論文

Copyright © 2020 Society for Disaster Medicine and Public Health, Inc. Objective:In case of an outbreak of Nankai Trough Mega-earthquake, it is predicted that a tsunami would invade Nagoya City within 100 minutes, hitting about one third of the City of Nagoya. If the administrative plan of the city and midwives' expertise are coordinated, pregnant women's chances of survival will increase. The authors carried out this simulation study in an attempt to improve consistency of the two efforts.Method:We estimated the number of pregnant women using a machine learning model. The evacuation distance of pregnant women was estimated on the basis of the data of road center line.Results:Through this simulation study, it became clear that preparation for approximately 2600 pregnant women escaping from tsunami predicted area and for about 1200 pregnant women possibly left in the area is needed.Conclusions:Our study suggests that triage point planning is needed in areas where pregnant women are evacuated. The triage makes it possible to transport women to appropriate hospitals.

We propose a service model and system functions for service promotion in business oriented NPOs using e-community currency. We propose a currency distribution model such that service users and providers save the community currency through the exchange of services, and they can use the community currency for receiving other services. Then we describe the system functions to securely implement the model on the Internet.

We have been developing a health promotion program called the “e-health community” which consists of both online and off-line activities. The approach of this program is to develop a citizen centric health community for sustainable health promotion activities in local community. We have provided an online lifestyle record system with blogs and off-line physical activity and cooking classes. Our research showed that over 70% of the participants experienced difficulties in maintaining records of their daily diet, while participation in off-line classes motivates the recording activities. Social networking is an important motivation for attendance of the off-line activities as well as the knowledge acquisition.

Today, application of 3D printing technology for medical use is getting popular. It strongly helps to make complicated shape of body parts with functional materials. We can complement injured, weakened or lacked parts, and recover original shape and functions. However, these cases are mainly focusing on the symptom itself, not on everyday lives of patients. With life span extending, many of us will live a life with chronic disease for long time. Then, we should think about our living environment more carefully. For example, we can make personalized everyday objects and support their body and mind. Therefore, we use 3D printing for making everyday objects from nursing/healthcare perspective. In this project, we have 2 main research questions. The first one is how to make objects which patients really require. We invited many kinds of people such as engineer, nurses and patients to our research activity. Nurses can find patient's real demands firstly, and engineers support them with rapid prototyping. Finally, we found the best collaboration methodologies among nurses, engineers and patients. The second question is how to trace and evaluate usages of created objects. Apparently, it's difficult to monitor user's activity for a long time. So we're developing the IoT sensing system, which monitor activities remotely. We enclose a data logger which can lasts about one month with 3D printed objects. After one month, we can pick up the data from objects and understand how it has been used.

Objective: The objective of this study was to establish a method for evaluating the possibility of pregnant women evacuating to tsunami evacuation buildings in coastal areas affected by tsunami. Methods: We used data published by the Japanese government and a general-purpose geographic information system to develop a simulation method for evaluating the possibility of evacuation. The data included the number of pregnant women in each elementary school district, tsunami inundation forecast maps, location information of tsunami evacuation buildings, and the number of ordinary buildings. We used our method to conduct a tsunami evacuation possibility simulation for pregnant women in each elementary school district in 7 wards of Nagoya, Japan. Results: Dense population areas at low elevations are high-risk areas from which many pregnant women may not be able to evacuate. Districts with evenly distributed tsunami evacuation buildings tend to have a lower risk. Conclusions: The proposed simulation method was able to determine the risk in elementary school districts in densely populated low-lying areas. However, it is suggested that the risk tends to be estimated higher in school districts where there are differences in elevation and the building distribution is not uniform.

Aim: This study aimed to clarify the difficulties and innovations in anatomy and physiology education from the perspective of faculty members in charge of anatomy and physiology education in Japanese nursing universities. Background: Many nursing students have difficulty acquiring anatomy and physiology knowledge and applying it in clinical situations; therefore, effective teaching and learning methods for anatomy and physiology must be provided in nursing education. Design: This study followed a cross-sectional observational design using a web-based self-administered questionnaire. Methods: A web-based self-administered open-ended survey regarding the difficulties and innovations in teaching anatomy and physiology in nursing was conducted involving nursing faculty members at universities in Japan. After inviting 280 nursing universities to participate in the survey, 37 completed questionnaires were collected and descriptively analyzed. Results: In approximately 30% of the universities, multiple professions were involved in collaboratively teaching anatomy and physiology. Furthermore, 59.5% of the universities offered a combination of didactic lectures and laboratory learning. Difficulties in teaching anatomy and physiology included the limitations of the physical teaching environment, the difficulty of teaching the importance of anatomy and physiology in nursing practice, the difficulty of adjusting educational content to learner readiness, and the difficulty of terminology and concepts specific to anatomy and physiology. Innovations used in teaching anatomy and physiology from a nursing perspective included integrating anatomy and physiology with related disciplines, encouraging students to visualize human anatomy in three dimensions, and linking anatomy and physiology to clinical nursing practice. Conclusion: Despite some difficulties in teaching the subjects, faculty members have implemented effective educational methods on their own. Due to the various constraints of the learning environment, it is difficult for students to learn anatomy and physiology on campus in depth and acquire a deep understanding of its significance in clinical practice. Therefore, educational involvement that fosters students’ self-directed learning skills and encourages flexible learning is expected. In addition, by collaborating with multiple disciplines to provide anatomy and physiology education, the participants of this study innovated pedagogies for teaching nursing students about the usefulness of anatomy and physiology and motivated their students. Moving forward, teachers need to relate their knowledge of anatomy and physiology to actual nursing care and clinical cases and convey the importance of deeply understanding anatomy and physiology in nursing practice to support their students’ active learning.

Early response to epileptic seizures is critical. In children, epileptic seizures can occur at school, and practical programs are required to enable teachers to respond. In Japan, schoolteachers may administer buccal midazolam orally under certain conditions; however, there are no established training programs for responding to epileptic seizures in schools. In this study, we aimed to develop a training program on how to respond to seizures, including buccal midazolam administration, and evaluate its effectiveness. We conducted a training program for Yogo teachers at special needs schools and evaluated the differences in confidence in responding to epileptic seizures and administering oral buccal midazolam before and after the program. The results demonstrated that confidence in responding to epileptic seizures and administering oral buccal midazolam significantly improved after the program. We concluded that this training program can help special needs Yogo teachers gain confidence in administering buccal midazolam and responding to epileptic seizures in the school setting.

© Springer International Publishing AG, part of Springer Nature 2019. Filtering face-piece respirators are the frequent personal protection devices of hospital’s healthcare workers to decrease infective risk, and its protection level is determined by how well the face-piece fits to the wearer’s face. This study aims to apply 3D scan, programmable modeling, 3D printing technology and bio-compatible filament to realize the design and fabrication of custom-fit respirator, and improve fit testing result of hospital staff. Infection control practitioner who takes response of the prevention of infectious diseases is set as the design agent of this customization task in this study. A semi-automatic modeling system and prototype fabrication are proposed to help the infection control practitioner in the process of the respirator design for all healthcare worker without CAD experience.

© 2019 IEEE. We proposed a classification of the information needs in the phases of disaster and disaster support activities carried out by Japanese information volunteers. The classification denoted irregularities and omissions in information support activities with the blank cells in the classification tables. According to the result, we proposed some styles of information support that would fill the gaps, and strongly recommended the remote help works targeting other information supporters as a probable fourth pillar of Japanese disaster response system.