Identifying Unmet Social Needs in a Patient Living in Isolation: A Case Report.

Loneliness and social isolation are common among older adults. To deliver high-quality care to older patients, healthcare professionals should know the social conditions of their patients. Addressing social determinants of health (SDH) in daily practice is beneficial to both patients and healthcare professionals.

Experiences and expectation with the use of health data: a qualitative interview study in primary care.

Background: Health data is important, however, not always well managed. The aim of this study was to investigate the experiences of patients and primary care physicians, their expectations and the obstacles encountered when using health data - both patient-generated as well as physician-generated.

Methods: We conducted a qualitative interview study.

Various perspectives of "General Medicine" in Japan-Respect for and cooperation with each other as the same "General Medicine Physicians".

In Japan, the general medicine category includes various specialties: "family physician," "hospitalist," and "hospital family physician." These specialties can be illustrated from two perspectives for an easy understanding of their characteristics.

Primary Care Informatics Response to Covid-19 Pandemic: Adaptation, Progress, and Lessons from Four Countries with High ICT Development.

Objective: Internationally, primary care practice had to transform in response to the COVID pandemic. Informatics issues included access, privacy, and security, as well as patient concerns of equity, safety, quality, and trust. This paper describes progress and lessons learned.

Relationship between medical students' career priority and specialty choice: A nationwide multicenter survey.

Background: The shortage of physicians in several specialties has been brought to public attention in several countries. However, little is known about factors affecting medical students' specialty choice. The objectives of our study were to illustrate medical students' career priority clusters and to assess their association with specialty preference.

Audit of diabetic care in family practice center in Abha City, Aseer region: CBAHI standards application.

Objective: The objectives of this study is to assess the quality of diabetic care at AlManhal PHCC based on CBAHI standards.

Methods: This audit was conducted during 2018 at Al_Manhal PHCC through assessment all aspects of DM care ( structures, processes and outcomes) using CBAHI standards . Data entry and analysis were managed used SPSS.

A mother's bond: An ecological momentary assessment study of posttraumatic stress disorder symptoms and substance craving during pregnancy.

Pregnant women with substance use disorder (SUD) comprise an underserved population with complex treatment needs, including complications from trauma histories and comorbid psychological disorders. Using ecological momentary assessment, we examined momentary fluctuations in posttraumatic stress disorder (PTSD) symptoms, prenatal bonding, and substance craving, among pregnant women in SUD treatment who had a history of trauma. We hypothesized that (a) PTSD symptoms and prenatal bonding would each be associated with substance craving and (b) PTSD symptoms would be negatively associated with prenatal bonding, and this would at least partially account for the association between PTSD symptoms and substance craving (i.

Incorporating Home Visits in a Primary Care Residency Clinic: The Patient and Physician Experience.

Purpose: Home visits, once a popular but now uncommon form of health care delivery, are on the rise. Few studies have focused on the value the experience brings to resident physicians and their patients.

Methods: A 6-month pilot was conducted with 11 residents who participated in 32 home visits with 11 patients.

Accessibility to Healthcare and Risk of Polypharmacy on Chronically ill Patients.

Objective: To investigate the rates of polypharmacy (PP) and its relations with accessibility to health services in chronic patients in a primary care setting.

Study Design: A cross-sectional study.

Place And Duration Of Study: Melekhatun Family Health Center, Istanbul, Turkey, from January 2014 to January 2017.

Factors Influencing Work-Life Balance in Physicians and Advance Practice Clinicians and the Effect of Heartfulness Meditation Conference on Burnout.

Background: Burnout levels have risen in recent years and satisfaction with work-life balance has decreased. Individual and organizational factors may affect burnout in physicians and advance practice clinicians (APCs). Meditation is a tool to mitigate stress and enhance well-being.

The Persistence of Specialty Disrespect: Student Perspectives.

Purpose: One aspect of the hidden curriculum of medicine is specialty disrespect (SD)-an expressed lack of respect among medical specialties that occurs at all levels of training and across geographic, demographic, and professional boundaries, with quantifiable impacts on student well-being and career decision making. This study sought to identify medical students' perceptions of and responses to SD in the learning environment.

Methods: We conducted quantitative and content analysis of an annual survey collected between 2008 and 2012 from 702 third- and fourth-year students at the University of Washington School of Medicine.

Risk factors for polypharmacy in older adults in a primary care setting: a cross-sectional study.

Purpose: Polypharmacy (PP) is a clinical challenge in older adults. Therefore, assessment of daily drug consumption (DDC) and its relationships is important. First-line health services have a crucial role in monitoring and preventing PP.

A prospective, multi-center cohort study: investigating the ability of warfarin-treated patients to predict their INR.

Background: In practice, warfarin-treated patients may share insight regarding their international normalized ratio (INR) value before it is measured. The accuracy and potential utility of these predictions have not been evaluated.

Objective: To (1) test how accurately patients can predict their INR; (2) identify demographic factors associated with their ability to predict their INR accurately; and (3) identify demographic factors associated with the patient's INR being in the therapeutic range.

What You Should Know About Tardive Dyskinesia: Screening, Causes, and New Treatment Options.

Do you know which of your patients are at risk for developing tardive dyskinesia? Watch this Webcast to learn about how to prevent tardive dyskinesia in your patients and new treatment strategies for your patients who have already been diagnosed.

Discussing the Risk of Tardive Dyskinesia With Patients and Screening for Signs.

Your patients taking antipsychotics may be at risk for developing tardive dyskinesia. In this Case and Comment activity, follow Martha, a 60-year-old woman being treated with an antipsychotic medication for her treatment-resistant depression.

What are the cardiovascular effects of the newer classes of drugs for type 2 diabetes?

New classes of drugs to treat type 2 diabetes are continually being developed and marketed. The FDA has issued guidance to the pharmaceutical industry that newer hypoglycemic agents should not be associated with unacceptable increases in cardiovascular risk. To date, five trials have assessed specific cardiovascular endpoints for these newer agents.

What determines medical students' career preference for general practice residency training?: a multicenter survey in Japan.

Background: Few studies have systematically explored factors affecting medical students' general practice career choice. We conducted a nationwide multicenter survey (Japan MEdical Career of Students: JMECS) to examine factors associated with students' general practice career aspirations in Japan, where it has been decided that general practice will be officially acknowledged as a new discipline.

Methods: From April to December 2015, we distributed a 21-item questionnaire to final year medical students in 17 medical schools.

Integrating social class and privilege in the community medicine curriculum.

Social class and privilege are hidden variables that impact the physician-patient relationship and health outcomes. This article presents a sample of activities from three programs utilized in the community health curriculum to teach resident physicians about patients within context, including how social class and privilege impact physician-patient relationships and patient health. These activities address resident physicians' resistance to discussion of privilege, social class, and race by emphasizing direct experience and active learning rather than traditional didactic sessions.