著者
Takei Yutaka Sakaguchi Eiji Sasaki Koichi Tomoyasu Yoko Yamamoto Kouji Yasuda Yasuharu
出版者
Public Library of Science
雑誌
PLOS ONE
巻号頁・発行日
vol.17, no.9, pp.e0274604, 2022-09-14

Transporting patients down stairs by carrying is associated with a particularly high fall risk for patients and the occurrence of back pain among emergency medical technicians. The present study aimed to verify the effectiveness of the Airstretcher device, which was developed to reduce rescuers’ physical burden when transporting patients by dragging along the floor and down stairs. Forty-one paramedical students used three devices to transport a 65-kg manikin down stairs from the 3rd to the 1st floor. To verify the physical burden while carrying the stretchers, ratings of perceived exertion were measured using the Borg CR10 scale immediately after the task. Mean Borg CR10 scores (standard deviation) were 3.6 (1.7), 4.1 (1.8), 5.6 (2.4), and 4.2 (1.8) for the Airstretcher with dragging, Airstretcher with lifting, backboard with lifting, and tarpaulin with lifting conditions, respectively (p < 0.01). Multiple comparisons revealed that the Airstretcher with dragging condition was associated with significantly lower Borg CR10 scores compared with the backboard with lifting condition (p < 0.01). When the analysis was divided by handling position, estimated Borg CR10 values (standard error) for head position were 4.4 (1.3), 2.9 (0.9), 3.2 (0.8), and 4.0 (1.1) for the Airstretcher with dragging, Airstretcher with lifting, backboard with lifting, and tarpaulin with lifting conditions, respectively, after adjusting for participant and duration time (F = 1.4, p < 0.25). The estimated Borg CR10 value (standard error) for toe position in the Airstretcher with dragging condition was 2.0 (0.8), and the scores for the side position were 4.9 (0.4), 6.1 (0.3), and 4.7 (0.4) for the Airstretcher with lifting, backboard with lifting, and tarpaulin with lifting conditions, respectively, after adjusting for participant and duration time (F = 3.6, p = 0.02). Transferring a patient down stairs inside a house by dragging using the Airstretcher may reduce the physical burden for rescuers.
著者
橋爪 力 高橋 優子 沼田 恵 SASAKI Koichi UENO Kimiko OHTSUKI Kenji KAWAI Mami ISHII Aya
出版者
THE SOCIETY FOR REPRODUCTION AND DEVELOPMENT
雑誌
The Journal of reproduction and development (ISSN:09168818)
巻号頁・発行日
vol.45, no.4, pp.273-281, 1999-08-01
被引用文献数
5 29

The objectives of this research were to characterize plasma profiles of growth hormone (GH), prolactin (PRL) and insulin-like growth factor-I (IGF-I) during gestation and the lactation period in goats, as well as in their suckling growing kids. There were no obvious changes in the GH or PRL profiles during gestation, but secretion of both GH and PRL increased acutely after parturition. The elevated GH concentrations were maintained until 3 months after parturition, whereas the PRL concentrations decreased gradually after parturition. The elevated hormone concentrations are thought to be caused mainly by an increase in the secretory pulse amplitudes. In contrast to the GH and PRL profiles, the plasma IGF-I concentrations during late gestation were significantly higher than the post-parturition concentrations, and the IGF-I concentrations in late gestation decreased gradually until the day of parturition. The plasma GH, PRL and IGF-I concentrations in kids 1 week after birth were high, and concentrations of each hormone decreased thereafter. These results show that the increased secretory potencies of pituitary GH and PRL after parturition are caused mainly by an increase in the secretory pulse amplitudes and that plasma GH is inversely related to plasma IGF-I compared over gestation and the lactation period in goats.