Chamber ; seconds

Messages ; seconds ; Medical ; Physicians

seconds ; Medicine, Herbal

Migration ; seconds ; Proximal ; Cysts

Acute diarrhea ; seconds

American ; seconds ; Ophthalmologist

Interested ; seconds ; cooperation ; Human ; Health

Sound management of hospital in Japan in general has become more and more difficult with frequent reductions in the fees officially paid to medical institutions for medical examinations and treatments, and this current situation obviously necessitates a more efficient way of hospital management and ardent efforts at improvement on the part of our hospital as well. The Division on Nursing has set the goals to implement thoroughgoing cost-management strategies and to strengthen cooperation with other divisions. For this purpose we visited the hospital wards jointly with other personnel from the Divisions of Medical Materials and Dispensary to check inventories of medical materials and to make them optimum. As a result, it was found that medical materials were often improperly placed, stored excessively, or returned inaccurately. The instructions for redefining the proper quota of the medical materials per ward, putting them in order and returning them properly in case of excess facilitated direct communication and cooperation between divisions, and resulted in inventory reduction and thus the annual costs of returning them. These efforts successfully inspired each staff member to participate voluntarily in the management of our hospital, which eventually led to reasonable inventory control of medical materials. It would be important for each division, while demonstrating its specialty, to realize the importance of cooperation to reach far greater achievements.
Hospitals ; Materials ; seconds ; cooperation ; Medical

This paper reports a case of musculoskeletal chronic pain and evaluates the serviceability of the approarch of psychosomatic orthopedics to musculoskeletal chronic pain with secondary fibromyalgia due to Sjogren's syndrome. There are many so-called musculoskeletal life-related diseases, i. go, degenerative spondylosis, osteoporosis, osteoarthritis, neck-shoulder-arm syndrome, rheumatoid arthritis, etc. The patient suffers from a functional somatic syndrome that includes fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome and the symptom called ‘painful depression’ that consists of the complex of pain and depressive state. However many of orthopaedic physicians have an inclination to interpret ‘psychogenic’ as ‘mere fancy’ or ‘exaggerated’. The orthopedic physician that does not suspect the psycho-social background of the patient's pain can make a good relationship with the patient, because the physician treats the psychosomatic patient as organic disease.
Patients ; Pain ; musculoskeletal ; seconds ; Approaches

In April, 2006, we made and distributed the pamphlet entitled “Declaration for safety measures in medical services.” Because we thought that sharing with patients in the safty target could lead to create a safe environment in the hospital.To make certain whether inpatients and nurses understood and practiced the declaration, we took a questionnaire survey. The results showed that about 90% of the medical staff and inpatients understood the declaration and thought it worked out well. However some of the medical staff answered that they thought it did not work out. We felt the necessity to educate the medical staff thoroughly. Moreover, we found out differences in the recognition between medical staff and patients. For example, medical staff wonders if they mistake the contents of injections. But most of patients worry about pain.The medical staff is always working nervously and anxiously. However, there arequite a few cases in which complaints or disputes result from insufficient understanding by patients although medical staff thought that it was checked and explained.We are now working on safety measures reflecting patient's opinions.
Safety ; seconds ; Work ; Patients ; participation