Ministry Of Labour Research Articles

Labor Inspections as Law Enforcement on Child Labor in Brazil

Empirical evidence on the effect of the inspection activities conducted by the Brazilian Ministry of Labor and Employment is rare. This paper puts forward the hypothesis that inspection activities reduce the child labor rate in Brazilian states. To reach that conclusion, we used aggregate data from National Household surveys, the Ministry of Labor and Employment, and the Ministry of Social Development to estimate a dynamic panel data model. Results show that inspection activities contributed to reduce the child labor rate. However, the reduction resulting from such law enforcement measure is still modest compared to that resulting from cash transfer programs.

How design decisions change fall from heights in reinforced concrete structures?

Prevention through Design (PtD) and Design for Safety (DfS) are now being considered in relation to occupational health and safety and building design. A recent collection of studies suggests that certain decisions made by designers during the design process are at the root of many risks. A study was undertaken to relate falls from height to the conventional design process for reinforced concrete buildings. This was achieved by dividing the building design process into stages. During the design phase, input was gathered from architects and engineers working in the sector. Accident types were identified based on studies of occupational accident investigation reports from the Ministry of Labor. Of the 15 types of fall from height accidents studied, 12 were attributed to design decisions. Of these, 6 different accident types were associated with 5 or more design decisions, while 2 of these were associated with 3 or 4 design decisions. The remaining 4 types were linked to only 1 design decision.

Differences Between Cancer Survivors and Healthy Subjects in Factors that Facilitate and Obstruct the Use of the Foster Parent System and Special Adoption System: A Nationwide Cross-Sectional Study in Japan.

Purpose: To investigate factors that obstruct and facilitate the use of the foster parent and special adoption systems (i.e., foster systems) by cancer survivors, and examine how to effectively provide information. Methods: This was a cross-sectional study that compared the results of a questionnaire survey of foster parents and adoptive parents (i.e., foster parents) who were and were not cancer survivors belonging to foster parent associations in 33 locations in Japan. This study was supported by a 2022 Ministry of Health, Labor, and Welfare Grant-in-Aid for Scientific Research (Grant No. 20EA1004). Results: "Lack of information," an obstructive factor and "Sympathetic understanding and cooperation from my partner and family," a facilitative factor were the highest score in both groups. Significant differences between the two groups were found in "Support from government agencies and others for foster parents," a facilitative factor, which was lower in the cancer survivors' group. There were no other significant differences between both the groups. Conclusion: This study found that when considering the use of the foster systems, a lack of information was the biggest obstructive factor and family understanding was the most helpful for both cancer survivors and noncancer groups. It was thought that stronger government support for cancer survivors might encourage cancer survivors to consider becoming foster parents. It would be effective for cancer treatment facilities, reproductive medical facilities, the government, and foster parent associations to work together to provide information carefully to cancer survivors.

Survey of community and hospital pharmacist involvement in outpatient chemotherapy using Japanese health information data.

In this study, information on injectable anticancer drug use and additional fee for enhanced collaboration (AEC) and additional fee for specific drug management guidance 2 (ASD2) claims from the NDB Open Data Japan (NODJ) dataset and the number of patients with cancer according to sex and age from the National Cancer Registry (NCR) dataset were integrated and evaluated to determine the current status and challenges in pharmacist interventions for patients receiving cancer treatment. The NODJ data, including receipt data billed from 2020 to 2021, were obtained from the Ministry of Health, Labour and Welfare website. The use of injectable anticancer drugs decreased relative to the number of cancer patients aged ≥ 75 years compared to those aged < 75 years. Regarding injectable anticancer drug use, the number of AEC claims was similar between men and women, but the number of ASD2 claims was lower in men than in women. The number of times community pharmacists claimed their ASD2 was approximately 5% of the number of times hospital pharmacists claimed their AEC. This study revealed that several patients did not receive sufficient guidance from community pharmacists compared to hospital pharmacists, suggesting a potential insufficiency in the collaboration between the two groups.

고용센터 심리안정지원프로그램 상담사가 경험하는 어려움과 진로적응에 관한 현상학적 연구

Objectives This study sought to find out the difficulties and career adaptation experiences experienced by coun-selors in the employment center psychological support program at the counseling site and to clarify its meaning.&#x0D; Methods Six counselors currently conducting a psychological support counselor for jobseekers program counsel-ing at the Employment Center were selected as research participants, and data were collected through in-depth interviews from March to May 2023. In order to clarify the essential meaning of their difficulties and adaptation experiences through counseling in the psychological stability support program, Giorgi's phenomenological meth-od was applied and analyzed in four stages: total meaning understanding, meaning classification, academic term conversion, and general structural statements, explaining the experiences of each research participant and in-tegrating them into general structural statements.&#x0D; Results As a result of the result of the study, 42 semantic units, 17 subcategories, and 4 categories were derived. The four categories were ‘motivation’, ‘difficult’, ‘adaptive experience’, and ‘reconstruction of reward and meaning’.&#x0D; Conclusions First, I became a psychological support counselor for jobseekers because I could contribute to societ, stability and one's growth. Second, they were experiencing difficulties due to regret over economic compensa-tion, low understanding of counseling by managers, reversal due to various clients, and inadequate evaluation. Third, counselors were experiencing adaptation as an intimate support base was created, efficacy as a counselor increased, new perspectives and pride in work were created while accepting the situation, and self-protective coping behaviors were developed. Finally, as new perspectives and pride were created, and self-protective cop-ing behaviors were taken, counselors were experiencing adaptation. Finally, he was pleased with the change of the client, felt rewarded in terms of increased trust in the counselor himself, and social contribution, and re-constructed the meaning of this work. Based on the results of this study, it improved understanding of the mean-ing and necessity of the employment center's psychological support program for jobseekers, and suggested poli-cy suggestions for the employment support program of the Ministry of Employment and Labor and the direction of education related to the development of the capacity of counselors for the psychological support program for jobseekers.

Utilisation of and factors associated with non-COVID-19 healthcare services in public facilities amongst cross-border migrants in Thailand, 2019–2022

BackgroundIt is believed that the COVID-19 pandemic might disrupt routine healthcare services. A vulnerable group such as cross-border migrants is of critical concern if the pandemic affects their service utilisation. In this study, we aim to explore the impact of COVID-19 and other related factors on non-COVID-19 service amongst cross-border migrants in Thailand.MethodsWe conducted an ecological time-series cross-sectional analysis using secondary data from 2019 to 2022, focusing on insured and non-insured migrants in a unit of a provincial monthly quarter. We obtained data on registered migrants from the Ministry of Labour and inpatient visits from the Ministry of Public Health (MOPH). Our analysis involved descriptive statistics and a random-effects negative binomial regression, considering variables such as COVID-19 cases, number of hospital beds, registered regions, and COVID-19 waves. We assessed inpatient utilisation number and rate as our primary outcomes.ResultsThe admission numbers for insured and non-insured migrants in all regions increased 1.3–2.1 times after 2019 despite a decrease in the numbers of registered migrants. The utilisation of services for selected communicable and non-communicable diseases and obstetric conditions remained consistent throughout 2019–2022. The admission numbers and rates were not associated with an increase in COVID-19 incidence cases but significantly enlarged as time passed by compared to the pre-COVID-19 period (44.5–77.0% for insured migrants and 15.0–26.4% for non-insured migrants). Greater Bangkok saw the lowest admission rate amongst insured migrants, reflected by the incidence rate ratio of 5.7–27.5 relative to other regions.ConclusionThe admission numbers and rates for non-COVID-19 healthcare services remained stable regardless of COVID-19 incidence. The later pandemic waves (Delta and Omicron variants) were related to an increase in admission numbers and rates, possibly due to disruptions in outpatient care, leading to more severe cases seeking hospitalisation. Lower admission rates in Greater Bangkok may be linked to the fragmentation of the primary care network in major cities and the disintegration of service utilisation data between private facilities and the MOPH. Future research should explore migrant healthcare-seeking behaviour at an individual level, using both quantitative and qualitative methods for deeper insights.

Is organizational intervention using Layered Voice Analysis effective in addressing operator mental health in call centers? A randomized controlled trial.

To verify the effects of organizational interventions on mental health using Layered Voice Analysis (LVA). A 12-week single-blind randomized controlled trial was conducted with call center operators. Sixty-six participants were randomly assigned to either a control group (n = 26), an LVA intervention group (n = 20), or a one-on-one intervention group (n = 20). The control group received general self-care information about preventing mental health problems from the Ministry of Health, Labour, and Welfare, Japan website. The organizational LVA intervention involved group sessions using participants' voice calls with customers, whereas the one-on-one intervention consisted of meetings or consultations with participants and their supervisors to discuss preventing mental health issues at work. To verify the effectiveness of the intervention program, the Center for Epidemiologic Studies Depression Scale (CES-D) was administered 4 times (baseline, 4, 8, and 12weeks) as the primary outcome, and the data were analyzed using a linear mixed model. The intervention of LVA was subdivided and analyzed into LVA ≥5 times and LVA ≤4 times out of the total 6 interventions. Compared with the control group, a significant CES-D reduction effect was observed at 8/12weeks for the difference of coefficients (DOC; [βint - βctrl]) for the intervention of LVA ≥5 times (DOC -1.86 and -2.36, respectively). Similarly, even intervention LVA ≤4 times also showed a significant decrease of CES-D scores at 8/12weeks (DOC -2.20 and -2.38, respectively). An organizational intervention using LVA has the potential to reduce the risk of depression among call center operators.

ADR and Workplace Conflict - A Podcast Analysis Nigeria, Britain and the US

The decline of union representation and the introduction of legal incentives for workers to resolve individual employment disputes without resorting to the courts has unequivocally made Alternative Dispute Resolution (ADR) increasingly prominent in the British industrial relations landscape. The conciliation service offered by the Advisory Conciliation and Arbitration Service (ACAS) has been the most important sign and driver of this change. Although ADR has been encouraged in Western jurisdictions, particularly in the United Kingdom (UK) and in the United States (US), as a means to reduce time and litigation costs in relation to employment tribunal claims, the scarcity of scholarly publications, particularly on the benefits of utilising mediation or conciliation to settle workplace disputes is frankly unacceptable. On the other hand, Nigerian workers or employees are not encouraged or have little or no awareness of resolving workplace disputes or conflicts via ADR due to a lack of sensitisation in most organisations and a dearth of scholarly research on ADR to settle conflicts or workplace disputes in Nigeria, particularly with Mediation and Conciliation. This lack of awareness is a grave oversight compared to the UK. While British workers are encouraged to lodge their disputes with the Advisory, Conciliation and Arbitration Services (ACAS) before proceeding to an employment tribunal claim, Nigerian counterparts settle via the National Industrial Court (NIC) ADR, which is not always adequate. However, some sectors in Nigeria, like the Trade Unions, are quite complex, particularly disputes emanating from the Maritime Industry, which are hardly settled via ADR, unlike their UK counterparts. Hence, the jurisdictions mentioned above have different patterns and modus operandi for resolving workplace conflicts or disputes, and these will be meticulously examined in this paper. Additionally, the paper scrutinises the reason why the minister of labour and employment has so much power accorded or bequest to him to apprehend and refer a disputed award to the National Industrial Court (NIC) ADR. The paper employs a comparative and, for the first time, podcast analysis of workplace disputes in Nigeria and Britain, focusing on the different patterns of settling Workplace Conflicts such as discrimination, bullying and harassment. The paper concludes by unequivocally highlighting the benefits of mediation and its relevance to various entities involved in Workplace conflicts or disputes. Keywords: Alternative Dispute Resolution, Workplace Conflict, Access to Labour Justice, Employment Relations, Human Resource Management, Podcast, Awareness.

Who Are the Stakeholders in Promoting Mental Health?

It is now confirmed that mental health promotion policies need innovations beyond the scope of the health sector. In this study, an attempt was made to identify the most effective stakeholders of the public sector in the field of mental health promotion in Iran to help the policy-makers and to encourage inter-sectoral collaboration and further involvement of these effective sectors in mental health promotion plans. This was a mixed-methods study. From the first step (literature review and a survey), the names of public agencies affected by mental health promotion were extracted. In the next step, a checklist for identifying the main stakeholders was developed. The data of this step were analyzed by the simple additive weighting method. Ultimately, a table was plotted in the form of institutional mapping in order to summarize the organizations affecting each risk factor of mental health promotion. The Islamic Consultative Assembly, the Ministry of Interior, the Islamic Republic of Iran Broadcasting, the Ministry of Cooperatives, Labor, and Social Welfare, and the Ministry of Education were identified as the five institutions with the greatest impacts on the social determinants of mental health in Iran. Significant impacts can be exerted by institutions such as the Islamic Consultative Assembly (as the legislator), the Ministry of Interior, and its subsidiary entities such as municipalities and governors (as the administrators of homeland security and support for safe and appropriate urban and local facilities), the Islamic Republic of Iran Broadcasting (as the national media), the Ministry of Cooperatives, Labor, and Social Welfare (as the institution in charge of employment, job security, and social welfare), and the Ministry of Education (as the educational institution of the country).

Updated Information on NDB.

The Ministry of Health, Labour, and Welfare, Japan launched a national administrative claims database in 2009, which is called the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB). Detailed information on the NDB was reported in Annals of Clinical Epidemiology in 2019. The present report provides updated information on the NDB. In 2020, the provision of data to private companies, as well as public sectors and academic entities, was legislated. As of 2024, the Ministry of Health, Labour, and Welfare is planning linkage of NDB data with several other national databases. Our previous literature review identified a total of 126 original articles using the NDB and NDB Open Data published from 2013 to 2022. Our updated review identified 94 original articles using the NDB and NDB Open Data in the recent two years. Studies using the NDB are gradually increasing, but there is still room for enhancing NDB studies on various subject areas.

EMPOWERING ALMATY’S DISABLED WORKFORCE: ACTION FOR INCLUSIVE LABOR MARKET

The inclusion of people with disabilities in all spheres of public life is an important political issue in the country. However, according to the Ministry of Labour and Social Protection of the Population of the Republic of Kazakhstan, only 25% of people with disabilities under the age of 55 are employed in Kazakhstan. Most of them are predominantly employed in low-paid industries, as well as in areas where physical labor is required. The state implements numerous programs, projects, and creates favorable conditions for people with disabilities, but employment remains consistently low. My research reveals a multifaceted issue: employers' reluctance to offer suitable conditions for individuals with disabilities, hindering their access to common infrastructure. In Almaty, my findings indicate that some individuals opt to reside with family members who can fulfill their basic needs. Additionally, there is a deficiency in adequate education and experience among this demographic. The author conducted structured and unstructured face-to-face interviews and telephone surveys with various people with disabilities, employers, and government agencies to understand the barriers to employment for people with disabilities in Almaty. Most of the previous research has focused on people with disabilities in other regions of Kazakhstan, while my research has focused on the problems of people with disabilities in Almaty. In conclusion, the author makes recommendations to the local administration and the Ministry of Labour and Social Protection of the Population of the Republic of Kazakhstan.

Formação da força de trabalho na economia primário-exportadora brasileira

Abstract This study presents the results of a research on the jobs that have been generated by an economy undergoing a process of deindustrialization and reprimarization, concomitant with strong influxes in scientific and technological education. The objective was to evaluate the impact of the Brazilian economic structure on public educational policies for the formation of the labor force necessary for this market, especially for those graduating from high school and vocational education. Because it is a period in which insertion into the world of work becomes equivalent to education, the last stage of basic education plays an important role, especially for those who live from work. However, between expectation and reality, occupations have been of low and medium complexity, even in the face of rising juvenile schooling. With low technological intensity of its productive structure, the education for young people tends to be oriented to supply the human resources for this economy. This study is based on data available from the Ministries of Labor, Education, and the Economy, IBGE, IPEA, and ILO, anchored on a theoretical framework related to the themes of education and labor. As a result, it is possible to infer an economic (re)taking of low technological activity underway, and a corresponding pressure on technical-scientific education for the training of workers destined for this growing market.

Comprehensive survey on the use of plastic additives in toy products used in Japan.

Plastic additives have adverse effects on human health. Children frequently use toys that contain various substances found in paints, plasticizers, and other materials, which heighten the risk of specific chemical exposure. Infants are particularly prone to chemical exposure through the "mouthing" behavior because of the possibility of placing toys in their mouths. Thus, this vulnerability should be considered during risk assessments of chemical exposure. This study performed a comprehensive analysis of the chemical components in various 84 plastic toys including "designated toys" (toys that may be harmful to infant health if in contact with their mouths: Article 78 of the Enforcement Regulations of the Food Sanitation Law by the Minister of Health, Labor and Welfare) such as dolls, balls, blocks, bathing toys, toy vehicles, pacifiers, and household items, purchased in the Japanese market by nontargeted and targeted analysis. Plasticizers, flame retardants, and fragrances were the main compounds in almost all the toy products. The results showed that plastic products made in China tended to contain high levels of phthalate esters. In particular, hazardous plasticizers, such as diisodecyl, di-n-octyl, and diisononyl phthalates were detected above the regulatory limit (0.1%) in used products manufactured before regulations were passed in Japan. Furthermore, we detected alternative plasticizers, such as acetyl tributyl citrate (ATBC; 52%), diisononyl adipate (DINA; 50%), and di(2-ethylhexyl) terephthalate (DEHT; 40%). ATBC was detected at high concentrations in numerous toy products. Thus, infants with free access to indoor plastic toys might be exposed to these chemicals. This study observed that the chemical profiles of toy products were dependent on the year of manufacture. Furthermore, the detection of currently regulated plasticizers in secondhand products manufactured before regulations were enforced, along with the increasing trend of using alternative substances to regulated phthalate esters in products, suggests the potential exposure of infants to these plasticizers through the use of toys. Therefore, regular fact-finding surveys should continue to be conducted for the risk assessment and safety management of domestic toy products.

Current requirements and priorities in the administration of dental medical assistance provided to the population during the COVID-19 pandemic

The training of medical staff at different stages is a key element for the health system. It is important to strengthen the capabilities of the medical staff, including dentists, during the pandemic crisis. In this context, it is necessary to mention that dental care in the 21st century is subject to significant changes related to the health status of the population, to the increasing right of being informed about available medical services (including emergency) and one’s own health, the right to confidentiality of information and the patient’s privacy. Regarding research as a priority issue in medicine, the Minister of Health, Labor and Social Welfare Viorica Dumbrăveanu declared the following: “The reform in the field of science has failed”. We must all take on this responsibility and come up with a substantial motivation for those who, in addition to medicine, are doing science in the field of health. The composition of health research is incomparable with other fields. All are important, but we have seen, in the crisis situation, that health is a priority. Greek-American physician John Ioannidis, a professor of medicine at Stanford University, outlined that science was in crisis. This phenomenon can have dramatic consequences in areas such as medicine, where new studies affect the diagnosis and treatment of sick people, as pressure is applied to publish much to the detriment of quality and as a result most academic papers published in recent years are exaggerated or false. The coronavirus pandemic is more than coronavia health crisis, with unprecedented socio-economic implications and the power to generate devastating social, economic and political effects. The United Nations (UN) and other partners are already working on three medical priorities: supporting science, guided by the World Health Organization (WHO), strengthening crisis management and response, and addressing critical social and economic impacts. The COVID-19 pandemic is a challenge that offered a hard lesson to the Republic of Moldova, meant to turn the political class towards the health system, primarily its staff, concluded at a meeting with the leadership of SUMPh “Nicolae Testemitanu” with the Minister of Health and Social Protection, Veronica Dumbrăveanu. Thus, the coronavirus pandemic has a major impact on health and represents a significant influence on the socio-economic situation in most countries and in the Republic of Moldova.

Effect of Institutional Performance Contract on Performance Achievement in the Ministry of Public Service, Labour and Employment in Burundi

Effect of Institutional Performance Contract on Performance Achievement in the Ministry of Public Service, Labour and Employment in Burundi

Clinical Utilization of Generic Drugs and Biosimilars for Ulcerative Colitis Treatment: Insights from a Nationwide Database Study in Japan

Introduction: Limited data exist regarding the prevalence and clinical practice involving generic drugs and biosimilars for treating ulcerative colitis (UC) in Japan. We aimed to clarify the clinical usage of these generic drugs and biosimilars for UC treatment in Japan using a nationwide database. Methods: We collected data from 30,675 UC cases, along with their prescriptions for both generic drugs or biosimilars and their original counterparts, using a medical claim database provided by DeSC Healthcare, Inc. We calculated the prescription and penetration rates of generic drugs and biosimilars and demonstrated the transition of these rates. Additionally, the cumulative retention rates between infliximab originator and biosimilar were compared using the Kaplan-Meier method. Results: The prescription rate of generic mesalazine increased from approximately 10% in 2015 to over 30% in 2021. Although the prescription rate of generic molecular targeting drugs (MTDs) also increased from approximately 0.15% in 2014 to 2.5% in 2021, the increment was lower than that of generic mesalazine. The penetration rates of generic 5-aminosalicylic acid and tacrolimus ranged from over 30% to approximately 50%. Infliximab biosimilar achieved an approximate 20% penetration rate, whereas adalimumab achieved <5%. The cumulative retention rates did not differ between infliximab originator and biosimilar. Conclusions: The penetration rates of generics and biosimilars for UC treatment are relatively low compared with those for treatment in other fields and the goal of the Ministry of Health, Labor, and Welfare. Several countermeasures are necessary for the widespread use of generics and biosimilars, ultimately contributing to cost-effective and sustainable healthcare delivery.

Construction of a Temporary Radiological Image Viewing Network for Large-scale Disasters

The Ministry of Health, Labor and Welfare mandated the creation of the business continuity plan (BCP) for disaster key hospitals on March 31, 2017. Supposing the hospital information system (HIS) failure occurred, the picture archiving and communication system (PACS) also suffers obstacles, we assumed building a new network was necessary for radiological examination images. The purpose of this study was to investigate whether building a new network for radiological examination images is necessary in an emergency. Using wireless fidelity (Wi-Fi), the new network consisting of one image server and two tablet terminals A and B was constructed. The study measured the portable image transfer time for various stages of the network. The results were as follows: Transfer time from the mobile X-ray unit to the image server was 4.12±0.86 s, that from the image server to the tablet device A was 5.14±0.71 s, and that from the image server to the tablet device B was 7.32±1.66 s. Therefore, the new network configuration can provide a reliable means of accessing radiological images during emergency situations when the HIS and PACS may experience obstacles or failures.

Changes in care managers' positive attitudes toward dying patients compared to that of nurses by one-day online advance care planning communication training.

Culturally appropriate communication training programs for a wide range of professions that can be used during infection epidemics are crucial for advance care planning implementation. Starting in 2018, the Japanese Ministry of Health, Labour and Welfare made a major policy change, and doctors, nurses, and social workers, and care managers were identified in the guidelines as the professions that promote advance care planning. Motivated by the lack of online programs for Japanese care managers, we proposed a new one-day program. This study aimed to determine the changes in the positive attitude of care managers toward dying patients compared to that of nurses, which has been used in past literature as an outcome of advance care planning educational interventions, after administering the program in Japan. Before-after comparison study. Care managers were recruited through our website, ACP-Piece, http://plaza.umin.ac.jp/~acp-piece/piece.html. A questionnaire survey concerning positive attitudes toward dying patients was administered before and after the program on 28 August 2021. Sixty-six subjects participated in the training and 60 participants, including 14 care managers, consented to the study and completed the questionnaire surveys before and after the program. The Frommelt attitude toward care of the dying scores for care managers increased after the program (p-values, confidence intervals, and effect sizes: p < 0.001, -11.90 to -4.388, -1.252). After training, care managers had a significantly higher maximum score occurrence than nurses. Older care managers with advance care planning experience may have had a higher maximum score occurrence compared to younger, inexperienced participants. To our knowledge, this is the first to demonstrate the increased positive attitude scores toward dying patients after online communication training for Japanese care managers. The limitations of this study include the lack of evidence regarding reasons for score changes, long-term score changes, and effectiveness for patients and their families.

Quality of life and neurological symptoms in patients with neurofibromatosis type 2: a national database study in Japan.

This study examined the association between neurological symptoms and quality of life (QoL) in patients with neurofibromatosis type 2 (NF2) using a national database of all patients who newly claimed for medical expense subsidies in Japan from 2015 to 2019. The Japanese Ministry of Health, Labour and Welfare provided access to the "National Database of Designated Intractable Diseases of Japan" containing the "Medical Certificates of Designated Intractable Diseases" of all patients with NF2. The database included information on five items of QoL: "mobility," "self-care," "usual activities," "pain/discomfort," and "anxiety/depression." To examine the association between the presence/absence of neurological symptoms and QoL, multivariable logistic regression analyses were performed, adjusted for potential confounders. Data from 187 patients (97 females and 90 males; mean (standard deviation) age, 43.1 (17.9) years) were analyzed. Overall, 31% to 55% of patients were recorded as having moderate/severe impairment of QoL. Spinal dysfunction was significantly associated with deterioration of all components of QoL, whereas speech dysfunction and hemiparesis were specifically associated with physical health-related components of QoL. Spinal dysfunction, facial nerve palsy, and age 25-64 years were significantly associated with "anxiety/depression." In the present epidemiological study using a national database of NF2 in Japan, spinal dysfunction was significantly associated with deterioration of all components of QoL, including subjective and mental health-related components of QoL, whereas speech dysfunction and hemiparesis were specifically associated with physical health-related components of QoL.

Exploring the performance of Kuwaiti employees within the Ministry of Social Affairs and Labor with respect to the utilisation of the EDRMS system

Exploring the performance of Kuwaiti employees within the Ministry of Social Affairs and Labor with respect to the utilisation of the EDRMS system