Mental and physical effects of the 2011 Great East Japan Earthquake on School Children, and Health Support initiatives by YogoTeachers: Findings from a survey of high school yogo teachers 5 years after the disaster

Objective: To clarify the current mental and physical state of students 5 years after experiencing the Great East Japan earthquake, tsunami, and nuclear accident, and to shed light on the practical initiatives and issues faced by yogo teachers in supporting students’ health. Method: In May 2016, we conducted a mail-based questionnaire of yogo teachers at 15 prefectural high schools in Soma District and Futaba District (collectively, “Soso”) in Fukushima Prefecture, one of the areas most heavily affected by the Fukushima Daiichi Nuclear Power Plant accident.　The questionnaire focused on (1) health and school life of students; and (2) current initiatives and issues faced by yogo teachers in supporting student health. Results: We received responses from 8 of the 15 high school yogo teachers surveyed (response rate: 53.3％).Six yogo teachers (75％) responded that the “students are calm.” However, 6 yogo teachers (75％) recognized a tendency among students towards weight gain and obesity, as well as reduced physical stamina and sporting ability, while 4 yogo teachers (50％) indicated that some students were anxious about their future and career path, and were receiving personal support from the school counselor.　The yogo teachers provided support to students while attempting to ascertain their mental and physical well-being through greater health monitoring and questionnaires, and while coordinating with the school physician and counselor. Conclusion: Five years after the earthquake, high school students in the Soso district are now leading a more relaxed school life, but still feel anxious about their future health and career path due to lingering concerns about radiation, highlighting the need for long-term support by yogo teachers

看護職者の個人の内的属性の対人不安への影響

看護職者の個人の内的属性の対人不安への影響について調べた.調査対象は, 2つの公立総合病院に勤務する看護職者332名である.測定用具には, 対人不安意識尺度・多次元自我同一性尺度・自己没入尺度・共感的配慮尺度・孤独感の類型判別尺度・自己評価式抑うつ性尺度を使用した.対人不安を従属変数とし, 自我同一性・自己没入・共感的配慮・孤独感・抑うつ性を独立変数としてこれらの関係をみた.さらに, 調査対象の属性である性・年齢・看護経験年数・職階・看護教育背景・兄弟姉妹数・友人数等の違いによりこれらの関係がどのように異なるかを調べた.その結果, 自我同一性と対人不安との間に負の相関がみられ, 自己没入や抑うつ性は対人不安との間で正の相関を示した.また, 女性群に有意な相関がみられたが, 男性群には相関がみられなかった.年齢, 経験年数, 職階, 看護教育背景, 兄弟姉妹数, 友人数等の違いにより, 対人不安への影響の程度は異なっていた.一方, 共感的配慮や孤独感との間には有意な相関は認められなかった.The purpose of this study was to examine relationships between nurses\u27 negative self-awareness in interpersonal relationships and their internal attributions. A sample consisted of 332 nurses was examined. The instruments used were Negative self-awareness in Interpersonal relationships scale by Hayashi and Ogawa, Multidimensional ego identity scale by Tani, Self-preoccupation scale by Sakamoto, Japanese version of Empathy consideration scale of the sub-concepts of Interpersonal Reactivity Index by Davis, Loneliness Scale by Ochiai and Japanese version of Depression Scale by Zung. The scores of ego identity showed partial correlation coefficient with significant level of 0.1% to those of negative self-awareness in interpersonal relationships. The scores of self-preoccupation showed positively correlation with those of negative self-awareness in interpersonal relation-ships. The scores of depression showed partial correlation coefficient with significant level of 0.1% to those of negative self-awareness in interpersonal relationships. Also, the relation-ships between nurses\u27 negative self-awareness in interpersonal relationships and internal attribution is different by their gender, age, experience, career ladder, brother numbers and friends\u27 numbers etc

Health Support Provided by Yogo Teachers for Adolescent Female Students with a Thin Body Type

Purpose: To clarify the realities and challenges involved in health support provided by yogo teachers to adolescent girls who have a thin body type. Methods: A semi-structured interview survey was conducted with yogo teachers at a Japanese high school with experience of providing health support to thin adolescent female students and the results of the survey were subjected to qualitative analysis. Results: With regard to health support provided by yogo teachers, the results of analysis found that the actual situation consisted of the five categories of 【sharing information throughout the school organization to investigate methods of support】,【 realizing studentsʼ situations through the provision of individual support】, 【referring students and parents to specialist agencies】,【investigating collaborations with parents with students ʼ consent】, and 【carrying out prevention and awareness-raising activities about thin physiques】.　 However, the analysis also found that the practical challenges for providing such health support consisted of the six categories of 【working with parents to liaise with medical institutions】,【continuous support in collaboration with specialist agencies】,【 educational health support that enables all students to manage their own health】,【 yogo teachersʼ professional knowledge and assessment of eating disorders】,【 support methods that students can engage with on their own initiative, according to their situation】, and 【creating a counseling- friendly environment to facilitate early detection】.Discussion: While yogo teachers had an overall grasp of studentsʼ situations through their organizational engagements in cooperation with faculty and school physicians, as well as individual support activities, it was clear that they faced difficulties and challenges in relation to working together with parents and specialist agencies.　In the future, improving collaboration with parents will require that they, too, be encouraged to recognize that being excessively thin represents a health problem for adolescent female students.　In addition, it will also be necessary to work towards building daily collaboration systems, such as by having yogo teachers keep track of potential partner medical institutions as a matter of routine.　It was further suggested that yogo teachers will need to provide educational and preventive health support oriented toward helping female students acquire the ability to manage their own health

[学会見聞記]

[学会見聞記

Music Therapy for children of developmental disability

Outline and practical examples of music therapy for children with developmental handicaps were introduced. The followings are the meaning of music therapy for children with developmental handicaps : (1) keeping the activity easily without noticing training atmosphere, (2) feeling of accomplishment enters children because it does not aim towards musical perfection, (3) present the non-verbal interaction to the children who do not have verbal communication skill, (4) make contribution of trainings for physical development because music easily induces physical movements, and (5) make contribution for increase of sociability through a group activity. The organization carrying out music therapy are (1) medical institutions, (2) public day care institutions (3) independent group (4) others. First, form of session and program will be decided and at the end recording and evaluation are carried out. As for an activity example, details of group session carried out in an independent organization was introduced in items of (1) children of interest, (2) place and setting, (3) structure of stuffs (4) frequency and period, (5) content of program

Preventive behaviors and information sources during COVID-19 pandemic: A cross-sectional study in Japan

BACKGROUND: individual preventive behaviors are one of the key measures needed to prevent the spread of COVID-19. This study sought to identify the factors associated with the adoption of COVID-19 preventive measures, focusing specifically on information sources. METHODS: we conducted a nationally representative cross-sectional survey of 30,053 Japanese adults in February 2021. The survey asked about socioeconomic, health-related, and psychological characteristics, attitudes toward immunization, and the use of information sources regarding COVID-19. We have constructed multivariable logistic regression to estimate the factors associated with the adoption of three preventive measures: 3Cs avoidance, hand hygiene and respiratory hygiene. RESULTS: socioeconomic variables, psychological variables, and the use of information sources are significantly associated with the adoption of preventive measures. The more information sources one uses, the more likely one is to adopt preventive measures. Trust in healthcare professionals is positively associated with adopting preventive measures. On the other hand, negative correlations between trust in social media and preventive behaviors were observed. CONCLUSIONS: encouraging access to multiple information sources, utilizing communication channels, and modifying messaging according to target groups are essential to promote COVID-19 preventive measures

A novel homozygous variant of the thrombomodulin gene causes a hereditary bleeding disorder

ArticleBlood Advances. 5(19): 3830-3838 (2021)journal articl

Fluorescence and chemiluminescence behavior of distyrylbenzene bearing two arms of dipicolylaminomethyl groups: Interactions with zinc ion and ATP

Available online 31 January 2018.The absorption and fluorescence spectral study of the distyrylbenzene bearing two arms of the dipicolylaminomethyl groups, the effective ligands for Zn2+, was studied in the presence of Zn2+ and ATP. Upon complexation of the distyrylbenzene with zinc ions in acetonitrile, enhancement of the fluorescence intensity was observed due to inhibition of intramolecular PET (photo-induced electron transfer) quenching, but no effect was found in aqueous media because the equilibrium laid to the free form of the ligands. In contrast, the addition of ATP disodium salt was effective to enhance the fluorescence intensity of the combination of the distyrylbenzne and Zn2+ in aqueous media. This assembly was applied to the peroxyoxalate chemiluminescence system and a significant increase in the intensity was observed, which provides a potential detection for ATP by chemiluminescence. (C) 2018 Elsevier B.V. All rights reserved.ArticleSPECTROCHIMICA ACTA PART A-MOLECULAR AND BIOMOLECULAR SPECTROSCOPY. 195:223-229 (2018)journal articl

High levels of soluble C5b-9 complex in dialysis fluid may predict poor prognosis in peritonitis in peritoneal dialysis patients

Background We searched for indicators to predict the prognosis of infectious peritonitis by measuring levels of complement proteins and activation products in peritoneal dialysis (PD) fluid (PDF) of patients at early stages of peritonitis. We retrospectively analyzed the relationship between the levels of sC5b-9, C3 and C4 in PDF and the subsequent clinical prognosis. Methods We measured levels of sC5b-9, C3 and C4 in PDF on days 1, 2 and 5 post-onset of peritonitis in 104 episodes of infectious peritonitis in PD patients from 2008 and retrospectively compared levels with clinical outcomes. Further analysis for the presence of causative microorganisms or to demonstrate bacterial culture negative peritonitis was performed and correlated with change of levels of sC5b-9 in PDF. Results When PD patients with peritonitis were divided into groups that either failed to recover from peritonitis and were finally withdrawn from PD (group 1; n = 25) or recovered (group 2; n = 79), levels of sC5b-9, C3 and C4 in PDF were significantly higher in group 1 patients compared to those in group 2 on day5. Analysis of microorganisms showed significantly higher sC5b-9 levels in PDF of peritonitis cases caused by culture negative peritonitis in group 1 compared with group 2 when we analyzed for individual microorganisms. Of note, on day5, the sC5b-9 levels in PDF were similarly high in peritonitis caused by fungi or other organisms. Conclusion Our results suggested that levels of complement markers in PDF, especially sC5b-9, have potential as surrogate markers to predict prognosis of PD-related peritonitis