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All Journal Nurse Media Journal of Nursing Java Nursing Journal
Yoshiyuki Kashiwagi, Yoshiyuki
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Health Professions Medicine & Pharmacology Nursing

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A Case of Acute Myocardial Infarction during Chemotherapy of Advanced Rectal Cancer Kashiwagi, Yoshiyuki
Nurse Media Journal of Nursing Vol 8, No 2 (2018): (DECEMBER 2018)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (270.974 KB) | DOI: 10.14710/nmjn.v8i2.18908

Abstract

Background: Cetuximab, irinotecan, levoforinate, and 5-FU (FOLFIRI) are medicines commonly administered to advanced colorectal cancer patients through chemotherapy. Although this regimen is standardized for recurrent metastatic colorectal cancer, the emerging of myocardial infarction is rare.Purpose: The purpose of this study was to consider the development of myocardial infarction during the chemotherapy of colorectal cancer.Methods: A retrospective case study was conducted to one patient. An 80-year-old man who developed acute myocardial infarction was in chemotherapy with cetuximab + FOLFIRI with multiple lung metastases after rectal cancer surgery. Data were collected from the patient’s medical and nursing records as well as the physiological function test results.Results: Three days after the 38th administration, the patient visited an emergency outpatient mainly with complaints of dyspnea and back pain. Electrocardiogram showed that the lower wall infarction was suspected. The patient was transferred to a specialized cardiovascular hospital. Emergency coronary angiography was performed in the diagnosis of acute myocardial infarction, and percutaneous coronary intervention was performed. The patient was discharged on the 10th of disease day.Conclusion: In this case, it was thought that cetuximab + FOLFIRI synergistically induced hyper thrombogenicity, coronary plaque erosion, and acute myocardial infarction. It may also be necessary for interventions such as monitoring the risks in daily living by the medical care providers and guidance on risk avoidance behaviors.
Changes in Sexuality of Castration-Resistant Prostate Cancer Patients under Hormone Therapy in Japan: A Case Study Kashiwagi, Yoshiyuki; Kakinohan, Shige
Nurse Media Journal of Nursing Vol 6, No 2 (2016): (DECEMBER 2016)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.191 KB) | DOI: 10.14710/nmjn.v6i2.9901

Abstract

Background: Hormone therapy is an important treatment for male patients with prostate cancer. However, it can produce changes in the genitalia and sexuality of the patients. Purpose: This study aimed to investigate the relations between changes in male genitalia and sexuality in the castration-resistant prostate cancer patients. It also proposed concrete interventions to ease pain and fear towards body image changes. Methods: This study used a descriptive qualitative design. The subjects were two castration-resistant prostate cancer patients undergoing chemotherapy and endocrine therapy. The data were collected through semi-structured interviews and analyzed using verbatim reports and content analysis. Results: The study indicated that the effects of hormone therapy treatment on the sexuality were largely categorized as: “surprises and anxieties about the shrinkage of male genitalia”, “masculinity loss”, “difficulty adapting the situation”, and “connection with others”. Conclusion: It became clear that the prostate cancer patients had pains not only for prognosis, but also for physical changes, relationship changes with others and sexuality changes through their treatments.
Trends in Foodborne Illness Outbreaks in Shinjuku City, Tokyo in FY2023 and Public Health Considerations Kashiwagi, Yoshiyuki
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.119

Abstract

Background: Foodborne illnesses continue to pose a significant public health challenge in urban areas with active food service industries. Seasonal trends, food handling practices, and dietary behaviors influence outbreak patterns. Purpose: This study investigates foodborne illness outbreaks in Shinjuku City, Tokyo, during fiscal year 2023, focusing on causative agents, seasonality, and outbreak settings to inform targeted public health interventions. Methods: Outbreak data reported by Shinjuku City in 2023 were analyzed by month, pathogen type, and outbreak location. Administrative responses were also reviewed. All data were anonymized and ethically managed. Results: A total of 11 outbreaks involving 37 patients were reported, corresponding to an incidence rate of 10.59 per 100,000 population, the highest in the past five years. The most common causative agent was Campylobacter, followed by norovirus, Anisakis, and natural plant toxins. Most outbreaks occurred in restaurants. A clear seasonal pattern was observed, with peaks in winter and summer. Business suspensions were the most frequent administrative penalty. Conclusion: Despite ongoing public health efforts, foodborne illnesses remain a concern in Shinjuku City. Strengthened guidance for food establishments and targeted awareness campaigns, particularly for young singles and recent residents, are recommended. Special attention should be given to hygiene in game meat handling and safe food practices in households.
Co-Authors Shige Kakinohan, Shige