Journal of UOEH最新文献

{"title":"Building Inclusive Workplaces Across Generations: Italian and European Strategies on Disability, Aging, and Return to Work.","authors":"Marco Biasioli","doi":"10.7888/juoeh.48.S_15","DOIUrl":"https://doi.org/10.7888/juoeh.48.S_15","url":null,"abstract":"","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"48 S_1","pages":"15-26"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tibial Bone Microstructure Parameters in Postmenopausal Women With Osteoporosis Are Related to the Osteoporosis Self-Assessment Tool for Asians.","authors":"Norifumi Fujii, Manabu Tsukamoto, Nobukazu Okimoto, Yoshiaki Ikejiri, Toru Yoshioka, Makoto Kawasaki, Nobuhiro Kito, Saeko Fujiwara","doi":"10.7888/juoeh.48.1","DOIUrl":"10.7888/juoeh.48.1","url":null,"abstract":"<p><p>The Osteoporosis Self-Assessment Tool for Asians (OSTA) is a tool that can assess osteoporosis risk based on age and weight. Bone quality, including bone microstructure, as well as bone mineral density (BMD), is important for bone strength. The purpose of this study was to investigate the associations between the OSTA and bone strength indices other than BMD. A total of 111 postmenopausal women with osteoporosis who had undergone high-resolution peripheral quantitative computed tomography in our outpatient clinic were included. The OSTA was calculated using the age and weight, and other techniques were used to evaluate the participants' bones. To investigate the relationship between the OSTA and bone microstructure, comparisons of two groups based on OSTA and multiple regression analysis was performed. Women with OSTA below -4 had poor values for many parameters, including bone microstructural parameters. Multiple regression analysis showed that tibial microstructural parameters were associated with OSTA score independently of femoral neck BMD. OSTA was developed as a screening tool for osteoporosis, however it was found to be related to the microstructure parameters of the tibia when evaluated in postmenopausal women with osteoporosis. Among patients with osteoporosis, those with low OSTA may have deteriorated bone quality in the lower limbs.</p>","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"48 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147326474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Schizophrenia with Diagnostic Challenges Between Non-convulsive Status Epilepticus and Malignant Catatonia: Therapeutic Implications based on the GABA-A Dysfunction Hypothesis.","authors":"Chihiro Iino, Rintaro Fujii, Shogo Kitagawa, Yuki Konishi, Reiji Yoshimura","doi":"10.7888/juoeh.48.175","DOIUrl":"https://doi.org/10.7888/juoeh.48.175","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"48 3","pages":"175-179"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"UOEH International Symposium 2025.","authors":"","doi":"10.7888/juoeh.48.S_1","DOIUrl":"https://doi.org/10.7888/juoeh.48.S_1","url":null,"abstract":"","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"48 S_1","pages":"1-158"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Online Physical Therapy for Workplace Accident Prevention in Nursing Care Workers: A Pilot Feasibility Study.","authors":"Shuto Higuchi, Satoru Saeki, Ikumi Itou, Chihiro Oishi, Keishi Nawata, Takeshi Murakami, Satoshi Kuhara, Kouhei Funatsu","doi":"10.7888/juoeh.48.181","DOIUrl":"https://doi.org/10.7888/juoeh.48.181","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"48 3","pages":"181-191"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolated Fallopian Tube Torsion in a 16-Year-Old Adolescent: A Diagnostic Challenge Mimicking a Functional Ovarian Cyst.","authors":"Eito Kishimoto, Shota Higami, Sayumi Hashiwaki, Ruka Takedomi, Yasuyuki Kinjo, Tomoko Kurita, Kiyoshi Yoshino","doi":"10.7888/juoeh.48.135","DOIUrl":"10.7888/juoeh.48.135","url":null,"abstract":"<p><p>Isolated fallopian tube torsion (IFTT) is a rare cause of acute abdominal pain in adolescents. Its preoperative diagnosis is often challenging because imaging findings are usually nonspecific. Here we report the case of a 16-year-old girl with IFTT that closely mimicked a functional ovarian cyst. The patient, who had no history of abdominal surgery or pelvic infection, presented with persistent left lower quadrant pain. Initial computed tomography and ultrasonography showed a 30-mm simple cyst without signs of a twisted vascular pedicle, and a functional ovarian cyst was suspected. Her pain persisted, and on day 5 repeat ultrasonography again demonstrated the same simple cyst as at the initial visit, but the left ovary was clearly visualized separately, raising suspicion of a tubal origin. Diagnostic laparoscopy was performed, revealing a 1080° counterclockwise torsion of the left fallopian tube with necrosis, while the ovary appeared normal. As detorsion failed to restore color, a left salpingectomy was performed. Histopathology confirmed torsion secondary to hydrosalpinx. The postoperative course was uneventful, and the patient has remained symptom-free for one year. This case demonstrates that IFTT can occur even in adolescents without risk factors. Identifying a normal ovary on ultrasonography is crucial for suspecting IFTT, and early diagnostic laparoscopy is essential for confirming the diagnosis and preserving future fertility.</p>","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"48 2","pages":"135-139"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148157212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Emergency Management: Perspective From Gen-Z Using Modified Disaster Preparedness Evaluation Tools.","authors":"Ajeng Puspitaning Pramayu, Fatma Lestari, Dadan Erwandi, Besral","doi":"10.7888/juoeh.48.97","DOIUrl":"10.7888/juoeh.48.97","url":null,"abstract":"<p><p>Indonesia ranks second globally in natural disaster risk, underscoring the urgency of strengthening emergency preparedness. Generation Z, representing 28% of the population, plays a strategic role due to its digital fluency and entry into the workforce. This study assessed the disaster preparedness of Generation Z students using a modified Disaster Preparedness Evaluation Tool (DPET). A cross-sectional survey was conducted among 445 respondents aged 21-25 years. Data were collected through an online questionnaire covering demographics, knowledge, skills, and preparedness. Descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlation, and multiple linear regression were used for analysis. Knowledge (M = 4.87), skills (M = 4.74), and preparedness (M = 4.65) were in the moderate range (scale 1-6). Prior disaster training, university region, and frequency of social media use significantly influenced preparedness (p < 0.05). Strong positive correlations were found between knowledge, skills, and preparedness (r = 0.77-0.82). Regression analysis identified skills, prior training, and knowledge as significant predictors, with skills being the most influential. The findings highlight the need to integrate structured disaster education, simulations, and digital interventions into higher education curricula. Enhancing experiential learning is critical to bridging the gap between digital awareness and real-world emergency response among youth in disaster-prone regions.</p>","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"48 2","pages":"97-111"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148157215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Future of Occupational Health - What Can We Expect.","authors":"David Koh, Alvin Tan","doi":"10.7888/juoeh.48.S_66","DOIUrl":"https://doi.org/10.7888/juoeh.48.S_66","url":null,"abstract":"","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"48 S_1","pages":"66-78"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Exercise Performance Through Personal Competitiveness and Encouragement in Group Chats.","authors":"Mayumi Kuwahara, Ying Jiang, Hiroshi Yamato","doi":"10.7888/juoeh.48.141","DOIUrl":"https://doi.org/10.7888/juoeh.48.141","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"48 3","pages":"141-150"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Core Competencies in Health Disasters: The Interplay of Disaster Experience, Knowledge, Attitude, and Emotional Intelligence Among Emergency Nurses in Jordan.","authors":"Loai Abusharour, Mamdouh Ei-Hneiti, Mohammad Qutishat","doi":"10.7888/juoeh.48.161","DOIUrl":"https://doi.org/10.7888/juoeh.48.161","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"48 3","pages":"161-174"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}