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JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE最新文献

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Persistent Purpura on the Right Arm and Chest Due to Continuous Use of an Electric Vacuum Cleaner for Several Hours 由于连续使用电动吸尘器数小时,右臂及胸部出现持续性紫癜
Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.510
M. Maeda, Satoshi Sakamoto
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引用次数: 0
Current Status and Issues of Dysphagia Care in Hospitals and Long-Term Care Facilities in Gifu Prefecture 岐阜县医院和长期护理机构中吞咽困难护理的现状和问题
Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.485
N. Watanabe, Yukie Furuzawa, Mariko Soumiya, Rika Usami, Mayumi Kozaki, Tomoko Miyata
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引用次数: 0
Addressed by the 70th Annual Meeting Chairman 第70届年会主席致辞
Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.543
S. Takano
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引用次数: 0
The 39th General Meeting of Shikoku Society of Rural Medicine 四国乡村医学会第39届全体会议
Pub Date : 2022-01-01 DOI: 10.2185/jjrm.67.544
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引用次数: 0
The Role of Sagamihara Kyodo Hospital in Community Emergency Medicine 相模原共同医院在社区急诊医学中的作用
Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.550
S. Takano
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引用次数: 0
Analysis of Patch Test Results in Patients with Metal Allergy in the Past 5 Years 近5年金属过敏患者斑贴试验结果分析
Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.474
M. Maeda
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引用次数: 0
A Case of Luminal B Breast Cancer in Which Preoperative Chemotherapy Was Used Due to Ineffective Preoperative Hormone Therapy B腔乳腺癌术前激素治疗无效行术前化疗1例
Pub Date : 2022-01-01 DOI: 10.2185/jjrm.71.63
Y. Kurumiya, Tae Niwa, Sakura Onishi, S. Ôya, K. Mizuno, E. Sekoguchi, G. Sugawara, Masaya Inoue, Takehiro Kato, Naohiro Akita, T. Minami, Kosuke Inada, K. Takeuchi, A. Sekimoto, A. Ogata, Akiko Osada
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引用次数: 0
Management of Maxillary Impacted Supernumerary Teeth in Oral Surgery at Kainan Hospital: A Clinical study 开南医院口腔外科上颌阻生多生牙处理的临床研究
Pub Date : 2022-01-01 DOI: 10.2185/jjrm.71.108
Minami Kato, Hiroaki Nishiguti
Maxillary impacted supernumerary teeth (MIST) can cause complications such as ectopic eruption, delayed eruption of permanent teeth, and spacing anomalies. This study aimed to investigate the trends in MIST management in the Department of Oral Surgery at Kainan Hospital. We conducted a survey of 84 patients diagnosed with MIST at our hospital from January 2013 to December 2019. We retrospectively analyzed the patients’ sex, age, number of MIST, state of the impacted teeth, treatment, age at the time of surgery, and method of anesthesia. The following findings were obtained: the ratio of males to females was 3:1; age at diagnosis ranged from 4 to 83 years; children (4–11 years old) accounted for 90% of MIST patients; the number of MIST was 1 in 73% of patients and 2 in 27%; 43% of MIST were on the right side, 44% on the left side, and 13% in the middle; the direction of the crown was normal in 39% of patients, inverted in 46%, and horizontal in 13%; the vertical depth from the nasal floor was Type I in 19% of patients, Type II in 29%, and Type III in 40%. Regarding treatment, 85% of patients chose surgery, and 12% of patients chose follow-up. Mean age at surgery was 7 years. The anesthesia method was general anesthesia in 65% of patients, local anesthesia in 34%, and intravenous sedation in 1%. Overall, we found that the vertical depth from the nasal floor of MIST and the patient’s age were the major factors influencing the treatment plan. Therefore, we consider that computed tomography or X-ray imaging should be performed to guide the choice of treatment and the method of anesthesia.
上颌埋伏多生牙(MIST)可引起并发症,如异位萌牙,恒牙延迟萌牙和间距异常。本研究旨在探讨开南医院口腔外科MIST管理的趋势。我们对2013年1月至2019年12月在我院诊断为MIST的84例患者进行了调查。我们回顾性分析患者的性别、年龄、埋伏牙数量、埋伏牙状态、治疗方法、手术时年龄、麻醉方式。结果表明:雌雄比例为3:1;诊断年龄从4岁到83岁不等;儿童(4-11岁)占MIST患者的90%;在73%的患者中有1例,27%的患者中有2例;43%的薄壁动脉位于右侧,44%位于左侧,13%位于中间;39%的患者冠的方向是正常的,46%的患者是倒置的,13%的患者是水平的;19%的患者鼻底垂直深度为I型,29%为II型,40%为III型。在治疗方面,85%的患者选择手术,12%的患者选择随访。平均手术年龄为7岁。麻醉方式为全麻65%,局麻34%,静脉镇静1%。总的来说,我们发现MIST鼻底垂直深度和患者的年龄是影响治疗方案的主要因素。因此,我们认为应进行计算机断层扫描或x线成像来指导治疗方法和麻醉方法的选择。
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引用次数: 0
Investigation of Optimal Timing for Hand Surgery in Farmers Living in Tokachi Region 多胜地区农民手部手术最佳时机的调查
Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.636
Kazuhiro Yamamoto, M. Motomiya, Shimon Nasu, Shinya Oomoto, Hisashi Koishi, Naoya Watanabe, K. Yasui, Tatsuya Iwabuchi
The balance between treatment and farming work must be considered when performing hand surgery in farmers, but no studies have previously examined the level of busyness in farmers in detail. We conducted a questionnaire survey on busyness by month and desirable time for hand surgery in 20 self-employed farmers in the Tokachi region of Hokkaido who had undergone hand surgery. Busyness in crop farming peaked approximately in May for fertilizer application, sowing, and raising and transplanting seedlings and in August-October for harvesting and transporting crops. On the other hand, livestock farmers were busy with rearing management throughout the year, with a peak of busyness in May-October for fertilizer application, sowing, and harvesting and transporting forage crop. Given the approximately 3-month period of work restriction following hand surgery, all respondents wished to have this period from November to January. If a farmer is injured during the peak farming period, a treatment plan is required that supports an early return to work and allows for two-stage reconstruction and treatment of degenerative disease in the quiet period for farming. Meanwhile, almost no respondents expected to receive support from official organizations and manufacturers, indicating that there is a need to provide the government with information from a medical perspective.
在为农民进行手外科手术时,必须考虑治疗和农业工作之间的平衡,但此前没有研究详细调查过农民的忙碌程度。我们对北海道十胜地区20名接受手外科手术的个体养殖户进行了按月繁忙程度和理想手术时间的问卷调查。作物种植的繁忙程度大约在5月份达到顶峰,主要是施肥、播种、育苗和移栽,8 - 10月份则是收获和运输作物。另一方面,养殖户全年忙于饲养管理,5 - 10月是施肥、播种和饲草作物收获运输的高峰期。鉴于手部手术后大约有3个月的工作限制期,所有受访者都希望从11月到1月有这段时间。如果农民在耕作高峰期间受伤,则需要制定治疗计划,支持早日重返工作岗位,并允许在耕作平静期进行两阶段重建和治疗退行性疾病。与此同时,几乎没有受访者期望得到官方组织和制造商的支持,这表明有必要从医学角度向政府提供信息。
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引用次数: 0
Three Cases of ST-Segment Elevation Myocardial Infarction With Difficulties in Long-Distance Transportation to an Emergency Medical Care Center st段抬高型心肌梗死3例急诊中心长途运输困难
Pub Date : 2022-01-01 DOI: 10.2185/jjrm.70.498
M. Sato
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引用次数: 0
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JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE
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