Very rare solitary primary peripheral nerve onset cytotoxic molecule-positive peripheral T-cell lymphoma (PTCL)

Here we present the first report of solitary primary peripheral nerve onset cytotoxic molecule (CM)-positive peripheral T-cell lymphoma (PTCL) diagnosed after nerve biopsy. An 84-year-old female with rheumatoid arthritis (RA) complained of asymmetric severe tenderness in her upper limbs. The biopsy pathology revealed a direct invasion of CM-positive PTCL. When RA patients complain of numbness, tenderness, or weakness, lymphomatic peripheral nerve invasion should be considered

Language management in Japanese-Czech corporations in the Czech Republic

Since 1990, Japanese enterprises have been opening branches in Central Europe. The Czech Republic has been one of the most attractive markets for them and their investments have accelerated, especially since the Czech Republic joined the European Union in 2004. At the end of 2003, I began working as a Czech-Japanese interpreter and translator in several Japanese-Czech corporations in the Czech Republic. As I was involved in the multilingual situations of the economic subjects, I was interested in examining whether the multilingual situations had any effects on the economic activities. This study presents a survey of the language situations in three Japanese-Czech corporations in the Czech Republic, where I conducted semi-structured interviews with eleven respondents and recorded two meetings. I demonstrate how the communication between Czech and Japanese workers is practiced and I analyze the acquired data from the perspective of Language Management Theory (LMT). In addition to the semi-structured interviews and audio recordings, the data inc1udes participant observation based on my own activities as an interpreter and a translator. As this is the first detailed study of the language situations in Japanese-Czech corporations in the Czech Republic, it introduces new data and analysis to the body of research..

Effects and Nursing Considerations for Equine-Assisted Activities and Therapies for Children with Autism Spectrum Disorders: A Literature Review

This literature review aimed to analyze the effects and nursing challenges associated with equine-assisted activities and therapies (EAATs) for children with autism spectrum disorders (ASD). The study utilized the PubMed, CINAHL, and MEDLINE databases to identify 24 relevant articles. The effective contents were classified into two major categories: effects on interpersonal relationships, and effects attributable to the physical and emotional aspects of the lives of the children. The medical staff involved were mainly occupational therapists, followed by physical therapists and speech-language pathologists. The included studies also mention the involvement of trained equine therapists and volunteers, but not the involvement of nurses. Considering the unique characteristics of EAATs in various settings and the individual needs of the recipients of the therapy, this study highlights the importance of tailoring therapy to individual needs. Nurses should be aware of the potential benefits of EAATs in improving the overall well-being of children with ASD and should consider collaborating with other health care professionals to provide comprehensive care

Treatment and Effective Removal of Metal Fine Particles from Waste Cutting Fluids by Flotation via Microbubbles and Skimming

Cutting fluids (CFs) are chemical liquids or aqueous emulsions of mineral (or synthetic) oil widely used in metal-machining processes. They contain toxic organic compounds and petroleum products, and spent CFs contain numerous small metal particles derived from the processing of metal workpieces. The iron fine particles (IFPs) in CFs can diminish the quality and precision of machine products. Machining industries purchase large amounts of CFs, which they must treat appropriately and from which they must remove the IFPs; therefore, cost-effective ways to treat spent CFs are needed. In this study, we evaluated the effectiveness of collecting and separating the IFPs and treating organic matter in spent CFs using microbubbles (MiBs). We found that numerous IFPs with sizes of ~1 μm were suspended in spent CFs and that they could be very effectively removed by bubbling with MiBs and skimming the surface of the CFs. The lifetime of the CFs could be doubled via this treatment. The cost for treating spent CFs using MiBs was 12% lower than the cost of traditional treatment. These results strongly suggest that bubbling with MiBs is a cost-effective and eco-friendly way to treat spent CFs

精神科病棟に勤務する看護師の患者-看護師関係における「巻き込まれ」の体験

　本研究は精神科病棟に勤務する看護師の「巻き込まれ」の体験を明らかにすることを目的とする。Z県内の精神科単科病院に勤務する精神科での看護師経験年数が5年以上の看護師6名に1人につき2回の半構造化面接を行った。データの分析には質的帰納的手法を用いた。インタビューから「巻き込まれ」の体験に関するコードを525語抽出し、4の大カテゴリ、14の中カテゴリ、37の小カテゴリを生成した。精神科病棟に勤務する看護師の「巻き込まれ」の体験は、[患者のニーズを捉えられない]、[患者を理解できない苦痛]、[自分一人の力によって解決しなくてはいけないという思い込み]、[患者の状況や自分の傾向を振り返ることによる客観的視点の獲得]であった。「巻き込まれ」の体験は、事態を可視化し状況の整理を図ることにより、看護師としての成長を促す体験になると示唆された。This study aimed to explore the over—involvement experience in nurse—patient relationships in a psychiatric ward.The study involved six nurses, each with ≥ 5 years of experience as a psychiatric nurse, who took part in two semi—structured interviews. The data were categorized qualitatively by classifying 525 types of nurse—patient connections into four categories: 1) failing to recognize the patient\u27s needs; 2) feeling distress from not understanding the patient; 3) a strong opinion that things should be solved by oneself; and 4) acquiring an objective perspective by reviewing a patient\u27s situation and one\u27s own tendencies. The overinvolvement experience could encourage professional growth by visualizing that situation

終末期の看護における看護師の困難感に関する文献検討

本研究の目的は、終末期看護における看護師の困難感に関する国内の文献の動向を把握し、困難感の内容を明らかにすることである。文献は、医学中央雑誌Web版を用いて検索し、2015年から2020年（検索日2020年11月26日）までに掲載された文献より、研究目的に合致すると確認した28件を研究対象とした。その結果、看護師の困難に影響する要因として、1）ケアに影響を与える看護師個人の要因、2）患者・医療者との関係に起因する要因の2つに大別された。結果から、看護師は悲嘆する患者や家族を支援するなかで、自身の感情マネジメントをすることに困難を抱いていることが捉えられた。今後、看護師自身が終末期の患者や家族の看護をする中で得る感情や課題に向き合うことができるよう、継続的な支援が求められると考える。This study purposed to understand the literature trends regarding the distress experienced by nurses during Endof-Life care and to clarify the significance of this stress. A literature search was performed using the ICHUSHI web and, among articles published from 2015 to 2020 (search date: November 26, 2020), 28 articles deemed suitable for the research purpose were selected as subjects. Consequently, the issues experienced by nurses were classified into the following two categories: 1) factors attributable to the nurses themselves, and 2) factors attributable to relationships with patients and medical care providers. The results revealed that nurses experienced difficulty in managing their emotions while providing support to grieving patients and their families. Therefore, continuous support to the nurses is required to enable them to deal with the emotional challenges they face while caring for patients and their families during End-of-Life care