{"created":"2023-07-25T08:13:34.976832+00:00","id":14461,"links":{},"metadata":{"_buckets":{"deposit":"5f359b45-0bf3-46ed-a808-aaace6b4847d"},"_deposit":{"created_by":24,"id":"14461","owners":[24],"pid":{"revision_id":0,"type":"depid","value":"14461"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:00014461","sets":["228:230:5871","57:58:59"]},"author_link":["132314","132318","132319","132315","132317","132321","132320","132312","132313","132316"],"item_7_alternative_title_18":{"attribute_name":"別言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"鹿児島県のHTLV- Ⅰ母子感染予防の栄養法達成のための母親への継続的な支援が必要"}]},"item_7_biblio_info_5":{"attribute_name":"収録雑誌名","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-12","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1-3","bibliographicPageEnd":"57","bibliographicPageStart":"51","bibliographicVolumeNumber":"67","bibliographic_titles":[{"bibliographic_title":"鹿児島大学医学雑誌"},{"bibliographic_title":"Medical journal of Kagoshima University","bibliographic_titleLang":"en"}]}]},"item_7_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2015-12"}]},"item_7_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"INTRODUCTION: Since 2011, the nationwide mother-to-child transmission prevention program in Japan for HTLV-1 has recommended three nutritional methods: formula-feeding (FF), short-term breast-feeding (STBF) and frozen-thawed milk feeding. Here we clarify the support necessary for HTLV-1-positive mothers to accomplish their selected nutrition method in Kagoshima.\nMETHODS: We administered questionnaires to 93 HTLV-1-positive mothers to determine whether each baby was successfully fed by following the mother’s selected nutrition method, and whether any problems were encountered. They were divided into 2 groups (FF and STBF) by chosen nutrition method and compared; the FF group comprised 23 women and the STBF group comprised 70 women.\nRESULTS: We received responses from 70 of the 93 women enrolled. The success rate of accomplishing their selected nutrition method was lower in the STBF than the FF group, and the difficulty rate was higher in the STBF than the FF group. The major reasons for feeling a difficulty in accomplishing the STBF method were the lack of support for weaning, suffering from emotional stress, and inability to wean children from breast milk. In contrast, the major reason for feeling a difficulty in the FF group was not being understood by family members and/or neighbors.\nCONCLUSIONS: HTLV-1-carrier mothers, especially mothers who selected the STBF method, needed continual support to accomplish their selected nutrition method for mother-to-child transmission prevention. It is necessary to improve the support environment for HTLV-1-carrier mothers in Japan without delay.","subitem_description_type":"Other"},{"subitem_description":"【背景】2011 年より栄養法として人工栄養、短期母乳、凍結母乳の３つが選択候補にあげられたHTLV-1 母子感染対策は全国的な取り組みが開始された。鹿児島県においてHTLV-1 陽性妊婦が出生前に決定した栄養法が実施完了できるのに必要な支援について明らかにする。\n【方法】同意取得した出産3 か月経過後の母親93 名に質問票を送付し回収した。決定した栄養法で人工栄養、短期母乳の２群に分け、比較検討した。\n【結果】93 名のうち70 名から回答を得た。選択した栄養法を完遂できた率は、人工栄養群にくらべ短期母乳群が低かった。また、栄養法を遂行するのに困難を感じた率は人工栄養群にくらべ短期母乳群が高かった。その困難を感じた主な原因は、短期母乳群では「断乳時の支援不足」、「感情的な苦しみ」、「子どもがお乳から離れない」であった。対照的に人工栄養群では「家族または周囲の人々の理解不足」であった。\n【考案】HTLV-1 母子感染対策のためにHTLV-1 陽性の母親が出生前に選択した栄養法を完遂するには継続的な支援が必要である。それは短期母乳を選択した母親で特に認められた。全国的な取り組みが開始された現在、HTLV-1 陽性の母親を支援する環境を迅速に改善していく必要がある。","subitem_description_type":"Other"}]},"item_7_full_name_3":{"attribute_name":"別言語の著者","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"根路銘, 安仁"}]},{"nameIdentifiers":[{}],"names":[{"name":"大脇, 哲洋"}]},{"nameIdentifiers":[{}],"names":[{"name":"網谷, 真理恵"}]},{"nameIdentifiers":[{}],"names":[{"name":"河野, 嘉文"}]},{"nameIdentifiers":[{}],"names":[{"name":"嶽崎, 俊郎"}]}]},"item_7_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"鹿児島大学"}]},"item_7_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03685063","subitem_source_identifier_type":"ISSN"}]},"item_7_source_id_9":{"attribute_name":"NII書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN00040104","subitem_source_identifier_type":"NCID"}]},"item_7_subject_15":{"attribute_name":"NDC","attribute_value_mlt":[{"subitem_subject":"498","subitem_subject_scheme":"NDC"}]},"item_7_text_24":{"attribute_name":"公開者よみ","attribute_value_mlt":[{"subitem_text_value":"カゴシマ ダイガク"}]},"item_7_text_25":{"attribute_name":"公開者別名","attribute_value_mlt":[{"subitem_text_value":"Kagoshima University"}]},"item_7_version_type_14":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"NEROME, Yasuhito"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OWAKI, Tetsuhiro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"AMITANI, Marie"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KAWANO, Yoshifumi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TAKEZAKI, Toshiro"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-12-06"}],"displaytype":"detail","filename":"AN00040104_67_p51-57.pdf","filesize":[{"value":"719.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AN00040104_67_p51-57","url":"https://ir.kagoshima-u.ac.jp/record/14461/files/AN00040104_67_p51-57.pdf"},"version_id":"b3c0c4e4-4003-417c-8264-32f92add8095"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"HTLV-1","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"mother-to-child transmission","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"breast-feeding","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"HTLV-1 Carrier Mothers Need Continual Support to Accomplish Their Selected Nutrition Method for Mother-to-child Transmission Prevention in Kagoshima","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"HTLV-1 Carrier Mothers Need Continual Support to Accomplish Their Selected Nutrition Method for Mother-to-child Transmission Prevention in Kagoshima"}]},"item_type_id":"7","owner":"24","path":["59","5871"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-12-06"},"publish_date":"2018-12-06","publish_status":"0","recid":"14461","relation_version_is_last":true,"title":["HTLV-1 Carrier Mothers Need Continual Support to Accomplish Their Selected Nutrition Method for Mother-to-child Transmission Prevention in Kagoshima"],"weko_creator_id":"24","weko_shared_id":24},"updated":"2023-09-01T11:23:23.596972+00:00"}