title: [Characteristics of home parenteral nutrition and effectiveness of 3 way valved PICC in regional medical care].
abstract: Home medical care is becoming a greater matter of concern along with the increasing population of elderly persons. The various difficulties in home care are also found in regional care, and it could be said that in Japan regional care serves as an "advanced model" for home medical care. Ohya Town is located in the mountains of northern Hyogo Prefecture. It has a population of about 5,000 of which 32% is elderly people. There is no railroad, and it takes around 30 minutes to travel to the central hospital from the area. The three town clinics are in contact with each other and with the central hospital concerning medical information. The characteristics of Home Parenteral Nutrition in this underpopulated district are discussed and reported in reference mainly to cases in which the 3 way valved peripherally inserted central venous catheter (Groshong Catheter) is used, in comparison with HPN cases in the city university hospital.
authors.affiliation: Minamidani Clinic Established by Ohya Town.
authors.forename: Y
authors.initials: Y
authors.lastname: Maniwa
authors.forename: M
authors.initials: M
authors.lastname: Kurita
authors.forename: M
authors.initials: M
authors.lastname: Sakamoto
authors.forename: F
authors.initials: F
authors.lastname: Nishigaki
authors.forename: S
authors.initials: S
authors.lastname: Sibayama
authors.forename: T
authors.initials: T
authors.lastname: Habuchi
authors.forename: K
authors.initials: K
authors.lastname: Yoneda
authors.forename: K
authors.initials: K
authors.lastname: Kawahara
authors.forename: S
authors.initials: S
authors.lastname: Fujii
authors.forename: A
authors.initials: A
authors.lastname: Matsuda
authors.forename: M
authors.initials: M
authors.lastname: Mizuta
authors.forename: Y
authors.initials: Y
authors.lastname: Miyano
authors.forename: N
authors.initials: N
authors.lastname: Iwai
authors.forename: S
authors.initials: S
authors.lastname: Sakaguchi
authors.forename: H
authors.initials: H
authors.lastname: Tanimura
mesh_terms: D002405:Catheterization, Central Venous / Q000295:instrumentation*; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000451:nursing*; D006699:Home Care Services; D006801:Humans; D008297:Male; D016331:Parenteral Nutrition, Home / Q000295:instrumentation