| 2017y vol.17 Issue 1 |
| Preface |
What is "being scientific and doing scientifically?"
ーThe person who gains more knowledge also gains more sorrow -Ecclesiastes 1:18 |
Tetsuhiro Sakai |
| |
| Review Articles |
Education system of Mutsu General Hospital Nursing Bureau
-Connecting thought and practice of education supervisors |
Akiko Tokuta
Satomi Shirahama
Kumiko Kouda
Noriko Sugawara |
【Abstract】
Twenty five years have passed since the Education Committee was established
at Mutsu General Hospital Nursing Division. Article 8 of the Japanese Nursing
Association “Code of Ethics for Nurses” states that “It is the responsibility
and duty of the nurse her/himself to maintain and develop their abilities
in a systematic manner as professionals.” In order to provide a place for
learning, the education supervisor has implemented initiatives such as
preceptorship, goal management, clinical ladder implementation and re-examination.
This is a comprehensive report on the continuing the thoughts of the predecessors
but also implementing new initiatives and reforms to keep up with the changing
times. |
Key words: Education supervisor, Thought, Continuation
|
| Original Articles |
| Current status and future prospects of the dialysis in Shimokita |
Kazuaki Yoshikawa |
【Abstract】
Mutsu General Hospital started hemodialysis in 1972. Increasing consoles,
we got 30 beds in 2011.New entry of neigboring facilities those were Ooma
Hospital in 1994, Tanaka Urological Clinic and Noheji Clinic in 2004 made
adequate hemodialysis environment in Shimokita. However, increase in the
number of chronic renal failure forced to the saturated condition in our
hospital recently. New hemodialysis patients have to attend or admit facilities
in Misawa or Aomori City nowadays. In 2016, the number of dialysis patients
in Shimokita marked 249 with peritoneal dialysis patients. The civil movement
to extend the hemodialysis capacity grew under such circumstances and the
blood purification center including 50beds will set up in April 2017. After
setting up, we will accept hemodialysis patients in stages, whereas it
is impossible to manage all of them in Shimokita. It seems to be important
the collaboration between the neigboring facilities and us in future.
|
Key words: Shimokita, hemodialysis, the blood purification center |
|
Dementia care improvement in the mental health ward
-based person centered care- |
Hiroyuki Osaka
Ryo Shimizu
Yumiko Sugiyama |
【Abstract】
People diagnosed with dementia progresses in the world of the aging of
the population is increasing. While in A mental health hospital, the percentage
of the number of patients hospitalized with dementia 2010 9 is %, and 24%
in 2015, has increased. Results nursing staff working in mental health
awareness survey on dementia care for, who often feels difficulty for dementia,
who knows the principles it is not revealed. Therefore I thought must be
first of all clarify dementia care principles and policies. Dementia care
philosophy has the concept of person centered care. This is only due to
a disorder of the brain are the words and deeds of the person with dementia
is not interacting with various backgrounds, such as that person's lifestyle,
personality, health and environment, are experiencing now with the person
with dementia. With a variety of information from the perspective of the
person in question, care to devise. The report examined whether patient
centric, by introducing the concept of dementia care based on the principles
involved. |
Key words: dementia, person centred care, mental health ward, VIPS |
|
Initial report of radiation dosimetry in the Shimokita Peninsula，
measured by regional network facilities |
Mitsuhiko Okugawa
Kumiko Kouda
Yasushi Mariya
Toshiya Nakamura
Andrzej Wojcik |
【Abstract】
There are several nuclear power plant-related facilities in the Shimokita
region. This is an initial report of radiation dosimetry measured at 5
public facilities. The purposes of this investigation were to establish
the regional measurement network among the facilities and the broader and
international one including Hirosaki University and Stockholm University,
and to understand the change in space radiation dose rate considering the
occurrence of events related to nuclear industry including a nuclear accident,
which would contribute to public risk management planning. Furthermore,
by participating in routine radiation dose measurements, public facility
staff and Shimokita residents will enhance their basic understanding of
radiation dosimetry. |
Key words: radiation dosimetry, Shimokita region, regional network, global
network |
| |
|
| CASE REPORT |
Two cases of suspected Jarisch-Herxheimer reaction
in Helicobacter pylori eradication |
Yusaku Kajihara |
【Abstract】
This is a report of two cases suspected of Jarisch-Herxheimer reaction
(JHR) in Helicobacter pylori (H. pylori), presenting with epigastric pain
and fever. The first case is a 67 year-old female who received lansoprazole-amoxicillin-clarithromycin
triple therapy for H. pylori eradication after treatment of gastric ulcer.
The patient presented to our institution with epigastric pain three days
after initiation of eradication therapy. The second case is a 47 year-old
female who received vonoprazan-amoxicillin-clarithromycin triple therapy
for H. pylori-associated chronic gastritis and presented with mid-grade
fever and epigastric pain two days after initiation of eradication therapy.
In both cases, because there were no specific abnormal findings, eradication
therapy was discontinued and symptomatic treatment was administered. As
a result, the patients’ symptoms improved rapidly. Furthermore, with only
two to three days of eradication therapy leading to successful bacterial
eradication, extremely early eradication of H. pylori may lead to an inflammatory
reaction caused by the death of H. pylori, or the so-called JHR of the
stomach. |
Key words: Jarisch-Herxheimer reaction, Helicobacter pylori, eradication |
|
| Abstracts from Clinical Conference for Residents |
A case of anesthetic management
in surgical treatment of pheochromocytoma |
Kazutaka Okita |
| A case of ischemic cardiomyopathy caused by coronary spasm |
Taisyu Kanda |
A case with recurrent SM2 cancer of colon
who received effective preoperative chemoradiotherapy |
Ryo Kikuchi |
A case of coronary spastic angina，resuscitated from
ventricular fibrillation and consequent cardiopulmonary arrest |
Kenji Kishi |
| A case of ileus who could avoid intestinal resection |
Syunsuke Kubota |
| A case of mesenteric damage caused by traffic injury |
Manami Kubota |
| A case of unstable pelvic ring fracture caused by falling down |
Mirei Kubota |
A case that accidentally swallowed three button batteries，
which were endoscopically removed with success |
Chiori Tabe |
|
| Performance Reports-2016 |
|
