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This paper presents a midterm review of a 4-year factor analysis project aimed at validating an outcome-based assessment of study-abroad programs attended by Japanese students. This paper outlines how the results from the initial two years captured changes in perceptions and reasons for studying abroad. It found that students have become increasingly focused on how the experience will impact their future careers. This is a shift from those who studied abroad before the COVID-19 pandemic. Those students motivations for studying abroad were primarily internal and experiential, such as wanting to improve their language skills and experience life in another country, or external and passive reasons arising from the circumstances or opinions of family or friends. The research also indicates how awareness of this shift could assist administrators in designing and conducting successful international experiences.

We conducted a large-scale online survey in February 2023 to investigate the public's perceptions of COVID-19 infection and fatality risks in Japan. We identified two key findings. First, univariate analysis comparing perceived and actual risk suggested overestimation and nonnegligible underestimation of COVID-19 risk. Second, multivariate logistic regression analyses revealed that age, income, education levels, health status, information sources, and experiences related to COVID-19 were associated with risk perceptions. Given that risk perceptions are closely correlated with daily socioeconomic activities and well-being, it is important for policy-makers and public health experts to understand how to communicate COVID-19 risk to the public effectively., (© 2024. The Author(s).)

International student exchange is integral to internationalization at higher education institutions and global human resource development in Japan. However, border closures and restrictions on physical mobility since 2020 due to the COVID-19 pandemic forced universities to adopt virtual mobility models to deliver international exchange programs. This study explores students' experiences of taking virtual exchange programs and their pedagogical implications for future virtual exchange programs. In this paper, we present one case of virtual student mobility implemented at one national university in Japan. Analysis of multiple data sets, including student surveys (n=789), reflection papers (n=420), and interviews with a program administrator and a faculty member, revealed that this type of virtual student mobility program has strong merits in promoting internationalization activities. Students were satisfied with the diverse interdisciplinary academic content, flexibility in taking the course, and opportunity to engage with the host university faculty members and international students. Many have expressed their interest in studying at the host university in person.

This paper investigates the challenges EFL instructors faced while delivering online classes during the pandemic in Japan in order to help language instructors improve the quality of classroom interaction they provide. Semi-structured interviews were conducted with seven EFL instructors at the English Department of a Japanese university. Participants revealed how they overcame challenges to engage students in online class interactions. However, the instructors pointed out that the online pedagogical training that they had received was inadequate. The paper argues that universities should formulate standardized guidelines for online education and expand the opportunities provided for instructors to receive adequate training.

This paper analyses Japan's COVID-19 response drawing on a survey of more than 3200 prospective international students affected by the (colloquially named) #JapanTravelBan. The paper charts the evolution of Japan's COVID-19 response from the earliest border restrictions in February 2020 to the eventual blanket reopening to international students in Summer 2022. Subsequently, survey DATA provide evidence of (1) the drastic mental health effects for prospective international students during this time, (2) students' loss of agency due to the protracted uncertainty of both policy and communication from the Japanese government, and (3) potential damage caused to Japan's reputation as a study destination. Drawing on these findings the paper offers broader suggestions for appropriate student migration policymaking: greater transparency, attention to students' security throughout their study sojourn, an emphasis on stability, and resilience to crises.

Purpose: During Japan's initial pandemic prevention and control period, the Ministry of Education, Culture, Sports, Science, and Technology of Japan (MEXT) issued several notifications to ensure students' continuous learning according to the "leave no one behind" philosophy. This study focused on the comprehensive measures comprising top-level arrangements to implement the "suspending classes without stopping learning" initiative. Design/Approach/Methods: The study reviewed MEXT's guide on ensuring learning for Japanese primary and secondary school students during the pandemic. Findings: The pandemic has accelerated the development of the information and communications technology educational environment and the implementation of the Global and Innovation Gateway for All (GIGA) schools initiative. These developments laid the foundation for the evolution of diverse pedagogical models and feasible methods for promoting equity. The home schooling experience during the pandemic provided a natural base for students to practice and foster survivability. Originality/Value: This paper provides scholars with an understanding of the opportunities and challenges encountered in educational innovation in Japan. It provides insights into the future direction of pedagogical development, capability development, and effective educational arrangements for extraordinary circumstances to facilitate educational development from a broader perspective, particularly under the new normal.

Hypertension continues to be a principal risk factor for the occurrence of cardiovascular disorders, stroke, and kidney diseases. Although more than 40 million subjects suffer from hypertension in Japan, its optimal control is achieved only a subpopulation of patients, highlighting the need for novel approaches to manage this disorder. Toward the better control of blood pressure, the Japanese Society of Hypertension has developed the Future Plan, in which the application of the state-of-art information and communication technology, including web-based resources, artificial intelligence, and big data analysis, is considered as one of the promising solutions. In fact, the rapid advance of digital health technologies, as well as ongoing coronavirus disease 2019 pandemic, has triggered the structural changes in the healthcare system globally, increasing demand for the remote delivery of the medical services. Nonetheless, it is not entirely clear what evidence exists that support the widespread use of telemedicine in Japan. Here, we summarize the current status of telemedicine research, particularly in the field of hypertension and other cardiovascular risk factors. We note that there have been very few interventional studies in Japan that clearly showed the superiority or noninferiority of telemedicine over standard care, and that the methods of online consultation considerably varied among studies. Clearly, more evidence is necessary for wide implementation of telemedicine in hypertensive patients in Japan, and also those with other cardiovascular risk factors., (© 2023. The Author(s).)

Aim: To derive latent topics from free-text responses on the negative impact of the pandemic on research activities and determine similarities and differences in the resulting themes between academic-based and clinical-based researchers., Methods: We performed a secondary analysis of free-text responses from a cross-sectional online survey conducted by the Japan Academy of Nursing Science of its members in early 2020. The participants were categorized into two groups by workplace (academic-based and clinical-based researchers). Latent Dirichlet allocation (LDA) topic modeling was used to extract latent topics statistically and list important keywords/text associated with the topics. After organizing similar topics by principal component analysis (PCA), we finally derived topic-associated themes by reading the keywords/texts and determining the similarity and differences of the themes between the two groups., Results: A total of 201 respondents (163 academic-based and 38 clinical-based researchers) provided free-text responses. LDA identified eight and three latent topics for the academic-based and clinical-based researchers, respectively. While PCA re-grouped the eight topics derived from the former group into four themes, no merging of the topics from the latter group was performed resulting in three themes. The only theme common to the two groups was "barriers to conducting research," with the remaining themes differing between the groups., Conclusions: Using LDA topic modeling with PCA, we identified similarities and differences in the themes described in free-text responses about the negative impact of the pandemic between academic-based and clinical-based researchers. Measures to mitigate the negative impact of pandemics on nursing research may need to be tailored separately., (© 2022 The Authors. Japan Journal of Nursing Science published by John Wiley & Sons Australia, Ltd on behalf of Japan Academy of Nursing Science.)

This paper draws attention to the current and possible effects of COVID-19 on the mobility trajectories of mainland Chinese students studying in Asia. By drawing on 35 biographical interviews, this paper focuses on their decision to study in Asian countries and regions. Particularly, it calls for more attention to Asia in global student mobilities and discusses whether COVID-19 has changed the position of Asia in the global landscape of student mobility. Results show that even if COVID-19 provides an opportunity for Asian universities to embrace more international students, Asia still lacks the capability to attract great numbers of them. Finally, the study argues that college students' choice of mobility destinations is shaped by their perception of the central-periphery structure of higher education, which is hard to be shaken by the pandemic.

Pre-exposure prophylaxis with tixagevimab/cilgavimab was considered a useful strategy to protect immunocompromised patients from COVID-19 based on the phase 3 PROVENT trial conducted between November 2020 and March 2021. However, after late 2021, the dominant substrains of COVID-19 changed to Omicron substrains, which showed resistance to tixagevimab/cilgavimab. Therefore, it is important to re-evaluate the real-world efficacy of tixagevimab/cilgavimab for the prevention of COVID-19 in the Omicron era. To this end, we retrospectively evaluated the efficacy and safety of tixagevimab/cilgavimab prophylaxis for COVID-19 during the Omicron BA.5 wave in Japan. A total of 240 consecutive patients with hematologic malignancies received tixagevimab/cilgavimab at our institution from October 18, 2022, to January 31, 2023. Among them, the cumulative incidence of COVID-19 at 90 days was 6.4%. A total of 10/14 (71.4%) had mild infection, and 4/14 (28.5%) had severe infection. No patient died due to COVID-19. Adverse events consisted of deep vein thrombosis in 2 patients. Our analysis indicated that pre-exposure prophylaxis with tixagevimab/cilgavimab might have clinical effectiveness in reducing the severity of COVID-19 in Japanese HM patients, even in the Omicron BA.5 surge. It also suggested that tixagevimab/cilgavimab may be associated with cardiovascular complications., (© 2023. Japanese Society of Hematology.)

Teacher education has gathered interest globally and nationally among teachers, educators, researchers and policy makers. Madalinska-Michalak, O 'Doherty and Assuno Flores (2018) observe that regional/ national, social, economic, political and historical factors impact upon teacher education and 'it is also impacted by global problems and tendencies' (pp. 567). This paper builds on these debates and examines the effects of global discourses of teacher education in the national contexts of developed and developing countries, for example, Guyana, Japan, South Africa, United States of America (USA) and the United Kingdom (UK). This includes consideration of teacher education and training before and during the current global COVID-19 pandemic (UNESCO, 2020). The paper concludes that teacher education continues to be under scrutiny due to global and national expectations, the demand of and how they are positioned in preparing teachers for the 21st century. Notwithstanding, as globalisation becomes more integrated in societies globally teacher education curricula not only has to retain its emphasis on standards, but equally its agility to ensure that the needs of all learners are met.

In this paper, we introduce a project on singles' intimate practices conducted during COVID times as a case study of quantitative social research with a particular focus on qualitative reflections. We thematize the topic of self-reflexivity, which is considered an essential category in qualitative research but largely neglected in quantitative research. We discuss three methodological issues through the lens of self-reflection: 'translation issues'; the problems of asking 'sensitive' and the 'right' questions; and the problematics of 'the present' in particularly fluid times. We show that this approach promotes contextualization of the measurement tool, the data and the findings and can be a way for doing quantitative research on intimacy outside the 'standard' nuclear family in pandemic times. Overall, this paper underscores the ways that scholars as individuals and teams are inextricable from our research site, as we navigate disruption even while seeking to understand its implications on our informants.

While several studies on study abroad have examined the impact of personal factors (e.g., gender, age, and family environment) on the decision to study abroad, a factor analysis has not yet been conducted on the reasons why some students choose not to study abroad. This paper highlights the role of academic study abroad programs in promoting global citizenship and internationalization within Japanese universities, driven by efforts of the Ministry of Education, Culture, Sports, Science and Technology. However, with the COVID-19 pandemic disrupting government policies and international travel, many uncertainties need to be addressed within university study abroad programs. To provide deeper insights, this research uses exploratory factor analysis to uncover common factors that influence the wants and needs of Japanese students considering study abroad programs. The subjects (n = 378) were first- to fourth-year university students of intermediate English language proficiency in the Kanto and Chubu areas of Japan. The research results indicate four main factors of Japanese university students who did not consider study abroad programs from 2021 to 2022 providing useful data for university administrators to create successful international experiences that support and address the needs of Japanese university students.

Aim: To explore the health beliefs of clinical and academic nurses from Japan, Australia and China regarding wearing paper masks to protect themselves and others, and to identify differences in participants' health beliefs regarding masks. Background: The correct use of face masks and consensus among health professionals across the globe is essential for containing pandemics, and nurses need to act according to policy to protect themselves, educate the public and preserve resources for frontline health workers. Paper masks are worn by health professionals and the general public to avoid the transmission of respiratory infections, such as COVID‐19, but there appear to be differences in health beliefs of nurses within and between countries regarding these. Methods: This qualitative descriptive study used content analysis with a framework approach. Findings: There were major differences in nurse participants' beliefs between and within countries, including how nurses use paper masks and their understanding of their efficacy. In addition, there were cultural differences in the way that nurses use masks in their daily lives and nursing practice contexts. Conclusion: Nurses from different working environments, countries and areas of practice hold a variety of health beliefs about mask wearing at the personal and professional level. Implications for nursing policy and health policy: The COVID‐19 pandemic has sparked much discussion about the critical importance of masks for the safety of health professionals, and there has been considerable discussion and disagreement about health policies regarding mask use by the general public. Improper use of masks may have a role in creating mask shortages or transmitting infections. An evidence‐based global policy on mask use for respiratory illnesses for health professionals, including nurses, and the general public needs to be adopted and supported by a wide‐reaching education campaign. [ABSTRACT FROM AUTHOR]

This paper is one of two that bring together a range of education scholars to consider how education might be for democracy in a time of complex challenges facing twenty-first century societies. In this paper, scholars from Australia, Japan and the United Kingdom consider how sites of formal and informal education can respond to multiple unfolding crises, including the COVID-19 global pandemic, catastrophic climate change and ecological collapse, political upheaval, and growing social and economic inequality. What emerges is a wide-ranging set of reflections that engage with these complexities and challenges in a considered and hopeful way.

The unprecedented social disruptions resulting from the COVID-19 pandemic have resulted in rapid change within the family and home. This paper uses semi-structured interviews with parents around the globe to examine the following research questions: 1. How have the spatial and temporal organizations of learning and working in the home been altered throughout the COVID-19 pandemic? 2. What are the alterations in the educational processes and the role of the family in response to the changes caused by the COVID-19 pandemic? We found that typical boundaries, those between the roles of family members, between work or school and home, and between leisure time and work time have been fundamentally blurred. While some of these boundaries are more porous than others, families report fundamental shifts, temporary and permanent in the way they organize their home and family, spatially and temporally, and the roles they take on within the family.

Converting food waste into animal feed is highly useful for tackling the problem of food waste, which is particularly severe in developed countries. This study quantified the inefficiencies in converting food waste into animal feed and identified the sources of inefficiencies through a data envelopment analysis (DEA) of the monthly input-output data of two food waste-based animal feed producers in Japan. Our empirical analysis revealed that the producers of animal feed obtained from food waste (especially those treating food waste from retail and service industries) demonstrated inefficiencies in production technology and scale; moreover, expanding the production scale and improving the quality of food waste could enhance production efficiency. Based on the empirical results, specific policy implications were provided for the widespread use of animal feed obtained from food waste in Japan and elsewhere, globally. Furthermore, it was suggested that the COVID-19 pandemic contributed to a severe reduction in the production efficiency of animal feed producers treating food waste obtained from retail and service industries., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Japan's new defence white paper offers an overview of the security environment surrounding Japan and the numerous issues concerning Tokyo's defence and security policy. It highlights North Korea's increasing missile-related technologies, China's growing military power and assertive activities, and the impact of the COVID-19 (coronavirus disease 2019) infection on security issues. Japan will likely remain a cautious security policy player while emerging as a robust military power with growing deterrence and defence capabilities. [ABSTRACT FROM AUTHOR]

Purpose: The COVID-19 pandemic exposed the inability of the Japanese higher education system to adapt to widespread unexpected disruption. The limited metrics available to assess Japanese higher education's response in the wake of the pandemic indicate several areas where the system needs to be strengthened. This paper aims to harness the ecological perspective to explore the procedures by which higher education in Japan can mitigate extant digital shortcomings. Design/methodology/approach: Leveraging Zhao and Frank's ecological perspective as its theoretical model, this paper proposes practical solutions to remedy deficiencies highlighted by the COVID-19 pandemic rooted in existing literature both within and outside of Japanese higher education research. Findings: The paper suggests pragmatic ideas to embolden each of the three strata encompassing the educational "ecosystem": institutions, faculty and students. The paper identifies measures for strengthening institutions to become more adaptive and improve leadership capacity. At the faculty level, meanwhile, an increase in professional development opportunities and the bolstering of support systems may function to bridge an intergenerational digital divide. Finally, for students, the authors argue for mobile-assisted language learning in an effort to cultivate stronger learner outcomes, and prescribe how to integrate this method into formal IT platforms. Originality/value: The current paper is among a select few that use the ecological perspective in the field of educational research in Japan. The authors contend that the model, while effective, offers an incomplete view of education, suggesting that the ecological perspective must be expanded to include students as a distinct species.

Objective: The medication-overuse headache (MOH) prevalence has not been investigated in a general Japanese population. We performed questionnaire-based survey and revealed MOH prevalence and its characteristics. We also performed clustering to obtain insight for MOH subgrouping., Methods: In this cross-sectional study, the 15-64-year-old population was investigated in Itoigawa during their COVID-19 vaccination under the national policy. MOH was defined as ≥ 15 days/month plus self-report of use of pain medications ≥ 10 or 15 days/month in the last 3 months. Ward method and k-means +  + were used to perform clustering MOH patients., Results: Among 5865 valid responses, MOH prevalence was 2.32%. MOH was common among females and the middle-aged. Combination-analgesic is the most overused as 50%. MOH had aggravation by routine physical activity, moderate or severe pain, and migraine-like, compared to non-MOH. The 136 MOH patients could be grouped into 3 clusters. Age and frequency of acute medication use were essential factors for clustering., Conclusions: This is the first study of MOH prevalence in Japan. Most MOH characteristics were similar to previous reports worldwide. Public awareness of proper headache treatment knowledge is still needed. Clustering results may be important for subtype grouping from a social perspective apart from existing clinical subtypes., (© 2021. Fondazione Società Italiana di Neurologia.)

As the research work of academic associations faces restrictions and reductions due to the novel coronavirus pandemic, the Japan Educational Research Association launched a jointly held participatory webinar series, "Pandemic and Education: What Should Be Done to Support Learning?" (4 sessions), through the JERA secretariat, Research Promotion Committee, and Public Relations Committee.

This paper elaborates on recent trends in Japanese higher education partnerships through three cases of collaboration between Japanese universities and higher education institutions in China, Mongolia, and the Southeast Asia (hereinafter referred to as ASEAN). Our analysis shows that partnerships were shaped by both top-down government policies and bottom-up activities based on institutional visions and past relations. Japan's educational quality and reputation, particularly in science and technology, is highly regarded by higher education institutions (HEIs) interested in developing competitive international programs. On one hand, Japan is striving to deepen and expand its partnerships with HEIs, particularly within Asia. A number of domestic and international factors - such as Japan's population decline; increasing competition among HEIs both on the domestic and international front; an ambition to remain competitive in a twenty-first century, knowledge-based economy; and Japan's strategy to strengthen its influence in Asia - drive the partnerships. On the other hand, while earlier partnerships were limited to student and faculty exchange or joint research projects, institutions increasingly prioritize more comprehensive strategic partnerships. Such strategic partnerships are important to overcome barriers during the COVID-19 pandemic that limit physical movement and interaction, and they may drive even greater collaboration and integration among Asian higher education institutions.

In this paper, the trends and issues of teacher education research and practices in Japan are clarified from the viewpoint of the digitization of the educational environment. This will be achieved through a review of the literature and policy documents on recent educational practices and teacher education. Firstly, Japanese teacher education and the ICT environment in schools are summarized. In addition, the Japanese concept of "teachers who continue to learn" and its multidimensional character is explained. Secondly, a model of the above idea that consists of five dimensions is introduced: (1) social navigators, (2) technical experts, (3) inquiry practitioners, (4) critical practitioners, and (5) members of professional learning communities. Thirdly, through the review, it is pointed out that all of them are affected by the digitization of the educational environment, which has been accelerated as a countermeasure to COVID-19. In conclusion, it is stated that the digitization of the educational environment and its accelerated progress casts both light and shadow on the role of Japanese teachers as reflective practitioners. Additionally, it is referenced that there are many differences among schools and regions on the ratio of light and shadow in Japan, even though it is geographically small.

Given the difficult and unforeseen circumstances due to the COVID-19 pandemic, we need to transition from face-to-face instruction to digital instruction. This paper provides a teacher educator's autoethnographic account of implementing the pedagogical intervention of digital learning and student teachers' reactions to its effects on their motivation and well-being. More precisely, it attempts to explore (1) student teachers' perceptions of the effect of digital learning on their motivation and well-being in teacher education, (2) their understanding of active learning, (3) their preferred format of teacher training courses both in normal and emergent circumstances, and (4) the instructor's perceived efficacy of digital learning on teacher education courses. The participants were one instructor (the author) and nine third-year university students taking an English Language Teaching Methodology course, which is a requirement for obtaining a license to teach English at secondary schools in Japan. I conducted a closed and open-ended questionnaire as well as a follow-up questionnaire survey and the instructor's observation. The findings confirmed the benefits of online lessons on student teachers' motivation and their sense of well-being (physical and psychological), suggesting the necessity of carefully selecting the instruction format that meets course objectives.

This paper presents a compilation of personal reflections from 66 contributors on the impact of, and responses to, COVID-19 in accounting education in 45 different countries around the world. It reveals a commonality of issues, and a variability in responses, many positive outcomes, including the creation of opportunities to realign learning and teaching strategies away from the comfort of traditional formats, but many more that are negative, primarily relating to the impact on faculty and student health and well-being, and the accompanying stress. It identifies issues that need to be addressed in the recovery and redesign stages of the management of this crisis, and it sets a new research agenda for studies in accounting education.

Objectives: This study examined the association of presenteeism with experiences of poverty among Japanese workers during the COVID-19 pandemic., Methods: A prospective cohort study of Japanese workers was conducted using an Internet monitoring survey. The baseline survey was conducted in December 2020, and a follow-up survey in December 2021. Of the 27 036 workers who participated, 18 560 (68.7%) completed the follow-up survey. The 11 081 who reported that they were not in financial difficulty in the baseline survey were included in the analysis. The degree of work functioning impairment was assessed at baseline using the Work Functioning Impairment Scale (WFun). Households' experience of not being able to pay for food and clothing was identified in the follow-up survey. The odds ratios (ORs) of presenteeism determined by WFun associated with poverty were estimated using a multilevel logistic model. The multivariate model included age, sex, marital status, job type, income, education, smoking, alcohol consumption, number of employees in the workplace, and the incidence rate of COVID-19 by prefecture at baseline., Results: In the multivariate model, the odds ratio of experiencing food insecurity increased with high WFun score: compared with WFun scores of 13 or less, the OR was 1.87 (95% CI: 1.43-2.43, P < .001) for WFun scores of 14 or more and 3.26 (95% CI: 2.58-4.12, P < .001) for WFun scores of 21 or more., Conclusions: In addition to labor productivity, the adverse effects of presenteeism on social security-related concerns such as poverty require further attention., (© 2022 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health.)

Objectives: Although gender stereotypes regarding paid work and unpaid work are changing, most wives are responsible for taking care of the family and home in Japan. It is unclear how time spent on housework and childcare has changed between working men and women during the COVID-19 pandemic in Japan. The purpose of this study is to investigate how working men and women's responsibilities for housework and childcare changed during the COVID-19 pandemic in Japan depending on work hours, job type, the number of employees in the workplace, and frequency of telecommuting., Methods: A cross-sectional analysis (N = 14,454) was conducted using data from an Internet monitoring study (CORoNa Work Project), which was conducted in December 2020. A multilevel logistic model with nested prefectures of residence was conducted to estimate the odds ratio (OR) for change in time devoted to housework and childcare among men and women adjusting for age, household income, presence of spouse who work, work hours, job type, the number of employees in the workplace, frequency of telecommuting, and the incidence rate of COVID-19 by prefecture., Results: More women tended to perceive that their time of housework and/or childcare had been changed (increased housework: OR 1.92, 95% CI [1.71-2.16], P < .001; decreased workhours: 1.66 (1.25-2.19), P < .001: increased childcare: OR 1.58, 95% CI [1.29-1.92], P < .001; decreased childcare: 1.11 (0.62-2.00), P = .719)., Conclusions: The time spent by women on housework and childcare changed significantly compared to men during the COVID-19 pandemic in Japan., (© 2022 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health.)

Objectives: Association between employment contract (temporary vs. permanent) and suicidal ideation (persistent suicidal ideation [i.e., with onset before COVID-19] or newly developed under COVID-19 pandemic) was examined using a nationally representative cross-sectional study in Japan., Methods: An Internet survey was conducted from August to September 2020. The participants' inclusion criteria for this study were as follows: (i) 20-65 years old, (ii) employees (excluding self-employed, students, retired, housewives, and unemployed). The associations of suicidal ideation with the employees' factors were analyzed using the multinomial logistic regression model, adjusting for covariates (sex, age, marital status, education, company size, industries, and a history of psychiatric disease)., Results: Of total 12 249 participants, 72.4% were permanent and 27.6% were temporary employees. The prevalence was 8.5% for persistent suicidal ideation and 3.2% for newly developed suicidal ideation in the COVID-19 pandemic. Temporary employment was significantly associated with persistent suicidal ideation (adjusted odds ratio [aOR] = 1.36 [95% confidence interval, CI: 1.16-1.59]; P < .001), but not associated with newly developed suicidal ideation (aOR = 1.10 [0.85-1.42]; P = .457) after adjusting the covariates. Sensitivity analysis showed temporary employment was significantly associated with persistent suicidal ideation only in women. Newly developed suicidal ideation was significantly higher among participants of a young age, employees in drinking/eating/hotel business industry, and those having a history of psychiatric disease than among the counterparts., Conclusions: Working on a temporary employment contract was associated with persistent suicidal ideation under conditions of COVID-19 outbreaks in Japan. However, the result showed no significant difference in newly developed suicidal ideation. Further longitudinal study will be needed to examine the risk of being employed on an unstable occupational contract in the prolonged pandemic., (© 2022 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health.)

The global pandemic of COVID-19 brought about the transition to Emergency Remote Teaching (ERT) at higher education institutions across the United States, prompting both students and the faculty to rapidly adjust to a different modality of teaching and learning. Other crises have induced disruptions to academic continuity (e.g., earthquakes, hurricanes), but not to the same extent as COVID-19, which has affected universities on a global scale. In this paper, we describe a qualitative case study where we interviewed 11 second-year Integrated Engineering students during the Spring 2020 semester to explore how they adapted to the transition to remote learning. Our results revealed several student challenges, how they used self-discipline strategies to overcome them, and how the faculty supported students in the classroom through a compassionate and flexible pedagogy. Faculty members showed compassion and flexibility by adjusting the curriculum and assessment and effectively communicating with students. This was especially important for the women participants in this study, who more frequently expressed utilizing pass/fail grading and the personal and gendered challenges they faced due to the pandemic. During this unprecedented crisis, we found that a key element for supporting students' well-being and success is the faculty members communicating care and incorporating flexibility into their courses.

This reflective essay is written based on the author's experience as a study abroad program visiting resident director in Japan during the 2019-2020 academic year. As the resident director, the author served as the front line of communication and support for the international students on this program during an unprecedented crisis that impacted the world. The author describes the events that occurred in Japan during spring 2020, the challenges that arose as a result of the pandemic, and teaching strategies used to help students through the crisis. Based on this experience, the author makes recommendations for study abroad programs to consider as we look forward to resuming study abroad activities in a post-pandemic reality.

There is increasing concern that the coronavirus disease 2019 (COVID-19) pandemic could harm psychological health and exacerbate suicide risk. Here, based on month-level records of suicides covering the entire Japanese population in 1,848 administrative units, we assessed whether suicide mortality changed during the pandemic. Using difference-in-difference estimation, we found that monthly suicide rates declined by 14% during the first 5 months of the pandemic (February to June 2020). This could be due to a number of complex reasons, including the government's generous subsidies, reduced working hours and school closure. By contrast, monthly suicide rates increased by 16% during the second wave (July to October 2020), with a larger increase among females (37%) and children and adolescents (49%). Although adverse impacts of the COVID-19 pandemic may remain in the long term, its modifiers (such as government subsidies) may not be sustained. Thus, effective suicide prevention-particularly among vulnerable populations-should be an important public health consideration.

The rapid epidemiological shift from an epidemic/outbreak in Wuhan, China, to a global pandemic of COVID-19 in less than 3 months came with lessons the world's health system should learn to prepare for the future outbreaks. Since February 20, 2020, the total number of confirmed cases of COVID-19 has been increased very slowly in the countries of East Asia, including Japan, South Korea, and China, when compared with those in the Western countries. This chapter begins with an overview of the impact of COVID-19 on healthcare workers and public health facilities, followed by immediate global actions and research in response to the newly emerged pandemic. It includes an evaluation of the potential influence of culture on the implementation of different protective measures to combat the COVID-19 pandemic while at the same time offering suggestions that will make it easier for all populations to adapt protective steps against COVID-19 and other respiratory infectious diseases. Finally, the chapter provides a detailed discussion of lessons we have learned from the pandemic, leading to the conclusion that the transition from individualism to collaborative efforts is the treatment of universal pandemics.