Sixty years have elapsed since the Saku Central Hospital was established in 1944, or the year preceding the end of World War II.That year, the 20-bed hospital began to deliver medical care with only two physicians. It has now developed to a point where it has a staff of 1,682 employees, including 193 doctors, with 1,193 beds. In the immediate years that followed poverty-stricken rural communities were left far behind the times, and not blessed with benefits from the government's policy of economic rehabilitation and development which led to the emergence of modern industrial society. In attempts to save rural people and their environment and health from a wide variety of postwar social distortions attendant upon the production-first policy, the hospital staff dedicated itself to the delivery of comprehensive health care under the leadership of Dr. Toshikazu Wakatsuki, the then hospital director, with the cooperation of many like-minded health professionals and local residents.The fact historically stands forth that the Saku Central Hospital, keeping in close touch with the community and making sure of their needs, was always quick to come out with health care of the kind they really wished to have. The impelling force is organizational management in tune with the spirit of cooperatives' movement with the involvement of its workers' union in the hospital's management and a great variety of cultural activities in the rural communities.The health care-related industry is now a key industry in many regions. This fact is tied in with the creation of job opportunities for youngsters in those districts that are distressed by depopulation, turning out to be an indispensable factor for the building and management of a healthy community.Given the recent exposures of corporate irregularities and medical errors, we are determined to become a hospital trusted and chosen by locals by reviewing hospital care from a standpoint of obligations to society and incorporating quality-first principles, assurance of safety, transparency and accountability, and users' satisfaction in the management system.
Hospitals ; Central brand of multivitamin with minerals ; seconds ; Health Care ; Medical History

Kawakami village with a population of 4,700 is located in the easternmost corner of Nagano Prefecture. It borders on Gunma, Saitama, and Yamanashi Prefectures. In the village, there are only two medical facilities, our Kawakami Clinic and Kimura Branch Clinic. None of them have any inpatients' wards. Therefore, patients who need hospitalization without delay have to be transported in an ambulance car to the Saku Central Hpspital, a general hospital about 35 km from our clinic.In order to transport the emergency patients quickly, we began to used a helicopter on July 2005. A total of 75 cases who were transported by ambulance or helicopter from our clinic to the Saku Central Hospital from July 2005 to December 2006 were the subjects of the present study. The hour they were sent, their conditions, disease severity and transport from were examined, based on the reports filed by the committee which is supposed to judge disease severity, emergency degree and so on. It was found that 17 cases, which occupied 23% of the total number of transported cases, were transported by helicopter. Patients with internal diseases made up 76% and patients requiring surgical treatment 24%. Those patients with mild, moderate, serious and dangerous illnesses accounted for 12%, 41%, 29% and 18%, respectively. One case died three days after hospitalization. The other cases were discharged or transferred to other hospitals within two months. The rate at which we used the helicopter was low, so we could not say it was a common means of transport. In the cases of external trauma, it was difficult to decide which means of transport should be used, ambulance or helicopter.Further examination and discussion with the staff members of the emargency services and support hospital are needed to improve the emergency medical services as primary care.
Clinic ; Ambulances ; Central brand of multivitamin with minerals ; Review of ; Severity of illness, NOS

The purpose of this study was to determine the timing and sequence of emergence of the first 28 permanent teeth in a cross-section of Malay children in the district of Kota Bharu, in northeastern Peninsula Malaysia. The sample consists of 478 boys and 908 girls of Malay descent aged between 5-19 years. The criterion for tooth emergence was the appearance of the tooth through the gingivae. Descriptive statistics were calculated and probit regression analysis performed to determine the mean age of emergence of the permanent dentition. The mean age at emergence was found to conform to general trends, with emergence seen earlier in girls than in boys. Comparisons were made with the Chinese (Hong Kong) and the Punjabi (Chandigarh) profiles, which showed earlier emergence timings in those ethnic groups. The emergence timing in Malays, however, was earlier than in Thais (Central Thailand). The sequence of emergence was determined by referring to the mean age of tooth emergence of individual teeth and conforms to the general trend seen in other studies.
Tooth ; Malaysia ; Age, NOS ; trends ; Central brand of multivitamin with minerals

India is the second most populous in the world, having crossed the population mark of 1 billion in the year 2000. The different geographical regions exhibit different levels of health and nutritional status. Out of 35 states, some are identified as demographically lagging behind, called BIMARU. Central India falls in this category and the present paper provides a situational analysis of the region with respect to population growth, socio-economic condition, health scenario and level of nutrition in the region. The level of socio-economic development is relatively poor in this part when compared to other parts of the country. The population growth is higher than the national average. The Infant mortality rate (IMR) continues to be higher in Central India, varying from 70 to 164 across the districts in the region. Regression analysis shows a negative correlation between Human development index (HDI) and infant mortality rate. Considering 18.5 as a cut-off point for screening the individuals into normal and chronic energy deficiency (CED) groups, it is found that the prevalence of CED is lower among the populations of non-backward districts (50.5 %) than that in the backward districts (53.6 %). It is suggested that the overall socio-economic development should be accelerated and infant mortality controlled in order to improve the health and nutritional status of the people in Central India.
India ; Nutritional status ; Health ; Central brand of multivitamin with minerals ; Analysis of substances