Purpose : To seek opinions of medical doctors regarding self-management of assessed personal problems in health information records (SAPPHIRE) by patients themselves.
Methods : Ten-item questionnaires regarding SAPPHIRE were sent to each of two groups of medical doctors, using regular mail for A) doctors of private clinics, and hand-delivered to B) doctors working in a large hospital.
Results : Of the responding 292 medical doctors, 72.9% were in favor of using SAPPHIRE. More medical doctors of private clinics indicated preference for recording and assessment by a medical doctor (47.4%) than doctors working in a large hospital (25.2%). On average, responding medical doctors answered that problem lists could be recorded by co-medical staff (44.1%), but in the end, need to be created with the trustworthy assessment of a medical doctor (79.7%).
Conclusion : More than 70% of medical doctors responded in favor of using SAPPHIRE. Patients' reliable problem lists could be recorded by co-medical staff or a medical doctor, but need to be created with the trustworthy assessment of a medical doctor.

Objective: To clarify the barriers pharmacists face in handling patients with adverse drug events at community pharmacies and to propose solutions.
Design: Cross-sectional study.
Methods: One hundred-twenty-one pharmacists, who worked and experienced to work at community pharmacies (76.0%), hospitals (22.3%), or elsewhere, participated in this study.  All of them were divided into 12 groups and asked to note the barriers, and abstract and structure them through discussion in each group according to the KJ-method.  On the other hand, workers at community pharmacies including people with experience were also asked to fill out a prepared questionnaire on barriers.
Results: Six groups structured the barriers from the perspective of professional flow as pharmacists and the other groups structured them from the perspective of a medical care team.  The barriers emerging from both structures were (a) difficulty in identifying adverse drug reaction and assessing its grade at community pharmacies, (b) lack of standardized protocols for informing physicians from community pharmacies, (c) not being informed about a physician’s assessment of suspicious adverse drug reactions, and (d) difficulty in explaining adverse events to patients and their families.  Those barriers were reported by a high percentage of respondents to the questionnaire.
Conclusion: The barriers are all crucial in order to avoid health damage caused by medication at community pharmacies and should be urgently solved.

Reductions in masticatory function as a result of tooth loss have a negative impact on nutrient intake, decreasing general health. In addition, studies have reported an association between lower socioeconomic status (SES) and both higher numbers of lost teeth and worse nutrient intake status. Nakamura et al. conducted a study to clarify the relationship between number of teeth and nutrient intake status in their paper "Having few remaining teeth is associated with a low nutrient intake and low serum albumin levels in middle-aged and older Japanese individuals: Findings from the NIPPON DATA", evaluating not only data obtained from a household-based dietary survey but also serum albumin levels as a nutritional biomarker. Importantly, the present study also took into account the individual SES of subjects in the analysis of number of teeth and nutrient intake. The present results show that the trend for poorer nutrient intake with lower number of teeth is more marked among individuals with low SES. It is therefore essential that individual SES is taken into account in efforts to improve nutrient intake and thus contribute to general health through oral health.
Diet ; Energy Intake ; Humans ; Japan ; Middle Aged ; Nutrients ; Tooth Loss