Fukushima Journal of Medical Science最新文献_第10页

Ossification of the ligamentum flavum in the thoracic spine mimicking sciatica in a young baseball pitcher:a case report. 胸椎黄韧带骨化，表现为年轻棒球投手坐骨神经痛:一例报告。

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Fukushima Journal of Medical Science Pub Date : 2021-04-10 Epub Date: 2021-03-16 DOI: 10.5387/fms.2020-26

Kinshi Kato, Shoji Yabuki, Koji Otani, Takuya Nikaido, Ken-Ichi Otoshi, Kazuyuki Watanabe, Shin-Ichi Kikuchi, Shin-Ichi Konno

{"title":"Ossification of the ligamentum flavum in the thoracic spine mimicking sciatica in a young baseball pitcher:a case report.","authors":"Kinshi Kato, Shoji Yabuki, Koji Otani, Takuya Nikaido, Ken-Ichi Otoshi, Kazuyuki Watanabe, Shin-Ichi Kikuchi, Shin-Ichi Konno","doi":"10.5387/fms.2020-26","DOIUrl":"https://doi.org/10.5387/fms.2020-26","url":null,"abstract":"Thoracic ossification of the ligamentum flavum (OLF) is a pathological condition that causes myelopathy, with unilateral lower extremity pain rarely a feature in the presenting complaint. Moreover, most symptomatic cases of thoracic OLF occur in middle-aged men, with younger individuals rarely affected.　We present a rare case of severe and chronic unilateral buttock and leg pain mimicking sciatica due to thoracic OLF in a professional baseball pitcher. A 28-year-old, right-handed, Japanese professional baseball pitcher experienced intractable left leg pain with numbness and spasticity. After the initial presentation, extensive testing focusing on lumbar, hip, and pelvis lesions failed to identify a cause for the pain. One year after onset, careful neurological examination showed signs of upper motor neuron disturbance, and thoracic computed tomography and magnetic resonance imaging revealed thoracic OLF at the level of the thoracolumbar junction. After resection of the thoracic OLF, the pain, numbness, and spasticity completely resolved. He resumed full training and was pitching in top condition within four months after surgery. Though rare, thoracic OLF should be considered in the differential diagnosis of lower extremity pain in young athletes, especially amongst high-level baseball pitchers.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 1","pages":"33-37"},"PeriodicalIF":0.8,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/20/41/2185-4610-67-033.PMC8075556.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25488206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

The mental health status of children who have been evacuated or migrated from rural areas in Fukushima prefecture after the Fukushima daiichi nuclear power station accident:results from the Fukushima health management survey. 福岛第一核电站事故后从福岛县农村地区疏散或迁移的儿童的心理健康状况：福岛健康管理调查的结果。

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Fukushima Journal of Medical Science Pub Date : 2021-04-10 Epub Date: 2021-02-14 DOI: 10.5387/fms.2020-15

Akiko Tokunaga, Koji Yoshida, Makiko Orita, Hideko Urata, Shuntaro Itagaki, Hirobumi Mashiko, Hirooki Yabe, Masaharu Maeda, Kazuyo Oishi, Shigeru Inokuchi, Ryoichiro Iwanaga, Goro Tanaka, Hideyuki Nakane, Noboru Takamura

{"title":"The mental health status of children who have been evacuated or migrated from rural areas in Fukushima prefecture after the Fukushima daiichi nuclear power station accident:results from the Fukushima health management survey.","authors":"Akiko Tokunaga, Koji Yoshida, Makiko Orita, Hideko Urata, Shuntaro Itagaki, Hirobumi Mashiko, Hirooki Yabe, Masaharu Maeda, Kazuyo Oishi, Shigeru Inokuchi, Ryoichiro Iwanaga, Goro Tanaka, Hideyuki Nakane, Noboru Takamura","doi":"10.5387/fms.2020-15","DOIUrl":"10.5387/fms.2020-15","url":null,"abstract":"Introduction: We evaluated the mental health status of children residing in Kawauchi village (Kawauchi), Fukushima Prefecture, after the 2011 accident at the Fukushima Daiichi Nuclear Power Station, based on the children's experience of the nuclear disaster.Methods: We conducted this cross-sectional study within the framework of the Fukushima Health Management Survey (FHMS);FHMS data on age, sex, exercise habits, sleeping times, experience of the nuclear disaster, and the \"Strengths and Difficulties Questionnaire (SDQ)\" scores for 156 children from Kawauchi in 2012 were collected. Groups with and without experience of the nuclear disaster - \"nuclear disaster (+)\" and \"nuclear disaster (-)\" - were also compared.Results: Our effective response was 93 (59.6%);the mean SDQ score was 11.4±6.8 among elementary school-aged participants and 12.4±6.8 among junior high school-aged ones. We statistically compared the Total Difficulties Scores (TDS) and sub-item scores of the SDQ between \"elementary school\" and \"junior high school\" or \"nuclear disaster\" (+) and (-). There was no significant difference between these items.Conclusions: We found indications of poor mental health among elementary and junior high school-aged children in the disaster area immediately following the accident, but no differences based on their experience of the nuclear disaster. These results indicate the possibility of triggering stress, separate to that from experiences related to the nuclear disaster, in children who lived in affected rural areas and were evacuated just after the nuclear disaster.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 1","pages":"8-16"},"PeriodicalIF":0.8,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bd/24/2185-4610-67-008.PMC8075557.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25367230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comprehensive analysis of gene expression of isolated pancreatic islets during pretransplant culture. 离体胰岛移植前培养过程中基因表达的综合分析。

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Fukushima Journal of Medical Science Pub Date : 2021-04-10 Epub Date: 2021-02-17 DOI: 10.5387/fms.2020-25

Junichiro Haga, Naoya Sato, Takayuki Anazawa, Takashi Kimura, Akira Kenjo, Mitsukazu Gotoh, Shigeru Marubashi

{"title":"Comprehensive analysis of gene expression of isolated pancreatic islets during pretransplant culture.","authors":"Junichiro Haga, Naoya Sato, Takayuki Anazawa, Takashi Kimura, Akira Kenjo, Mitsukazu Gotoh, Shigeru Marubashi","doi":"10.5387/fms.2020-25","DOIUrl":"https://doi.org/10.5387/fms.2020-25","url":null,"abstract":"Background: The aim of this study was to investigate the effect of pretransplant culture on the survival of pancreatic islet grafts, and to determine the biological characteristics of isolated islets during pretransplant culture.Methods: The survival of islets from Wistar rats, transplanted to diabetic C57BL/B6 mice, was compared between fresh islets and cultured islets. A comprehensive gene expression analysis was employed to investigate biological processes during pretransplant culture, and in vitro validation studies were performed.Results: Survival of cultured xenografts was significantly prolonged as compared to that of fresh islets (fresh:12.5 ± 1.9 days, 1-day cultured:16.0 ± 1.3 days (p= 0.017), 3-day cultured:17.0 ± 2.6 days (p= 0.014)). Comprehensive gene expression analysis identified significant upregulation of annotated functions associated with inflammation in cultured groups. Six proinflammatory genes, including heme oxygenase 1 (HO-1) and IL-6, were significantly upregulated during culture.　Validation studies revealed significantly higher levels of IL-6 in the supernatant of cultured islets and HO-1 in the cultured islets when compared with fresh islets.Conclusion: Transplantation of cultured islets induced significant but minimal prolongation of graft survival in xenogeneic combinations. Comprehensive analysis of gene expression in cultured islets showed biological processes associated with proinflammation during culture.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 1","pages":"17-26"},"PeriodicalIF":0.8,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/1e/2185-4610-67-017.PMC8075558.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25377761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Differential diagnosis of memory impairment in areas affected by a natural disaster:a case report. 自然灾害影响地区记忆损伤的鉴别诊断:1例报告。

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Fukushima Journal of Medical Science Pub Date : 2021-04-10 Epub Date: 2021-03-16 DOI: 10.5387/fms.2020-13

Akemi Miyagawa, Yasuto Kunii, Daisuke Gotoh, Masashi Ito, Shuntaro Itagaki, Takatomo Matsumoto, Tetsuo Kumakura, Hirooki Yabe

{"title":"Differential diagnosis of memory impairment in areas affected by a natural disaster:a case report.","authors":"Akemi Miyagawa, Yasuto Kunii, Daisuke Gotoh, Masashi Ito, Shuntaro Itagaki, Takatomo Matsumoto, Tetsuo Kumakura, Hirooki Yabe","doi":"10.5387/fms.2020-13","DOIUrl":"https://doi.org/10.5387/fms.2020-13","url":null,"abstract":"We treated a man with a chief complaint of memory impairment after the Great East Japan Earthquake. Initially, he was diagnosed with dementia. However, after several tests, neither could a definitive diagnosis of dementia be reached, nor was there any apparent evidence for depression, epilepsy, delirium, or internal medicine diseases. During the earthquake, the patient experienced the severe trauma of watching his wife being swept away by a tsunami. Furthermore, he experienced separation from his family. Because of this traumatic experience, we suspected that dissociative disorder was involved in the development of the memory impairment and thus, we switched to treatments focusing on emotional support. Subsequently, the patient's memory impairment gradually improved. The present case demonstrates the importance of considering dissociative disorders when examining a patient with memory impairment in areas affected by disasters.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 1","pages":"38-44"},"PeriodicalIF":0.8,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/d8/2185-4610-67-038.PMC8075562.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25488205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unexpected placenta accreta spectrum after the use of assisted reproductive technology in women with adenomyomectomy. 子宫腺肌瘤切除术妇女使用辅助生殖技术后的意外胎盘增生谱。

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Fukushima Journal of Medical Science Pub Date : 2021-04-10 Epub Date: 2021-03-16 DOI: 10.5387/fms.2021-02

Toki Jin, Hyo Kyozuka, Mimori Fujimori, Shinji Nomura, Yusuke Hakozaki, Daisuke Suzuki, Yasuhisa Nomura

{"title":"Unexpected placenta accreta spectrum after the use of assisted reproductive technology in women with adenomyomectomy.","authors":"Toki Jin, Hyo Kyozuka, Mimori Fujimori, Shinji Nomura, Yusuke Hakozaki, Daisuke Suzuki, Yasuhisa Nomura","doi":"10.5387/fms.2021-02","DOIUrl":"https://doi.org/10.5387/fms.2021-02","url":null,"abstract":"Placenta accreta spectrum (PAS) is a rare complication that can lead to life-threatening postpartum hemorrhage. PAS can sometimes occur unexpectedly, without placenta previa;such cases can lead to higher maternal mortality and morbidity than expected cases. Here, the authors report a case of unexpected PAS caused by assisted reproductive technology (ART) in a woman with adenomyosis. The patient was a 37-year-old Japanese primipara woman who presented to our hospital at 11 weeks gestation, later returning to her parents' house to give birth. The woman had adenomyosis and underwent adenomyomectomy, which was followed by an ART pregnancy. The patient was admitted to our hospital because of a life-threatening preterm birth, with a short cervix and no evidence of placenta previa. Despite strict perinatal management, preterm rupture of the membrane (PROM) occurred. During laparotomy, the small intestine, rectum, and both right and left ovaries were clumped together and severely adhered to the surface of the uterus. After delivery, manual partial removal of the placenta was performed, resulting in heavy bleeding from the implantation site, which was diagnosed as an unexpected PAS. Following several uterine compression efforts, we successfully preserved the uterus.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 1","pages":"45-48"},"PeriodicalIF":0.8,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/1a/2185-4610-67-045.PMC8075559.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25488115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Effects of daily alcohol intake on glomerular filtration rate over three years. 三年来每日酒精摄入量对肾小球滤过率的影响

IF 0.8

Fukushima Journal of Medical Science Pub Date : 2021-04-10 Epub Date: 2021-01-06 DOI: 10.5387/fms.2020-20

Yu Sato, Akiomi Yoshihisa, Takumi Maki, Yasuchika Takeishi

{"title":"Effects of daily alcohol intake on glomerular filtration rate over three years.","authors":"Yu Sato, Akiomi Yoshihisa, Takumi Maki, Yasuchika Takeishi","doi":"10.5387/fms.2020-20","DOIUrl":"https://doi.org/10.5387/fms.2020-20","url":null,"abstract":"Background: The association between daily alcohol intake and changes in renal function in the Japanese general population is not well established.Methods: We analyzed data from 150 residents who underwent specific health checkups held in Mishima Town in 2016 and 2019. We divided participants on the basis of alcohol consumption: residents with daily alcohol intake of < 20 g/day (the none-to-low group, n = 104, 69.3%); those with daily alcohol intake of ≥ 20 but < 40 g/day (the intermediate group, n = 30, 20.0%); and those with daily alcohol intake of ≥ 40 g/day (the high group, n = 16, 10.7%). We compared baseline characteristics. The primary endpoint was a decrease in estimated glomerular filtration rate (eGFR), defined as the decrease in eGFR greater than the median decrease over three years.Results: The three-year changes in eGFR were +0.3 (-4.8, +3.0), -2.3 (-5.1, +1.2), and -4.9 (-8.2, -2.9) mL/min/1.73 m2 in the none-to-low, intermediate, and high groups, respectively (P = 0.007). In the multivariate logistic regression analysis, a high amount of alcohol intake was independently associated with a decrease in eGFR, with adjusted odds ratio of 11.418 (95% confidence interval 1.554-83.879, P = 0.017).Conclusion: A high average daily alcohol intake is associated with a decrease in eGFR.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 1","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/d2/2185-4610-67-001.PMC8075561.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38788957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Orthogonal antibody testing for COVID-19 among healthcare workers in a non-epidemic place and time:Japan's Iwate Prefecture, May 18-31, 2020. 2020年5月18日至31日，在非疫情地点和时间对医护人员进行COVID-19正交抗体检测:日本岩手县

IF 0.8

Fukushima Journal of Medical Science Pub Date : 2021-04-10 Epub Date: 2021-02-26 DOI: 10.5387/fms.2020-21

Akihiro Nakamura, Ryoichi Sato, Sanae Ando, Natsuko Oana, Eiji Nozaki, Hideaki Endo, Yoshiharu Miyate, Jun Soma, Go Miyata

{"title":"Orthogonal antibody testing for COVID-19 among healthcare workers in a non-epidemic place and time:Japan's Iwate Prefecture, May 18-31, 2020.","authors":"Akihiro Nakamura, Ryoichi Sato, Sanae Ando, Natsuko Oana, Eiji Nozaki, Hideaki Endo, Yoshiharu Miyate, Jun Soma, Go Miyata","doi":"10.5387/fms.2020-21","DOIUrl":"https://doi.org/10.5387/fms.2020-21","url":null,"abstract":"Of the 47 prefectures in Japan, Iwate had the fewest cases of coronavirus disease 2019 (COVID-19), with the first diagnosis officially confirmed on July 28, 2020. A baseline serological survey of COVID-19 antibodies is essential to accurately evaluate an epidemic outbreak. The primary purpose of this study was to determine pre-epidemic prevalence of COVID-19 antibodies among healthcare workers, using two laboratory-based quantitative tests. In addition, a point-of-care (POC) qualitative test, rapid, simple, and convenient for primary care clinics, was compared with the laboratory-based tests. All antibody tests were performed on serum from 1,000 healthcare workers (mean age, 40 ± 11 years) in Iwate Prefectural Central Hospital, May 29-31, 2020. A COVID-19 case was defined as showing positive results in both laboratory-based quantitative tests. None of 1,000 samples had positive results in both of the laboratory immunoassays. The POC test showed positive results in 33 of 1,000 samples (3.3%) (95% confidence interval:2.19-4.41), but no samples were simultaneously positive in both laboratory-based tests. In conclusion, COVID-19 cases were not serologically confirmed by a baseline control study of healthcare workers at our hospital in late May, 2020. Moreover, the POC qualitative test may offer no advantage in areas with very low prevalence of COVID-19, due to higher false-positive reactions compared with laboratory-based quantitative immunoassays.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 1","pages":"27-32"},"PeriodicalIF":0.8,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2f/22/2185-4610-67-027.PMC8075555.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25412939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Prediction of the prognosis of somatoform disorders using the Minnesota Multiphasic Personality Inventory (MMPI) 使用明尼苏达多相人格量表(MMPI)预测躯体形式障碍的预后

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Fukushima Journal of Medical Science Pub Date : 2021-01-21 DOI: 10.21203/RS.3.RS-150296/V2

Akiko Sato, S. Itagaki, Takatomo Matsumoto, Yoko Ise, Syunya Yokokura, Tomohiro Wada, K. Hayashi, T. Kakamu, T. Fukushima, T. Nikaido, S. Konno, H. Yabe

{"title":"Prediction of the prognosis of somatoform disorders using the Minnesota Multiphasic Personality Inventory (MMPI)","authors":"Akiko Sato, S. Itagaki, Takatomo Matsumoto, Yoko Ise, Syunya Yokokura, Tomohiro Wada, K. Hayashi, T. Kakamu, T. Fukushima, T. Nikaido, S. Konno, H. Yabe","doi":"10.21203/RS.3.RS-150296/V2","DOIUrl":"https://doi.org/10.21203/RS.3.RS-150296/V2","url":null,"abstract":"\u0000 Background: To elucidate the possibility of using the Minnesota Multifaceted Personality Inventory (MMPI) to predict the prognosis of somatoform disorders, which are often treatment-resistant, we investigated the prognosis of somatoform disorders predicted using the MMPI. Methods: During the period from January 1, 2013, to December 31, 2017, 125 cases of somatoform disorder were diagnosed in the psychiatric department of Fukushima Medical University Hospital, among which, 67 were consultation-liaison psychiatry cases and 58 cases were only psychiatric cases. Clinical information, MMPI scores, and prognosis information were collected from medical records in each case, and then statistical analysis was performed. Results: The results showed that the unchanged group had significantly higher scores than the improved group on only the Hy scale. Receiver operating characteristic analysis of the Hy scale scores of the improved and unchanged group was then conducted to calculated a cutoff value. The cutoff point was 73.5 with a sensitivity of 0.557 and a specificity of 0.717. Conclusion: For patients diagnosed with somatoform disorder who had an MMPI Hy scale score higher than the cutoff value, improvement with conventional supportive psychotherapy or drug therapy was predicted to be difficult. Therefore, the cutoff point identified in this study appears to be an important index for selecting treatment for somatoform disorders.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2021-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67955563","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}

引用次数: 0

Socioeconomic status, damage-related conditions, and PTSD following the Fukushima-daiichi nuclear power plant accident:The Fukushima Health Management Survey. 福岛第一核电站事故后社会经济状况、损害相关状况和创伤后应激障碍:福岛健康管理调查。

IF 0.8

Fukushima Journal of Medical Science Pub Date : 2021-01-01 DOI: 10.5387/fms.2020-24

Tetsuya Shiga, Wen Zhang, Tetsuya Ohira, Yuriko Suzuki, Masaharu Maeda, Hirobumi Mashiko, Hirooki Yabe, Hajime Iwasa, Hironori Nakano, Seiji Yasumura, Kenji Kamiya

{"title":"Socioeconomic status, damage-related conditions, and PTSD following the Fukushima-daiichi nuclear power plant accident:The Fukushima Health Management Survey.","authors":"Tetsuya Shiga, Wen Zhang, Tetsuya Ohira, Yuriko Suzuki, Masaharu Maeda, Hirobumi Mashiko, Hirooki Yabe, Hajime Iwasa, Hironori Nakano, Seiji Yasumura, Kenji Kamiya","doi":"10.5387/fms.2020-24","DOIUrl":"https://doi.org/10.5387/fms.2020-24","url":null,"abstract":"The Great East Japan Earthquake severely damaged the Tohoku and Kanto districts, and Fukushima Prefecture faced a subsequent nuclear disaster. Few studies have reported the effects of socioeconomic stressors on individuals' mental status following disasters. We analyzed the responses of 60,704 adult residents of a designated restricted area to the PTSD Checklist-Stressor-Specific Version (PCL-S). The relationships between the PCL-S scores and demographic, socioeconomic, and damage-related variables were analyzed using regression analysis to predict participants' severity of PTSD symptoms. Approximately 14.1% of evacuees had severe PTSD symptoms (PCL-S ≥50) eighteen months post-earthquake. The PCL-S scores were higher among women, older adults, less educated people, those with a history of mental illness, and those living outside Fukushima Prefecture. The PCL-S scores increased with participants' scores on the Kessler Psychological Distress Scale. The number of trauma-exposure stressors and socioeconomic stressors were associated with 1.52 and 3.77 increases in the PCL-S score, respectively. Furthermore, psychological distress, unemployment, decreased income, house damage, tsunami experience, nuclear power plant accident experience, and loss of someone close due to the disaster were associated with the prevalence of severe PTSD symptoms. The complex triple disaster of a major earthquake, tsunami, and nuclear accident created significant socioeconomic changes that may be important determinants of PTSD among residents of restricted access areas in Fukushima.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 2","pages":"71-82"},"PeriodicalIF":0.8,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e7/4d/2185-4610-67-071.PMC8460284.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39363509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

IAEA consultancy meeting on low-dose radiation for patients and population. 国际原子能机构关于病人和居民低剂量辐射的咨询会议。

IF 0.8

Fukushima Journal of Medical Science Pub Date : 2021-01-01 DOI: 10.5387/fms.2021-21

Michio Murakami, Kenichi Osuga, Hitoshi Ohto, Kenji Kamiya, Kiyoshi Saito, Uwe Scholz, May Abdel-Wahab

{"title":"IAEA consultancy meeting on low-dose radiation for patients and population.","authors":"Michio Murakami, Kenichi Osuga, Hitoshi Ohto, Kenji Kamiya, Kiyoshi Saito, Uwe Scholz, May Abdel-Wahab","doi":"10.5387/fms.2021-21","DOIUrl":"10.5387/fms.2021-21","url":null,"abstract":"This paper reports on the IAEA's Consultancy Meeting on \"low-dose radiation for patients and population -Science, Technology and Society (STS) concepts for communication and perception among medical doctors and stakeholders-\", which was held on October 21 and 22, 2020. The meeting consisted of seven presentation sessions, with a total of 27 presentations and 39 participants from seven countries. The meeting focused on various areas including environmental, food, and personal dosimetry;radiation and other secondary health effects after nuclear disasters;communication between medical professionals and patients or residents;and medical education on nuclear accidents. This meeting was convened to discuss STS perspectives related to nuclear emergencies, to share the findings of the Fukushima Health Management Survey and the current situation in Fukushima with international experts. The meeting confirmed the importance of coordinated recovery of affected areas and global preparedness in the aftermath of nuclear accidents.","PeriodicalId":44831,"journal":{"name":"Fukushima Journal of Medical Science","volume":"67 2","pages":"89-93"},"PeriodicalIF":0.8,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/d5/2185-4610-67-089.PMC8460281.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39363510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0