Publications by authors named "D Shigemi"

Background: The Human Papillomavirus (HPV) vaccination rate among Japanese high school girls remains critically low, reflecting ongoing public apprehension and misinformation. This study explores the relationship between information presentation and attitudes toward HPV vaccination in Japan.

Methods: We conducted a web-based survey of female high school students aged 15 to 16 and mothers of daughters of similar age across Japan.

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Article Synopsis
  • This study aimed to investigate the demographics, clinical characteristics, and outcomes of patients with postpartum hemorrhage (PPH) who underwent transcatheter arterial embolization (TAE) in Japan from 2012 to 2020.
  • Out of 64,893 PPH patients, only 2,705 (4.2%) had TAE, with uterine atony being the leading cause; a significant portion required hysterectomies, and some surgeries occurred more than a week after TAE.
  • The findings emphasize that while TAE can control bleeding, clinicians should be aware that hysterectomies may still be necessary later, highlighting the importance of fertility-preserving treatment options for PPH patients.
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Background: Ectopic pregnancy (EP) can be treated surgically or nonsurgically. In many countries, methotrexate is frequently used as a first-line medical treatment, and its effect is similar to that of surgery in selected patients. We aimed to investigate national trends in the treatment of EP in Japan.

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Objective: To clarify the relationship between the prognosis of patients with placental abruption (PA) and the healthcare delivery system using data from a large national inpatient database in Japan.

Methods: Using the Diagnosis Procedure Combination database, we conducted a retrospective cohort study with the data of patients in almost 1000 hospitals with the primary diagnosis of PA who were hospitalized from April 2014 to March 2021. We divided the hospitals into four groups based on the number of deliveries per month.

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