ABSTRACT
This study investigated the characteristics of emergency patients, including walk-in patients and those brought in by ambulance, who visited Akita Kousei Medical Center in the 6 months from April 2019, and the clinical features of elderly patients with heart failure. Elderly patients above 70 years of age accounted for 38.7% of emergency cases and up to 61.7% of ambulance cases. The most common diseases and disorders were orthopedic, digestive, otorhinolaryngeal, respiratory, neurological, dermatological, and cardiovascular disease, in that order. In total, 56 patients with heart failure were admitted during this period (age 83.5±8.3 years, male: female ratio, 1:1.67). Hospitalization from homes accounted for 66.1% of admissions, with the remainder from nursing homes. After treatment, 35.7% of patients moved to nursing homes and 19.6% died despite in-hospital care. Because heart failure is one of the most common conditions in elderly patients, it is pertinent to recognize the importance of quality of outpatient care to prevent hospitalization and also to preserve quality of life by focusing on alleviating overall pain and discomfort.
ABSTRACT
Ascariasis in Japan was epidemiologically studied through clarifying the relationship between the trends of the percentages of positive ova in feces in the whole country, prefecture, city town and village, and social and environmental factors such as economic level, agricultural conditions, and hygienic index. Concerning colonies and households, relationship between ascariasis and several environmental conditions was studied and the following results were obtained.
ABSTRACT
In the five communities of Urakawa, Sakuma-machi, Shizuoka Prefecture, we have taken measures to Prevent and exterminate ascaris infection, and at the same time studied the causes of infection chiefly from the point of view of environmental conditions. The percentages of ascaris egg-carriers showed a significant difference between 1) farmers and non-farmers; 2) families with and without night-soil; 3) amounts of detergent used for cleaning vegetables; 4) persons with and without experience of anthelmintic treatment.<BR>The group of families that showed extremely high rate of positivity were the farmers not provided with night-soil stores, and the farmers provided with such stores showed about the same rate of positivity as non farmers a fact evidences the appreciatng effect of night-soil stores. On the other hand, the rate of positivity among familis that have no night-soil stores but are in the habit of cleaning vegetables with detergent showed no significant difference as compared with the families provided with night-soil storesa positive evidence of the good effect of detergent.