JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
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Volume 54, Issue 6
Displaying 1-14 of 14 articles from this issue
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—Special Issue on the 54th General Assembly of the Japanese Association of Rural Medicine—
  • Address by 54th General Assembly Chairman
    Shusuke NATSUKAWA
    2006 Volume 54 Issue 6 Pages 827-828
    Published: 2006
    Released on J-STAGE: May 19, 2006
    DOIhttps://doi.org/10.2185/jjrm.54.827
    JOURNAL FREE ACCESS
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  • Proceedings of 54th General Assembly
    2006 Volume 54 Issue 6 Pages 829-833
    Published: 2006
    Released on J-STAGE: May 19, 2006
    DOIhttps://doi.org/10.2185/jjrm.54.829
    JOURNAL FREE ACCESS
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  • Impressions of 54th General Assembly of JARM
    Kuniyoshi KUNO
    2006 Volume 54 Issue 6 Pages 834-837
    Published: 2006
    Released on J-STAGE: May 19, 2006
    DOIhttps://doi.org/10.2185/jjrm.54.834
    JOURNAL FREE ACCESS
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     The 54th General Assembly of the Japanese Association of Rural Medicine was held in Karuizawa, Nagano Prefecture, on October 20 and 21. The autumnal air was crisp and refreshing. Presiding over this annual meeting was Dr. Shusuke Natsukawa, director of the Saku Central Hospital affiliated with the Nagano Prefectural Federation of Agricultural Cooperatives for Health and Welfare. Nagano, the venue for five annual congresses in the past including the monumental first one, played host to the latest event for the first time in 20 years. With “the return to the starting point of rural medicine” as its main theme, the 54th meeting was opened with the speeches and lectures by the General Assembly president and others. Symposia were so excellently performed and papers presented by JARM members were so rich in substance that, I think, the scientific meeting was very valuable for all the participants. Moreover, President Natsukawa and staff members of his hospital and the people of the Nagano Prefectural Federation of Agricultural Cooperatives for Health and Welfare showed warm hospitality to us so that the general assembly turned out to be an unforgettable heart-warming gathering.
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LECTURE BY ASSEMBLY CHAIRMAN
  • Saku Central Hospital with a History of 60 Years Devoted to Rural Medicine
    Shusuke NATSUKAWA
    2006 Volume 54 Issue 6 Pages 838-844
    Published: 2006
    Released on J-STAGE: May 19, 2006
    DOIhttps://doi.org/10.2185/jjrm.54.838
    JOURNAL FREE ACCESS
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     Sixty years have elapsed since the Saku Central Hospital was established in 1944, or the year preceding the end of World War II.
     That year, the 20-bed hospital began to deliver medical care with only two physicians. It has now developed to a point where it has a staff of 1,682 employees, including 193 doctors, with 1,193 beds. In the immediate years that followed poverty-stricken rural communities were left far behind the times, and not blessed with benefits from the government's policy of economic rehabilitation and development which led to the emergence of modern industrial society. In attempts to save rural people and their environment and health from a wide variety of postwar social distortions attendant upon the production-first policy, the hospital staff dedicated itself to the delivery of comprehensive health care under the leadership of Dr. Toshikazu Wakatsuki, the then hospital director, with the cooperation of many like-minded health professionals and local residents.
     The fact historically stands forth that the Saku Central Hospital, keeping in close touch with the community and making sure of their needs, was always quick to come out with health care of the kind they really wished to have. The impelling force is organizational management in tune with the spirit of cooperatives' movement with the involvement of its workers' union in the hospital's management and a great variety of cultural activities in the rural communities.
     The health care-related industry is now a key industry in many regions. This fact is tied in with the creation of job opportunities for youngsters in those districts that are distressed by depopulation, turning out to be an indispensable factor for the building and management of a healthy community.
     Given the recent exposures of corporate irregularities and medical errors, we are determined to become a hospital trusted and chosen by locals by reviewing hospital care from a standpoint of obligations to society and incorporating quality-first principles, assurance of safety, transparency and accountability, and users' satisfaction in the management system.
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SPECIAL LECTURE
COMMEMORATIVE LECTURE
EDUCATIONAL LECTURE
SYMPOSIUM 1
SYMPOSIUM 2
PANEL DISCUSSION
MORNING SEMINAR
ORIGINAL
  • Occurrence of Sleep-Disordered Breathing (SDB) in Examinees of Thorough Medical Checkup
    Akemi TAKAMIZAWA, Mitsuyo OKADA, Toshio SHIMIZU, Miyuki HAYASHI, Junko ...
    2006 Volume 54 Issue 6 Pages 879-886
    Published: 2006
    Released on J-STAGE: May 19, 2006
    DOIhttps://doi.org/10.2185/jjrm.54.879
    JOURNAL FREE ACCESS
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      The estimated prevalence of sleep-disordered breathing (SDB) with an apnea-hypopnea index (AHI) of 5 or higher was 24 percent for men, and 4 percent of men in the middle-aged work force meet the minimal diagnostic criteria for the sleep apnea syndrome (SAS) (SDB with daytime hypersomnolence). However, there are few published data about this problem in our country.
      A random sample of 208 men 30 to 76 years old who were staying overnight for a complete physical examination were the subjects of this study. A portable sleep data acquisition device was used to determine the frequency of episodes of apnea and hypa-pnea in them. The prevalence of SDB was worked out and the clinical significance was discussed.
      The estimated prevalence of SDB was 76.4 percent and that of SAS was 12.5 percent. Compared with subjects with lower AHI values, those with higher levels of SDB and AHI included a significantly large number of individuals of advanced age and with hypertension, although their body mass index, Epworth sleepiness scale, and values of total cholesterol and triglycerides were not significantly high.
      These data revealed a remarkable high incidence of SDB in our country and suggested an association of SDB with risk factors of cardio-vascular events. We need a regular screening for sleep disorders by polysomnography or the portable device at least.
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CASE REPORT
  • Perioperative Management to Prevent Postoperative Pulmonary Embolism in General Surgical Patients
    Masatoshi SHIGETA, Takayuki KUGA, Manabu SUDO, Akimasa YAMASHITA, Nori ...
    2006 Volume 54 Issue 6 Pages 887-892
    Published: 2006
    Released on J-STAGE: May 19, 2006
    DOIhttps://doi.org/10.2185/jjrm.54.887
    JOURNAL FREE ACCESS
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      Recently, the incidence of pulmonary embolism (PE) after surgery began to increase in Japan and to prevent PE has become essentially important. During the period between July 2003 and August 2004, we placed 203 general surgical patients under our perioperative management using intermittent pneumatic compression (IPC) and compression stockings (CS). We evaluated the effect of our management on the prevention of postoperative PE in those patients. The incidence of PE, prognosis, complications, patient's complaints, cost-benefit were examined. No fatal PE occurred. One patient with low SpO2 had a chest pain and dyspnea but pulmonary scintigrams revealed no PE. Two other patients had contact dermatitis by CS and another patient using an epidural catheter suffered temporary paraplegia after heparin injection. The government has approved a fee for PE prophylaxis since April 2004. Our management using IPC and CS for PE prophylaxis after surgery proved to be an effective in reducing the risk of PE. However, we must take the atmost care in injecting heparin into patients with epidural catheters.
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LOCAL CHAPTER MEETING
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