In hopes that inpatients can enjoy meals without worrying about foodstuffs, our hospital started buying more local fresh produce in January 2005 tuning in on the popular “Buy Local Produce” movement. We, employees of a hospital affiliated with the Federations of Agriculture Cooperatives for Health and Welfare, think it very important to support the movement, contribute to the improvement of the self-sufficiency in food and maintain good relationships with rural communities. The advantage of local produce is its safety. We can use it with a sense of security. At present, 10 farmers, who are members of the JA Isehara Co-op, deliver vegetables to the hospital. Initially, the hospital bought what they offered, but recently they grow vegetables of the kind the hospital wants. Now, local produce accounts for about 30% of the total value of the vegetables the hospital buys.However, prospects do not warrant any optimism, because the average age of the producers is 56 and it is not easy to increase the number of producers now. As far as items unavailable from the present producers are concerned, we have begun to buy these items from non-member farmers.

  In hopes that inpatients can enjoy meals without worrying about foodstuffs, our hospital started buying more local fresh produce in January 2005 tuning in on the popular “Buy Local Produce” movement. We, employees of a hospital affiliated with the Federations of Agriculture Cooperatives for Health and Welfare, think it very important to support the movement, contribute to the improvement of the self-sufficiency in food and maintain good relationships with rural communities. The advantage of local produce is its safety. We can use it with a sense of security. At present, 10 farmers, who are members of the JA Isehara Co-op, deliver vegetables to the hospital. Initially, the hospital bought what they offered, but recently they grow vegetables of the kind the hospital wants. Now, local produce accounts for about 30% of the total value of the vegetables the hospital buys.However, prospects do not warrant any optimism, because the average age of the producers is 56 and it is not easy to increase the number of producers now. As far as items unavailable from the present producers are concerned, we have begun to buy these items from non-member farmers.

A major earthquake in Bam, Iran, which occurred on 26th of December,2003, claimed more than 26,000 deaths and most of the medical facilities were destroyed or left inoperative.
Although many relief organizations left Bam after the initial stage of the disaster, the necessity of medical support continued with the condition of many victims still desperate. Therefore, medical assistance was provided by HuMA in the recovery phase, and four prefabricated buildings were donated to an Urban Health Center (UHC) for use as a clinic. Essential medical equipment was provided to emergency centers in Bam. In addition, surveillance study was conducted to investigate how environmental health conditions could be improved and effective assistance be given during the recovery phase of the disaster. From monitoring of onsite disaster relief in Bam, it is concluded that the donor agencies should make efforts to continue their activities not only in the acute phase but also in sub-acute and recovery phase and if necessary to cooperate among different agencies according to their capability. Furthermore, it is suggested that close cooperation between NGOs and government agencies would lead to much faster and much more effective disaster relief for victims.

  In hopes that inpatients can enjoy meals without worrying about foodstuffs, our hospital started buying more local fresh produce in January 2005 tuning in on the popular “Buy Local Produce” movement. We, employees of a hospital affiliated with the Federations of Agriculture Cooperatives for Health and Welfare, think it very important to support the movement, contribute to the improvement of the self-sufficiency in food and maintain good relationships with rural communities. The advantage of local produce is its safety. We can use it with a sense of security. At present, 10 farmers, who are members of the JA Isehara Co-op, deliver vegetables to the hospital. Initially, the hospital bought what they offered, but recently they grow vegetables of the kind the hospital wants. Now, local produce accounts for about 30% of the total value of the vegetables the hospital buys.However, prospects do not warrant any optimism, because the average age of the producers is 56 and it is not easy to increase the number of producers now. As far as items unavailable from the present producers are concerned, we have begun to buy these items from non-member farmers.

This study aimed to investigate the changes in physical function, fatigue, and psychiatric symptoms in patients with hematological malignancy undergoing chemotherapy and low-intensity exercise training. Sixty-two hospitalized patients with hematological malignancy undergoing chemotherapy and low-intensity exercise were recruited. At the time of exercise initiation and hospital discharge, grip strength, knee extension muscle strength, maximum walking speed, Eastern Cooperative Oncology Group (ECOG) performance status, a measure of functional independence, cancer fatigue pain, and hospital anxiety and depression were evaluated. When longitudinal data were analyzed in each group, changes in grip strength and knee extension muscle strength were unevenly distributed: some patients showed a decrease in knee extension strength. On the other hand, maximum walking speed, the measure of functional independence, and ECOG performance status were maintained or improved in more than 90% of the patients. Results of fatigue, anxiety, and depression tended to show an improvement in female patients, but not in male patients. In conclusion, physical function was maintained in nearly all patients with hematological malignancy undergoing chemotherapy and low-intensity exercise training. Sex differences were found in changes of fatigue, anxiety, and depression.

Liverpool Care Pathway (LCP) Japanese version was implemented to electronic medical chart (FUJITSU HOPE/EGMAIN-FX®). The processes were needed as follows; preparation of each templates (criteria for use of the LCP/initial assessment, ongoing assessment, and care after death), preparation of pathway/regimen, incorporation of the templates to the pathway and approval in our hospital clinical pathway committee. One problem we encountered was whether to choose an Excel or a template format for each assessment sheet, and the template format was selected as it presented us with a higher degree of convenience, since each field can be expanded into a table on the screen without scrolling and there is little limitation in the letters of the valiance records that can be used in the template format. The complexity of the three records, “the pathway”, “SOAP & focus” for recording opioid use, and “the progress sheet” for recording vital signs, in addition to the inability to expand enough to capture the same field and show changes in the daily pathway over time through night and day work shifts remain a challenge and need to be improved in the future.

A 50-year-old woman had a percutaneous endoscopic gastrostomy (PEG) tube placed after surgery for pharyngeal cancer. After 21 months, the PEG tube was removed due to improvement of per-oral ingestion. She had taken prednisolone for 31 years for systemic lupus erythematosus. The post-PEG fistula did not close spontaneously. The cause of the fistula was slow wound healing and gastrostomy site inflammation due to long-term steroid therapy. We were able to close the fistula with an over-the-scope clipping (OTSC) system. This case suggests that OTSC is useful for closing persistent post-PEG fistulas in patients receiving long-term prednisolone therapy.
Eating ; Female ; Fibrosis ; Fistula* ; Gastrostomy* ; Humans ; Inflammation ; Lupus Erythematosus, Systemic ; Middle Aged ; Pharyngeal Neoplasms ; Prednisolone ; Steroids ; Wound Healing