日本農村医学会雑誌
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
58 巻 , 6 号
選択された号の論文の20件中1~20を表示しています
——第58回日本農村医学会総会特集——
学会長講演
  • 別所 隆
    2010 年 58 巻 6 号 p. 627-634
    発行日: 2010/03/30
    公開日: 2010/05/13
    ジャーナル フリー
      I would like to look back on my career as a clinical surgeon and discuss the progress of surgical technology and some of the current problems facing surgery.
      Surgical advancements have been supported by developments in other fields such as anesthesiology, radiology (diagnostic imaging), pharmacology and mechanical engineering. The spread of evidence-based medicine, pre and post-operative patient care improvement, and the reduction of surgical site infection and hospital-acquired infection have also contributed. These advancements added to the progress of surgical procedures and the improvement of surgical outcomes.
      The transition to minimal invasive surgery such as endoscopic and sentinel node navigation surgery is inevitable along with the progress of science and technology. I would also like to refer to remote-controlled and robotic operations.
特別講演
教育講演
公開講演
シンポジウム1
シンポジウム2
ワークショップ1
ワークショップ2
ワークショップ3
  • 立身 政信, 鈴木 庄亮
    2010 年 58 巻 6 号 p. 674-678
    発行日: 2010/03/30
    公開日: 2010/05/13
    ジャーナル フリー
      Recently, workplace stress has increasingly become a major health problem in hospitals, because of a whirlwind of technologial innovation, longer working hours stemming from a manpower shortage, lawsuit jitters over compensation for medical accidents, etc. Thus, the number of medical workers with stress-related diseases has increased greatly.
      Four panelists reported the mental health care activities tried in their hospitals. The activities included counseling and/or support for psychosomatically disordered workers, to return to work.
      Medical institutions in Japan are far behind from other industries in mental health care of hospital employees. Such being the situation, the government as well as hospital owners are called upon to introduce stress-management measures to help medical workers including burned-out employed doctors and nurses to cope with workplace stress.
ワークショップ4
  • 宮本 忠壽, 橘田 輝雄
    2010 年 58 巻 6 号 p. 679-682
    発行日: 2010/03/30
    公開日: 2010/05/13
    ジャーナル フリー
      PEG is an operation for enteral feeding. Its indications and contraindications have to be sufficiently considered with possible medical complications as well as ethical aspects taken into account. Patients who use PEG are rarely treated, managed and observed in only one department. Underlying diseases are treated in the department for psychosomatic diseases or neurosurgery. The creation and management of the stoma are done in the department of gastrointestinal disease or gastrointestinal surgery. Since the diseases are mostly chronic, patients are often referred to convalescent wards and care and welfare institutions, or discharged for care services. At the time of preparation of a PEG and during the period of its management on the ward, sufficient explanations need to be given to the patients' family members. Team management using a critical path, where staff members share the information, is very important.
      Once the stoma is built, it is often managed regionally. Therefore, it is important that through academic societies or via case review meetings, or else employment of regional cooperative PEG passes, a system of close cooperation between hospitals, clinics, welfare institutions, families, and administration has to be built, so that the entire region can take care of the patients and provide support for life.
ワークショップ5
  • 高野 靖悟, 神谷 正湖
    2010 年 58 巻 6 号 p. 683-684
    発行日: 2010/03/30
    公開日: 2010/05/13
    ジャーナル フリー
      Recently, palliative care has been provided by a team of health professionals organized within a core hospital in an area. But, the operation is limited because of shortages of doctors and nurses. Under the circumstances, the leaders of the palliative care team have to take it upon themselves to give education, conduct a survey, and enlighten community members on the idea of palliative care. Teamwork is most important for palliative care. In future, cooperation between the palliative care team and small-scale medical institutions including private practitioners will be more important.
ワークショップ6
ワークショップ7
金井賞受賞講演
シリーズ「農村医学を考える」
症例報告
  • 徳山 佳子, 藤田 哲夫, 平山 貴博, 松下 恒久, 風間 暁男, 高野 靖悟
    2010 年 58 巻 6 号 p. 694-698
    発行日: 2010/03/30
    公開日: 2010/05/13
    ジャーナル フリー
     症例は55歳,男性。頻尿,排尿時痛,右側腹部痛を主訴に近医を受診した。画像所見にて膀胱癌が疑われ,当科紹介受診となった。精査にて膀胱直腸瘻を認め,直腸原発の進行癌の診断のもと,骨盤内臓全摘除術が施行された。術後,病理組織学的検査にて,直腸癌の膀胱浸潤による膀胱直腸瘻と診断された。手術により原発巣は完全に摘除され,その後再発・転移は認めていない。膀胱直腸瘻はその原因診断が困難ではあるが,本症例の様に積極的に治療を行なうことにより良好な予後を得られる場合もある。今後,術前診断技術の向上が望まれるが,症例に応じた積極的治療の検討が必要であると考えられた。
看護研究報告
  • 三浦 恵利子, 高橋 由美子, 齋藤 優子, 奥山 春奈, 斉藤 美穂子, 佐藤 節子, 猪股 のり子, 高成 恵美子
    2010 年 58 巻 6 号 p. 699-702
    発行日: 2010/03/30
    公開日: 2010/05/13
    ジャーナル フリー
     当院のニアミス・ヒヤリ・ハット報告件数を領域別分類に見ると,転倒・転落に関する報告が第1位を占めている。
     当病棟においても小児の転落事故は,過去5年間で年間10例程度経験していた。転落に関する説明は,乳幼児の家族を対象に入院時オリエンテーションで実施しているが,内容は看護師の主観に任されていた。今回小児用の転落アセスメントスコアシートと予防策を作成・活用した結果,20代の看護師において,観察の視点,指導内容に変化が見られ,月齢や年齢による児の発達段階や,特徴を加味した観察・指導ができるようなった。また,同一のパンフレットを使用することで,育児の経験の有無,小児科経験年数に関わらず,指導への自信にもつながった。
     このことから,観察の視点・指導内容の統一が,20代の看護師において,看護の質の確保につながったと言える。
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