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Volume 61, Issue 1
Displaying 1-9 of 9 articles from this issue
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ORIGINAL
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Saori FUKAMI, Takahito NAKAMURA, Katsuyasu YANAGIDA, Shingo YAMADA, Ts ...2012 Volume 61 Issue 1 Pages 1-7
Published: May 30, 2012
Released on J-STAGE: September 20, 2012
JOURNAL FREE ACCESSThe incidence of fever in children admitted to general hospitals is very high. Provision of adequate nutrition and fluid supplements to febrile children is very important, but with some children it is difficult to maintain an adequate intake. To address this problem, we devised a new ‘febrile children's menu’, utilizing preparation methods and foods to produce a palatable menu for patients with fever.
We introduced this ‘febrile children's menu‘ on January 6, 2011, providing it to 109 patients (age range: 1 to 8 years, average age: 3.3±1.9 years) over the ensuing 3-month period. We provided a mean 4.0±2.9 meals per day to each patient during their febrile stage (≥37.5°C). To evaluate the usefulness of the ‘febrile children's menu’, we investigated eating rates during the febrile period in all patients who had been provided with the menu, and performed a questiomaire survey on their parents/guardians. The mean eating rates during the febrile period were 39±30% for main meals, and 28±22% for side dishes. No significant difference was seen in the eating rates during the febrile period recorded over the 2-month period prior to introduction of the new menu to 112 febrile children (age range: 1 to 8 years, average age: 3.3±2.1 years), 39±30% for main meals, and 29±22% for side dishes. The questionnaire survey was responded by 43 parents/guardians (a recovery rate of 39%). The ‘febrile children's menu’ was assessed as ‘good’ by 67% of respondents, representing an overall favourable impression from the parents/guardians. With reference to the survey results, we will attempt to further improve the ‘febrile children's menu’ with the aim of increasing eating rates during the febrile period.View full abstractDownload PDF (391K)
REPORTS
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Kazuyuki NAKAMURA, Takanori MIURA, Hiroyuki MANSHIO, Eiji YONEYAMA, Yo ...2012 Volume 61 Issue 1 Pages 8-15
Published: May 30, 2012
Released on J-STAGE: September 20, 2012
JOURNAL FREE ACCESSIn order to intervene in the management of pain of cancer from an early stage. Our palliative care team (PCT), including pharmacists, makes the ward rounds (screening rounds) of the patients receiving opioids at our hospital. The purpose of this study was to analyze the effects of screening rounds activity by the PCT and its current problems, and to explore how to resolve the problems. We retrospectively studied the records of 196 patients who had receivede interventions by the PCT, with regard to intervention status and prescription proposal (228 subjects) about drug therapy by us. Study groups were as follows: 103 patients to whom interventions were deliveed at the request of medical doctors (intervention request group) and 93 patients who had interventions by the PCT after PCT-screening rounds (screening group). PCT-screening rounds caused to increase the number of interventions by the PCT. After PCT-screening rounds, the cases of intervention started by the request of medical doctors, who had given no heed to PCT intervention, also increased in numher. In this study, some problems with palliative intervention were also brought to light. Even in the screening group where the PCT largely intervened, 33% of prescription proposal by the PCT was ignored. This problem may be, at least in part, due to inadequate communication between PCT and ward staff through an electronic medical recording card, leading to poor relationship between PCT and ward staff. In the future, the PCT needs to work cooperatively with ward staff through direct communication such as medical conference to perform better intervention.View full abstractDownload PDF (360K) -
——Comparison Among Age Groups——Hiroaki TATSUKI, Yasuhiro NOMA, Tomoko KAWAHARA, Masashi KAWABATA, Tor ...2012 Volume 61 Issue 1 Pages 16-26
Published: May 30, 2012
Released on J-STAGE: September 20, 2012
JOURNAL FREE ACCESSPurpose: To compare the effects of aging in patients with acute myocardial infarction (AMI) on their clinical background and hospitalization progress, and to examine the relationships between age and these factors.
Subject: One hundred and fifty-three patients who experienced cardiac rehabilitation after percutaneous coronary intervention (PCI) (63.8±11.1 y.o, 126 men, 27 women).
Method: The patients were divided into the middle aged group (<65 y.o, n=84), young old group (65 to 74 y.o, n=44), and old group (75 y.o≥ n=25). The differences between groups were examined in respect of 13 items about clinical backgrounds (responsibility coronary arteries, CKmax, LVEF, residual stenosis, hypertension, diabetes, hyperlipemia, smoking, and BMI) and hospitalization progress (cardiac complications, locomotorium disabilities, abnormality as 200mECG, and duration of hospitalization).
Results: Left veticular ejection fraction (LVEF) was significantly lower in the old group than in the young old group. The old group had a high rate of residual stenosis. In the coronary risk factors, all of the groups had hypertension at a high rate of 54.5% or over. The middle aged group and young old group had diabetes at about 38%. The middle aged group was prone to hyperlipemia, and had significantly a high smoking rate. Body mass index (BMI) was significantly higher in the middle aged group than in the old group. In hospitalization progress, the old group had a high rate of cardiac complications and locomotorium disability. The duration of hospitalization was significantly longer in the old group than in the other groups.
Conclusion: It would be necessary to give middle-aged persons educational guidance for the improvement of the coronary risk factors, and to provide the old persons with the suitable rehabilitation programs considering various complications.View full abstractDownload PDF (459K) -
Kaori TAKANO, Yuri NARABU, Naoko KANEKO, Koko MASUYAMA2012 Volume 61 Issue 1 Pages 27-31
Published: May 30, 2012
Released on J-STAGE: September 20, 2012
JOURNAL FREE ACCESSThis paper reports our saccess in improving an apron used by a hemiplegic man when eating to protect clothes in a geriatric health services facility. The improved apron is useful at home, and helpful for caregivers. He needed assistance during meals and spilled food so frequently that clothes had to be changed after each meal. Frequent changes of clothes meant big burden for persons who looked after him at his home. His wife said, “Changing clothes after every meal will be very troubles some”, Sowe tried to improve the apron by use of cheap and easily available material. After trial and error we succeeded in making the apron that pleased both him and his family.View full abstractDownload PDF (279K) -
Hiroshi NAGAMI, Tatsuo SHIIGAI, Fumio MAEJIMA, Yoshio NISHIGAKI, Shusu ...2012 Volume 61 Issue 1 Pages 32-38
Published: May 30, 2012
Released on J-STAGE: September 20, 2012
JOURNAL FREE ACCESSClinical cases of pesticide poisoning from 2007 through 2009 were analyzed based on data collected from the hospitals affiliated with the Japanese Association of Rural Medicine.
Two hundred and twelve cases of pesticide poisoning were reported from 48 hospitals. By gender, males accounted for 54%. By age group, those in the 60-69 age band accounted for 23%, followed by those 70-79 years old (22%) and those 50-59 years old (19%). By month, the incidence peaked in May or August accounted for 12% respectively. When it comes to occupational poisoning, the majority of the cases occurred in spring and summer, when pesticides were used frequently.
By type of pesticide exposure, suicide accounted for 77%, followed by occupation exposure (16%) and accidental ingestion (4%).
By type of clinical manifestation, acute poisoning was most frequent (90%), followed by dermatitis (3%) and ocular disorders (2%). When it comes to occupational exposure, the rate of acute poisoning decreased to 70%, and dermatitis and ocular disorders increased to 11% respectively.
Organo-phosphate insecticides topped the list of agricultural chemical compounds causing poisoning (32%), followed by amino acid herbicides (22%) and bipyridilium herbicide (10%). When it comes to main ingredients, glyphosate was the most frequent inducer (32 cases), followed by fenitrothion (25 cases) and paraquat (21 cases).
Thirty-six death cases were reported, of which 16 cases were by paraquat and 9 cases by organo-phosphate insecticides. The death rate and number from paraquat poisoning were by far larger than those from any other pesticides. A ban on the use of paraquat must be considered.View full abstractDownload PDF (280K) -
Hiroshi SHIBAHARA, Tatsuya SUGIMURA, Daisaku NISHIMURA2012 Volume 61 Issue 1 Pages 39-44
Published: May 30, 2012
Released on J-STAGE: September 20, 2012
JOURNAL FREE ACCESSBackground: In our hospital, a mini-lecture is given before a social gathering during “Cancer Salon-”
Purpose: To examine Significance of the mini-lecture.
Method: The results of a questionnaire survey of the participants were summarized.
Results: The mini-lectures were performed by multidisciplinary persons. The survey found that a significantly large number of the participants felt the mini-lectures by persons other than medical doctors were helpful (p=0.021).
Discussion: Mini-lectures are valuable in that they provide not only information but also “create an atmosphere” of the following meeting. In addition, to receive a favorable assessment from the audience, it is important for the speakers, even the doctors, to understand the feelings of the participants, and take part in the subsequent get-together without formality.
Conclusion: The mini-lecture creates an atmosphere toward the social gatherings, and leads the speakers to adapt to the occasion with the participants.View full abstractDownload PDF (278K)
NURSING RESEARCH REPORTS
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Mieko NAKAJIMA2012 Volume 61 Issue 1 Pages 45-48
Published: May 30, 2012
Released on J-STAGE: September 20, 2012
JOURNAL FREE ACCESSIt is said that visiting patients before and after surgery is the essence of patient care entrusted to surgery nurses. It is put into practice in many hospitals. However, a plethora of problems had been blocking the way to the improvement of nursing care for surgical patients in our hospital for many years, including the absence of full-time anesthetists and a serious shortage of manpower. In 2006, a study got under way on a team nursing system comprising outpatient ward nurses, scrub nurses and materials storage center staff. In the following year, seminars on fixed team nursing were held with a view to getting the new nursing system ready. With operational guidelines set, three teams were organized. For the fixed team nursing system to function smoothly, it was found that streamlining ordinary routine of hospital work was necessary. To relieve nurses from anxieties about new duties, on-the-job training was carried out in operating rooms and various departments. Thus, since November 2008, it has become possible to provide bed-side care for patients before and after survery by 12 nurses from outpatient wards and operating rooms.View full abstractDownload PDF (214K) -
Naoko KURAMASU, Akemi TAUTIGAWA, Satiko MIYAUTI2012 Volume 61 Issue 1 Pages 49-54
Published: May 30, 2012
Released on J-STAGE: September 20, 2012
JOURNAL FREE ACCESSNew nursing staff members are libable to suffer from stress-related disorders such as insomnia, anorexia and/or truancy. Some are obliged to quit their jobs early. In our hospital, we have carried out a type of “group collage therapy” for the purpose of giving mental and physical relaxation to novice nurses. In this study, we have analyzed the responses of the new nurses to our of questionnaire about the hands-on training and the experience they had gotten thus far, and got one hypothesis that our “group collage therapy” is positively related to a speedy recovery from their working stress. We report this study results with some bibliographic considerations.View full abstractDownload PDF (307K) -
Naruyo KANZAKI, Hiromi KIMURA2012 Volume 61 Issue 1 Pages 55-66
Published: May 30, 2012
Released on J-STAGE: September 20, 2012
JOURNAL FREE ACCESSThis study was carried out to clarify how health checkup results relate to stages of behavior change and lifestyle in workers in their 30s and 40s. By comparing the findings between the two age group, we considered how health guidance should be given in the workplace. Self-administered questionnaires were used to assess stages of behavior change and lifestyle. Of the health checkup items, BMI, abdominal circumference, blood pressure, blood test values of triglycerides and blood glucose were examined. Among workers in their 30s, men had higher values than women in almost all of these items, suggesting the need to consider gender differences when health guidance is proviede. A look at health checkup results and stages of change showed a link between exercise stages of change and abdominal circumference for workers in their 30s, and between exercise stages of change and BMI and abdominal circumference for workers in their 40s, suggesting that behavior modification may be possible through this “stages of change” approach. A stufy of health checkup results and lifestyle showed a link between health checkup results and such habits as skipping breakfast, snacking, reducing sugar intake, smoking and drinking alcohol among workers in their 30s. These results suggest that health checkup results vary depending on lifestyle habits in workers in their 30s that make up the younger segment, and that health checkup results are reflected in health-related behavior. Assessing health conditions of workers while they are in their 30s and providing early intervention may help prevent future lifestyle-related diseases.View full abstractDownload PDF (345K)
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