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Volume 72, Issue 2
Displaying 1-6 of 6 articles from this issue
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REVIEW
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Kei NAGAI2023 Volume 72 Issue 2 Pages 47-57
Published: 2023
Released on J-STAGE: August 31, 2023
JOURNAL FREE ACCESSChronic kidney disease (CKD) is characterized by kidney dysfunction or proteinuria lasting more than 3 months, and the number of patients is increasing worldwide. In recent years, in addition to known causes of CKD such as chronic glomerulonephritis, diabetes, and hypertension, reports have noted the risk of developing CKD due to global environmental changes, which have not been mentioned in previous Japanese epidemiological studies. It is estimated that air pollution may be related to 6.4 million deaths annually worldwide. Typical air pollutants include particulate matter (PM), sulfur dioxide, nitrogen dioxide, carbon monoxide, and ozone. Cardiovascular disease and CKD are linked and share common mechanisms of onset and disease progression. Epidemiological studies have revealed that some cardiovascular diseases are caused by air pollution, such as PM2.5. However, studies on the relationship between air pollution and CKD have been scarce, and only in the 2020s did the evidence become more comprehensive in several countries. Nevertheless, there is still no evidence on this relationship from Japan. Analysis of ozone in particular, the only pollutant whose concentration continues to rise, warrants special attention, as the results of analyses in other countries indicate that it may be a risk factor for CKD.View full abstractDownload PDF (970K)
ORIGINALS
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Yasuo TANAKA2023 Volume 72 Issue 2 Pages 58-68
Published: 2023
Released on J-STAGE: August 31, 2023
JOURNAL FREE ACCESSThe purpose of this study was to clarify the effect of a short-duration interview combined with a questionnaire on subjective stress states in staff at a social welfare service corporation. Participants were 67 staff members of a social welfare service corporation. A one-on-one interview was conducted for 20 min with each participant by a certified social worker. The effect of the interview was estimated from the results of the Profile of Moods States 2 (POMS2) questionnaire both before and after the interview. All 67 staff members completed the interview. After the interview, the POMS2 T-scores for the “Anger-Hostility”, “Confusion-Bewilderment”, “Depression-Dejection”, “Fatigue-Inertia”, “Tension-Anxiety”, and “Total Mood Disturbance” subscales decreased significantly and those for the “Vigor-Activity” and “Friendliness” subscales increased significantly. These findings indicate that the interview was an effective intervention. This study provides evidence that short-duration interviews with the POMS2 questionnaire are useful for social welfare service corporations to cope with staff’s subjective stress states and may contribute to reducing turnover.View full abstractDownload PDF (890K) -
Chizuru MITSUI, Takanori MIURA, Kumiko INAGAKI, Tomoharu ODA, Hitoshi ...2023 Volume 72 Issue 2 Pages 69-78
Published: 2023
Released on J-STAGE: August 31, 2023
JOURNAL FREE ACCESSOur hospital has placed great importance on its basic philosophy and its organizational culture and identity in order for the hospital and its staff to contribute to local health care. For this purpose, we have systematically implemented staff training aimed at instilling these concepts. However, we have yet to check the penetration levels. This study was designed to determine the level of penetration of training content on organizational identity through a questionnaire survey. Of 1,696 total staff, 1,418 responded to the pre-training questionnaire. The number of participants who completed the post-training questionnaire respondents was 1,016. In the pre-training questionnaire, 53.9% of staff indicated that they “understood or mostly understood” (collectively referred to as “understanding”) their “mission in the community”. In contrast, 84.0% of the staff reported understanding the “mission” after training. Understanding of their “role in the community” was 53.8% and 85.5% before and after training, respectively. Furthermore, understanding of the “significance of the project” was 48.3 and 82.3% before and after training, respectively. The level of understanding of organizational identity achieved through this training varied by occupation. For training conducted in 2012, the level of understanding of organizational identity 7 years later was approximately 50%, indicating the difficulty in instilling understanding of organizational identity. This training was effective in improving understanding of organizational identity. However, differences in this understanding were observed between occupations, suggesting the need for training programs that are flexible and tailored to the content and occupation.View full abstractDownload PDF (921K)
CASE REPORT
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Mikiko ANDO, Yoshihito MOMOHARA, Michi SHIMADA, Ikuno ISHIKAWA, Masaya ...2023 Volume 72 Issue 2 Pages 79-83
Published: 2023
Released on J-STAGE: August 31, 2023
JOURNAL FREE ACCESSOur hospital is a designated medical institution for class 1 infectious diseases and a regional perinatal medical center where infants at 35 weeks of gestation or older can be delivered. We examined 40 pregnant women who tested positive for COVID-19 by PCR who visited our hospital. Two were in the first trimester, 7 in the second trimester, and 31 in the third trimester of pregnancy (18 at 37 weeks or later). Initially, all pregnant women who tested positive were hospitalized, but from August 2021, some were allowed to recover at home when they had mild COVID-19 or pregnancy was earlier than 37 weeks of gestation. In 28 hospitalized women, 10 gave birth at our hospital (1 by cesarean section and 9 by vaginal delivery). Pregnancy was ended early in response to COVID-19 in 3 cases, specifically, 1 by emergency cesarean section, 1 by emergency cesarean section at another hospital because of the timing (34 weeks), and 1 by induction of labor followed by vaginal delivery. Therapeutic intervention was provided in 5 cases (prednisolone in 4, heparin in 3, and both prednisolone and heparin in 2 cases). There were no cases of secondary infections of healthcare providers. Therapeutic intervention alleviated symptoms in some cases, suggesting that vaginal delivery can be an option for pregnant women with COVID-19 depending on COVID-19 symptoms and obstetric indications.View full abstractDownload PDF (781K)
NURSING RESEARCH REPORT
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Chisato KAMEYAMA, Etsuko KOMURO2023 Volume 72 Issue 2 Pages 84-90
Published: 2023
Released on J-STAGE: August 31, 2023
JOURNAL FREE ACCESSThe aim of this study was to describe the characteristics of rooming-in for mothers and infants during neonatal intensive care unit (NICU) stays and to describe the methods of rooming-in practice during the COVID-19 pandemic. Twenty-two infants admitted to the NICU who received rooming-in care before discharge were analyzed retrospectively. The reason for admission was low birthweight in 13 infants (59.0%), with a mean birthweight of 1,950 ± 962 g (mean ± standard deviation, here and below). Seventeen infants were the first child, constituting the majority of cases. Mean duration of NICU was 85 ± 103 days. There were 2 cases of long-term admission exceeding 6 months. Mean maternal age was 32 ± 6 years, and 20 mothers (90.9%) were married at the time of NICU admission. The most common purpose of rooming-in care was parent education (n=6, 27.3%), and there was a significant relation between anxiety about infant care and risk of child abuse. There was no significant difference between mothers and infants who roomed-in after transfer to the pediatric ward and those who roomed-in before NICU discharge except for maternal age. Our findings suggests that enhanced care support is needed, particularly for mothers of low-birthweight infants, mothers of advanced age, and primiparous mothers. We also found that transfer to the pediatric ward for rooming-in was a feasible option during a time of emerging and re-emerging infectious disease outbreaks.View full abstractDownload PDF (825K)
REGIONAL MEETING
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2023 Volume 72 Issue 2 Pages 91-94
Published: 2023
Released on J-STAGE: August 31, 2023
JOURNAL FREE ACCESSDownload PDF (681K)
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