The aim of this study was to investigate effects of acupuncture treatment on the improvement of visual acuity.
Six patients (male: 5, femal: 1, aged: 20-24) in the department of Ophtalmology were diagnosed with myopia grevis.
Used acupoints were EX-HN4, Jingming (B1), Hegu (Li4), Feugchi (G20), which were stimulated with the leaving needl techniqe for 10 minutes.
Acupuncture treatment was performed everyweek.
After 10 times treatment, the effect of acupuncture on visual acuity was evaluated.
As a result, three patients showed a remarkable improvement of the visual acuity and others not subsequently, the improved patients observed for 5 to 7 weeks without treatment in order to examine the durability of acupuncture effects.
While, the other three patients were treated with the electro-acupuncture instead of the leaving needl technique.
The visual acuity of the patients in whom acupuncture effective declined without treatment, but their visual acuity was kept at on higher level than before treatment.
On the other hand, the visual auity of the other patients improved by using electro-acupuncture.
These results suggest that acupuncture treatment is effective in improbvement of visual acuity and the effect remains for a certain period, and electro-acupuncture is effective when we do not get effect on vusual acuity with the leaving needle techniqe.

Objective: Nurse executives (NEs) working at rural medical facilities encounter challenges, including nursing quality and management, due to a shortage of nurses; this requires them to develop their competencies. A previous study reported that managers working in rural medical institutions gather nearby to learn about management. However, no research has focused on NEs working in rural areas or clarified their experiences in developing competency through learning networks. This study focused on the learning networks of NEs working in rural medical facilities and aimed to clarify their experiences with competency development.Patients/Materials and Methods: In this study, we conducted competency development for NEs through the learning networks in Japan. An ethnographic qualitative study design was used. Twenty NEs participated in the study. Data were collected through participant observation and ethnographic interviews, and analyzed using thematic analysis.Results: This study revealed the following three themes: (1) aiming to provide medical care that contributes to the rural community; (2) work efficiency by a small number of staff; and (3) development as NEs. The NEs in this study improved as NEs by promoting efficiency in their work with a small group, while aiming to provide medical care that contributes to the rural community through participation in a learning network.Conclusion: A learning network of NEs develops their competencies by helping them improve their practice through dialogue and reflection on their nursing management. Therefore, even in an environment with limited resources, NEs might be able to improve the services of their organization through the learning network.

Objective: Two types of symbols have been established as industry standards in terms of two-dimensional (2D) symbols with prescription information: one for objects to be printed on prescriptions and the other for electronic versions of medication diaries. However, no studies have investigated the system for using 2D symbols in pharmacies and hospitals/clinics as well as the quality of the information actually stored in these 2D symbols. Therefore, we conducted a survey to clarify the current status and problems pertaining to prescription information sharing via 2D symbols.Methods: We distributed questionnaires to community pharmacies through the Fukui Pharmaceutical Association and asked them to cooperate with us during the survey. The list of items in the survey　included the installation status of devices necessary for reading 2D symbols at each pharmacy, receipt computer in use, and status of the support issued by hospitals/clinics for reading 2D symbols. At the same time, we received 2D symbols created by community pharmacies and conducted reading tests to examine issues related to the collection of prescription information via 2D symbols at medical institutions.Results: The response rate for the survey was 21.8%. Among the 57 stores that responded to the survey, 26 (45.6%) answered that they could read prescription symbols, and 22 of them had actually used the system till date. In addition, 38 community pharmacies were able to provide the 2D symbols for medication diaries. Of the 30 provided symbols for medication diaries, 16 (53.3%) could be read as Japanese data by the barcode reader used.Conclusions: It has become clear that the 2D symbols with stored prescription information are not being completely utilized at present, as both community pharmacies and hospitals/clinics face several issues such as hardware maintenance, software updates, and time and effort required for the usage.