{"title":"COVID-19 and JA Health and Welfare Services","authors":"Junsei Nakamura","doi":"10.2185/jjrm.70.577","DOIUrl":"https://doi.org/10.2185/jjrm.70.577","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80835308","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}
Y. Enomoto, Shigeki Tsukamoto, Akehumi Sato, Yuta Kakizaki, Yosuke Kubota, T. Kumagai, Ken Saito
The Pancreatic Cancer Practice Guidelines (2019 edition) recommend that surgical treatment for pancreatic cancer be performed at facilities with large numbers of surgical cases. Although our hospital is not a so-called high-volume center, we have been actively performing challenging hepatobiliary and pancreatic operations for patients who wish to be treated in our department. We investigated factors including surgery-related factors, perioperative complications, and long-term prognosis, in 78 cases of pancreaticoduodenectomy performed during the 10-year period from 2010 to 2019. There were no surgery-related deaths, the 5-year survival rate for surgical cases of pancreatic head cancer was a relatively good 31%, and the postoperative outcomes and long-term prognoses were comparable to those of high-volume centers. As a regional core hospital, we must continue to provide safe and high-quality medical care.
{"title":"Surgical Results of Pancreaticoduodenectomy at Our Hospital","authors":"Y. Enomoto, Shigeki Tsukamoto, Akehumi Sato, Yuta Kakizaki, Yosuke Kubota, T. Kumagai, Ken Saito","doi":"10.2185/jjrm.71.88","DOIUrl":"https://doi.org/10.2185/jjrm.71.88","url":null,"abstract":"The Pancreatic Cancer Practice Guidelines (2019 edition) recommend that surgical treatment for pancreatic cancer be performed at facilities with large numbers of surgical cases. Although our hospital is not a so-called high-volume center, we have been actively performing challenging hepatobiliary and pancreatic operations for patients who wish to be treated in our department. We investigated factors including surgery-related factors, perioperative complications, and long-term prognosis, in 78 cases of pancreaticoduodenectomy performed during the 10-year period from 2010 to 2019. There were no surgery-related deaths, the 5-year survival rate for surgical cases of pancreatic head cancer was a relatively good 31%, and the postoperative outcomes and long-term prognoses were comparable to those of high-volume centers. As a regional core hospital, we must continue to provide safe and high-quality medical care.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90442240","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}
Naomi Kimura, Y. Kato, Minami Hashimoto, Keika Yamauchi, E. Kondo, M. Shibata, Shoko Kozaki, Teruko Mizuno, Yasushi Matsukawa, Kyoko Kumagai, Masahiro Ikeuchi, Kazuhiro Higuchi
The patient was a 68-year-old woman who was diagnosed with stage IIIA cervical cancer and pyometra. Concurrent chemoradiotherapy was planned. She was admitted to our hospital 3 weeks after the initial examination due to vaginal bleeding and worsening of lower abdominal pain. On hospital day 5, she developed a fever, and free gas in the peritoneal cavity and ascites were confirmed by contrast-enhanced computed tomography. Emergency surgery was performed for suspected generalized peritonitis attributed to perforation in the digestive tract or uterus. A large amount of purulent ascites and 2 perforations in the anterior wall of the uterus, but none in the digestive tract, were observed. Peritoneal lavage and drainage were performed, and a colostomy was created. The patient was managed in the intensive care unit until postoperative day 13 due to septic shock and acute renal failure. After the peritonitis resolved, radiation therapy alone was provided, and then chemotherapy was started to treat residual lesions. Pyometra recurred, and transvaginal drainage was performed to prevent perforation of the uterus. However, a few days later, a colouterine fistula and an enterocutaneous fistula developed simultaneously, and her general condition worsened. In advanced cervical cancer complicated by pyometra, various complications can develop that are difficult to manage (e.g., uterine perforation and fistula formation due to radiation enteritis and dermatitis). This case demonstrates the importance of uterine drainage at appropriate timing, which can contribute to improved prognosis.
{"title":"A Case of Cervical Cancer With Rupture of Pyometra Immediately Before Cancer Treatment and Development of Colouterine and Enterocutaneous Fistulas After Chemoradiotherapy","authors":"Naomi Kimura, Y. Kato, Minami Hashimoto, Keika Yamauchi, E. Kondo, M. Shibata, Shoko Kozaki, Teruko Mizuno, Yasushi Matsukawa, Kyoko Kumagai, Masahiro Ikeuchi, Kazuhiro Higuchi","doi":"10.2185/jjrm.71.348","DOIUrl":"https://doi.org/10.2185/jjrm.71.348","url":null,"abstract":"The patient was a 68-year-old woman who was diagnosed with stage IIIA cervical cancer and pyometra. Concurrent chemoradiotherapy was planned. She was admitted to our hospital 3 weeks after the initial examination due to vaginal bleeding and worsening of lower abdominal pain. On hospital day 5, she developed a fever, and free gas in the peritoneal cavity and ascites were confirmed by contrast-enhanced computed tomography. Emergency surgery was performed for suspected generalized peritonitis attributed to perforation in the digestive tract or uterus. A large amount of purulent ascites and 2 perforations in the anterior wall of the uterus, but none in the digestive tract, were observed. Peritoneal lavage and drainage were performed, and a colostomy was created. The patient was managed in the intensive care unit until postoperative day 13 due to septic shock and acute renal failure. After the peritonitis resolved, radiation therapy alone was provided, and then chemotherapy was started to treat residual lesions. Pyometra recurred, and transvaginal drainage was performed to prevent perforation of the uterus. However, a few days later, a colouterine fistula and an enterocutaneous fistula developed simultaneously, and her general condition worsened. In advanced cervical cancer complicated by pyometra, various complications can develop that are difficult to manage (e.g., uterine perforation and fistula formation due to radiation enteritis and dermatitis). This case demonstrates the importance of uterine drainage at appropriate timing, which can contribute to improved prognosis.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90976073","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}
Shintaro Nishikawa, A. Sekimura, H. Kusunoki, Yoshiki Sato, Toshiyuki Yokoyama
The pathogenicity of SARS-CoV-2 has changed as the virus mutates, with some variants causing waves of new infections. We investigated the pathogenic changes in the virus during waves 3, 4, and 5 in terms of severity, treatment methods, and outcomes in 208 patients with COVID-19 admitted to our hospital. Maximum severity during hospitalization tended to increase in patients with moderate I and II COVID-19 during waves 4 and 5; however, the number of severe cases decreased. Comparison by propensity score matching revealed that the number of patients with moderate I and II COVID-19 also increased significantly during wave 5.
{"title":"Changes in the Pathogenicity of SARS-CoV-2 According to Waves","authors":"Shintaro Nishikawa, A. Sekimura, H. Kusunoki, Yoshiki Sato, Toshiyuki Yokoyama","doi":"10.2185/jjrm.71.101","DOIUrl":"https://doi.org/10.2185/jjrm.71.101","url":null,"abstract":"The pathogenicity of SARS-CoV-2 has changed as the virus mutates, with some variants causing waves of new infections. We investigated the pathogenic changes in the virus during waves 3, 4, and 5 in terms of severity, treatment methods, and outcomes in 208 patients with COVID-19 admitted to our hospital. Maximum severity during hospitalization tended to increase in patients with moderate I and II COVID-19 during waves 4 and 5; however, the number of severe cases decreased. Comparison by propensity score matching revealed that the number of patients with moderate I and II COVID-19 also increased significantly during wave 5.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90421423","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. Matsuoka, A. Shoji, Gen Abe, Y. Tamura, Takashi Saito
{"title":"Association Between Lipid Profile and Exercise Capacity in Phase II Cardiac Rehabilitation for Patients with Acute Coronary Syndrome","authors":"S. Matsuoka, A. Shoji, Gen Abe, Y. Tamura, Takashi Saito","doi":"10.2185/jjrm.70.437","DOIUrl":"https://doi.org/10.2185/jjrm.70.437","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81374807","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":"Current Conditions of Support Provision for Nurses at Hub Hospitals in Remote Areas","authors":"Yuka Kusumoto, Rika Yatsushiro","doi":"10.2185/jjrm.70.460","DOIUrl":"https://doi.org/10.2185/jjrm.70.460","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"77 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83385178","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}
Risa Hamano, M. Nagao, Takiko Matsuno, Ritsuko Kuboe, Yasuyo Watanabe, Junichi Matsuda, Mari Hanashima, Nobuyuki Mitani, T. Kuga
{"title":"Difficulties and Countermeasures in Nursing Practice for Non-English-Speaking Foreign Patients with COVID-19","authors":"Risa Hamano, M. Nagao, Takiko Matsuno, Ritsuko Kuboe, Yasuyo Watanabe, Junichi Matsuda, Mari Hanashima, Nobuyuki Mitani, T. Kuga","doi":"10.2185/jjrm.70.535","DOIUrl":"https://doi.org/10.2185/jjrm.70.535","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83950585","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":"Association Between Liver Steatosis and Single Nucleotide Polymorphisms in the PNPLA3 Gene in the Northern Part of Okinawa, Japan","authors":"K. Hanashiro, J. Motomura, M. Sunagawa","doi":"10.2185/jjrm.71.309","DOIUrl":"https://doi.org/10.2185/jjrm.71.309","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88266179","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 Pulmonary Tuberculosis and Cytomegalovirus Infection During Treatment for COVID-19 Pneumonia","authors":"Y. Enomoto, Toshiaki Takahashi, M. Kume","doi":"10.2185/jjrm.70.523","DOIUrl":"https://doi.org/10.2185/jjrm.70.523","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76581271","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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