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Article type: Cover
2001 Volume 71 Issue 8 Pages
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Published: August 01, 2001
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Article type: Index
2001 Volume 71 Issue 8 Pages
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Published: August 01, 2001
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Article type: Index
2001 Volume 71 Issue 8 Pages
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Hidekuni Ogawa, Yoshiharu Yonezawa, Hiromichi Maki
Article type: Original Contribution
2001 Volume 71 Issue 8 Pages
373-379
Published: August 01, 2001
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A home hepler support system has been developed for eliminating the time required to check the visit schedule and input the report into the computer at the employment office before and after care visits. The system consists of a wireless internet mobile phone for each home helper and a server computer at their office. After each visit, the home helpers send their care reports by the mobile phone to the office and the server computer stores their filings instantaneously. Care schedules and previous care reports are also provided to the home helper via phone by this computerized data system. Therefore, the developed system enables one to save a significant amount of time and unnecessary travel.
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G. Suganuma
Article type: Review
2001 Volume 71 Issue 8 Pages
380-
Published: August 01, 2001
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A. Kuwashima
Article type: Review
2001 Volume 71 Issue 8 Pages
381-385
Published: August 01, 2001
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T. Kushiro
Article type: Review
2001 Volume 71 Issue 8 Pages
386-390
Published: August 01, 2001
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G. Suganuma
Article type: Review
2001 Volume 71 Issue 8 Pages
391-396
Published: August 01, 2001
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N. Tatsumi, [in Japanese], [in Japanese]
Article type: Review
2001 Volume 71 Issue 8 Pages
397-401
Published: August 01, 2001
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M. Kaufman
Article type: Report
2001 Volume 71 Issue 8 Pages
402-407
Published: August 01, 2001
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Shin-ichi Uryu, Ryoko Inomo, Tomoka Iwazaki, Yumi Uchida, Kaoru Kobaya ...
Article type: Technical Notes
2001 Volume 71 Issue 8 Pages
408-
Published: August 01, 2001
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Since the home mechanical ventilation therapy has started in 1975, the number of patients has continued to increase in Japan. They said that the quality of life of these patients, who must have been hospitalized for mechanical ventilation in the past, has remarkably improved. However, the close cooperation of medical personnel (physicians, nurses, clinical engineering technologists and so on) related to this therapy is essential to the provision of the safe and effective home mechanical ventilation therapy for patients and their family. We think that the clinical engineering technologists play an important role in making this therapy safer and more effective from the engineering point of view. We are going to introduce the role of the clinical engineering technologists for home mechanical ventilation in Japan.
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Meri Kubota, Hiromi Ishida, Yoshitada Kojima, Atsuhisa Fukuda, Yasuaki ...
Article type: Technical Notes
2001 Volume 71 Issue 8 Pages
409-
Published: August 01, 2001
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The 1995 Hanshin-Awaji earthquake completely destroyed approximately 92, 000 house and caused about 5, 500 death and 41, 000 casualties. We previously reported 372 crush syndrome patients, had a high mortality rate (13.4%). Most of their early deaths were caused by hyperkalemia, metabolic acidosis and dehydration. Therefore, it is suggesting that the rapid measurement of electrolytes and arterial blood gases at the scene of the disaster reduce the mortality of crush syndrome. Our purpose of this study is to evaluate the accuracy of the mobile clinical analyzer compared with the laboratory analyzer and to investigate its reliability at outside the hospital. We concluded that the mobile clinical analyzer is reliable and useful regardless of differential blood sample. Thus, measuring of electrolytes and arterial blood gases at disaster fields appears to be a useful for triage and improvement their survival rate.
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Takashi Kano, Hiroshi Usui, Motohiro Sakai, Yoshikura Haraguchi, Toru ...
Article type: Technical Notes
2001 Volume 71 Issue 8 Pages
410-411
Published: August 01, 2001
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Clinical Engineering Technologists (CETs), certified by the Japan health and welfare ministry, are experts for life support devices and also managers for the safety of medical equipments in hospitals. CETs performed important roles in Y2K problems, and have been expected as experts for risk management on medical equipments in hospitals. CFTs have to grapple with the problem of disaster medicine, which is a kind of risk management. Some members of Tokyo Association of Clinical Engineering Technologists (TACET) participated in the night experiment of a power failure in the whole building at Shirahigebashi hospital in Jan.1998, which was the first trial in Japan. Roles of CETs in the experiment are shown below. 1. Preparation for power supplies to medical equipments supporting patients. 2. Safety control for patients supported by life support devices, especially ventilators. 3. Check for operation of medical equipments and observation of power supply waveforms, while a private electric generator was in operation following a power failure in the whole building. TACET organized a disaster medicine committee after this experiment and started activity for disaster measures on medical equipments. At first, a member of TACET disaster medicine committee joined in Tokyo metropolitan disaster medicine committee and cooperated with it to make the general manual of disaster measures. And then, the members of TACET disaster medicine committee investigated roles of CETs in disaster medicine. Main roles are shown below. 1. Confirmation on installations of emergency power sources. 2. Confirmation on time limit of battery operation for medical equipments with battery. 3. Preparation for manual methods substituting for ordinary methods with electric power sources. 4. Participation in periodical inspections for electric facilities. 5. Confirmation on storage of medical gas cylinders. 6. Confirmation on water storage and water supply system. 7. Installation of medical equipments and facilities with protection against disasters. 8. Establishment of communication networks in disasters. It's important to make the manual of disaster measures, but it's also important to experience a power failure in disaster training. So, we will make the manual to carry out the disaster training safely.
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Article type: Reports from the Society
2001 Volume 71 Issue 8 Pages
412-
Published: August 01, 2001
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Article type: Appendix
2001 Volume 71 Issue 8 Pages
413-414
Published: August 01, 2001
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Article type: Appendix
2001 Volume 71 Issue 8 Pages
415-416
Published: August 01, 2001
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Article type: Appendix
2001 Volume 71 Issue 8 Pages
417-418
Published: August 01, 2001
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Article type: Appendix
2001 Volume 71 Issue 8 Pages
A10-A12
Published: August 01, 2001
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Article type: Cover
2001 Volume 71 Issue 8 Pages
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Published: August 01, 2001
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