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Journal of Rural Medicine: JRM

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https://www.readbyqxmd.com/read/28593019/rural-physicians-scope-of-practice-on-remote-islands-a-case-report-of-severe-pneumonia-that-required-overnight-artificial-airway-management
#1
Ryuichi Ohta, Akira Shimabukuro
Objective: To clarify the scope of practice on rural islands of Okinawa. Patient: A 59-year-old man presented to our clinic with shortness of breath. He was intubated due to acute respiratory failure caused by severe pneumonia. We could not transfer him owing to bad weather, and had to continue patient care in the clinic for more than 24 hours. Discussion: In remote regions, rural physicians may require a broad scope of practice from primary to tertiary care, in addition to preventive and end-of-life care. Conclusion: This case illustrates the current state of emergency care and unique scope of practice on rural islands of Okinawa...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28593018/rheumatoid-arthritis-following-ciguatera-poisoning-a-case-report
#2
Ryuichi Ohta, Akira Shimabukuro, Mitsuyo Kinjo
Objective: To report the first case of ciguatera-associated rheumatoid arthritis in Japan. Patient: A 53-year-old man presented to our clinic with morning stiffness and pain in the fingers and wrists. Results: For six months, he had suffered from chronic pain in both hands and shoulders caused by ciguatera poisoning. He was referred to a local general hospital and diagnosed with RA. Conclusion: When synovitis becomes evident in chronic ciguatera poisoning, reevaluation is necessary, including investigation of chronic arthritis, which might be associated with the onset of RA...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28593017/the-rendezvous-technique-involving-insertion-of-a-guidewire-in-a-percutaneous-transhepatic-gallbladder-drainage-tube-for-biliary-access-in-a-case-of-difficult-biliary-cannulation
#3
Fumiko Sunada, Naoki Morimoto, Mamiko Tsukui, Hidekazu Kurata
Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic method and treatment approach for biliary diseases. However, biliary cannulation can be difficult in some cases. We performed ERCP in a 97-year-old woman with abdominal pain resulting from acute cholangitis caused by choledocholithiasis and observed difficult biliary cannulation. Eventually, the patient was successfully treated with the rendezvous technique. We could not cannulate the biliary duct during ERCP twice. Therefore, we placed a percutaneous transhepatic gallbladder drainage (PTGBD) tube without intrahepatic dilation...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28593016/associations-among-anthropometric-measures-food-consumption-and-quality-of-life-in-school-age-children-in-tanzania
#4
Mayumi Ohnishi, Sebalada Leshabari, Joel Seme Ambikile, Kazuyo Oishi, Yuko Nakao, Mika Nishihara
Objectives: The factors associated with quality of life (QOL) and anthropometric measurements as outcomes of food consumption were examined among school-age children in Tanzania. Methods: A cross-sectional study was undertaken in September 2013 in Tanzania. Anonymous self-administered questionnaire surveys were conducted in the Kiswahili language among primary school children in the fifth and/or sixth grade aged 10-14 years. The survey probed sociodemographic characteristics such as age, gender, living with family members, number of meals/snacks per day, food consumption in the previous 24 hours, and QOL, as well as anthropometric measurements (height and weight)...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28593015/target-range-of-motion-for-rehabilitation-after-total-knee-arthroplasty
#5
Hirotaka Mutsuzaki, Ryoko Takeuchi, Yuki Mataki, Yasuyoshi Wadano
Objective: Postoperative knee range of motion (ROM) is among the most important factors influencing patient satisfaction after total knee arthroplasty (TKA). The purpose of this study was to clarify the time course of improvement in knee ROM up to 12 months after TKA, including intraoperative knee ROM after implantation, and to clarify a target ROM for rehabilitation after TKA. Patients and Methods: In total, 39 knee joints in 26 patients with osteoarthritis who underwent TKA (retaining the posterior cruciate ligament) were evaluated...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28593014/a-qualitative-study-on-barriers-to-achieving-high-quality-community-based-integrated-dementia-care
#6
Yoshihisa Hirakawa, Chifa Chiang, Atsuko Aoyama
Introduction: High-quality, community-based dementia care requires a comprehensive, holistic approach. This study aimed to identify the barriers to achieving efficient cooperation and coordination among medical professionals, care managers, and medical social workers, and to improve the management model of community-based, integrated dementia care. Methods: We collected qualitative data through three focus group discussions at JA Konan Kosei Hospital. Thirteen participants (four directors of nursing service departments, three chief nurses, four medical social workers, and two care managers) were recruited for the discussions...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28593013/emotional-and-instrumental-support-influencing-male-caregivers-for-people-with-dementia-living-at-home
#7
Midori Nishio, Hiromi Kimura, Koji Ogomori, Kumiko Ogata
Object: To clarify the emotional and instrumental support influencing male caregivers for people with dementia living at home. Patients/Materials and Methods: The subjects were 298 male caregivers. Nursing care burden was assessed using the Zarit Caregiver Burden Scale. Ability to cope with care problems was assessed using the Nursing Care Problems Coping Scale for Male Caregivers for People with Dementia Living at Home (NCSM). Emotional support was assessed using the Emotional Support Network Scale. Instrumental support was assessed using the question "Do you have someone to help when you have a problem with nursing care?"...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28593012/potential-benefit-of-physician-staffed-helicopter-emergency-medical-service-for-regional-trauma-care-system-activation-an-observational-study-in-rural-japan
#8
Tomohiro Abe, Takehiko Nagano, Hidenobu Ochiai
Objective: Involvement of all regional medical facilities in a trauma system is challenging in rural regions. We hypothesized that the physician-staffed helicopter emergency medical service potentially encouraged local facilities to participate in trauma systems by providing the transport of patients with trauma to those facilities in a rural setting. Materials and Methods: We performed two retrospective observational studies. First, yearly changes in the numbers of patients with trauma and destination facilities were surveyed using records from the Miyazaki physician-staffed helicopter emergency medical service from April 2012 to March 2014...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/28593011/pesticide-exposure-and-subjective-symptoms-of-cut-flower-farmers
#9
REVIEW
Hiroshi Nagami, Takajiro Suenaga, Mineko Nakazaki
Sales of cut-flowers depend much on the outer appearance of the flowers. They are not intended to be used as foodstuffs; thus, pesticides are used more liberally for cut flower growing than for other agricultural products. Flower production is often carried out in greenhouses; therefore, pesticide exposure seems to reach not only the person spraying the pesticides, but also the non-spraying workers as well. In 2009, a special research project on pesticide poisoning, affiliated with the Japanese Association of Rural Medicine, developed a study that focused on cut-flower farmers' exposure to pesticide, subsequent adverse symptoms experienced, and treatment modalities to relieve pesticide-related symptoms...
May 2017: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27928461/relationship-between-type-a-behavior-patterns-and-risk-of-temporomandibular-disorder-in-japanese-undergraduate-students
#10
Hiroki Ohmi, Mariko Kato, Martin Meadows
Objective: Several studies have demonstrated the relationship between temporomandibular disorder (TMD) and emotional stress. Nonetheless, few surveys have examined the relationship between type A behavior patterns and TMD. The aim of this study was to clarify the relationships among TMD, type A behavior patterns, bruxism, and emotional stress in Japanese undergraduate students. Methods: This study was undertaken in Nayoro City, Japan, in 2015, among students of Nayoro City University. The survey was conducted through an anonymous, self-administered, multiple-choice questionnaire...
2016: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27928460/asymptomatic-anisakiasis-of-the-colon-incidentally-diagnosed-and-treated-during-colonoscopy-by-retroflexion-in-the-ascending-colon
#11
Mamiko Tsukui, Naoki Morimoto, Hidekazu Kurata, Fumiko Sunada
A 74-year-old man with diabetes underwent colonoscopy as routine screening for colon cancer. An Anisakis larva was found incidentally during colonoscopy using the retroflexion technique in the ascending colon, and was removed using a forceps. Asymptomatic colonic anisakiasis is very rare, and few reports have described diagnosis and treatment of anisakiasis during colonoscopy by the retroflexion technique in the ascending colon. We have reported this rare case along with a literature review.
2016: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27928459/intracranial-hemorrhage-during-administration-of-a-novel-oral-anticoagulant
#12
Akira Tempaku
Objective: Oral anticoagulants are widely administered to patients with atrial fibrillation in order to prevent the onset of cardiogenic embolisms. However, intracranial bleeding during anticoagulant therapy often leads to fatal outcomes. Accordingly, the use of novel oral anticoagulants (NOACs), which less frequently have intracranial bleeding as a complication, is expanding. A nationwide survey of intracranial bleeding and its prognosis in Japan reported that intracranial bleeding of advanced severity was not common after NOAC administration...
2016: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27928458/anatomical-hepatectomy-for-liver-metastasis-from-rectal-adenocarcinoma-presenting-with-intrabiliary-extension-a-case-report
#13
Tetsuo Kon, Hideo Suzuki, Tatsuya Kawaguchi, Kazuyuki Gyoten, Hideki Machishi, Takashi Kurumiya, Yoshikatsu Okada
Liver metastases from colorectal carcinoma commonly form nodular lesions in the liver parenchyma. We report a case of liver metastasis from rectal adenocarcinoma that extended predominantly into the bile duct. A 62-year-old Japanese man underwent low anterior resection for rectal adenocarcinoma 9 years ago. Approximately 3 years later, he underwent radiofrequency ablation therapy for a metastatic liver tumor. Nine years after surgery, a tumor in liver segment III exhibiting intrabiliary extension was discovered; it was unclear if this was a metastatic liver tumor or intrahepatic cholangiocarcinoma...
2016: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27928457/therapeutic-results-in-elderly-patients-with-prostate-cancer-chronological-comparison-in-a-single-community-hospital
#14
Takehiko Okamura, Hidetoshi Akita, Kenji Yamada, Daichi Kobayashi, Yasuhiko Hirose, Takahiro Kobayashi, Yutaro Tanaka, Taku Naiki, Takahiro Yasui
Objective: There are few reports of the long-term outcomes of elderly patients with prostate cancer. We analyzed data from our institution from the past 12 years, including the patient history, treatment methods, and prognosis of patients with prostate cancer aged 80 years or more. Patients and Methods: A total of 179 cases of prostate cancer in patients aged 80 years or more were retrospectively evaluated. We divided them chronologically into groups A, B, C, and D: Group A included 40 cases from 2002-2004; Group B, 48 cases from 2005-2007; Group C, 46 cases from 2008-2010; and Group D, 45 cases from 2011-2013...
2016: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27928456/undernutrition-among-children-under-5-years-of-age-in-yemen-role-of-adequate-childcare-provided-by-adults-under-conditions-of-food-insecurity
#15
Saber Al-Sobaihi, Keiko Nakamura, Masashi Kizuki
Objective: This study examined the associations between the adequacy of childcare provided by adult caretakers and childhood undernutrition in rural Yemen, independent of household wealth and food consumption. Methods: We analyzed data of 3,549 children under the age of 5 years living in rural areas of Yemen based on the 2013 Yemen Baseline Survey of Mother and Child Health. Nutritional status was evaluated by the presence of underweight, stunting, and wasting according to the World Health Organization child growth standards...
2016: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27928455/effects-of-esomeprazole-on-the-healing-process-of-post-endoscopic-submucosal-dissection-gastric-ulcers-a-single-arm-prospective-trial
#16
Takashi Ichida, Fumihiko Kusano, Yoshinori Sakai
Objectives: Gastric endoscopic submucosal dissection (ESD) is currently a standard procedure. ESD enables en-bloc resection of large lesions, while inducing larger artificial ulcers to a greater extent than conventional procedures. Several studies have reported that proton pump inhibitors (PPIs) prevent delayed bleeding and expedite the artificial ulcer healing process. Esomeprazole, an S-isomer of omeprazole, is reportedly one of strongest inhibitors of gastric acid secretion. Previous studies have examined the effectiveness of esomeprazole...
2016: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27313800/alcohol-related-morbidity-in-a-rural-area-in-germany
#17
Katharina Lau, Hans-Joachim Hannich
No abstract text is available yet for this article.
2016: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27313799/rapid-response-doctor-cars-for-cases-of-severe-trauma-in-remote-locations-a-life-saved-owing-to-cooperation-between-a-doctor-car-and-a-physician-from-a-local-medical-facility
#18
Tomohiro Abe, Hidenobu Ochiai
OBJECTIVE: Rescuing severe trauma patients who are injured far from a trauma center is challenging for rural emergency systems. We report a severe trauma case that occurred at a remote location, in which the patient's life was saved by a dispatched doctor car and a physician from a local medical facility. PATIENT: A 31-year-old man experienced a left femur injury due to a fallen tree. The fire station requested a doctor car from our center, approximately 56 km away...
2016: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27313798/effect-of-group-activities-on-health-promotion-for-the-community-dwelling-elderly
#19
Masako Fukasawa, Haruyasu Yamaguchi
OBJECTIVE: In Japan, the Integrated Community Care System aims to support residents to live as independently as possible at home. Koreisya-Kyoshitsu and Fureaiikiiki salons are two types of group activities for community-dwelling elderly. We investigated effective ways of conducting such activities. METHODS: We analyzed 96 subjects from 8 salons and 354 subjects from 10 Koreisya-Kyoshitsu. Self-completed questionnaires included the following: attributes, the Motor Fitness Scale (MFS), revised Philadelphia Geriatric Center Morale Scale (PGCMS), Measurement of Psychological Independence (MPI), instrumental activities of daily living (IADL), and self-rated health status (SRH)...
2016: Journal of Rural Medicine: JRM
https://www.readbyqxmd.com/read/27313797/the-use-of-a-novel-in-bed-active-leg-exercise-apparatus-lex-for-increasing-venous-blood-flow
#20
Kenta Tanaka, Hiroshi Kamada, Yukiyo Shimizu, Shizu Aikawa, Tomofumi Nishino, Naoyuki Ochiai, Masataka Sakane, Masashi Yamazaki
OBJECTIVE: The incidence of pulmonary embolism (PE) and leg deep vein thrombosis (DVT) has increased in recent years in association with aging and an increase in the number of bedridden individuals. We developed an active in-bed leg exercise apparatus labeled the Leg Exercise Apparatus (LEX) for DVT prevention. We compared the effect of leg exercises performed using the LEX to conventional active ankle exercises on increased blood flow. MATERIALS & METHODS: The subjects were eight healthy adult volunteers [five men and three women, aged 20-34 (mean 27...
2016: Journal of Rural Medicine: JRM
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