Yonago acta medica最新文献

{"title":"Bowel Diameter at the Obturator Canal as a Predictor of Bowel Resection in Incarcerated Obturator Hernias.","authors":"Ryo Ishiguro, Kenjiro Taniguchi, Maho Fujita, Ken Sugezawa, Takuji Naka, Yoshiyuki Fujiwara","doi":"10.33160/yam.2026.02.010","DOIUrl":"10.33160/yam.2026.02.010","url":null,"abstract":"<p><strong>Background: </strong>Obturator hernias are a relatively rare condition that predominantly occurs in thin elderly women and are frequently associated with bowel incarceration. Therefore, early diagnosis and appropriate treatment are vital. This study aimed to identify risk factors for bowel resection in patients with incarcerated obturator hernias and evaluate the clinical benefits of laparoscopic transabdominal preperitoneal repair (TAPP).</p><p><strong>Methods: </strong>This retrospective study included 32 female patients diagnosed with incarcerated obturator hernias at our institution between January 2008 and June 2025. The patients were classified into bowel resection (<i>n</i> = 8) and non-resection (<i>n</i> = 24) groups. The clinical and radiological characteristics were compared. Furthermore, surgical outcomes were compared between the laparotomy (<i>n</i> = 18) and TAPP groups (<i>n</i> = 11).</p><p><strong>Results: </strong>The median age was 86 years and the median body mass index (BMI) was 17.1. The bowel resection group had a significantly longer symptom duration (<i>P</i> < 0.001), a higher incidence of ileus on computed tomography (<i>P</i> = 0.041), and a significantly smaller bowel diameter at the obturator canal (<i>P</i> = 0.031). Cutoff values predictive of resection were identified as 36 h and 10.0 mm for the duration of symptoms and bowel diameter at the obturator canal, respectively. Multivariate analysis demonstrated that both factors were independent predictors of bowel resection (<i>P</i> = 0.045 and 0.040, respectively). Compared to laparotomy, TAPP resulted in significantly lower blood loss (<i>P</i> < 0.001) and shorter postoperative hospital stay (<i>P</i> < 0.001). In the TAPP group, contralateral obturator hernias were identified and simultaneously repaired in six patients (54.5%).</p><p><strong>Conclusion: </strong>Symptom duration and bowel diameter at the obturator canal may serve as useful predictive factors for bowel resection in patients with incarcerated obturator hernias. TAPP is a minimally invasive and effective surgical strategy with favorable postoperative outcomes and the added advantage of bilateral hernia management.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"69 1","pages":"88-94"},"PeriodicalIF":1.0,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146220570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Tolerance of Uncertainty Relates to Well-Being in Japanese Primary Care Physicians: A Cross-Sectional Study.","authors":"Yuma Otsuka, Daisuke Son, Shintaro Imaoka, Tsubasa Nakai, Shohei Taniguchi, Minako Kamimoto, Kazuoki Inoue, Toshihiro Hamada, Shin-Ichi Taniguchi","doi":"10.33160/yam.2026.02.004","DOIUrl":"10.33160/yam.2026.02.004","url":null,"abstract":"<p><strong>Background: </strong>Medical uncertainty is inherent in clinical practice, especially in primary care where clinicians regularly face multimorbidity, ambiguous symptoms, and unpredictable care courses. Although tolerance of uncertainty (TU) has been associated internationally with resilience, job satisfaction, and decision-making, little is known about its relationship to physician well-being in Japan. In a medical culture that emphasizes precision and decisiveness, navigating uncertainty may be psychologically challenging. This study examined the association between TU and two dimensions of well-being-subjective well-being (SWB) and eudaimonic well-being (EWB)-among Japanese primary care physicians.</p><p><strong>Methods: </strong>We conducted a cross-sectional online survey from March 1 to 31, 2023, targeting physicians on the Japan Primary Care Association mailing list (<i>N</i> = 4,207). The questionnaire included demographic items and three validated scales: the Short Intolerance of Uncertainty Scale (SIUS), the Subjective Well-Being Scale (SWBS), and the Eudaimonic Well-Being Scale (EWBS). One free-text item explored emotional responses to high-uncertainty situations. Quantitative data were analyzed using correlation analysis and structural equation modeling (SEM), and qualitative responses underwent thematic analysis.</p><p><strong>Results: </strong>Out of 152 responses, 150 were valid. The SIUS score showed a significant negative correlation with both SWBS (<i>r</i> = -0.433, <i>P</i> < 0.001) and EWBS (<i>r</i> = -0.259, <i>P</i> = 0.001). SEM confirmed these associations, with path coefficients of -0.420 (SWBS) and -0.256 (EWBS), both <i>P</i> < 0.001. Taken together, these results indicate that higher intolerance of uncertainty was associated with lower well-being; conversely, greater tolerance of uncertainty (TU) was positively associated with both subjective and eudaimonic aspects of well-being. Thematic analysis of free-text responses revealed four themes: (1) Positive recognition of uncertainty, (2) Acceptance of uncertainty, (3) Coping strategies, and (4) Growth through uncertainty.</p><p><strong>Conclusion: </strong>Higher tolerance of uncertainty is positively associated with both subjective and eudaimonic well-being among Japanese primary care physicians. These findings suggest that fostering TU may enhance psychological health and support professional development.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"69 1","pages":"35-42"},"PeriodicalIF":1.0,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Questionnaire Survey on the Challenges and Questions Faced by Primary Care Physicians When Providing Care to Patients with Blood Disorders.","authors":"Shintaro Imaoka, Daisuke Son, Toshihiro Hamada, Shin-Ichi Taniguchi","doi":"10.33160/yam.2026.02.005","DOIUrl":"10.33160/yam.2026.02.005","url":null,"abstract":"<p><strong>Background: </strong>Collaboration between hematologists and primary care physicians (PCPs) is crucial for managing hematologic diseases, particularly malignancies. However, the specific challenges PCPs face in such coordination remain underexplored in Japan. The aim of this study was to investigate the difficulties and questions encountered by PCPs when providing care to patients with hematologic diseases and to identify potential barriers to effective collaboration with hematologists.</p><p><strong>Methods: </strong>We conducted a web-based, self-administered questionnaire survey among 4,207 physicians listed on the Japan Primary Care Association mailing list. Respondents with at least three years of clinical experience were eligible. The questionnaire covered demographics, involvement in home care, and challenges in referral and follow-up related to hematologic diseases. Quantitative data were analyzed using descriptive statistics; free-text responses were thematically analyzed using NVivo.</p><p><strong>Results: </strong>A total of 90 PCPs responded. The most frequently referred conditions were malignant lymphoma, bone marrow failure, and myeloproliferative neoplasms. Common follow-up challenges included limited access to hematologists, role ambiguity, and inadequate communication. Thematic analysis revealed key difficulties: a shortage of specialists, complex treatment decisions for elderly patients, and psychological barriers in initiating consultations with hematologists.</p><p><strong>Conclusion: </strong>PCPs in Japan face both structural and psychological barriers when managing hematologic diseases, particularly in collaboration with hematologists. Enhancing bidirectional communication and addressing these barriers may improve continuity and quality of care.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"69 1","pages":"43-54"},"PeriodicalIF":1.0,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two Pediatric Cases of Kimura Disease Following Vaccination.","authors":"Sosuke Kakee, Hiroaki Funata, Keisuke Okuno, Daisuke Kawaba, Atsushi Maejima, Masanori Tanimoto-Miyaishi, Kensaku Yamaga, Noriyuki Namba","doi":"10.33160/yam.2026.02.012","DOIUrl":"10.33160/yam.2026.02.012","url":null,"abstract":"<p><p>Kimura disease is a chronic inflammatory disorder characterized by peripheral eosinophilia, elevated serum IgE levels, and a painless mass. Although it predominantly affects adult males, pediatric cases have also been reported. We report two pediatric cases of Kimura disease diagnosed after adverse events following vaccination, presenting with swollen lymph nodes of the neck and upper limbs. Since children are vaccinated more often than adults, a painless mass following vaccination may constitute an important clinical clue in the diagnosis of Kimura disease. Attention should be paid to the differentiation between Kimura disease and immunoglobulin G4-related disease (IgG4-RD) owing to its similarities. This report provides valuable insights into the link between vaccination and Kimura disease, and emphasizes the importance of early diagnosis, especially in children, to ensure timely treatment and appropriate management.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"69 1","pages":"131-135"},"PeriodicalIF":1.0,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Massive Small Bowel Resection Induces IFALD-Like Liver Injury in Mice.","authors":"Kohga Masuda, Yugo Kato, Yosuke Horikoshi, Shuichi Takano, Yoshiyuki Fujiwara, Kazuhiro Nakaso, Toshimichi Hasegawa","doi":"10.33160/yam.2026.02.002","DOIUrl":"10.33160/yam.2026.02.002","url":null,"abstract":"<p><strong>Background: </strong>Severe short bowel syndrome (SBS) frequently leads to intestinal failure-associated liver disease (IFALD); nonetheless, the mechanisms underlying early hepatic changes remain unclear. Existing SBS rodent models involving ≥ 90% small bowel resection often exhibit high postoperative mortality, limiting the ability to evaluate subacute liver injury independent of parenteral nutrition.</p><p><strong>Methods: </strong>We established a severe SBS murine model by performing 90% small bowel resection (SBS90) in young C57BL/6 mice using a standardized Albert-Lembert anastomotic technique and optimized perioperative management, allowing survival to postoperative day (POD) 14 or longer without parenteral nutrition. Serum biochemistry and liver histology were compared between the Sham, SBS50 (SBS murine model by performing 50% small bowel resection), SBS75 (SBS murine model by performing 75% small bowel resection), and SBS90 groups.</p><p><strong>Results: </strong>SBS90 mice exhibited significantly higher serum ALT and T-bil levels than did controls. At POD14, the liver histology demonstrated macrovesicular steatosis with minimal inflammatory infiltration, whereas SBS90 mice evaluated on POD28 exhibited macrovesicular steatosis together with severe portal and periportal inflammatory cell infiltration.</p><p><strong>Conclusion: </strong>This reproducible severe SBS mouse model enabled early and time-dependent hepatic injury evaluation following massive intestinal resection, providing a platform for studying IFALD-contributing mechanisms.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"69 1","pages":"14-23"},"PeriodicalIF":1.0,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12910228/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Oral Appliance Therapy in Patients with Obstructive Sleep Apnea Syndrome: A Comparative Analysis by Age, Severity, and BMI.","authors":"Makoto Kawasaki, Takayuki Tamura, Nobuyuki Fujii, Takashi Narai, Yusei Harada, Takayuki Shingu, Yuki Harada, Rieko Doi, Isamu Kodani","doi":"10.33160/yam.2025.11.004","DOIUrl":"10.33160/yam.2025.11.004","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea syndrome is a common disorder characterized by repeated upper airway obstruction during sleep. Oral appliance therapy is a noninvasive treatment option commonly recommended for patients who are intolerant to continuous positive airway pressure. This study aimed to evaluate the treatment outcomes of oral appliance therapy in patients with obstructive sleep apnea syndrome and to examine the relationship between therapeutic effectiveness and patient characteristics, including age, disease severity, and body mass index.</p><p><strong>Methods: </strong>A total of 42 patients diagnosed with obstructive sleep apnea syndrome and treated with oral appliance therapy were retrospectively analyzed. The treatment effect was assessed using the apnea-hypopnea index measured before and after therapy (by polysomnography or portable monitoring). Effective treatment was defined as a post-treatment apnea-hypopnea index of <15 events per hour and a ≥ 50% reduction from baseline.</p><p><strong>Results: </strong>The mean apnea-hypopnea index decreased significantly from 27.6 ± 15.7 to 10.3 ± 8.7 events per hour following oral appliance therapy, with a mean improvement in AHI of 59.6%. Effectiveness was achieved in 66.7% of patients. A significant overall improvement was observed. Reductions in the apnea-hypopnea index were seen across age, severity, and body mass index (BMI) strata. However, only three patients had BMI ≥30 kg/m²; hence, BMI-stratified findings for this subgroup are descriptive and no inferential testing was conducted.</p><p><strong>Conclusion: </strong>Oral appliance therapy was effective in reducing the apnea-hypopnea index in a broad range of patients, including those traditionally considered less responsive because of advanced age, obesity, or severe disease. These findings suggest a potential role for oral appliance therapy as an alternative to continuous positive airway pressure treatment within the examined strata (age, severity, and BMI), particularly when continuous positive airway pressure therapy is not feasible. Larger prospective studies are warranted.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"68 4","pages":"330-336"},"PeriodicalIF":0.6,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12640255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Impact of Drinking Water on Urban Stunting in Indonesia.","authors":"Arwinda Nugraheni, Muflihatul Muniroh, Dodik Pramono, Yora Nindita, Teddy Wahyu Nugroho, Daisuke Son","doi":"10.33160/yam.2025.11.002","DOIUrl":"10.33160/yam.2025.11.002","url":null,"abstract":"<p><strong>Background: </strong>In Indonesia, stunting remains a health issue among children aged < 5 years, with a prevalence of 36.8% in 2021, the highest prevalence of malnutrition in the said age group, and the quality of drinking water consumed being one of the main causes. This study aimed to identify the quality of drinking water and determine the risk factors for stunting.</p><p><strong>Methods: </strong>This study was conducted at four Primary Health Care work areas in an urban city between July and October 2022 using a cross-sectional study design with 172 under-fives, 106 of whom had drinking water-related stunting. The sampling methods employed were two-stage, including cluster and purposive sampling. Data collection included anthropometric measurements, interviews, and collecting drinking water samples. This study used the logistic regression test for multivariate analysis.</p><p><strong>Results: </strong>The results showed that 93.6% of the drinking water was positive for microbiological agents, whereas analysis of heavy metals in drinking water revealed concentrations within acceptable limits as defined by standard drinking water quality regulations. Multivariate analysis showed that exposure to microbiologically contaminated drinking water was significantly associated with a higher risk of stunting. Children exposed to contaminated drinking water had a 3.3 times higher risk of stunting (OR 3.328; 95% CI 1.681-6.587). Additional confounding factors such as children over 23 months of age, history of infectious disease, low birth weight, and poor hygiene practices also contributed to increased stunting risk.</p><p><strong>Conclusion: </strong>This study highlights the significant role of drinking water quality in the incidence of stunting among children under five. The high prevalence of microbiological contamination in household drinking water was strongly associated with increased stunting risk. Children exposed to contaminated water were over three times more likely to experience stunting. While concentrations of heavy metals remained within safe limits, additional confounding factors including child age, history of infectious disease, low birth weight, and poor hygiene practices further exacerbated the risk. These findings underscore the urgent need for integrated public health interventions focusing on water safety, hygiene education, and early childhood care to effectively reduce stunting prevalence in urban communities.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"68 4","pages":"306-314"},"PeriodicalIF":0.6,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12640270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Professionalism of Healthcare Professionals Scale : A Confirmatory Factor Analysis.","authors":"Naoto Minamimae, Mika Fukada, Reiko Okuda, Akiko Nishimoto, Masayuki Miyoshi","doi":"10.33160/yam.2025.11.003","DOIUrl":"10.33160/yam.2025.11.003","url":null,"abstract":"<p><strong>Background: </strong>A shared sense of professionalism among healthcare professionals enhances team-based care through interprofessional collaboration. This study aimed to develop a reliable and valid scale for assessing healthcare professionals' professionalism.</p><p><strong>Methods: </strong>This study targeted 1,162 healthcare professionals aged ≥ 20 years, including physicians, dentists, nurses, pharmacists, clinical laboratory technologists, radiologic technologists, physical therapists, occupational therapists, and speech-language-hearing therapists. A preliminary 90-item scale was developed, and an anonymous self-administered questionnaire survey was conducted. Construct validity was examined through item, exploratory, and confirmatory factor analyses. Reliability and criterion-related validity were assessed using Cronbach's alpha coefficient and Pearson's correlation analyses, respectively.</p><p><strong>Results: </strong>A lot of 393 responses were received (response rate: 33.8%). Responses from 347 participants without missing data were analyzed (valid response rate: 88.3%). Item and exploratory factor analyses produced a preliminary model of 36 items across five factors: Factor 1, \"Practice Based on Advanced Skills and Knowledge;\" Factor 2, \"Understanding Patients and Their Surrounding Environment;\" Factor 3, \"Contribution to Health, Medical, and Welfare Policy;\" Factor 4, \"Implementation of Team-Based Medical Care;\" and Factor 5, \"Adherence to Ethics.\" Confirmatory factor analysis and model modifications were conducted based on the modification indices in collaboration with three researchers. Finally, a five-factor model consisting of 32 items was constructed. The model fit indices were as follows: comparative fit index = 0.885, goodness of fit index = 0.764, adjusted goodness of fit index = 0.731, and root mean square error of approximation = 0.085. Cronbach's alpha coefficient for the entire scale was 0.972, ranging from 0.884 to 0.950 across the five factors. The correlation coefficient between the model and the Vocational Identity Scale for Company Employees was 0.355.</p><p><strong>Conclusion: </strong>The findings provide evidence for the reliability and validity of the scale for healthcare professionals.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"68 4","pages":"315-329"},"PeriodicalIF":0.6,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12640254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Resilience with Psychological Distress, Burnout, and Depression Among Direct Support Professionals: A Cross-Sectional Study During the COVID-19 Pandemic.","authors":"Daisaku Nishimoto, Shimpei Kodama, Yusaku Uemura, Fumiko Iiyama, Ikuko Nishio","doi":"10.33160/yam.2025.11.001","DOIUrl":"10.33160/yam.2025.11.001","url":null,"abstract":"<p><strong>Background: </strong>COVID-19 pandemic-related changes have increased mental health problems of essential workers. However, little is known about its impact on direct support professionals (DSPs) working at facilities for people with disabilities. This study examined the resilience and related factors, including psychological distress, burnout, depression, among DSPs working during the COVID-19 pandemic, including those in facility with cluster occurrences in Japan.</p><p><strong>Methods: </strong>We conducted an online survey from May 18 to June 9, 2021, targeting staff at Social Welfare Corporation Shirane Gakuen, a cluster facility. An additional survey was conducted on May 24, 2021, through Yahoo! Crowd Sourcing, targeting individuals who worked at disability support facilities categorized as non-cluster facilities. We obtained 108 and 95 responses, respectively, including 76 and 16 DSPs. The following instruments were used: Maslach Burnout Inventory-General Survey, Bidimensional Resilience Scale, Kessler 6-item Psychological Distress Scale, and Patient Health Questionnaire-9. Multiple regression analysis was conducted to examine associations between resilience and related factors.</p><p><strong>Results: </strong>The prevalence of severe psychological distress, burnout, and depression among DSPs within the COVID-19 cluster facility was 11.8%, 69.7%, and 29.0%, respectively. In the non-cluster facilities, the prevalence was 37.5%, 68.8%, and 62.5%, respectively. A positive association between acquired resilience factors and burnout was observed (coefficient = 2.35, 95% CI 0.38 to 4.31). However, no significant association was observed between acquired resilience factors and the interaction term of COVID-19 cluster occurrences at the workplace and burnout (coefficient = -2.03, 95% CI -6.97 to 2.90).</p><p><strong>Conclusion: </strong>This study demonstrated that the acquired resilience factors of Japanese DSPs was linked with increased burnout during the COVID-19 pandemic, regardless of the COVID-19 cluster occurrences. As burnout intensifies, DSPs may cultivate acquired resilience, and programs enhancing these factors may help alleviate their burnout and promote well-being.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"68 4","pages":"297-305"},"PeriodicalIF":0.6,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12640253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristic Symptoms and Associated Risk Factors of COVID-19 Reinfection in the Indonesian Community.","authors":"Arwinda Nugraheni, Anies, Ari Budi Himawan, Diah Rahayu Wulandari, Dea Amarilisa Adespin, Daisuke Son","doi":"10.33160/yam.2025.08.005","DOIUrl":"10.33160/yam.2025.08.005","url":null,"abstract":"<p><strong>Background: </strong>The Coronavirus disease 2019 ¹ global pandemic is transmitted through respiratory droplets from infected people. We aim to determine the risk factors for COVID-19 reinfection, and the degree of its severity in patients reinfected with it.</p><p><strong>Methods: </strong>We conducted a cross-sectional study on COVID-19 reinfection in Semarang, Indonesia using the two-stage sampling technique. There were a total of 312 participants. We used logistic regression tests for multivariate analysis of reinfection risk associated with various factors. The study spanned from June 2022 to October 2022.</p><p><strong>Results: </strong>We found that symptoms such as cough and sore throat, seen during first infection, often recurred during reinfection. The fixed multivariate result showed that males (OR 3.863; 95% CI 1.459-10.234; <i>P</i> = 0.007), persons having comorbidities (OR 2.382; 95% CI 1.025-5.536; <i>P</i> = 0.044), health workers (OR 32.881; 95% CI 3.120-346.566; <i>P</i> = 0.004) or non-health workers (OR 21.661; 95% CI 2.192-214.034; <i>P</i> = 0.008), persons with mild symptoms (OR 6.503; 95% CI 2.771-15.264; <i>P</i> < 0.001) or moderate symptoms (OR 43.408; 95% CI 5.963-315.980; <i>P</i> < 0.001) at first COVID-19 infection, persons displaying poor rule-following behavior (OR 4.162; 95% CI 1.569-11.037; <i>P</i> = 0.004) and having only a middle school education (OR 0.303; 95% CI 0.098-0.93; <i>P =</i> 0.037) were highly related parameters associated with COVID-19 reinfection.</p><p><strong>Conclusion: </strong>Thus, we found that males having comorbidities, employed in public jobs (health and non-health workers), with mild or moderate severity during first infection, and displaying poor rule-following behavior hold the highest risk factors for COVID-19 reinfection. Interestingly, having at least a middle school education seems to be a protective factor against COVID-19 reinfection.</p>","PeriodicalId":23795,"journal":{"name":"Yonago acta medica","volume":"68 3","pages":"209-219"},"PeriodicalIF":0.6,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}