Introduction: We aimed to evaluate the impact of lifestyle modifications on the risk of eradication failure in patients undergoing first-line therapy for Helicobacter pylori infection.

Methods: A survey was conducted in a community pharmacy to assess changes in alcohol consumption, smoking, and high-fat diet intake before, during, and after first-line therapy for H. pylori infection in enrolled patients.

Results: A total of 100 patients (response rate: 3.4%) were included in the analysis. Before therapy, 20 patients (20%) smoked, 35 patients (35%) consumed alcohol, and 91 patients (91%) had a high-fat diet. During therapy, the proportion of patients who changed their habits was 15.0% (3/20) for smoking, 71.4% (25/35) for alcohol consumption, and 28.6% (26/91) for high-fat diet. However, the continuation of these changes post-therapy was minimal.

Conclusion: Among patients undergoing first-line therapy for H. pylori infection, lifestyle habits that increase the risk of eradication failure were prevalent, with many patients maintaining their habits during therapy except for alcohol consumption. These findings provide fundamental data for lifestyle counselling during eradication therapy.

Introduction: Kameda Family Clinic Tateyama (hereafter referred to as "the clinic" ) has been providing antenatal care by family physicians in collaboration with the Department of Obstetrics and Gynecology of Kameda General Hospital (hereafter referred to as "the main hospital" ) since 2006, but the scope of the program was limited to low-risk pregnant women up to 34 weeks of pregnancy. The program was expanded to include some high-risk pregnant women and full-term pregnant women. We conducted a retrospective study to determine how much the burden of hospital visits by pregnant women was reduced.

Methods: We compared the actual situation of antenatal checkups with that assumed in the management before 2021, and analyzed the reduced number of visits to the main hospital and the total distance of visits to the main hospital.

Results: Twenty-seven pregnant women were included in the study, and the median number of visits to the main hospital was reduced by 3 visits and the median distance of the main hospital visits was reduced by 183.6 km. In the high-risk group, the median number of visits to the main hospital was reduced by 5.5 times, and the median distance of visits was reduced by 257.6 km.

Conclusion: Expansion of antenatal checkups using ICT technology safely reduced the distance of hospital visits for pregnant women.

The growing prevalence of outpatient chemotherapy highlights the vital role that community pharmacists have in patient care. An online interaction meeting was held annually over a three-year period that aimed to foster mutual understanding between patients with cancer and community pharmacists. Each session involved six pharmacists and seven to eight cancer patients, with the same pharmacists participating each year. These meetings highlighted the potential of community pharmacists to reduce patient anxiety and provide treatment guidance, underscoring the importance of connecting patients with pharmacists.

At the University of Miyazaki, reflective learning is integrated into the community-based training of medical students through the use of Significant Event Illustration (SEI), a method developed in relation to Significant Event Analysis. This report outlines the characteristics, practical implementation, and key considerations of SEI in our department, as well as a summary of its activities.

Sports medicine requires a multidisciplinary and comprehensive approach, making it highly compatible with primary care. Internationally, there are many primary care physicians in the field of sports medicine; however, there are few in Japan. Although the demand for learning about sports medicine is high, there are few facilities where primary care physicians can undergo training. This report discusses the initiatives and prospects of the Kameda Family Clinic Tateyama Primary Care Sports Medicine Fellowship Program, which was established in 2009 and revised and implemented in 2022.