記述言語：日本語   出版者・発行元：独立行政法人 労働者健康安全機構 労働安全衛生総合研究所  

<p>九州北部の5つの大学病院で働く対人業務のある医療専門職を対象に，2020年に労働災害や医療事故の発生状況を調査し，リスク要因を探索的に評価した．4職種（看護師1,305人，医師481人，放射線技師90人，薬剤師51人）を抽出し，過去1年間の労働災害および医療事故の発生とヒヤリ・ハット経験の回答に基づき職種別に高リスク群と低リスク群に分け，精神健康調査GHQ，主観的健康感，努力–報酬不均衡モデルで示される職業性ストレス，仕事や生活の時間的要因を比較し評価した．調査結果では，全職種で職業性ストレスと労災・医療事故リスクとの有意な関連が示された．薬剤師を除く高リスク群には精神健康の問題も見られた．看護師と医師の高リスク群は，低リスク群に比べ労働時間が長く，夜勤回数も多かった．睡眠不十分と家事時間はリスクとの関連を示さなかった．職業性ストレスは病院間の違いや性，年齢等の交絡因子を調整したマルチレベル混合効果ロジスティック回帰分析でも，全職種で労災・医療事故リスクと有意な関連を示した．この結果から，医療専門職の職場でのストレスを軽減することが，労災・医療事故リスクの低減につながる可能性があると示唆された．</p>

DOI： 10.2486/josh.josh-2023-0004-ge

CiNii Research

記述言語：日本語   出版者・発行元：(独)労働者健康安全機構労働安全衛生総合研究所  

九州北部の5つの大学病院で働く対人業務のある医療専門職を対象に,2020年に労働災害や医療事故の発生状況を調査し,リスク要因を探索的に評価した.4職種(看護師1,305人,医師481人,放射線技師90人,薬剤師51人)を抽出し,過去1年間の労働災害および医療事故の発生とヒヤリ・ハット経験の回答に基づき職種別に高リスク群と低リスク群に分け,精神健康調査GHQ,主観的健康感,努力-報酬不均衡モデルで示される職業性ストレス,仕事や生活の時間的要因を比較し評価した.調査結果では,全職種で職業性ストレスと労災・医療事故リスクとの有意な関連が示された.薬剤師を除く高リスク群には精神健康の問題も見られた.看護師と医師の高リスク群は,低リスク群に比べ労働時間が長く,夜勤回数も多かった.睡眠不十分と家事時間はリスクとの関連を示さなかった.職業性ストレスは病院間の違いや性,年齢等の交絡因子を調整したマルチレベル混合効果ロジスティック回帰分析でも,全職種で労災・医療事故リスクと有意な関連を示した.この結果から,医療専門職の職場でのストレスを軽減することが,労災・医療事故リスクの低減につながる可能性があると示唆された.(著者抄録)

出版者・発行元：Japanese Psychological Research  

This study examined the association between occupation and health status among Japanese employees. The data from the Comprehensive Survey of Living Conditions in Japan encompassed 102,575 employees (55,399 males and 47,176 females), who were employed workers aged 15–44 years. Self-rated health was used as an indicator of health status in the health questionnaire. A multiple logistic regression analysis of the association between health status and occupation was conducted to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) with an adjustment for confounding factors. When the non-regular employees were assessed, many of their occupations were linked to poorer health tendencies in general, with the exception of male Service workers (OR 0.75, 95% CI 0.60–0.94). Finally, particular employment and occupations were observed as having better or worse health tendencies than other types of work.

DOI： 10.1111/jpr.12379

Web of Science

Scopus

記述言語：英語   出版者・発行元：JMIR Publications  

Background: Ensuring an appropriate continuum of care in maternal, newborn, and child health, as well as providing nutrition care, is challenging in remote areas. To make care accessible for mothers and infants, we developed a telehealth care system called Portable Health Clinic for Maternal, Newborn, and Child Health. Objective: Our study will examine the telehealth care system’s effectiveness in improving women’s and infants’ care uptake and detecting their health problems. Methods: A quasi-experimental study will be conducted in rural Bangladesh. Villages will be allocated to the intervention and control areas. Pregnant women (≥16 gestational weeks) will participate together with their infants and will be followed up 1 year after delivery or birth. The intervention will include regular health checkups via the Portable Health Clinic telehealth care system, which is equipped with a series of sensors and an information system that can triage participants’ health levels based on the results of their checkups. Women and infants will receive care 4 times during the antenatal period, thrice during the postnatal period, and twice during the motherhood and childhood periods. The outcomes will be participants’ health checkup coverage, gestational and neonatal complication rates, complementary feeding rates, and health-seeking behaviors. We will use a multilevel logistic regression and a generalized estimating equation to evaluate the intervention’s effectiveness. Results: Recruitment began in June 2020. As of June 2022, we have consented 295 mothers in the study. Data collection is expected to conclude in June 2024. Conclusions: Our new trial will show the effectiveness and extent of using a telehealth care system to ensure an appropriate continuum of care in maternal, newborn, and child health (from the antenatal period to the motherhood and childhood periods) and improve women’s and infants’ health status. Trial Registration: ISRCTN Registry ISRCTN44966621; https://www.isrctn.com/ISRCTN44966621 International Registered Report Identifier (IRRID): DERR1-10.2196/41586.

DOI： 10.2196/41586

Web of Science

Scopus

PubMed

CiNii Research

記述言語：日本語   出版者・発行元：日本野生動物医学会  

<p>これまでに捕獲したイノシシから重症熱性血小板減少症候群ウイルス（SFTSV）抗体の保有が確認された九州大学伊都キャンパスとその周辺地域で捕獲したイノシシに寄生するマダニ類の種構成を明らかにするとともに，リアルタイムRT-PCR法を用いてSFTSV保有率を調査した。その結果，5種のマダニ類が確認され，全種がSFTSV 遺伝子の検出報告がある種であった。マダニ類からSFTSV遺伝子は検出されなかった。</p>

DOI： 10.5686/jjzwm.27.119

CiNii Research

記述言語：日本語   出版者・発行元：日本野生動物医学会  

これまでに捕獲したイノシシから重症熱性血小板減少症候群ウイルス(SFTSV)抗体の保有が確認された九州大学伊都キャンパスとその周辺地域で捕獲したイノシシに寄生するマダニ類の種構成を明らかにするとともに、リアルタイムRT-PCR法を用いてSFTSV保有率を調査した。その結果、5種のマダニ類が確認され、全種がSFTSV遺伝子の検出報告がある種であった。マダニ類からSFTSV遺伝子は検出されなかった。(著者抄録)

記述言語：英語   出版者・発行元：JMIR Formative Research  

Background: The number of single-living workers separated from their spouses and families has been increasing due to the need to create a balance between life and work. Workers are assigned everywhere in globalized workplaces while also caring for their family members in the context of Japan's aging society. At the same time, the mental and health status of persons living separately from their families is a matter of concern. The development of interpersonal communication means using information and communications technology (ICT) tools and the internet is remarkable, enabling simultaneous 2-way communication across distances and national borders. The easy accessibility to simultaneous communication is expected to improve the psychosocial status of isolated family members. Objective: This study aims to clarify the health benefits of ICT by using a psychosocial health assessment, the characteristics of ICT tools, and the frequency of communication among the workers and their families who live separately. Methods: This was a cross-sectional study planned and conducted in Japan. Study participants, including adults who live separately from other family members or have separately living family members due to work, were recruited to answer a web response survey about ICT usage status, health status, and life and society evaluation. This study recruited 73 participants divided into 2 groups by their communication tools and frequencies, and their separated life, health, and psychosocial status were statistically compared. Results: Among the 73 study participants, 15 were categorized in the high communication-skilled (HCS) group that used both types of ICT tools to communicate frequently: “live,” such as video chat and voice call, and “nonlive,” such as SMS text message service and email. A simple comparison between the HCS and reference groups showed significant differences in the cohesion with the neighborhood (P = .03), perceived social position (P = .01), and happiness (P < .001); however, there were no significant differences in the health (psychological distress, P = .08; self-rated health, P = .07), lifestyle (drinking, P > .99; current smoking, P = .37), and dyadic trust in family members living separately (P = .80). Further, in a multivariate regression analysis adjusted for confounding factors, such as educational history, age, gender, and job status, poor subjective health showed a prevalence odds ratio of less than 1 (OR 0.17, 95% CI 0.03-1.02). The HCS group showed significant positive relationships in the cohesion score with the neighborhood (P = .01; β=2.40, 95% CI 0.56-4.24), perceived social position (P = .03; β=1.17, 95% CI 0.11-2.23), and happiness score (P = .002; β=1.46, 95% CI 0.58-2.34) in the same multivariate regression models. Conclusions: This study suggested that people who frequently communicate with separated family members by taking advantage of various ICT tools can maintain a better mental state and better social relations among those who live alone and are separated from their families.

DOI： 10.2196/34949

Web of Science

Scopus

PubMed

記述言語：英語  

DOI： 10.3390/medicines9070040

PubMed

記述言語：英語   出版者・発行元：Studies in Health Technology and Informatics  

A personal health record (PHR) is not only a collection of personal health data but also a personal healthcare and disease management tool for individual patients. Recently, PHRs have been considered indispensable tools for patient engagement in the area of noncommunicable diseases (NCDs) and have gained a special importance. Unfortunately, similar to several other developing countries, Bangladesh remains far behind in establishing a standard PHR system for the country despite the fact that the growth of NCDs is extremely high and accounts for approximately 70% of the total diseases experienced in the country. The Portable Health Clinic system, which has a PHR feature, was established in Bangladesh in 2010. This PHR system requires standardization for each country. The objective of this research is to standardize this PHR system with reference to the PHR system proposed by the Japanese Clinical Societies, which is a pioneer of work in this field in Asia.

DOI： 10.3233/SHTI220053

Scopus

PubMed

Web of Science

出版者・発行元：Oxford University Press (OUP)  

DOI： 10.1093/abm/kaac014

CiNii Research

記述言語：英語   出版者・発行元：Computer Methods and Programs in Biomedicine Update  

Background: A developing country like Bangladesh suffers very much from the sudden appearance of the COVID-19 pandemic due to the shortage of medical facilities for testing and follow-up treatment. The Portable Health Clinic (PHC) system has developed the COVID-19 module with a triage system for the detection of COVID-19 suspects and the follow-up of the home quarantined COVID-19 patients to reduce the workload of the limited medical facilities. Methods: The PHC COVID-19 system maintains a questionnaire-based triage function using the experience of the Japanese practice of diseases management for early detection of suspected COVID-19 patients who may need a confirmation test. Then only the highly suspected patients go for testing preventing the unnecessary crowd from the confirmation PCR test centers and hospitals. Like the basic PHC system, it also has the features for patients’ treatment and follow-up for the home quarantined COVID-19 positive and suspect patients using a telemedicine system. This COVID-19 system service box contains 4 self-checking medical sensors, namely, (1) thermometer, (2) pulse oximeter, (3) blood pressure machine, and (4) glucometer for patient's health monitoring including a tablet PC installed with COVID-19 system application for communication between patient and doctor for tele-consultancy. Results: This study conducted a COVID-19 triage among 300 villagers and identified 220 green, 45 light-yellow, 2 yellow, 30 orange, and 3 red patients. Besides the 3 red patients, the call center doctors also referred another 13 patients out of the 30 orange patients to health facilities for PCR tests as suspect COVID-19 positive, and to go under their follow-up. Out of these (3 + 13 =) 16 patients, only 4 went for PCR test and 3 of them had been tested positive. The remaining orange, yellow and light-yellow patients were advised home quarantine under the follow-up of the PHC health workers and got cured in 1–2 weeks. Conclusions: This system can contribute to the community healthcare system by ensuring quality service to the suspected and 80% or more tested COVID-19 positive patients who are usually in the moderate or mild state and do not need to be hospitalized. The PHC COVID-19 system provides services maintaining social distance for preventing infection and ensuring clinical safety for both the patients and the health workers.

DOI： 10.1016/j.cmpbup.2022.100061

Scopus

PubMed

記述言語：英語   出版者・発行元：PLoS ONE  

The coronavirus disease (COVID-19) pandemic has widely spread worldwide since 2020. Several countries have imposed lockdown or stay-at-home policies to prevent the infection. Bangladesh experienced a lockdown from March 2020 to May 2020, and internal travel was restricted. Such long and strict confinement may impact women’s health. Herein, we aimed to assess the impact of the COVID-19 pandemic on women’s health by comparing their health status before and during the pandemic. We conducted a prospective longitudinal study in two zones in the Chhaygaon union, rural district Shariatpur, Bangladesh. The study population comprised non-pregnant women aged 15–49 years. We visited the household of all eligible women and invited them for health checkups. The survey staff examined their health status at the checkup camps and conducted questionnaire interviews. In total, 121 non-pregnant women received health checkups both from June 2019 to July 2019 and in October 2020, before and during the COVID-19 pandemic, respectively. Compared with those during the 2019 health checkup, the medians of body mass index, systolic blood pressure, and diastolic blood pressure were significantly higher (22.7 kg/m2 to 23.6 kg/m2; 110.0 mmHg to 111.0 mmHg; and 73.0 mmHg to 75.0 mmHg, respectively, p<0.05) during the 2020 health checkup. In contrast, urine glucose levels were significantly lower (10.1% to 3.4%, p = 0.021). The lack of physical activity and other inconvenience accumulation caused by the prolonged confinement might have affected their health status. This necessitates local health workers to promote physical activity to prevent health deterioration during the pandemic.

DOI： 10.1371/journal.pone.0266141

Web of Science

Scopus

PubMed

記述言語：英語   出版者・発行元：Studies in Health Technology and Informatics  

Rural women in developing countries do not have any option but to visit the distant city to see the obstetricians and gynecologists in case of any maternal and child health issues. However, it becomes more difficult to travel during the COVID-19 pandemic situation. Thus, the telehealth service using the Portable Health Clinic can be very effective for maternal and child health care services. Since the PHC system provides home delivery services through the local health workers, the rural women can avail regular continuum of care services. This study found a 300% increase in participation in the continuum of care. This is not because they receive the service at home but also because they can receive consultancy from urban specialist doctors without travel during the pandemic situation.

DOI： 10.3233/SHTI220700

Scopus

PubMed

記述言語：英語  

記述言語：日本語  

記述言語：日本語