目的:協力施設による ROSE の実施状況を調査し,気管支鏡検査時における ROSE の現状および課題の検討を行う.方法:広島県内 25 施設,広島県外 40 施設に対し気管支鏡検査時における ROSE の現状調査を行った.成績:5 施設では気管支鏡検査が行われていなかった.気管支鏡検査時に ROSE を実施している施設は 60 施設中 24 施設(40%)であり,ROSE ...の報告内容として,「異型細胞の採取量の評価」が求められる施設が多かった.ROSE を実施していない施設からは,「ROSE に割ける人員や時間がない」という回答が多数みられた.結論:ROSE は診断や遺伝子検査に供する検体の確認に有用であるが,診療報酬,検体処理や判定基準の標準化,on the job training による教育プログラムの整備が今後の課題である.
Objective : To investigate the implementation status of rapid on-site cytologic evaluation (ROSE) at cooperating hospitals, and to determine the current status and issues associated with ROSE during ...bronchoscopy.Study Design : A questionnaire survey designed to examine the current status of ROSE in bronchoscopy was submitted to 25 hospitals in Hiroshima prefecture and 40 hospitals outside Hiroshima prefecture.Results : ROSE was performed at 24 out of the 60 hospitals (40%) during bronchoscopy procedures, with “evaluation of the number of atypical cells,” a required part of the ROSE report. Many hospitals that did not implement ROSE answered that “there is shortage of personnel time to devote to ROSE.” Conclusion : ROSE is performed for diagnosis and genetic testing, but the “medical fees,” “standardization of specimens processing and evaluation criteria,” and “implementation of on the job training” remain issues that need to be addressed in the future.
To clarify the infection control measures required in the event of a new infectious disease outbreak, we conducted a questionnaire survey on the infection control measures implemented against ...coronavirus disease 2019 (COVID-19).OBJECTIVETo clarify the infection control measures required in the event of a new infectious disease outbreak, we conducted a questionnaire survey on the infection control measures implemented against coronavirus disease 2019 (COVID-19).An invitation to participate in this survey was sent to the heads of 2,689 facilities affiliated with the members of the Japanese Society for Infection Prevention and Control in February 2023, requesting responses to the online survey using Google Forms by March 2023.METHODSAn invitation to participate in this survey was sent to the heads of 2,689 facilities affiliated with the members of the Japanese Society for Infection Prevention and Control in February 2023, requesting responses to the online survey using Google Forms by March 2023.Six hundred and forty-five facilities, including 20 clinics and 625 hospitals, participated in the survey. This survey revealed that various infection control measures were implemented, including universal masking in the non-COVID-19 ward (96.5%), screening tests for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on scheduled admission (89.0%), SARS-CoV-2 tests (98.7%), and isolation in private rooms (76.5%) for inpatients with fever. However, nosocomial infections and clusters of COVID-19 occurred in 94.4% and 90.9% of cases during the investigation period, respectively. One of the reasons for these results is that healthcare personnel (HCP) and patients were common index cases of nosocomial infections, and the most common cause of clusters was the work of symptomatic HCPs. These results suggest that HCPs should understand that they can be index cases or spreaders. On the other hand, the most common support from external facilities was healthcare centers, followed by physicians or nurses from other hospitals.RESULTSSix hundred and forty-five facilities, including 20 clinics and 625 hospitals, participated in the survey. This survey revealed that various infection control measures were implemented, including universal masking in the non-COVID-19 ward (96.5%), screening tests for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on scheduled admission (89.0%), SARS-CoV-2 tests (98.7%), and isolation in private rooms (76.5%) for inpatients with fever. However, nosocomial infections and clusters of COVID-19 occurred in 94.4% and 90.9% of cases during the investigation period, respectively. One of the reasons for these results is that healthcare personnel (HCP) and patients were common index cases of nosocomial infections, and the most common cause of clusters was the work of symptomatic HCPs. These results suggest that HCPs should understand that they can be index cases or spreaders. On the other hand, the most common support from external facilities was healthcare centers, followed by physicians or nurses from other hospitals.In response to the emergence of infections, it is important to consider implementing infection control measures for HCPs and patients.CONCLUSIONIn response to the emergence of infections, it is important to consider implementing infection control measures for HCPs and patients.
Trust is essential for Mobile Banking (MB) adoption and usage. MB technology has the potential to improve people's quality of life and to bring efficiency to banks. In this paper, MB trust was ...addressed in Brazil, a developing country that has an enormous potential for expansion of banking services. We used Confirmatory Factor Analysis and Structural Equation Modeling to analyze the database, which was composed of 1077 questionnaires. In this study sample, determinants of trust had similar behavior when compared to determinants of trust previously pointed out in the literature. Our discussion indicated a kind of information asymmetry that could be mitigated in order to build trust in MB and promote its adoption. However, we observed a negative relationship between trust in MB and undergraduate course area (dummy variable for undergraduate courses in technology). The inclusion and analysis of this new variable, especially in developing countries, may contribute with the literature on MB adoption.
•We studied mobile banking trust in Brazil where has a high potential for expansion of banking services.•We analyzed the database, which was composed of 1077 questionnaires using structural equation model.•We found the information asymmetry for trust in mobile banking and promote its adoption.•We observed a negative relationship between trust and undergraduate course area.•Theoretical and practical implications are discussed in the paper.
Full text
Available for:
GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK, ZRSKP
Climate change and the pandemic have significantly influenced, and in some instances, transformed people's perceptions of the environment, social interaction, and physical and mental health. Urban ...green infrastructure, such as city parks, provides open spaces that are increasingly favored by urban residents. This study utilized questionnaire surveys and mobile phone data to evaluate the demand for 30 representative city parks in Nanjing, employing the analytic hierarchy process. The results indicate that residents' demand for city parks is shaped by their basic characteristics, mode of travel, and usage patterns, with a primary emphasis on physical exercise and social interaction. The overall demand for city parks decreases from the main urban areas to the suburbs. Urban residents generally anticipate convenient, comfortable and safe green infrastructure. The demand for sharing high-quality city parks sharing is primarily expressed in three aspects: fully equipped facilities, a beautiful landscape environment, and efficient management and maintenance. Therefore, it is crucial to propose strategies to enhance the service level and efficiency of urban green infrastructure in Nanjing to meet residents' demands.
•There is an inequality of supply and demand for urban green infrastructure.•Climate change and post-pandemic make city parks more important to residents.•Elderly people are still the main users of city parks.•Convenience, comfort and safety can be considered in planning.
Full text
Available for:
GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
•This study adopted a holistic approach in investigating China’s C&D waste diversion.•China’s waste management practice was compared with selected developed countries.•Governmental supervision had a ...high impact on China’s C&D waste management.•Lack of client demands was a major barrier in practicing C&D waste diversion.•Perceptions on C&D waste diversion were tested among subgroups in the survey sample.
This study was designed to investigate the recent movement and current stage of China’s construction and demolition (C&D) waste recycling and reuse. Specifically, the research aimed to provide the big picture of recent C&D waste diversion practice in China, as well as to offer insights from Chinese field practitioners’ perceptions towards benefits, challenges, and recommendations of C&D recycling and reuse. This research was conducted based on a review of existing practice and a holistic approach by collecting feedback of professionals from multiple disciplines through a questionnaire-based survey. Totally 77 valid responses were received from 592 questionnaires sent. Both quantitative data and qualitative information implied that China was still at the early stage of recycling C&D wastes. Lack of client demands was identified as one of the main difficulties in C&D waste diversion. The study revealed that engineers and consultants had a more positive perception on promoting industrial training in C&D waste recycling, while construction management professionals held more conservative opinion on it. It was also found that gaining experience in C&D waste recycling and reuse would offer professionals more positive perception on the quality of products containing recycled contents. It was further implied that although governmental supervision had a high impact on China’s current C&D waste management practice, the economic viability should eventually dominate the C&D waste diversion.
Full text
Available for:
GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK, ZRSKP
•A survey on energy consumption and behavior was conducted in urban China households.•China's urban family became smaller while house size became bigger.•Average electricity consumption per ...households increased with demand growth.•Energy consuming equipment and related behavior was analyzed.•China urban households’ behavior is decentralized, diversified and low energy consuming.
Building performance, equipment efficiency, and occupant behavior play important roles in China urban residential building energy conservation. An online survey was conducted in 2015 to study the urban residential energy and usage behavior. A total of 4964 Chinese urban households participated in the survey, answering questions about their family composition, buildings, energy use and conservation behaviors, and reactions to specific energy conservation policies. The results suggest that the general trend in Chinese urban households is larger unit sizes (on average, 109m2 per household) and smaller families. The average electricity consumption of urban residential buildings is 1690kWh per year per household in 2015 and it continues to grow as home electronics become more widespread and the demand for higher quality of life increases. China urban residential buildings energy use has the following characteristics: steady growth in size and energy consumption of the buildings associated with rapid urbanization, decentralized and individual equipment with diversified energy usage behavior, and relatively low energy consumption level compared to other countries. In addition to the current energy efficiency programs, China should focus on energy consumption and intensities target of building sector, and the key for urban residential building energy efficiency is to retain traditional behaviors and lifestyles, as well as promoting outcome-based energy conservation policies and technology systems to improve indoor environment and comfort.
Full text
Available for:
GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPCLJ, UPUK, ZRSKP
For obtaining fundamental knowledge about Terminal-care of village, I selected targets of the survey by analyzing demographic change past 20 years and conducted questionnaire survey to government ...officer and residents. The results of this study are summarized as follows.1. 82.4% of municipalities had marginal villages.2. The answerers of residents were classified by 4-type of geological locations and 5-types of formation backgrounds3. In remaining life of village, 34.2% of the residents answered upper 60 years, but 64.3% of the government officers answered 20~40 years.4. In the necessity of Terminal-care, the residents had stronger awareness than government officers.