start-ver=1.4 cd-journal=joma no-vol=108 cd-vols= no-issue=7-8 article-no= start-page=267 end-page=274 dt-received= dt-revised= dt-accepted= dt-pub-year=1996 dt-pub=19960831 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Determinant of the medical expenses of the elderly during the last seven month period of life kn-title=高齢者の死亡前医療費に関する決定要因の定量的分析 en-subtitle= kn-subtitle= en-abstract= kn-abstract=This study evaluated medical expenses during the last seven months of life in elderly patients aged seventy and over in a rulal town in Okayama prefecture from January 1992 to March 1995, using data from death certificates and medical fee claim records of the elderly. The findings were as follows : 1. The monthly expenses increased toward the last month of life. 2. In the multiple regression model, five independent variables (length of hospital stay, malignant disease, cerebral vascular desease, place of death, services of a visiting nurse) accounted for about 60% of the variance in medical expenses during the last seven-month period. 3. Inflation of medical expenses of the elderly during the premortem period of life was mainly related to long-term hospitalization. 4. In analysing medical expenses, controlling various factors related to long-term hospitalization was found to be important. en-copyright= kn-copyright= en-aut-name=TaniharaShinichi en-aut-sei=Tanihara en-aut-mei=Shinichi kn-aut-name=谷原真一 kn-aut-sei=谷原 kn-aut-mei=真一 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部衛生学教室 en-keyword=老人医療費 kn-keyword=老人医療費 en-keyword=集中度 kn-keyword=集中度 en-keyword=死亡前医療費 kn-keyword=死亡前医療費 en-keyword=高齢社会 kn-keyword=高齢社会 en-keyword=重回帰分析 kn-keyword=重回帰分析 END start-ver=1.4 cd-journal=joma no-vol=17 cd-vols= no-issue= article-no= start-page=56 end-page=62 dt-received= dt-revised= dt-accepted= dt-pub-year=1995 dt-pub=19951220 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=Determination of Inorganic Anions in Environmental Samples by Capillary Electrophoresis kn-title=環境汚染による人体への影響の定量的評価―環境疫学の概念と最近の話題― en-subtitle= kn-subtitle= en-abstract= kn-abstract=Concept and recent topics on environmental epidemiology have been introduced in the article. First, the authors presented the basic concept on epidemiology. Answers to the question "Is a particular exposure influent to human health?" can be obtained only from studies of human beings, using an epidemiologic approach. Environmental epidemiology is an application of epidemiology to environmental problem. Then, we presented four examples on environmental epidemiologic research. The four recent topics are residential radon exposure and lung cancer, ingested arsenic and cancer, increase incidence of childhood leukaemia around the English neuclear reprocessing facilities, and magnetic field and excess incidence of childhood leukaemia near Swedish high-voltage power lines. en-copyright= kn-copyright= en-aut-name=TsudaToshihide en-aut-sei=Tsuda en-aut-mei=Toshihide kn-aut-name=津田敏秀 kn-aut-sei=津田 kn-aut-mei=敏秀 aut-affil-num=1 ORCID= en-aut-name=MinoYoshio en-aut-sei=Mino en-aut-mei=Yoshio kn-aut-name=三野善央 kn-aut-sei=三野 kn-aut-mei=善央 aut-affil-num=2 ORCID= en-aut-name=MatsuokaHiroaki en-aut-sei=Matsuoka en-aut-mei=Hiroaki kn-aut-name=松岡宏明 kn-aut-sei=松岡 kn-aut-mei=宏明 aut-affil-num=3 ORCID= en-aut-name=TaniharaShinichi en-aut-sei=Tanihara en-aut-mei=Shinichi kn-aut-name=谷原真一 kn-aut-sei=谷原 kn-aut-mei=真一 aut-affil-num=4 ORCID= en-aut-name=BabazonoAkira en-aut-sei=Babazono en-aut-mei=Akira kn-aut-name=馬場園明 kn-aut-sei=馬場園 kn-aut-mei=明 aut-affil-num=5 ORCID= en-aut-name=YamamotoEiji en-aut-sei=Yamamoto en-aut-mei=Eiji kn-aut-name=山本英二 kn-aut-sei=山本 kn-aut-mei=英二 aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=岡山大学医学部衛生学教室 affil-num=2 en-affil= kn-affil=岡山大学医学部衛生学教室 affil-num=3 en-affil= kn-affil=岡山大学医学部衛生学教室 affil-num=4 en-affil= kn-affil=岡山大学医学部衛生学教室 affil-num=5 en-affil= kn-affil=九州大学健康科学センター affil-num=6 en-affil= kn-affil=岡山理科大学理学部応用数学 END