Factors related to the fatigue of relief workers in areas affected by the Great East Japan Earthquake : survey results 2.5 years after the disaster

Background: After the Great East Japan Earthquake (March 11, 2011), the fatigue of relief workers became a major problem in affected areas. In the present study, we conducted a questionnaire survey 2.5 years post-disaster identifying factors related to the fatigue of relief workers. Methods: This survey was cross-sectional and participants (N = 119) were relief workers living in affected areas. We used a self-administered questionnaire which included participants’ current problems, sources of strong feeling of loss, psychological distress and compassion fatigue. Based on answers (Yes/No) to the fatigue item, we created 2 groups; a Fatigue-group and a Non-fatigue group. We employed bivariate analysis on items with significant differences between the two groups and entered them into a multivariable logistic regression model. Results: Fifty-seven (48%) reported that they were “very tired” and were assigned to the Fatigue group. The total score of the 6-item Kessler Psychological Distress Scale (K6) and each subscale score (burnout, secondary trauma, and compassion satisfaction) of the Professional Quality of Life measure (Pro-QOL) in the Fatigue group were significantly higher than those in the Non-fatigue group. There were significant differences between the two groups for 11 items relating to current problems and sources of strong feelings of loss, and the following items were extracted as factors related to the fatigue of relief workers: loss of trust in others (adjusted OR, 10.03: 95%CI, 2.30–43.79), no confidence to continue work (adjusted OR, 6.27: 95%CI, 1.72–22.83), loss of important person(s) (adjusted OR, 5.58: 95%CI, 2.05–15.19), and sleep disturbance (adjusted OR, 5.14: 95%CI, 1.93–13.67). Conclusion: Many relief workers who reported fatigue had experienced various losses and current problems. Adequate consideration and care systems for local relief workers with fatigue should be given for a long-period after a disaster and it is important for the workers themselves to continue accepting support from others and maintaining self-care habits

Origin of Thermal and Non-Thermal Hard X-ray Emission from the Galactic Center

We analyse new results of Chandra and Suzaku which found a flux of hard X-ray emission from the compact region around Sgr A$^\ast$ (r ~ 100 pc). We suppose that this emission is generated by accretion processes onto the central supermassive blackhole when an unbounded part of captured stars obtains an additional momentum. As a result a flux of subrelativistic protons is generated near the Galactic center which heats the background plasma up to temperatures about 6-10 keV and produces by inverse bremsstrahlung a flux of non-thermal X-ray emission in the energy range above 10 keV.Comment: to be published in PASJ, v.61, No.5, 200

Special Report A Genetic Counseling System in Nagasaki Prefecture: The Course and Current Status of the Genetic Counseling Unit in Nagasaki University Hospital

Recent progress in genetic medicine is remarkable and seems to be getting ahead of the general population. For a proper application of genetic medicine to people, genetic counseling is essential. There are few institutions that can provide sufficient genetic counseling in Japan. In response to a proposal by the Ministry of Health, Labour and Welfare to establish a genetic counseling system, Nagasaki prefecture started the genetic counseling model project in 1999 and entrusted Nagasaki University Hospital to become its core, a genetic counseling center. At the same time, Nagasaki University Hospital set up the Genetic Counseling Unit as an independent clinical division to respond the social needs. We describe here the course and current status of the trial to establish a district-adhered genetic counseling system in recent two years in Nagasaki prefecture