Hidetaka Wakabayashi MD, PhD, Takashi Mori SLP, PhD, Shinta Nishioka RD, PhD, Keisuke Maeda MD, PhD, Yoshihiro Yoshimura MD, PhD, Yuki Iida PT, PhD, Ai Shiraishi DH, Dai Fujiwara MD
Psychological aspects of rehabilitation nutrition affect physical, cognitive, and social rehabilitation nutrition. When depression is recognized, not only pharmacotherapy and psychotherapy, but also non-pharmacological therapies such as exercise, nutrition, psychosocial, and other interventions can be expected to improve depression. Therefore, accurate diagnosis and intervention without overlooking depression is important. Psychological aspects of preventive rehabilitation nutrition is also important because depression can be partially prevented by appropriate exercise and nutritional management. Even in the absence of psychological negatives, increasing more psychological positives from a positive psychology perspective can be useful for both patients and healthcare professionals. Positive rehabilitation nutrition interventions can increase more psychological positives, such as well-being, through cognitive-behavioral therapy and mindfulness on their own, as well as through interventions on environmental factors. Consequently, physical, cognitive, and social positives are also expected to be enhanced.
{"title":"Psychological aspects of rehabilitation nutrition: A position paper by the Japanese Association of Rehabilitation Nutrition (secondary publication)","authors":"Hidetaka Wakabayashi MD, PhD, Takashi Mori SLP, PhD, Shinta Nishioka RD, PhD, Keisuke Maeda MD, PhD, Yoshihiro Yoshimura MD, PhD, Yuki Iida PT, PhD, Ai Shiraishi DH, Dai Fujiwara MD","doi":"10.1002/jgf2.668","DOIUrl":"10.1002/jgf2.668","url":null,"abstract":"<p>Psychological aspects of rehabilitation nutrition affect physical, cognitive, and social rehabilitation nutrition. When depression is recognized, not only pharmacotherapy and psychotherapy, but also non-pharmacological therapies such as exercise, nutrition, psychosocial, and other interventions can be expected to improve depression. Therefore, accurate diagnosis and intervention without overlooking depression is important. Psychological aspects of preventive rehabilitation nutrition is also important because depression can be partially prevented by appropriate exercise and nutritional management. Even in the absence of psychological negatives, increasing more psychological positives from a positive psychology perspective can be useful for both patients and healthcare professionals. Positive rehabilitation nutrition interventions can increase more psychological positives, such as well-being, through cognitive-behavioral therapy and mindfulness on their own, as well as through interventions on environmental factors. Consequently, physical, cognitive, and social positives are also expected to be enhanced.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"25 1","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.668","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diagnosis and management of psychogenic diseases such as conversion disorder, somatic symptom disorder (SSD), illness anxiety disorder, falsehood disorder, and psychotic disorder require an elaborate biopsychosocial approach and are often challenging. Herein, we propose the following points to differentiate medical diseases from these psychogenic diseases: correspondence between symptoms and objective findings or activities of daily living (ADL) impairment; placebo effect; clear provocative or palliative factors; progressive time course; paroxysmal or intermittent symptoms; unfamiliar but not strange expressions; symptoms worsen during sleep or rest.
{"title":"The differential diagnosis of medical and psychogenic disease in primary care","authors":"Kosuke Ishizuka MD, PhD, Kiyoshi Shikino MD, PhD, MHPE, FACP, Yu Li MD, PhD, Daiki Yokokawa MD, PhD, Tomoko Tsukamoto MD, PhD, Yasutaka Yanagita MD, PhD, Jumpei Kojima MD, PhD, Shiho Yamashita MD, Kazutaka Noda MD, PhD, Takanori Uehara MD, PhD, Masatomi Ikusaka MD, PhD","doi":"10.1002/jgf2.661","DOIUrl":"10.1002/jgf2.661","url":null,"abstract":"<p>Diagnosis and management of psychogenic diseases such as conversion disorder, somatic symptom disorder (SSD), illness anxiety disorder, falsehood disorder, and psychotic disorder require an elaborate biopsychosocial approach and are often challenging. Herein, we propose the following points to differentiate medical diseases from these psychogenic diseases: correspondence between symptoms and objective findings or activities of daily living (ADL) impairment; placebo effect; clear provocative or palliative factors; progressive time course; paroxysmal or intermittent symptoms; unfamiliar but not strange expressions; symptoms worsen during sleep or rest.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"25 2","pages":"110-111"},"PeriodicalIF":1.6,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.661","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139214638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 79-year-old man with a history of diabetes and rheumatoid arthritis presented to the emergency department with fever of 1 day duration and erythema and a papular rash (Figure 1). The rash was predominantly on the trunk and had been present for 5 days. Physical examination revealed no findings of suspected mucosal damage on his body. He exhibited no eruptions on the mucous membranes. He had taken luseogliflozin, a sodium-glucose cotransporter 2 inhibitor (SGLT2i), for 7 days to control his diabetes. We ruled out skin infection based on the shape of the skin rash. Given the progression of symptoms, we suspected a drug eruption caused by the SGLT2i. The patient was hospitalized, and luseogliflozin was discontinued. Because drug eruptions generally improve after drug discontinuation, we followed up without antibiotics or corticosteroids. The fever resolved 3 days after drug discontinuation, and the skin rash resolved 14 days later. We performed tests for measles, rickettsia, and other infectious agents, but all tests were negative. We performed two sets of blood cultures, and we confirmed that both sets tested negative. Based on the test results and the course of the disease, we diagnosed a drug eruption caused by SGLT2i.
Recently, SGLT2i has gained traction as a therapeutic agent for heart failure and diabetes mellitus.1 Dermatological toxicities have been documented alongside infectious, genital, metabolic, and renal side effects.2 While fixed drug eruptions linked to SGLT2i have been reported,3 this case showed an exanthematous drug eruption. As this patient had a fever, it was necessary to distinguish between a viral infection and a drug eruption. It is difficult to differentiate between viral infections and drug eruptions,4 which emphasizes the importance of considering conditions presenting with concurrent fever and rash.
As the prescription of SGLT2i rises, the likelihood of encountering its side effects will correspondingly increase, and drug eruption should be considered when a patient on a SGLT2i develops a fever and skin rash.
Authors declare no Conflict of Interests for this article.
The author has obtained signed consent from the patient authorizing publication.
{"title":"An exanthematous drug eruption with sodium-glucose cotransporter 2 inhibitor","authors":"Ryu Fukase MD, Souta Saito MD, Hideto Yoshida MD","doi":"10.1002/jgf2.664","DOIUrl":"10.1002/jgf2.664","url":null,"abstract":"<p>A 79-year-old man with a history of diabetes and rheumatoid arthritis presented to the emergency department with fever of 1 day duration and erythema and a papular rash (Figure 1). The rash was predominantly on the trunk and had been present for 5 days. Physical examination revealed no findings of suspected mucosal damage on his body. He exhibited no eruptions on the mucous membranes. He had taken luseogliflozin, a sodium-glucose cotransporter 2 inhibitor (SGLT2i), for 7 days to control his diabetes. We ruled out skin infection based on the shape of the skin rash. Given the progression of symptoms, we suspected a drug eruption caused by the SGLT2i. The patient was hospitalized, and luseogliflozin was discontinued. Because drug eruptions generally improve after drug discontinuation, we followed up without antibiotics or corticosteroids. The fever resolved 3 days after drug discontinuation, and the skin rash resolved 14 days later. We performed tests for measles, rickettsia, and other infectious agents, but all tests were negative. We performed two sets of blood cultures, and we confirmed that both sets tested negative. Based on the test results and the course of the disease, we diagnosed a drug eruption caused by SGLT2i.</p><p>Recently, SGLT2i has gained traction as a therapeutic agent for heart failure and diabetes mellitus.<span><sup>1</sup></span> Dermatological toxicities have been documented alongside infectious, genital, metabolic, and renal side effects.<span><sup>2</sup></span> While fixed drug eruptions linked to SGLT2i have been reported,<span><sup>3</sup></span> this case showed an exanthematous drug eruption. As this patient had a fever, it was necessary to distinguish between a viral infection and a drug eruption. It is difficult to differentiate between viral infections and drug eruptions,<span><sup>4</sup></span> which emphasizes the importance of considering conditions presenting with concurrent fever and rash.</p><p>As the prescription of SGLT2i rises, the likelihood of encountering its side effects will correspondingly increase, and drug eruption should be considered when a patient on a SGLT2i develops a fever and skin rash.</p><p>Authors declare no Conflict of Interests for this article.</p><p>The author has obtained signed consent from the patient authorizing publication.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"25 1","pages":"73-74"},"PeriodicalIF":1.6,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.664","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139213898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaku Kuroda MD, CAS, Christopher P. Morley PhD, MA, CAS, R. Eugene Bailey MD
Background
Interconception care (ICC) by family physicians during well-child visits (WCVs) has been broadly advocated in principle but has not been widely implemented. We aimed to investigate ICC at WCVs by family physicians at our facility, focusing on four maternal risk factors, including maternal tobacco use, maternal depression, contraception, and folic acid supplementation.
Methods
Mothers who visited WCVs with children up to the age of 24 months at our university-affiliated clinic were screened for the four maternal risks. Brief interventions were provided to mothers with positive screening results. We investigated mothers at WCVs from December 1, 2020, to November 30, 2022. We performed descriptive and binary logistic regression analyses to determine the maternal demographic factors associated with positive screenings.
Results
Of 1143 WCVs, 205 mothers were evaluated. Screening was positive in the following rates: tobacco use 5.9%, depression 11.5%, contraception 73.6%, and folic acid supplementation 40.5%. Single marital status was associated with positive screening for smoking (odds ratio [OR] 8.689, p = 0.016) and maternal depression (OR 3.470, p = 0.035). Maternal education level lower than a high school diploma was associated with positive screening for folic acid intake (OR 4.975, p = 0.004).
Conclusions
ICC conducted during WCVs by family physicians offers valuable opportunities to identify maternal risk factors and address modifiable factors that can influence future birth outcomes. Single marital status and educational level less than a high school diploma were more potent risk factors for maternal behavior in ICC. More research is needed to assess the outcomes of the interventions.
{"title":"Interconception care during well-child visits by family physicians in the United States: A cross-sectional study","authors":"Kaku Kuroda MD, CAS, Christopher P. Morley PhD, MA, CAS, R. Eugene Bailey MD","doi":"10.1002/jgf2.660","DOIUrl":"10.1002/jgf2.660","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Interconception care (ICC) by family physicians during well-child visits (WCVs) has been broadly advocated in principle but has not been widely implemented. We aimed to investigate ICC at WCVs by family physicians at our facility, focusing on four maternal risk factors, including maternal tobacco use, maternal depression, contraception, and folic acid supplementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Mothers who visited WCVs with children up to the age of 24 months at our university-affiliated clinic were screened for the four maternal risks. Brief interventions were provided to mothers with positive screening results. We investigated mothers at WCVs from December 1, 2020, to November 30, 2022. We performed descriptive and binary logistic regression analyses to determine the maternal demographic factors associated with positive screenings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 1143 WCVs, 205 mothers were evaluated. Screening was positive in the following rates: tobacco use 5.9%, depression 11.5%, contraception 73.6%, and folic acid supplementation 40.5%. Single marital status was associated with positive screening for smoking (odds ratio [OR] 8.689, <i>p</i> = 0.016) and maternal depression (OR 3.470, <i>p</i> = 0.035). Maternal education level lower than a high school diploma was associated with positive screening for folic acid intake (OR 4.975, <i>p</i> = 0.004).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>ICC conducted during WCVs by family physicians offers valuable opportunities to identify maternal risk factors and address modifiable factors that can influence future birth outcomes. Single marital status and educational level less than a high school diploma were more potent risk factors for maternal behavior in ICC. More research is needed to assess the outcomes of the interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"25 1","pages":"28-35"},"PeriodicalIF":1.6,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.660","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139210304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study aimed to assess the usefulness of cardiac rehabilitation (CR) for older adults with heart failure (HF) who need nursing care and investigate the effect of CR on cognitive function (CF) and basic activities of daily living (BADL).
Methods
This was a retrospective cohort study. The study included older adults with HF eligible for long-term care insurance in fiscal year 2014 (FY2014) as the baseline and followed them up until March 2018. Patients were divided into two groups, CR (+) and CR (−), and the changes in their CF and BADL scores over time for 3 years were investigated.
Results
Of the 765 patients included in the study, 36.5% performed CR. BADL scores in the CR (+) and CR (−) groups (mean (SE)) were 5.81 (0.26) vs. 5.87 (0.20) in FY2014, 5.6 (0.28) vs. 5.92 (0.21) in FY2015, 5.72 (0.31) vs. 6.15 (0.22) in FY2016, and 5.64 (0.33) vs. 6.40 (0.25) in FY2017, respectively. BADL scores worsened over time in the CR (−) group but had a trend to inhibit decline in the CR (+) group, and a significant difference was observed between both groups (p = 0.04). Multivariate analysis showed a significant difference in CR as a factor suppressing ADL decline after 1 year (adjusted odds ratios: 0.54, 95% confidence intervals: 0.36–0.82; p = 0.004). However, no significant difference in the CF scores was observed.
Conclusion
CR for older adults with HF eligible for long-term care needs certification does not affect CF and may suppress ADL decline.
{"title":"The impact of cardiac rehabilitation for older adults with heart failure who underwent invasive cardiac treatment eligible for long-term care needs certification: A retrospective cohort study","authors":"Masaru Asai MSc, PhD, Yuji Nishizaki MD, MPH, PhD, Shuko Nojiri PhD, Sachiko Nakagami, Soshi Dohmae, Yukio Suzuki MD, PhD, Taiga Chiba, Miho Yokoyama MD, Tohru Minamino MD, PhD","doi":"10.1002/jgf2.663","DOIUrl":"10.1002/jgf2.663","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study aimed to assess the usefulness of cardiac rehabilitation (CR) for older adults with heart failure (HF) who need nursing care and investigate the effect of CR on cognitive function (CF) and basic activities of daily living (BADL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a retrospective cohort study. The study included older adults with HF eligible for long-term care insurance in fiscal year 2014 (FY2014) as the baseline and followed them up until March 2018. Patients were divided into two groups, CR (+) and CR (−), and the changes in their CF and BADL scores over time for 3 years were investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 765 patients included in the study, 36.5% performed CR. BADL scores in the CR (+) and CR (−) groups (mean (SE)) were 5.81 (0.26) vs. 5.87 (0.20) in FY2014, 5.6 (0.28) vs. 5.92 (0.21) in FY2015, 5.72 (0.31) vs. 6.15 (0.22) in FY2016, and 5.64 (0.33) vs. 6.40 (0.25) in FY2017, respectively. BADL scores worsened over time in the CR (−) group but had a trend to inhibit decline in the CR (+) group, and a significant difference was observed between both groups (<i>p</i> = 0.04). Multivariate analysis showed a significant difference in CR as a factor suppressing ADL decline after 1 year (adjusted odds ratios: 0.54, 95% confidence intervals: 0.36–0.82; <i>p</i> = 0.004). However, no significant difference in the CF scores was observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>CR for older adults with HF eligible for long-term care needs certification does not affect CF and may suppress ADL decline.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"25 1","pages":"36-44"},"PeriodicalIF":1.6,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.663","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139212899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
With the aging of heart failure (HF) patients, collaboration between medical and nursing care facilities is essential for HF care. The aims of this study were: (1) to identify the factors that affect willingness of nursing care staffs to cooperate with HF care; (2) to test whether the internet video education is useful in improving their willingness to collaborate.
Methods
A web-based questionnaire was e-mailed to 417 registered medical corporations that operated nursing care facilities in the prefecture where the authors work. Medical and care staff working at each facility were asked their willingness to cooperate with HF care and their problems about collaboration. Machine learning analysis was used to assess the factors associated with unwillingness to cooperate. After watching a 6-min YouTube video explaining HF and community collaboration, we reaffirmed their willingness to cooperate.
Results
We received responses from 76 medical and care staff members. Before watching the video, 32.9% of participants stated that they were unwilling to cooperate with HF care. Machine learning analysis showed that job types, perceived problems of collaboration, and low opportunities to learn about HF were associated with unwillingness to cooperation. After watching the video, we observed an increase from 67.1% to 80.3% (p < 0.05) of participants willing to cooperate with HF care.
Conclusions
Job types, perceived problems of collaboration, and low opportunities to learn about HF are associated with unwillingness of nursing care staff for HF care. Internet videos are potential learning tool that can easily promote community collaboration for HF.
{"title":"Factors affecting the willingness of nursing care staffs for cooperation with heart failure care and the role of internet video education","authors":"Yoshiharu Kinugasa MD, PhD, Toshiaki Adachi MD, PhD, Masaharu Fukuki MD, PhD, Yutaka Hirota MD, PhD, Natsuko Ishiga RN, Masahiko Kato MD, PhD, Einosuke Mizuta MD, PhD, Emiko Mura RN, Yoshihito Nozaka MD, PhD, Hiroki Omodani MD, PhD, Hiroaki Tanaka MD, PhD, Yasunori Tanaka MD, PhD, Izuru Watanabe RN, Kazuhiro Yamamoto MD, PhD, Masaaki Mikami MD, PhD","doi":"10.1002/jgf2.658","DOIUrl":"https://doi.org/10.1002/jgf2.658","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>With the aging of heart failure (HF) patients, collaboration between medical and nursing care facilities is essential for HF care. The aims of this study were: (1) to identify the factors that affect willingness of nursing care staffs to cooperate with HF care; (2) to test whether the internet video education is useful in improving their willingness to collaborate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A web-based questionnaire was e-mailed to 417 registered medical corporations that operated nursing care facilities in the prefecture where the authors work. Medical and care staff working at each facility were asked their willingness to cooperate with HF care and their problems about collaboration. Machine learning analysis was used to assess the factors associated with unwillingness to cooperate. After watching a 6-min YouTube video explaining HF and community collaboration, we reaffirmed their willingness to cooperate.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We received responses from 76 medical and care staff members. Before watching the video, 32.9% of participants stated that they were unwilling to cooperate with HF care. Machine learning analysis showed that job types, perceived problems of collaboration, and low opportunities to learn about HF were associated with unwillingness to cooperation. After watching the video, we observed an increase from 67.1% to 80.3% (<i>p</i> < 0.05) of participants willing to cooperate with HF care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Job types, perceived problems of collaboration, and low opportunities to learn about HF are associated with unwillingness of nursing care staff for HF care. Internet videos are potential learning tool that can easily promote community collaboration for HF.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"25 1","pages":"19-27"},"PeriodicalIF":1.6,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.658","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139480557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Model Core Curriculum for Medical Education in Japan was revised in 2022. It aimed to reflect changes in the nature of medical care, including the advancement of medical technology through the use of information science and technology and artificial intelligence in the Society 5.0 era. We summarize recommendations for good practice regarding learning strategies from the perspective of general medicine.
{"title":"Educational strategies related to information science and technology for medical students: General medicine physicians' perspective","authors":"Kiyoshi Shikino MD, PhD, HPED, FACP, Masaki Tago MD, PhD, FACP, Takashi Watari MD, DTMH, MS, MCTM, Yosuke Sasaki MD, PhD, Hiromizu Takahashi MD, PhD, Taro Shimizu MD, PhD, MPH, MBA, FACP","doi":"10.1002/jgf2.656","DOIUrl":"10.1002/jgf2.656","url":null,"abstract":"<p>The Model Core Curriculum for Medical Education in Japan was revised in 2022. It aimed to reflect changes in the nature of medical care, including the advancement of medical technology through the use of information science and technology and artificial intelligence in the Society 5.0 era. We summarize recommendations for good practice regarding learning strategies from the perspective of general medicine.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"25 1","pages":"81-82"},"PeriodicalIF":1.6,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.656","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135634174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 2-year-old girl developed dermatitis with atypical brown crusts after ethanol disinfection. Since many Oriental people have genetically reduced acetaldehyde dehydrogenase type 2 (ALDH2) activity, ethanol disinfection causes acetaldehyde to accumulate in the skin, resulting in dermatitis.
{"title":"Brown crusts on infant owing to contact dermatitis associated with ethanol disinfection","authors":"Yuki Matsuhisa MD, Tsuneaki Kenzaka MD, PhD, Hideo Hirose MD, PhD, Tadao Gotoh MD","doi":"10.1002/jgf2.657","DOIUrl":"10.1002/jgf2.657","url":null,"abstract":"<p>A 2-year-old girl developed dermatitis with atypical brown crusts after ethanol disinfection. Since many Oriental people have genetically reduced acetaldehyde dehydrogenase type 2 (ALDH2) activity, ethanol disinfection causes acetaldehyde to accumulate in the skin, resulting in dermatitis.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"25 1","pages":"71-72"},"PeriodicalIF":1.6,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.657","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135636448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seminar participants collaborated as a team to improve their organization, work environment, and labor issues using the Plan-Do-Check-Act (PDCA) cycle. The PDCA cycle helps healthcare providers identify risks and hazards in their work environment and address daily issues. It guides them in planning and executing improvements while enabling progress tracking and encouraging further considerations for implementation.
{"title":"Protecting the primary care physicians' well-being","authors":"Kiyoshi Shikino MD, PhD, MHPE, FACP, Akemi Ando MD, PhD, Yutaro Okamoto MD, Asako Miyazawa MD, PhD, Taku Harada MD, PhD","doi":"10.1002/jgf2.654","DOIUrl":"https://doi.org/10.1002/jgf2.654","url":null,"abstract":"<p>Seminar participants collaborated as a team to improve their organization, work environment, and labor issues using the Plan-Do-Check-Act (PDCA) cycle. The PDCA cycle helps healthcare providers identify risks and hazards in their work environment and address daily issues. It guides them in planning and executing improvements while enabling progress tracking and encouraging further considerations for implementation.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"24 6","pages":"359-360"},"PeriodicalIF":1.6,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.654","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109176013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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