[Use of Biologics and Home Visit by an Interdisciplinary Medical Care Team Led to the Improvement of Arthralgia-A Case of Rheumatoid Arthritis].

A woman in her 50s was diagnosed as having rheumatoid arthritis(RA)at another hospital. She refused treatment with biological therapy and had difficulty walking because of arthralgia. We formed a home-visit medical care team consisting of a physician, nurses, a physical therapist, and other medical professionals.

[A Retrospective Investigation of Cases in Which a Contract Was Not Concluded after a Referral for Home Care].

Cases in which the contract was not concluded after a request for home visit care was received were retrospectively surveyed. Seventy-nine new requests for home visit care were received over a period of 6 months from January 1 to June 30, 2018. Of them, a contract was not concluded in 18 cases(22.

Long-term neurological and neuropsychological complications of sulfur mustard and Lewisite mixture poisoning in Chinese victims exposed to chemical warfare agents abandoned at the end of WWII.

In August 2003, 44 victims were poisoned by chemical warfare agents (CWAs) leaked from five drums that were excavated at a construction site in Qiqihar, Northeast China. The drums were abandoned by the former Japanese imperial army during World War II and contained a mixture of Sulfur mustard (SM) and Lewisite. We carried out a total of six regular check-ups between 2006 and 2014, and from 2008 we added neurological evaluations including neuropsychological test and autonomic nervous function test in parallel with medical follow-up as much as was possible.

[The present status and the future prospects of the medical network--from the standpoint of a community hospital].

Our hospital receives elderly patients who are disabled and have dementia, dysphagia, infectious diseases, and/or decubitus from acute hospitals. We treat, rehabilitate, and return those patients to their home. For this purpose we have many rehabilitation staff and several teams such as a nutrition support team, an infection control team, and a decubitus control team.