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  1. Article: A Case of Suspected T-cell Intravascular Lymphoma Mimicking Multiple Hepatic Abscesses and Adult-Onset Still's Disease.

    Ohjino, Yutaka / Nishikawa, Kasumi / Nishikura, Nozomi / Sano, Chiaki / Ohta, Ryuichi

    Cureus

    2023  Volume 15, Issue 10, Page(s) e47534

    Abstract: Diagnosing hyperferritinemia can be challenging due to the nonspecific nature of symptoms and various potential causes. This case report discusses the intricacies faced when diagnosing an elderly individual with hyperferritinemia, which eventually led to ...

    Abstract Diagnosing hyperferritinemia can be challenging due to the nonspecific nature of symptoms and various potential causes. This case report discusses the intricacies faced when diagnosing an elderly individual with hyperferritinemia, which eventually led to a specific diagnosis. An elderly patient presented with two months of fatigue, fever, and malaise, initially receiving several diagnoses. Despite some treatments, the patient's condition worsened, prompting further evaluation. Further investigation revealed a rare diagnosis. The progression of the disease led to the decision of palliative care. This case emphasizes the challenges in diagnosing elderly individuals and the importance of comprehensive follow-up and broad differential diagnosis. The need for a thorough investigation in the face of specific indicators is underscored. The patient's non-response to certain treatments required the consideration of less common conditions in the differential diagnosis. The case offers insights into addressing treatment suitability and making necessary adjustments. The situation underscores the need for careful evaluation, especially in unusual presentations, and the importance of timely conversations about care options. Lessons from this case assist healthcare professionals in understanding and managing intricate presentations in the elderly.
    Language English
    Publishing date 2023-10-23
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.47534
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A Case of Late-Onset Systemic Lupus Erythematosus With Systemic Symptoms Leading to Multiple Organ Failure.

    Hasegawa, Tomoya / Nishikawa, Kasumi / Ohjino, Yutaka / Sano, Chiaki / Ohta, Ryuichi

    Cureus

    2023  Volume 15, Issue 10, Page(s) e46428

    Abstract: This case report discusses the diagnosis and management of late-onset systemic lupus erythematosus (SLE) in an elderly patient. Systemic lupus erythematosus is an autoimmune disease that affects several organs. Sex differences in incidence, especially ... ...

    Abstract This case report discusses the diagnosis and management of late-onset systemic lupus erythematosus (SLE) in an elderly patient. Systemic lupus erythematosus is an autoimmune disease that affects several organs. Sex differences in incidence, especially among women in their childbearing years, have been linked to estrogen fluctuations. This study focuses on an 87-year-old male who initially presented with anorexia, a history of heart failure, pancytopenia, and elevated antinuclear antibodies. His symptoms were initially attributed to heart failure and pneumonia. However, further evaluation led to the suspicion of immune-mediated vasculitis. Treatment with prednisolone improved his condition; however, a recurrent decrease in food intake and increased inflammation prompted the consideration of late-onset SLE. The diagnosis was supported by laboratory results, including antinuclear antibodies and complement levels, in accordance with the diagnostic criteria. This case highlights the challenges in diagnosing late-onset SLE owing to its overlap with other conditions and emphasizes the importance of a multidisciplinary approach for accurate diagnosis and treatment. Early recognition and intervention are crucial for managing late-onset SLE, even in elderly patients, to prevent multiple organ failure and improve outcomes.
    Language English
    Publishing date 2023-10-03
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.46428
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Primary Adrenal Insufficiency in Acute Progressive Systemic Inflammation Accompanied by Latent Tuberculosis: A Case Report.

    Nishikawa, Kasumi / Nitta, Mizuki / Tanaka, Shoma / Sano, Chiaki / Ohta, Ryuichi

    Cureus

    2023  Volume 15, Issue 11, Page(s) e48695

    Abstract: A 64-year-old man presented with general malaise, edema, and other nonspecific symptoms, prompting extensive diagnostic evaluation. The patient's early morning cortisol and adrenocorticotropic hormone levels were consistent with primary adrenal ... ...

    Abstract A 64-year-old man presented with general malaise, edema, and other nonspecific symptoms, prompting extensive diagnostic evaluation. The patient's early morning cortisol and adrenocorticotropic hormone levels were consistent with primary adrenal insufficiency without evident secondary or tertiary causes on magnetic resonance imaging. The interferon gamma release assay (T-SPOT
    Language English
    Publishing date 2023-11-12
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.48695
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Factors Associated with Motivation for General Medicine among Rural Medical Students: A Cross-Sectional Study.

    Nishikawa, Kasumi / Ohta, Ryuichi / Sano, Chiaki

    International journal of environmental research and public health

    2022  Volume 19, Issue 9

    Abstract: General medicine, as the Japanese version of primary care or family medicine, is critical for healthcare in aging societies. Medical students' perceptions of general medicine and education might be associated with changes in the number of general ... ...

    Abstract General medicine, as the Japanese version of primary care or family medicine, is critical for healthcare in aging societies. Medical students' perceptions of general medicine and education might be associated with changes in the number of general physicians. This study aimed to clarify the association between these perceptions and students' preferences for general medicine. A cross-sectional survey was conducted among Japanese medical students using a questionnaire on their perceptions regarding general medicine, background, and preferences for general medicine (knowledge, interest, motivation, and intention). The response rate was 70.3% (490/697). There was a large percentage gap between interest and motivation; therefore, a logistic regression analysis was performed to investigate the cause of this difference. The perceptions that general medicine meets the needs of society and the lack of general medicine educators were positively associated with motivation to become a general physician. In contrast, perceptions of lack of exposure to general medicine beyond the curriculum and inaccessibility were negatively associated with motivation. Medical students' motivation to pursue general medicine may increase with improvements in flexible general medicine education and accessibility. Future research should investigate the relationship between students' perceptions of general medicine and their motivation to become general physicians through longitudinal studies.
    MeSH term(s) Career Choice ; Cross-Sectional Studies ; General Practice ; Humans ; Motivation ; Students, Medical ; Surveys and Questionnaires
    Language English
    Publishing date 2022-04-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19095102
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The Perception of Rural Medical Students Regarding the Future of General Medicine: A Thematic Analysis.

    Nishikawa, Kasumi / Ohta, Ryuichi / Sano, Chiaki

    Healthcare (Basel, Switzerland)

    2021  Volume 9, Issue 10

    Abstract: Although the demand for general physicians has increased in Japan because of its aging population, medical universities primarily provide organ-based education; thus, medical students do not receive sufficient general medical education. The number of ... ...

    Abstract Although the demand for general physicians has increased in Japan because of its aging population, medical universities primarily provide organ-based education; thus, medical students do not receive sufficient general medical education. The number of residents focusing on general medicine remains low; therefore, to understand the present situation regarding general medicine education, we attempted to clarify the views of medical students and the factors influencing them. In this qualitative study, semi-structured interviews were conducted in 12 medical students at Shimane University, and the results were analyzed through thematic analysis. The results indicated the emergence of three themes and 14 concepts. The three overarching themes were as follows: hopes for the field of general medicine, gaps between ideal and reality of general medicine, and factors affecting students' motivation for specialization in general medicine. Medical students had a positive impression of general medicine and believed that it has potential for further development; however, they felt a gap between their ideals and reality (i.e., unclear expertise). Factors creating this gap included poorly developed education and medical policies. We need to restructure general medicine education based on the participants' perceptions by establishing collaborative curricula between universities and community hospitals and by increasing students' exposure to general medicine.
    Language English
    Publishing date 2021-09-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2721009-1
    ISSN 2227-9032
    ISSN 2227-9032
    DOI 10.3390/healthcare9101256
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A review of food poisoning caused by local food in Japan.

    Watari, Takashi / Tachibana, Takayuki / Okada, Azusa / Nishikawa, Kasumi / Otsuki, Kazuya / Nagai, Nobuhiro / Abe, Haruki / Nakano, Yasuhisa / Takagi, Soshi / Amano, Yu

    Journal of general and family medicine

    2020  Volume 22, Issue 1, Page(s) 15–23

    Abstract: Increasingly popular worldwide, Japanese cuisine includes several raw preparations such as sashimi and sushi; however, limited information on food poisoning from Japanese local food is available in English literature. Without appropriate knowledge, ... ...

    Abstract Increasingly popular worldwide, Japanese cuisine includes several raw preparations such as sashimi and sushi; however, limited information on food poisoning from Japanese local food is available in English literature. Without appropriate knowledge, physicians may underdiagnose traveler's diarrhea among people returning from Japan. To provide accurate information to primary care physicians worldwide, we conducted a narrative review on food poisoning research published in Japanese and English over the past four years, considering the frequency and clinical importance of various presentations.
    Language English
    Publishing date 2020-10-14
    Publishing country Japan
    Document type Journal Article ; Review
    ISSN 2189-7948
    ISSN (online) 2189-7948
    DOI 10.1002/jgf2.384
    Database MEDical Literature Analysis and Retrieval System OnLINE

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