An Analysis of Factors that Exacerbate Asthma, Based on a Japanese Questionnaire

ABSTRACTBackgroundIt is known that a wide variety of factors exacerbate asthma; however, few studies have investigated the factors that exacerbate asthma from a patient's perspective. The aim of this study was to analyze the factors that exacerbate asthma, based on a questionnaire completed by asthma patients in Niigata Prefecture.MethodsBased on questionnaires given to 3085 patients who visited the medical institutes in the Niigata Prefecture monthly from September through October 2006, groups stratified by sex, age, disease type and disease severity, were analyzed for factors contributing to asthma exacerbation, as described in the guideline of the Japanese Society of Allergology.ResultsThe leading exacerbating factor chosen by patients was a change in the weather, followed by smoking, allergen exposure, fatigue, stimulants, and air pollutants. Respiratory infection, widely recognized as a critical factor of severe exacerbation, was ranked seventh. Allergen exposure and air pollutants were prominent in younger individuals, whereas respiratory infection tended to be more common in elderly subjects. Allergen exposure, air pollutants, and exercise were significantly more common in atopic-type patients, in contrast with respiratory infection in non-atopic-type patients. According to multiple regression analysis, poor asthma control during the last one year was associated with changes in the weather, whereas the non-atopic disease type was related to exacerbation by respiratory infection. Current smoking was associated with both factors.ConclusionsMany factors exacerbate asthma, depending on the individual case and his/her background. These data suggest that changes in the weather may be more important factor for patients in asthma exacerbation

The young adults feelings after losing their parents to cancer in adolescence : a study based on the written records of the young adults fight against cancer

目的；青年期にがんで親を亡くした人の死別後の気持ちをあきらかにする． 方法；闘病記より，青年期にがんで親を亡くした人の死別後の気持ちが表現されている言動を，逐語録化し分析した．具体的には，前後の文脈と表現された言語の意味をコード化しカテゴリー化した． 結果；４つのカテゴリー，すなわち，１．親の死を受け止められない，２．親との生活を振り返る，３．進路や人生観が変化する，４．親のいない生活への適応，を抽出した．なお，それぞれのカテゴリーには複数のサブカテゴリーで構成されていた． 青年期に親と死別した人の気持ちは，学校（高校など）でも家でも感情の板挟みとなって葛藤を繰り返し，誰にも打ち明けられずに孤独に耐える．しかし，生前の親との時間や親の生きざまを想察することで，死と向き合い始める．また，その後の進路や人生観の変化も，生前の親からの学びが，対象者の気持ちに影響を及ぼしている．Objective : The Objective of this study identified the feeding of young adults after they lost their parents who died of cancer. Methods : Some of the young adult of these parents had recorded their fight against cancer in their own way, and we first extracted from their records the parts in which their feelings following their parents’ death were written down or the parts in which their feelings about their parents’ death were hinted in the form of what they said or did. We then transcribed these parts word for word, and made an analysis of them. Results : We have found that these parts consist of four categories ： １） being unable to accept their parents’ death, ２） looking back on the life they led with their parents, ３） the change of their career or their outlook on life, and ４） adapting to the life in which their parents no longer exist. Each category comprises more than one subcategory. Conclusions : It is important for nurses to understand and support the complicated feelings of those young adult whose parents died in young adult. It can be an effective suggestion in influencing the mental attitude the oung adult assume following their parents’ death

Digitally inclusive, healthy aging communities (Dihac): A cross-cultural study in Japan, Republic of Korea, Singapore, and Thailand

10.3390/ijerph19126976International Journal of Environmental Research and Public Health19697

教職履修者のリフレクションを促す「教職実践演習」の取り組み : 養成段階における教員の資質・能力向上を意識して

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