An Official Journal of the Japan Primary Care Association最新文献_第8页

A Trial to Establish an Antimicrobial Prescription Monitoring System for Antimicrobial Stewardship in Clinics 建立临床抗菌药物管理的抗菌药物处方监测系统的试验

An Official Journal of the Japan Primary Care Association Pub Date : 2022-03-20 DOI: 10.14442/generalist.45.25

Akane Ono, Yoshiki Kusama, Tadahiro Sato, Ryuji Koizumi, Noriko Iwamoto, N. Ohmagari

{"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":"22 1","pages":"0"},"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}

引用次数: 0

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为了不让医疗药品和医疗物品重蹈炸薯条的覆辙

An Official Journal of the Japan Primary Care Association Pub Date : 2022-03-20 DOI: 10.14442/generalist.45.1

琢磨木村

引用次数: 0

日本プライマリ・ケア連合学会誌　第44巻　総目次日本社区医疗联合会学会志第44卷总目录

An Official Journal of the Japan Primary Care Association Pub Date : 2021-12-20 DOI: 10.14442/generalist.44.178

引用次数: 0

日本プライマリ・ケア連合学会誌　第44巻キーワード索引日本社区医疗联合会杂志第44卷关键词索引

An Official Journal of the Japan Primary Care Association Pub Date : 2021-12-20 DOI: 10.14442/generalist.44.174

引用次数: 0

経験的に研究は間違いなく誰にでも平等である根据经验，研究对谁都是平等的

An Official Journal of the Japan Primary Care Association Pub Date : 2021-12-20 DOI: 10.14442/generalist.44.135

洋典竹村

引用次数: 0

日本プライマリ・ケア連合学会誌　第44巻人名索引日本社区医疗联合会杂志第44卷人名索引

An Official Journal of the Japan Primary Care Association Pub Date : 2021-12-20 DOI: 10.14442/generalist.44.172

引用次数: 0

The Learning of Bereavement Care by Family Physicians: A Qualitative Study 家庭医生对丧亲护理的学习:一项质的研究

An Official Journal of the Japan Primary Care Association Pub Date : 2021-12-20 DOI: 10.14442/generalist.44.136

Haruka Izukura, Eiko Yoshizawa, Ayano Hamai, Tadao Okada

{"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":"32 1","pages":"0"},"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}

引用次数: 0

Small Bowel Obstruction Due to Rice Cake Consumption 食用年糕引起的小肠梗阻

An Official Journal of the Japan Primary Care Association Pub Date : 2021-12-20 DOI: 10.14442/generalist.44.141

Noriyuki Kimura, Hiroki Isono

{"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":"48 1","pages":"0"},"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}

引用次数: 0

Seeking and Considering an Efficient COVID-19 Vaccination Method in Remote Regions 寻找和考虑一种在偏远地区有效的COVID-19疫苗接种方法

An Official Journal of the Japan Primary Care Association Pub Date : 2021-12-20 DOI: 10.14442/generalist.44.157

K. Nakai

{"title":"Seeking and Considering an Efficient COVID-19 Vaccination Method in Remote Regions","authors":"K. Nakai","doi":"10.14442/generalist.44.157","DOIUrl":"https://doi.org/10.14442/generalist.44.157","url":null,"abstract":"はじめに 2020年に新型コロナウイルス(SARS-CoV-2)が世界中に蔓延し,現在では人類史稀にみる危機を迎えている.我が国においても終息に向かう気配もなくまだまだ油断できない状態であるが,新型コロナウイルスに対するワクチン接種が 2021年より順次開始されてきている.このワクチン接種による予防効果はかなり期待できるものと見込まれている. しかし全国民が接種するためには,医療機関や自治体を含めかなりの負担を強いられることが予想される.厚生労働省による接種体制確保の説明によると, 「厚生労働大臣の指示のもと,都道府県の協力により, 市町村において予防接種を実施する」となっており, 具体的な接種方法はある程度自治体の裁量に任されている.著者の勤務する長野県の小谷村は,現在は人口 2,756人,高齢化率 38.0%(2020年 2月現在)で,接種対象者は高齢者だけでも 1,000人近くいる.これを当診療所のみで 3か月で完了しなければならない.そのため,できるだけ効率よく集団接種を行えるように工夫することで対処することにした.ワクチン接種を始めて 1か月経ったので,現在の状況を報告したいと思う. 方法 5月から村役場の多目的ホール(16.0×14.5 m)で 65 歳以上の高齢者対象のワクチン接種が始まった.医師 1名,看護師 3名,案内や経過観察などを行う役場のスタッフが 17~20名程で協力してワクチン接種を行った.また専攻医 1名が加わることもある.ホールの左右に椅子と机を 10個ずつ並べ,パーテーションで区切る.ホールの真ん中は密にならないようにいすを並べて経過観察する場所とする(図 1,図 2a).図のように 1~20に番号を振り,図 1に示された赤い矢印の動線のように移動して予診・問診を行う.その後を追いかけるように手分けをして 3人の看護師が,注射器など必要な物品を積んだカートを押して移動してワクチン接種を行う(図 2b).接種後は係りがブース内で説明した後,中央の待機場所に案内して経過観察を行う. 退出後は別の係りがブースの消毒を行う.以上が一連の流れとなる.この際,各自作業終了のサインとして, ブースに取り付けた部屋番号に色のついたクリップを留めることにした(図 2b).ブースの消毒完了が濃い青,予診がオレンジ,その後医師による問診が水色のクリップを,それぞれブースの番号札に留めていく. 問診時に長めの経過観察が必要と判断した場合は,問","PeriodicalId":211485,"journal":{"name":"An Official Journal of the Japan Primary Care Association","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115795019","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}

引用次数: 1

A Questionnaire Survey of Primary Care Physicians on Dialects in the Hokushinetsu Region -A Quantitative and Qualitative Study of Dialects and Physicians' Perceptions- 北越地区初级保健医师方言问卷调查——方言与医师认知的定量与定性研究

An Official Journal of the Japan Primary Care Association Pub Date : 2021-12-20 DOI: 10.14442/generalist.44.147

K. Kita, Yoshiaki Takase, M. Saito, Moe Kuroda, Kaku Kuroda, Maiko Kuroiwa, S. Yamashiro

{"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":"1 1","pages":"0"},"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}

引用次数: 1