Yoshiro Mori, Nobuyuki Miyatake, Yuka Mori, Kiyotaka Tanimoto and Hisayoshi Morioka : Trends in Syphilis Incidence and Its Association With the Number of Sex Industry-Related Businesses in Japan: An Ecological Study Using Joinpoint Analysis, Curēus, 17, 5, 2025.
(要約)
In recent years, a notable increase in syphilis cases has been observed in Japan, aligning with global trends. We aimed to elucidate the trends in sexually transmitted infections (STIs) incidence (specifically syphilis) in Japan and examine its relationship with the number of sex industry-related businesses in prefectures. Data on STIs and the number of sex industry-related businesses from 2000 to 2022 were obtained from the National Institute of Infectious Diseases (NIID) and the official website of the Japan National Crime Prevention Association, respectively. Joinpoint analysis and regression analysis were used to identify inflection points in the trend of syphilis and describe the association between STI incidence and the overall number (and the number of different categories) of sex industry-related businesses (i.e., store-based soaplands, store-based fashion health, nude studio, love hotels, adult shops, and meeting cafes, and non-store-based including dispatch-type fashion health and adult video mail orders). The population data was obtained from the 2022 population estimates provided by the Statistics Bureau of the Ministry of Internal Affairs and Communications. In this study, a significant increase in the number of syphilis cases has been observed in Japan in recent years, with joinpoint analysis identifying a significant inflection point in 2020 (annual percent change: 43.8). Multiple regression analysis adjusted for the prefectural population revealed a strong association between the incidence of STIs and number of sex industry-related businesses. Specifically, a strong association was observed between the number of Category I non-store-based sex-related business syphilis cases among men (standardized β=0.908, p<0.001, R2=0.938) and women (standardized β=1.017, p<0.001, R2=0.921), as well as AIDS cases for men (standardized β=0.991, p<0.001, R2=0.910). The significant increase in syphilis cases in Japan among men and women may be related to an increase in non-store-based, dispatch-type fashion health sex-related businesses. These findings indicate that public health policies should consider these specific social and behavioral factors in future interventions.
(キーワード)
hiv/aids / joinpoint analysis / public health policy / sexually transmitted infections / syphilis trends
<p>令和2年4月から遺伝性乳がん卵巣がん症候群(Hereditary Breast and Ovarian Cancer Syndrome:以降HBOC)の既発症者に対するリスク低減乳房切除術(Risk-Reducing Mastectomy:以降RRM)・乳房再建術ならびにリスク低減卵管卵巣摘出術(Risk-Reducing Salpingo-Oophorectomy:以降RRSO)が保険収載となった1)．特に，卵巣がんはサイレントキラーと呼ばれ，効果的なスクリーニングが施行できないため，予防的手術がリスク管理の最良の形態であると考えられる．経済的負担の軽減のみならず，がんの発症リスクへの精神的負担を軽減することが期待でき，益々の需要が見込まれる．本稿ではHBOCと診断された乳がん罹患患者のRRSOに焦点をあてて解説する．</p>
(キーワード)
意思決定 (decision making) / Regarding Risk-reducing Salpingo-oophorectomy / Hereditary Breast and Ovarian Cancer Syndrome
Yoshiro Mori, Nobuyuki Miyatake, Hiromi Suzuki, Yuka Mori, Setsuo Okada and Kiyotaka Tanimoto : Comparison of Impressions of COVID-19 Vaccination and Influenza Vaccination in Japan by Analyzing Social Media using Text mining, Vaccines, 11, 8, 1327, 2023.
(要約)
The aim of this study was to compare impressions of COVID-19 vaccination and influenza vaccination in Japan by analyzing social media (Twitter) using a text-mining method. We obtained 10,000 tweets using the keywords "corona vaccine" and "influenza vaccine" on 15 December 2022 and 19 February 2023. We then counted the number of times the words were used and listed frequency of these words by a text-mining method called KH Coder. We also investigated concepts in the data using groups of words that often appeared together or groups of documents that contained the same words using multi-dimensional scaling (MDS). "Death" in relation to corona vaccine and "severe disease" for influenza vaccine were frequently used on 15 December 2022. The number of times the word "death" was used decreased, "after effect" was newly recognized for corona vaccine, and "severe disease" was not used in relation to influenza vaccine. Through this comprehensive analysis of social media data, we observed distinct variations in public perceptions of corona vaccination and influenza vaccination in Japan. These findings provide valuable insights for public health authorities and policymakers to better understand public sentiment and tailor their communication strategies accordingly.
The purpose of this study was to clarify the current status of oncology certified nurse specialist(OCNS) involvement in cancer genome medicine. A survey of 235 OCNSs who consented to participate in the study revealed that those involved in cancer genome medicine had a better understanding of hereditary tumors. Through descriptive content analysis, 8 learning needs were identified in relation to cancer genome medicine. Among these needs,[ basic nowledge of hereditary tumors and cancer genome medicine], [regular acquisition of up-to-date information on genetic medicine], and[ genetic counseling in actual clinical settings] revealed no differences between OCNSs involved and not involved in genetic medicine. On the other hand,[ role of an OCNS in genetic medicine], [nursing care for patients and families with hereditary diseases], [systems and collaboration to incorporate genetic medicine into rganizations], [information on genetic medicine for facilities other than urban/designated hospitals], and[ programmed learning as a systematic approach to genetic medicine provided by academic societies] differed between the groups in terms of descriptive contents.
(キーワード)
Oncology Certified Nurse Specialist / Cancer Genome Medicine / involvement
Yoshie Imai, Yoshie Murakami, Yuko Takeda, Yuko Kawasaki, Megumi Kishino, Yuka Mori, Megumi Kageyama, Tomoka Sakamoto, Takae Bando and Kazuya Kondo : Process of parenting a child with retinoblastoma while guiding him or her toward disease acceptance, Shikoku Acta Medica, 79, 1.2, 91-102, 2023.
(要約)
<p>Background :</p><p>Retinoblastoma (RB) occurs at a very young age. Since the disease is diagnosed at an early age, the family is responsible for the care of the child s disease acceptance.</p><p>Objective : This study aims to explore the parenting process of children with RB toward disease acceptance.</p><p>Methods : Parents of eleven children with RB living in Japan were interviewed, and the data were analyzed using the Modified Grounded Theory Approach of Kinoshita (M-GTA).</p><p>Results : There were twenty-one concepts representing the process of parenting a child with RB while guiding him or her toward disease acceptance, and nineteen of them were classified into</p><p>ten categories based on semantic similarities. The two other concepts showed similar interpretability to categories. These categories and concepts were summarized into two core categories :</p><p>``Helping the child develop a positive mindset to define the disease as a part of him/herself'' and</p><p>``Paving the way in advance for the child to live comfortably when his or her living space expands''.</p><p>Conclusions : In a cyclical framework of parenting, consisting of two core categories described</p><p>in Results, the parents coordinated these two approaches while maintaining balance by ``Avoiding saying anything that does not need to be said'' and established their process of parenting a child</p><p>with RB while guiding him or her toward disease acceptance, according to their household situation. The results suggest the necessity of recognizing that in childhood-onset cancers, such as RB,</p><p>and diseases involving genetic issues, problems tend to occur not only during the treatment period but also at the time of life events and providing support from a comprehensive perspective.</p>
Yoshiro Mori, Nobuyuki Miyatake, Hiromi Suzuki, Yuka Mori, Setsuo Okada and Kiyotaka Tanimoto : Pre-Impressions of the Third COVID-19 Vaccination among Medical Staff: A Text Mining-Based Survey, Vaccines, 10, 6, 856, 2022.
(要約)
The aim of this study was to investigate the pre-impressions of the third Coronavirus disease 2019 (COVID-19) vaccination among Japanese medical staff using quantitative analysis. Among 413 medical staff, 260 (60 men and 200 women) aged 40.4 ± 12.3 years were enrolled in this cross-sectional study. Pre-impressions of the third COVID-19 vaccination were analyzed using the text-mining analysis software, KH coder. Among 260 subjects, 242 (93.1%) agreed to the third vaccination, with the rate being lower among subjects in their 30s (87.3%) than those in the other age groups. The word "side effects" was characteristic of subjects in their 20s and nurses, and "pregnancy" of those in their 30s and administrative staff. Pre-impressions of the third COVID-19 vaccination varied among age groups and different professions. The results obtained provide useful information for promoting the third COVID-19 vaccination to Japanese adults.