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Volume 41, Issue 3
Displaying 1-10 of 10 articles from this issue
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[in Japanese], [in Japanese], [in Japanese]2004 Volume 41 Issue 3 Pages 133-136
Published: March 18, 2004
Released on J-STAGE: October 28, 2009
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Takashi MIZUSHIMA, Michiyuki ITOU, Mitsuru YAMAMOTO, Kenji HACHISUKA, ...2004 Volume 41 Issue 3 Pages 137-142
Published: March 18, 2004
Released on J-STAGE: October 28, 2009
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Takayoshi UETA, Hideki OTA, Osamu KAWANO, Toru SHIINO2004 Volume 41 Issue 3 Pages 142-146
Published: March 18, 2004
Released on J-STAGE: October 28, 2009
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Yoichi SHIMADA, Toshiki MATSUNAGA, Akiko MISAWA, Tsutomu SAKURABA, Tos ...2004 Volume 41 Issue 3 Pages 147-151
Published: March 18, 2004
Released on J-STAGE: October 28, 2009
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Keiko ONOGI, Eiichi SAITOH2004 Volume 41 Issue 3 Pages 152-155
Published: March 18, 2004
Released on J-STAGE: October 28, 2009
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Kazunari FURUSAWA2004 Volume 41 Issue 3 Pages 155-161
Published: March 18, 2004
Released on J-STAGE: October 28, 2009
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Takayo CHUMA2004 Volume 41 Issue 3 Pages 162-167
Published: March 18, 2004
Released on J-STAGE: October 28, 2009
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A Comparison of Patients Before and After the Clinical Pathway ImplementationKeiji HASHIMOTO, Masahiro OHASHI, Tomoyuki MORITA, Takatsugu OKAMOTO, ...2004 Volume 41 Issue 3 Pages 168-175
Published: March 18, 2004
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSThe objective of this retrospective study is to investigate the effectiveness of clinical pathways for brain-injured patients in our hospital. We compared two groups of brain-injured patients who were admitted before and after implementation of the clinical pathways. There were 215 patients before and 110 patients after the implementation of the clinical pathways. After introduction of the clinical pathways, the number of in-hospital days were significantly reduced (89.5±46.4 vs 76.1±46.0; p<0.05). On the other hand, no differences were noted between the two groups in improvement of Functional Independence Measure (FIM) scores. This indicated that our clinical pathways for acquired brain injuries worked effectively in reducing the number of in-hospital days without changing functional gain.View full abstractDownload PDF (1292K) -
A Case ReportKaori MISHIMA, Satoru SAEKI, Keinosuke ARIDOME, Masaru IWANAGA, Yasuyu ...2004 Volume 41 Issue 3 Pages 176-180
Published: March 18, 2004
Released on J-STAGE: October 28, 2009
JOURNAL FREE ACCESSRespiratory disturbance is one of the symptoms in post-polio syndrome (PPS), which is induced by the aging process of the respiratory muscle, scoliosis, bulbar muscle weakness and central arousal disturbance. Because of low patient activity levels resulting from progressive locomotive limitation, symptoms of progressive ventilatory insufficiency are often masked. We report a case of a 41-year old male with PPS, who was diagnosed as having sleep apnea syndrome (SAS), and was treated by continuous positive airway pressure (CPAP) ventilation using noninvasive nasal access. At the age of 11 months, he contracted spinal and bulbar poliomyelitis that involved the right arm, trunk, both legs, and bulbar muscles. At the age of 12 years, he became drowsy in the daytime, had headaches in the morning, and general fatigue with the progress of scoliosis. He visited our clinic for further examination of his PPS at the age of 41 years. At admission, his physical examination revealed severe trunk scoliosis with thoracic deformity and muscle weakness with atrophy in the right upper and both lower extremities. Spirometry demonstrated restrictive ventilatory disturbance. Pulse oximetry during the night and a further study using polysomnography (PSG) showed that he had sleep-induced hypoventilation and/or SAS. After he was treated using nasal CPAP and nocturnal ventilation, symptoms related to SAS disappeared.View full abstractDownload PDF (1626K) -
2004 Volume 41 Issue 3 Pages 181-184
Published: March 18, 2004
Released on J-STAGE: October 28, 2009
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