巻号一覧
45 巻 (2023)
- 4 号 p. 199-
- 3 号 p. 143-
- 2 号 p. 95-
- 1 号 p. 1-
45 巻, 2 号
選択された号の論文の7件中1～7を表示しています
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暮地本 宙己, 石丸 知宏, 中野 愛子, 長谷川 梢, 木村 絵梨, 田島 佐登史, 吉川 徹, 根本 博原稿種別: ［原著］
2023 年 45 巻 2 号 p. 95-103
発行日: 2023/06/01
公開日: 2023/06/01
ジャーナル フリーWe examined the relationship between workplace environmental factors, including support from supervisors and colleagues, and the continued use of a wearable device meant to promote occupational health. One hundred employees at a Japanese manufacturing company participated in a 3-month study, and information related to their physical health status was recorded by a wearable device. We analyzed the results using the χ2 test and logistic regression analysis. We found that men aged 40–49 years and employees reporting low support from supervisors and colleagues were significantly more likely to be continuing device users. Participants with low workplace support had adjusted odds ratios approximately two to three times higher than those with high levels of support, which was significant. Employees with low workplace support were able to communicate at work, access appropriate support, and enthusiastically participate in occupational health promotion with little psychological difficulty in using the device. Occupational health promotion using wearable devices can complement traditional face-to-face occupational health promotion.抄録全体を表示PDF形式でダウンロード (1992K) -
マアムリ ハナン, ベン アーイド フーダ, バクロウティ ムーナ, ケタタ ノハ, ヤイチ スルール, カーレイ ラウーフ, ジディディ ...原稿種別: ［原著］
2023 年 45 巻 2 号 p. 105-115
発行日: 2023/06/01
公開日: 2023/06/01
ジャーナル フリーThis study aimed to determine the prevalence and predictive factors of fear of COVID-19 and serious mental distress among teachers in public schools of Southern Tunisia. This was a cross sectional study among a representative sample of 525 teachers. The level of Fear was assessed using the Fear of COVID-19 Scale (FCV-19S). A high level was defined as an FCV-19S ≥ 22. Kessler 6 (K6) was performed to predict serious mental distress. Serious mental distress was defined as a K6 score ≥ 13. The prevalence rates of high level of fear of COVID-19 and serious mental distress were 32.8% and 63.8%, respectively. Independent factors associated with a high level of fear of COVID-19 were female gender (Adjusted odds ratio (AOR)=1.6 [1.1-2.5]), chronic disease (AOR=1.6 [1.1-2.4]), home-living children (AOR=3.3 [1.4-7.8]), and poor material working conditions (AOR=1.5 [1.2-2.1]). The high level of fear of COVID-19 (AOR=3.1 [1.8-5.1]) was independently associated with serious mental distress. Living in a rural area (AOR=0.4 [0.3-0.8]), previous COVID-19 infection (AOR=0.5 [0.4-0.8]) and going to school on foot (AOR=0.3 [0.2-0.51]) were independently associated with a lower prevalence of serious mental distress.抄録全体を表示PDF形式でダウンロード (261K) -
松野 真莉子, 栗田 智子, 柴原 真美, 青山 瑤子, 星野 香, 西村 和明, 原田 大史, 植田 多恵子, 松浦 祐介, 吉野 潔原稿種別: ［症例報告］
2023 年 45 巻 2 号 p. 117-122
発行日: 2023/06/01
公開日: 2023/06/01
ジャーナル フリーMost cases of tubo-ovarian abscess (TOA) are due to transvaginal infection, while other internal diseases may also be associated with TOAs. We experienced a case of ovarian clear cell carcinoma and rectal carcinoma that was discovered to be a result of TOA. A 46-year-old woman was diagnosed with TOA and referred to our hospital. Laparoscopic abscess drainage was performed, and pathological findings confirmed the presence of ovarian clear cell carcinoma inside the abscess. The tumor marker carcinoembryonic antigen (CEA) was elevated, and rectal cancer was diagnosed by a gastrointestinal endoscopy. Abdominal computed tomography (CT) showed a left adnexal abscess with an air image inside, and penetration of the abscess wall and rectal cancer were observed. Histopathologically, there was an accumulation of neutrophils around the rectal tumor cells. We concluded that the rectal cancer had penetrated the existing ovarian tumor and formed TOA. Non-gynecological diseases may be associated with TOA. It is necessary to consider the possibility that other clinical diseases may be associated with the trigger of TOA.抄録全体を表示PDF形式でダウンロード (2396K) -
大江 晋司, 久米井 伸介, 烏山 司, 篠原 暢彦, 秀島 宏典, 米田 晃敏, 宮川 恒一郎, 本間 雄一, 柴田 道彦, 原田 大原稿種別: ［症例報告］
2023 年 45 巻 2 号 p. 123-127
発行日: 2023/06/01
公開日: 2023/06/01
ジャーナル フリーA 57-year-old man visited our hospital for acute cholangitis due to common bile duct (CBD) stones in March 2021. Biliary stenting was performed without any complications. The cholangitis improved rapidly. He was re-hospitalized to treat the CBD stones in May 2021. Although endoscopic retrograde cholangiopancreatography was performed, endoscopy caused a perforation of the duodenal bulb. We successfully performed endoscopic closure of the duodenal defect using an over-the-scope clip (OTSC®). Considering that mild CBD dilatation of 10 mm can carry an increased risk of stenosis after surgery, we decided to avoid surgery and perform a follow-up endoscopic treatment. He was re-hospitalized in July 2021. The endoscopy revealed OTSC® in the anterior wall of the duodenal bulb and complete healing of the perforation. We carefully advanced the scope to the second portion of the duodenum while avoiding OTSC®, and the ampulla of Vater was identified. We were then able to remove the stones without any complications. OTSC® was effective in closing a duodenal perforation and enabled us to carry out the retreatment safely and successfully.抄録全体を表示PDF形式でダウンロード (15521K) -
太田 浩嗣, 清野 純平, 室谷 遊, 山本 淳考原稿種別: ［症例報告］
2023 年 45 巻 2 号 p. 129-132
発行日: 2023/06/01
公開日: 2023/06/01
ジャーナル フリーBlake’s pouch cyst （BPC）は第四脳室から小脳下後方に拡大した嚢胞で，先天性非交通性水頭症と考えられているが，特発性正常圧水頭症（idiopathic normal pressure hydrocephalus: iNPH）様の経過をたどる高齢発症例の報告が散見され，交通性の機序が関与していると推測されている．BPC様に脳室拡大を呈した壮年期発症例に腰椎腹腔短絡術を施行し，良好な結果を得られたため報告する．症例は68歳男性．2年前から歩行障害が徐々に進行し，独歩が困難となった．体幹失調を認め，開脚すり足歩行でつたい歩きであったが，認知症や尿失禁はなかった．また，左方視で複視を訴えた．CT上第四脳室を含む脳室拡大と後頭蓋窩髄液腔の拡張を認め，MRIで第四脳室脈絡叢は小脳虫部前方にみられ，中脳水道，Magendie孔，Luschca孔および大孔に閉塞起点はなかった．Tap testを施行し，複視は消失し歩行障害は改善したため腰椎腹腔短絡術（Strata, shunt 設定: 1.5）を施行した。術直後より複視を含め症状は改善し，歩行も動揺なく安定したため外来通院している．抄録全体を表示PDF形式でダウンロード (843K) -
武田 康, 橋田 篤知, 二ツ矢 浩一郎, 竹下 洋平, 太田 浩嗣, 山本 淳考原稿種別: ［症例報告］
2023 年 45 巻 2 号 p. 133-139
発行日: 2023/06/01
公開日: 2023/06/01
ジャーナル フリー脳梗塞発症早期の神経症候増悪（early neurological deterioration: END）は，転帰不良とされている．このうち，recombinant tissue plasminogen activator（rt-PA）療法後のearly recurrent ischemic stroke（ERIS）は稀で，渉猟しえた限り21例しかなかった．左中大脳動脈閉塞に対してrt-PA療法直後に右内頚動脈閉塞症が生じた症例を経験したため報告する．症例：79歳女性．高血圧症，心房細動で加療されていたが，1年前自己中止していた．202X年1月X日自宅で動けなくなったため搬入された．傾眠で，左共同偏視，軽度の運動性失語と右片麻痺を認めた．MRI上左内包に超急性期脳梗塞を認め，左中大脳動脈は閉塞していた．発症2時間でrt-PA療法を開始し，意識レベルと失語の改善は認めたものの片麻痺の改善は乏しく，血栓回収術を念頭に脳血管撮影を施行した．左中大脳動脈は閉塞したままであったため血栓回収術を試みた．術中，嘔吐後昏睡状態となり，頭部CTを施行したが出血はなく，気管内挿管後，血栓回収術を再開した．Combined technique （3pass）で赤色血栓を吸引し左中大脳動脈は再開通できた．直ぐに右側の撮影を行ったところ，右内頚動脈は頚部で閉塞していた．同操作（2pass）で赤色血栓を回収し再開通させた．術後，意識障害は遷延したため集中治療を加えたが，CT上両側前頭葉に梗塞をきたした．最終的にmodified Rankin Scale（mRS）5でリハビリテーション病院へ転院となった．抄録全体を表示PDF形式でダウンロード (1618K) -
末滿 達憲, 宮崎 彰吾, 佐藤 和人, 橋本 雄太郎原稿種別: ［論説］
2023 年 45 巻 2 号 p. 141
発行日: 2023/06/01
公開日: 2023/06/01
ジャーナル フリーPDF形式でダウンロード (120K)
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