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Volume 71, Issue 5
Displaying 1-6 of 6 articles from this issue
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RESEARCH REPORTS
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Masaki WATANABE2023 Volume 71 Issue 5 Pages 383-390
Published: 2023
Released on J-STAGE: March 05, 2023
JOURNAL FREE ACCESSThe objectives of this study were to determine the actual assistance provided by municipal public health nurses to individuals with higher brain dysfunction and their families and to discuss the future direction of their assistance so that those individuals wishing to live at home and their families can live with sense of security. Literature published between 1983 and 2021 was searched in Ichushi Web using the keyword combination of “higher brain dysfunction”, “family”, “community”, and “assistance”. In total, 16 articles that met our objectives were analyzed with particular attention to the study objectives of “family” and “assistance”. Many studies of family caregivers of individuals with higher brain dysfunction concerned the inadequacy of the social security system and the importance of cooperation between relevant organizations and professionals. Studies by nurses concerned the assistance provided and the difficulties they faced on recovery wards, efforts to improve patient self-care, feelings of burden among family members involved in home-based care, and the need to establish assistance after the main caregiver had died. Looking to the future, when municipal public health nurses assist individuals with higher brain dysfunction and their families, they should have a full view of the support system and help the system function according to the situation, by acting as an approachable point of contact when there are concerns about daily living (e.g., anxiety after the death of a family caregiver), making regular home visits to address these concerns and anxiety early, and acting as a coordinator to establish cooperation and collaboration between relevant professionals.View full abstractDownload PDF (780K) -
Yusuke SAITO, Akefumi SATO, Yoshitaka ENOMOTO2023 Volume 71 Issue 5 Pages 391-397
Published: 2023
Released on J-STAGE: March 05, 2023
JOURNAL FREE ACCESSWe examined 12 cases of superior mesenteric artery (SMA) embolism experienced at our hospital from January 2012 to February 2022. All patients had a history of atrial fibrillation. In 5 cases, surgery was not performed due to poor general condition. Intestinal resection was performed in 4 of the 7 patients who underwent surgery. Four patients who did not undergo intestinal resection had their clot removed within the golden time of around 10 h since the onset of abdominal pain, while 3 patients who underwent intestinal resection had their clot removed after more than 10 h since onset. Patients who underwent intestinal resection had a longer hospital stay than those who did not (130.5 vs. 32.6 days). All of the patients who underwent surgery were discharged alive. On the other hand, all patients who did not undergo surgery died before discharge. There was no significant difference in age or time between onset and diagnosis in relation to the indication for surgery. SMA embolism is a less common disease occurring in about 1% of cases of acute abdominal disease, but the mortality rate is high at about 50% and the prognosis is poor. Based on our findings, it is important to distinguish SMA embolism for patients with sudden abdominal pain and to diagnose it early after onset and remove the clot to resume blood flow within the golden time when intestinal preservation can be expected. For patients in a stable general condition, treatment such as open or laparoscopic thrombectomy and intestinal resection should be considered regardless of age or time since onset of the disease.View full abstractDownload PDF (801K)
CASE REPORTS
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Takehiro TAKAGI, Satoshi KOBAYASHI, Atsushi SEKIMURA, Takashi MAEDA, S ...2023 Volume 71 Issue 5 Pages 398-405
Published: 2023
Released on J-STAGE: March 05, 2023
JOURNAL FREE ACCESSWe report a case of a 72-year-old woman with a tumor arising from a colostomy site that had been created 25 years earlier when rectal amputation was performed for perforated sigmoid cancer. She was referred to our hospital due to complaints of pain from the colostomy. The diagnosis was carcinoma arising at the colostomy site with lymph node metastasis. Laparoscopic surgery was performed by attaching an Applied Alexis® wound retractor to the incision site of the colostomy. Lymph node dissection was performed and the left hemicolon was resected. Carcinoma arising from a colostomy site is rare. Laparoscopic surgery was considered to be a useful procedure because it allows for lymph node dissection and intestinal mobilization with minimal invasiveness.View full abstractDownload PDF (3017K) -
Takashi MAEDA, Satoshi KOBAYASHI, Takehiro TAKAGI, Kenichi KOMAYA, Shi ...2023 Volume 71 Issue 5 Pages 406-411
Published: 2023
Released on J-STAGE: March 05, 2023
JOURNAL FREE ACCESSA chest X-ray taken during a medical checkup for a 75-year-old man revealed a nodular shadow in the right middle lung field. Chest computed tomography (CT) for further examination showed an intra-abdominal tumor as an additional finding, and the patient was referred to our department. Contrast-enhanced CT revealed a tumor (16×10×5 cm) in the left upper to middle abdomen. The tumor had a clear border and uniform fat density inside. It compressed the stomach to the ventral side, but the patient had no subjective symptoms. Magnetic resonance imaging also showed the tumor contained a uniform fatty component inside, as well as no obvious non-fatty components. An intra-abdominal lipoma was suspected, but the possibility of a welldifferentiated liposarcoma could not be ruled out due to its size. During curative surgery, intraoperative findings revealed a soft tumor, weighing 612 g, with a well-defined border in the mesentery of the transverse colon. Pathological findings showed proliferation of mature adipocytes without malignancy. We report here this case of mesenteric lipoma, a rare intraabdominal tumor, and review the relevant literature.View full abstractDownload PDF (1829K) -
Ryo KANOUDA, Hiroshi NAKANO, Masashi KANAZAWA2023 Volume 71 Issue 5 Pages 412-416
Published: 2023
Released on J-STAGE: March 05, 2023
JOURNAL FREE ACCESSSplenic rupture can be divided into traumatic and atraumatic forms. Causes of atraumatic splenic rupture include hematologic disease, malignancy, and infection, all of which are extremely rare. An 80-year-old man complaining of left upper abdominal pain was referred to our hospital for further examination and treatment. On arrival, his vital signs were stable, but contrastenhanced computed tomography showed a discontinuity of the splenic membrane and fluid accumulation in the perisplenic area and pelvic floor, suggestive of a hematoma. There was no history of trauma, and suspecting atraumatic splenic rupture, we performed an emergency splenectomy. The patient had a good postoperative course and was discharged on postoperative day 11. He had no previous hematologic disease, and there were no clinical findings suspicious of viral infection. Pathological diagnosis was also negative for malignancy, and idiopathic splenic rupture was diagnosed. We describe here this case of splenectomy for spontaneous splenic rupture.View full abstractDownload PDF (1394K)
MATERIAL
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Yasushi ODA, Minoru TERAZAWA, Kenji KONDOU, Hidenori ISHIGURO2023 Volume 71 Issue 5 Pages 417-423
Published: 2023
Released on J-STAGE: March 05, 2023
JOURNAL FREE ACCESSOur hospital handles radioisotopes for isotope inspection. Responses to disasters at facilities that handle radioisotopes differ from normal disaster responses as countermeasures against radioisotopes are needed. In accordance with notices issued by relevant ministries and agencies, a system should be established that enables response, including cooperation, to accidents involving isotope handling facilities. Therefore, it is necessary not only for individual hospitals to respond with disaster prevention measures, but also for a comprehensive system to be established that includes cooperation with local fire departments. Therefore, since 2014, our hospital has been working in collaboration with Konan City Fire Department to ensure that fire extinguishing and rescue activities can be carried out smoothly within the radiation control area in the event of a disaster. We report here our efforts to strengthen cooperation.View full abstractDownload PDF (1269K)
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