An 85-year-old woman was transported to our hospital because of nausea and abdominal pain. Contrast-enhanced computed tomography revealed type IV hiatal hernia with incarcerated necrotic transverse colon. Emergency laparotomy was performed. When the incarcerated stomach and transverse colon were returned to the abdominal cavity, the transverse colon was resected and anastomosed due to necrosis. After the hiatal defect was closed, the Toupet method was also performed. No regurgitation or obstruction was observed after the operation, and the patient was discharged 63 days postoperatively. Here we report this rare case of intestinal necrosis due to type IV hiatal hernia and review the literature.
{"title":"A Case of Hiatal Hernia with Incarcerated Necrotic Transverse Colon","authors":"H. Nakano, E. Endo, Akira Matsuishi, M. Kanazawa","doi":"10.2185/jjrm.71.332","DOIUrl":"https://doi.org/10.2185/jjrm.71.332","url":null,"abstract":"An 85-year-old woman was transported to our hospital because of nausea and abdominal pain. Contrast-enhanced computed tomography revealed type IV hiatal hernia with incarcerated necrotic transverse colon. Emergency laparotomy was performed. When the incarcerated stomach and transverse colon were returned to the abdominal cavity, the transverse colon was resected and anastomosed due to necrosis. After the hiatal defect was closed, the Toupet method was also performed. No regurgitation or obstruction was observed after the operation, and the patient was discharged 63 days postoperatively. Here we report this rare case of intestinal necrosis due to type IV hiatal hernia and review the literature.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87524061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Certified Infection Control Nurses Fight COVID-19","authors":"","doi":"10.2185/jjrm.70.610","DOIUrl":"https://doi.org/10.2185/jjrm.70.610","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85995365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Ebe, Kozue Kasukabe, Kosuke Yamamoto, Yuki Imaizumi, Kei Ohashi, Yasuhiro Rokushika, R. Nagasaki, M. Hamada, M. Kokubo
We investigated the relationship between neonatal blood hemoglobin (Hb) and period of oxygen administration in 4 cases of fetomaternal transfusion syndrome at our hospital. The hematological parameters were as follows. Case 1: Hb 7.0 g/dL, reticulocyte count 177‰, no blood transfusion, and oxygen administration for 3 days. Case 2: Hb 4.7 g/dL, reticulocyte count 132‰, blood transfusion given, and oxygen administration for 7 days. Case 3: Hb 4.1 g/dL, reticulocyte count 202‰, blood transfusion given, and oxygen administration for 12 days. Case 4: Hb 3.6 g/dL, reticulocyte count 48‰, and blood transfusion given. In Case 4, we started artificial respiration and oxygen administration for treatment of neonatal asphyxia. Oxygen administration was stopped at 50 days of age. Artificial respiration was continued, and tracheostomy was attempted at 198 days of age. Case 4 was classified as having acute blood loss based on the reticulocyte count and had a poorer prognosis than Cases 1-3, which were classified as having chronic blood loss. In Cases 1-3, peripheral blood Hb level was inversely related to the period of oxygen administration.
{"title":"Four Cases of Fetomaternal Transfusion Syndrome","authors":"S. Ebe, Kozue Kasukabe, Kosuke Yamamoto, Yuki Imaizumi, Kei Ohashi, Yasuhiro Rokushika, R. Nagasaki, M. Hamada, M. Kokubo","doi":"10.2185/JJRM.69.535","DOIUrl":"https://doi.org/10.2185/JJRM.69.535","url":null,"abstract":"We investigated the relationship between neonatal blood hemoglobin (Hb) and period of oxygen administration in 4 cases of fetomaternal transfusion syndrome at our hospital. The hematological parameters were as follows. Case 1: Hb 7.0 g/dL, reticulocyte count 177‰, no blood transfusion, and oxygen administration for 3 days. Case 2: Hb 4.7 g/dL, reticulocyte count 132‰, blood transfusion given, and oxygen administration for 7 days. Case 3: Hb 4.1 g/dL, reticulocyte count 202‰, blood transfusion given, and oxygen administration for 12 days. Case 4: Hb 3.6 g/dL, reticulocyte count 48‰, and blood transfusion given. In Case 4, we started artificial respiration and oxygen administration for treatment of neonatal asphyxia. Oxygen administration was stopped at 50 days of age. Artificial respiration was continued, and tracheostomy was attempted at 198 days of age. Case 4 was classified as having acute blood loss based on the reticulocyte count and had a poorer prognosis than Cases 1-3, which were classified as having chronic blood loss. In Cases 1-3, peripheral blood Hb level was inversely related to the period of oxygen administration.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74306882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Meaning of Growing Traditional Vegetables in Rural Elderly People","authors":"Takashi Yoshimura","doi":"10.2185/jjrm.70.85","DOIUrl":"https://doi.org/10.2185/jjrm.70.85","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75643545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Ishibashi, A. Furudoi, G. Shindo, Misato Yamashita, Sonde Cho, M. Nonaka, Y. Fujimoto, H. Hyogo, Y. Aisaka, H. Tokumo
{"title":"Self-expandable Metallic Stent for Obstructive Colorectal Cancer in Our Hospital: Evaluation of Short-term Benefit","authors":"K. Ishibashi, A. Furudoi, G. Shindo, Misato Yamashita, Sonde Cho, M. Nonaka, Y. Fujimoto, H. Hyogo, Y. Aisaka, H. Tokumo","doi":"10.2185/JJRM.69.506","DOIUrl":"https://doi.org/10.2185/JJRM.69.506","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"35 1","pages":"506-509"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85479614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship Between Psychological Adjustment and Quality of Life in Patients With Cerebrovascular Disease Receiving Rehabilitative and Nursing Care in a Newly Established Recovery Phase Rehabilitation Ward","authors":"Youko Miyoshi, Kenzo Shibayama, Chiharu Ito","doi":"10.2185/JJRM.69.478","DOIUrl":"https://doi.org/10.2185/JJRM.69.478","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"2001 1","pages":"478-488"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78545230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Idiopathic Pneumoperitoneum Suspected to Be Caused by Pneumatosis Intestinalis","authors":"Wataru Adachi, Jiro Imura, H. Shiozawa, Y. Haba","doi":"10.2185/jjrm.70.150","DOIUrl":"https://doi.org/10.2185/jjrm.70.150","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90152556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The purpose of this study was to clarify social and psychological factors supporting elderly men aged 75 or older who live alone in five towns or villages designated as depopulated areas by the Ministry of Internal Affairs and Communications in the Tohoku, Kanto, Shikoku, and Kyushu regions. Semi-structured interviews were conducted with 21 elderly men who lived alone, were capable of self-selection and self-determination, and had no communication disorder. Transcripts of the interview were subjected to content analysis. Results showed that the psychological factors supporting these men could be grouped into 3 core categories: “finding a sense of purpose in life”, “carefree lifestyles without being obsessed with time”, and “a community-based life”. Social factors were divided into two core categories: “acceptance of change in relationships with their children” and “ties with the local community”. The community in the study area became smaller due to depopulation and the aging of residents. Hence, there are limitations to supporting each other among local residents and the potential for them to become socially isolated Maintaining mental health can be regarded as having a large influence on continuing to live alone when the elderly men recognize their physical decline and have to face aging. For them to continue living in the community as they wish until the end, this study’s findings suggest that it is necessary to foster cooperation between the government and professionals who can care for emotional and spiritual needs and to establish a support system for mental health.
{"title":"Social and Psychological Factors Supporting Elderly Men Aged 75 Years or Older Living Alone in an Officially Designated Depopulated Area","authors":"Kimie Fujikawa, Maki Hayashi, A. Uezato","doi":"10.2185/jjrm.70.344","DOIUrl":"https://doi.org/10.2185/jjrm.70.344","url":null,"abstract":"The purpose of this study was to clarify social and psychological factors supporting elderly men aged 75 or older who live alone in five towns or villages designated as depopulated areas by the Ministry of Internal Affairs and Communications in the Tohoku, Kanto, Shikoku, and Kyushu regions. Semi-structured interviews were conducted with 21 elderly men who lived alone, were capable of self-selection and self-determination, and had no communication disorder. Transcripts of the interview were subjected to content analysis. Results showed that the psychological factors supporting these men could be grouped into 3 core categories: “finding a sense of purpose in life”, “carefree lifestyles without being obsessed with time”, and “a community-based life”. Social factors were divided into two core categories: “acceptance of change in relationships with their children” and “ties with the local community”. The community in the study area became smaller due to depopulation and the aging of residents. Hence, there are limitations to supporting each other among local residents and the potential for them to become socially isolated Maintaining mental health can be regarded as having a large influence on continuing to live alone when the elderly men recognize their physical decline and have to face aging. For them to continue living in the community as they wish until the end, this study’s findings suggest that it is necessary to foster cooperation between the government and professionals who can care for emotional and spiritual needs and to establish a support system for mental health.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73810445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Kubota, Hideto Okamura, R. Shinohe, S. Kumazawa
{"title":"A Case With Difficulty Improving Limited Knee Flexion After Surgery for a Femoral Shaft Fracture: Assessment of Physical Findings and Exercise Therapy Considering the Effects of Surgery","authors":"H. Kubota, Hideto Okamura, R. Shinohe, S. Kumazawa","doi":"10.2185/JJRM.69.623","DOIUrl":"https://doi.org/10.2185/JJRM.69.623","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"17 1","pages":"623-627"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80473090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study investigated how elderly people living alone in a marginal community can be supported, focusing on their relationships within the community. Types of support that make use of the community were also examined. Semi-structured interviews were conducted with 5 elderly people living alone in a marginal community in a mountainous area. The interviews were analyzed using a grounded theory approach. The analysis results revealed the following five factors: “ability to adapt to lifestyle”, “health-related anxiety and coping”, “joy in life”, “being supported by the community”, and “hope for passing things on to the community and taking action”. The participants utilized the positive attitudes that they had cultivated in the past. This study clarified the processes through which the participants maintained a balance with their own self-reliance and reached the decision to continue living in the area for as long as possible despite facing anxiety about their health and coping with health issues. To continue to live in the marginal community, the participants adopted preventive health behaviors. They also created their own mutual support networks by and for local residents. However, to assist the participants, there is a need for supporters to expand health-promotion activities from these networks to the entire community. Therefore, forms of assistance that utilize community interaction are essential for supporters.
{"title":"Processes Supporting Elderly People Living Alone in a Marginal Community in a Mountainous Area","authors":"Kaeko Murakami","doi":"10.2185/jjrm.70.334","DOIUrl":"https://doi.org/10.2185/jjrm.70.334","url":null,"abstract":"This study investigated how elderly people living alone in a marginal community can be supported, focusing on their relationships within the community. Types of support that make use of the community were also examined. Semi-structured interviews were conducted with 5 elderly people living alone in a marginal community in a mountainous area. The interviews were analyzed using a grounded theory approach. The analysis results revealed the following five factors: “ability to adapt to lifestyle”, “health-related anxiety and coping”, “joy in life”, “being supported by the community”, and “hope for passing things on to the community and taking action”. The participants utilized the positive attitudes that they had cultivated in the past. This study clarified the processes through which the participants maintained a balance with their own self-reliance and reached the decision to continue living in the area for as long as possible despite facing anxiety about their health and coping with health issues. To continue to live in the marginal community, the participants adopted preventive health behaviors. They also created their own mutual support networks by and for local residents. However, to assist the participants, there is a need for supporters to expand health-promotion activities from these networks to the entire community. Therefore, forms of assistance that utilize community interaction are essential for supporters.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80891951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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