The Kitakanto Medical Journal
Online ISSN : 1881-1191
Print ISSN : 1343-2826
ISSN-L : 1343-2826
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Showing 1-18 articles out of 18 articles from the selected issue
ANNOUNCEMENTS
ORIGINALS
  • Makoto Murai, Kiun Kato, Keisuke Tsuzuki, Seiichi Kasaoka
    2021 Volume 71 Issue 3 Pages 169-176
    Published: August 01, 2021
    Released: September 24, 2021
    JOURNAL FREE ACCESS

    Aim: Videos were used to induce emotions and determine effects on food choice.

    Methods: Participants (n=146) were separated into three rooms, watching four minutes of videos. The video for the positive emotion group (PE) was bright, vivid, and stable in the color, that for the negative emotion group (NE) was dark and used dull colors/low-pitched music, and that for the calm emotion group (CE) was neither impressive nor narrative. Emotional grading was then carried out.

    Results: Positive emotion items were the highest in the PE group, and negative emotion and calm emotion items were the highest in the NE and CE groups, respectively, showing that edited videos can efficiently induce emotions from multiple people simultaneously. Food evaluations were conducted after the emotion inductions. The CE group had a significantly higher score in “because it is nutrient rich” regarding healthy foods; the PE group had the lowest score about their reasoning.

    Conclusion: People experiencing calm emotions might choose healthy foods based on knowledge while people experiencing positive emotions might not choose lower-calorie foods in order to avoid physical weakness.

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  • Chiaki Ishihara, Kazuko Ishida, Mai Hosokawa, Ayumi Kyota, Ruka Mochiz ...
    2021 Volume 71 Issue 3 Pages 177-186
    Published: August 01, 2021
    Released: September 24, 2021
    JOURNAL FREE ACCESS

    Objective: To clarify perceptions and behaviors of healthcare professionals in interdisciplinary care of patients with chemotherapy-induced peripheral neuropathy.

    Methods: Semi-structured interviews with four to nine participants were performed with physicians, nurses, pharmacists, and occupational therapists (OT)/physical therapists (PT). Interview data were analyzed qualitatively and inductively.

    Results: A total of 31 healthcare professionals (six physicians, nine nurses, seven pharmacists, four OTs, and five PTs) participated in the study. Perceptions of the professionals on interdisciplinary care were organized into seven categories such as “difficulties for physicians and OTs/PTs to intervene on patients with peripheral neuropathy” and “expectations for other professionals caring for patients with peripheral neuropathy.” Their behaviors were organized into three categories such as “support and countermeasures for patients with occurrence of peripheral neuropathy.”

    Discussion: Participants recognized the importance prevention and early detection of symptoms, engaged in educational guidance, and consulted related professions. Awareness of interprofessional collaboration, however, was low as communication among different professions was not facilitated. It was suggested that the interdisciplinary approach to care was not effectively functioning. This study clarified perceptions and behaviors of multiple professionals. Further studies are required to establish a model for providing effective interdisciplinary medical care.

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  • Mai Hosokawa, Kiyoko Kanda
    2021 Volume 71 Issue 3 Pages 187-193
    Published: August 01, 2021
    Released: September 24, 2021
    JOURNAL FREE ACCESS

    Background: Fatigue is the most common symptom in cancer patients, resulting from a variety of factors. About 80% of cancer patients undergoing chemotherapy are believed to experience fatigue.

    Objective: Levels of fatigue in patients with malignant lymphoma who received chemotherapy were evaluated.

    Interventions/Methods: Participants were malignant lymphoma patients who received CHOP (R-CHOP) treatment or THP-COP (R-THP-COP) treatment. A fatigue questionnaire was given to evaluate patients’ levels of fatigue and weakness at the baseline and on the 4th, 8th and 12th days after chemotherapy.

    Results: After treatment, the level of fatigue based on the Cancer Fatigue Scale (CFS) was the highest on the 8th day. The difference in the levels between the 8th day and the first day was significant (p<0.001).

    Conclusions: The results suggest that the most marked physical fatigue was experienced on day 8 during each treatment period.

    Implications for Nursing/Interpretation: It is important to focus more attention through nursing intervention research on circumstances involving patients’ feelings of fatigue during malignant lymphoma chemotherapy.

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  • Mitsuko Ushikubo, Tadahiro Ohtani, Hiromi Kawabata
    2021 Volume 71 Issue 3 Pages 195-198
    Published: August 01, 2021
    Released: September 24, 2021
    JOURNAL FREE ACCESS

    Purpose: The number of individuals with amyotrophic lateral sclerosis (ALS) who also have cognitive impairment has increased. The purpose was to elucidate nurses’ awareness of patients with comorbid ALS and cognitive impairment.

    Methods: We conducted a survey of nurses with experience in supporting individuals with ALS, using an anonymous, self-administered questionnaire. The questionnaire collected information on the participant characteristics, awareness of the presence of cognitive impairment in ALS, their experience in supporting ALS patients with cognitive impairments, and their educational needs. We used descriptive statistics.

    Results: We analyzed 117 questionnaires (response rate: 68.0%). Seventy-one nurses (60.7%) were aware of the cognitive impairments associated with ALS, and had only learned about this within the last one or two years, through their own clinical experience. 55 nurses (43.6%) had current or past experience supporting patients with comorbid cognitive impairment and ALS. Approximately 20% of whom answered that never had cared for ALS patients diagnosed with cognitive impairment had experience of supporting an ALS patient suspected of having cognitive impairment. More than 80% of the respondents expressed their wishes to receive recurrent education regarding ALS patients with cognitive impairment.

    Conclusions: The nurses in this study did not have a comprehensive understanding of cognitive impairment in ALS. Nurses need to be aware of the overlap in symptoms of ALS and cognitive impairment by receiving training to upgrade their knowledge.

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CASE REPORTS
  • Yuiko Suzuki, Tetsuro Tamai, Shuhei Takahashi, Akiho Ueda, Rena Okada, ...
    2021 Volume 71 Issue 3 Pages 199-201
    Published: August 01, 2021
    Released: September 24, 2021
    JOURNAL FREE ACCESS

      Anomalous coronary arteries are considered to be benign, however coronary arteries originating from the opposite sinus are considered to be potentially fatal. Especially during exercise, compression of the coronary artery between the aorta and the pulmonary artery may result in myocardial ischemia and in some cases, death. We report an incidental finding of an anomalous right coronary artery originating from the left sinus, in a 5-year-old Kawasaki disease patient. Management of asymptomatic and incidentally diagnosed patients with anomalous right coronary artery remain a subject of debate.

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  • Shuhei Takahashi, Naoaki Hori
    2021 Volume 71 Issue 3 Pages 203-206
    Published: August 01, 2021
    Released: September 24, 2021
    JOURNAL FREE ACCESS

      A 6-year-old boy visited our hospital due to gait disturbance. X-ray showed bilateral cortical thickening and irregularity at the diaphysis of long bones, and 99mTc-HMDP bone scintigram showed remarkable accumulation consistent with the lesions. A genetic analysis of TGFB1 revealed a heterozygous R218C variant. Taken together, he was diagnosed with Camurati-Engelmann disease. Walking problems and muscle weakness made it difficult for him to participate in gym activities as well as playing outside with his classmates. This led him to feel excluded and inferior to others. Gradually he became withdrawn, and required psychologic intervention by his school counselors and psychotherapists. Camurati-Engelmann disease is known to have a good prognosis; however, psychosocial follow-up is also mandatory.

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  • Hideharu Nakamura, Takaya Makiguchi, Mio Kobayashi, Daichi Aoki, Yuki ...
    2021 Volume 71 Issue 3 Pages 207-210
    Published: August 01, 2021
    Released: September 24, 2021
    JOURNAL FREE ACCESS

      We experienced a case of abdominal wall endometriosis (AWE) that arised from the caesarean section scar. The patient was a woman in her 40s. She visited our hospital for an abdominal wall mass accompanied by periodically pain that was noticed half a year previously. She had undergone a caesarean section 2 years ago, and had a subcutaneous tumor of 2 cm in size on the cranial edge of the scar. Ultrasonography revealed a heterogeneous hypoechoic mass on the anterior layer of the rectus sheath, and magnetic resonance imaging revealed a nodule with a low signal intensity on T1-weighted imaging and mild high signal intensity on T2-weighted imaging. We suspected AWE, and she underwent tumor resection under general anesthesia. A histopathological examination revealed endometrial glands and stroma in the tissues, confirming the diagnosis of AWE. AWE is expected to increase due to an increase in the number of caesarean sections performed worldwide. We should consider AWE as a differential diagnosis in women with subcutaneous tumors associated with menstrual cyclic pain or swelling in the incisional scar after caesarean section and other abdominal surgery.

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MATERIAL
  • Chiho Yamazaki, Takashi Nishitate
    2021 Volume 71 Issue 3 Pages 211-218
    Published: August 01, 2021
    Released: September 24, 2021
    JOURNAL FREE ACCESS

      We held a webinar in November 2020, to understand the impact of the COVID-19 pandemic on foreign residents living in Gunma prefecture, assess what could and could not be done to reduce the impact on them, and identify issues to be addressed in the future. The difficulties faced by foreign residents during the first 6 months of the pandemic, as well as how they responded to these, were presented by the speakers from the standpoints of the prefectural government, ethnic community, international association, and educational institutions (Japanese language schools and public elementary schools). There were approximately 40 participants. The webinar clarified that foreign residents were facing a wide range of difficulties, including financial distress due to dismissal or reduction in working hours, restrictions related to residency status, limited access to various information, issues relating to children’s education, and discrimination. Additionally, it was clarified that diverse forms of support were provided by the local government and various organizations and parties. It was suggested that providing accessible information to foreign residents, creating a consultation place where foreign residents can feel free to use, and the realization of a mutual assistance community were the challenges to be addressed for the future.

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