A Survey on Current Activities and Issues of Pharmacists at Facilities Calculating Fees for the Implementation of Antimicrobial Stewardship in Ehime / 社会薬学

Although the fees for the implementation of antimicrobial stewardship (AS addition) were newly established in the 2018 revision of medical fees, more detailed activities and issues of pharmacists at facilities calculating AS addition have not been clarified so far. Therefore, to understand the current status of AS activities and problems, we conducted a questionnaire survey of facilities that calculate the additional fee for infection prevention measures 1 and investigated whether there are differences in AS activities between facilities where pharmacists are full-time employees and facilities where non-pharmacists are full-time employees. The results showed that the number of antimicrobial agents used by full-time pharmacists was larger than that by non-pharmacists. In addition, the frequency of AS was lower for non-full-time workers than for full-time workers, with most full-time workers performing AS every day, while non-full-time workers performing AS two to three days a week. In addition, non-full-time workers lacked human resources and work time, and did not have sufficient work materials. The survey revealed that AS activities’ current status and problems differ between full-time and non-full-time employees.

Impact of Meals for Nutritional Support in Patients with Cancer / 日本農村医学会雑誌

　　Nutritional support for patients who develop cancer is necessary to increase their food intake, which is often insufficient due to the adverse effects of anticancer drugs and radiation treatment. In December 2011, our center introduced Bocchiri meals for cancer patients to improve their quality of life and support ongoing treatment. In this study, we examined the efficacy of Bocchiri meals, which were developed to help increase the amount of food intake during cancer treatment. Target patients were those who could eat half or less than half of their daily required food intake, averaged over 3 days.Patients could order the meal 2 h before serving time and it was served at the temperature and amount that individual patients requested.We evaluated age, sex, main disease, use of anticancer drugs, radiation treatment, time taken to eat the Bocchiri meals, number of orders made, average energy intake before and after eating the Bocchiri meals, and rate of eating a Bocchiri Meal with a side menu order. Average energy intake was increased from 226.6±14.8 kcal with regular meals to 294.1±15.3 kcal with Bocchiri meals. Furthermore, a strong correlation was seen after the Bocchiri meals were introduced between the rate of eating Bocchiri meals with a side menu order and average energy intake. These results suggest that Bocchiri meals may be an effective supportive nutritional measure to enhance food intake among cancer patients.

Failure of Fecal Microbiota Transplantation in a Three-Year-Old Child with Severe Refractory Ulcerative Colitis / 대한소아소화기영양학회지

Fecal microbiota transplantation (FMT) is a treatment designed to correct gut dysbiosis by administration of feces from a healthy volunteer. It is still unclear whether FMT for children with ulcerative colitis (UC) is effective or hazardous. Here we describe a young patient to have received FMT for UC. A three-year-old girl was admitted to our hospital with severe active UC, and treated with aminosalicylates and various immunosuppressive drugs. As remission was not achieved, we decided to try FMT before colectomy. We administered donor fecal material a total of six times by retention enema (×2) and via a nasoduodenal tube (×4) within 10 days. The patient developed abdominal pain and pyrexia after each FMT session. Analyses revealed the transferred donor fecal microbiota had not been retained by the patient, who ultimately underwent colectomy. The severity of the UC and/or timing of FMT may have partly accounted for the poor outcome.

Study of oversensitivity to cold according to ryodoraku autonomic nervous system therapy(neurometry) / 全日本鍼灸学会雑誌

It is presumed that oversensitivity to cold is derived from the imbalance of the autonomic nervous system. As a result of the cold condition, the patient may complain of various other problems as well. According to oriental medicine, the main origin of oversensitivity to cold is the invasion of cold, an external evil. In neurometry, this symptom is depicted by low measurement values. Before each treatment session we performed neurometry to assess the patient's condition. Then we performed general Ryodoraku regulation therapy, using a 60mm length, 0.24mm diameter needle as a 200μA (12V) negative electrode for 7 seconds. withI the objective of tonifying and warming the body. In addition, we performed half-rice grain size moxibustion 7 flashing moxas on the special effective extraordinary meridian points. Hanfeng, Lisanli, and main meridian points Fengmen, Zhishi. Neurometry revealed that oversensitivity to cold is related to values of the F, Ryodoraku which are lower than the normal physiological range. The treatment indicated by neurometry proved to be successful in increasing the F, Ryodoraku values.

Quality of children's electric registance value of skin. (II). Variation according to sex, age and season / 全日本鍼灸学会雑誌

Authors evaluated which factor among age, sex and season influences each Ryodoraku, and to what extent, using socalled healthy children.<br>METHOD<br>Ryodorakumeasurement was conducted on the same subjects in two different seasons. Comparison was done between groups divided according to their sex andage. The measured value of skin electro-resistance at the Ryodoraku representative measuring points and excitation-inhibition frequency were analyzed using single- and multi-variate data analysis.<br>RESULT<br>1) Each group showed slightly different Ryodoraku characteristics.<br>2) The differences among each group were greatest between the two seasons and rather big between years, however, small between male and female.<br>3) These tendencies werejobserved in both analyses using the measured values and using frequency.

Quality of children's electric registance value of skin. 1 / 全日本鍼灸学会雑誌

Purpose<br>An organism receives internal and external stimuli successively. If the function of the organism become abnormal, the abnormality is projected on its body surface. Accordingly the condition of the organism's function can be grasped by palpation or other objective measuring methods.<br>Among these methods, we commonly put skin-electroresistance meters in clinical use.<br>However, the variation of the organism's function in a healthy condition has not been quantitatively grasped, while there are data on the variation of the values obtained from sick patients.<br>The purpose of this study is to investigate the variation of values obtained from subjects in a healthy condition in order to grasp the abnormal variation of values more exactly.<br>Method<br>Subjects were sixth-year pupils of Osaka Municial Elementary School of Higashi Awaji. Neurometory was sutomatically recorded at the regular points 0.75 second after the onset of the measurement, with a neurometer (Improved Model D-401; Noiro Ika Kogyo Inc.) adjusted at 12V, 200mV.<br>Result<br>Excited H₆ large intestine channels, and inhibited F₂ liver channels and F₆ stomach channels were frequently seen as in the same time of other years.<br>Unlike adult subjects, the current intensity was low in the Yong meridians of the hand (H4, 5, 6), and high in the Yin meridians of the hand and the foot (H1, 2, 3, F1, 2, 3).