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• 尿路感染症の尿中における病原細菌の生態

  1996.09

Published Papers 【 display / non-display 】

Published Papers 【 display / non-display 】

• Urination care by a team of medical personnel: Nurses' viewpoint

  Tomoko Owan, Kinue Tomari, Minoru Miyazato, Etsuko Touyama, Mayumi Arasaki, Natsuko Takara, Satoko Nagamine, Michiharu Nanbu, Keiichirou Izumi, Asuka Ashikari, Seiichi Saitou

  The journal of Japanese Continence Society ( The Japanese Continence Society )  31 ( 2 ) 1 - 7   2021.10 [ Peer Review Accepted ]

  Type of publication: Research paper (scientific journal)

  　View Summary

  Abstract Since 2016, our hospital has implemented a urination-care team that evaluates the possibility of independent urination in inpatients with lower urinary tract dysfunction during the early stage after the withdrawal of a urethral catheter. The team also helps prevent catheter-associated urinary tract infections and supports patients' urination independence. With this care, the promotion and maintenance of patients' healthy daily life activities, early discharges, and a decrease in the number of bedridden patients are expected. For a urinary-care team's optimal functioning, it is necessary to deepen the knowledge of the individual patients' conditions, improve the knowledge of the various urinary-care techniques, and work with medical personnel from different fields of medicine. Members of a urinary-care team should be aware of the following. (1) A urinary-care team should include a key person as a team leader in order to provide appropriate comprehensive urination care. (2) A urinary-care team should include at least one physician (most appropriately, the patient's primary physician) and at least one nurse, and effective communication and feedback among the team members is very important. (3) It is best that the team also has the supervision of the hospital's director and involves the director of the nursing service department, the head nurse, an office work manager, and others who may be deemed necessary. At our 600-bed hospital, all of the medical and support staff have deepened their understanding of the effectiveness of and benefits provided by our comprehensive urinary-care team following the team's demonstration of their ingenuity and dedication. The improvement of the medical welfare of a country's aging population, which includes the urinary care of all patients, will be in greater demand with each passing year. Key words: urination care team medical personnel, catheter-associated urinary tract infection, lower urinary tract dysfunction

• Exteriorization and correspondence about the problem of the urination disorder in the M island of Okinawa

  Tomoyo Higa, Tomoko Owan

  Okinawa science disaster prevention environment society article(Health) ( Okinawa Society of Science, Disaster Prevention, and Environmental Engineering )  2 ( 1 ) 1 - 14   2017 [ Peer Review Accepted ]

  Type of publication: Research paper (scientific journal)

  　View Summary

  According to past many disaster examples, in the case of a large-scale disaster, it is filled up with the inhabitants who the refuge is far beyond seating capacity, and evacuate. For example, the gymnasia from several hundred to around 1,000 were beyond dozens of times, and, in Great East Japan Earthquake generated in March, 2011, the accommodation scale was buried because of tens of thousands of refugees. It is a problem of the excretion on this occasion to have become the problem most. Above all, the problem of the urination disorder to account for many is serious potentially, and it may be said that it is an urgent problem for a solution to the problem at the time of the refuge in our country showing frequent natural disaster to consider whether it is necessary for an urination person with a disability to perform what kind of daily correspondence. Like Okinawa, it is thought that there are more problems that must work on lack of resolution in the area consisting of many islands. This study carries out the open lecture about the problem in the urination disorder in M island in Okinawa and it lasts for three years and carries out questionary survey (149 people in total) and considers about the exteriorization in the urination disorder in question and the countermeasure, an effect of the spread of knowledge for the inhabitants in the M island through an open lecture. As a result, it takes away the sense of shame of the urination person with a disability to create the acquisition opportunity of the right knowledge through lectures and clarifies that it is the concrete measures to induce a solution to the problem.

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• Ecology of Pathogenic Bacteria in the Infected Urine

  Tomoko Owan

  THE JOURNAL OF THE JAPANESE ASSOCIATION FOR INFECTIOUS DISEASES ( THE JAPANESE ASSOCIATION FOR INFECTIOUS DISEASES )  70 ( 7 ) 681 - 689   1996.07 [ Peer Review Accepted ]

  Type of publication: Research paper (scientific journal)

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  Ecological behaviors of uropathogenic bacteria in the infected urine were characterized, and they were compared to those in vitro cultivation. The organisms directly collected from the infected urine revealed no piliation, but when they were isolated and cultured in heart infusion broth (HIB), the pili appeared. The pili were identified as Type I pili as examined by immunogold electron microscopy. Although the organisms directly collected from the infected urine did not have pili and did not agglutinate against anti-Type I pili anti-serum, the whole cell lysate analysis by western blotting revealed that the organisms express Type I pili antigen intracellularly. The organisms in some cases revealed a capsule formation in the urine, but it disappeared when cultured in vitro. Hemolytic Escherichia coli were isolated from 9 cases out of 20 with acute cystitis, however, hemolysin was not detected from the infected urine and the organisms. When they were cultured in HIB, all strains produced the hemolysin. The composition of outer membrane proteins (OMPs) of the organisms in the infected urine was clearly different from those in vitro cultivation. As the most prominent finding, a 70 kDa OMP of the organisms in the infected urine disappeared in vitro. Antibacterial activities of several drugs examined in healthy human urine and in HIB were variable from drug to drug. The mean value of minimum inhibitory concentration (MIC) of ofloxasin was 25 times higher in the urine than in HIB, whereas the MIC of erythromycin was almost equal in both conditions.

• Characterization of Entero- and Uro-Pathogenic Escherichia coli

  Tomoko Owan, Yasuko Honma

  Ryukyu Medical Journal ( The Ryukyu Medical Society )  14 ( 4 ) 231 - 234   1994 [ Peer Review Accepted ]

  Type of publication: Research paper (scientific journal)

  　View Summary

  Fifty strains of diarrheagenic E. coli (isolated from human diarrheal stool specimens) and 49 strains of uropathogenic E. coli (from human infected urinary specimens) were characterized for their biological behaviors: 38.9% of the latter strains produced hemolysin, while only 10% of the former did so. Resistance to human serum was identified in approximately 20% of the two groups. However, high susceptibility to the bactericidal effect of human serum was more commonly observed in the diarrheagenic strains. Protease productivity, extracellular protein secretion, and presence of Type I pili were observed in an equivalent population of the two groups. In contrast, the presence of hemagglutinin other than Type I pili were observed in 45.9% , of diarrheagenic group compared to 23.1% of the uropathogenic group. SDS-PAGE profiles of whole cell lysates showed some differences in protein distribution between the two groups for some selected strains.

• Practice of the urethra indwelling catheter management to challenge by team strategy - urination care team for the CAUTI prevention

  Tomoko Owan

  Infection control journal ( Van Medical )  14 ( ２ ) 146 - 151   2019.04 [ Peer Review Accepted ]

  Type of publication: Research paper (other science council materials etc.)

  　View Summary

  Preface Ministry of Health, Labour and Welfare set up "the urination care team" consisting of the multi-types of job having expertise about the urination care in the insurance medical institution concerned in 2016 and founded "urination independence instruction charges". Enforcement and the patient of the early withdrawal of the catheter fixed their eyes on the comfortable life after the discharge, wrestling is necessary for the catheter-associated urinary tract infection (CAUTI) prevention, but encounters the scene careless on the site. I deepen the amenity of the daily patient, understanding to the quality improvement of knowledge, a technique, the manner of the healthcare worker and am made to always think about "what is the urination care team strategy for the CAUTI prevention?" from the spot. I introduce practice of the urethra indwelling catheter management that an urination care team challenges this time.

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Books 【 display / non-display 】

Books 【 display / non-display 】

• Revision of the Tamagawa Monchu(Clan) Pedigree: Yuntanza Oji (Prince) Chobyo, the eighth son of Originator Daini-Sho-shi King SHO Sei

  Chotoku Genka, Tomoaki Gima, Tomohide Nakazato, Asami Ginoza, Choko Hentona, Ken Urasoe, Chofuku Genka, Tomokatsu Nakazato, Tetsuo Nakazato, Asafumi Owan, Tomoko Owan, Choan Toyohira, Chojiro Hentona, Chotoku Shikina, Chokei Itarashiki, Nobutaka Kimura, Choyu Shikina, Go Nakazato ( Part: Multiple Authorship ,  Route of Sashiki Aji Choeki )

  Yamada Speed Platemaking Company  2021.02

• Practical dysuria treatment illustration

  Tomoko Owan ( Part: Single Author ,  Bladder training and pelvic floor muscle exercises (training) )

  Yo gaku-sha  2019.04

• Practice urination disorder treatment illustration

  Tomoko Owan ( Part: Single Author ,  The home medical care of the urination disorder )

  Yo gaku-sha  2019.04

• Practical dysuria treatment illustration

  Tomoko Owan ( Part: Allotment Writing ,  Clean intermittent self catheterization / Catheter Management/ Urination Tool )

  Yo gaku-sha  2019.04

• The attentional points and preventive measures against MRSA contact transmission;the pitfall and knack of infection medical examination and treatment

  その他の著者 ( Part: Single Author )

  その他の出版機関  1900

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Presentations 【 display / non-display 】

• A point to keep in mind and problem in the clinical practice judging from an influenza antigen quickness diagnosis kit result

  Iha Yoshikazu, Owan Tomoko

  The 19th Annual Meeting of Japanese Society of Nursing Care and Infection Control  2019.08  -  2019.08 

• Promotion of Departmental Cooperative Activities Supporting the Syetem of Legionella Infection Control in the Hospital

  Ryutaro Kunishige, Tomoko Owan

  The 19th Annual Meeting of Japanese Society of Nursing Care and Infection Control  (Tokyo)  2017.08  -  2017.08 

Academic Awards 【 display / non-display 】

Academic Awards 【 display / non-display 】

• Winning the first Japanese Society for Infection Prevention and Control

  2005.02   Japanese Society for Infection Prevention and Control   Making for the Handling Manual of Infectious Waste from a Viewpoint of the Housekeeping Worker in The Ryukyu University Hospital

  Winner: Tomoko Owan, Takehiro Khora,Katsuko Uehara, Hiroko Tsuha, Hiromi Sakugawa, Takashi Shinzato, Masao Tateyama, Futoshi Higa, Hiroshi Sakugawa, Nobuchika Kusano, Saito Atsushi

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  It was necessary to add an item of the correspondence at the time of the role of the cleaner, indication, the transportation method of the seal, contents, an evaluation, education of the processing situation and the accident to conventional official regulations and, in a manual of cleaning occupational worker, showed new manual plan.

Grant-in-Aid for Scientific Research 【 display / non-display 】

Grant-in-Aid for Scientific Research 【 display / non-display 】

• Grant-in-Aid for Scientific Research(C)

  Project Year: 1998.04  -  2000.03 

  Direct: 3,500,000 (YEN)  Overheads: 1,050,000 (YEN)  Total: 4,550,000 (YEN)

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Academic Activities 【 display / non-display 】

Academic Activities 【 display / non-display 】

• （ Tokyo ）

  2019

  　

  　

  種別： Competition, symposium, etc.