1.Community Diagnosis for Interprofessional Education in Medical Education
Taro MURAKAMI ; Junji HARUTA ; Minori NAGATA ; Yuya TSUBOTA ; Mari INOUE ; Rina HARADA ; Sakina AKIYAMA ; Kao SEKIGUCHI
An Official Journal of the Japan Primary Care Association 2025;48(4):132-136
Keio University conducted practical training based on community diagnosis as part of an interprofessional education program involving three healthcare faculties: the School of Medicine, the Faculty of Nursing and Medical Care, and the Faculty of Pharmacy. This training took place in Wakkanai City (Hokkaido), Minakami Town (Gunma), and Mino City (Gifu). Students engaged in data collection, hypothesis setting, fieldwork-based hypothesis verification, and explored solutions to community issues. Through this process, they learned about the importance of experiencing residents' daily lives firsthand, the interconnectedness of various community factors, and collaborative approaches to problem-solving. The program offered students the opportunity to understand community dynamics and teamwork, while engaging in active trial-and-error learning that fostered independent learning and problem-solving skills.
2.An Experiment of Orthoptic Therapy for a Patient with Diplopia in a Convalescent Rehabilitation Ward Where a Certified Orthoptist is Unavailable
Masamune EBARA ; Rina ABE ; Takashi HARADA ; Kentaro KANARI ; Tsuyoshi MIZUSHIRI
The Japanese Journal of Rehabilitation Medicine 2025;():24021-
Oculomotor disorder and diplopia cause a decline in quality of life and activities of daily living. The usefulness of orthoptic exercise for oculomotor disorder has been proven. However, there are few reports about orthoptic therapy with diplopia after a cerebrovascular accident in a convalescent rehabilitation ward which usually has no certified orthoptist. A previous study reported that diplopia caused by traumatic subarachnoid hemorrhage was improved after binocular gaze training. On the other hand, it was also reported that binocular training alone did not lead to complete recovery of diplopia, as no improvement was seen after the sixth day. We experienced a case of abducens nerve palsy and diplopia due to subarachnoid hemorrhage. Orthoptic treatment without special equipment restores disordered eye movement and improves double vision. Notably, binocular gazing training, devised to move the gazing target farther away or to the side, improved over a long period, unlike in a previous report. We report this case because it showed the availability of our attempted treatment for oculomotor disorder in a convalescent rehabilitation ward.
3.An Experiment of Orthoptic Therapy for a Patient with Diplopia in a Convalescent Rehabilitation Ward Where a Certified Orthoptist is Unavailable
Masamune EBARA ; Rina ABE ; Takashi HARADA ; Kentaro KANARI ; Tsuyoshi MIZUSHIRI
The Japanese Journal of Rehabilitation Medicine 2025;62(3):297-304
Oculomotor disorder and diplopia cause a decline in quality of life and activities of daily living. The usefulness of orthoptic exercise for oculomotor disorder has been proven. However, there are few reports about orthoptic therapy with diplopia after a cerebrovascular accident in a convalescent rehabilitation ward which usually has no certified orthoptist. A previous study reported that diplopia caused by traumatic subarachnoid hemorrhage was improved after binocular gaze training. On the other hand, it was also reported that binocular training alone did not lead to complete recovery of diplopia, as no improvement was seen after the sixth day. We experienced a case of abducens nerve palsy and diplopia due to subarachnoid hemorrhage. Orthoptic treatment without special equipment restores disordered eye movement and improves double vision. Notably, binocular gazing training, devised to move the gazing target farther away or to the side, improved over a long period, unlike in a previous report. We report this case because it showed the availability of our attempted treatment for oculomotor disorder in a convalescent rehabilitation ward.


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