A Trial to Establish an Antimicrobial Prescription Monitoring System for Antimicrobial Stewardship in Clinics Abstract Introduction : We investigated the feasibility and validity of developing a system to monitor prescriptions prescribed by physicians for the promotion of appropriate antimicrobial use in clinics. Methods : The names of injuries and diseases and prescribed drugs stored in the receipt computers of six clinics were output and anonymized. Antimicrobial prescriptions for acute respiratory tract infections and acute diarrhea were compiled and evaluated. Results : Anonymized data were available for all six clinics. We were able to extract data and aggregate prescriptions by linking the name of the injuries and diseases to the prescribed drug. Conclusions : We consider it possible to establish antimicrobial stewardship in clinics through antimicrobial prescription monitoring and to develop such a system. On the other hand, there are multiple ways of naming injuries and diseases, and further investigation is needed to define the names of injuries and diseases to be ex-tracted.
{"title":"A Trial to Establish an Antimicrobial Prescription Monitoring System for Antimicrobial Stewardship in Clinics","authors":"Akane Ono, Yoshiki Kusama, Tadahiro Sato, Ryuji Koizumi, Noriko Iwamoto, N. Ohmagari","doi":"10.14442/generalist.45.25","DOIUrl":"https://doi.org/10.14442/generalist.45.25","url":null,"abstract":"A Trial to Establish an Antimicrobial Prescription Monitoring System for Antimicrobial Stewardship in Clinics Abstract Introduction : We investigated the feasibility and validity of developing a system to monitor prescriptions prescribed by physicians for the promotion of appropriate antimicrobial use in clinics. Methods : The names of injuries and diseases and prescribed drugs stored in the receipt computers of six clinics were output and anonymized. Antimicrobial prescriptions for acute respiratory tract infections and acute diarrhea were compiled and evaluated. Results : Anonymized data were available for all six clinics. We were able to extract data and aggregate prescriptions by linking the name of the injuries and diseases to the prescribed drug. Conclusions : We consider it possible to establish antimicrobial stewardship in clinics through antimicrobial prescription monitoring and to develop such a system. On the other hand, there are multiple ways of naming injuries and diseases, and further investigation is needed to define the names of injuries and diseases to be ex-tracted.","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121775807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-20DOI: 10.14442/generalist.45.1
琢磨 木村
{"title":"医療用医薬品・医療物品がフライドポテトの二の舞にならないために","authors":"琢磨 木村","doi":"10.14442/generalist.45.1","DOIUrl":"https://doi.org/10.14442/generalist.45.1","url":null,"abstract":"","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134338539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-20DOI: 10.14442/generalist.44.178
{"title":"日本プライマリ・ケア連合学会誌 第44巻 総目次","authors":"","doi":"10.14442/generalist.44.178","DOIUrl":"https://doi.org/10.14442/generalist.44.178","url":null,"abstract":"","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116205825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-20DOI: 10.14442/generalist.44.174
{"title":"日本プライマリ・ケア連合学会誌 第44巻キーワード索引","authors":"","doi":"10.14442/generalist.44.174","DOIUrl":"https://doi.org/10.14442/generalist.44.174","url":null,"abstract":"","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126385148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-20DOI: 10.14442/generalist.44.135
洋典 竹村
{"title":"経験的に研究は間違いなく誰にでも平等である","authors":"洋典 竹村","doi":"10.14442/generalist.44.135","DOIUrl":"https://doi.org/10.14442/generalist.44.135","url":null,"abstract":"","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116878759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-20DOI: 10.14442/generalist.44.172
{"title":"日本プライマリ・ケア連合学会誌 第44巻人名索引","authors":"","doi":"10.14442/generalist.44.172","DOIUrl":"https://doi.org/10.14442/generalist.44.172","url":null,"abstract":"","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120887638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction : The learning and practice of bereavement care by Japanese family practitioners has largely been unexplored. The purpose of this study was to clarify what family doctors thought they learned by providing care for bereaved families and how they changed because of it. Methods : Semi-structured interviews were conducted with seven family practitioners working in bereaved family outpatient care at the researcherʼs hospital. A modified grounded theory approach was used for the analysis. Results : The analysis identified five thematic categories: 1) the doctorʼs feelings and thoughts before learning about bereavement care, 2) things they learned from providing bereavement care, 3) things they learned by interacting with the families and things they learned upon reflections afterward, 4) changes in themselves, and 5) changes in their feelings after learning about bereavement care. Conclusion : The doctors learned to provide bereavement care by directly interacting with families and by re-flecting on those experiences; for example, they learned to listen and be empathetic, and to understand indi-vidualsʼ personal responses to grief. As a result, they may have gained the ability to have a more rounded view of life and death and of their role in helping families adjust to the death of a family member.
{"title":"The Learning of Bereavement Care by Family Physicians: A Qualitative Study","authors":"Haruka Izukura, Eiko Yoshizawa, Ayano Hamai, Tadao Okada","doi":"10.14442/generalist.44.136","DOIUrl":"https://doi.org/10.14442/generalist.44.136","url":null,"abstract":"Introduction : The learning and practice of bereavement care by Japanese family practitioners has largely been unexplored. The purpose of this study was to clarify what family doctors thought they learned by providing care for bereaved families and how they changed because of it. Methods : Semi-structured interviews were conducted with seven family practitioners working in bereaved family outpatient care at the researcherʼs hospital. A modified grounded theory approach was used for the analysis. Results : The analysis identified five thematic categories: 1) the doctorʼs feelings and thoughts before learning about bereavement care, 2) things they learned from providing bereavement care, 3) things they learned by interacting with the families and things they learned upon reflections afterward, 4) changes in themselves, and 5) changes in their feelings after learning about bereavement care. Conclusion : The doctors learned to provide bereavement care by directly interacting with families and by re-flecting on those experiences; for example, they learned to listen and be empathetic, and to understand indi-vidualsʼ personal responses to grief. As a result, they may have gained the ability to have a more rounded view of life and death and of their role in helping families adjust to the death of a family member.","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124070113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-20DOI: 10.14442/generalist.44.141
Noriyuki Kimura, Hiroki Isono
Introduction : There is an increasing number of reports demonstrating that dietary small bowel obstruction caused by rice cake consumption can be treated conservatively. However, the course of conservative treat-ment and the characteristics of the cases that require surgery remain unclear. The purpose of this study was to clarify the clinical features of small bowel obstruction caused by rice cake consumption and the characteristics of cases that require surgery. Methods : We retrospectively assessed all cases of intestinal obstruction caused by rice cake consumption treated at a single institution over a period of 7 years. We also assessed similar previously reported cases. Results : We assessed nine cases in our study and reviewed 67 previously reported cases. Conservative treat-ment was employed in 56 cases (73.7%). Dietary small bowel obstruction caused by rice cake consumption oc-curred 1.7 ± 0.3 days after intake. The computed tomography (CT) value of rice cake in the intestine was 160.0 ± 8.9 Hounsfield Units. Pieces of rice cake (length (cid:2) 4 cm) were observed in five of six cases in which rice cake consumption caused intestinal perforation. Conclusion : In most cases, patients with dietary small bowel obstruction caused by rice cake consumption will recover after conservative treatment. However, there is a high risk of intestinal perforation if intestinal CT reveals the length of rice cake pieces to be 4 cm or longer.
{"title":"Small Bowel Obstruction Due to Rice Cake Consumption","authors":"Noriyuki Kimura, Hiroki Isono","doi":"10.14442/generalist.44.141","DOIUrl":"https://doi.org/10.14442/generalist.44.141","url":null,"abstract":"Introduction : There is an increasing number of reports demonstrating that dietary small bowel obstruction caused by rice cake consumption can be treated conservatively. However, the course of conservative treat-ment and the characteristics of the cases that require surgery remain unclear. The purpose of this study was to clarify the clinical features of small bowel obstruction caused by rice cake consumption and the characteristics of cases that require surgery. Methods : We retrospectively assessed all cases of intestinal obstruction caused by rice cake consumption treated at a single institution over a period of 7 years. We also assessed similar previously reported cases. Results : We assessed nine cases in our study and reviewed 67 previously reported cases. Conservative treat-ment was employed in 56 cases (73.7%). Dietary small bowel obstruction caused by rice cake consumption oc-curred 1.7 ± 0.3 days after intake. The computed tomography (CT) value of rice cake in the intestine was 160.0 ± 8.9 Hounsfield Units. Pieces of rice cake (length (cid:2) 4 cm) were observed in five of six cases in which rice cake consumption caused intestinal perforation. Conclusion : In most cases, patients with dietary small bowel obstruction caused by rice cake consumption will recover after conservative treatment. However, there is a high risk of intestinal perforation if intestinal CT reveals the length of rice cake pieces to be 4 cm or longer.","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124494048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-20DOI: 10.14442/generalist.44.147
K. Kita, Yoshiaki Takase, M. Saito, Moe Kuroda, Kaku Kuroda, Maiko Kuroiwa, S. Yamashiro
要 旨 目的:医師が日常診療で方言をどのように捉え対応しているのかを量的・質的に検討する. 方法:北信越地方のプライマリ・ケア医 31名を対象にアンケート調査を行い,Steps for Coding and Theorization(SCAT)で質的に分析した. 結果:71%は出身地以外で勤務していた.うち 81.8%は患者が話す方言が理解できず困ったことがあり, 36.3%が方言の意味を取り違えたことがあった.頻出方言として「ウイ」「テキナイ」が挙げられ,様々な症状と 解釈されていた.SCATからは1症状を表す方言は文脈により語義が決定し次第に多義的になる2医師は方言 を語り直しにより医学用語に変換している3医師は患者との心理的距離に応じて方言を用いていることが示唆 された. 結論:医師は方言の特徴を理解し状況に応じて適切に使うことで,患者とのコミュニケーションの質をより高 められると思われる.
目的:从量和质上探讨医生在日常诊疗中是如何理解方言并加以对应的。方法:以北信越地区的31名社区医疗医生为对象进行问卷调查，通过Steps for Coding and Theorization(SCAT)进行了质的分析。调查结果:71%的人在出生地以外工作，其中81.8%的人因听不懂患者说的方言而感到困扰，36.3%的人误解了患者的方言意思。作为频繁出现的方言，“i”“i”被解释为各种各样的症状。从SCAT中可以看出:1 .表示症状的方言根据上下文决定语义，逐渐变成多义的2 .医生方言通过重新叙述转换成医学用语的3个医生根据与患者的心理距离使用方言的事被暗示了。结论:医生理解方言的特征并根据情况适当地使用，可以提高与患者的交流质量。
{"title":"A Questionnaire Survey of Primary Care Physicians on Dialects in the Hokushinetsu Region -A Quantitative and Qualitative Study of Dialects and Physicians' Perceptions-","authors":"K. Kita, Yoshiaki Takase, M. Saito, Moe Kuroda, Kaku Kuroda, Maiko Kuroiwa, S. Yamashiro","doi":"10.14442/generalist.44.147","DOIUrl":"https://doi.org/10.14442/generalist.44.147","url":null,"abstract":"要 旨 目的:医師が日常診療で方言をどのように捉え対応しているのかを量的・質的に検討する. 方法:北信越地方のプライマリ・ケア医 31名を対象にアンケート調査を行い,Steps for Coding and Theorization(SCAT)で質的に分析した. 結果:71%は出身地以外で勤務していた.うち 81.8%は患者が話す方言が理解できず困ったことがあり, 36.3%が方言の意味を取り違えたことがあった.頻出方言として「ウイ」「テキナイ」が挙げられ,様々な症状と 解釈されていた.SCATからは1症状を表す方言は文脈により語義が決定し次第に多義的になる2医師は方言 を語り直しにより医学用語に変換している3医師は患者との心理的距離に応じて方言を用いていることが示唆 された. 結論:医師は方言の特徴を理解し状況に応じて適切に使うことで,患者とのコミュニケーションの質をより高 められると思われる.","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133412752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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