Journal of General and Family Medicine最新文献

{"title":"Sites of blood collection and topical disinfectants associated with contaminated cultures: An ambidirectional cohort study","authors":"Koshi Ota MD, MPH, PhD,&nbsp;Daisuke Nishioka MD, PhD,&nbsp;Emi Hamada RN,&nbsp;Kanna Ota MD,&nbsp;Yuriko Shibata MT,&nbsp;Akira Takasu MD","doi":"10.1002/jgf2.667","DOIUrl":"https://doi.org/10.1002/jgf2.667","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>We aimed to determine whether puncture sites for blood sampling and topical disinfectants are associated with rates of contaminated blood cultures in the emergency department (ED) of a single institution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This single-center, ambidirectional cohort study of 548 consecutive patients ≥20 years of age was performed in the ED of a university hospital in Japan over a 13-month period. Pairs of blood samples were collected for aerobic and anaerobic cultures from patients in the ED. Physicians selected puncture sites and topical disinfectants according to their personal preference.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Potential contamination was identified in 110 of the 548 patients (20.1%). One hundred fourteen (20.8%) patients showed true-positive results for bacteremia, and 324 (59.1%) patients showed true-negative results. Multivariate analysis revealed more frequent contamination when puncture sites were disinfected with povidone-iodine (PVI) than with alcohol/chlorhexidine (ACHX) (adjusted risk difference, 19.1%; 95% confidence interval [CI]), 15.7–22.6; <i>p</i> &lt; 0.001). In terms of blood collection sites, femoral and central venous (CV) catheter with PVI disinfection showed more frequent contamination than venous sites with ACHX (adjusted risk differences: 26.6%, 95% CI 21.3–31.9, <i>p</i> &lt; 0.001 and 41.1%, 95% CI 22.2–59.9, <i>p</i> &lt; 0.001, respectively).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Rates of contaminated blood cultures were significantly higher when blood was collected from the CV catheter or femoral sites with PVI as the topical disinfectant.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139480548","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":"The “Okusuri Charm” movement in Japan: Prescription drug accessories emerging on X (Twitter)","authors":"Tatsuki Ikejiri MD,&nbsp;Hayase Hakariya PhD,&nbsp;Haruna Kai,&nbsp;Natsuki Yokoyama BS,&nbsp;Arisa Hakariya MD","doi":"10.1002/jgf2.666","DOIUrl":"10.1002/jgf2.666","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>In this digital age, social networks may offer an avenue for individuals to obtain drugs illicitly beyond the prescribed amount. Users on X (Twitter)® have ingeniously fabricated fashionable accessories that employ prescription drug sheets, termed “Okusuri Charm”.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study scrutinized the emerging “Okusuri Charm” trend, by searching the term in Japanese on X (Twitter)® and analyzing related posts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Alongside illegal prescription drug trading, individuals crafted accessories from drug sheets, particularly prescribed psychiatric drugs, and dealt with other users, leading to a growing trend this year.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A positive outlook toward this trend is the emergence of a new artistic movement, but a pessimistic viewpoint is the creators' misuse of prescription drugs, potentially fostering illegal drug dealings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.666","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966752","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":"Concomitant spinal cord, vertebral body, and paraspinal muscle infarction","authors":"Yoshitaka Tomoda MD, PhD, FACP,&nbsp;Satoshi Fujita MD,&nbsp;Koji Uhara MD,&nbsp;Yusuke Yasumoto MD, MPH","doi":"10.1002/jgf2.669","DOIUrl":"10.1002/jgf2.669","url":null,"abstract":"<p>A 76-year-old woman presented to the emergency department with a sudden onset of back pain and numbness in her left lower extremity. Her sensory impairment initiated in the dorsal aspect of the foot, progressively radiating to encompass the entire lower limb within a span of 1 day. Her medical history included coronary heart disease. On examination, she had partial muscle weakness in her left lower extremities and hypoalgesia in her left lower extremity, which extended below T6 level, including bilateral lower extremities the following day. A laboratory analysis revealed a normal platelet count and no coagulopathy. Moreover, brain computed tomography (CT) and lumber magnetic resonance imaging (MRI) on Day 2 were unremarkable. However, follow-up T2-weighted MRI performed on Day 8 revealed a hyperintense lesion in the spinal cord at T5–T6 without spinal canal stenosis (Figure 1A,B). Additionally, T2-weighted MRI revealed high-intensity areas in the right half of the T6 vertebral body, and gadolinium-enhanced T1-weighted MRI revealed enhanced lesions in the right latissimus dorsi, which were findings consistent with spinal cord, vertebral body, and muscle infarction (Figure 1B,C). Contrast-enhanced CT revealed no evidence of aortic dissection or embolism. The patient's symptoms gradually improved after antiplatelet therapy including aspirin and clopidogrel, and she was subsequently transferred to the rehabilitation center.</p><p>Spinal cord infarction (SCI) is a rare condition that accounts for 1% of all strokes.<span>¹</span> Although the etiology of SCI remains ambiguous, estimates have indicated that approximately 75% of SCI patients exhibit vascular risk factors. Moreover, various conditions, including aortic surgery, atherosclerosis, aortic dissection, cardiogenic embolism, or systemic hypotension, can cause SCI. The clinical features of SCI include rapid neurologic deficits with severe back pain, with an onset-to-nadir deficits duration of 12 h. Accurate diagnosis of SCI remains challenging and is based on a combination of clinical symptoms and characteristic MRI findings, including T2-hyperintense patterns and linear gadolinium enhancement. While MRI has been the most useful tool in the diagnosis of SCI, normal MRI findings are often observed within the first few hours after SCI. Furthermore, there are no specific therapies proven to limit SCI, and treatment for underlying causes is usually suggested. Mortality rates after SCI depend on the level or severity of ischemia or underlying etiology.</p><p>Thus, considering SCI, concomitant vertebral body infarction is uncommon, with reports showing a prevalence of 4%–8%.<span>²</span> Similarly, only a few cases of concomitant paraspinal muscle and vertebral infarctions have been reported.<span>³</span> However, the simultaneous presence of vertebral and paraspinal muscle infarction offers valuable information regarding vascular involvement and can help rule out ","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.669","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138966600","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":"Psychological aspects of rehabilitation nutrition: A position paper by the Japanese Association of Rehabilitation Nutrition (secondary publication)","authors":"Hidetaka Wakabayashi MD, PhD,&nbsp;Takashi Mori SLP, PhD,&nbsp;Shinta Nishioka RD, PhD,&nbsp;Keisuke Maeda MD, PhD,&nbsp;Yoshihiro Yoshimura MD, PhD,&nbsp;Yuki Iida PT, PhD,&nbsp;Ai Shiraishi DH,&nbsp;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":null,"pages":null},"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}

{"title":"The differential diagnosis of medical and psychogenic disease in primary care","authors":"Kosuke Ishizuka MD, PhD,&nbsp;Kiyoshi Shikino MD, PhD, MHPE, FACP,&nbsp;Yu Li MD, PhD,&nbsp;Daiki Yokokawa MD, PhD,&nbsp;Tomoko Tsukamoto MD, PhD,&nbsp;Yasutaka Yanagita MD, PhD,&nbsp;Jumpei Kojima MD, PhD,&nbsp;Shiho Yamashita MD,&nbsp;Kazutaka Noda MD, PhD,&nbsp;Takanori Uehara MD, PhD,&nbsp;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":null,"pages":null},"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}

{"title":"An exanthematous drug eruption with sodium-glucose cotransporter 2 inhibitor","authors":"Ryu Fukase MD,&nbsp;Souta Saito MD,&nbsp;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>¹</span> Dermatological toxicities have been documented alongside infectious, genital, metabolic, and renal side effects.<span>²</span> While fixed drug eruptions linked to SGLT2i have been reported,<span>³</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>⁴</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":null,"pages":null},"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}

{"title":"Interconception care during well-child visits by family physicians in the United States: A cross-sectional study","authors":"Kaku Kuroda MD, CAS,&nbsp;Christopher P. Morley PhD, MA, CAS,&nbsp;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":null,"pages":null},"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}

{"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,&nbsp;Yuji Nishizaki MD, MPH, PhD,&nbsp;Shuko Nojiri PhD,&nbsp;Sachiko Nakagami,&nbsp;Soshi Dohmae,&nbsp;Yukio Suzuki MD, PhD,&nbsp;Taiga Chiba,&nbsp;Miho Yokoyama MD,&nbsp;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":null,"pages":null},"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}

{"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,&nbsp;Toshiaki Adachi MD, PhD,&nbsp;Masaharu Fukuki MD, PhD,&nbsp;Yutaka Hirota MD, PhD,&nbsp;Natsuko Ishiga RN,&nbsp;Masahiko Kato MD, PhD,&nbsp;Einosuke Mizuta MD, PhD,&nbsp;Emiko Mura RN,&nbsp;Yoshihito Nozaka MD, PhD,&nbsp;Hiroki Omodani MD, PhD,&nbsp;Hiroaki Tanaka MD, PhD,&nbsp;Yasunori Tanaka MD, PhD,&nbsp;Izuru Watanabe RN,&nbsp;Kazuhiro Yamamoto MD, PhD,&nbsp;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> &lt; 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":null,"pages":null},"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}

{"title":"A thank you note to our reviewers","authors":"","doi":"10.1002/jgf2.653","DOIUrl":"https://doi.org/10.1002/jgf2.653","url":null,"abstract":"<p>We would like to express our deepest gratitude to all the individuals who have provided their valuable time and expertise to support Journal of General and Family Medicine. The Editorial Board wishes to acknowledge with gratitude the following Reviewers for reviewing manuscripts during the past year.</p><p>Abe, Masanori</p><p>Affoo, Rebecca</p><p>Akashi, Yusaku</p><p>Akimoto, Takashi</p><p>Akiyama, Yutaro</p><p>Aoki, Takuya</p><p>Asano, Midori</p><p>Azuma, Teruhisa</p><p>Barger, Laura K.</p><p>Bianco, Gabriele</p><p>Chen, Yen-Yuan</p><p>Cheney, Kate</p><p>Draman, Nani</p><p>Feng, Jie</p><p>Fujiwara, Motoshi</p><p>Fukui, Sho</p><p>Fukumori, Norio</p><p>Funakoshi, Hiraku</p><p>Hamano, Jun</p><p>Harada, Taku</p><p>Harada, Yukinori</p><p>Haruta, Junji</p><p>Hase, Ryota</p><p>Haseda, Maho</p><p>Hashizume, Naoki</p><p>Hayashi, Tetsuro</p><p>Hinata, Yuki</p><p>Hirai, Yuji</p><p>Hirakawa, Yoshihisa</p><p>Hirayama, Yoko</p><p>Hirose, Kazuhito</p><p>Iinuma, Yoshitsugu</p><p>Ikeda, Kotaro</p><p>Imafuku, Rintaro</p><p>Imamura, Takeaki</p><p>Inagaki, Masatoshi</p><p>Isenberg-Grzeda, Elie</p><p>Ishikawa, Shizukiyo</p><p>Ishikawa, Eiichi</p><p>Ishisaka, Mariko</p><p>Isono, Hiroki</p><p>Iwamuro, Masaya</p><p>Iwata, Hiroyoshi</p><p>Jindai, Kazuaki</p><p>Jones, C. Allyson</p><p>Kaibara, Toshiki</p><p>Kameoka, Junichi</p><p>Kanakubo, Yusuke</p><p>Kaneko, Makoto</p><p>Kanke, Satoshi</p><p>Kanno, Tetsuya</p><p>Kanzaki, Go</p><p>Kanzawa, Yohei</p><p>Kasugai, Daisuke</p><p>Kataoka, Hitomi</p><p>Kataoka, Yuki</p><p>Katayama, Kohta</p><p>Katayama, Yusuke</p><p>Kato, Koki</p><p>Katsuki, Naoko</p><p>Kawahara, Hiroaki</p><p>Kawakami, Yoshio</p><p>Kenzaka, Tsuneaki</p><p>Kimura, Takuma</p><p>Kise, Morito</p><p>Knudtzen, Fredrikke C.</p><p>Kobayashi, Hiroyuki</p><p>Kodama, Toyohiko</p><p>Kosaka, Shintaro</p><p>Kudoh, Rie</p><p>Kuroda, Kaku</p><p>Kuroda, Moe</p><p>Kutsuna, Satoshi</p><p>Leclercq, Alexandre</p><p>Li, Yu</p><p>Matsumoto, Tomohiro</p><p>Matsumura, Shinji</p><p>Matsuno, Kei</p><p>Matsuyama, Yasushi</p><p>Midlöv, Patrik</p><p>Mitsuhashi, Toshiharu</p><p>Miyagami, Taiju</p><p>Miyamori, Daisuke</p><p>Miyazaki, Kei</p><p>Miyoshi, Toru</p><p>Morales, Mignodel M.</p><p>Mori, Hirotake</p><p>Motohashi, Iori</p><p>Motomura, Kazuhisa</p><p>Murai, Kenji</p><p>Nagano, Ayano</p><p>Nagasaki, Kazuya</p><p>Naitou, Yoshiki</p><p>Nakagama, Yu</p><p>Nakayama, Kuniko</p><p>Narita, Masashi</p><p>Narumoto, Keiichiro</p><p>Naskar, Sagar</p><p>Nishimori, Hisakazu</p><p>Nishioka, Daisuke</p><p>Nishisako, Hisashi</p><p>Nishizaki, Yuji</p><p>Obika, Mikako</p><p>Ogawa, Taku</p><p>Ohta, Ryuichi</p><p>Okada, Tadao</p><p>Okamoto, Mitsuhiro</p><p>Okazaki, Yuji</p><p>Omae, Kenji</p><p>Onishi, Hirotaka</p><p>Oshimi, Takayuki</p><p>Ota, Atsuhiko</p><p>Ozone, Sachiko</p><p>Ryuge, Akihiro</p><p>Sada, Ken-ei</p><p>Sakaguchi, Yusuke</p><p>Sakai, Kana</p><p>Sakakura, Kenichi</p><p>Saloheimo, Pertti</p><p>Saraya, Takeshi</p><p>Sasaki, Yosuke</p><p>Sato, Shuntaro</p><p>Satoi, Yoshinao</p><p>Sechi, Gian","PeriodicalId":51861,"journal":{"name":"Journal of General and Family Medicine","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jgf2.653","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109169192","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}