[Hokkaido igaku zasshi] The Hokkaido journal of medical science最新文献_第6页

An interview survey on factors influencing the career choice of primary care physicians in rural areas. 影响农村基层保健医生职业选择因素的访谈调查。

[Hokkaido igaku zasshi] The Hokkaido journal of medical science Pub Date : 2010-05-01

Hidenobu Kawabata, Manabu Murakami, Kengo Kisa, Masaji Maezawa

{"title":"An interview survey on factors influencing the career choice of primary care physicians in rural areas.","authors":"Hidenobu Kawabata, Manabu Murakami, Kengo Kisa, Masaji Maezawa","doi":"","DOIUrl":"","url":null,"abstract":"Background: The lack of primary care physicians working in rural areas is a major problem both in Japan and worldwide. Particularly in Japan, healthcare provision in the community is seriously deteriorating, due to the absence of a regulated instructional system for primary care physicians in rural areas. Understanding what influences the career choice of rural primary care physicians is vital, and this study aims to examine those factors.Methods: Qualitative research methodology with semi-structured interviews and content analysis was used. All interviews were conducted in interviewees' rural clinics over three days in September 2007 and 2008; each interview lasted for 60 minutes. All interviews were recorded, transcribed verbatim, and analyzed thematically by two independent researchers, then the preliminary results were presented to the third and fourth authors. All authors were in agreement with the final results.Results: Fourteen physicians (13 males and 1 female; mean age 43-years-old) agreed to participate in the interviews, and four themes emerged: \"existence of role models for younger primary care physicians,\" \"affinity with rural backgrounds and culture,\" \"understanding the importance of a holistic approach,\" and \"internal motivation for challenging and rewarding work as a doctor.\" DISCUSSION & CONCLUSIONS: Our research results were similar to those of previous overseas studies, regardless of differences in cultural background. We could explain our themes with the concept of the \"rural pipeline into medical practice\" by JP Geyman et al. according to the time frame described therein. Taking some potential limitations like generalizability and translation into account, we could utilize our research results to indicate how the number of rural primary care physicians may be increased.","PeriodicalId":6338,"journal":{"name":"[Hokkaido igaku zasshi] The Hokkaido journal of medical science","volume":"85 3","pages":"161-5"},"PeriodicalIF":0.0,"publicationDate":"2010-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29067237","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

[How to elongate healthy life expectancy. Let's start anti-aging]. 如何延长健康的预期寿命。让我们开始抗衰老吧。

[Hokkaido igaku zasshi] The Hokkaido journal of medical science Pub Date : 2010-05-01

Tokifumi Majima, Tsukasa Koyama, Kiyohiro Houkinn, Harukazu Tohyama, Sinn Nakagawa

引用次数: 0

[The detection of biphasic reactivity of the airway by astograph]. [气道双相反应性的造影检测]。

[Hokkaido igaku zasshi] The Hokkaido journal of medical science Pub Date : 2010-03-01

Masashi Ohe, Fujiya Kishi, Nobuyuki Hizawa

{"title":"[The detection of biphasic reactivity of the airway by astograph].","authors":"Masashi Ohe, Fujiya Kishi, Nobuyuki Hizawa","doi":"","DOIUrl":"","url":null,"abstract":"Dose-related curves of the airway responses to Methacholine by Astograph are frequently biphasic. That is, respiratory resistance (Rrs) increases slowly at first and rapidly after that. We proposed (-dGrs/dt)/Grs obtained by using Astograph as an index of dynamic property of the airway, which we suggested was related to a coefficient of the contraction or dilatation of the airway. Grs represents respiratory conductance. By calculating (-dGrs/dt)/Grs, we found that biphasic dose-related curves were composed of the slow and subsequently rapid contraction of the airways. And by mathematical analysis, we found that all segments of the airway contracted simultaneously at a uniform velocity. The combination of slow and rapid contraction explains three types of the airway responses, that is, the monophasic reactivity of the airway with slow contraction, the monophasic reactivity of the airway with rapid contraction and the biphasic reactivity of the airway with slow and subsequently rapid contraction. We found that the frequency of the monophasic reactivity of the airway with slow contraction was significantly higher in patients with COPD than in healthy subjects or in patients with mild asthma. But there was no significant difference in (-dGrs/dt)/Grs values among healthy subjects, patients with mild asthma and patients with COPD.","PeriodicalId":6338,"journal":{"name":"[Hokkaido igaku zasshi] The Hokkaido journal of medical science","volume":"85 2","pages":"97-103"},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28946290","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

[Update on congenital adrenal disorders--heterogeneity of pathogenesis and pathophysiology]. 【先天性肾上腺疾病的最新进展——发病机制和病理生理学的异质性】。