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In recent years, the design of nursing uniforms, employing a variety of colors and patterns, has placed emphasis on their impression of being the least intimidating and forbidding to patients as well as their functionality and hygiene. The present study, including a survey of 469 hospitals nationwide, aimed to identify the optimal design of nursing uniforms for both patients and nurses, focusing on nursing uniforms as a medium of expression. A total of 87.8% of the surveyed hospitals had nursing uniforms, and 89.5% viewed them as one of the elements that add to the appeal of a hospital. "Combination of a white tunic and pants" and "white one-piece type" were the most common uniforms. When adopting new uniforms, 90.3% of the hospitals incorporated the opinions of nurses, selecting opaque, stretch material with a soft texture and a combination of tunic tops of appropriate length and pants so that they could move freely. Whereas some hospitals favored white, which conveys an image of cleanliness and reliability, others chose subtle, warm, and soft non-white colors; opinions were divided over the color of white. A total of 65.7% of the hospitals were planning to introduce new nursing uniforms. Based on the results of the current study it is important to select designs and colors that help reduce patients' anxiety and strain while presenting an image of trust and cleanliness. [ABSTRACT FROM AUTHOR]

A survey was conducted to examine the images of nursing uniforms, involving patients (patient group), nurses and dental hygienists (hospital group). The present study focused on differences in their impressions of six types of uniform worn by nurses and dental hygienists. (1) The combination of a flower-patterned tunic and white pants was favored by both patient and hospital groups. However the combination of dark-redpurple scrub and white pants was considered inappropriate by both groups, especially patients concerned over their disorders and treatment. (2) Factor analyses were conducted on the two groups' impressions of the six types of uniform. The results were as follows: "compassion", "trust/responsibility", "aggressiveness", and "activeness" were extracted in the patient group, and "compassion", "trust/responsibility", "activeness", and "sophistication" in the hospital group. The factor score for "compassion" was high in "flower-patterned tunics and scrubs", and the score for "trust/responsibility" was high in "the white one-piece type and the combination of a white tunic and white pants". As people have different impressions of nursing uniforms depending on their style and color, it is important to pay attention to the designs when a selection is made. [ABSTRACT FROM AUTHOR]

A female in her forties was diagnosed with rectal cancer involving the uterus and bladder and with multiple lymph node metastasis. Chemotherapy was successful and resulted in complete clinical response 1 year and 2 months after commencement. She continues chemotherapy without resection of the primary tumor. The complete response has been maintained for 8 years and 11 months.

A 56-year-old man was diagnosed with advanced adenocarcinoma of the esophagogastric junction. He received 1 course of neoadjuvant chemotherapy with S-1. After neoadjuvant chemotherapy, the primary tumor showed a remarkable decrease in size. Subtotalesophagectomy, D2 lymph node dissection, and reconstruction with a gastric tube through the posterior mediastinal route were performed. Pathological examination showed that most of the cancer cells had been destroyed, with a part where adenocarcinoma mucosa was seen. We successfully treated a case of advanced adenocarcinoma of the esophagogastric junction, with neoadjuvant S-1 chemotherapy and surgicalresection.