Discipline ; Mental association

Medical ; Central ; Mental association

Japanese language ; Medicine ; Mental association

The 53rd General Assembly of the Japanese Association of Rural Medicine was opened in the city of Akita on October 7 for two days under the presidency of Dr. Hiromichi Ohbuchi, director of the Yamamoto Kumiai General Hospital placed under the wings of the Akita Prefectural Federation of Agricultural Cooperatives for Health and Welfare. This congress, held for the first time in 12 years in Akita, signified the fifth there in the annals of the Association. The management of this congress, carefully planned and filled with simplicity and friendliness, proved heart-warming and impressive.The main presentations to the congress were as followsActing as congress president, Dr. Ohbuchi spoke in his speech of 72 years of hard struggles through which his hospital had gone under the title of “Progress of the Yamamoto Kumiai General Hospital and Community Health care in the Future.”Dr. Masato Hayashi, President of the Association, presented a special lecture under the title of “Measures to Deal with Lifestyle-related Diseases in the Rural Setting in the Future.”Speaking in commemoration of the congress, Norishiro Terada, governor of Akita Prefecture, gave a lecture under the title of “Security and Peace of Minds-Giving Thought to Future Community Medicine in Akita Prefecture.”In a lecture opened to the public, Dr. Yoshio Gyoten, a prominent commentator, dwelled on “How Medical Care Should Respond to the Rural Communities' Bipolarization.”The scientific session featured the presentation of 322 subjects, including 202 orally, 118 by poster and two by video, suggesting that the oral presentations were nearly as twice as poster presentations. This might be so because the method of presentation was restricted to power point.Despite the fact that the congress was held soon after the local area had heavily suffered from a typhoon, the venue halls were filled with enthusiasm and the presentations were quite productive. My most heart-felt thanks go to related officials of the Akita Prefectural Federation of Agricultural Cooperatives for Health and Welfare as well as Dr. Ohbuchi and his colleagues for their immaculate preparation and management.The next general assembly will be held in Karuizawa, Nagano Prefecture. With Na gano hosting it for the first time in 20 years, we do look forward to the participation of as many Association members as possible.
Congresses <1> ; Mental association ; Lectures [Publication Type] ; Generalized ; Health

There are a series of medical guidelines for the evaluation of disability, such as the Industrial Injury Compensation Security Act, National Compensation Act, Welfare for Disabled Persons Act, McBride evaluation system, and the American Medical Association Guides to the Evaluation of. Permanent Impairment. In this review, advantages and limitations of various medical guidelines are summarized from clinical perspectives of the n eu ro psychiatric field. The recently proposed guidelines for mental and behavioral disabilities based on the McBride evaluation system are also introduced in this review.
American Medical Association ; Compensation and Redress ; Disabled Persons ; Humans ; Mental Disorders ; Neuropsychiatry*

The purpose of the study is to evaluate the effectiveness and competence level of trainees of Cardiopulmonary resuscitation training targeted for nursing students. 70 nursing students of Y nursing college are recruited as subjects from Dec. 1st, 1998 through Dec. 8th, 1998. For the pre-test, demographic data related to CPR and knowledge of CPR were evaluated. For the post-test, the next week of pre-test, three difference groups of subjects were tested their knowledge of CPR. CPR training was designed by two components which were 90 mins lecture and demonstration by one professor and individual practice using two educational models with two professors. As the tool of measurement estimating pre or post knowledge of CPR, questionnaires were developed based on self-diagnosis questionnaires of American Heart Association (AHA). The questionnaires were multiple choices (50 questions) and open end questions regarding CPR process. Each multiple choices questions valued 2 points (Score varied min. 0 point to max. 100 points.). Collected data were computerized and analyzed by SPSS-WIN. Frequency and percentage of each questions analyzed. The differences of the knowledge and competency level of subjects between pre and post test was analyses by paired t-test. The followings are research outcome. 1. In the pre-test, 95% of subjects answered that they already knew what CPR was, but only 82% described correctly what CPR was. 49% learned CPR before, and 80s5 of them learned at high school. 2. 37 questions scores increases, and 10 questions scores decreased. 3 questions didnt change their score. After getting training, ratio of 80% correct score significantly increased 4 times. 3. In post-test, knowledge level of trainees increased compared to that of pre-test. (t=-15.075, p=0.000) 4. Competence level also increased (t= -14.86, p=0.00). In result, after getting CPR training, most CPR knowledge increased except open the air tract, toddler CPR, and alternative behavior when the air tract is blocked. CPR training needs to extend the educational scope not only CPR lecture but also psychomotor skill practice. CPR trainees are in need of appropriate feedback as well as enough opportunities of skill practice.
American Heart Association ; Cardiopulmonary Resuscitation* ; Humans ; Mental Competency ; Models, Educational ; Nursing* ; Surveys and Questionnaires ; Students, Nursing*

Basic life support training is a part of the curricula of medical school in Anesthesiology practice. Every effort should be made to improve proper mouth-to-mouth breathing and perform correct extemal chest compression. Skillmeter Resusci(TM) Anne (Laerdal(R), Finland) is known to be an extremely valuable aid for accurate and objective training of medical students and for evaluating their performance. Fiftytwo medical students have been trained in basic life support skills and have been evaluated with Skillmeter Resusci Anne. We adopted standards by American Heart Association. As other reports, trainees' outcome was related to psychosomatic skill rather than their knowledge or clinical experience. Repeated training improves the performance capability of artificial ventilation better than external chest compression. At least 6 times of training session seemed required for over ninety percents of the students to reach the desired level of competence in these skills. In summary, a state-of-the-art resuscitaion training manikin displayed an objective individual evaluation and also aroused the interest of the students in CPR basic life support teaching.
American Heart Association ; Anesthesiology ; Cardiopulmonary Resuscitation ; Curriculum ; Humans ; Manikins ; Mental Competency ; Respiration ; Schools, Medical ; Students, Medical* ; Thorax ; Ventilation

OBJECTIVE: We performed a genetic association study with schizophrenic patients to investigate whether the V-akt murine thymoma viral oncogene homolog 1 (AKT1) gene plays a role in obstetric complications. METHODS: One-hundred-eighty patients with schizophrenia (male, 113; female, 67) were included. All patients fulfilled DSM-IV criteria for schizophrenia. Obstetric complications were measured by the Lewis scale. Prenatal and perinatal information was retrospectively collected from the patients' mothers. We selected six single nucleotide polymorphisms (SNPs) for the AKT1 gene: SNP1 (rs3803300), SNP2 (rs1130214), SNP3 (rs3730358), SNP4 (rs 1130233), SNP5 (rs2494732), and SNPA (rs2498804). The genotype data were analyzed for an association with the Lewis total score in terms of allele, genotype, and haplotype distribution. RESULTS: The mean total Lewis scores were 1.30+/-1.61 for males and 1.54+/-1.87 for females. Higher total score tended to be correlated with an earlier age of onset of schizophrenia in females. In the total sample, no SNP was associated with obstetric complications. However, the additional analyses for male and female subgroups found a significant association between SNPA and SNP4 and Lewis score in females (p=0.02 for SNPA, p=0.04 for SNP4). The SNP5-SNPA haplotype showed a positive association with obstetric complications (p=0.03) in the female patient group. CONCLUSION: We found an association between SNPs in the AKT1 gene and total Lewis score measuring obstetric complications in female patients with schizophrenia. Because these findings did not survive a correction for multiple testing, the significance should be interpreted carefully and replication studies are required.
Age of Onset ; Alleles ; Diagnostic and Statistical Manual of Mental Disorders ; Female ; Genetic Association Studies ; Genotype ; Haplotypes ; Humans ; Male ; Mothers ; Oncogenes ; Polymorphism, Single Nucleotide ; Retrospective Studies ; Schizophrenia ; Thymoma