedic oncology papers and evaluated these papers in terms of their time of publication, source journals, countries, institutions, authors, and main topics.Materials and Methods: Science citation index expanded was searched in April 2018 for citations of papers published in 77 selected journals since the beginning of the database. The 50 most-cited orthopaedic oncology papers were identified and evaluated.Results: The number of citations for the top 50 papers ranged from 168 to 1162 (mean 308). These papers were published between 1957 and 2010. 1990s was the most productive decade, with 19 papers of the list. All papers were written in English and they were published in a total of 6 journals. The Journal of Bone and Joint Surgery-Am published the largest number of papers with 31, followed by Clinical Orthopaedics and Related Research with 8. The top 50 papers were created mainly from US and Japan, respectively, with 33 and 5.Conclusions: It is difficult to define the exact impact of a single paper in the literature. In doing citation analysis, it provides us perspective in the history and progress of orthopaedic oncology. [ABSTRACT FROM AUTHOR]

This study is applying critical discourse analysis (CDA) to mission statements of civil society organizations (CSOs) in the Kansai area of Japan to examine how those texts may be reflecting their views on migration and impacting their practices related to international students. The analysis shows similarities across CSO types in choosing organizational names, using vague and bureaucratic vocabulary for formulating their mission statements, as well as confusing and contradictory style of some statements and event announcements that may be misleading or discouraging for potential members. At the same time, diversity of vocabulary referring to their target audience demonstrates shifting perspectives of CSOs on international students and more generally, on foreigners living in Japan.

Discourse analysis has been getting increasing attention amongst English as a Foreign Language (EFL) school teachers in many academic fields of study in recent years as a greater number of EFL students are likely to study abroad, especially in English-speaking countries. An abstract genre analysis that focuses mainly on pattern underlying specific text types can be helpful for such language teachers to find out new ideas of teaching reading and writing. This study compares six different abstracts of the research papers in Applied Linguistics by identifying five move structures (Introduction, Purpose, Method, Product, and Conclusion) and fourteen sub-move options of the abstract genre. The study also looks closely at some of the main lexical cohesions (e,g., repetition, synonym, antonym, and hyponymy), grammatical cohesions (e,g., additive, adversative, causal, temporal, anaphoric, cataphoric, comparative, ellipsis, and tense usage). It would be worth investigating how well each abstract of the research papers is organized and what makes its abstract so important in terms of the contents. The paper makes a few suggestions for the future possibility of applying the genre-based ESP (English for Specific Purposes) teaching in secondary - and tertiary - level educational settings in Japan. [ABSTRACT FROM AUTHOR]

Energy recovery from small and medium scale waste thermal treatment facilities in the municipalities of Japan is challenging, owing to low power generation efficiency and high economic demands. Gas Engine (GE) generation is considered an efficient resource utilization method in these facilities. In this study, new and consistent feedstock, Refuse Paper and Plastic Fuel (RPF), and wood pellets were tested in an air-blown Fluidized Bed Gasifier (FBG) for syngas utilization in a GE. With temperatures ranging from 700 to 940 °C and varying Equivalence Ratios (ER) of 0.3-0.5, some of the most important product gas characteristics were analyzed, including the Lower Heating Value (LHV) and tar concentration levels. Gas composition results revealed that the concentration tendencies varied for the product gases CO, H 2 , and hydrocarbons, depending on the feedstock type, whereas the same tendencies were observed for CH 4 and tar concentrations. Through the ER range, the LHV of product gas for RPF and wood pellets was 3.4-5.9 MJ/Nm 3 . Tar concentrations decreased to 2.5-14.0 g/Nm 3 -dry as the ER was raised. The optimal ER for LHV performance in GE generation was approximately 0.4 for RPF and wood pellets, and remaining tar concentrations were about 5.0 g/Nm 3 -dry at the gasifier exit., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

Enzootic bovine leucosis (EBL) is a neoplastic disease of cattle caused by Bovine leukaemia virus (BLV). EBL causes great economic losses, so a fast and reliable diagnostic method is critical for understanding the status of BLV. This will allow us to control BLV infections efficiently and mitigate economic losses. In this study, we established a direct diagnostic test for BLV using dried blood‐spotted filter papers without sample pre‐treatment. The study was based on 159 clinical blood specimens collected in EDTA from one farm in Kyushu, Japan. The blood‐spotted filter papers were used as the template for direct filter PCR. When an ELISA was used as the diagnostic gold standard, the sensitivity and specificity of the direct filter PCR were 90.1% and 97.5%, respectively. The kappa value for the direct filter PCR and real‐time PCR methods was 0.97. The dried blood samples spotted onto filter papers were stable for at least 10 days at room temperature, even when the samples were from cattle with a low BLV proviral load. Direct filter PCR is a rapid, easy, reliable and cost‐effective diagnostic test that directly detects the BLV proviral genome in clinical blood specimens without DNA extraction. Moreover, it simplifies the collection, transportation and storage procedures for clinical blood specimens. [ABSTRACT FROM AUTHOR]

Continual development necessitates innovation. One must discover seeds of innovation and then concentrate resources on these seeds. To do so, one must recognize technology trends and then adopt and execute appropriate innovation strategies. This study used advanced change point detection method to investigate leading indicators that represent changes in technology trends. We examine patents, papers, and newspaper articles in Japan and US for 55 technologies. Results suggest that patents can be more appropriate as leading indicators than either papers or newspapers. This result can contribute to appropriate innovation strategies for planning and updating, and can provide tools that are useful to decision-makers. [ABSTRACT FROM AUTHOR]

Travertines are hot spring carbonate deposits that exhibit characteristic fabrics, including a paper-thin raft and a coated bubble formed by the calcification of water and bubble surfaces, respectively. A previous study interpreted that compared with the water surface, the bubble surface displays more active CO 2 degassing and resultant active CaCO 3 precipitation. However, considering the CO 2 partial pressure and the volumes of atmosphere and bubbles, it is possible that more active CO 2 degassing occurs on the water surface. In addition, the surfaces of water and bubbles at the travertine-depositing sites are negatively charged, but it is still unclear whether the CaCO 3 nucleation on these surfaces occurs via amorphous precursors, like the CaCO 3 nucleation on negatively charged organic matter. This study provides a solution to these uncertainties by examining the aragonitic travertines formed in the Nagayu area of Japan. Through field observations, two types of paper-thin rafts were recognized: one with a smooth surface and formed in approximately 1 h, and the other with a rough surface and formed in approximately 3 h. In addition, the bubbles generated on the microbial mat during the daytime were covered with white minerals within an hour, and with ivory-colored minerals over 8 h after sunset, forming firm coated bubbles. Microelectrode measurements revealed that the active CO 2 degassing on the water surface significantly increased the CaCO 3 saturation state to cause active CaCO 3 precipitation. In contrast, less active CO 2 degassing on the bubble surface did not increase the saturation state, and moderate CaCO 3 precipitation occurred due to the moderately high saturation state of the hot spring water. Various microscopic observations revealed that the smooth-surfaced paper-thin raft comprises a micritic layer of approximately 10–20 μm, which represents tightly arranged submicron-sized granular aragonite. At the lower surface of this layer, hemispherical aragonite partially grew toward the hot spring water. In addition, the rough-surfaced paper-thin raft and coated bubble comprise bundled and acicular aragonites arranged along the surfaces of water and bubble, from which hemispherical aragonite grew toward the hot spring water. Neither the paper-thin raft nor the coated bubble contains primary amorphous CaCO 3. These results suggest that the smooth-surfaced paper-thin raft is formed by active CaCO 3 nucleation on the water surface and subsequent crystal growth, and that the water surface is unfavorable for preserving the amorphous precursors potentially involved in the nucleation. The rough-surfaced paper-thin raft and the coated bubble could have been formed by the attachment of externally formed acicular aragonite to the water/bubble surface and subsequent crystal growth. The revealed formation processes of the paper-thin raft and coated bubble provide valuable information for interpreting their formation mechanism in other travertine deposits, including those in the geological past. [ABSTRACT FROM AUTHOR]

This publication seeks to consider statistics education in Japan while referencing a student paper. The paper to be considered is as follows: "Gakusei no Koudou ga Gakusei Seikatsu Manzokudo ni Ataeru Eikyou" (The Influence of Student Behavior on the Degree of Satisfaction Perceived in Student Life).