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Volume 66, Issue 2
Displaying 1-7 of 7 articles from this issue
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ORIGINAL
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Masaomi ICHINOKAWA, Koichi ONO, Katsuhiko MURAKAWA, Hiroki NIWA, Hiroy ...2017 Volume 66 Issue 2 Pages 103-108
Published: July 31, 2017
Released on J-STAGE: August 18, 2017
JOURNAL FREE ACCESSSafe introduction of laparoscopic partial liver resection (LPLR) requires the selection of appropriate cases not exceeding the surgeon's skills as well as standardization of surgical procedures. After introduction at our institution, 60 LPLR procedures were performed between April 2010 and May 2016. To identify indices for case selection, short-term perioperative parameters were analyzed, including operative time, blood loss, postoperative complications, and postoperative hospital stay. Operative time was significantly shorter in the last 30 cases compared with the first 30 cases (182.5 min vs. 253 min; p＝0.023) and in 16 cases involving the left lobe (S2-4) compared with 44 cases involving the right lobe (S1, S5-8; 148.5 min vs. 246 min; p＝0.004). Blood loss was significantly less (0 mL vs. 50 mL; p＝0.028) and operative time was significantly shorter (185 min vs. 250 min; p＝0.048) in 27 cases with tumor diameter ＜2.5 cm compared with 33 cases with tumor diameter ≥ 2.5 cm. Operative time tended to be longer in 9 cases of multiple-site resection compared with 51 cases of single-site resection (207 min vs. 260 min; p＝0.085). BMI, pathology, and hepatitis virus status showed no significant difference in perioperative short-term results. For the introduction of LPLR, it may be preferable to select cases located in the left lobe with a tumor diameter ＜2.5 cm and to accumulate a certain amount of experience in similar cases first.View full abstractDownload PDF (790K) -
Takanori MIURA, Chizuru MITSUI, Noriko ODAKE, Kenichi YAMADA, Ayaka HA ...2017 Volume 66 Issue 2 Pages 109-117
Published: July 31, 2017
Released on J-STAGE: August 18, 2017
JOURNAL FREE ACCESSThe number of medical staff who can conduct clinical research in our hospital has been decreasing every year, and thus education that enhances medical staff's understanding of the importance of clinical research is an important factor in improving patient management. Although staff education has begun to develop infrastructure necessary for conducting clinical research, it is unclear whether medical staff who must play a critical role in clinical research are actually interested in conducting research and participating in research-related educational programs. We carried out a cross-sectional questionnaire survey of medical staff to determine their interest in clinical research activities and related education. Of 894 medical staff who participated in a workshop at Anjo-Kosei Hospital, 718 responded to the survey (response rate: 80.3%), 24.9% of whom had experience in clinical research and 51.0% had an interest in the field and related data analysis. Furthermore, 51.0% of respondents showed demonstrable intention to participate in staff education. Such intention to participate was particularly obvious among clinicians, pharmacists, registered dietitians, radiologists, and rehabilitation therapists. Also, staff in their 30s and 40s were frequently interested in conducting clinical research and related data analysis. This suggests that these staff prefer a research environment where they can undertake clinical research soon after completing clinical training. Moreover, regarding the question of specific educational areas, statistical methods for data analysis garnered the highest interest, followed by methods of writing a research paper, use of statistical software, data interpretation, designing research, and identifying research topics. Therefore, such educational programs should be flexible to suit medical staff who perform data analysis as well as clinical research.View full abstractDownload PDF (875K) -
Chizuru MITSUI, Takanori MIURA, Noriko ODAKE, Kenichi YAMADA, Ayaka HA ...2017 Volume 66 Issue 2 Pages 118-127
Published: July 31, 2017
Released on J-STAGE: August 18, 2017
JOURNAL FREE ACCESSThis study sought to elucidate factors that affect the cultivation of organizational identity among our hospital staff. We conducted a questionnaire survey among hospital staff (N＝894) from November 2012 to September 2013. The following items were queried: job category, age, sex, marital status, with or without children, participation in lectures or workshops in the previous year, and experience in clinical research and related data analysis. The response rate for the survey was 80.3%. Univariate analysis showed that all abovementioned parameters affected the cultivation of organizational identity. Further study using multivariate logistic regression analysis was performed to clarify which factors are significantly involved in the cultivation of organizational identity. Our results show that job category, participation in lectures or workshops in the previous year, and experience in clinical research and related data analysis are effective in cultivating organizational identity. These results suggest that a sense of professionalism as medical staff may play a critical role in the cultivation of organizational identity.View full abstractDownload PDF (779K) -
Chiyo INOUE, Shuichiro WATANABE, Seiko TANABE2017 Volume 66 Issue 2 Pages 128-140
Published: July 31, 2017
Released on J-STAGE: August 18, 2017
JOURNAL FREE ACCESSThis study sought to develop a social capital index that can contribute to good health in rural communities. A questionnaire was mailed to 7,114 residents of Village A aged 20 years and over in June 2016. A total of 1,327 questionnaires were returned; 4 unfilled forms were eliminated from the analysis and the remaining 1,323 were used to develop a rural community social capital index comprising 4 concepts and 16 items. The goodness of fit of the model was satisfactory, and comparison with other scales confirmed its validity. The model is also associated with the outcomes of self-evaluation of health, sleep status, elderly life competence, frequency of social outings, and Global Deterioration Scale score of 5, thus confirming its criterion-related validity. The reliability of the index was also good with a Cronbach's α value ≥ 0.80 for each concept and all 16 indices. The rural community social capital index developed in this study will help establish healthy communities. Studies of other rural areas are anticipated to accumulate research outcomes.View full abstractDownload PDF (1383K)
RESEARCH REPORT
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Kumiko OGATA, Sachiyo KISHITA, Asami OSHIKAWA, Midori NISHIO2017 Volume 66 Issue 2 Pages 141-152
Published: July 31, 2017
Released on J-STAGE: August 18, 2017
JOURNAL FREE ACCESSThis study sought to elucidate self-care, self-monitoring, and related factors among outpatients who underwent coronary artery bypass graft (CABG) surgery within the previous 12 months, and to discuss important fundamental issues regarding educational support provided by nurses to inpatients. A questionnaire survey was mailed to participants who responded anonymously. Each item was analyzed by simple tabulation and relations between the items were analyzed by cross tabulation. Of 52 surveys sent, 36 responses were obtained. Execution rates of self-monitoring were 75.0% for body weight measurement, 55.6% for blood pressure measurement, 47.2% for taking own pulse, 19.4% for recording number of daily steps, and 2.8% for recording contents of each meal. The three main reasons that participants did not self-monitor these five elements were “do not have a measurement instrument”, “feel it is unnecessary to self-monitor”, and “difficult or bothersome to record the results”. The top three responses for the self-care execution rates were “I go up and down stairs at my own pace”, “I try to eat vegetables with every meal” and “I take my time when doing something”. These findings suggest that it is important for nurses who care for inpatients who have undergone CABG to help patients clearly establish the frequency and timing of measuring their body weight and taking their blood pressure and pulse after discharge. Also, nurses should help such inpatients realize the importance of self-care after discharge in terms of exercise and diet, including regular measuring or recording of these parameters.View full abstractDownload PDF (1074K)
CASE REPORT
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Yuko AKUTSU, Yuya HIGASHI, Yukako NAGAYOSHI, Manabu SUGIE, Tsutomu KON ...2017 Volume 66 Issue 2 Pages 153-158
Published: July 31, 2017
Released on J-STAGE: August 18, 2017
JOURNAL FREE ACCESSIt is essential to differentiate pseudo-Bartter's syndrome from Bartter's syndrome because both are accompanied by hypokalemia and metabolic alkalosis. In this study, we encountered a newborn girl with marked hypokalemia and metabolic alkalosis who was born vaginally at 41 weeks' gestation to a mother with pseudo-Bartter's syndrome and associated eating disorder. Venous blood gas analysis for transient respiratory distress revealed hypokalemia. Because hypokalemia did not improve, the newborn was transferred to our hospital 3 days after birth. Hema tological findings on admission showed serum potassium 2.6 mEq/L, bicarbonate 36.3 mmol/L, and base excess 12.8 mmol/L, with pH 7.56 and metabolic alkalosis. Electrocardiography (ECG) revealed sinus bradycardia as well as ST-segment depression, T-wave flattening, and prominent U-waves in all chest leads. Administration of enteral potassium began on postnatal day 5 but was terminated on postnatal day 7 because of rapid elevation of serum potassium, with consequent reversion of ECG abnormalities to age-appropriate levels. We later learned that the mother's serum potassium level was around 2 mEq/L because of the eating disorder, which frequently caused vomiting. Our findings suggest that this was a case of neonatal pseudo-Bartter's syndrome accompanied by severe electrolyte abnormalities and ECG changes due to maternal pseudo-Bartter's syndrome.View full abstractDownload PDF (3424K)
REGIONAL MEETING
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2017 Volume 66 Issue 2 Pages 159-161
Published: 2017
Released on J-STAGE: August 18, 2017
JOURNAL FREE ACCESSDownload PDF (651K)
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