For young women with little exercise habits, establishing exercise habits from a young age is important for preventing lifestyle-related diseases and frailty. This study aimed to examine effective methods for establishing walking as a daily habit and was conducted on 74 female students belonging to a junior college in Fukuoka Prefecture. The intervention was divided into three periods (2 weeks each) from July to December 2023. In the first period, participants wore a pedometer but were unable to check their step count, and in the second period, they were asked to go about their daily lives while being able to check their step count. In the third period, participants were divided into four groups, and a step count ranking and a footrace were displayed. The control group (living a normal life) was compared with a control group (living a normal life) that combined feedback and chat communication. Step counts were measured at the end of each period, and the average number of steps significantly increased from period 1 to period 2 (4,494±1,403 steps/day to 9,581±3,061 steps/day). Furthermore, there was a significant difference between Group 1 (P = 0.02) and Group 3 (P = 0.008) in the additional intervention in period 3. Based on the above, it is believed that an intervention that combines wearing a pedometer, step count rankings and feedback, and SNS is effective in encouraging continued exercise.

Early-stage endometrial cancer can be cured surgically using three techniques: laparotomy, laparoscopic surgery, and robotic-assisted surgery. In this retrospective study, we used 4 years of data from the Japanese Diagnosis Procedure Combination to analyze perioperative sequelae for each surgical procedure. Patients with early-stage endometrial cancer were classified into three groups: laparotomy, laparoscopic surgery, and robotic-assisted surgery. The number of robotic-assisted surgeries is increasing, but hospitals with low surgical volumes performed laparotomy at a rate of 57.6%, while hospitals with higher surgical volume tended to perform fewer laparotomies and more laparoscopic and robotic-assisted surgeries. Compared with the laparotomy group, the in-hospital risk ratios and 95% confidence intervals for postoperative sequelae were 0.28 (0.18–0.44) and 0.39 (0.23–0.69) in the laparoscopic and robotic-assisted surgery groups, respectively (P = 0.001 for all). Regarding blood transfusion treatment, the incidence rate ratios were lower for laparoscopic and robotic-assisted surgery than for laparotomy (P < 0.001 for all), even after multivariable analysis. In conclusion, in early-stage endometrial cancer, laparotomy had the highest incidence of perioperative sequelae compared to laparoscopic surgery and robotic-assisted surgery.

This study aimed to assess disaster-related knowledge, attitudes, experience, trait emotional intelligence (EI), and disaster nursing core competencies among Jordanian emergency nurses. Additionally, it explores the factors influencing disaster nursing core competencies. The participants were 184 emergency nurses from military, governmental, and private hospitals in Jordan. Data was gathered through self-administered paper questionnaires using five standardized tools. Descriptive and inferential statistics were employed for analysis. Nurses showed positive attitudes toward disaster management, moderate knowledge (Mean = 8.7, SD ± 2.2), moderate experience during COVID-19 (Mean = 33.9/55), and good EI levels (Mean = 4.21/7). Disaster nursing core competencies were moderately high (Mean = 45.6/75). Significant correlations were found between core competencies and disaster-related knowledge (r = 0.16, P = 0.033), experience (r = 0.708, P = 0.000), and trait EI (r = 0.386, P<0.001). A positive correlation also existed between trait EI and disaster experience (r = 0.303, P<0.001). Findings suggest the importance of enhancing disaster education, hands-on training, and EI development for nurses and students.

Catatonia is a psychomotor syndrome that occurs in various psychiatric, neurological, and medical conditions. Differentiating malignant catatonia from neuroleptic malignant syndrome (NMS) and non-convulsive status epilepticus (NCSE) is particularly challenging in complex cases involving multiple contributing factors. Both catatonia and NCSE have been associated with dysfunction of the gamma-aminobutyric acid (GABA)-A receptor system, which may underlie overlapping clinical features. We report the case of a 43-year-old man with a long-standing history of schizophrenia who developed malignant catatonia following a suicide attempt that resulted in multiple traumatic injuries. Postoperatively, he exhibited autonomic instability, decreased consciousness, muscle rigidity, and catatonic signs. An electroencephalogram revealed generalized spike-and-wave activity consistent with NCSE, and levetiracetam was initiated. Despite the resolution of the epileptiform discharges, the catatonic symptoms persisted. A transient positive response to lorazepam supported the diagnosis of malignant catatonia. Modified electroconvulsive therapy (m-ECT) was introduced on day 40 of hospitalization. After four sessions, the patient showed marked improvement in both motor and autonomic symptoms. Thirteen sessions were completed, and the patient was discharged on day 81. He remained relapse-free for over five years. This case highlights the importance of considering malignant catatonia in patients with schizophrenia who present with persistent catatonic symptoms despite adequate treatment of NCSE. Although antiepileptic therapy suppressed epileptiform activity, resolution of catatonia required m-ECT, suggesting that seizure control alone may be insufficient. Clinicians should recognize that catatonia and NCSE may coexist and overlap in GABA-A-related pathophysiology, and that early GABA-A-targeted interventions, including m-ECT, may be critical for recovery.

Individualized movement instructions provided by physical therapists (PT) improve physical function in social welfare workers. However, owing to the COVID-19 pandemic, visits to medical institutions and social welfare facilities were increasingly restricted, making it difficult for PTs to conduct face-to-face sessions. Therefore, the focus on providing online sessions has increased to prevent direct contact. Feasibility studies help identify issues before conducting a study and prevent problems in implementation. This study investigated the feasibility of online interventions by PTs and proposed improvements during the implementation of randomized controlled trials (RCTs). Questionnaires and semi-structured interviews were administered to interventionists and participants to collect quantitative and qualitative data on the acceptability and barriers to online interventions. A feasibility study design was employed and qualitative data were analyzed using the framework method. Questionnaires were completed by 7 of 8 participants and all 8 interventionists, and interviews were completed by 6 of the 8 participants and all 8 interventionists. Most of the participants and all of the interventionists showed good acceptance of the intervention program and online communication, but participants experienced barriers to time commitment and forced exercise, while interventionists experienced barriers to the participants’ low intrinsic motivation and limited intervention tools. These results indicate that flexible interventions that consider the limited time and needs of an individual, efficient means, and enhanced resources for online treatment tools are required to increase the feasibility and acceptability of future RCTs.