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Modern medical care is based on a scientific tradition, but the health
beliefs of patients may have a very different basis. Belief in
superstitions relating to the six day lunar calendar is common in Japan
and affects many social events. On p 1680 Hira et al report the
findings of a retrospective study of hospital discharge dates in Kyoto,
Japan. They found that most patients were discharged on Taian, said to
be a lucky day, and fewest were discharged on the unlucky day
Butsumetsu. The authors conclude that patients extend their stay in
hospital so that they are discharged on Taian, and calculate that this
costs the hospital 7.4 million yen (£31 000) per year. However, they
caution against outright dismissal of such superstitions, warning that
this may have a negative effect on some patients' health.