ABSTRACT
We started a prophylactic rehabilitation class from fiscal year 2016 and 1 year later we identified 4 problems, namely, a small number of participants (mean, 4.6), a small male population (ratio of 1 male to 9 females), no follow up because only 1 session was given per area, and a low home exercise rate (42.5%). For the class in fiscal year 2017, discussions were held with the comprehensive regional support center. Accordingly, relevant information was disseminated via public relations magazines, neighborhood circulars, and the local government to address the problems with the number of participants and sex ratio, and a series of 4 sessions were held per area to address the problems with the lack of follow-up and continuation of home exercise. Objective assessments (grip strength, one-leg standing, and knee extension strength) were included in the physical assessment. Through these measures, based on questionnaire results, we found that there was an increase in the number of participants and that more participants continued the exercise at home after the class was increased.
ABSTRACT
A 38-year-old woman was examined at our hospital because of cough, night sweats, and facial edema. Computed tomography of the chest revealed a large mass in the anterior mediastinum measuring 8.2×12.2 cm, with multiple nodules on both lungs. Bronchoscopy revealed multiple nodules parallel to the tracheal rings and obstruction of the anterior segmental bronchus of the right lung. The histopathological features were diagnostic of primary mediastinal large B-cell lymphoma. She underwent chemotherapy followed by radiation therapy to the mediastinal mass. After 8 months, she developed right cerebellar metastasis. Eventually, she received peripheral stem cell transplantation after 17 months.
ABSTRACT
To improve the environment of the inpatient ward, we paid attention to the patients' environment related to eating. For this purpose, studies were made to determine what would be the most suitable height of the dining table. In view of the present situation, we started by putting together bed tables in sick rooms. Nine inpatients cooperated in this project. After trial and error, we found the most suitable height of the table. It was 1/3 of the patient's sitting height plus 4 to 5 cm. Next, we tried to make an adjustable table in the dining hall for a patient. Any table in the dining hall did not suit the patient. The result was he was satisfied with it. All the patients said they became able to see foods on the table with ease. They also became able to finish eating faster than before without dropping their food, and did not leave half-eaten. Some patients who had habitually dozed off while eating before did so less frequently.