Small-scale enterprises (SSEs) are defined as companies with less than 50 workers ; these account for 97.3% of all enterprises and 62.1% of all workers in Japan. It is common knowledge that the mental health management system in SSEs is not satisfactory. A questionnaire survey was performed to evaluate the present mental health management of SSEs in two industrial areas in Nagano Prefecture, Japan. The questionnaires were distributed to occupational health management personnel of 74 SSEs in the areas, and 69 questionnaires were returned (93.2%). Most of these were manufacturing enterprises (38 enterprises ; 55.1%), and most of the occupational health management personnel were administrative workers (27 personnel ; 39.1%). Among the SSEs, 29 people (42.0%) answered that “mental health information can be obtained,” 17 (24.6%) answered that “mental health management system is in place,” and 43 (62.3%) answered that “prospective mental health management is necessary.”In addition, mental health management was being carried out in enterprises in which mental health information was obtainable (p<0.001), and a larger number of administrative workers, as compared with non-administrative workers, answered that a prospective mental health management system would not be necessary (p=0.044). In conclusion, it was considered that providing mental health information and support to administrative workers would play a key role in promoting the mental health management system for SSEs

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“Infant home visiting service for all houses” is a national project begun in 2007 in order to support isolated and depressive mothers during child care. The ultimate purpose is the prevention of child abuse. This study aimed to investigate the state of this project in Nagano Prefecture in 2009.
Questionnaires were requested from 80 local communities in Nagano Prefecture to investigate the current states of this project, including the start date, first visitors’ occupation, visit time, method of evaluation of mother and child, and second visitors’ occupation.
As a result, 61 local communities among 79 respondents were found to be conducting this project (76.3%). Some other local communities included the content within their newborn visits project. Public health nurses played the main role in the initial visit to a mother and infant. Subjective and objective evaluations and/or judgments about their second visits for anxious mothers and children were conducted in 33 (54.1%) and 20 local communities (32.8%), respectively, at their initial visit. Second visits were also conducted mainly by public health nurses.
From these results, home visiting methods were seen to be conducted in various ways in each local community in Nagano Prefecture. It is suggested that the roles of visiting all houses and the home visiting of newborn babies should be clarified and that a standardized home visiting program including a program for training visitors seems to be necessary.

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Cardiac lymphoma is a rare neoplasm of the heart, defined as an extranodal lymphoma exclusively located in the heart and/or pericardium. Multiple imaging modalities may help to diagnose cardiac tumors ; however, pathological diagnosis is difficult because of the limited approaches for obtaining tissue samples. This report describes two cases of prompt histological diagnosis of cardiac lymphoma as diffuse large B-cell type and their successful treatment with chemotherapy. Immunohistochemical analyses revealed one case as CD5-positive and the other as CD5-negative lymphoma. This report highlights the necessity of histological diagnosis and the importance of clinicopathological characterization of cardiac lymphoma.

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