Satoshi Kobayashi, Kenichi Komaya, T. Takagi, Takashi Maeda, M. Kato, A. Sekimura, Toshiyuki Yokoyama, A. Hori
{"title":"A Case of Advanced Gastric Cancer That Was Difficult to Treat During Chemotherapy for Advanced Lung Cancer","authors":"Satoshi Kobayashi, Kenichi Komaya, T. Takagi, Takashi Maeda, M. Kato, A. Sekimura, Toshiyuki Yokoyama, A. Hori","doi":"10.2185/jjrm.70.504","DOIUrl":"https://doi.org/10.2185/jjrm.70.504","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77466092","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":"Effects of Physical and Emotional Interventions on Stress in Elderly People With Alzheimer's Disease Who Show Behavioral and Psychological Symptoms of Dementia","authors":"Hiromi Kimura, Kayoko Koga, Hiroko Kukihara, Midori Nishio","doi":"10.2185/jjrm.71.12","DOIUrl":"https://doi.org/10.2185/jjrm.71.12","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73278881","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 Metachronous Ovarian Metastasis of Rectal Cancer Associated With Pseudo-Meigs Syndrome","authors":"Saki Ishiya, Y. Kurumiya","doi":"10.2185/jjrm.71.56","DOIUrl":"https://doi.org/10.2185/jjrm.71.56","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72934413","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}
Clinical research is a critical component of evidence-based medicine and is essential for improving the quality of healthcare. However, the shortage of research supervisors and the lack of personnel with sufficient knowledge of research methodology and statistical analysis are obstacles to carrying out research in the clinical setting. Although we have been providing clinical research training for personnel at our hospital, it is not clear whether they are interested in actually conducting clinical research and participating in related educational programs. Therefore, in this study, we conducted a cross-sectional questionnaire survey to gauge their interest in these two areas. Questionnaires were completed by 718 of the 813 the medical personnel who attended our training sessions (88.3% response rate). Fifty-five percent expressed an interest in performing clinical research and data analysis. Among those who were interested in clinical research and data analysis, 75.8% were male, 58.9% were married, and 60.8% had children. Notably, 90.7% of pharmacists and 69.1% of physicians were particularly interested in performing clinical research and data analysis. In addition, medical personnel in their 30s and 40s were more interested in clinical research and data analysis. Among several factors, gender (male) and job title (pharmacist and physician) were strongly associated with interest in clinical research and data analysis. Medical personnel interested in clinical research and data analysis wanted to participate in educational programs on statistical processing, writing papers, and finding research subjects. Medical personnel not interested in clinical research and data analysis wanted to participate in educational programs on searching for articles, evaluating articles, and interpreting data. To address the shortage of research leaders, we believe that education related to clinical research should be provided to personnel interested in conducting clinical research and data analysis. Furthermore, we found that even staff not interested in conducting clinical research and data analysis are interested in educational programs related to clinical research.
{"title":"Survey of Medical Personnel's Interest in Performing Clinical Research and in Educational Programs for Clinical Research","authors":"Takanori Miura, Chizuru Mitsui, K. Inagaki, Asuka Tsuboi, Tomoharu Oda, Hitoshi Inuzuka, Masahito Watarai","doi":"10.2185/jjrm.71.94","DOIUrl":"https://doi.org/10.2185/jjrm.71.94","url":null,"abstract":"Clinical research is a critical component of evidence-based medicine and is essential for improving the quality of healthcare. However, the shortage of research supervisors and the lack of personnel with sufficient knowledge of research methodology and statistical analysis are obstacles to carrying out research in the clinical setting. Although we have been providing clinical research training for personnel at our hospital, it is not clear whether they are interested in actually conducting clinical research and participating in related educational programs. Therefore, in this study, we conducted a cross-sectional questionnaire survey to gauge their interest in these two areas. Questionnaires were completed by 718 of the 813 the medical personnel who attended our training sessions (88.3% response rate). Fifty-five percent expressed an interest in performing clinical research and data analysis. Among those who were interested in clinical research and data analysis, 75.8% were male, 58.9% were married, and 60.8% had children. Notably, 90.7% of pharmacists and 69.1% of physicians were particularly interested in performing clinical research and data analysis. In addition, medical personnel in their 30s and 40s were more interested in clinical research and data analysis. Among several factors, gender (male) and job title (pharmacist and physician) were strongly associated with interest in clinical research and data analysis. Medical personnel interested in clinical research and data analysis wanted to participate in educational programs on statistical processing, writing papers, and finding research subjects. Medical personnel not interested in clinical research and data analysis wanted to participate in educational programs on searching for articles, evaluating articles, and interpreting data. To address the shortage of research leaders, we believe that education related to clinical research should be provided to personnel interested in conducting clinical research and data analysis. Furthermore, we found that even staff not interested in conducting clinical research and data analysis are interested in educational programs related to clinical research.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78069593","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 sought to clarify nurses’ thoughts on the patient–nurse relationship and nursing care for patients with poorly controlled diabetes and to explore the relationship between them. Semi-structured interviews were conducted with 10 nurses, and the interview data were qualitatively and inductively analyzed. The results of the analysis revealed five thoughts on the patient–nurse relationship and six thoughts on nursing care for patients with poorly controlled diabetes. The nurses’ thoughts on the patient–nurse relationship where they wanted patients to follow their instructions, wanted to avoid patients who hurt their feelings, and wanted to receive positive evaluations as a nurse from both patients and other health care providers were connected with the nurses’ following thoughts on nursing care for patients with poorly controlled diabetes: nurses’ thoughts on the patient– nurse relationship where they wanted to respect patients’ dignity and for patients to understand their sincerity were connected with the following thoughts on nursing care for patients with poorly controlled diabetes: strong hope that their patients’ conditions would improve and diabetes is a difficult disease to live with. However, repeated hospitalization of patients led the nurses to think that it was difficult to understand the patients’ thoughts. The results of this study suggest the importance of respecting patients’ dignity in nursing care for patients with poorly controlled diabetes.
{"title":"Nurses' Thoughts on Patients With Poorly Controlled Diabetes","authors":"Ayami Hayashi, Motomi Yokota","doi":"10.2185/jjrm.71.122","DOIUrl":"https://doi.org/10.2185/jjrm.71.122","url":null,"abstract":"This study sought to clarify nurses’ thoughts on the patient–nurse relationship and nursing care for patients with poorly controlled diabetes and to explore the relationship between them. Semi-structured interviews were conducted with 10 nurses, and the interview data were qualitatively and inductively analyzed. The results of the analysis revealed five thoughts on the patient–nurse relationship and six thoughts on nursing care for patients with poorly controlled diabetes. The nurses’ thoughts on the patient–nurse relationship where they wanted patients to follow their instructions, wanted to avoid patients who hurt their feelings, and wanted to receive positive evaluations as a nurse from both patients and other health care providers were connected with the nurses’ following thoughts on nursing care for patients with poorly controlled diabetes: nurses’ thoughts on the patient– nurse relationship where they wanted to respect patients’ dignity and for patients to understand their sincerity were connected with the following thoughts on nursing care for patients with poorly controlled diabetes: strong hope that their patients’ conditions would improve and diabetes is a difficult disease to live with. However, repeated hospitalization of patients led the nurses to think that it was difficult to understand the patients’ thoughts. The results of this study suggest the importance of respecting patients’ dignity in nursing care for patients with poorly controlled diabetes.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90754013","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":"Fellow members of the Japanese Association of Rural Medicine, let 555 people’s lives shine","authors":"K. Henmi","doi":"10.2185/jjrm.70.555","DOIUrl":"https://doi.org/10.2185/jjrm.70.555","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83223167","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 aim of this study was to compare changes in the amount of palmar sweating, measured using a portable hygrometric sweating meter, with changes in heart rate (HR) and percutaneous arterial blood oxygen saturation (Spo 2 ) measured using a pulse oximeter, after active standing. Participants were 20 healthy adults (mean age 20.9±0.8 years). Compared with a resting HR of 67.9±5.4 beats/min, HR was highest at 91.7±15.8 beats/min after 10s of active standing and then decreased to 86.4±13.3 beats/min at 20s. However, HR remained high at approximately 80beats/ min between 20 and 180s of active standing. The difference in HR between 10 and 180s of active standing was significant. Spo 2 was significantly decreased (98.1±1.0%) after 10s of active standing compared with the resting value (99.1±1.3%) and remained lower than the resting value for 180s, but the difference for periods longer than 10s was not significant. The amount of palmar sweating significantly increased (0.26±0.06 mg/min/cm 2 ) after 10s of active standing compared with the resting value (0.0±0.0 mg/min/cm 2 ) but then decreased for 180s after that, and the difference for periods longer than 10s was not significant. We observed that HR continued to increase for the first 180s of active standing, but the amount of palmar sweating was significantly increased only for the first 10s of active standing. In a future study, we plan to investigate whether the measured amount of palmar sweating can be used as an easy and noninvasive indicator in acute myocardial infarction patients undergoing heart rehabilitation.
{"title":"Comparison of Palmar Sweating With Heart Rate and Percutaneous Arterial Blood Oxygen Saturation After Active Standing in Healthy Adults","authors":"Kenzo Shibayama, Yoshimi Moriwaki, T. Nakagami","doi":"10.2185/jjrm.71.115","DOIUrl":"https://doi.org/10.2185/jjrm.71.115","url":null,"abstract":"The aim of this study was to compare changes in the amount of palmar sweating, measured using a portable hygrometric sweating meter, with changes in heart rate (HR) and percutaneous arterial blood oxygen saturation (Spo 2 ) measured using a pulse oximeter, after active standing. Participants were 20 healthy adults (mean age 20.9±0.8 years). Compared with a resting HR of 67.9±5.4 beats/min, HR was highest at 91.7±15.8 beats/min after 10s of active standing and then decreased to 86.4±13.3 beats/min at 20s. However, HR remained high at approximately 80beats/ min between 20 and 180s of active standing. The difference in HR between 10 and 180s of active standing was significant. Spo 2 was significantly decreased (98.1±1.0%) after 10s of active standing compared with the resting value (99.1±1.3%) and remained lower than the resting value for 180s, but the difference for periods longer than 10s was not significant. The amount of palmar sweating significantly increased (0.26±0.06 mg/min/cm 2 ) after 10s of active standing compared with the resting value (0.0±0.0 mg/min/cm 2 ) but then decreased for 180s after that, and the difference for periods longer than 10s was not significant. We observed that HR continued to increase for the first 180s of active standing, but the amount of palmar sweating was significantly increased only for the first 10s of active standing. In a future study, we plan to investigate whether the measured amount of palmar sweating can be used as an easy and noninvasive indicator in acute myocardial infarction patients undergoing heart rehabilitation.","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":"84593435","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 Vascular Ring Presenting With Dying Spells","authors":"Midori Yokoi, Yuko Nakamura, T. Ishii","doi":"10.2185/jjrm.71.51","DOIUrl":"https://doi.org/10.2185/jjrm.71.51","url":null,"abstract":"","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":"75114926","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":"The71th Congress of the Japanese Association of Rural Medicine","authors":"","doi":"10.2185/jjrm.71.141","DOIUrl":"https://doi.org/10.2185/jjrm.71.141","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78886105","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":"Impressions on the 70th Annual Meeting","authors":"Yoshikazu Baba","doi":"10.2185/jjrm.70.549","DOIUrl":"https://doi.org/10.2185/jjrm.70.549","url":null,"abstract":"","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":"76844620","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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