Usefulness of Trinias C 12 MiX package in Abdominal Region

Since first established as Kofu Clinic in 1955, KofuKyoritsu Hospital has developed alongside the local community based on the idea that the importance of human life should not be swayed by wealth disparities. After bankruptcy in 1983, the hospital was rebuilt with the support of the local community and today, Kofu-Kyoritsu Hospital has 233 general beds and 50 community-based integrated care beds, and carries out acute medical care and community health care (Fig. 1). Our hospital receives approximately 20 % of all emergency transport cases in Kofu, and a total of 3568 emergency vehicle visits during 2014. The gastroenterological medicine and cardiovascular medicine departments are also designated among final destination hospitals for Yamanashi Prefecture according to "Standards related to acceptance and conveyance of the sick and wounded." Elderly people represent over 30 % of the population in the area around our hospital, and over 40 % of hospital inpatients are 70 years or older. In response to this aging local population, we actively engage in mobile care, coordination between hospitals and clinics, coordination with nursing facilities, have operated a community-based integrated care ward since 2016, and are expanding our coordination with the local community. As poverty and wealth disparities become more prevalent, and more sick people are unable to afford the price of becoming a patient, our hospital acts in support of the human right to health care. The hospital plays the role of last refuge for patients in financial difficulties by collecting no special bed fees from the patient and providing free and low price medical care. Our hospital emphasized early clinical training of doctors before clinical training systems became compulsory, and has maintained this emphasis for over 30 years. Audited by the Japan Council for Evaluation of Postgraduate Clinical Training in 2014, the hospital was also the first hospital in Yamanashi Prefecture to receive a 4-year certification. As the only municipal hospital in Yamanashi Prefecture that is also an internal medicine training hospital, Kofu-Kyoritsu Hospital also focuses on education for internal medicine doctors.