5 research outputs found
Efficacy of erlotinib and imatinib in a patient with a rectal gastrointestinal stromal tumor and synchronous pulmonary adenocarcinoma : A case report
The synchronous existence of lung cancer and gastrointestinal stromal tumors (GIST) is considered to be extremely rare. To the best of our knowledge, this is the first report about the treatment of lung cancer and GIST with two kinds of molecular targeting drugs. An 83-year-old woman with a rectal GIST, which carried a c-kit mutation, and pulmonary adenocarcinoma, which exhibited an epidermal growth factor receptor (EGFR) mutation, was treated alternately with imatinib and erlotinib. Good control over both diseases was achieved for two years. The present case is not only of interest due to the rare co-occurrence of GIST and lung cancer, but also because it involved two tumors carrying different gene mutations, and both tumors were brought under control using different molecular targeting drugs
Research on the expectations of the situation of future information technology(IT) in the medical and welfare fields and a future career and employment among students of the Department of Health Informatics
本研究は、新潟医療福祉大学医療情報管理学科学生の2014年度卒業研究の一環として行われ、2つの質問、25年後の医療福祉現場におけるIT技術の予測及び25年後の学生自身の就職・仕事に関する予測(期待)に対する無記名の自由回答を用いて同科学生の意識を調査・分析し、同科教育上の改善情報を得ることを目的とした。調査方法は全学年(1~4年生)への自記式の無記名自由記載アンケート方式で、得られた質的データを質的分析ソフト : KH Coderを用いて分析し、合わせて量的分析も併用した。アンケート回収率は全学年で47.8%であった。25年後のITに関しては、学年を追うに従い医療やITに関連する語の増加と変化傾向がみられた。また語「診療情報管理士」の出現度が自身の未来の仕事への回答と比して低い傾向がみられた。25年後の就業について男性は女性と比べて、高い年収、社長や部長といった高い役職志向があり、一方、女性は男性が用いない「パート」という語を多数使用することがそれぞれ統計的に有意となった。このことに象徴されるように女性は男性に比べて悪く言えば夢がなく、良く言えば地に足がついた現実志向を持っていると考察された。本分析によって明らかにされた「ITの進歩を予測するものの、多くの学生が自身の未来の仕事に位置付ける診療情報管理士の業務とITとの結びつきが弱い」という現象は現行の教育上の問題点と考えられた。加えて、学生が就職先を決める際に重視するとされる幾つかの判断基準、すなわち「こだわり」のうち本科学生は資格の専門性と就業希望との関連が希薄ではないかと考察された。今後の課題として、就職に有利な資格という視点のみならず診療情報管理士は医療・福祉現場のIT化に不可欠な資格という意識の醸成を、同科教育の中で取り入れられる必要があることが示された。This study was performed as part of the 2014 fiscal year graduation work carried out by the students of the Department of Health Informatics, Niigata University of Health and
Welfare. The data was collected from all grade students (1-4) using anonymous open-ended questions asking: Q1) the situation of future information technology (IT) in the medical and welfare fields after 25 years (“25 years IT”), Q2) their future career and employment after 25 years( “25 years JOB”).The purpose of this study was to obtain the information contributing to the improvement of the educational system of the department through the analyses of this consciousness research.The data was analyzed using KH Coder, a free software for quantitative content analysis or text mining.The questionnaire recovery was 47.8% in all grades. For “25 years IT”, the words related to medical care or IT increased as the grade went up. For “25 years JOB”, there was desire for a high yearly income and post such as the president or the director among male students, whereas the term “part-time employment” was frequently used only by female students. These differences between genders were statistically significant and characterizes female students being more practical but less ambitious about their future than male students.The following educational problems were emerged through the analyses.a) Though many students believed in more advanced information technology in the future and considered Health Information Manager (HIM) as their future career, they did not think that HIM plays a core role in the promotion of IT in the medical or health and welfare fields.b) In addition, it was indicated that there was a lack of desire among students to utilize their specialized skill as HIM in their work.According to this study, it is considered to be necessary that the educational system of the department should foster not only a viewpoint that qualifications such as HIM should be acquired just because it gives an advantage for employment, but also, and more importantly, an awareness of the indispensability of such qualifications for the progress of IT in medical or health and welfare fields