1.Analysis of the Risk of Injection Incompatibilities in the ICU and Pharmacistsʼ Contribution toward Avoiding Such Incompatibilities
Koji SHINOZAKI ; Yoshinori INANO ; Miyuki TAKEUCHI ; Yoshihiko CHIBA ; Hiromitsu NAKASA
Japanese Journal of Drug Informatics 2019;21(1):27-33
Objective: Avoiding injection incompatibilities is important. At our hospital, pharmacists are present at the intensive care unit (ICU),where they manage drip lines and use a lookup table for injection incompatibilities. We assessed the risk of injection incompatibilities in the ICU and the contribution of pharmacists toward their avoidance.Methods: We investigated the number of injections and main drip lines used for outpatients admitted to the general ward and ICU from an emergency setting. We further investigated inappropriate drip line conditions, subsequent interventions by pharmacists, and the actual number of injection incompatibilities. The investigation period lasted 1 year from April 2016 onward.Results: The number of injections and drip lines used in the ICU was significantly higher than that used in the general ward (p<0.001). Patients in the ICU received multiple continuous intravenous injections from one drip line despite the number of main drip lines being high. Even using the lookup table, 78.3% inquiries made by nurses were related to injection incompatibilities. Fourteen inappropriate drip lines selected by nurses were associated with a risk of injection incompatibility; these occurred during the absence of pharmacists and involved a combination of continuous intravenous injections to be administered from a side line. Subsequently,pharmacists intervened and avoided injection incompatibilities. There was no report of injection incompatibilities in the ICU.Conclusion: At ICU, the risk of injection incompatibilities is high and it is necessary to focus on the combination of injections to be administered from main drip lines and side lines as well as incompatibilities of multiple continuous intravenous injections to be administered from side lines. A lookup table is insufficient to avoid injection incompatibilities. Therefore, pharmacists can contribute to avoiding injection incompatibilities by maintaining constant presence in the ICU, designing drip line layouts, and proposing line selections.
2.Sleep Quality of Mine Workers and the Factors Affecting It
Zuunnast Nanjid ; Hiromitsu Shinozaki ; Shota Ogawa ; Dorjderem Choijiljav ; Bat-Ulzii Enkh-Amgalan ; Oyungoo Badamdorj ; Solongo Dashnyam ; Odonjil Pojin
Mongolian Journal of Health Sciences 2025;87(3):123-127
Background:
Mining is a major source of income, economic benefits,
and job creation; however, it remains one of the most hazardous occupations
in terms of health. Physically demanding, labor-intensive, hot,
humid, noisy, and dusty work environments have a negative impact on
the physical and psychological health of mine workers. Several factors,
including age, gender, years of service, workload, stress, and fatigue,
can affect sleep quality. Lack of sleep can lead to poor concentration,
reduced alertness, impaired decision-making, and an increased risk of
workplace injuries. While many studies have explored sleep quality and
its risk factors in the general population, few have focused specifically
on miners. This gap is the primary motivation for conducting the present
study.
Aim:
To examine the risk factors affecting the sleep quality of dayshift
workers at Baganuur Joint Stock Company.
Materials and Methods:
This cross-sectional study included 129 day-shift workers from
Baganuur Joint Stock Company and was conducted between October
and November 2023. Sleep quality was assessed using the 19-item
Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data were analyzed
using SPSS version 26.0, with statistical significance set at p <
0.05.
Results:
Among the study participants, 86% (n = 111) were male.
A total of 58.9% had been employed for less than 10 years, and 86%
were always on call during non-working hours. Overall, 51.2% of the
participants had poor sleep quality. Female gender (55.0%, p = 0.032)
and being always on call during non-working hours (93.9%, p = 0.008)
were significantly associated with poor sleep quality. Logistic regression
analysis revealed that being female increased the risk of poor sleep
quality (OR = 0.315, 95% CI = 0.105–0.944, p = 0.039).
Conclusions
1. The majority of participants (51.2%) reported poor sleep quality, 2.
Gender and being on call during non-working hours were significantly
associated with reduced sleep quality among day-shift miners.