Article
Health Care Sciences & Services
Christoffer R. Ericsson, Veronica Lindstrom, Ann Rudman, Hilla Nordquist
Summary: Finnish paramedics face job demands including high workload, environmental factors, and emotional burden. Their job resources consist of pressure management strategies, a psychologically safe work community, professional pride, and an internal drive towards professional development.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Public, Environmental & Occupational Health
Dandan Liao, Yanqiong Long, Tao Yu, Xiaoyan Kang, Shulai Liu, Jin Yan, AiDi Zhang
Summary: This study aims to investigate the effects of psychological detachment and presenteeism on post-traumatic stress disorder among emergency medical service personnel. The results show a negative correlation between psychological detachment and post-traumatic stress disorder, and a positive correlation between presenteeism and post-traumatic stress disorder. Presenteeism partially mediates the association between psychological detachment and post-traumatic stress disorder.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Kathryn M. Stadeli, Dylan Sonett, Kelsey M. Conrick, Megan Moore, Matthew Riesenberg, Eileen M. Bulger, Hendrika Meischke, Monica S. Vavilala
Summary: Patients with limited English proficiency (LEP) face disparities in prehospital care. This study aimed to identify barriers and facilitators perceived by EMS providers to provide high-quality care for LEP patients.
Article
Surgery
Min Yan, Ming Wang, Latif Al-Hakim
Summary: This study investigates the barriers to reporting near misses in surgery, categorizing near misses by type and reportability. Results show that professionals are more willing to disclose adverse events than near misses, with factors such as heavy workload and lack of support negatively impacting willingness to report near misses. Promoting safety, knowledge sharing, and education in error reporting is crucial for enhancing surgical quality.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Environmental Sciences
Christian Eiche, Torsten Birkholz, Fabian Konrad, Tobias Golditz, Johann Georg Keunecke, Johannes Prottengeier
Summary: Job satisfaction of paramedics in the German EMS is below that of the reference sample. Discontent with payment and organizational issues is common. Performance orientation is high, but fear of failure is frequent.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2021)
Article
Clinical Neurology
Nirav R. Bhatt, Michael R. Frankel, Raul G. Nogueira, Carol Fleming, Nicolas A. Bianchi, Olivia Morgan, Katleen Chester, Stephen W. English, Nicholas Janocko, Digvijaya Navalkele, Diogo C. Haussen
Summary: This study aimed to test the reliability of the FAST-ED scale used by paramedics in a mobile stroke unit, showing excellent agreement between paramedics and vascular neurologists in scoring. The results indicate that paramedics can accurately perform the FAST-ED scale in the prehospital setting.
Article
Multidisciplinary Sciences
Sonnet Xu, Judith E. Arnetz, Bengt B. Arnetz
Summary: This study used machine learning models to investigate the relationship between physician stress and near misses. The results showed that machine learning models can predict the performance of emergency room physicians and identified the cortisol to DHEA-S ratio as the most important predictor. These findings are significant for reducing error risks and improving patient and physician outcomes through intervention measures.
Article
Management
Samuel Ridler, Andrew J. Mason, Andrea Raith
Summary: This paper introduces JEMSS, a free and open-source software package for simulation and optimization of Emergency Medical Services (EMS). JEMSS incorporates integer programming optimization, heuristic local search, and simulation capabilities to evaluate and optimize EMS decision-making and strategies. The package includes flexible and customizable decision protocols for ambulance dispatch and dynamic redeployment. It runs simulations quickly, allowing for efficient evaluation of realistic city models. The software also includes visualization tools and has been validated against existing EMS simulation software.
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH
(2022)
Article
Transportation Science & Technology
Gaby Joe Hannoun, Monica Menendez
Summary: Advancements in vehicular and wireless communication technologies have shaped the future of transportation systems, but emergency medical services (EMS) still face issues with response delays. This research introduces a smart EMS system using modular vehicle technology to improve resource allocation and rescue efficiency. Results show that the system can respond quicker to emergencies, especially in large-scale disaster scenarios.
TRANSPORTATION RESEARCH PART C-EMERGING TECHNOLOGIES
(2022)
Article
Economics
Marcos Colla, Gilson Ditzel Santos, Gilson Adamczuk Oliveira, Renata Braga Berenguer de Vasconcelos
Summary: Research on ambulance response times for EMS calls has been conducted for decades, primarily in developed countries. However, there is limited scientific research on this topic in Brazil, a developing country, which mainly focuses on cities with a population of over one million. This highlights the need to extend research to small and medium-sized cities.
SOCIO-ECONOMIC PLANNING SCIENCES
(2023)
Review
Emergency Medicine
Brandon Marshall, Erin McGlynn, Andrew King
Summary: The high costs associated with acute alcohol intoxication patients visiting emergency departments have attracted attention. Research suggests that sobering centers may be a cheaper and more effective alternative treatment option, but further studies are needed to investigate the connection and effectiveness between EMS and sobering centers.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Eli Jaffe, Roman Sonkin, Refael Strugo, Erik Zerath
Summary: During the COVID-19 pandemic, EMS experienced changes in call volume for different categories. Analyzing the consistency between symptoms and confirmed cases curve shape, as well as changes in types of phone calls, helps to better prepare for epidemic periods.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Multidisciplinary Sciences
Zubayer Islam, Mohamed Abdel-Aty, Amrita Goswamy, Amr Abdelraouf, Ou Zheng
Summary: This paper used UAV video data to study a major intersection and found that yellow time and red clearance time are positively related to collision time between vehicles. The study also identified certain signal phases that may present safety hazards and need to be retimed. The model results showed that increasing the mean yellow and red clearance times by one second can improve collision time levels by 10% and 3%, respectively.
SCIENTIFIC REPORTS
(2023)
Article
Automation & Control Systems
Ran Liu, Weiliang Liu, Yuxin Liu, Ershun Pan, Xiaolei Xie
Summary: The paper addresses the issue of ambulance offload delays in emergency healthcare services by analyzing and optimizing the emergency medical services network. By developing resource configuration and optimization models, the study aims to reduce delays and congestion in emergency departments. The research also identifies reasons for overcapacity in EDs and ambulance offload delays and proposes effective approaches to reconfigure resources for a new equilibrium.
IEEE TRANSACTIONS ON AUTOMATION SCIENCE AND ENGINEERING
(2022)
Article
Management
Nitin Bakshi, Heikki Peura
Summary: This paper examines the challenges faced by firms in dealing with near miss information, analyzing the motives of agents for potential under-reporting of near misses and the moral hazard associated with precautionary efforts. The study finds that conflicting incentives may prevent firms from effectively utilizing near miss information, thereby impacting process safety improvement.
M&SOM-MANUFACTURING & SERVICE OPERATIONS MANAGEMENT
(2022)
Article
Orthopedics
Kuniaki Takagi, Ryutaro Matsugaki, Kenji Fujimoto, Yuko Mine, Keiji Muramatsu, Yoshihisa Fujino, Shinya Matsuda
Summary: This study evaluated the mortality risk in elderly hip fracture patients, focusing on comorbidities and nursing care levels. By using a combined database of medical and long-term care insurance claims data in Japan, a total of 6125 patients aged 65 years and older with hip fracture were selected. The study found that high nursing care level and comorbidities such as malignant diseases, heart diseases, pneumonia, chronic obstructive pulmonary disease, renal failure, and dementia increased mortality in elderly hip fracture patients.
JOURNAL OF ORTHOPAEDIC SCIENCE
(2023)
Article
Public, Environmental & Occupational Health
Tomomi Anan, Tomohiro Ishimaru, Ayako Hino, Tomohisa Nagata, Seiichiro Tateishi, Mayumi Tsuji, Akira Ogami, Shinya Matsuda, Yoshihisa Fujino
Summary: In Japan, the regional infection rates of COVID-19 are associated with the adherence to non-pharmaceutical interventions (NPIs) among individuals. This study found that NPIs were more prevalent in regions with higher incidence rates of COVID-19.
JOURNAL OF PUBLIC HEALTH
(2023)
Article
Public, Environmental & Occupational Health
Koki Ibayashi, Yoshihisa Fujino, Masakazu Mimaki, Kenji Fujimoto, Shinya Matsuda, Yu-ichi Goto
Summary: It is important to understand the basic epidemiology of mitochondrial diseases in Japan, including the number of affected patients. A study using a national healthcare claims database estimated that there were 3,629 patients with mitochondrial diseases from April 2018 to March 2019, with a prevalence of 2.9 per 100,000 population. This suggests that about half of all patients might be overlooked, indicating the need for additional support in the Japanese healthcare system.
JOURNAL OF EPIDEMIOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Naoya Sawamoto, Tomohiro Ishimaru, Kosuke Mafune, Keiji Muramatsu, Tomohisa Nagata, Seiichiro Tateishi, Mayumi Tsuji, Akira Ogami, Yoshihisa Fujino
Summary: This study aimed to investigate the relationship between psychological distress and poverty among Japanese workers during the COVID-19 pandemic. An Internet-based prospective cohort study was conducted with 11,081 individuals who were not experiencing poverty at baseline in December 2020. The results showed that individuals with mild and severe psychological distress had higher odds of experiencing household financial distress compared to those without distress.
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Makoto Okawara, Tomohiro Ishimaru, Yu Igarashi, Ryutaro Matsugaki, Kosuke Mafune, Tomohisa Nagata, Mayumi Tsuji, Akira Ogami, Yoshihisa Fujino
Summary: The physical work environment is crucial for working from home (WFH), and an inadequate environment can negatively affect workers' health and work functioning. This study investigated the impact of environmental factors on work functioning impairment in Japanese workers who WFH.
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Hideyuki Sato, Ryutaro Matsugaki, Hajime Ando, Kiminori Odagami, Kosuke Mafune, Seiichiro Tateishi, Mayumi Tsuji, Shinya Matsuda, Yoshihisa Fujino
Summary: This study aimed to investigate the association between telecommuting environments and shoulder pain in Japanese telecommuters. An Internet-monitored, cross-sectional study was conducted with 2537 participants who mostly telecommuted at least 4 days per week. The presence of shoulder pain was assessed using a numerical rating scale, and the characteristics of the telecommuting environment were evaluated through eight questions. Multilevel logistic regression analysis revealed that inadequate desk brightness, inadequate foot space, and uncomfortable temperature and humidity were associated with shoulder pain.
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Kazuki Kikunaga, Akinori Nakata, Mami Kuwamura, Kiminori Odagami, Kosuke Mafune, Hajime Ando, Keiji Muramatsu, Seiichiro Tateishi, Yoshihisa Fujino
Summary: This study examines the association between source-specific workplace social support and psychological distress among Japanese teleworkers and nonteleworkers. The results indicate that insufficient supervisor support is a significant risk factor for psychological distress among teleworking staff members.
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Arisa Harada, Seiichiro Tateishi, Tomohiro Ishimaru, Masako Nagata, Hisashi Eguchi, Mayumi Tsuji, Kazunori Ikegami, Ryutaro Matsugaki, Yoshihisa Fujino
Summary: This study examined the relationship between the type of chronic disease and the provision of workplace accommodations. A cross-sectional study in Japan involving 6775 full-time workers who needed work accommodations was conducted. The findings revealed that workers with cancer, mental illness, and benign gynecological disorders were more likely to receive workplace accommodations, while those with low back pain and skin diseases were less likely. Therefore, the provision of workplace accommodations depends on the type of chronic disease, and those with inadequate accommodations should be supported.
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
(2023)
Article
Virology
Takatomo Tokito, Takashi Kido, Keiji Muramatsu, Kei Tokutsu, Daisuke Okuno, Hirokazu Yura, Shinnosuke Takemoto, Hiroshi Ishimoto, Takahiro Takazono, Noriho Sakamoto, Yasushi Obase, Yuji Ishimatsu, Yoshihisa Fujino, Kazuhiro Yatera, Kiyohide Fushimi, Shinya Matsuda, Hiroshi Mukae
Summary: The potential antimicrobial and anti-inflammatory effectiveness of azithromycin against severe influenza is yet unclear. In this retrospective study, the effect of intravenous azithromycin administration within 7 days of hospitalization in patients with influenza virus pneumonia and respiratory failure was investigated. The results showed that in the severe group, the 30-day mortality rate was significantly lower with azithromycin.
Article
Public, Environmental & Occupational Health
T. Ishimaru, M. Okawara, S. Tateishi, T. Yasui, S. Horie, Y. Fujino
Summary: This study revealed that severe menopausal symptoms, especially psychological symptoms, had a significant impact on presenteeism. The results emphasize the importance of addressing menopausal symptoms in the workplace, with a focus on reducing work-related stress for women with these symptoms.
OCCUPATIONAL MEDICINE-OXFORD
(2023)
Article
Public, Environmental & Occupational Health
Ryutaro Matsugaki, Hideaki Matsuzaki, Satoru Saeki, Yoshihisa Fujino, Shinya Matsuda
Summary: This study examines the relationship between frailty and occupational falls among older workers in the tertiary industry. The findings suggest that frailty is associated with occupational falls, and it is recommended that employers introduce frailty screening and take countermeasures to prevent falls among older workers.
JOURNAL OF OCCUPATIONAL HEALTH
(2023)
Article
Public, Environmental & Occupational Health
Naoya Sawamoto, Makoto Okawara, Ryutaro Matsugaki, Kiminori Odagami, Kosuke Mafune, Seiichiro Tateishi, Mayumi Tsuji, Akira Ogami, Yoshihisa Fujino
Summary: Research shows that financially stressed workers are more susceptible to workplace mistreatment during COVID-19, highlighting the double burden of poverty and mistreatment. The perspective of vulnerable groups should be taken into account when implementing measures against emerging infectious diseases like COVID-19.
JOURNAL OF OCCUPATIONAL HEALTH
(2023)
Article
Medicine, Research & Experimental
Tomohiro Ishimaru, Koki Ibayashi, Masako Nagata, Seiichiro Tateishi, Ayako Hino, Mayumi Tsuji, Hajime Ando, Keiji Muramatsu, Yoshihisa Fujino
Summary: This study aimed to identify factors associated with the acceptance of the COCOA app for COVID-19 in the working-age population in Japan. The study found that married individuals, those with a university degree or higher, higher income, and desk jobs were more likely to adopt the COCOA app. Fear of COVID-19 transmission, mask usage, hand disinfection, willingness to be vaccinated, and knowing someone infected with COVID-19 were also associated with a higher likelihood of app adoption. These findings highlight the importance of promoting digital contact tracing apps among working-age populations in Japan and beyond.
NAGOYA JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Public, Environmental & Occupational Health
Atsuko Ikenouchi, Yoshihisa Fujino, Ryutaro Matsugaki, Kosuke Mafune, Hajime Ando, Tomohisa Nagata, Seiichiro Tateishi, Reiji Yoshimura, Mayumi Tsuji
Summary: This study collected data from 33,302 workers in Japan through an Internet survey and found that the impact of telecommuting on psychological distress during the COVID-19 pandemic varied depending on the cohabitation status of workers' family members.
JOURNAL OF OCCUPATIONAL HEALTH
(2023)
Article
Rheumatology
Koshiro Sonomoto, Shingo Nakayamada, Yoshihisa Fujino, Hiroko Miyata, Satoshi Kubo, Yuya Fujita, Yoshino Inoue, Satsuki Matsunaga, Shigeru Iwata, Kentaro Hanami, Yasuyuki Todoroki, Hiroko Yoshinari-Korekoda, Akio Kawabe, Ayako Yamaguchi, Masanobu Ueno, Yurie Satoh-Kanda, Ryuichiro Kanda, Masashi Funada, Naoaki Ohkubo, Katsuhide Kusaka, Shumpei Kosaka, Atsushi Nagayasu, Shunsuke Fukuyo, Masao Nawata, Yusuke Miyazaki, Mikiko Tokunaga, Kenichi Tanaka, Yosuke Okada, Yoshiya Tanaka
Summary: This study aimed to investigate the effects of biological/target synthesized DMARDs (b/tsDMARDs) on bone metabolism in patients with rheumatoid arthritis (RA). The results showed that without anti-osteoporotic treatment, b/tsDMARDs treatment could lead to the progression of osteoporosis in RA patients. Bone turnover markers (BTMs) may not be able to reflect changes in bone mineral density (BMD). Therefore, regular monitoring of BMD in RA patients is recommended for early management of osteoporosis.
