記述言語：英語   掲載種別：研究論文（学術雑誌）  

The migrant population of Japan is gradually increasing, but it is not well known how and why diet and physical activity (PA) change post-migration. Therefore, this study used a mixed-method approach to investigate the changes in dietary patterns and PA through a web- and paper-based survey (n = 128) and understand the contextual factors for those changes through semi-structured interviews (n = 21). Descriptive and thematic analyses of quantitative and qualitative data were conducted, respectively. The majority of survey (57.8%) and interview (66.7%) participants were female, and the mean duration of stay in Japan was 5 and 3.6 years, respectively. The survey revealed an increased consumption of foods attached to Japanese culture, frozen and microwavable food, and a reduced consumption of fruits. We identified environmental (availability, accessibility, and affordability of foods; food safety and diet-related information; and climate), individual (living status; post-migration lifestyle; and food preferences and limitations), or socio-cultural (relationships with Japanese people; cultural differences; and religious influences) factors that impact diet changes. Language proficiency and the duration of stay shape dietary behaviors. Determinants of PA changes were climate, lifestyle, and the influence of Japanese culture. In conclusion, immigrants in Japan experience post-migration diet and PA changes, and this study adds knowledge about how and why such changes occur.

DOI： 10.3390/nu15163639

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

BACKGROUND: Zinc (Zn) deficiency, malnutrition, sarcopenia, and frailty are prevalent among older adults and are prominent factors contributing to disability and mortality. OBJECTIVE: This scoping review was conducted to aid understanding of the extent and types of research addressing the role of Zn in nutritional status, sarcopenia, and frailty, among older individuals. METHOD: A systematic search was performed in August 2022 of 3 electronic databases (PubMed, Web of Science, and ProQuest) using predefined search terms. The review was conducted referring to the Arksey and O'Malley framework and PRISMA-ScR. RESULTS: The search retrieved 16 018 records, and a total of 49 studies were included in this review after the screening. Of those, 30 were based on dietary Zn intake, 18 on tissue Zn levels, and 1 on both. Most studies were based on cross-sectional data from community-dwelling older adults. Studies addressing the associations between Zn status and individual anthropometric and sarcopenia-related variables reported inconsistent results. However, most studies reported inverse associations between malnutrition, frailty, and Zn status. CONCLUSION: There was more consistent evidence of the relationship of Zn status with malnutrition, sarcopenia, and frailty rather than with individual nutritional parameters. Validated screening and assessment tools and criteria and prospective studies are required to elucidate the relationship of Zn with sarcopenia and frailty in the older population.

DOI： 10.1093/nutrit/nuad094

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掲載種別：研究論文（学術雑誌）   出版者・発行元：Kitakanto Medical Society  

DOI： 10.2974/kmj.73.191

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

BACKGROUND: Out-of-hospital cardiac arrest (OHCA) is a significant global cause of mortality, and Emergency Medical Services (EMS) response interval is critical for survival and a neurologically-favorable outcome. Currently, it is unclear whether EMS response interval, neurologically-intact survival, and overall survival differ between snowy and non-snowy periods at heavy snowfall areas. METHODS: A nation-wide population-based cohort of OHCA patients, registered from 2017 through 2019 in the All-Japan Utstein Registry, was divided into four groups according to areas (heavy snowfall area or other area) and seasons (winter or non-winter): heavy snowfall-winter, heavy snowfall-non-winter, other area-winter, and other area-non-winter. The first coprimary outcome was EMS response interval, and the secondary coprimary outcome was one-month survival and a neurologically-favorable outcome at one month. RESULTS: A total of 337,781 OHCA patients were divided into four groups: heavy snowfall-winter (N = 15,627), heavy snowfall-non-winter (N = 97,441), other area-winter (N = 32,955), and other area-non-winter (N = 191,758). Longer EMS response intervals (>13 minutes) were most likely in the heavy snowfall-winter group (OR = 1.86; 95% CI, 1.76 to 1.97), and also more likely in heavy snowfall areas in non-winter (OR = 1.44; 95% CI, 1.38 to 1.50). One-month survival in winter was worse not only in the heavy snowfall area (OR = 0.86; 95% CI, 0.78 to 0.94) but also in other areas (OR = 0.91; 95% CI, 0.87 to 0.94). One-month neurologically-favorable outcomes were also comparable between heavy snowfall-winter and other area-non-winter groups. CONCLUSIONS: This study showed OHCA in heavy snowfall areas in winter resulted in longer EMS response intervals. However, heavy snowfall had little effect on one-month survival or neurologically-favorable outcome at one month.

DOI： 10.1017/S1049023X23006040

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担当区分：責任著者   記述言語：日本語  

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記述言語：日本語   出版者・発行元：(株)ジェフコーポレーション  

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掲載種別：研究論文（学術雑誌）   出版者・発行元：Public Library of Science (PLoS)  

Background

Pulmonary thromboembolism is a serious disease that often occurs in disaster victims evacuated to shelters. Deep vein thrombosis is the most common reason for pulmonary thromboembolism, and early prevention is important. Medical technicians often perform ultrasonography as part of mobile medical screenings of disaster victims but reaching all isolated and scattered shelters is difficult. Therefore, deep vein thrombosis medical screening methods that can be easily performed by anyone are needed. The purpose of this study was to develop a method to automatically identify cross-sectional images suitable for deep vein thrombosis diagnosis so disaster victims can self-assess their risk of deep vein thrombosis.

Methods

Ultrasonographic images of the popliteal vein were acquired in 20 subjects using stationary and portable ultrasound diagnostic equipment. Images were obtained by frame split from video. Images were classified as “Satisfactory,” “Moderately satisfactory,” and “Unsatisfactory” according to the level of popliteal vein visualization. Fine-tuning and classification were performed using ResNet101, a deep learning model.

Results

Acquiring images with portable ultrasound diagnostic equipment resulted in a classification accuracy of 0.76 and an area under the receiver operating characteristic curve of 0.89. Acquiring images with stationary ultrasound diagnostic equipment resulted in a classification accuracy of 0.73 and an area under the receiver operating characteristic curve of 0.88.

Conclusion

A method for automatically identifying appropriate diagnostic cross-sectional ultrasonographic images of the popliteal vein was developed. This elemental technology is sufficiently accurate to automatically self-assess the risk of deep vein thrombosis by disaster victims.

DOI： 10.1371/journal.pone.0282747

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

BACKGROUND: Treatment of high blood pressure is a combination of lifestyle changes and medications, and appropriateexercise therapy is recommended as one of the lifestyle-related changes. Recently, stretching, a low-intensity exercise, was reported to be antihypertensive and effective for improving arteriosclerosis, in addition to aerobic exercise. The present study investigated the short-term effects of continuous stretching and rest-induced rebound on vascular endothelial function in hypertensive patients. METHODS: This study was conducted as a single-arm prospective interventional study including patients between 30 and 70 years of age undergoing treatment for hypertension from October 2019 until May 2021. The intervention consisted of six months of daily stretching, one month of rest, and another three months of stretching. We measured arteriosclerosis indices such as cardio ankle vascular index (CAVI), ankle brachial pressure index (ABI) and reactive hyperemia index (RHI), and flexibility at the baseline and one, three, six, seven, and ten months from the baseline. RESULTS: We included a total of ten patients (three males and seven females) with an average age of 60.10 ± 6.05 years. The exercise rate for the entire period was 90% or more, and the anteflexion measurement value improved significantly before and after the intervention (p < 0.001). Blood pressure and CAVI/ABI were well controlled throughout the study period. RHI did not show any significant improvement during the initial six months, and only slightly improved by the third month (p = 0.063). Even after the rest phase and resumption of stretching, RHI remained stable. CONCLUSIONS: The compliance of the stretching program we used, evaluated by the exercise implementation rate for the entire period, was 90% or more; therefore, easy to perform and continue by hypertensive patients. However, we did not observe a significant positive effect on arteriosclerosis index or blood pressure in this study.

DOI： 10.3390/clinpract12030036

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担当区分：責任著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.24462/jnse.9.0_178

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

Background and Objectives: For effective function of the rapid response system (RRS), prompt identification of patients at a high risk of cardiac arrest and RRS activation without hesitation are important. This study aimed to identify clinical factors that increase the risk of intensive care unit (ICU) transfer and cardiac arrest to identify patients who are likely to develop serious conditions requiring ICU management and appropriate RRS activation in Japan. Materials and Methods: We performed a single-center, case control study among patients requiring a rapid response team (RRT) call from 2017 to 2020. We extracted the demographic data, vital parameters, blood oxygen saturation (SpO2) and the fraction of inspired oxygen (FiO2) from the medical records at the time of RRT call. The patients were divided into two groups to identify clinical signs that correlated with the progression of clinical deterioration. Patient characteristics in the two groups were compared using statistical tests based on the distribution. Receiver operating characteristic (ROC) curve analysis was used to identify the appropriate cut-off values of vital parameters or FiO2 that showed a significant difference between-group. Multivariate logistic regression analysis was used to identify patient factors that were predictive of RRS necessity. Results: We analyzed the data of 65 patients who met our hospital's RRT call criteria. Among the clinical signs in RRT call criteria, respiratory rate (RR) (p < 0.01) and the needed FiO2 were significantly increased (p < 0.01) in patients with severe disease course. ROC curve analysis revealed RR and needed FiO2 cut-off values of 25.5 breaths/min and 30%. The odds ratio for the progression of clinical deterioration was 40.5 times higher with the combination of RR ≥ 26 breaths/min and needed FiO2 ≥ 30%. Conclusions: The combined use of RR ≥ 26 breaths/min and needed FiO2 ≥ 30% might be valid for identifying patients requiring intensive care management.

DOI： 10.3390/medicina57111194

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記述言語：日本語   出版者・発行元：日本外科系連合学会  

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

Symptom burden and health-related quality of life (HRQOL) are important predictors of how a disease affects patients' lives, especially for endemic health problems such as chronic kidney disease of uncertain etiology (CKDu). Our study describes symptom burden, HRQOL, and associated demographic and clinical variables in CKDu patients in the Girandurukotte area, Sri Lanka. A cross-sectional study included 120 CKDu patients attending the renal clinic in the endemic area. The instruments applied were the Kidney Disease Quality of Life-Short Form (KDQOL-SFTM) version 1.3 and CKD Symptom Index-Sri Lanka. Socio-demographic, disease-related, and anthropometric variables were also investigated. The mean age of patients was 61.87 (SD 11.31), while 69.2% were male. The mean glomerular filtration rate was 28.17 (SD 14.03) mL/min/1.73 min2, and 70.8% were anemic. Bone/joint pain was the most experienced symptom while the median number of symptoms reported by patients was 5 (IQR 3-7). The mean symptom burden, physical component summary, mental component summary, and kidney-disease-specific component scores were 12.71 (SD 10.45), 68.63 (SD 19.58), 78.53 (SD 18.78), and 81.57 (SD 5.86), respectively. Age was found to be a significant predictor of HRQOL, while hemoglobin level and being a farmer were significant predictors of symptom burden. Our data indicate that CKDu patients in all stages experience at least one symptom affecting all aspects of HRQOL.

DOI： 10.3390/ijerph17114041

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担当区分：最終著者   記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：The Society of Analytical Bio-Science [編]  

添付ファイル： 8.18.pdf

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担当区分：責任著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

添付ファイル： 1-s2.0-S2352939318300502-main (1).pdf

DOI： 10.1016/j.yclnex.2018.10.006

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

Micronutrients include vitamins, minerals and, trace elements that are required in minute quantities but play a vital role in normal human growth, development and physiological functioning. Micronutrient deficiencies, also known as hidden hunger, are a global issue, with particularly high prevalence rates in developing countries. Currently, Sri Lanka is experiencing the double burden of over- and undernutrition. This review describes the micronutrient status of Sri Lanka based on results of national surveys and related articles published from 2000. The available data suggest a higher prevalence of iron, zinc, calcium, folate, and vitamin A deficiencies. The prevalence of iodine deficiency has declined gradually following the implementation of a universal salt iodization program. Iron deficiency is the most common cause of anemia and low red blood cell indices. Females are more vulnerable to micronutrient deficiencies than males. The coexistence of multiple micronutrient deficiencies and concurrent macro- and micronutrient deficiencies is common. Studies have shown an association between micronutrient deficiencies and different demographic, socioeconomic, and dietary factors. Therefore, there is a need for comprehensive studies, nutritional policies, and nationwide intervention programs in Sri Lanka to improve the micronutrient status of the population.

DOI： 10.3390/nu10111583

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.3390/nu10111583

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記述言語：日本語   出版者・発行元：日本外科代謝栄養学会  

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記述言語：英語  

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.4236/health.2017.913130

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.4236/jbise.2017.103009

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記述言語：日本語   出版者・発行元：新潟大学医学部保健学科  

乳がんの化学療法で生じる脱毛に着目し，脱毛に対する看護支援について，国内外の文献から明らかにすることを目的とした。 文献検索の結果，医学中央雑誌では51件が該当し，その中から11件を対象とした。MEDLINEでは，57件が該当し，その中の17件を対象とした。文献は，「がん看護コアカリキュラム」の脱毛時の看護支援を参考に，「心理的支援」，「身体的支援」，「開発支援」の項目に分けて報告内容を分類した。 「心理的支援」では，患者への情報提供（脱毛の機序・時期・再発毛）やボディイメージの変容に関する援助の報告がみられた。「身体的支援」では，整容，皮膚，頭髪以外の脱毛に関する援助と脱毛時の対処に関する援助の報告がみられた。「開発支援」では，脱毛の軽減や脱毛予防の検証報告が散見されたが，有効性を確証する報告はなかった。これらから，乳がんの化学療法で生じる脱毛の看護支援は，国内外とも未だ対症的な支援にとどまっており，脱毛時期に応じた系統的な看護支援まで行き着いていない実情が示唆された。 Hair loss is a common side effect of chemotherapies used in the treatment of breast cancer. Hair loss affects the Quality of life (QOL) of women with breast cancer. In this study, we reviewed the literatures on hair loss that occurs during breast cancer therapy and intended to clarify the current status of nursing support for patient hair. The 27 out of 51 relevant papers returned from the website of Igaku Chuo Zasshi, and MEDLINE, were enrolled into the present study. The literature was categorized into "psychological support,""physical support,""psychological support for hair loss", and "development support." For "psychological support," there were reports on the provision of information to patients on the mechanism and period of hair loss and the period of hair regrowth, as well as reports on changes in body image. For "physical support," there were reports on concrete assistance other than cosmetic cleaning, skin, hair, and on handling of hair loss. For "development support," there were no citations for a treatment clearly effective in preventing hair loss. These data suggest that the present support for hair loss from chemotherapy used to treat breast cancer is still aimed at relieving the symptom and has not led to systematic support for patients suffering from this treatment side effect.

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記述言語：日本語  

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.4236/ojn.2015.510092

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.4236/jbise.2015.810067

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.4236/ojn.2015.59082

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記述言語：日本語   出版者・発行元：新潟大学医学部保健学科  

看護学専攻3年次対象の『がん看護論』では「がん患者体験演習」を実施している。本演習の学習成果と課題を見出すことを目的に、平成23年度から平成26年度の演習上による学生の記載内容と自由記載からの集計および質的分析をした。結果、学生は、演習でがん患者の立場からあきらめるものについては『形のある大切なもの』、『大切な人』、『大切な活動』、『形のない大切なこと』を選択し、発症時期や告知の時期では『大切な活動』、『形のある大切なもの』を優先的に選択していた。この選択は調査年度が変わっても同じ傾向であった。自由記載の分析結果では、【取捨選択をするという困難さの体感】、【がん患者が体験する喪失感の共有】、【人・ものの存在意義に対するあらたな認識】、【がん患者の支援方法を再考察する機会】の4カテゴリーが抽出された。これらから、本演習での学生の学習成果は一定しており、がん患者の生活と治療を模擬体験し、支援方法を考える機会になったと考えられた。(著者抄録)

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記述言語：英語   掲載種別：研究論文（国際会議プロシーディングス）  

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記述言語：英語   掲載種別：研究論文（国際会議プロシーディングス）  

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.4236/health.2015.76078

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.4236/health.2015.71004

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その他リンク： http://www.scirp.org/journal/health/

記述言語：日本語   出版者・発行元：日本シミュレーション医療教育学会  

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Scientific Research  

DOI： 10.4236/health.2014.611160

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記述言語：英語   掲載種別：研究論文（国際会議プロシーディングス）   出版者・発行元：Springer Verlag  

The realities of physical and psychological burden associated with mammography are not fully understood. We have measured the muscle activity and the sympathetic nervous activity of subjects during mammography to estimate the burden. The experimental results suggested that positioning during mammography affects the muscle activity and the sympathetic nervous activity of the body. We carried out another preliminary experiment for decreasing the examinee's burden using humorous video. In the experiment, two groups ("humor group" and "neutral group") underwent mammography. The humor group was shown a humorous video during mammography. As a result, numerical rating scale scores of humor group on pain and experience time were higher than that of neutral group (no significant difference). In conclusion, the physical and psychological burden of mammography examinees could be evaluated by measuring the muscle activity and the sympathetic nervous activity. Humorous video may be effective at increasing pain tolerance of subjects during mammography. © 2014 Springer International Publishing.

DOI： 10.1007/978-3-319-07887-8_71

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記述言語：英語  

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Scientific Research  

DOI： 10.4236/health.2013.58181

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記述言語：日本語   出版者・発行元：新潟大学医学部保健学科  

本研究は、映像を用いて行動や思考の振り返りを行う段階別課題提示型のトレーニングプログラム参加後の新人看護師の気づきと、臨床実践への活用を明らかにすることを目的とした。研究対象者はA病院の新人看護師で、語りや自己記述の内容を質的帰納的に分析した。トレーニングプログラムでの'気づき'は、【行動を客観的に口述する必要性】、【行動の根拠の不確実さ】、【根拠なき行動の認識】、【不十分な実践の認識】、【身をもって気づく】という自身の行動の客観視による行動や思考の意識化、【判断志向性の共通理解】、【日常の疑問の表出】など課題の解決方策への気づきを得ていた。また新人看護師は、トレーニングプログラム終了後も【トレーニングプログラムの応用】、【よりよい実践への変化】という行動変容や、【実践への自信】、【成長の実感】【同期との牽制と協力】などの意識変化があり、トレーニングプログラムの臨床実践への有用性が示唆された。(著者抄録)

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その他リンク： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2013&ichushi_jid=J03388&link_issn=&doc_id=20130412460002&doc_link_id=1301018&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F1301018&type=%8D%C5%90V%8A%C5%8C%EC%8D%F5%88%F8Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

記述言語：日本語   出版者・発行元：新潟大学医学部保健学科  

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その他リンク： http://search.jamas.or.jp/link/ui/2013222181

記述言語：英語  

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記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：Tohoku J Exp Med.  

Mammography has become widespread as a standard method for breast cancer screening. For women undergoing mammography, compression of the breast and special positioning are requested, and they cause the physical burden and pain. However, the reality of the physical burden and subjective pain associated with mammography are not fully understood. We therefore measured the muscle activity of subjects during positioning for mammography screening using surface electromyography to evaluate the physical burden and pain associated with the positioning. The subjects consisted of 15 women (age: 44.4 ± 6.56 years old, height: 160 ± 6.7 cm, weight: 55.08 ± 3.94 kg, and body mass index: 21.4 ± 2.21). Measurements were performed in the mediolateral oblique position, a standard position for mammography. The target muscles were the sternocleidomastoid, biceps, trapezius and gastrocnemius muscles. A portable multi-purpose bio-amplifier was used for the measurements. Visual analogue scale (VAS), which is a tool for self-assessment of subjective pain, was used for pain measurement. The analysis of variance showed the significant difference in the amounts of muscle activities in all the target muscles between the relaxation phase before mammography positioning and the stress phase during mammography positioning. The sites with the increased muscle activities were consistent with the sites of pain measured with the VAS. These results suggest that positioning during mammography affects the muscle activity and that the increased muscle activity could be related to the pain. Understanding muscle activities during mammography is invaluable in making the pain reduction program for the subjects undergoing mammography. © 2012 Tohoku University Medical Press.

DOI： 10.1620/tjem.228.53

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記述言語：英語   掲載種別：研究論文（国際会議プロシーディングス）  

The purpose of this study was to measure muscle activity in mammography positioning using surface electromyography. The subjects consisted of 15 females in their 30s-50s, and measurement was performed with positioning for mediolateral oblique view and cranio-caudal view. The sternocleidomastoid, biceps brachii, trapezius, and gastrocnemius muscles were evaluated. A multi-purpose, portable bio-amplifier (Polymate AP1000) was used for measurement. As a result, the activities of not only the muscles directly involved in mammography positioning but also those indirectly involved were high as compared with the normal state.

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記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本がん看護学会  

DOI： 10.11477/mf.7007200348

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記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本放射線技術学会  

This study focused on measuring examinees' muscle activities during mammography positioning using surface electromyography. Muscle activities were measured in three women (40–50s) in two-view mammography (MLO: mediolateral oblique, CC: craniocaudal). The muscles measured were the sternocleidomastoid, biceps, trapezius, and gastrocnemius, selected based on the visual analogue scale reported by Sharp et al. We used a multi-purpose portable bio-amplifier (Polymate AP1000) to assess the muscle activities. The results showed that the trapezius in right MLO and sternocleidomastoid in right CC were active in all three subjects. This suggests that the muscles directly related to mammography positioning are highly active. In addition, the gastrocnemius was active throughout the mammography. The biceps and gastrocnemius were also active in at least one of the three women. We believe that quantitative assessment of muscle activities during mammography positioning will contribute to the improvement of pain-reduction programs in mammography.

DOI： 10.6009/jjrt.67.679

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その他リンク： https://www.jstage.jst.go.jp/article/jjrt/67/6/67_6_679/_article

記述言語：日本語   掲載種別：研究論文（学術雑誌）  

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記述言語：日本語   出版者・発行元：新潟大学  

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その他リンク： http://search.jamas.or.jp/link/ui/2009151081

記述言語：日本語   出版者・発行元：新潟大学  

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その他リンク： http://search.jamas.or.jp/link/ui/2008264512

記述言語：日本語   出版者・発行元：新潟大学  

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その他リンク： http://search.jamas.or.jp/link/ui/2008264539

記述言語：英語   出版者・発行元：日本外科代謝栄養学会  

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記述言語：英語  

Background: Intensive care unit-acquired weakness (ICU-AW) can be diagnosed using the Medical Research Council (MRC) score. However, such scoring may not be possible in ICU patients who may be sedated or delirious or have encephalopathy. Currently, a quantitative assessment of the cross-sectional area of the muscle is available to assess changes in skeletal muscle mass using computed tomography (CT) images. This assessment calculates the skeletal muscle index (SMI) (cm2/m2) by dividing the cross-sectional area (cm2) of the skeletal muscle at the level of the third lumbar vertebra by the square of the patient's height (m2) on CT. This study assessed the effectiveness of SMI, as measured by abdominal CT scans, in predicting the onset of ICU-AW in patients with sepsis admitted to the ICU. Methods: We examined septic ICU patients admitted to the Niigata University Hospital ICU during 2012 - 2017 under mechanical ventilation. Patients were retrospectively divided into two groups by MRC score at ICU discharge: group AW comprised patients with an MRC score < 48, and group non-AW (NAW) comprised the remaining patients. Clinicopathological factors at ICU admission such as age, gender, underlying disease, body mass index, and SMI were compared between the two groups. Statistical analyses were performed using the Mann-Whitney U test, Fisher's exact test, receiver operator characteristic (ROC) analysis and multivariate analysis. Results: A total of 31 septic patients were examined, and 23 patients met the criteria for ICU-AW. The prevalence of women was significantly higher in group AW (P < 0.05). All clinical factors, except for gender, were not significantly different between the two groups. SMI was significantly lower in group AW than in group NAW (P < 0.05). ROC analysis revealed that the cut-off value of SMI for predicting ICU-AW was 44.1, and the multivariate analysis revealed that only low SMI was a significant factor in predicting ICU-AW (P < 0.05). Conclusions: Our results show that SMI measurement at ICU admission is a valid predictive factor for ICU-AW progression in septic patients.

DOI： 10.14740/jocmr4027

PubMed

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記述言語：英語  

DOI： 10.3390/ijerph17010150

PubMed

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記述言語：日本語   出版者・発行元：(一社)日本災害看護学会編集委員会  

＜文献概要＞1.目的 東日本大震災に関連した福島第一原子力発電所事故により長期の避難生活を送る復興過渡期にある壮年期男性の思いを明らかにする。2.方法 修正版グラウンデッド・セオリー・アプローチを用いて研究を行った。2017年9月〜2018年2月に、原発災害により長期の仮設住宅での避難後、復興住宅に転居後1年未満であり、引き続き6年以上の避難生活を送る壮年期男性10名を対象に半構造化面接を行った。3.結果 【先の見通しが不確かな中での相反する思い】、【新たな生活で感じる安寧と寂寥といったアンビバレントな思い】、【復興へと歩み出したことでの戸惑い】、【慣れし故郷と思い入れのある我が家への逡巡する思い】、【働く気概を失ったことへの遣る瀬なさ】、【新たな役割や仲間から得られる充実感】の6個のカテゴリが抽出された。4.結論 原発災害により長期の避難生活を送る壮年期男性は、おかれた状況やふるさとに対する様々に相反する複雑な思いを抱いていた。

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その他リンク： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2019&ichushi_jid=J03611&link_issn=&doc_id=20200131340002&doc_link_id=1904265&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F1904265&type=%8D%C5%90V%8A%C5%8C%EC%8D%F5%88%F8Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

記述言語：日本語   出版者・発行元：(株)医学書院  

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記述言語：英語   掲載種別：研究発表ペーパー・要旨（国際会議）  

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記述言語：日本語   出版者・発行元：(一社)日本臨床栄養代謝学会  

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記述言語：日本語   出版者・発行元：(一社)日本災害看護学会編集委員会  

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記述言語：日本語   出版者・発行元：(一社)日本災害看護学会編集委員会  

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記述言語：日本語   出版者・発行元：(一社)日本乳癌学会  

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記述言語：日本語   出版者・発行元：(一社)日本乳癌学会  

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記述言語：日本語   出版者・発行元：(株)ジェフコーポレーション  

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記述言語：日本語   出版者・発行元：日本外科代謝栄養学会  

DOI： 10.11638/jssmn.53.3_76

J-GLOBAL

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記述言語：日本語   出版者・発行元：新潟大学医学部保健学科  

一般病棟に勤務する新卒看護師の終末期がん患者の看取りケアに対する困難感尺度の原案作成を目的とした。対象は全国のがん診療連携拠点病院に勤務する卒後2年目看護師とした。質問票の内容は、死別経験、文献レビューをもとに作成した困難感尺度55項目(5件法)、看取りケアに対する困難感のVisual Analogue Scale(VAS)とした。因子分析の結果、1.患者の死に対する恐怖・不安、2.患者とのコミュニケーションの難しさ、3.看取りケアに対する後悔、4.最期の時を話題にすることへの戸惑い、5.亡くなる間際のケアの悲しさ、6.看取りケアに関する能力の不足感の6因子21項目が採用された。採用された6因子は、患者の死に対して恐怖や不安を抱くという、新卒看護師の特徴的な困難感を表していた。今後は、尺度の信頼性・妥当性のさらなる検討および質問項目の修正・洗練を行い、新卒看護師の教育に活用できる尺度開発を行う。(著者抄録)

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その他リンク： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2019&ichushi_jid=J06421&link_issn=&doc_id=20190528370002&doc_link_id=1900536&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F1900536&type=%8D%C5%90V%8A%C5%8C%EC%8D%F5%88%F8Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

記述言語：日本語   出版者・発行元：新潟看護ケア研究学会  

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記述言語：日本語   出版者・発行元：(一社)日本集中治療医学会  

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記述言語：日本語   出版者・発行元：(一社)日本集中治療医学会  

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記述言語：日本語   掲載種別：記事・総説・解説・論説等（商業誌、新聞、ウェブメディア）   出版者・発行元：(株)医学書院  

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記述言語：日本語   出版者・発行元：(株)ジェフコーポレーション  

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記述言語：日本語   出版者・発行元：(NPO)日本緩和医療学会  

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記述言語：日本語   出版者・発行元：新潟大学医学部保健学科  

本研究の目的は，臨床教授等連絡協議会・交流会の参加者に実施した質問紙調査の結果を分析し，その成果を明らかにすることである。結果として，参加者に質問紙を63部配布し，その全てを回収した。評価項目の(1)雰囲気，(2)積極性，(3)意見交換，(4)相互理解，(5)役立つ情報，(6)有意義な時間で，4.23点～4.41点を得られた（５点満点）。また，グループワークで一番印象に残ったことについて，【良好な雰囲気と活発なコミュニケーション】，【学生の特性を踏まえた実習指導と関わり】，【実習指導と実習環境への共有と新たな気づき】，【実習指導に対する熱意の感受】，【指導者自身が看護師としての高い意識を持つことの大切さ】のコアカテゴリが抽出された。考察として，参加者同士のグループダイナミクスが形成され，良好な雰囲気を生み出していたことが示唆された。また，指導者自身が看護師として高い意識を持ちながら，学生指導に当たることの重要性が示唆された。The purpose of this study was to clarify the outcome of the "Liaison Council for Clinical Practice Teachers and Communication Meeting" with the topic of guidance of nursing students. We distributed a questionnaire survey to the 63 participants and all responded. Analysis of results showed scores of 4.23～4.41 points （perfect score，5 points） for the following items that were evaluated: 1）atmosphere，2）assertiveness of participants，3）exchange of opinions, 4） mutual understanding，5）usefulness of information，and 6）use of valuable time. Also，we extracted core categories regarding the largest impressions of the work groups，such as 'good atmosphere and active communication'，'practice guidance and involvement in light of the characteristics of the students'，'practice guidance with shared information on new problems in the training environment'，'enthusiasm over training guidance'，and 'the importance of the leader being highly conscious of the role of the nurse'. The results of this questionnaire indicated that a good atmosphere regarding the relationship among participants had been created group dynamics in the meeting. Also， these results suggest that it was important to train the leaders themselves to be highly conscious of the role of nursing.

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その他リンク： http://hdl.handle.net/10191/38953

J-GLOBAL

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記述言語：日本語   掲載種別：研究発表ペーパー・要旨（全国大会，その他学術会議）  

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記述言語：日本語  

J-GLOBAL

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記述言語：日本語  

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J-GLOBAL

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記述言語：日本語   出版者・発行元：新潟大学  

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その他リンク： http://search.jamas.or.jp/link/ui/2008264541

記述言語：日本語   会議種別：シンポジウム・ワークショップ パネル（公募）  

開催地：青森市  

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記述言語：英語   会議種別：ポスター発表  

開催地：Madrid, Spain  

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記述言語：英語   会議種別：ポスター発表  

開催地：Sri Lanka ,Kandy  

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記述言語：日本語   会議種別：ポスター発表  

開催地：熊本  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：大阪  

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記述言語：英語   会議種別：口頭発表（一般）  

開催地：Sri Lanka，Kandy  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：山形  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：横浜  

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記述言語：英語   会議種別：ポスター発表  

開催地：Manila  

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記述言語：英語   会議種別：口頭発表（一般）  

開催地：金沢  

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記述言語：日本語   会議種別：ポスター発表  

開催地：金沢  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：東京  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：新潟市  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：高知市  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：高知市  

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記述言語：日本語   会議種別：シンポジウム・ワークショップ パネル（指名）  

開催地：新潟大学駅南キャンパスときめいと  

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記述言語：英語   会議種別：口頭発表（一般）  

開催地：つくば国際会議場  

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記述言語：英語   会議種別：ポスター発表  

開催地：Pregue, Chech  

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記述言語：英語   会議種別：ポスター発表  

開催地：Pregue, Chech  

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記述言語：日本語   会議種別：公開講演，セミナー，チュートリアル，講習，講義等  

開催地：名古屋市  

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記述言語：英語   会議種別：ポスター発表  

開催地：Gifu, Japan  

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記述言語：英語   会議種別：ポスター発表  

開催地：Khon Kean, Thailand  

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記述言語：英語   会議種別：口頭発表（一般）  

開催地：浜松市  

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記述言語：日本語   会議種別：ポスター発表  

開催地：東京  

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記述言語：日本語   会議種別：ポスター発表  

開催地：東京  

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記述言語：日本語   会議種別：ポスター発表  

開催地：東京  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：福岡  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：福岡  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：横浜  

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記述言語：日本語   会議種別：ポスター発表  

開催地：宜野湾  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：仙台  

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記述言語：英語   会議種別：ポスター発表  

開催地：Busan, Republic of Korea  

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記述言語：日本語   会議種別：ポスター発表  

開催地：札幌市  

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記述言語：日本語   会議種別：ポスター発表  

開催地：札幌市  

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記述言語：日本語   会議種別：ポスター発表  

開催地：松江市  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：松江市  

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記述言語：日本語   会議種別：ポスター発表  

開催地：東京  

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記述言語：日本語   会議種別：ポスター発表  

開催地：神戸  

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記述言語：日本語   会議種別：ポスター発表  

開催地：岡山  

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記述言語：日本語   会議種別：ポスター発表  

開催地：岡山  

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記述言語：日本語   会議種別：ポスター発表  

開催地：神戸  

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記述言語：日本語   会議種別：シンポジウム・ワークショップ パネル（指名）  

開催地：横浜  

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記述言語：日本語   会議種別：口頭発表（一般）  

開催地：岐阜  

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記述言語：日本語   会議種別：ポスター発表  

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記述言語：日本語   会議種別：ポスター発表  

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記述言語：日本語   会議種別：口頭発表（一般）  

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記述言語：日本語   会議種別：ポスター発表  

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記述言語：日本語   会議種別：ポスター発表  

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記述言語：日本語   会議種別：ポスター発表  

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記述言語：日本語   会議種別：ポスター発表  

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記述言語：日本語   会議種別：ポスター発表  

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記述言語：日本語   会議種別：口頭発表（一般）  

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記述言語：日本語   会議種別：口頭発表（一般）  

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記述言語：日本語   会議種別：口頭発表（一般）  

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記述言語：日本語   会議種別：口頭発表（一般）  

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記述言語：日本語   会議種別：口頭発表（一般）  

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記述言語：日本語   会議種別：口頭発表（一般）  

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記述言語：日本語   会議種別：シンポジウム・ワークショップ パネル（指名）  

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