Analysis of factors contributing to medication errors during self-management of medication in the rehabilitation ward: a case control study.

Background: In the rehabilitation ward, many elderly patients require continuous use of medication after a stroke or bone fracture, even after discharge. They are encouraged to self-manage their medications from the time of admission. Medication errors, such as a missed dose or incorrect administered medication can worsen conditions, resulting in recurrent strokes, fractures, or adverse effects.

Cow's Milk Allergy with Severe Eosinophilia.

Because the role of eosinophils in neonates is not well understood, the clinical significance of eosinophilia in neonates is unclear. We encountered a rare case of cow's milk allergy in a premature male infant with severe eosinophilia in the neonatal period. The peripheral blood eosinophil count in this infant was 7,404/μL at birth, and he produced stools with fresh blood immediately after birth and prior to the first feedings with regular cow's milk.

Neurodevelopmental outcomes of children with periventricular leukomalacia.

Objectives: To examine the neurodevelopmental outcomes of children with periventricular leukomalacia (PVL).

Materials And Methods: Twenty-five children diagnosed with grade 1, 2 or 3 PVL on the basis of magnetic resonance imaging (MRI) findings between January 2002 and December 2011 were enrolled and followed from 15 months to 10 years of age.

Results: Of the 25 children, one was a term and 24 were preterm-births.

Nurses' recognition of the mental state of cancer patients and their own stress management - a study of Japanese cancer-care nurses.

Objective: The primary aim of this study was to describe Japanese oncology nurses' self-reported ability to assess and care for cancer patients' mental health. A secondary aim was to describe nurses' self-reported stress levels and need for stress management related to caring for oncology patients.

Methods: This cross-sectional questionnaire study was conducted from September to November 2010 among cancer-care nurses participating in mental healthcare training.

Outcome of fetal echocardiography: a 17 year single-institution experience in Japan.

Background: The aim of this retrospective study was to evaluate the influence of prenatal diagnosis on perinatal outcomes of congenital heart disease (CHD) over a 17 year period at a single center.

Methods: The perinatal outcome of CHD in 146 patients diagnosed on fetal echocardiography between 1994 and 2010 were reviewed. The characteristics of 193 neonatal inpatients with CHD treated at the authors' department between 2001 and 2010 were also analyzed; among the inpatients, 61 were diagnosed before birth (prenatal group) and 132 were diagnosed after birth (postnatal group).

A case of cor triatriatum with an abnormal P wave: the pacemaker action from the specialized tissue in the abnormal septum.

A boy presented with an abnormal P wave shown on an electrocardiogram (ECG) checkup at school. An echocardiogram and contrast-enhanced computed tomography (CT) showed cor triatriatum with a slit-like opening between the accessory chamber and the left atrium located along the interatrial septum. The boy underwent open heart surgery for excision of the anomalous membrane, and a postoperative ECG showed normal P waves.

A 10-year-old girl with IgA nephropathy who 5 years later developed the characteristic features of Henoch-Schönlein purpura nephritis.

We report a patient who developed Henoch-Schönlein purpura (HSP) 5 years after she presented with immunoglobulin A nephropathy (IgAN). A 10-year-old Japanese female was identified with proteinuria and hematuria by a school urinary screening. The first renal biopsy showed mesangial proliferative glomerulonephritis with immunofluorescent findings consistent with IgAN.

A case of Henoch-Schoenlein purpura nephritis recurring after 3 years remission.

Henoch-Schoenlein purpura (HSP) is a systemic disorder characterized by leukocytoclastic vasculitis involving the capillaries with IgA immune complexes deposition, and about 7% of patients with HSP experience recurrence. Most patients with recurring of HSP nephritis show a recurrence of clinical symptoms over a period ranging from 2 to 5 months, even after the disappearance of initial symptoms. Here we report a 9-year-old girl diagnosed with recurrent HSP and severe crescentic glomerulonephritis 3 years after complete resolution of the initial symptoms of HSP.

Relationship between decreasing fertility during the post-war period and maternal age in a Japanese population.

This research was performed in an effort to understand the decrease in fertility that has occurred over the past few decades. The objective of the study was to analyze female fertility according to maternal age; data were based on the number of children born per mother. The records of 18-year-old college students were obtained, and the mothers of the students were categorized into age groups according to the year of their birth (1915 to 1949).