Published in Journal of general and family medicine
A 43-year-old man underwent total colonoscopy for colorectal cancer screening. Colonoscopy revealed multiple erosions on the cecum. Biopsy specimens revealed multiple entamoeba trophozoite unexpectedly. © 2022 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Associatio...
Published in Journal of general and family medicine
Diagnostic reasoning is the thought process used to arrive at a diagnosis based on symptoms, examination findings, and laboratory values. Diagnosis is categorized as nonanalytic reasoning (intuition) and analytic reasoning (analysis). Rehabilitation nutrition involves the diagnosis of nutritional disorders, sarcopenia, and excess or deficient nutri...
Published in Journal of general and family medicine
In Japan, many older people hope to receive end-of-life care at home. In such situations, team-based home medical care with the support of on-call physicians is needed. However, to date, necessary competencies for the on-call physicians have yet to be clarified. We aim to reveal the competencies for on-call physicians in home medical care settings....
Published in Journal of general and family medicine
We performed a systematic review and meta-analysis to re-evaluate the effectiveness of angiotensin-converting enzyme inhibitors (ACE-I) in the reduction of pneumonia risk. We searched relevant publications in five databases. All studies included patients older than 18 years, who had used ACE-I as an intervention, and had assessed pneumonia. Seven R...
Published in Journal of general and family medicine
We aimed to forecast possible situations of the COVID-19 spreading for Okinawa Prefecture in Japan. The VSIIR model is proposed to extend the SIIR model to include vaccine effects where the parameter v denotes the vaccination rate and is treated as a control parameter on which possible situations for Okinawa would depend. It is shown that the infec...
Published in Journal of general and family medicine
We presented a case of primary bone lymphoma (PBL) which demonstrated fever of unknown origin. Although the diagnosis of PBL is difficult, up to 11% of patients with fever of unknown origin were later diagnosed with PBL, which suggests that there may be many cases of misdiagnosis. This case study emphasizes the importance of careful diagnosis for f...
Published in Journal of general and family medicine
Information communication technology (ICT) is crucial to modern communication and information sharing. Effective interprofessional collaboration is essential in the care of elderly people. However, little is known about the effects of ICT on care provision for elderly people in a home setting. This retrospective cohort study examines the impact of ...
Published in Journal of general and family medicine
A cross-sectional questionnaire-based study was conducted to examine whether the educational performance and achievements are appropriately recognized and contribute to their promotion in university hospitals. We found that the chairpersons of those general medicine departments believed that educational performance had not been appropriately evalua...
Published in Journal of general and family medicine
This case report describes a patient with acute appendicitis presenting with Cullen's sign and Grey Turner sign. This case highlights the importance of the recognition of Cullen's sign and Grey Turner sign in patients with acute appendicitis to prevent life-threatening complications such as perforation and sepsis. © 2022 The Authors. Journal of Gen...
Published in Journal of general and family medicine
A 30-year-old man was referred to our department because of repeated acute-onset and short-lasting fatigue attacks, which occurred from 3 months before the referral. He had no abnormal findings in blood tests, electrocardiogram (including 24- h monitoring), or head MRI (including angiography). His vital signs were unremarkable, and his physical exa...
