著者

Keiichi Osaki Shinichiro Morishita Tetsuhiro Shimokawa Akiho Kamimura Takashi Sekiyama Chisaki Kanehiro Atsushi Shindo Kensuke Shiga Eri Kawata

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.8, pp.20230007, 2023 (Released:2023-03-11)

参考文献数

20

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Background: This case report describes the successful management of rehabilitation therapy for a hematological malignancy patient who was receiving chemotherapy and had coronavirus disease 2019 (COVID-19).Case: A 76-year-old man receiving chemotherapy for relapsed refractory multiple myeloma (MM) presented to our hospital with fever and dyspnea and was hospitalized with a diagnosis of COVID-19. Physical therapy (20 min/day, 5 days/week) was started on day 6 of hospitalization while the patient was receiving oxygen therapy. Conditioning exercises and movement exercises were performed in an isolation room, and blood counts, fracture susceptibility, and respiratory status were monitored. The patient was severely immunocompromised and required 34 days of isolation due to persistent severe acute respiratory syndrome coronavirus 2 virus (SARS-CoV-2) infection. Physical function was assessed by manual muscle testing of the lower extremities and by the extent of lower extremity fatigue and dyspnea on exertion, as assessed using the Borg scale. Motor capacity was assessed using the de Morton Mobility Index (DEMMI) score and the Barthel Index (BI). Muscle weakness and severe dyspnea developed 4 days after physical therapy was started. However, physical therapy led to improvements in DEMMI score and BI. The patient was discharged home on day 43 with home medical care.Discussion: Careful management of MM and COVID-19 facilitated safe treatment with physical therapy. The patient’s physical function improved with a carefully planned physical therapy program. Moreover, the patient required prolonged isolation due to persistent viral shedding; however, as a result of the treatment, which was coordinated between physicians and nurses, the patient could be discharged home.

著者

Kouta Futsuki Takashi Sekiyama

出版者

Japan Association for Human Security Studies

雑誌

Journal of Human Security Studies (ISSN:24321427)

巻号頁・発行日

vol.12, no.1, pp.23-46, 2023 (Released:2023-04-28)

参考文献数

67

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This paper aims to contribute discussion around the humanitarian–peace nexus to apply a newly-defined negative side effect of humanitarian assistance, partisan externality to the case of Syria. The Syrian case offers a new angle in partisan externality: humanitarian organizations can virtually select which side of the war could be legitimate for humanitarian assistance. This selectivity of partisan externality raises tension among humanitarian organizations. Case research of Syrian shows the difficulty for partisan externality and the consequent tension hard to be resolved. This paper examines an opinion exchange meeting with Japanese experts involved in humanitarian projects in Syria to find clues to deal with partisan externality and hurdles to overcome.This paper contributes to the academic discourse by developing the newly defined concept of partisan externality, especially in the context of the humanitarian–peace nexus and concerns from the humanitarian side, and also in practical terms related to the Syrian case. As seen from the case research and meeting outcomes, humanitarian experts struggle with partisan externality and consequent tension among humanitarian organizations. This scenario could happen in other humanitarian operations from the Syrian case. The meeting's suggestion to explore positive peacebuilding and invest resources to generate lessons from previous operations in light of partisan externality would be suggestive to develop discussion around the humanitarian–peace nexus to mitigate concerns from the humanitarian side.