T. Maeda, Satoshi Kobayashi, Takehiro Takagi, Kenichi Komaya, Shinji Katou, Hirona Banno, A. Hori
{"title":"Internal Hernia Through the Defect Following Resection of the Ligament of Treitz During Pancreaticoduodenectomy: A Case Report","authors":"T. Maeda, Satoshi Kobayashi, Takehiro Takagi, Kenichi Komaya, Shinji Katou, Hirona Banno, A. Hori","doi":"10.2185/jjrm.71.46","DOIUrl":"https://doi.org/10.2185/jjrm.71.46","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80966273","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}
Adhesive strapping therapy is widely used for umbilical hernia in infants and serious complications are rare. Here we report a case of a 2-month-old girl who developed cellulitis during adhesive strapping therapy with an umbilical compression material and required hospitalization. Five days after the start of adhesive strapping therapy, she presented to our hospital with a laceration, intense redness of the skin, induration, and drainage of pus at the compression site. Her white blood cell count was 13,200/μL (neutrophils 56%) and C-reactive protein level was 3.78 mg/dL. Ultrasonography showed hyper-echogenicity of the surrounding fatty tissue and blood flow signals, so cellulitis was diagnosed. Symptoms rapidly improved after 5 days of antibiotic treatment. Cellulitis during adhesive strapping therapy is rare but should be kept in mind as a potential complication.
{"title":"Cellulitis Due to Umbilical Compression Material for Adhesive Strapping Therapy for Umbilical Hernia","authors":"G. Tsuji, Azuma Ikari, Michio Suzuki, T. Kubota","doi":"10.2185/jjrm.71.337","DOIUrl":"https://doi.org/10.2185/jjrm.71.337","url":null,"abstract":"Adhesive strapping therapy is widely used for umbilical hernia in infants and serious complications are rare. Here we report a case of a 2-month-old girl who developed cellulitis during adhesive strapping therapy with an umbilical compression material and required hospitalization. Five days after the start of adhesive strapping therapy, she presented to our hospital with a laceration, intense redness of the skin, induration, and drainage of pus at the compression site. Her white blood cell count was 13,200/μL (neutrophils 56%) and C-reactive protein level was 3.78 mg/dL. Ultrasonography showed hyper-echogenicity of the surrounding fatty tissue and blood flow signals, so cellulitis was diagnosed. Symptoms rapidly improved after 5 days of antibiotic treatment. Cellulitis during adhesive strapping therapy is rare but should be kept in mind as a potential complication.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81544641","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":"Problems in School Life and Countermeasures for Patients With Orthostatic Dysregulation During the COVID-19 Pandemic","authors":"Yuko Okawa, Yoshiichi Abe, Masayoshi Suzuki","doi":"10.2185/jjrm.71.22","DOIUrl":"https://doi.org/10.2185/jjrm.71.22","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84796881","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}
A. Ogata, Y. Kurumiya, K. Mizuno, E. Sekoguchi, G. Sugawara, Masaya Inoue, Takehiro Kato, T. Minami, Naohiro Akita, Hirotake Gonda, A. Sekimoto, Hirona Todoroki, T. Osawa, Kenta Hamabe, Kazuki Sakumoto, Saki Ishiya
{"title":"A Case of Ruptured Pancreatic Pseudocyst Treated With Emergency Distal Pancreatectomy","authors":"A. Ogata, Y. Kurumiya, K. Mizuno, E. Sekoguchi, G. Sugawara, Masaya Inoue, Takehiro Kato, T. Minami, Naohiro Akita, Hirotake Gonda, A. Sekimoto, Hirona Todoroki, T. Osawa, Kenta Hamabe, Kazuki Sakumoto, Saki Ishiya","doi":"10.2185/jjrm.70.649","DOIUrl":"https://doi.org/10.2185/jjrm.70.649","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88508566","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}
To obtain high-quality magnetic resonance (MR) images, it is necessary to increase the size of the phase-encoding matrix (Mpe) and the number of signal averages (NSA). However, doing so increases the imaging time. In this study, we sought to reduce the imaging time by using deep learning to improve the image quality. The input image was an MR image with a short imaging time, and the training image was a high-quality MR image with a long imaging time. We used a deep denoising super resolution convolutional neural network for image improvement. Each image was divided into small patches and subjected to super-resolution processing. The optimum conditions for the input image were examined by adjusting the Mpe, NSA, and patch size. Furthermore, we examined the clinical conditions and high-quality imaging conditions for the training images. Image improvement was evaluated both objectively by using the peak signal-to-noise ratio and structural similarity and subjectively by 25 radiological technologists. It was found that the images with Mpe 256 and NSA 2 and those with Mpe 256 and NSA 1 had the same quality as images obtained under clinical conditions. These results suggest that imaging time can be reduced from 90.5 s to 31.5 s and 59.5 s, respectively, by this method.
{"title":"Initial Study on Using Deep Learning to Shorten the Imaging Time of MRI","authors":"Tomohiro Nishida, Norimitsu Shinohara","doi":"10.2185/jjrm.71.75","DOIUrl":"https://doi.org/10.2185/jjrm.71.75","url":null,"abstract":"To obtain high-quality magnetic resonance (MR) images, it is necessary to increase the size of the phase-encoding matrix (Mpe) and the number of signal averages (NSA). However, doing so increases the imaging time. In this study, we sought to reduce the imaging time by using deep learning to improve the image quality. The input image was an MR image with a short imaging time, and the training image was a high-quality MR image with a long imaging time. We used a deep denoising super resolution convolutional neural network for image improvement. Each image was divided into small patches and subjected to super-resolution processing. The optimum conditions for the input image were examined by adjusting the Mpe, NSA, and patch size. Furthermore, we examined the clinical conditions and high-quality imaging conditions for the training images. Image improvement was evaluated both objectively by using the peak signal-to-noise ratio and structural similarity and subjectively by 25 radiological technologists. It was found that the images with Mpe 256 and NSA 2 and those with Mpe 256 and NSA 1 had the same quality as images obtained under clinical conditions. These results suggest that imaging time can be reduced from 90.5 s to 31.5 s and 59.5 s, respectively, by this method.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81091367","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 used a modified grounded theory approach to analyze a case of agriculture-welfare collaboration involving the Anan-cho Council of Social Welfare in order to reveal the process by which the agriculture-welfare collaboration shifted from practical action to intermediate support. A diagram of 14 concepts and 4 categories was developed based on the analysis results. Further, the results were presented in the form of a narrative using the following concepts and categories. In the agriculture-welfare collaboration implemented by the Anan-cho Council of Social Welfare in an aging, depopulated village, [assessment of the village community] was conducted first through activities such as and then starting to provide [agricultural support to help residents continue to live at home]. At the same time as < completion of the agricultural support project>, there was a shift in activities [from the support for elderly residents who live at home to the support for individuals with disabilities to find employment] through . Then, was conducted for the [achievement of a community-based inclusive society] through . Our results suggest that the agriculture-welfare collaboration implemented by the Anan-cho Council of Social Welfare offered support for independent living in the aging, depopulated village, by which “welfare capability in the community” was enhanced by utilizing “the community’s capabilities in welfare”, and that the “driving force of welfare in the community” was generated by combining those capabilities, leading to the achievement of a community-based inclusive society, albeit in a small scale, in a depopulated village.
{"title":"The Process of Agriculture-Welfare Collaboration Shifting From Practical Action to Intermediate Support","authors":"Morihito Gouda","doi":"10.2185/jjrm.71.321","DOIUrl":"https://doi.org/10.2185/jjrm.71.321","url":null,"abstract":"This study used a modified grounded theory approach to analyze a case of agriculture-welfare collaboration involving the Anan-cho Council of Social Welfare in order to reveal the process by which the agriculture-welfare collaboration shifted from practical action to intermediate support. A diagram of 14 concepts and 4 categories was developed based on the analysis results. Further, the results were presented in the form of a narrative using the following concepts and categories. In the agriculture-welfare collaboration implemented by the Anan-cho Council of Social Welfare in an aging, depopulated village, [assessment of the village community] was conducted first through activities such as <making visits to the village> and then starting to provide [agricultural support to help residents continue to live at home]. At the same time as < completion of the agricultural support project>, there was a shift in activities [from the support for elderly residents who live at home to the support for individuals with disabilities to find employment] through <practical agricultural activities at the facility run by the Anan-cho Council of Social Welfare>. Then, <matching of activities at a welfare facility for individuals with disabilities with activities to cultivate traditional vegetables> was conducted for the [achievement of a community-based inclusive society] through <coordination of social resources with individuals with disabilities and local residents>. Our results suggest that the agriculture-welfare collaboration implemented by the Anan-cho Council of Social Welfare offered support for independent living in the aging, depopulated village, by which “welfare capability in the community” was enhanced by utilizing “the community’s capabilities in welfare”, and that the “driving force of welfare in the community” was generated by combining those capabilities, leading to the achievement of a community-based inclusive society, albeit in a small scale, in a depopulated village.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78265796","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 Rapidly Progressing Synchronous Triple Lung Cancers","authors":"Yasushi Kawaharada","doi":"10.2185/jjrm.70.515","DOIUrl":"https://doi.org/10.2185/jjrm.70.515","url":null,"abstract":"","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"163 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81522802","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}
Emiri Sugiyama, Y. Tokuyama, Hidenori Ojio, Mana Kawajiri, Kosuke Nishimura, K. Ishihara
A woman in her late 80s visited a local physician complaining of nausea, loss of appetite, and constipation. She was referred to our hospital for detailed examination. Computed tomography (CT) revealed that the entire stomach, pancreas, spleen, transverse colon, and small intestine were prolapsed into the mediastinum and left thoracic cavity through the esophageal hiatus, which was dilated. Moreover, the small intestine was narrowed at the hiatus and dilated in the abdominal cavity, presenting ileus. After diagnosing type IV esophageal hiatal hernia with upside-down stomach and starting conservative treatment, the ileus improved and oral intake was resumed. Subsequent CT showed continued prolapse of the pancreas, spleen, transverse colon, small intestine, and entire stomach, but CT taken 5 years earlier had shown similar findings of prolapse. Thus, we decided not to perform surgery and instead opted for close follow-up after discharge. The patient is well without any symptoms of obstruction as of 1.5 years after discharge.
{"title":"A Case of Esophageal Hiatal Hernia Presenting as Upside-Down Stomach Treated Conservatively in Which the Entire Stomach, Transverse Colon, Small Intestine, Pancreas, and Spleen Prolapsed","authors":"Emiri Sugiyama, Y. Tokuyama, Hidenori Ojio, Mana Kawajiri, Kosuke Nishimura, K. Ishihara","doi":"10.2185/jjrm.71.342","DOIUrl":"https://doi.org/10.2185/jjrm.71.342","url":null,"abstract":"A woman in her late 80s visited a local physician complaining of nausea, loss of appetite, and constipation. She was referred to our hospital for detailed examination. Computed tomography (CT) revealed that the entire stomach, pancreas, spleen, transverse colon, and small intestine were prolapsed into the mediastinum and left thoracic cavity through the esophageal hiatus, which was dilated. Moreover, the small intestine was narrowed at the hiatus and dilated in the abdominal cavity, presenting ileus. After diagnosing type IV esophageal hiatal hernia with upside-down stomach and starting conservative treatment, the ileus improved and oral intake was resumed. Subsequent CT showed continued prolapse of the pancreas, spleen, transverse colon, small intestine, and entire stomach, but CT taken 5 years earlier had shown similar findings of prolapse. Thus, we decided not to perform surgery and instead opted for close follow-up after discharge. The patient is well without any symptoms of obstruction as of 1.5 years after discharge.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85835622","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. Arima, Takatomo Tesaki, K. Ota, Noriaki Sekiya, M. Oya, Rie Kinugasa, N. Takeuchi
Mushroom poisoning with Russula subnigricans can lead to severe rhabdomyolysis. Here we describe a case of severe mushroom poisoning that resulted in severe rhabdomyolysis with acute kidney injury, hypotension, and shock 12 h after oral ingestion of R. subnigricans . The patient’s serum myoglobin was 6,475 ng/mL and his creatine phosphokinase (CK) level was 38,100 IU/L on admission. Although aggressive fluid resuscitation and on-line hemodiafiltration (OHDF) were initiated, vascular permeability and shock failed to improve. Continuous hemodiafiltration (CHDF) and OHDF was repeated, but their effects were limited. He later developed generalized edema, and his weight increased from 55 kg to 72.5 kg within 4 days. On day 5, his CK level reached 203,800 IU/L. He died 160 h after oral ingestion of R. subnigricans . CHDF and OHDF filter out circulating myoglobin, potassium, and some toxic substances released due to muscle cell disruption. Although OHDF was performed nearly 24 h a day in our patient, it failed to remove toxic intracellular components from muscle cells due to the severe R. subnigricans mushroom poisoning in this case.
{"title":"A Case of Severe Mushroom Poisoning With Russula subnigricans","authors":"H. Arima, Takatomo Tesaki, K. Ota, Noriaki Sekiya, M. Oya, Rie Kinugasa, N. Takeuchi","doi":"10.2185/jjrm.71.357","DOIUrl":"https://doi.org/10.2185/jjrm.71.357","url":null,"abstract":"Mushroom poisoning with Russula subnigricans can lead to severe rhabdomyolysis. Here we describe a case of severe mushroom poisoning that resulted in severe rhabdomyolysis with acute kidney injury, hypotension, and shock 12 h after oral ingestion of R. subnigricans . The patient’s serum myoglobin was 6,475 ng/mL and his creatine phosphokinase (CK) level was 38,100 IU/L on admission. Although aggressive fluid resuscitation and on-line hemodiafiltration (OHDF) were initiated, vascular permeability and shock failed to improve. Continuous hemodiafiltration (CHDF) and OHDF was repeated, but their effects were limited. He later developed generalized edema, and his weight increased from 55 kg to 72.5 kg within 4 days. On day 5, his CK level reached 203,800 IU/L. He died 160 h after oral ingestion of R. subnigricans . CHDF and OHDF filter out circulating myoglobin, potassium, and some toxic substances released due to muscle cell disruption. Although OHDF was performed nearly 24 h a day in our patient, it failed to remove toxic intracellular components from muscle cells due to the severe R. subnigricans mushroom poisoning in this case.","PeriodicalId":17367,"journal":{"name":"JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE","volume":"94 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89093892","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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