JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
Online ISSN : 1349-7421
Print ISSN : 0468-2513
ISSN-L : 0468-2513
Volume 60, Issue 6
Displaying 1-18 of 18 articles from this issue
Special Issue on the 60th General Assembly of the Japanese Association of Rural Medicine
LECTURE BY ASSEMBLY CHAIRMAN
  • ——Past. Present and Future——
    Tsutomu TANAKA
    2012Volume 60Issue 6 Pages 707-710
    Published: March 31, 2012
    Released on J-STAGE: September 20, 2012
    JOURNAL FREE ACCESS
      Chuno Kosei Hospital is located in Seki City, 15 kilometers east of Gifu City. The area served by the hospital has a population of about 150,000. We have 19 medical care departments, 383 beds and a staff of 537, including 74 physicians and 319 nurses.
      The hospital was founded in January, 1948 with 37 beds. Since then, through enrichment of functions and expansion of the wards, the institution went on to become what could be called a citizens' hospital of Seki and in fact, has played the role of a community-core hospital in Seki City and its environs. In 2000, the hospital moved to the present site for improvement of medical standards and the Emergency Medical Center was set up simultaneously.
      At present, our hospital is rendering great services to various medical fields (high quality medicine, emergency medical care, health checkup service, delivery of medicine in remote regions, organization of DMAT, education of clinical residents etc.) in this area.
      In the future, we need to be in more close connection and collaboration with adjacent hospitals and clinics for medical and health care for the inhabitants.
      We will do our best to protect people's health and life, keeping in mind the concept of the hospital: peace of mind for patients, confidence in community, hope for tomorrow. For realization of our concept, we have adopted three fundamental policies: improvement of medical quality, elevation of staff education and stabilization of hospital management. In these policies, I believe the greatest emphasis policy should be placed on staff education.
    Download PDF (295K)
SPECIAL LECTURE I
SPECIAL LECTURE II
EDUCATIONAL LECTURE I
EDUCATIONAL LECTURE II
KANAI PRIZE WINNER’S LECTURE
SYMPOSIUM I
SYMPOSIUM II
WORKSHOP I
WORKSHOP II
WORKSHOP III
OPEN LECTURE
ORIGINAL
  • Akiko IHARA, Mayumi MIYAO, Sawako YOKOTA, Toshiaki SAKAI, Shaw AKIZUKI
    2012Volume 60Issue 6 Pages 758-763
    Published: March 31, 2012
    Released on J-STAGE: September 20, 2012
    JOURNAL FREE ACCESS
      The purpose of this study was to investigate the characteristics of the lifestyle of our diabetic patients under treatment in our hospital in order to provide them with a more effective education.
      Method:A questionnaire survey was conducted on the diabetics to find their lifestyle. The results were compared with the data on the lifestyle of the general population (GP) in Nagano prefecture, obtained from the 2007 Health and Nutrition Survey in Nagano. The relationship between lifestyle of the diabetics and stages of change model was also examined.
      Results and discussion:The ratio of those who did not have breakfast and ate between meals was larger in our diabetic subjects than the corresponding figure of the GP. Diabetic women in the stage of maintenance ate breakfast more regularly than diabetic women in the other stages. This suggested that it was necessity to recognize the stage of diabetics and to educate them according to the stage. More people in the diabetics were smokers than in the GP, and the frequency was higher in diabetic men in the stage of preparation and maintenance than in the other stages. Therefore, diabetics in the stage of preparation and higher should be advised to quit smoking, if they are smokers. The diabetics seemed to feel stressed less than the GP. Those diabetics who habitually slept less than six hours said that they were under stress. This indicated that there was a possibility of deterioration in blood sugar level, and that sleeping time was one of the important factors. The diabetics did not take less exercise than the GP, especially in diabetic men in the stage of preparation and diabetic women in the stage of pre-contemplation and contemplation. This showed that the diabetics without regular exercise should be aware of the necessity of therapeutic exercise, and require individual programs.
    Download PDF (220K)
CASE REPORT
  • Natsuko UEMATSU, Hiroaki SHIBAHARA, Taeko OKAMOTO, Sanae KINOSHITA, Ka ...
    2012Volume 60Issue 6 Pages 764-769
    Published: March 31, 2012
    Released on J-STAGE: September 20, 2012
    JOURNAL FREE ACCESS
      Our palliative care team intervened in a patient with sciatica resulting from metastasis to sacral bone after surgery for rectal cancer. Rapid pain control and a change in the route of rescue drug administration from the stoma were needed. Partial opioid rotation was performed. The dose of 25.2 mg in 72 hours in a transdermal fentanyl patch decreased to 16.8 mg in 72 hours, and the dose of 3.6mg in an hour by continuous intravenous injection of morphine was added. The change in the rescue root to intravenous administration by a patient-controlled analgesia pump gave the patient relief from his pain. He was able to attend his daughter's wedding. His family were all pleased with the relief provided. The advantages of this partial opioid rotation are summed up in the following three points: (1) The required time is relatively short; (2) It can be expedient for analgesia due to the addition of different opioids; and (3) The partial opioid rotation produces fewer adverse effects than a full opioid rotation. Adjustment of the amount of drugs for pain relief in cancer patients is important with the situations of the patient and the family taken into consideration fully.
    Download PDF (307K)
REGIONAL MEETING
feedback
Top