1.New Narcotic Drug Management System Using Medical Records on Electronic Cards
Masaru KAMIYA ; Toshiyuki KUBOTA ; Kazuyuki NAKAMURA ; Akio KATSUMI
Journal of the Japanese Association of Rural Medicine 2010;59(2):97-102
The narcotic drug management system using drug information stored in electronic medical cards has been introduced by many medical facilities. The recording of the history of narcotics handling, such as delivery and returning, is essentialfor the management of narcotic drugs. However, the hitherto used system was hard to use for recording the handling history in detail. The new system developed by us was designed so as to record the handling history including the information on “drug execution (actualadministration)” and “drug request (prescription)” in the electronic card with ease. Using the order number and bar code of narcotic drugs in the card, the new systemmade it possible to prepare the narcotic book precisely and efficiently. The introduction of this system in our hospital has brought about a significant improvement in the management of narcotic drugs.
2.Investigation on Supplements Use in Medical Check-Up Examinees from the Point of Laboratory Data and Subjective Health Perception
Marie MIBU ; Masaru KUBOTA ; Akiko TSUJIBAYASHI ; Yukie HIGASHIYAMA ; Ayako NAGAI ; Misato SAKAI ; Seiichi SAKASHITA
Japanese Journal of Complementary and Alternative Medicine 2012;9(2):115-120
Objective: Although there are numerous epidemiological studies on supplement use, only a small number of studies focused on the issue of the subjective health perception and the clinical laboratory data. The aim of this study was to determine the relation between supplement use and the subjective health perception and the clinical laboratory data.
Method: The participants were asked to complete a self-administered questionnaire on supplement use, and subjective health perception (“overweight”, “easy fatigability”, “lower tolerance”, and “anxiety about bone and joints”) during the previous one month. The clinical laboratory data (blood pressure, fasting blood glucose, LDL-C), demographic information, smoking status and drug use were collected from the record at the medical checkup center.
Results: 608 men and 500 women were enrolled. A total of 30.3% of participants were found to use supplements. Logistic regression analysis revealed that supplement users were more likely to be women, older than 40 years, with lower or higher BMI, and with the normal laboratory data. However, the four items of subjective health perception and the three laboratory data were not individually associated with the supplement use.
Conclusion: Supplement use was associated with middle aged women with low or high BMI and normal clinical laboratory data.
3.Review of Evaluation of Patients' Attitude According to Behavior Modification Stage at Time of Diabetes Educational Hospitalization and Various Parameters After They Were Discharged From Hospital
Ai YAMASHITA ; Akina KOIDE ; Etsuko MAJIMA ; Katsutosi KUBOTA ; Hitoshi ISHIGURO ; Masaru MATSUBARA ; Kazuhito SUZUKI ; Motoo HANANOUTI ; Takamichi MASUBUCHI ; Toshinori NIMURA
Journal of the Japanese Association of Rural Medicine 2014;63(4):634-643
Evaluation of the attitude of patients according to behavior modification stage when they were admitted to hospital for our diabetes educational program and various parameters after they discharged were reviewed. We examined the 106 people (53 males and 53 females, average age 66.0 years) who were admitted to our hospital for diabetes education during the period from October 2009 to February 2012. We examined HbA1c levels and measurements taken during the stay in hospital, and 1 month, 3 months, 6 months, 9 months, and 12 months after leaving hospital. Compared with the measured values in the hospital, HbA1c levels measured each month showed a significant improvement (p<0.05). By evaluation of the value according to behavior modification stage, we recognized a rebound tendency in precontemplation groups. The evaluation of patients’ attitude by occupation according to stage of behavior modification revealed a difference more than 2 stages by approximately 10%. From these result, it was speculated that the patient self-management skills made a significant impact on glycemic control after hospital discharge. Diabetes educational hospitalization is supported by team members who vary in specialty. It is expected that we can provide higher-quality medical care by each specialist and supporter with a good knowledge. Assessment difference of behavior modification stage may appears by each specialty staff member and by changes in physical condition and feeling of the patients. In addition, these causes may change further by difference in the way each specialist deals with the patients. Therefore, we considered it was important to share information and have the mutual confirmation of the evaluation. Now, team medical care is regarded as important. It was suggested that cooperation among the staff members would lead to better medical treatment, and to improvement in patients’ QOL.