Journal of UOEH最新文献_第10页

Hepatic Cyst Infection Following Recurrent Biliary Obstruction in Polycystic Liver Disease. 多囊性肝病复发性胆道梗阻后肝囊肿感染。

Journal of UOEH Pub Date : 2022-01-01 DOI: 10.7888/juoeh.44.353

Koichiro Miyagawa, Yu Nakano, Akitoshi Yoneda, Masashi Kusanaga, Shinji Oe, Yuichi Honma, Michihiko Shibata, Masaru Harada

{"title":"Hepatic Cyst Infection Following Recurrent Biliary Obstruction in Polycystic Liver Disease.","authors":"Koichiro Miyagawa, Yu Nakano, Akitoshi Yoneda, Masashi Kusanaga, Shinji Oe, Yuichi Honma, Michihiko Shibata, Masaru Harada","doi":"10.7888/juoeh.44.353","DOIUrl":"https://doi.org/10.7888/juoeh.44.353","url":null,"abstract":"An 89-year-old man with polycystic liver disease (PCLD) received uncovered self-expandable metallic stent (SEMS) placement above the papilla for malignant biliary obstruction caused by cholangiocarcinoma. He developed cholangitis ten months later due to SEMS occlusion caused by tumor ingrowth, and 2 plastic biliary stents were placed inside the SEMS across the papilla. Fever and right costal pain appeared two weeks after reintervention. Suspecting hepatic cyst infection based on imaging studies, percutaneous transhepatic cyst drainage was performed. Increased inflammatory cells and the presence of pathogens in the cyst fluid led to a definitive diagnosis of hepatic cyst infection. Following drainage, the hepatic cyst shrank with resolution of the symptoms. SEMS occlusive-related cholangitis or retrograde infection due to duodenal-biliary reflux after reintervention was considered as the cause of the hepatic cyst infection. Careful clinical and imaging evaluation should be performed in patients with PCLD undergone biliary stenting, because cyst infection may occur following stent occlusion or subsequent biliary reintervention.","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"44 4","pages":"353-358"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10841260","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

[Implementation of Clinical Practice in Adult Nursing (Chronic Care) During the COVID-19 Pandemic: Report on the Development and Implementation of a Training Program for Clinical Shadowing]. [COVID-19大流行期间成人护理(慢性护理)临床实践的实施:临床实习培训计划的制定和实施报告]。

Journal of UOEH Pub Date : 2022-01-01 DOI: 10.7888/juoeh.44.313

Tomoko Hagiwara, Kyohei Yamaguchi

{"title":"[Implementation of Clinical Practice in Adult Nursing (Chronic Care) During the COVID-19 Pandemic: Report on the Development and Implementation of a Training Program for Clinical Shadowing].","authors":"Tomoko Hagiwara, Kyohei Yamaguchi","doi":"10.7888/juoeh.44.313","DOIUrl":"https://doi.org/10.7888/juoeh.44.313","url":null,"abstract":"Before the outbreak of COVID-19, \"Clinical Practice in Adult Nursing (Chronic Care)\", a professional course to acquire basic nursing practice skills for the care of adult patients with chronic diseases, was conducted on site in the wards of internal medicine, outpatient departments, and the admissions support office for a total of three weeks. Due to the spread of the COVID-19 epidemic, however, clinical practice was carried out online from May 2020, and was resumed on site at our university hospital in October 2020. A restriction was placed on the length of time spent at the hospital for on-site training, referring to the training standards based on our university's new coronavirus response manual, and a training program was developed for hospital ward training, consisting mainly of shadowing practice performed without speaking or coming into contact with patients. In principle, two students were assigned to one patient: one in the morning and the other in the afternoon. In addition, for practicing the acquisition of patient information through conversation and the provision of nursing assistance, the perspectives used in the process of shadowing were clearly defined so that students could maintain active attitudes in clinical practice, and support was provided so that students could have the experience of engaging with patients, using nurses as mediators. In the results, the students evaluated the contents of the prepared assistance based on their own nursing plan in reference to the practice of the nurse as a mediator, and compared that with the assistance practiced by the nurse based on clinical judgment, which contributed to acquiring practical learning supported by the grounds for clinical judgment. However, the students could not experience the process of building supportive relationships and the implementation of nursing skills, which remained an issue.","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":"44 3","pages":"313-319"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33458573","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

Capability of Relative Odor Level Monitors to Measure the Odor of Thirdhand Smoke. 相对气味水平监测仪测量三手烟气味的能力。

Journal of UOEH Pub Date : 2022-01-01 DOI: 10.7888/juoeh.44.269

Mitsuo Hinoue, Kunio Hara, Ying Jiang, Hiroshi Yamato

引用次数: 0

[Health Effects Caused by Soil Fumigant Chloropicrin, Reduction of Exposure to Chloropicrin, and Alternative Technology of Soil Fumigants]. [土壤熏蒸剂氯丁对健康的影响，减少氯丁暴露和土壤熏蒸剂的替代技术]。

Journal of UOEH Pub Date : 2022-01-01 DOI: 10.7888/juoeh.44.395

Hiroshi Nagami, Takajiro Suenaga

{"title":"[Health Effects Caused by Soil Fumigant Chloropicrin, Reduction of Exposure to Chloropicrin, and Alternative Technology of Soil Fumigants].","authors":"Hiroshi Nagami, Takajiro Suenaga","doi":"10.7888/juoeh.44.395","DOIUrl":"https://doi.org/10.7888/juoeh.44.395","url":null,"abstract":"Pesticides are essentially toxic to living things and are used openly, so it is necessary to monitor them to prevent their adverse effects. We have studied farmers'exposure to pesticides during soil fumigation operations with chloropicrin, and have noted a danger to the farmers in the form of dyspnea. We examined accidents/symptoms of residents from chloropicrin reported by the Ministry of Agriculture, Forestry, and Fishery from 2010 to 2019. Eighty percent of the cause of these manifestations was the failure to cover fumigated soil with plastic film. Symptoms shown by residents included eye pain (91%), sore throat (35%), and headache (14%). The most common film used for covering fumigated soil in Japan is polyethylene. The agricultural technology centers in Japan have studied the use of gas barrier films, and found it possible to decrease the amount of chloropicrin used to 1/3, and leakage into the atmosphere to less than 1/10. This technology has become popular in the production of sweet potatoes in Tokushima Prefecture. Soil disinfection by solar heat has also been studied in Japan. These studies have shown positive advancements in the fertilization of soil and in the control of microbes. Chloropicrin has caused occupational exposure to farmers and environmental exposure to local residents. It is advisable that the technologies mentioned above become common practice.","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":" ","pages":"395-404"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40458039","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: 1

[A Case of Bilateral Medial Medullary Infarction With Heart Appearance Sign]. 双侧内髓梗死伴心脏外观征象1例。

Journal of UOEH Pub Date : 2022-01-01 DOI: 10.7888/juoeh.44.373

Hirotsugu Ohta, Takeru Umemura, Hirohisa Kondoh, Junkoh Yamamoto

引用次数: 0

[The Japanese Law Regulating Underwater and Caisson Work: Current Issues and Future Developments]. [管理水下和沉箱作业的日本法律:当前问题和未来发展]。

Journal of UOEH Pub Date : 2022-01-01 DOI: 10.7888/juoeh.44.359

Kiyotaka Kohshi, Yoshitaka Morimatsu, Hideharu Nishikiori, Toshihiro Kondo, Hideki Tamaki, Tatsuya Ishitake

{"title":"[The Japanese Law Regulating Underwater and Caisson Work: Current Issues and Future Developments].","authors":"Kiyotaka Kohshi, Yoshitaka Morimatsu, Hideharu Nishikiori, Toshihiro Kondo, Hideki Tamaki, Tatsuya Ishitake","doi":"10.7888/juoeh.44.359","DOIUrl":"https://doi.org/10.7888/juoeh.44.359","url":null,"abstract":"The Japan \"Ordinance on Safety and Health of Work under High Pressure\", which is the law regulating health conditions for workers under high pressure environments, was amended in 2014. The revised regulations have highlighted other difficulties and new problems, but they have not yet written an appropriate amendment based on the aspect of occupational and environmental health. Health management for occupational divers and caisson workers in accordance with the new regulations has not determined the best approach to reducing related disorders and will cause other legal problems. This paper presents some issues in the new regulations for hyperbaric workers, which directly or indirectly involve occupational health physicians. Health checkups and work limitations should be done in consideration of the occupational characteristics of the undersea and hyperbaric environment. Regular examinations using specific studies are useful to diagnose the early stages of chronic conditions for workers, and are also useful for determining the hiring suitability for hyperbaric workers. Work limitations should be decided by the conditions that induce serious accidents or disorders that result from exposure to hyperbaric environments, and depend on the obstacles for work due to sequelae of decompression sickness. The new regulations need to be properly revised, based on scientific evidence, to include health management for workers in undersea and hyperbaric environments.","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":" ","pages":"359-372"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40570503","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

[Announcement of the 40th Annual Meeting of the UOEH Association of Health Sciences]. [UOEH卫生科学协会第40届年会公告]。

Journal of UOEH Pub Date : 2022-01-01 DOI: 10.7888/juoeh.44.321

引用次数: 0

A Case of Pancreatic Neuroendocrine Tumor G3 Which Responded Remarkably to Chemotherapy. 胰腺神经内分泌肿瘤G3化疗疗效显著1例。

Journal of UOEH Pub Date : 2022-01-01 DOI: 10.7888/juoeh.44.287

Satoru Nebuya, Shinji Oe, Yoshikazu Harada, Yusuke Takeuchi, Akitoshi Yoneda, Yudai Koya, Koichiro Miyagawa, Yuichi Honma, Michihiko Shibata, Masaru Harada

引用次数: 0

Pre-operative Physical Performance Is Associated With Early Return to Work in Peri-operative Lung Cancer Patients. 围手术期肺癌患者术前体能表现与早期重返工作岗位相关

Journal of UOEH Pub Date : 2022-01-01 DOI: 10.7888/juoeh.44.341

Hiroaki Teramatsu, Hiroshi Yamato, Ying Jiang, Hiroaki Kako, Satoshi Kuhara, Ryosuke Ohya, Hideaki Itoh, Koji Kuroda, Yasuyuki Matsushima, Satoru Saeki

{"title":"Pre-operative Physical Performance Is Associated With Early Return to Work in Peri-operative Lung Cancer Patients.","authors":"Hiroaki Teramatsu, Hiroshi Yamato, Ying Jiang, Hiroaki Kako, Satoshi Kuhara, Ryosuke Ohya, Hideaki Itoh, Koji Kuroda, Yasuyuki Matsushima, Satoru Saeki","doi":"10.7888/juoeh.44.341","DOIUrl":"https://doi.org/10.7888/juoeh.44.341","url":null,"abstract":"Little is known about the factors related to return to work (RTW) in patients with peri-operative lung cancer (LC). This study aimed to investigate whether pre-operative physical performance is associated with early RTW in patients with peri-operative LC. A total of 59 patients who wished to resume work after lung resection surgery were included and were divided into three groups: early RTW (within 14 days after discharge), delayed RTW (within 15-90 days), and non-RTW (failure of RTW within 90 days). The early RTW group had significantly lower scores on the modified Medical Research Council dyspnea scale (mMRC) and significantly higher scores on the Euro Quality of Life 5-Dimension 3-Level (EQ-5D-3L) than the non-RTW group. Multivariate logistic regression analysis showed that EQ-5D-3L scores were significantly associated with early RTW, and mMRC scores and knee extensor strength tended to be associated with early RTW. Better pre-operative quality of life, mild dyspnea, and greater lower limb muscle strength tended to be associated with early RTW in patients with peri-operative LC.","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":" ","pages":"341-351"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40458885","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 Contact Dermatitis Due to Ultrasonography Gel]. 【超声凝胶致接触性皮炎1例】。

Journal of UOEH Pub Date : 2022-01-01 DOI: 10.7888/juoeh.44.379

Hitomi Sugino, Yu Sawada

{"title":"[A Case of Contact Dermatitis Due to Ultrasonography Gel].","authors":"Hitomi Sugino, Yu Sawada","doi":"10.7888/juoeh.44.379","DOIUrl":"https://doi.org/10.7888/juoeh.44.379","url":null,"abstract":"A 60-year-old female had a subcutaneous mass in the B region of the left breast. A needle aspiration cytologic examination revealed class IV, and she was referred to our surgical department for examination and treatment. She underwent an ultrasound echography on bilateral the mammary glands and axillary lymph nodes. Erythematous papules and plaques were revealed on her left breast, left axilla, and in the center of the chest area. The patient was referred to our dermatology department for evaluation of her skin eruption. Histopathological examination revealed the infiltration of lymphocytes and eosinophils in the perivascular of the upper dermis with spongiosis and liquid degeneration in the epidermis. A patch testing showed a positive reaction to ultrasonography gel. Based on the clinical course and examinations, we diagnosed her skin eruption as contact dermatitis due to ultrasonography gel. Her skin eruption improved rapidly by topical application of betamethasone butyrate propionate ointment. Recurrence of her skin eruption could be avoided by the removal of the gel after the ultrasonography examination. Our case report demonstrated to us that contact dermatitis could be prevented by promptly wiping off the ultrasonography gel from the skin after the examination.","PeriodicalId":17570,"journal":{"name":"Journal of UOEH","volume":" ","pages":"379-383"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40549656","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: 1