Human strongyloidiasis is a parasitic infection induced by the nematode Strongyloides stercoralis which can cause gastrointestinal disturbances. It is believed to be a zoonosis with a potential for cross infection between humans and dogs. The aim of this work was to study this cross infection. Epidemiological surveys of human intestinal parasites were carried out using direct smears and cultures in the Amami Islands during the summer season from 2003 to 2008. Stools were collected from people and dogs inhabiting the Amami Islands, i.e., Kikai, Amami, Kakeroma, Uke, Yoro and Okinoerabu, Japan. It was confirmed that the infective ratio of Strongyloides was 2.8% of 660 residents studied and 10.0% of their 55 dogs. The owners who had parasite-carrier dogs were not found to have parasites, and, conversely the dogs who were kept by owners having parasites were free of parasites. The epidemiological results of the present study demonstrate that natural infection of Strongyloides does not occur between humans and dogs.

Objective: To clarify the tacit knowledge of Japanese public-health nurses who administer culturally sensitive disaster nursing for small island communities. Design: Qualitative and inductive study. Sample: Eleven public-health nurses who provided disaster aid on one of six affected islands. Measurements: Semi-structured interviews, with qualitative analysis of data. Nursing actions that were based on consideration for islanders’ culture were categorized in terms of similarity. Results: Categories of culturally sensitive disaster nursing were identified for each disaster phase of the recovery process. These included confirming islanders’ safety and using existing interpersonal bonds to notify others (acute phase); assisting shelter management by facilitating the application of local rules and bonds (semi-acute phase); compensating for weakened neighbour-based relationships through public services (mid-term phase); and supporting the completion of necessary procedures by utilizing/adjusting islanders’ existing relationships with local government personnel (long-term phase). Cultural elements included interpersonal bonds and relationship, which emerged across phases. Conclusion: Public-health nurses should utilize culture not only to comfort islanders, but also to strengthen their sense of coherence and resilience as islander. They should also remember the nursing principle of compensating for a lack of self-care. To provide effective aid, the changes in cultural influences with recovery phases should be considered.

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The activities of suicide prevention by PHNs included a process of developing a caring network that lead to the enhancement of the caring capacity of the community as a whole.

Background Burnout, due to extreme mental and physical fatigue, and emotional exhaustion, leads to decreased nursing quality and turnover. However, not all nurses are observed as burnouts in the same work environment, and resilience and related factors may have effects on the development of burnouts. Therefore, we conducted a cross-sectional study to examine the effects of resilience and related factors on the burnout in clinical nurses, Kagoshima, Japan. Methods Data for this cross-sectional study involving nurses (n = 98) was collected using the following questionnaire surveys: the Bidimensional Resilience Scale, The Workplace Social Support Scale, and the Japanese version of the Pine's Burnout Scale. Using burnout as a dependent variable, analyses were conducted using one-way analysis of variance and multiple regression analysis after adjusted for related factors. Results The prevalence of burnouts was 19.6% on the mainland and 36.1% on remote island. Innate resilience, acquired resilience, workplace social support, and burnout showed no significant difference between nurses on the mainland and remote island. In the mainland participants, innate resilience (β = -0.492, P < 0.001) and acquired resilience (β = -0.325, P = 0.007) showed a negative association with burnout, and similar associations were observed innate resilience (β = -0.520, P = 0.004) and acquired resilience (β = -0.336, P = 0.057) in the remote island participants. For all participants, innate resilience (β = -0.443, P = 0.001) and workplace social support (β = -0.204, P = 0.031) showed a negative association with burnout, and turnover intention was positively associated (β = 0.025, P = 0.021). Conclusion A negative association between burnout and innate resilience factors was observed in the mainland and remote island. Further evaluation of innate resilience is necessary for burnout prevention in clinical nurses.