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Volume 57 (2008)
- Issue 6 Pages 799-
- Issue 5 Pages 681-
- Issue 4 Pages 619-
- No.3
- Issue 2 Pages 59-
- Issue 1 Pages 1-
Volume 57, Issue 4
Displaying 1-7 of 7 articles from this issue
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ORIGINALS
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Hideki KAWAMURA, Yukifumi KONDO, Shigenori HOMMA, Kuniaki OKADA, Hiroy ...2008 Volume 57 Issue 4 Pages 619-627
Published: November 30, 2008
Released on J-STAGE: February 25, 2009
JOURNAL FREE ACCESSBackground: Laparoscopy-assisted gastrectomy requires a lot of disposable products. So we compared the cost between laparoscopy-assisted gastrectomy and open surgery.
Patients and methods: For comparison we used five cases each of open distal gastrectomy (ODG), laparoscopy-assisted distal gastrectomy (LADG), open total gastrectomy (OTG) and laparoscopy assisted total gastrectomy (LATG). In this study, we defined the profit of gastrectomy as below and we used the list price for all products. Profit of gastrectomy=Fee for gastrectomy-(Costs of all single use products-Demandable fee for single-use products)
Results: Mean profits of ODG and LADG were 278,756.2 yen and 190,292.8 yen. The difference was 88,463.4 yen. Mean profits of OTG and LATG were 395,922.6 yen and 330,653.6 yen. The difference was 65,269 yen. Mean hospital charges, mean length of hospital stay, mean hospital charges per day of ODG, LADG, OTG and LATG were 1,390,464 yen, 21.4 days, 65,140.0 yen and 1,484,254.0 yen, 18.8 days, 80,805.4 yen and 1,956,664.0 yen, 24.4 days, 82,397.1 yen and 1,686,936.0 yen, 18.4 days, 91,894.8 yen, respectively.
Conclusion: The turnover of laparoscopic gastrectomy was higher than open gastrectomy, but, the profit was lower because of high costs of disposable products. Hospital charges were not higher but the charge per day was higher because of a shorter hospital stay.View full abstractDownload PDF (433K) -
Satoshi HATTORI, Hitoshi AOKI, Akira HATA2008 Volume 57 Issue 4 Pages 628-638
Published: November 30, 2008
Released on J-STAGE: February 25, 2009
JOURNAL FREE ACCESS
REPORT
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——Analysis Based on Data on Hospitalized Patients and Demographic Background——Yoshikatsu SHIMBO2008 Volume 57 Issue 4 Pages 639-646
Published: November 30, 2008
Released on J-STAGE: February 25, 2009
JOURNAL FREE ACCESSThe city of Itoigawa is a remote place, with a population of as few as 50,000, where people aged 65 and older occupy 30% of its population. Most people with neurological disorders here have been treated at the Neurosurgical Department of the Itoigawa General Hospital. However, the number of surgical operations has decreased year after year. In search of the factors in the decreasing tendency, we analized the annual statistics about the hospitalized patients and this city's population in the past 11 years beginning on Nov. 1 1995. The diminution of the operation cases was correlated most positively with a decrease in the population of this city (+0.844), and most negatively with an increase in the ratio of persons aged 65 or older (-0.822). The number of operation cases was probably linked to the change in population make-up of the region. The number of operations on older patients had a tendency to decline presumably because of functionally poor prognosis. Conclusively, this study revealed that it is hard for neurosurgeons working in remote localities like this city to keep up the number of operative cases.View full abstractDownload PDF (621K)
CASE REPORT
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Mitsuya ONO, Ryuichi SADA, Hisanori KOBARA, Osamu OGUCHI, Ikuko NAKAI2008 Volume 57 Issue 4 Pages 647-649
Published: November 30, 2008
Released on J-STAGE: February 25, 2009
JOURNAL FREE ACCESSThe Patient was a 30-year-old woman. Four years previously, the woman had undergone ileectomy for thrombotic ileal erosion. After being discharged, she received regular medical treatment for thrombotic renal hypertension at our Department of Internal Medicine, and eventually her case was diagnosed as a collagen disease. She was dosed up with depressors and aspirins. Two years later, she got married. Next year, she became pregnant, but miscarried. A causal link between collagen disease and miscarriage was suspected. In the same year, she became pregnant for the second time. The administration of low molecular weight heparins was initiated in addtion to doses of aspirin. In the last trimester of pregnancy (In the latter half of pregnancy?), pregnancy-induced hypertension developed. The woman was immediately hospitalized and placed at bed rest. The dose of low molecular weight heparin was increased. She gave birth to a healthy child. This experience taught us that working in closer collaboration between doctors of internal medicine and obstetricians is of vital importance for the health and safety of pregnant women with a collagen disease and successful childbirth.View full abstractDownload PDF (191K)
NURSING RESEARCH REPORTS
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Hideyuki SHIBUYA, Sonoko OGIWARA, Keiko OZAWA, Mika KAMISHIMA, Tazuko ...2008 Volume 57 Issue 4 Pages 650-655
Published: November 30, 2008
Released on J-STAGE: February 25, 2009
JOURNAL FREE ACCESSTo prevent accidental falls in medical facilities, various types of bed-sensors have been produced by the clinical engineering department of our hospital. In this study a newly developed bed-sensor using a pyroelectric type infrared sensor was evaluated. The features of this bed-sensor are that it costs only 4,000 yen and can be installed anywhere on beds. It was found that the pyroelectric type infrared sensor (AMN13112) made by Matsushita Electric Works served our purpose. We test used the new bed-sensor in the for three months in the patient's ward and in the health care facility for the elderly attached to our hospital, as the systems to monitor patients who are attempting to get up, to prevent patients from leaving the bed unattended, and to replace the conventional floor sensor. As a result, it was formed that the new sensor is very usable in these applications and is also excellent in safety. But when the bed-sensor was installed in a wrong position, it was activated as a typicel nurse call system. For practical use, some improvements are necessary in stabilizing detection distance and precise control of sensitivity.View full abstractDownload PDF (317K) -
——Comparison of Two Different Sized Dressing Tapes——Yayoi KATO, Emiko OHTANI, Masashige KUDO, Shinya ISHIDA, Yuko OHNO, Ta ...2008 Volume 57 Issue 4 Pages 656-660
Published: November 30, 2008
Released on J-STAGE: February 25, 2009
JOURNAL FREE ACCESSA vascular access catheter has been widely used for hemodialysis patients in an emergency when an arteriovenous shunt get clogged and cannot be reopened or when patients have no arterio-venous fistula. However, it often causes deterioration in activities of daily living (ADLs) and other troubles. Therefore, we place the catheter into the internal jugular vein in the neck to minimize the risk of complications and patients' inconvenience. Nevertheless, free spaces tend to be created between the dressing agent and skin because the articular excursion is wide in the neck. Although the CDC (Centerfor Disease Control and Prevention) guidelines recommended that the dressing tapes should be changed once every seven days, we change the tapes every two or four days to avoid peeling-off. In this study, we examine the difference in fixation ability between two types of tapes;standard size (10×12 cm) and 1/4 cut-size (5×6 cm). Our results showed that there were significant differences in peeling-off area between the two tapes. The smaller-sized tape had better adhesion to the skin so that you could not peel it off easily. Furthermore, the smaller one stuck fast to the catheter and needed less replacement. Consequently, the skins seemed to be more protected.View full abstractDownload PDF (242K)
REGIONAL MEETING
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2008 Volume 57 Issue 4 Pages 661-669
Published: November 30, 2008
Released on J-STAGE: February 25, 2009
JOURNAL FREE ACCESSDownload PDF (505K)
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