利用者を中心として地域連携の先駆けをしている尾道市医師会介護老人保健施設が在宅復帰施設としての役割を果たしているかどうか3年間の退所者と病院搬送者を対象として検討した.在宅復帰率は在宅(家庭)からの入所に比し退所は7%増加,在宅復帰の最大阻害要因である病院からの入所者に比べ入院退所は9.3%減少し22%,搬送理由は発熱,呼吸困難,意識障害など,疾患では呼吸器感染症が最多であった.
Objective To assess MRI value in differential diagnosis of hematological diseases. Methods In 32 cases, 11 cases were AML, 3 cases were ALL , 6 cases were CML, 6 cases were MF, 3 cases were MM and 3 cases were AA. Hematological MRI was obtained by the SE, fat-suppression and the contrast enhancement of vertebra, femur and correlated with BMT at the same time. Results MRI features included:①Diffuse spotty shadow: AML 9 cases, ALL 3 cases, MF 6 cases, MM 3 cases, AA 2 cases on T1WI and/or T2WI. ②Diffuse signal intensity shadow: CML 6 cases on both of T1WI and T2WI, but had contrast enhancement. ③Irregular shadow: ALL 3 cases, AA 1 cases on both of T1WI and T2WI of the femurs bone marrow. Conclusion The results suggested that knowledge of the MRI manifestation of hematological is useful for the diagnosis and management of patients.