[A DRG/PPS simulation in the medical care of tuberculosis].

Purpose: To study the expected usefulness of the introduction of the DRG-PPS (Diagnosis-Related Group/Prospective Payment System, in which an insurer pays a fixed medical fee per hospitalization) into the current medical care of tuberculosis (TB) in Japan.

Method: The medical fees were reviewed for all TB inpatients at 19 hospitals under the National Hospital Organization who were discharged in either June 2007 or February 2008. The sum of the fixed fee by the DRG was assumed based on the bivariate regression analysis of each patient's hospital days and his or her total actual fees during the hospital stay under the current (fee for care) system, since it was difficult to directly calculate the daily fees for every patient that would be the basis of DRG-PPS.

[Association between clustered strain of M. tuberculosis and infectiousness index of tuberculosis cases in a population-based IS6110-RFLP analysis].

Objective: Isolates of M. tuberculosis were analyzed for their DNA fingerprints to facilitate understanding of ongoing transmission of tuberculosis in Sapporo (population 1.87 million), Japan, where the incidence rate of tuberculosis was 15.

Enhancement of stents using interference of low-frequency ultrasonic echo signals.

Purpose: We set out to enhance the imaging of stents used for coronary coarctation surgery without imaging the reticulation of the stent. Because the stent is a reticulated structure, there is a relation between ultrasound wavelength and the interstice reticulation that produces the echo.

Methods: First we performed computer simulation by ultrasound frequency of transmitted signals to analyze this relation.