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COVID-19 and JA Health and Welfare Services COVID-19和JA卫生和福利服务部
JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.577
Junsei Nakamura
{"title":"COVID-19 and JA Health and Welfare Services","authors":"Junsei Nakamura","doi":"10.2185/jjrm.70.577","DOIUrl":"https://doi.org/10.2185/jjrm.70.577","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80835308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efforts to Support Discharge of Patients With Intractable Neurological Diseases from Hospital Wards 支持医院病房难治性神经疾病患者出院的努力
JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.529
Suzumi Taue, Risa Momose, Tadahiro Karasawa, Ayumi Miyasaka, Toshikazu Yoshida
{"title":"Efforts to Support Discharge of Patients With Intractable Neurological Diseases from Hospital Wards","authors":"Suzumi Taue, Risa Momose, Tadahiro Karasawa, Ayumi Miyasaka, Toshikazu Yoshida","doi":"10.2185/jjrm.70.529","DOIUrl":"https://doi.org/10.2185/jjrm.70.529","url":null,"abstract":"B県では神経・筋疾患の患者が全国に比べ多 く,患者を支える整備が求められている。A院 には,2014年 8 月に B県から認可を受け12床 の神経難病特例病床登録がある。神経難病特例 病床とは,難病患者及び家族が地域の中で安定 した在宅療養生活が送れることを目指し,地域 で生活する難病患者に対する支援体制の整備に 努めることとしている。また今後の取り組みと して,相談支援体制の充実に努める他,レスパ イト入院(短期一時入院)の調整や受け入れ医 療機関の増加を図ることとしている。神経難病 特例病床チームの基本方針として,1治療が困 難で多くが根治を望めず慢性進行性の経過をた どることの多い病態・病状を理解し,患者およ び家族の心情に共感した看護・ケアの提供を優 先する。2社会的かつ経済的に不利な状況にな ることの多い療養生活に対して,医療と福祉・ 制度など多方面から最良の支援を提供すること を重視する。などをあげている。治療目的のみ でなく,レスパイト目的の入院も増加傾向にあ る。 神経難病の多くは慢性の経過で症状が進行 し,日常生活動作(以下 ADL)が低下し,医 療依存度も高くなる。退院時には入院前の状態 と異なる事が多く,本人・家族の不安が強くな る。また,神経難病の病状の進行には疾患によ る差や個人差があり,進行が急速な場合があ る。そのため早期の退院調整を行なうためには 看護師だけでなく多職種の知識や連携が必要と なる。 今回,神経難病特例病床への入院 3例の検討 をもとにして,効果的な退院調整が行なえるよ うにするために,退院支援マニュアルを作成し たので報告する。","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"1971 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87791684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical Results of Pancreaticoduodenectomy at Our Hospital 我院胰十二指肠切除术的手术效果
JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Pub Date : 2022-01-01 DOI: 10.2185/jjrm.71.88
Y. Enomoto, Shigeki Tsukamoto, Akehumi Sato, Yuta Kakizaki, Yosuke Kubota, T. Kumagai, Ken Saito
{"title":"Surgical Results of Pancreaticoduodenectomy at Our Hospital","authors":"Y. Enomoto, Shigeki Tsukamoto, Akehumi Sato, Yuta Kakizaki, Yosuke Kubota, T. Kumagai, Ken Saito","doi":"10.2185/jjrm.71.88","DOIUrl":"https://doi.org/10.2185/jjrm.71.88","url":null,"abstract":"The Pancreatic Cancer Practice Guidelines (2019 edition) recommend that surgical treatment for pancreatic cancer be performed at facilities with large numbers of surgical cases. Although our hospital is not a so-called high-volume center, we have been actively performing challenging hepatobiliary and pancreatic operations for patients who wish to be treated in our department. We investigated factors including surgery-related factors, perioperative complications, and long-term prognosis, in 78 cases of pancreaticoduodenectomy performed during the 10-year period from 2010 to 2019. There were no surgery-related deaths, the 5-year survival rate for surgical cases of pancreatic head cancer was a relatively good 31%, and the postoperative outcomes and long-term prognoses were comparable to those of high-volume centers. As a regional core hospital, we must continue to provide safe and high-quality medical care.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90442240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Cervical Cancer With Rupture of Pyometra Immediately Before Cancer Treatment and Development of Colouterine and Enterocutaneous Fistulas After Chemoradiotherapy 宫颈癌治疗前脓膜破裂及放化疗后并发肠外瘘1例
JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Pub Date : 2022-01-01 DOI: 10.2185/jjrm.71.348
Naomi Kimura, Y. Kato, Minami Hashimoto, Keika Yamauchi, E. Kondo, M. Shibata, Shoko Kozaki, Teruko Mizuno, Yasushi Matsukawa, Kyoko Kumagai, Masahiro Ikeuchi, Kazuhiro Higuchi
{"title":"A Case of Cervical Cancer With Rupture of Pyometra Immediately Before Cancer Treatment and Development of Colouterine and Enterocutaneous Fistulas After Chemoradiotherapy","authors":"Naomi Kimura, Y. Kato, Minami Hashimoto, Keika Yamauchi, E. Kondo, M. Shibata, Shoko Kozaki, Teruko Mizuno, Yasushi Matsukawa, Kyoko Kumagai, Masahiro Ikeuchi, Kazuhiro Higuchi","doi":"10.2185/jjrm.71.348","DOIUrl":"https://doi.org/10.2185/jjrm.71.348","url":null,"abstract":"The patient was a 68-year-old woman who was diagnosed with stage IIIA cervical cancer and pyometra. Concurrent chemoradiotherapy was planned. She was admitted to our hospital 3 weeks after the initial examination due to vaginal bleeding and worsening of lower abdominal pain. On hospital day 5, she developed a fever, and free gas in the peritoneal cavity and ascites were confirmed by contrast-enhanced computed tomography. Emergency surgery was performed for suspected generalized peritonitis attributed to perforation in the digestive tract or uterus. A large amount of purulent ascites and 2 perforations in the anterior wall of the uterus, but none in the digestive tract, were observed. Peritoneal lavage and drainage were performed, and a colostomy was created. The patient was managed in the intensive care unit until postoperative day 13 due to septic shock and acute renal failure. After the peritonitis resolved, radiation therapy alone was provided, and then chemotherapy was started to treat residual lesions. Pyometra recurred, and transvaginal drainage was performed to prevent perforation of the uterus. However, a few days later, a colouterine fistula and an enterocutaneous fistula developed simultaneously, and her general condition worsened. In advanced cervical cancer complicated by pyometra, various complications can develop that are difficult to manage (e.g., uterine perforation and fistula formation due to radiation enteritis and dermatitis). This case demonstrates the importance of uterine drainage at appropriate timing, which can contribute to improved prognosis.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90976073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in the Pathogenicity of SARS-CoV-2 According to Waves SARS-CoV-2致病性的波形变化
JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Pub Date : 2022-01-01 DOI: 10.2185/jjrm.71.101
Shintaro Nishikawa, A. Sekimura, H. Kusunoki, Yoshiki Sato, Toshiyuki Yokoyama
{"title":"Changes in the Pathogenicity of SARS-CoV-2 According to Waves","authors":"Shintaro Nishikawa, A. Sekimura, H. Kusunoki, Yoshiki Sato, Toshiyuki Yokoyama","doi":"10.2185/jjrm.71.101","DOIUrl":"https://doi.org/10.2185/jjrm.71.101","url":null,"abstract":"The pathogenicity of SARS-CoV-2 has changed as the virus mutates, with some variants causing waves of new infections. We investigated the pathogenic changes in the virus during waves 3, 4, and 5 in terms of severity, treatment methods, and outcomes in 208 patients with COVID-19 admitted to our hospital. Maximum severity during hospitalization tended to increase in patients with moderate I and II COVID-19 during waves 4 and 5; however, the number of severe cases decreased. Comparison by propensity score matching revealed that the number of patients with moderate I and II COVID-19 also increased significantly during wave 5.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90421423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Lipid Profile and Exercise Capacity in Phase II Cardiac Rehabilitation for Patients with Acute Coronary Syndrome 急性冠状动脉综合征患者II期心脏康复中血脂与运动能力的关系
JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.437
S. Matsuoka, A. Shoji, Gen Abe, Y. Tamura, Takashi Saito
{"title":"Association Between Lipid Profile and Exercise Capacity in Phase II Cardiac Rehabilitation for Patients with Acute Coronary Syndrome","authors":"S. Matsuoka, A. Shoji, Gen Abe, Y. Tamura, Takashi Saito","doi":"10.2185/jjrm.70.437","DOIUrl":"https://doi.org/10.2185/jjrm.70.437","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81374807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current Conditions of Support Provision for Nurses at Hub Hospitals in Remote Areas 偏远地区中心医院护士支持提供的现状
JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.460
Yuka Kusumoto, Rika Yatsushiro
{"title":"Current Conditions of Support Provision for Nurses at Hub Hospitals in Remote Areas","authors":"Yuka Kusumoto, Rika Yatsushiro","doi":"10.2185/jjrm.70.460","DOIUrl":"https://doi.org/10.2185/jjrm.70.460","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83385178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Difficulties and Countermeasures in Nursing Practice for Non-English-Speaking Foreign Patients with COVID-19 非英语国家外籍新冠肺炎患者护理实践的难点与对策
JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.535
Risa Hamano, M. Nagao, Takiko Matsuno, Ritsuko Kuboe, Yasuyo Watanabe, Junichi Matsuda, Mari Hanashima, Nobuyuki Mitani, T. Kuga
{"title":"Difficulties and Countermeasures in Nursing Practice for Non-English-Speaking Foreign Patients with COVID-19","authors":"Risa Hamano, M. Nagao, Takiko Matsuno, Ritsuko Kuboe, Yasuyo Watanabe, Junichi Matsuda, Mari Hanashima, Nobuyuki Mitani, T. Kuga","doi":"10.2185/jjrm.70.535","DOIUrl":"https://doi.org/10.2185/jjrm.70.535","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83950585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Liver Steatosis and Single Nucleotide Polymorphisms in the PNPLA3 Gene in the Northern Part of Okinawa, Japan 日本冲绳北部地区肝脏脂肪变性与PNPLA3基因单核苷酸多态性之间的关系
JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Pub Date : 2022-01-01 DOI: 10.2185/jjrm.71.309
K. Hanashiro, J. Motomura, M. Sunagawa
{"title":"Association Between Liver Steatosis and Single Nucleotide Polymorphisms in the PNPLA3 Gene in the Northern Part of Okinawa, Japan","authors":"K. Hanashiro, J. Motomura, M. Sunagawa","doi":"10.2185/jjrm.71.309","DOIUrl":"https://doi.org/10.2185/jjrm.71.309","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88266179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Case of Pulmonary Tuberculosis and Cytomegalovirus Infection During Treatment for COVID-19 Pneumonia COVID-19肺炎治疗中肺结核合并巨细胞病毒感染1例
JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.523
Y. Enomoto, Toshiaki Takahashi, M. Kume
{"title":"A Case of Pulmonary Tuberculosis and Cytomegalovirus Infection During Treatment for COVID-19 Pneumonia","authors":"Y. Enomoto, Toshiaki Takahashi, M. Kume","doi":"10.2185/jjrm.70.523","DOIUrl":"https://doi.org/10.2185/jjrm.70.523","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76581271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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