We demonstrated a combination of online medication counseling and drone delivery of medications dispensed by pharmacists in two rural clinics located far from pharmacies on remote islands in Japan. After being prescribed by physicians, dispensed by pharmacists, and online medication counseling, the medications were transported by autonomous fixed-wing drones, dropped, and picked up by the staff.

The purpose of this study is to statistically identify the risk factors for hypertonic dehydration among older population in Japan. This cross-sectional study included outpatients aged ≥65 years who visited an internal medicine clinic. Decreased fluid intake, obesity, diabetes mellitus, and polypharmacy were independently associated with hypertonic dehydration in older Japanese outpatients.

In this report, we demonstrate that spinal stenosis is associated with amyloid deposits in the spine. We further demonstrate that amyloid deposits are present not only in the ligamentum flavum but also in the disc tissue. We subsequently examined patients for transthyretin amyloid cardiomyopathy and found no evidence in patients tested.

Typically, for detecting anemia, primary care physicians subjectively judge whether or not a patient is pale by looking at the color of the conjunctiva, lips, nails, and palms. In this study, we have identified which part of the body is most suitable for assessing paleness.

Diagnostic biases are potentially life-threatening. We present a case of extreme hypercalcemia falsely diagnosed as premature ventricular complexes attributed to heavy coffee consumption, while symptoms and electrocardiographic findings of hypercalcemia were disregarded.

An 88-year-old woman was diagnosed with crowned dens syndrome. Magnetic resonance imaging showed an abscess around the odontoid process. The patient was also found to have infective endocarditis.

This study aimed to reveal how family medicine can swiftly respond to healthcare needs by examining an inaugural family medicine clinic. These findings underscore the unique significance of family medicine clinics, particularly in areas with abundant specialist medical care resources.