Journal of General and Family Medicine最新文献

{"title":"The rehabilitation nutrition oral care process: Implementing the triad of rehabilitation, nutrition, and oral management","authors":"Hidetaka Wakabayashi","doi":"10.1002/jgf2.763","DOIUrl":"https://doi.org/10.1002/jgf2.763","url":null,"abstract":"<p>A specific framework called the rehabilitation nutrition oral care process has been developed to facilitate the triad of rehabilitation, nutrition and oral management. Each framework follows five key steps: assessment, diagnosis, goal setting, intervention, and monitoring. Of these, the diagnosis and goal setting steps are performed collaboratively by multidisciplinary teams specializing in rehabilitation, nutrition and oral management.\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":"26 2","pages":"114-115"},"PeriodicalIF":1.8,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.763","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581838","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}

{"title":"RETRACTION: The role of biofield energy treatment on psychological symptoms, mental health disorders, and stress-related quality of life in adult subjects: A randomized controlled clinical trial","authors":"","doi":"10.1002/jgf2.773","DOIUrl":"https://doi.org/10.1002/jgf2.773","url":null,"abstract":"<p><b>RETRACTION</b>: M. K. Trivedi, A. Branton, D. Trivedi, S. Mondal, and S. Jana, “The Role of Biofield Energy Treatment on Psychological Symptoms, Mental Health Disorders, and Stress-Related Quality of Life in Adult Subjects: A Randomized Controlled Clinical Trial,” <i>Journal of General and Family Medicine</i> 24, no. 3 (2023): 154–163, https://doi.org/10.1002/jgf2.606.</p><p>The above article, published online on 28 January 2023 in Wiley Online Library (wileyonlinelibrary.com), has been retracted by agreement between the journal Editor-in-Chief, Masanobu Okayama; the Japan Primary Care Association; and John Wiley &amp; Sons Australia, Ltd. The retraction has been agreed upon following an investigation into concerns raised by a third party, which revealed an inappropriate control group used as the placebo group of the trial, inconsistencies in the Psychological Questionnaire Scoring, highly implausible functional biomarker values that are out of the typical physiological range, and unsupported claims regarding the scientific evidence behind the biofield energy treatment. The authors were informed, however, the explanation and the partial raw data provided were deemed insufficient to address the concerns. Thus, the editors have lost confidence in the presented data and consider the results and conclusions of this manuscript insufficiently supported and substantially compromised. The authors disagree with the retraction.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 2","pages":"191"},"PeriodicalIF":1.8,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.773","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581988","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}

{"title":"Calcineurin-inhibitor induced pain syndrome due to interaction with clarithromycin: A case report","authors":"Satoshi Inaba MD,&nbsp;Hisatoshi Okumura MD,&nbsp;Tatsuya Aoki MD,&nbsp;Atsushi Kawashima MD","doi":"10.1002/jgf2.769","DOIUrl":"https://doi.org/10.1002/jgf2.769","url":null,"abstract":"<p>Calcineurin inhibitor-induced pain syndrome (CIPS) is a rare but serious condition characterized by severe lower leg pain, often associated with elevated tacrolimus (TAC) levels. We report the case of a 57-year-old woman with rheumatoid arthritis (RA) who developed CIPS following a drug interaction between TAC and clarithromycin (CAM), a common macrolide antibiotic. Discontinuation of TAC led to a rapid resolution of symptoms. This case highlights the importance of monitoring TAC levels and being cautious of drug interactions, especially in primary care settings, to prevent adverse events like CIPS.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 2","pages":"166-168"},"PeriodicalIF":1.8,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.769","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581829","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}

{"title":"A case of esophagogastric junction obstruction due to octopus ingestion","authors":"Junya Shimamoto MD, MPH, CPH, CHES,&nbsp;Hironori Nakahira MD","doi":"10.1002/jgf2.765","DOIUrl":"https://doi.org/10.1002/jgf2.765","url":null,"abstract":"<p>Endoscopic image of the stomach. A mass of octopus is obstructing the entrance to the esophagogastric junction.\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":"26 2","pages":"175-176"},"PeriodicalIF":1.8,"publicationDate":"2024-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.765","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582021","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}

{"title":"Comparison between point-of-care testing from capillary samples and conventional laboratory testing from venous samples for white blood cells and C-reactive protein in a pediatric outpatient setting","authors":"Yasutaka Kuniyoshi MD, PhD,&nbsp;Takeru Kimoto MD,&nbsp;Haruka Tokutake MD,&nbsp;Natsuki Takahashi MD,&nbsp;Azusa Kamura MD,&nbsp;Makoto Tashiro MD","doi":"10.1002/jgf2.741","DOIUrl":"10.1002/jgf2.741","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Studies on the accuracy of point-of-care (POC) testing using capillary samples are scarce. Therefore, this study aimed to assess the analytical accuracy of POC testing for white blood cell (WBC) and C-reactive protein (CRP) using capillary samples compared with conventional central laboratory testing using venous samples in a pediatric ambulatory care setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a retrospective study including patients younger than 18 years who underwent concurrent WBC and CRP evaluations via capillary and subsequent venous sampling within a 2-h window. Capillary and venous blood samples were collected using finger prick and standard venipuncture techniques, respectively. Capillary blood analysis was performed using a Microsemi CRP device. Venous samples were measured in the hospital's central laboratory. The agreement between the capillary POC and venous laboratory results was evaluated using Bland-Altman analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 277 pediatric patients were included in this study. The median age of the participants was 1 year (interquartile range: 0–2 years). The mean difference between the capillary and venous measurements for WBC was −18 × 100/μL with 95% limits of agreement of −73 × 100/μL to 37 × 100/μL. The mean difference between the capillary and venous measurements for CRP was −0.25 mg/dL with 95% limits of agreement of −2.1 mg/dL to 1.6 mg/dL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>POC CRP testing via capillary sampling by finger prick demonstrated sufficient accuracy. POC CRP testing has the potential to be a valuable instrument for clinical decision making, particularly in screening febrile outpatient children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"79-84"},"PeriodicalIF":1.8,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958657","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}

{"title":"Risk stratification and diagnostic evaluation of patients found to have microscopic hematuria by their primary care providers","authors":"Clemens An BS,&nbsp;Jake Jeong BA,&nbsp;Cedrick Chiu BS,&nbsp;Evan Gaston MD,&nbsp;Amanda Kennedy PharmD,&nbsp;Kevan Sternberg MD","doi":"10.1002/jgf2.740","DOIUrl":"10.1002/jgf2.740","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Our goal was to identify, and risk stratify primary care patients with microscopic hematuria (MH), describe the diagnostic evaluations they received, and determine whether the evaluations were consistent with the recommendations of the 2020 AUA/SUFU microscopic hematuria guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective review of patients presenting to primary care clinics with a diagnosis of MH was performed. The patient risk category was determined based on the 2020 AUA/SUFU guidelines. Diagnostic strategies were recorded, and guideline concordance was determined. Descriptive statistics were generated to describe outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 368 patients had a diagnosis of MH; 267/368 (72.6%) patients had all pertinent data available for risk stratification. One-hundred and fifty-six (58.4) patients were high-risk and 55 (35.3%) had a urologic visit. Forty-one of the 55 (75%) were diagnostically evaluated of which 13 (31.7%) were in-line with guideline recommendations. Eighty-two (30.7%) patients were at intermediate risk of which 33 (40.2%) had a urology visit. Of these 33 intermediate-risk patients, 27 (81.8%) were diagnostically evaluated, five (18.5%) of which were in-line with guideline recommendations. Twenty-nine patients were low risk of which 4 (13.8%) had a urology visit. Three of the four patients seen by urology (75%) were evaluated with imaging studies and none received a cystoscopy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Almost 60% of the patients in our cohort were high-risk according to the AUA/SUFU 2020 guidelines. Across all strata, the majority of patients lacked a urology visit and diagnostic evaluation consistent with guideline recommendations. Future efforts should ensure appropriate urologic referral and optimize initial diagnostic strategies for patients with MH.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"73-78"},"PeriodicalIF":1.8,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958600","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}

{"title":"A case of cutaneous small vessel vasculitis after the seventh dose of COVID-19 vaccination","authors":"Hiroshi Sato MD,&nbsp;Riruke Maruyama MD,&nbsp;Hirofumi Kishi MD,&nbsp;Koichiro Higashi MD,&nbsp;Mika Yuki MD,&nbsp;Haruhiko Nagami MD,&nbsp;Hideki Tabara MD","doi":"10.1002/jgf2.762","DOIUrl":"https://doi.org/10.1002/jgf2.762","url":null,"abstract":"<p>A 77-year-old woman on regular hemodialysis was admitted due to purpura on her extremities, elevated C-reactive protein (CRP), D-dimer, and syncope attack. Despite hospitalization and treatment, her purpura got worse, and a skin biopsy revealed cutaneous small vessel vasculitis (CSVV). No apparent cause could be pointed out for CSVV. Her purpura had deteriorated until we started treatment with prednisolone (PSL). We later confirmed that she had received her seventh COVID-19 vaccination before the onset of purpura on her extremities. In this case, the highlight is that even the seventh dose of the COVID-19 vaccination could potentially induce CSVV.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 2","pages":"163-165"},"PeriodicalIF":1.8,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.762","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581352","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}

{"title":"Prevalence of a delayed diagnosis of caffeine poisoning in the emergency department of a Japanese hospital","authors":"Junpei Komagamine MD,&nbsp;Tomohiro Kurihara MD","doi":"10.1002/jgf2.761","DOIUrl":"https://doi.org/10.1002/jgf2.761","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Most cases of acute caffeine poisoning are easily diagnosed at initial hospital visits. Nonetheless, accurate diagnosis is sometimes delayed in some patients with this condition. Therefore, our aim was to determine the prevalence of delayed diagnosis of acute caffeine poisoning in the emergency department (ED).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A single-center retrospective observational study was conducted. All consecutive patients with acute caffeine poisoning who were admitted to our hospital from January 2016 to March 2024 were included. The primary outcome was the proportion of patients who did not receive a correct diagnosis initially in the ED.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 30 patients were included. The median age was 23 years (IQR 19–27), 24 (80%) were women, and 18 (60%) had psychiatric disorders. The diagnosis of acute caffeine poisoning was delayed in three patients (10%, 95% CI 0%–21%), among whom the initial diagnoses were encephalitis (<i>n</i> = 1), epileptic seizures (<i>n</i> = 1), and altered consciousness for unknown reasons (<i>n</i> = 1). Patients with delayed diagnoses experienced seizures more frequently during their ED stay than patients without delayed diagnoses did (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The initial diagnosis is missed in 1 of every 10 patients with acute caffeine poisoning. The presence of seizure as the initial sign was associated with delayed diagnosis of acute caffeine poisoning.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 2","pages":"157-162"},"PeriodicalIF":1.8,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.761","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581556","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}

{"title":"An overview of Hospital-at-home versus other models of care","authors":"Hai Liang Marc Wong MRCP (UK),&nbsp;Chong Yau Ong MRCP (UK),&nbsp;Hui Juan Ngo BSc,&nbsp;Si Sen Yeo BSc Nursing,&nbsp;Mui Hua Jean Lee FAMS","doi":"10.1002/jgf2.742","DOIUrl":"10.1002/jgf2.742","url":null,"abstract":"<p>Despite being increasingly adopted in various regions, the model of Hospital-at-home can still appear to be confusing to many healthcare workers. The authors examined and summarized the existing concepts and implementations of Hospital-at-home. How Hospital-at-home contrasts to traditional inpatient models were outlined.</p>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 1","pages":"19-26"},"PeriodicalIF":1.8,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11702468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958643","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}

{"title":"Four timing patterns of initiation of advance care planning discussions as practiced by home visiting nurses: A qualitative study","authors":"Mitsuko Ushikubo RN, MS, MPH, Dr.PH, PhD,&nbsp;Maho Ishikawa RN, PHN","doi":"10.1002/jgf2.760","DOIUrl":"https://doi.org/10.1002/jgf2.760","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The purpose of this study was to explore the actual timing of the initiation of advance care planning (ACP) discussions by experienced visiting nurses for older homebound patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 12 home visit nurses, followed by a qualitative, inductive analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four ACP initiation timing patterns were extracted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Home visit nurses used the following timing patterns differently depending on each patient's situation: “Starting when visiting nurses get to know the patients,” “Waiting for a change in the patient's medical condition,” “Waiting to begin ACP discussions until the patient and nurse are emotionally ready,” and “Starting ACP discussions in a proactive, but non-shocking manner.”</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":"26 2","pages":"182-186"},"PeriodicalIF":1.8,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.760","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143582068","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}