FUKUSHIMA MEDICAL JOURNAL
Online ISSN : 2436-7826
Print ISSN : 0016-2582
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Displaying 1-9 of 9 articles from this issue
  • Makoto Onodera, Yasuhiko Tsukada, Tsuyoshi Suzuki, Tomotaka Misawa, Sa ...
    2022 Volume 72 Issue 2 Pages 57-64
    Published: 2022
    Released on J-STAGE: August 10, 2022
    JOURNAL FREE ACCESS FULL-TEXT HTML

    Abstract:[Aim] The aim of this study was to determine the effect of rotating night shift support by physicians from the Department of Regional Emergency Medicine on managing challenging cases requiring emergency transport, all of which occurred under the jurisdiction of Fukushima City Fire Station. [Method] Data on challenging cases during a 4-year period (January 2017 to December 2020) were obtained from the Fukushima City Fire Station emergency transport records. Ambulance transport time records from four hospitals (Hospitals A to D), to which the rotating night shift support physicians were sent, were also obtained. We determined the number of ambulance transports that occurred during the study period at each supported hospital and divided them into days on which support from our department was provided (supported-days group) and not provided (non-supported-days group). We then determined the number and percentage of challenging emergency transport cases in both groups. [Results] The number of challenging emergency transport cases was significantly lower in the supported-days group than in the non-supported-days group at all four hospitals:Hospital A, 6 vs. 34 (p < 0.001); Hospital B, 7 vs. 26 (p < 0.001); Hospital C, 5 vs. 35 (p < 0.001); and Hospital D, 0 vs. 28 (p = 0.025). [Conclusion] Rotating night shift support by physicians from our department significantly reduced the number of challenging cases requiring emergency ambulance transport in Fukushima City. Rotating appropriate triage by emergency medicine physicians may be a useful model in areas where there is a shortage of emergency medicine physicians.

  • Kei Nakada, Shin Kumagai, Osamu Muraki, Shuzo Suzuki
    2022 Volume 72 Issue 2 Pages 65-71
    Published: 2022
    Released on J-STAGE: August 10, 2022
    JOURNAL FREE ACCESS FULL-TEXT HTML

    Abstract:An 82-year-old man presented to our department in December 2020 with a complaint of right lumbar back pain. An abdominal computed tomography showed an irregular mass at the right renal hilum. The abdominal CT, retrograde pyelography, and urine cytology did not reveal a renal or urinary tract malignancy, and retroperitoneal fibrosis was also suspected. An echo-guided biopsy was performed to confirm the diagnosis because of high levels of serum IgG and IgG4. The histopathological specimens showed diffuse lymphocyte aggregation and fibrosis. The patient was diagnosed as having IgG4-related retroperitoneal fibrosis because the IgG4/IgG-positive cell ratio increased to 40 or more. After treatment with prednisolone 20 mg/day, the right hilar mass shrank and the serum IgG4 level decreased.

  • Ikuro Oshibe, Kazuhiro Kamata, Arika Saito, Hitomi Konno, Kumiko Kashi ...
    2022 Volume 72 Issue 2 Pages 73-83
    Published: 2022
    Released on J-STAGE: August 10, 2022
    JOURNAL FREE ACCESS FULL-TEXT HTML

    Abstract:Vaccination is being promoted around the world as an effective countermeasure against COVID-19. The Oku-Aizu Homecare Center (OAHC), a division of the Fukushima Prefectural Miya­shita Hospital, has provided support for group vaccination in the three Oku-Aizu towns of Yanaizu, Mishima, Kaneyama, and the village of Showa. The OAHC began discussing vaccination with the three Oku-Aizu towns and the village in March 2021 and vaccinations began in May 2021. Between May and August 2021, 20 group vaccination sessions were delivered, with the OAHC providing support for all group vaccinations and post-vaccination follow-up. A total of 2,290 people were vaccinated with 14 cases requiring post-vaccination support. In four of these cases, anti-allergic medication was prescribed and two cases required referral to a medical institution. Additionally, seventy-nine people were vaccinated in the visiting vaccination program, none of whom required post-vaccination care. In this unprecedented project, we focused on alleviating the burden on the towns and the village involved when preparing for vaccination delivery. Furthermore, the knowledge and experience gained from the group vaccination against influenza in the previous year, conducted in one district of Mishima Town, were useful in this project. Based on the deepening of relationships between the towns, the village and the medical institutions through this initiative, the people of the three towns and the village support the OAHC in continuing its activities to protect the future health of residents.

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