{"id":"https://openalex.org/W7225399028","doi":"https://doi.org/10.1507/endocrj.ej26-0153","title":"Challenges in nuclear emergency preparedness: pharmacists\u2019 awareness, knowledge, and willingness to participate in the emergency distribution of stable iodine in Japan","display_name":"Challenges in nuclear emergency preparedness: pharmacists\u2019 awareness, knowledge, and willingness to participate in the emergency distribution of stable iodine in Japan","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7225399028","doi":"https://doi.org/10.1507/endocrj.ej26-0153"},"language":"en","primary_location":{"id":"doi:10.1507/endocrj.ej26-0153","doi":"https://doi.org/10.1507/endocrj.ej26-0153","is_oa":true,"landing_page_url":"https://doi.org/10.1507/endocrj.ej26-0153","pdf_url":"https://www.jstage.jst.go.jp/article/endocrj/advpub/0/advpub_EJ26-0153/_pdf","source":{"id":"https://openalex.org/S191387813","display_name":"Endocrine Journal","issn_l":"0918-8959","issn":["0918-8959","1348-4540"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310313267","host_organization_name":"Japan Endocrine Society","host_organization_lineage":["https://openalex.org/P4310313267"],"host_organization_lineage_names":["Japan Endocrine Society"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Endocrine Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.jstage.jst.go.jp/article/endocrj/advpub/0/advpub_EJ26-0153/_pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5041787625","display_name":"Hitomi Matsunaga","orcid":"https://orcid.org/0000-0003-1933-2171","observed_orcids":["https://orcid.org/0000-0003-1933-2171"]},"institutions":[{"id":"https://openalex.org/I43777268","display_name":"Nagasaki University","ror":"https://ror.org/058h74p94","country_code":"JP","type":"education","lineage":["https://openalex.org/I43777268"]},{"id":"https://openalex.org/I4405285995","display_name":"Atomic Bomb Disease Institute, Nagasaki University","ror":"https://ror.org/00wc6zv93","country_code":"JP","type":"facility","lineage":["https://openalex.org/I43777268","https://openalex.org/I4405285995"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hitomi Matsunaga","raw_affiliation_strings":["Department of Disaster Resilience and Science, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan"],"raw_orcid":"https://orcid.org/0000-0003-1933-2171","affiliations":[{"raw_affiliation_string":"Department of Disaster Resilience and Science, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan","institution_ids":["https://openalex.org/I43777268","https://openalex.org/I4405285995"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011998620","display_name":"Tomoko Watanabe","orcid":"https://orcid.org/0000-0002-3293-839X","observed_orcids":["https://orcid.org/0000-0002-3293-839X"]},"institutions":[{"id":"https://openalex.org/I43777268","display_name":"Nagasaki University","ror":"https://ror.org/058h74p94","country_code":"JP","type":"education","lineage":["https://openalex.org/I43777268"]},{"id":"https://openalex.org/I4405285995","display_name":"Atomic Bomb Disease Institute, Nagasaki University","ror":"https://ror.org/00wc6zv93","country_code":"JP","type":"facility","lineage":["https://openalex.org/I43777268","https://openalex.org/I4405285995"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tomoko Watanabe","raw_affiliation_strings":["Department of Disaster Resilience and Science, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Disaster Resilience and Science, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan","institution_ids":["https://openalex.org/I43777268","https://openalex.org/I4405285995"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024050297","display_name":"Hui\u2010Hsun Chiang","orcid":"https://orcid.org/0000-0001-7193-5653","observed_orcids":["https://orcid.org/0000-0001-7193-5653"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hui-Hsun Chiang","raw_affiliation_strings":["Combat and Disaster Casualty Care Training Center, the National Defense Medical University, Taipei 11490, Taiwan","School of Nursing, College of Nursing, National Defense Medical University, Taipei 11490, Taiwan"],"raw_orcid":"https://orcid.org/0000-0001-7193-5653","affiliations":[{"raw_affiliation_string":"Combat and Disaster Casualty Care Training Center, the National Defense Medical University, Taipei 11490, Taiwan","institution_ids":[]},{"raw_affiliation_string":"School of Nursing, College of Nursing, National Defense Medical University, Taipei 11490, Taiwan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041816500","display_name":"Li\u2010Fan Lin","orcid":"https://orcid.org/0000-0002-5583-2993","observed_orcids":["https://orcid.org/0000-0002-5583-2993"]},"institutions":[{"id":"https://openalex.org/I1293718874","display_name":"Tri-Service General Hospital","ror":"https://ror.org/007h4qe29","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I1293718874"]},{"id":"https://openalex.org/I68171755","display_name":"National Defense Medical Center","ror":"https://ror.org/02bn97g32","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I68171755"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Li-Fan Lin","raw_affiliation_strings":["Department of Nuclear Medicine, School of Medicine, College of Medicine, National Defense Medical University, Taipei 114202, Taiwan","Department of Nuclear Medicine, Tri-Service General Hospital, National Defense Medical University, Taipei 11490, Taiwan"],"raw_orcid":"https://orcid.org/0000-0002-5583-2993","affiliations":[{"raw_affiliation_string":"Department of Nuclear Medicine, School of Medicine, College of Medicine, National Defense Medical University, Taipei 114202, Taiwan","institution_ids":["https://openalex.org/I68171755"]},{"raw_affiliation_string":"Department of Nuclear Medicine, Tri-Service General Hospital, National Defense Medical University, Taipei 11490, Taiwan","institution_ids":["https://openalex.org/I1293718874"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053468462","display_name":"Hung-Ju Chen","orcid":"https://orcid.org/0009-0009-5842-9444","observed_orcids":["https://orcid.org/0009-0009-5842-9444"]},"institutions":[{"id":"https://openalex.org/I1293718874","display_name":"Tri-Service General Hospital","ror":"https://ror.org/007h4qe29","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I1293718874"]},{"id":"https://openalex.org/I68171755","display_name":"National Defense Medical Center","ror":"https://ror.org/02bn97g32","country_code":"TW","type":"healthcare","lineage":["https://openalex.org/I68171755"]}],"countries":["TW"],"is_corresponding":false,"raw_author_name":"Hung-Ju Chen","raw_affiliation_strings":["Department of Nursing, Tri-Service General Hospital, Taipei 114202, Taiwan","Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei 114, Taiwan"],"raw_orcid":"https://orcid.org/0009-0009-5842-9444","affiliations":[{"raw_affiliation_string":"Department of Nursing, Tri-Service General Hospital, Taipei 114202, Taiwan","institution_ids":["https://openalex.org/I1293718874"]},{"raw_affiliation_string":"Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei 114, Taiwan","institution_ids":["https://openalex.org/I68171755"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033895098","display_name":"Noboru Takamura","orcid":"https://orcid.org/0000-0002-5552-3234","observed_orcids":["https://orcid.org/0000-0002-5552-3234"]},"institutions":[{"id":"https://openalex.org/I43777268","display_name":"Nagasaki University","ror":"https://ror.org/058h74p94","country_code":"JP","type":"education","lineage":["https://openalex.org/I43777268"]},{"id":"https://openalex.org/I4405285995","display_name":"Atomic Bomb Disease Institute, Nagasaki University","ror":"https://ror.org/00wc6zv93","country_code":"JP","type":"facility","lineage":["https://openalex.org/I43777268","https://openalex.org/I4405285995"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Noboru Takamura","raw_affiliation_strings":["Department of Disaster Resilience and Science, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan"],"raw_orcid":"https://orcid.org/0000-0002-5552-3234","affiliations":[{"raw_affiliation_string":"Department of Disaster Resilience and Science, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8523, Japan","institution_ids":["https://openalex.org/I43777268","https://openalex.org/I4405285995"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87226597,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":0.40209999680519104,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":0.40209999680519104,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13970","display_name":"Pharmacy and Medical Practices","score":0.31859999895095825,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11089","display_name":"Radioactive contamination and transfer","score":0.2240999937057495,"subfield":{"id":"https://openalex.org/subfields/2310","display_name":"Pollution"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nuclear-emergency-preparedness","display_name":"nuclear emergency preparedness","score":0.8880000114440918},{"id":"https://openalex.org/keywords/pharmacists","display_name":"pharmacists","score":0.8709999918937683},{"id":"https://openalex.org/keywords/pharmacist-awareness","display_name":"pharmacist awareness","score":0.7540000081062317},{"id":"https://openalex.org/keywords/pharmacist-knowledge","display_name":"pharmacist knowledge","score":0.765999972820282},{"id":"https://openalex.org/keywords/willingness-to-participate","display_name":"willingness to participate","score":0.9449999928474426},{"id":"https://openalex.org/keywords/priority-populations","display_name":"priority populations","score":0.5529999732971191},{"id":"https://openalex.org/keywords/pharmacist-counseling","display_name":"pharmacist counseling","score":0.8080000281333923},{"id":"https://openalex.org/keywords/japan","display_name":"Japan","score":0.6660000085830688}],"concepts":[{"id":"https://openalex.org/C110121322","wikidata":"https://www.wikidata.org/wiki/Q865811","display_name":"Distribution (mathematics)","level":2,"score":0.5827000141143799},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5491999983787537},{"id":"https://openalex.org/C539932907","wikidata":"https://www.wikidata.org/wiki/Q1103","display_name":"Iodine","level":2,"score":0.5479000210762024},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.48899999260902405},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3837999999523163},{"id":"https://openalex.org/C3017997152","wikidata":"https://www.wikidata.org/wiki/Q814610","display_name":"Emergency response","level":2,"score":0.38339999318122864},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3199000060558319},{"id":"https://openalex.org/C2909705833","wikidata":"https://www.wikidata.org/wiki/Q171178","display_name":"Fukushima Nuclear Accident","level":3,"score":0.3041999936103821},{"id":"https://openalex.org/C2908975369","wikidata":"https://www.wikidata.org/wiki/Q1208453","display_name":"Radioactive iodine","level":3,"score":0.27129998803138733},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.2680000066757202},{"id":"https://openalex.org/C2983223013","wikidata":"https://www.wikidata.org/wiki/Q134447","display_name":"Nuclear plant","level":2,"score":0.25859999656677246},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.25760000944137573},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.25760000944137573},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2565999925136566}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1507/endocrj.ej26-0153","doi":"https://doi.org/10.1507/endocrj.ej26-0153","is_oa":true,"landing_page_url":"https://doi.org/10.1507/endocrj.ej26-0153","pdf_url":"https://www.jstage.jst.go.jp/article/endocrj/advpub/0/advpub_EJ26-0153/_pdf","source":{"id":"https://openalex.org/S191387813","display_name":"Endocrine Journal","issn_l":"0918-8959","issn":["0918-8959","1348-4540"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310313267","host_organization_name":"Japan Endocrine Society","host_organization_lineage":["https://openalex.org/P4310313267"],"host_organization_lineage_names":["Japan Endocrine Society"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Endocrine Journal","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1507/endocrj.ej26-0153","doi":"https://doi.org/10.1507/endocrj.ej26-0153","is_oa":true,"landing_page_url":"https://doi.org/10.1507/endocrj.ej26-0153","pdf_url":"https://www.jstage.jst.go.jp/article/endocrj/advpub/0/advpub_EJ26-0153/_pdf","source":{"id":"https://openalex.org/S191387813","display_name":"Endocrine Journal","issn_l":"0918-8959","issn":["0918-8959","1348-4540"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","medline","norway-1","oarl","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310313267","host_organization_name":"Japan Endocrine Society","host_organization_lineage":["https://openalex.org/P4310313267"],"host_organization_lineage_names":["Japan Endocrine Society"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Endocrine Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9476000070571899}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225399028.pdf","grobid_xml":"https://content.openalex.org/works/W7225399028.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1863615530","https://openalex.org/W2285102798","https://openalex.org/W2560195970","https://openalex.org/W2166191991","https://openalex.org/W3046298193","https://openalex.org/W7099010520","https://openalex.org/W3120691898","https://openalex.org/W7075611367","https://openalex.org/W4200423328","https://openalex.org/W4254897317"],"abstract_inverted_index":{"The":[0],"effective":[1,174],"implementation":[2],"of":[3,12,21,27,49,66,82,90,108,113],"stable":[4,50],"iodine":[5,51],"(SI)":[6],"prophylaxis":[7],"is":[8,167],"a":[9,67],"critical":[10,136],"component":[11],"nuclear":[13,68,151,162,179],"emergency":[14,47,152],"preparedness;":[15],"however,":[16],"the":[17,46,84,109,143],"role":[18],"and":[19,41,53,93,122,141,154,173],"readiness":[20],"pharmacists,":[22],"who":[23],"are":[24],"key":[25],"providers":[26],"medication":[28,129],"guidance,":[29],"remain":[30],"unclear.":[31],"This":[32],"nationwide":[33],"survey":[34],"aimed":[35],"to":[36,43,54,99,169],"assess":[37],"pharmacists\u2019":[38,159],"awareness,":[39],"knowledge,":[40],"willingness":[42,98],"participate":[44],"in":[45,58,74,101,138,150,177],"distribution":[48],"(EDSI)":[52],"compare":[55],"those":[56,73],"outcomes":[57],"prefectures":[59,76],"that":[60,107,157],"include":[61],"areas":[62],"within":[63],"30":[64],"km":[65],"power":[69],"plant":[70],"(Zone-included)":[71],"with":[72],"other":[75],"(Zone-excluded).":[77],"Among":[78],"489":[79],"pharmacists":[80],"aware":[81],"SI,":[83],"Zone-included":[85],"demonstrated":[86],"significantly":[87],"higher":[88],"awareness":[89],"EDSI":[91,102],"procedures":[92],"priority":[94,117],"populations.":[95],"However,":[96],"their":[97],"cooperate":[100],"was":[103],"paradoxically":[104],"lower":[105],"than":[106],"Zone-excluded.":[110],"Only":[111],"one-third":[112],"all":[114],"respondents":[115],"understood":[116],"groups":[118],"for":[119,145],"SI":[120],"prophylaxis,":[121],"many":[123],"expressed":[124],"concerns":[125],"about":[126],"providing":[127],"accurate":[128],"counseling":[130],"during":[131,161],"emergencies.":[132,180],"These":[133],"findings":[134],"reveal":[135],"gaps":[137],"professional":[139],"preparedness":[140],"highlight":[142],"need":[144],"targeted":[146],"education,":[147],"structured":[148],"training":[149],"medicine,":[153],"institutional":[155],"frameworks":[156],"support":[158],"roles":[160],"incidents.":[163],"Strengthening":[164],"these":[165],"systems":[166],"essential":[168],"ensure":[170],"timely,":[171],"safe,":[172],"public":[175],"protection":[176],"future":[178]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-07T00:00:00"}
