"Coeur resonant" : Online Hospital Art Creation with People in the Distance

Authors have created several hospital arts using masking tape with Tokushima University Hospital Art Labo (THAL). To enhance the value more, we collaborated with a professional artist, Koichi Nishimura who create large hearts on public institutions. Furthermore, a global financial institution, BNP Parisbas group, provided financial support and incorporate social action program. The art work "Coeur resonant (Resonant Heart)" was completed in Tokushima Red Cross Hospital, including 220 small hearts on film sheets from 145 collaborators. The entire making process was supervised using online system. Current approach suggests new method for many people to participate in hospital art

Psychologically comfortable seasonal images for the project on the art in hospitals

Historically speaking, hospitals had grown out of hostels, where pilgrims, old and sick people were treated. During the Middle Ages in Europe, the art was indispensable factor of the hospitals. Art in hospitals (hospital art) has been recently known and recognized as beneficial method. Authors performed the art in hospitals in the rehabilitation hospital, which was completed by using various colorful masking tape. The composition consisted of 4 artworks for four seasons on the wall of the corridor. Many patients are trained walking with always looking them every day. Art in hospitals may be called as art and health, and it has a power to make patients bring out positive attitude and energy. Its further development would be expected

Beneficial Art in Hospitals with Masking Tape Initiated from University Hospital

Art therapy has attracted attention in the medical field. Among them, authors have been engaged in various activities including art in hospitals. We have started the artworks using masking tape, which has various colors and the pattern. It can be also used for craft making, wrapping, decoration, and original goods such as art exhibitions. Our current work was performed on the corridor and staircase walls of Tokushima University hospital. It has psychologically three important perspectives, which are i) healing: relieving anxiety, healing the mind, ii) comfort: creating a pleasant and comfortable image, iii) wayfinding system: the wall sign can give a walk direction guide without confusion such as pilgrim walking. We plan to develop the performance in various opportunities

Further Hospital Art Development of Masking Tape Using Thin Film Sheet

The authors and collaborators have continued practice of hospital art in the university and community hospitals and various research with experts. The material for hospital art is masking tape which is easily made and attached for everyone. Formerly, we have conducted artwork in front of the wall, which took a long time. Currently, we have tried to take the most advantage of the thin-film sheet. Our staff can prepare artwork with a size of 20 cm square in advance. Many square parts with double-sided attachment tape can be gathered together, which is completed and useful in a short time

脳外科救急の現状と問題点

We investigated the current status and problems of neurosurgical emergency cases in Tokushima. We sent a questionnaire to 13 hospitals where neurosurgical emergency cases were treated to elucidate the patient population, details of diseases and problems of the current emergency system in Neurosurgery. There were 1373 emergency patients treated between April 1 and June 30 in 1998. The main diseases were head injury (n=558) and stroke (ischemia: n=211, hemorrhage: n= 159). Of these patients, 499 were admitted and 100 were needed to undergo emergency surgery. The main problems were regarding defective current emergency system including deficient medical facilities in each hospital (n=9) and insufficient numbers of neurosurgeons (n=6). Eleven of 13 hospitals complained of the current emergency system in Tokushima. It is essential to complement the medical staff and facilities in each hospital by the financial support of the government. It is also important to unite each hospital by organizing the information using the networks among hospitals

トクシマ ダイガク ビョウイン ニオケル ノウソッチュウ ケア ユニット ノ イギ ト コンゴ ノ カダイ

Cerebral Stroke such as cerebral infarction, intracerebral hemorrhage and subarachnoid hemorrhage is a leading cause of being a bed-ridden state, thus measures against cerebral stroke are still ongoing issue. The university hospital which provides optimal treatment using advanced techniques must struggle to develop emergency medicine including acute cerebral stroke management. Stroke care unit was founded in 1999 in Tokushima university hospital and has contributed to educate medical students, to train junior residents and to promote clinical research with multidisciplinary approach. Furthermore, we adopted i-Stroke system which allows us to browse clinical data including radiological images and to discuss each other by smartphone. This system provided urgent management decision in acute stroke and contribute to improvement not only patients’ outcome but physicians’ quality of life. The university hospital must also construct a supporting system on medically underpopulated region in future

Craniotomy for cerebellar hemangioblastoma excision in a patient with von Hippel–Lindau disease complicated by uncontrolled hypertension due to pheochromocytoma

INTRODUCTION: This report describes a patient with Von Hippel–Lindau (VHL) syndrome and uncontrolled hypertension due to pheochromocytoma who underwent craniotomy for the excision of a cerebellar hemangioblastoma combined with a laparoscopic adrenalectomy. CASE REPORT: A 31-year-old man presented with severe headache. MRI showed areas of abnormal enhancement in the left cerebellum that were determined to be hemangioblastoma with mass effect and obstructive hydrocephalus. His blood pressure rose abruptly and could not be controlled. CT of the abdomen revealed bilateral suprarenal tumors, and the patient was diagnosed as having VHL syndrome.On the third day, he presented with increasing headache, a decreased level of consciousness, and hemiparesis. We were not able to perform an craniotomy because abdominal compression in the prone or sitting position resulted in severe hypertension. We performed ventricular drainage to control his ICP. On the fifth day, we first performed a bilateral laparoscopic adrenalectomy to control ICP and then moved the patient to the prone position before performing a craniotomy to remove the left cerebellar hemangioblastoma. DISCUSSION & CONCLUSION: In patients with pheochromocytoma, the effects of catecholamine oversecretion can cause significant perioperative morbidity and mortality, but these can be prevented by appropriate preoperative medical management. When carrying out an excision of cerebellar hemangioblastomas in patients with intracranial hypertension complicated by abnormal hypertension due to pheochromocytoma whose blood pressure is not sufficiently controlled, tumor resection of the pheochromocytoma prior to cerebellar hemangioblastoma excision in the same surgery may prevent increased ICP and reduce perioperative risk