Work-related factors associated with visiting a doctor for a medical diagnosis after a worksite screening for diabetes mellitus in Japanese male employees.

This paper aims to investigate the work-related factors that affect whether Japanese male employees will seek a medical diagnosis after being screened for diabetes mellitus. Participants in this study received a questionnaire two months after receiving the results of their physical checkup. The analysis focused on 213 regular employees of small and medium-sized companies who were aged 35-64 and who had tested positive for diabetes in a screening. Only 42% of the subjects visited a doctor for medical diagnosis during an average follow-up period of 47.5 d. Cox's proportional hazard regression was used to analyze the length of time between the employees' receipt of the results and their first visit to a doctor's office. The employees who could comfortably take a day off, compared to those who found it difficult to do so, were more likely to visit a doctor (hazard ratio (HR) 1.94; 95% confidence interval (CI) 0.85, 4.42; p for trend 0.05). In addition, employees with a high level of psychological job control, compared to those with low level of job control, were more likely to visit a doctor (HR 1.80; 95%CI 0.94, 3.45; p for trend 0.08). Employees who worked the longest (61 h per week or more) were less likely to visit a doctor than those working from 41 to 60 h weekly (HR 0.41; 95%CI 0.17, 0.98). The findings suggest that a flexible work schedule, autonomy at work, and no excessive working hours tend to improve the chance of visiting a doctor after screening for diabetes mellitus.

[Right ventricular perforation by screw-in lead after permanent pacemaker implantation: a case report].

A 93-year-old man received a permanent implanted pacemaker(VVI mode) to treat completed atrioventricular block in our hospital. However, pacing failure appeared 4 days later. Computed tomography showed right ventricular perforation by the screw-in lead. There was no evidence of cardiac tamponade or symptoms, so we inserted another lead into the right ventricular outflow tract without removing the first lead. This patient still has the pacing lead that perforated the right ventricle, so careful observation will be needed even after discharge.