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| 1 | Defensive medicine practices among gastroenterologists in Japan显示文摘AIM: To clarify the prevalence of defensive medicine and the specific defensive medicine practices among gastro-enterologists in Japan.METHODS: A survey of gastroenterologists in Hiroshi-ma, Japan, was conducted by mail in March 2006. The number of gastroenterologists reporting defensive medi-cine behaviors or changes in their scope of practice and the reported defensive medicine practices, i.e., assurance and avoidance behaviors, were examined.RESULTS: A total of 131 (77%) out of 171 gastroenter-ologists completed the survey. Three (2%) respondents were sued, and most respondents (96%) had liability insurance. Nearly all respondents (98%) reported prac-ticing defensive medicine. Avoidance behaviors, such as avoiding certain procedures or interventions and avoiding caring for high-risk patients, were very common (96%). Seventy-five percent of respondents reported often avoiding certain procedures or interventions. However, seasoned gastroenterologists (those in practice for more than 20 years) adopted avoidance behaviors significantly less often than those in practice for less than 10 years. Assurance behaviors, i.e., supplying additional services of marginal or no medical value, were also widespread (91%). Sixty-eight percent of respondents reported that they sometimes or often referred patients to other spe-cialists unnecessarily.CONCLUSION: Defensive medicine may be highly prev-alent among gastroenterologists throughout Japan, withpotentially serious implications regarding costs, access, and both technical and interpersonal quality of care. | Toru Hiyama Masaharu Yoshihara Shinji Tanaka Yuji Urabe Yoshihiko Ikegami Tatsuma Fukuhara Kazuaki Chayama | 2006 | World Journal of Gastroenterology2006，12，47： | 7 |
| 2 | Pharmacological profile of hydroxy fasudil as a selective rho kinase inhibitor on ischemic brain damage显示文摘 | Shin-ichi Satoh Tatsuma Utsunomiya Kazuyuki Tsurui Teruki Kobayashi Ichiro Ikegaki Yasuo Sasaki Toshio Asano | 2001 | Life Sciences2001，，12： | 2 |
| 3 | TiO2 films loaded with silver nanoparticles : control of muhicolor photochromic behavior显示文摘 | Naoi K Ohko Y Tatsuma T | 2004 | J Am Chem Soc2004，126，11： | 1 |
| 4 | Multicolour photochromism of TiO2 films loaded with silver nanoparticles 显示文摘 | Ohko Y Tatsuma T Fujii T | 2003 | Nature Mater2003，2，： | 1 |
| 5 | Photoelectrochemical Anticorrosion and Self-cleaning Effects of a TiO2 Coating for type 304 Stainless Steel 显示文摘 | OHKO Y SAITOH S TATSUMA T | 2001 | Electrochem Soc2001，148，1： | 1 |
| 6 | Photoelectrochemical anticorrosion and self-cleaning effects of a TiO2 coating for type 304 stainless steel 显示文摘 | Ohko Y Saitoh S Tatsuma T | 2001 | J Electrochem Soc2001，148，1： | 1 |
| 7 | Photoelectrochemical Anticorrosion Effect of SiTiO3 for Carbon Steel 显示文摘 | OHKO Y SAITOH S TATSUMA T | 2002 | Electrochem Solid S T2002，5，2： | 1 |
| 8 | TiO2 - WO3 Photoelectrochemical Anticorrosion System with an Energy Storage Ability显示文摘 | TATSUMA T SAITOHS OHKO Y | 2001 | Chem Mater2001，13，： | 1 |
| 9 | Reactivation and reduction of electrochemically inactivated polyaniline by 2, 5-dimercapto-1, 3, 4-thiadiazole显示文摘 | Kaminaga A Tatsuma T Sotomura T | 1995 | J Electrochem Soc1995，142，4： | 1 |
| 10 | Dimercaptan-polyaniline composite electrodes for lithium batteries with high energy density显示文摘 | Oyama N Tatsuma T Satot T | 1995 | Nature1995，373，6515： | 1 |
| 11 | Switchable rewritability of Ag-TiO2 nanocompositc films with multicolor photochromism显示文摘 | NAOI K OHKO Y TATSUMA T | 2005 | Chemical Communications2005，，10： | 1 |
| 12 | Multicolour photochromism of TiO2films loadedwith silver nanoparticles显示文摘 | OHKO Y TATSUMA T FUJISHIMA A | 2003 | Nature Materials2003，2，1： | 1 |
| 13 | Visible-light-induced patterning of Au- and Ag-TiO2 nanocomposite film surfaces on the basis of plasmon photoelectrochemistry显示文摘 | Tian Y Notsu H Tatsuma T | | 0，，08： | 1 |
| 14 | TiO2filmsloaded with silver nanoparticles:control of multicol-or photochromic behavior显示文摘 | NAOI K OHKO Y TATSUMA T | 2004 | Journal of the Ameri-can Chemical Society2004，126，11： | 1 |
| 15 | Reversible electron transfer reation between polyanliline and thiol/disulfide couples显示文摘 | Tatsuma T Matsui H Shouji E | 1996 | Phys Chem1996，100，14： | 1 |
| 16 | Photoelectrochemical anticorrosion and self-cleaning effects of a TiO2 coating for type 304 stainless steel显示文摘 | Ohko Y Saitoh S Tatsuma T | 2001 | J Electrochem Soc2001，148，1： | 1 |
| 17 | Electrochemical behavior and surface morphologic changes of copper substrates in the presence of 2, 5-dimercapto-1, 3, 4-thiadiazole显示文摘 | Chi Q Tatsuma T Ozaki M | 1998 | Electrochem Soc1998，145，7： | 1 |
| 18 | Remote Bleaching of Methylene Blue by UV - Irradiated TiO2 in the Gas Phase显示文摘 | Tatsuma | 1999 | Phys Chem B1999，103，38： | 1 |
| 19 | 查看详情显示文摘 | Tian Y Tatsuma T | | 0，，20： | 1 |
| 20 | TiO2-WO3 photoelectrochemical anticorrosion system with an energy storage ability显示文摘 | Tatsuma T Ohko Y Saitoh S | 2001 | Chem Mater2001，13，： | 1 |
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