Jomyaku Keicho Eiyo
Online ISSN : 1881-3623
Print ISSN : 1344-4980
ISSN-L : 1344-4980
Volume 28, Issue 3
Displaying 1-25 of 25 articles from this issue
  • Masayo KOMODA, Shusuke AKAKUMA, Shuhei OBARA, Azusa KOTO, Humi AONO, Y ...
    2013 Volume 28 Issue 3 Pages 819-825
    Published: 2013
    Released on J-STAGE: June 20, 2013
    JOURNAL FREE ACCESS
    Purpose; I had reported that Bicarbonate Sugar Ointment was effective on dermatitis by leakage from a fistula of patient with Percutaneous Endoscopic Gastrostomy. This report is basic examination of Bicarbonate Sugar Ointment such as ability of neutralization, stability, suction rate, ability of maintenance and smoothly.
    Method; Ability of neutralization was measured pH in the pH3.5 of dilute hydrochloric acid assumed leakage of gastritis fluid mixtured by 5g of Bicarbonate Sugar Ointment. The stability was examined by the ability of neutralization after making for six weeks. The suction rate was examined by saturation method with salt. The fitting and smoothly were measured by spread meter.
    Result and discussion; The 5g of bicarbonate sugar ointment can make the dilute hydrochloric acid neuter. The period of validity decides four weeks because the ability of neutralization after making maintained for four weeks. The suction rate was low (0.7%) after eight hours, but the ability of maintenance and the smoothly fit the purpose.
    conclution; The bisic charactaristics of bicarbonate sugar ointment appropriate for the dermatitis by leakage from gastrostomy fistula.
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  • Mika TAKEUCHI, Miki KURATA, Keisuke FUKUO, Tamaki NAKAYAMA, Yukio OHIS ...
    2013 Volume 28 Issue 3 Pages 827-832
    Published: 2013
    Released on J-STAGE: June 20, 2013
    JOURNAL FREE ACCESS
    Background:It was reported in the 1990s that approximately 20% of pulmonary tuberculosis patients had malnutrition. However, nutritional status of pulmonary tuberculosis patients in recent years has not been investigated. Because medical fees related to nutrition do not apply to pulmonary tuberculosis in Japan, the status of nutritional management of these patients is unclear. In the present study, we aimed to elucidate the nutritional state and method of nutritional support among pulmonary tuberculosis patients.
    Patients and Methods:The nutritional state, dietary intake, and method of nutritional support on admission were investigated for a total of 374 pulmonary tuberculosis patients at the National Hospital Organization Kinki-Chuo Chest Medical Center.
    Results:Serum albumin on admission was <3.5 g/dL in 38% of patients and <3.0 g/dL in 20% of patients. Patients with serum albumin levels <3.0 g/dL also had low values for other nutritional indicators. In addition, patients met 50% of the dietary reference values for Japanese people, and patenteral nutrition was performed in 53% of patients. Although 20 years have passed since the aforementioned report, and despite the spread of nutritional support teams (NST), the proportion of pulmonary tuberculosis patients with malnutrition has not changed.
    Conclusion:These findings indicate that nutritional screening and management have not been adequate, and that tuberculosis patients require nutritional support.
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  • Kazuhiro MURATA, Takanori CHO, Ginko SAKAI, Michiko NISHIDA
    2013 Volume 28 Issue 3 Pages 833-838
    Published: 2013
    Released on J-STAGE: June 20, 2013
    JOURNAL FREE ACCESS
    Background and Aim:We frequently use continuous nasogastriccatheterization (CNG) as tube feeding for patients with dysphagia. However, the status of acid reflux into the upper esophagus, which might cause reflux pneumonia, is unknown. We thus aimed to investigate the degree and frequencyof acid reflux.
    Subjects and Methods:We studied 19 patients (5 men, 14 women) who received nasogastric tube feeding in Yame Rehabilitation Hospital. Employing a pH monitor, we measured 24-h upper esophageal and gastric pH at positions ascertained by X-ray. Acid reflux was diagnosed if pH less than 4.0 was recorded in more than 5% of all esophageal pH readings or if even one pH recording was below 4.0 for more than consecutive 30 seconds.
    Results:Acid reflux into the upper esophagus was diagnosed in 3 subjects (15.8%). The median age, tube size, and indwelling-catheter period in patients with acid reflux were 85 years, 12Fr, and 47 days, respectively, and the corresponding values in patients without acid reflux were 84 years, 13Fr, and 47.5 days. These factors did not differ significantly between patients with and without acid reflux.
    Conclusion:Those diagnosed with acid reflux into the upper esophagus accounted for 15.8% of our subjects. Further study is needed to clarify the relationship between the acid reflux into the upper esophagus and the occurrence of reflux pneumonia.
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