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Masato NISHIDA, Katsumi TAKANO, Yuko ARAI, Hirokazu OZONE, Ryota ICHIK ...2008 Volume 62 Issue 12 Pages 655-661
Published: December 20, 2008
Released on J-STAGE: October 07, 2011
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Isao NAGANO2008 Volume 62 Issue 12 Pages 662-667
Published: December 20, 2008
Released on J-STAGE: October 07, 2011
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Yoshio HAGA2008 Volume 62 Issue 12 Pages 668-673
Published: December 20, 2008
Released on J-STAGE: December 02, 2011
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Toshiko MIYAZAKI, Kaoru IKEDA, Emi HOUZYO, Satoshi KURU, Masaaki KONAG ...2008 Volume 62 Issue 12 Pages 674-678
Published: December 20, 2008
Released on J-STAGE: October 07, 2011
JOURNAL FREE ACCESS -
Shunji MATSUDA, Masahiro NODA2008 Volume 62 Issue 12 Pages 679-683
Published: December 20, 2008
Released on J-STAGE: October 07, 2011
JOURNAL FREE ACCESSInfectious diseases are not an uncommon occurrence in hospital wards comprising patients with severe motor and intellectual disabilities. The most frequent cause of death among these patients is respiratory infection; this suggests that the prevalence of agents transmitting respiratory infection in these wards may be partially responsible for the death of these patients. In this study, we examined the incidence of infection and the microorganisms responsible for the same in hospitals that are a part of the National Hospital Organization.
In Ehime Hospital, infections broke out in hospital wards 7 times in 2007: the infections were caused by norovirus at 3 instances, the influenza virus at 1 instance, coxsackievirus at 1 instance (the infection being herpangina), and by unknown microorganisms at 2 instances. In 125 wards of 49 hospitals that are a part of the National Hospital Organization, infectious diseases broke out 0.49 times per ward per year, and norovirus and the influenza virus were identified as the most common causes of these infections. However, we found that respiratory infections were frequently caused by unidentified microorganisms (0.2 times per ward per year).
The identification of these microorganisms is important for preventing the outbreak of respiratory infections in hospital wards comprising patients with severe motor and intellectual disabilities.View full abstractDownload PDF (772K) -
Tomohisa KAWAHITO, Takashi TOMINAGA, Shoichi ENDO, Hideo MATSUURA, Mun ...2008 Volume 62 Issue 12 Pages 684-688
Published: December 20, 2008
Released on J-STAGE: October 07, 2011
JOURNAL FREE ACCESSA 28-year old was admitted to intensive care for treatment of massive hematemesis. The patient suffered from mitochondria disorders (MELAS), and had recently been treated by long term nasogastric intubation because of difficulties related to an oral diet and medication. Despite vigorous resuscitation, including a rapid transfusion, she did not recover. A post-mortem examination revealed an esophageal ulcer that perforated to the left subclavian artery. Her aortic arch was normal, as was the Subclavian artery. The circumference of the esophageal ulcer was thickened, suggesting chronic inflammation. We considered that long term compression by the naso-gastric tube had caused pressure necrosis of the esophageal and arterial wall, finally resulting in an arterio-esophageal fistula. An arterio-esophageal fistula (AEF) is a rare entity, but is usually present with fatal gastrointestinal bleeding. In the majority of reported cases, an AEF results from an aneurysmal formation of an aberrant right subclavian artery in elderly patients, or from naso-gastric tube intubation in young patients with an aberrant right subclavian artery. While an AEF might occur in patients who have a normal aortic arch, it usually is found as a complication of foreign body ingestion. Our case appears unique as it occurred as a result of naso-gastric intubation. We concluded that very careful management of naso-gastric tubes is required, especially in cases of long-term intubation.View full abstractDownload PDF (6390K) -
Masatsugu TAKEHISA, Takanori MIYOSHI, Shuji HASHIGUCHI, Sonoko NOZAKI2008 Volume 62 Issue 12 Pages 689-692
Published: December 20, 2008
Released on J-STAGE: October 07, 2011
JOURNAL FREE ACCESSAbstract Saliva aspiration in patients with concurrent respiratory problems and dysphagia may be relieved by tracheotomy and additional infrahyoid myotomy. Infrahyoid myotomy is often performed in combination with other surgeries for dysphagia prevention. Performed alone, Infrahyoid myotomy is less invasive. Infrahyoid myotomy alone was seemed effective for saliva aspiration management in our patients. Infrahyoid myotomy is considered effective for relief of saliva aspiration in dysphagic patients who require tracheotomy.View full abstractDownload PDF (3083K) -
Tomoko MORI, Tatsuhiko YUASA2008 Volume 62 Issue 12 Pages 693-694
Published: December 20, 2008
Released on J-STAGE: October 07, 2011
JOURNAL FREE ACCESSDownload PDF (529K) -
Masakazu YAMADA2008 Volume 62 Issue 12 Pages 695-700
Published: December 20, 2008
Released on J-STAGE: October 07, 2011
JOURNAL FREE ACCESSDownload PDF (1261K) -
[in Japanese]2008 Volume 62 Issue 12 Pages 701-702
Published: December 20, 2008
Released on J-STAGE: October 07, 2011
JOURNAL FREE ACCESSDownload PDF (705K)
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