Introduction: The purpose of this study was to investigate the immediate cause of death recorded by home medical care physicians on the death certificates of senile patients who died of pneumonia as a complication, and to examine physician-level factors related to selection of the cause of death.

Methods: We used a mail questionnaire survey to conduct a cross-sectional study of members of the Japan Network of Home Care-Supporting Clinics.

Results: In total, 470 valid responses were received (response rate: 51.8%). The immediate cause of death was recorded as pneumonia in cases of complication by pneumonia "always" by 95 physicians (20.2%), "often" by 131 (27.9%), "sometimes" by 134 (28.5%), "rarely" by 91 (19.4%), and "never" by 19 (4.0%). Multivariate analysis revealed that female physicians were significantly less likely to record the immediate cause of death as senility (OR: 0.10, 95%CI: 0.01-0.71).

Conclusion: The immediate cause of death recorded on death certificates varied in cases of senile patients who died of pneumonia as a complication. The present study also suggested that selection of the cause of death was influenced by the gender of physicians.

Introduction: To elucidate the issues surrounding adolescents' Internet use in social minority groups, this study investigated the current situation of Internet addiction among Brazilian students who live in A city in Japan.

Methods: The participants were 342 local Brazilian students attending international schools. A cross-sectional study using a self-administered questionnaire in Brazilian-Portuguese was conducted. As a primary outcome, we used Young's Internet Addiction Test (IAT) to evaluate the level of self-reported Internet addiction. Social demographics (i.e. age, sex, etc. ), lifestyle (i.e. the time for Internet use, sleeping hours, etc. ), and depressive tendency (Patient Health Questionnaire 2, PHQ2) were also assessed. The χ-square test and logistic regression analysis were used for analysis.

Results: The response rate was 65% (222; 111 males and 111 females). Factors related to an IAT score of 50 or higher were sleeping hours (<7.5 hours) (OR: 0.38, 95%CI: 0.21-0.68), the time for Internet use (≥4 hours) (2.6, 1.4-4.8), and PHQ2 score (≥3) (6.2, 3.3-11.5). On logistic regression analysis, an IAT score ≥50 was positively associated with the time for Internet use and PHQ2 score ≥3.

Conclusion: The self-report of high Internet addiction among Brazilian students in A city in Japan was significantly related to the time for Internet use and depressive tendency.

Introduction: In Japan, multifunctional long-term care in small group homes and home-visit nursing (MLSH) was created for elderly people who continue to live in the community as one of the long-term care insurance services. The aim of this study was to clarify the benefits and challenges of, and ideas for nursing in MLSH.

Methods: A semi-structured interview survey was administered to 11 nurses carrying out MLSH in the Kansai region, and the responses were analyzed qualitatively and descriptively.

Results: The benefits of nursing were divided into five categories, including "nurses' expertise and ingenuity can be utilized" and "nursing can continue to support home life even in difficult cases." There were seven categories of challenges, including "difficult to judge, educate, and collaborate; this burdens nurses" and "difficult to educate and collaborate with care workers." There were six categories of nursing ideas, including "utilize knowledge and connections from study sessions, and external training at facilities" and "ensure that nurses and care workers can provide unified care."

Conclusion: Although nurses considered it an advantage to support patients' home-based life in cooperation with patients' family members using professional originality, it was difficult for them to judge, learn, and collaborate with others. Moreover, nurses faced burdens. Strategies must be developed to provide nurses with training inside and outside of the facility, and also to strengthen connections with external resources. It is necessary to further review the system and disseminate knowledge about MLSH.

Introduction: The aim of this study was to identify daily life issues of female terminal cancer patients who are parenting and living in their own home, and the current practice of providing support for them.

Method: Semi-structured interviews were conducted with three visiting nurses who had experience in providing support to female patients with terminal cancer who were parenting while living at home. The data collected were categorized using a qualitative and inductive classification approach.

Results: Categories related to issues included: insufficient support systems; and lack of time to provide support to satisfy the needs of both the patients and their families because of rapid progression of the disease. Categories related to the current practice of provision of support included: assistance to make home care possible when time was limited and support services were unavailable; understanding the situation the parenting patients with cancer were in and assisting their decision-making; relief of the patients' emotional and physical pain; assessing how well the family, including the children, understood the situation, and to support the family in expressing their feelings.

Conclusion: This study revealed issues specific to providing support to parenting patients such as insufficient support services. Furthermore, visiting nurses were found to provide support with an understanding of the fact that the patients were parenting children.

INTRODUCTION: To eradicate uterine cervix cancer, we report LOVE49 activity in Gunma prefecture and considered activities to be focused on in the future.

METHODS: Activities included the creation of original goods and "Gunma-chan" costume, broadcast by local FM radio, plans for distribution, and distribution among college students.

RESULTS: Original goods were distributed more efficiently to young women than in previous years. These activities led to an increased number of goods distributed, shortening of the time for distribution and reducing the burden on members.

CONCLUSION: It is important that women themselves obtain correct knowledge and information to continuously improve the check-up rate. Health education for young people in particular is important.