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Journal of Hospital General Medicine
ISSN 2436-018X · Japanese Society Hospital General Medicine · 388 artikel di indeks
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Artikel Jurnal
A case of Auditory Charles Bonnet Syndrome Without Dementia with a favorable response to lamotrigine
The patient was an 83-year-old woman with hearing impairment who reported hearing boiler noises and loud music coming from her neighbors home. Neurological examinations, blood tests, electroencephalography, and magnetic resonance imaging revealed no abnormalities. She was diagnosed with auditory…
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An older woman in whom COVID-19 infection contributed to SIADH: A Case Report
An 83-year-old woman presented to the emergency department and was diagnosed with Coronavirus Disease 2019 (COVID-19). She subsequently developed severe hyponatremia, with a serum sodium level of 116 mEq/L, but without any disturbance of consciousness. Laboratory tests revealed elevated secretion…
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A case of Intravenous Lidocaine Followed by Oral Mexiletine Administration to Facilitate Home Discharge in Opioid-Refractory Abdominal Pain and Distension Due to Peritoneal Carcinomatosis
A 42-year-old woman with terminal stage metastatic colorectal cancer and peritoneal carcinomatosis was admitted for severe abdominal pain and vomiting with clinically suspected malignant bowel obstruction. Despite opioid rotation and escalation, she continued to experience marked abdominal…
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Osmotic Demyelination Syndrome Presenting with Isolated Extrapyramidal Symptoms and Initially Normal Magnetic Resonance Imaging: A Case Report
Osmotic demyelination syndrome (ODS) is a frequently overlooked neurological disorder characterized by delayed symptoms after correction for hyponatremia. ODS includes central pontine myelinolysis (CPM) and extrapontine myelinolysis (EPM); however, the extrapyramidal presentation of EPM remains…
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Artikel Jurnal
Leadership within the Learning Health System: Maintaining Momentum for Change in Hospital Medicine
During the COVID-19 pandemic, hospital medicine and organizations collaborated to develop Learning Health System models that could support rapid continuous change, though strategies to maintain such structures remain less clear. We synthesized the Learning Health System observations and experiences…
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Pneumonia with Therapeutic Failure Attributed to Impaired Absorption of Levofloxacin Due to Co-administration with Milk: A Case Report
Levofloxacin is a fluoroquinolone antibiotic characterized by high oral bioavailability and is commonly prescribed for a wide range of infections, including community-acquired pneumonia. However, co-administration with calcium-containing products may markedly reduce its gastrointestinal absorption…
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Progressive bilateral leg edema due to intravascular large B-cell lymphoma
An 81-year-old woman presented with subacute progressive bilateral leg edema without fever or weight loss. Laboratory tests showed elevated C-reactive protein (4.89 mg/dL) and lactate dehydrogenase (1314 U/L) levels. A random skin biopsy revealed intravascular large B-cell lymphoma (IVLBCL)…
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Super-Aged Society
Japan officially became a super-aged society in 2007, and its population continues to age in an environment of overall demographic population decline. The growing proportion of adults aged ≥75 years, coupled with a shrinking working-age population, is reshaping healthcare demand and financing. As…
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A Practical Approach to Dizziness and Vertigo for General Physicians
This review provides an updated clinical overview of dizziness and vertigo for general physicians, based on a 2017 textbook chapter and incorporates recent epidemiological data. Benign paroxysmal positional vertigo (BPPV) remains the most common cause across clinical settings, whereas central…
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Prophylaxis of Venous Thromboembolism in Japanese Medical Inpatients: Current Evidence and Future Directions
Venous thromboembolism (VTE) remains a serious yet preventable complication in hospitalized patients. In Japan, VTE prophylaxis in internal medical wards is underused compared with global practice. Purpose: To review current evidence on VTE epidemiology, risk assessment, and prophylaxis in Japanese…
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Artikel Jurnal
Efficacy and Safety of Imeglimin for Elderly Patients with Type 2 Diabetes: A Retrospective Real-World Study
Objective: To evaluate the efficacy and safety of imeglimin for elderly patients with type 2 diabetes mellitus (T2DM) in real-world clinical practice. Methods: This retrospective study included 65 consecutive patients with T2DM who initiated imeglimin 2,000 mg/ day between September 2021 and August…
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Dementia
Dementia is a clinical syndrome characterized by progressive cognitive decline severe enough to interfere with daily living and social functioning. With a rapidly aging world population, particularly notable in Japan, dementia is increasing in tandem with the population increase, making its early…
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From the Perspective of Japanese Hospitalists: Learning From the Role of Our Hospitalist Counterparts in the United States
Hospital medicine as a medical specialty has grown in the United States (U.S.) and Japan along differing trajectories, shaped by differences in financing, hospital structure, and professional roles. This comparative perspective is based on direct observations by a Japanese physician who spent six…
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Artikel Jurnal
Axillary histiocytic necrotizing lymphadenitis (Kikuchi disease)
A 31-year-old Japanese woman with no significant medical history presented with a 10-day history of fever and left axillary pain. She denied recent trauma, contact with cats, or vaccinations. Examination revealed multiple tender lymph nodes in the left axilla. Laboratory tests showed a normal…