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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 4
Displaying 1-5 of 5 articles from this issue
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Ju MIZUNO, Akiko WAKUTA, Hiroshi MATSUOKA, Masayuki OKAHARA, Michiko M ...2002 Volume 51 Issue 4 Pages 619-623
Published: November 25, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSUpper gastrointestinal endoscopy is an invasive examination. Cardiovascular and respiratory adverse effects are commonly observed in patients undergoing endoscopy. We investigated prospectively the cardiovascular and respiratory changes every oneminute before, during and after routine endoscopy. Sixteen healthy adult patients were enrolled in this study. Systolic blood pressure, diastolic blood pressure, pulse rate and percutaneous arterial oxygen saturation (SpO2) were recorded every one-minute throughout the procedure. Systolic and diastolic blood pressure increased significantly one minute after the insertion of the endoscope. Increases in pulse rate were noted after the insertion of the endoscope. Rate pressure product increased significantly one minute after the insertion of the endoscope. No significant change in SpO2 was observed during endoscopy. Our results indicated that upper gastrointestinal endoscopy might induce cardiovascular stress and abnormality. Therefore, we should carefully insert and manipulate upper gastrointestinal endoscope.View full abstractDownload PDF (574K) -
Yasuji TAKANO, Kenji TAKASHIMA, Kohichi FUKUMURA, Masashi HOSOYA, Yosh ...2002 Volume 51 Issue 4 Pages 624-628
Published: November 25, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe maintenance of life-supporting systems, such as respirators, has been the responsibillity of the central management unit since December 1991. The in-house unit was set up to ensure a high-quality level of maintenance and safety of medical equipment.
We analyzed the incidence of trouble with respirators between 1995 and 1999, based on the logs of the machines and check lists. Fifty-one percent of the incidence was found by medical engineers while they were making their rounds of inspection in the wards, thirty-four percent during periodical checkups at the central safety management unit, and fifteen percent upon request for examination. The faults in warmers and humidifiers attached to the respirators were found only at the wards or upon request for examination. The causes of trouble in the respirators were mechanical failures rather than human error. The mechanical factors was responsible for the incidence 2.9 times as much as human factors. The incidence of trouble associated with the warmers and humidifiers notably dropped after the types of instruments were unified in 1997. To ensure safety, we came to the conviction that the dual check system-the regular inspection at the central safety management unit and the engineers' rounds of inspection-is very effective. The selection of appropriate instruments was also important.View full abstractDownload PDF (688K) -
Kazuhiko KOTANI2002 Volume 51 Issue 4 Pages 629-632
Published: November 25, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSThe aim of this investigation was to outline the present situation concerning home medical care and its contents in Japan, excluding general medication.
We examined answers to questionnaires about care contents published in a book that nationally involved doctors who were providing medical care in the patient's home. More than 80 percent of the doctors who responded to the survey gave treatment with intravenous drip-infusions, bladder/urine catheters, injections or tube feeding. Treatment of intravenous hyperalimentation or rehabilitation was also applied by many doctors. General practitioners tended to treat their patients with continuous infusions, injections or home oxygen masks more frequently than hospital doctors. There was no marked difference between generations of doctors in the performance of various care services. We described in part the situation of home medical care and its contents and the performance of some care services might be influenced by providers-hospital or clinic-based doctors.View full abstractDownload PDF (536K) -
Kenji KATAGIRI, Satoshi WAKITA, Takeshi YOKOI, Higashi SUGIMOTO, Hirof ...2002 Volume 51 Issue 4 Pages 633-650
Published: November 25, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSA survey was conducted by sending questionnaires to 466 doctors working at nine hospitals affiliated with the Aichi Prefectural Federation of Agricultural Cooperatives for Health and Welfare (Kohseiren).
The survey found that the length of service was under 5 years in 60% of the respondents and that many of them identified themselves strongly with the department of the teaching hospital where they were trained.
They were found to be little intersted in the present situation of the agricultural cooperatives and Japanese agriculture. However, they said they were satisfied with the present working conditions, because they could show their skills. Most approved of organ transplants after brain death but disapproved of human cloning. They showed a positive attitude toward the allowing of each patient to give access to his or her clinical records and standardization of medical treatment. Some 67% of the doctors admitted they had made medical mistakes and keenly realized the necessity of risk management.
While feeling uneasy about the recent upsurge of lawsuits brought by patients about medical treatment, they said they are endeavoring to provide safe and high quality medical service. Their recent concerns were rearrangement of dispensaries based on the subspecialty, reinforcement of postgraduate courses in medical schools and the postgraduate training system which will be a legal obligation from 2005. They suported the reform plans for the national medical service for aged patients and recognized the necessity of joining hands with local agricultural cooperatives in providing nursing care services. They said they wish to continue their career as a physican at the Kohseiren hospital.View full abstractDownload PDF (14836K) -
2002 Volume 51 Issue 4 Pages 651-678
Published: November 25, 2002
Released on J-STAGE: August 11, 2011
JOURNAL FREE ACCESSDownload PDF (3670K)
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