All issues
Volume 51 (2002 - 200･･･
- Issue 6 Pages 831-
- Issue 5 Pages 705-
- Issue 4 Pages 619-
- Issue 3 Pages 230-
- Issue 2 Pages 63-
- Issue 1 Pages 1-
Volume 51, Issue 2
Displaying 1-13 of 13 articles from this issue
- |<
- <
- 1
- >
- >|
-
Tatsuo SHIIGAI, Kazuko OHGUSHI, Yasushi SAKURAI, Hiromi NAITOU2002 Volume 51 Issue 2 Pages 63-67
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe should decide the dose in renal insufficiency according to an attachment document, estimated by Cockroft-Gault's formula. It is better not to decide the dose only byexcretion route. In addition, we should not administer the nephrotoxic drugs, especially NSAIDs, to renal insufficiency.
Also, it is necessary to pay enough attention to the overdose of drugs, which do not cause renal toxicity but cause dangerous side effects to the central nervous system.
Many attachment documents have a lot of lacks in the mention for renal insufficiency and need to be improved.View full abstractDownload PDF (612K) -
Gen KURAMOCHI, Shin HASEGAWA2002 Volume 51 Issue 2 Pages 68-73
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSPatients with chronic renal failure (CRF) have a great psychological burden before they start hemodialysis and when the treatment begins. We initiated once-a-week hemodialysis program, designed to reduce the psychological burden as well as to keep the residual renal function. A total of 13 CRF patients with an adequate urine volume participated in this program. Nutritional counseling was done in all the patients. They were on hemodialysis for five hours at a time. The blood flow rate of more than 200ml/min was secured. Dialyzers with the largest filtering membrane area possible were used, the physique of the patients taken into due consideration. The weekly hemodialysis treatment was continued, so long as the levels of serum urea nitrogen, serum creatinine and body weight gain were lower than 100 mg/dl, 13.0mg/dl, and 3.0kg/week, respectively. Pre-dialysis urine volume and creatinine clearance were 1, 370±160ml/ day and 4.7±0.4ml/min, respectively. The hemodialysis treatment continued for 25±5 times. There were no significant correlations between the duration and pre-dialysis levels of urine volume, creatinine clearance, serum urea nitrogen, serum creatinine, hematocrit, arterial blood pH and HCO3-. Hemodialysis were discontinued when there were increases in body weight (7 patients), the increase in solutes (3 patients), and both (3 patients). The average monthly medical expenses involved in once-a-week hemodialysis was 55.1% of those entailed by hemodialysis treatment three times a week. Once-a-week hemodialysis is suitable for the conditions: 1. Patients have an ad quate urine volume and no severe edema. 2. Serum urea nitrogen and creatinine levels are not extremely high. 3. Patients fully comply with their dietitian's advice. 4. Shunt blood fl ow is kept enough. Provided these conditions are met, our study suggested, once-aweek hemodialysis should be considered as one of the treatment options, because it was proved effective in reducting CRF patients psychological burden, maintaining residual renal function, and cutting medical costs.View full abstractDownload PDF (711K) -
Yoriko SAITOU, Tomoko MIYAZAWA, Setsuko ARISAKA2002 Volume 51 Issue 2 Pages 74-79
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSTo look into the mental and health conditions of aged patients in our hospital, we prepared a check list, using the day-care assessment of the aged people with dementia and the institutional care assessment (MDS 2.1) as references. The check points on the list were classified into seven categories and so arranged. A toal of 57 patients placed in our nursing convalescent units were evaluated for their functional ability. The results revealed the urinary incontinent score improved by 71%. More than 50% improvement was seen in the categories of “positivity, ” “depressive tendency, ” and “activitiesof daily living (ADLs), ” respectively. The improvement ratios for problematic behavior, comprehension, and recognition/memory were somewhere between 30% and 40%. These results indicated that depending on how caregivers address patients' problems, even if they were chronic, the aged people's mental and physical functions could be improved or maintained. These findings also suggested that the methodology associated with geriatric care our hospital had been providing, including treatment of incontinence, was effective. It is our policy to provide care and rehabilitation programs so designed as to meet the patients' needs and to help the patients realize that the ADLs would go a long way toward returning to normal. Our recreational program was also found effective. Furthermore, the present study revealed that in many patients mental and physical functions had improved within two months after hospitalization. Our hospital with nursing convalescent facilities is expected to provide optimal care and rehabilitation programs that would help the aged and disabled people improve or, at least, maintain their mental and physical functions that remain. We also have an educational role to play in creating an environment that makes it easy for old people to live together with other people and get well with them.View full abstractDownload PDF (679K) -
Hideomi FUJIWARA, Kenichi KAWADA2002 Volume 51 Issue 2 Pages 80-88
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSLifestyle-related diseases are defined as diseases which have close relations to indivisual lifestyle. The Agricultural Health Care Center in our hospital has been performing health checkups for 5, 000 members every year. However, analysis of data obtained has not been effectively used for the purpose of prevention of disease and health promoting education. Therefore, we built up data-base and analysed risk factors in lifestyle-related diseases. Results; 1) Total-cholesterol (T-Chol) level was higher in females than in males. The level of T-Chol showed a tendency to decrease in males and to increase in females with in creasing age. 2) Triglyceride (TG) level was higher in males than in females. TG level was most highest in younger males. 3) Blood pressure (BP) was higher in males than in females and elevated as their ages increase in both sexes. 4) HDL-cholesterol was lower in males than in females. 5) Diabetic pattern in blood suger (GL) level was more common in males than in females. 6) The incidence of obesity was slightly higher in males than in females. 7) Individuals with more than two risk factors accounted for 26% of the total. The Percentege for men alone was 31% which was higher than that for women. The education and advise to correct bad habits for prevention of diseases appear to be neccesary especially for males who are at higher risk than females are.View full abstractDownload PDF (1217K) -
Ichiro YANAI2002 Volume 51 Issue 2 Pages 89-94
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSSilent cerebral infarction (SCI) is often detected by magnetic resonance imaging (MRI) in patients with depression in late life. The late-life depression combined with SCI is known as MRI-defined vascular depression. Many studies have shown that this type of depression is likely to develop both psychiatric and neurological disorders in the course of time. Based on the previous findings, we made a 3-year follow-up study of patients with MRI-defined vascular depression in order to clarify risk factors that help develop complications such as delirium, dementia and parkinsonism. In this study, vascular risk factors (i.e., hypertension, diabetes mellitus etc.) were investigated retrospectively using clinical charts. Because of the small sample size, we could not find anything new about risk factors critical for either psychiatric or neurological disorders in patients with MRI-defined vascular depression. To demonstrate that preventing lifestyle-related diseases could reduce chances of having both psychiatric and neurological disorders, prospective studies are needed.View full abstractDownload PDF (749K) -
Yoshio NISHIGAKI, Shousui MATSUSHIMA, Hideo KINEBUCHI, Hiroshi NAGAMI, ...2002 Volume 51 Issue 2 Pages 95-104
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSData concerning clinical cases of pesticide-induced disorders were collected from members of the Japanese Association of Rural Medicine during 1998-2000 FY throughout the nation, and were analyzed statistically.
1) A total of 209 cases of poisoning by agricultural chemicals were reported from 49 hospitals and other medical institutions.
2) By types of clinical manifestations, the majority of the cases were acute or subacute pesticide poisoning (91%), which was followed by acute dermatitis (5%) and chemical burn (3%).
3) Suicide accounted for 67% of the pesticide poisoning cases, which was followed by accidental exposure on the job during spraying (17%), and so forth.
4) Organophosphate insecticides were the most frequent inducers of the clinical cases (34%), which was followed by bipyridylium herbicides (21%) and a carbamate insecticides (9%), and so forth.
5) There were 43 cases of intoxication during spraying, during preparation or settling, and working in sprayed areas By types of clinical manifestations, the majority of the cases were acute or subacute pesticide poisoning (56%), which was followed by acute dermatitis (23%) and chemical burn (16%).
6) Agricultural chemical compounds responsible for the clinical cases varied greatly. They induced organophosphate insecticides (19%), and bipyridylium herbicides (12%).
7) Main factors contributing to the onset of pesticide-related disorders were insufficient protective clothing (32%), carelessness (22%), and inevitable consequences of pesticide use (10%).View full abstractDownload PDF (973K) -
Takahiro TOYOFUKU, Yuichi TOKUNAGA, Toru OKAMURA, Koh KANEDA2002 Volume 51 Issue 2 Pages 105-107
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWe have studied post tetanic count (PTC) and single twitch height at the onset of reflex movement to carinal stimulation after administration of vecronium to 10 female patients under total intravenous anesthesia. During spontaneous recovery from vecronium-induced neuromuscular block, the carina was stimulated at every 120s. It took 18.7±5.5 minutes before reflex movement started, T1% was 1.9±2.2%, and PTC was 11.59±5.3 counts. In 5 cases, T1% did not appear at the onset of reflex movement.View full abstractDownload PDF (284K) -
Makoto TAKANO, Momoko TSUJI, Hidefumi TOKIWA2002 Volume 51 Issue 2 Pages 108-113
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSAt the request of the Department of Neurosurgery, we are providing a special preparation for exclusive use in our hospital. It is artificial cerebrospinal fluid (CSF). The man-made CSF is a solution made similar to human CSF in its composition and is prepared under the aseptic condition. Prior to taking up the task of preparing CSF, we pored over the text of the Product Liability (PL) Law in view of its safety. The defects of products cited by the law included structural defects, functional defects and defects in the way of instructions and caveats. So, a pharmaceutical protocol was drawn out and labels as well as package inserts providing necessary information about the CSF were made. Moreover, we straightened up and improved the workplace environment. All these efforts have resulted in the achievement of homogeneity in the quality of CSF preparations ; protection against bacteria and other contaminants; prevention of accidents due to the commission of errors in the method of use and preparation; and the promotion of proper use of drugs through unification of information. As pharmacists, we can also say with confidence that we have done much for the right use of other medicines dispensed by us through the preparation of protocols, labels and package inserts after carefully examining the PL law.View full abstractDownload PDF (774K) -
Yoshifumi SUZUKI, Kunihiko WATARAI, Tetsuya SHIRAI, Kazuyuki TAKAGI, T ...2002 Volume 51 Issue 2 Pages 114-126
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSWith the advent of a society in which the number of elderly people is increasing and the number of babies a woman gives birth to in her lifetime is decreasing, how to address to the future financial broblem of the nation's health insurance schemes has come up for discussion. Against the backdrop of quantitative repletion of medical care, the government has come pu with a policy calling for the containment of medical costs. Under the circumstances, it is expected that the proceeds from medical treatment will level off in years to come. To cope with the situation, the Federation of Agricultural Cooperatives for Welfare in Aichi Prefecture has planned to install a department-wise cost control system in its member hospitals with eht aim of making all staff members cost-conscious, profit-minded and futrure-oriented in every department. In this paper, the authors will present the system in outline and show the target number of patients set on the basis of the break-even point, financial analyses of departments where revenues are below the break-even point and measures to deal with deficits case by case. In addition, as a task to be tackled with, the need for the omprovement of the accuracy and the standardization of the system will be discussed.View full abstractDownload PDF (1193K) -
Satoru TAKEDA, Toshiaki TAKAHASHI, Kaori OHMORI, Kohei FUKAHORI, Masay ...2002 Volume 51 Issue 2 Pages 127-133
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA19-year-old man was admitted to the hospital because of severe congestive heart failure on 7 April 2000. In the previous year his case had been diagnosed as Churg-Strauss syndrome (allergic granulomatous angiitis, AGA) with bronchial asthma and mononeuritis multiplex. Echocardiography revealed the dilatation of the left ventricle (LVDd 74 mm) and impaired left ventricular systolic function (LVEF 20%). On the 21st hospital day, the irregularity of peripheral branches of left and right coronary arteries was detected by coronary arteriography. Right ventricular endomyocardial biopsy yielded little fibrosis and no infiltration of eosinophil. Although all the laboratory tests showed lower activity of AGA, steroid pulse therapy was tried and the use of steroids was tapered at intervals of two weeks. Left ventricular function was slowly improved (LVDd 60 mm, LVEF 36%). He was discharged on foot on the 71st hospital day.View full abstractDownload PDF (7780K) -
Emiko OONO, Naomi TAKAHASI, Akiko ASANO, Yayoi YOSHIDA2002 Volume 51 Issue 2 Pages 134-136
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSIt is difficult to cool children with high fever by the conventional method because they cannot keep quiet in the bed, playing briskly or clinging on to their mother's bosom. We have devised new cooling methods available in any posture of the children. Cooling agents were packed into a rucksack or vest to cool the back, or into a rag doll to cool the axilla. The effectiveness of these devices was examined. The mothers of the patients at the age of 1 to 3 selected one of the three cooling methods randomly. As a result, the rucksack type were the vest type were accepted by their children for many hours, and were effective in lowering bode temperature in 65% of the cases. The mothers also seemed to like the new cooling methods. They commented that their children are free from restraint and the cooling devices are conveniently invisible for them.View full abstractDownload PDF (2302K) -
2002 Volume 51 Issue 2 Pages 137-150
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (1877K) -
2002 Volume 51 Issue 2 Pages 151-155
Published: August 05, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (610K)
- |<
- <
- 1
- >
- >|