Medication Reminder Device for the Elderly Patients With Mild Cognitive Impairment

Reminder devices reportedly improve medication adherence in the elderly patients with mild dementia; however, the efficacy of such devices remains unexplored. Therefore, a 3-month before and after study with convenience sampling was conducted to determine the efficacy of a medication reminder device used by 18 participants (aged 81.2 +/- 6.2 years) with Clinical Dementia Rating scores of 0.5 or 1. At the onset of device use, examiners visited the users' homes to ensure that they and their caregivers understood how to use the device. Caregivers monitored its use during the first week. Values of the self-administration medication rate during 1 week for 13 (72.2%) users showed improvement at 3 months. This result revealed that reminder devices can improve medication adherence in the elderly patients with mild cognitive impairment. Further study is needed to assess the magnitude of this improvement and to enhance its support for users with mild cognitive impairment.ArticleAMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS. 27(4):238-242 (2012)journal articl

A Hybrid Lesion of Lung Cancer and Aspergillosis

A 74-year-old man presented with gradual wall thickening of a cystic lung lesion. Serologic tests indicated Aspergillus infection, but neither fungal organisms nor evidence of malignant disease were recovered from repeated sputum collections, a bronchoscopic lung biopsy specimen, or bronchial washings. Treatment with antifungal agents did not result in clinical improvement. Surgical resection of the lesion demonstrated both squamous cell carcinoma and aspergillosis. These distinct disorders share common radiologic manifestations that can present a diagnostic challenge, as in the present case

Organized and Sustainable Education Program for Drug Abuse Prevention by Yogo-teachers

　学校における喫煙・飲酒・薬物乱用防止教育の充実には，問題行動が顕在化する中学校期だけでなく小学校期 における指導の推進が重要であり，系統的な指導計画を立て，指導者や時間の確保，教材作成などに組織的に取 組み，継続可能なプログラム開発を行う必要がある。そこで，地区内12 校の養護教諭が協働して，発達段階に応 じた系統的・組織的かつ継続可能な地区共通の指導計画を開発し，各校の教育課程・年間計画に位置付けた実践 研究を行った。その結果，指導計画の実施状況は，小学校11 校中，学級活動10 校，ミニ保健指導10 校，長期 休業前指導6 校，広報活動9 校となり，特別支援学校1 校では広報活動のみを行うことができた。小学校におけ る喫煙・飲酒・薬物乱用防止教育の推進には，学校保健活動の中核的役割を担う養護教諭が専門性を活かし協働 して，系統的な指導計画を各校の教育課程に位置付け組織的で継続可能なプログラムとする取組が有効であった

Evaluation of Sustained Grip Strength for a Stroke Patient with a Mild Paresis

The purpose of this study was to investigate whether a sustained grip strength test is workable as an accurate assessment of activity limitation related to muscle weakness of the paretic hands of stroke patients with mild pareses. Sixty-one stroke patients with mild pareses participated in this study. The maximal grip strength and an ability to sustain grip strength were examined with the Sustained Grip Strength Test. The latter ability was measured by the sustained period of the maximal grip strength (a period that exhibited more than 80% of the peak force during a six-seconds trial). The activity limitation of squeezing an object was evaluated in four ADL tasks, and the difficulties were rated according to three scores. We found that there was a significant positive relationship between the degree of the task difficulty and the maximal grip strength for paretic hands whose sustained period was over three sec, in all four assessments (p < 0.05). However, for paretic hands whose sustained period was under three sec, no such relationship was found. Consequently, measuring both the maximal grip strength and the sustained period was needed to assess accurately an activity limitation related to muscle weakness of the paretic hands of stroke patients with mild pareses

The Changes in Frailty and Death within Six Months of Discharge in Heart Failure Patients 80 Years and Older

Article信州医学雑誌 71(1) : 53-61, (2023)journal articl

The Changes in Frailty and Death within Six Months of Discharge in Heart Failure Patients 80 Years and Older

Article信州医学雑誌 71(1) : 53-61, (2023