{"title":"Unlocking the potential of primary care: addressing systemic challenges in chronic disease prevention.","authors":"Jose Eric Mella Lacsa","doi":"10.4082/kjfm.24.0282","DOIUrl":"https://doi.org/10.4082/kjfm.24.0282","url":null,"abstract":"","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acquaintance and Acceptance of Menstrual Cups among Women of Reproductive Age: A Hospital-Based Cross-Sectional Study from North India.","authors":"Priya Bindal, Lajya Devi Goyal, Priyanka Garg","doi":"10.4082/kjfm.24.0083","DOIUrl":"https://doi.org/10.4082/kjfm.24.0083","url":null,"abstract":"<p><strong>Background: </strong>Menstrual hygiene is crucial to a woman's physical, social, and mental well-being. The menstrual cup offers a safe and effective solution but still requires wider adoption. This study aims to assess awareness, practices, and barriers regarding the use of menstrual cups among women of reproductive age.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 246 participants, randomly selected from outpatient settings of a tertiary care hospital in 2022. Non-pregnant menstruating women were included, while those with pelvic infections or cognitive impairments were excluded. After explaining the study's purpose and ensuring anonymity, data were collected using a structured questionnaire adapted from previous studies conducted in India and abroad. Knowledge and practices were depicted using descriptive statistics, while factors affecting awareness were analyzed using a multivariable binary logistic regression analysis approach.</p><p><strong>Results: </strong>Approximately 64.2% of participants were aware of menstrual cups, but only three were users. Participants living in urban areas, practicing Hinduism, and marrying after the age of 20 years showed higher awareness. Users rated the cup as comfortable, with no skin irritation, foul odor, or dryness. The primary barrier to use was insufficient knowledge.</p><p><strong>Conclusion: </strong>There is a gap in awareness and usage of menstrual cups, especially in low- and middle-income countries like India. Preliminary feedback from users is encouraging, suggesting that menstrual cups could offer a cost-effective, eco-friendly, and sustainable way to improve menstrual hygiene.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wonyoung Jung, Seung-Won Oh, Se-Hong Kim, Soo Young Kim
{"title":"Unhealthy alcohol use: screening and behavioral counseling interventions.","authors":"Wonyoung Jung, Seung-Won Oh, Se-Hong Kim, Soo Young Kim","doi":"10.4082/kjfm.24.0115","DOIUrl":"10.4082/kjfm.24.0115","url":null,"abstract":"<p><strong>Background: </strong>Despite the increase in daily alcohol intake in recent decades and the implementation of national health screenings, effective management strategies for alcohol consumption remain outdated. This review evaluates intervention studies on screening and behavioral counseling for unhealthy alcohol use, with the aim of enhancing the effectiveness of interventions and improving health outcomes.</p><p><strong>Methods: </strong>On the basis of the GRADE (Grading of Recommendations Assessment, Development, and Evaluation)- ADOLOPMENT framework, systematic reviews and randomized controlled trials were examined to investigate the effectiveness of screening and counseling interventions in reducing unhealthy alcohol use. Five key questions were generated, and an evaluation and quality assessment of existing systematic reviews and new evidence related to each key question were conducted.</p><p><strong>Results: </strong>Updating the U.S. Preventive Services Task Force and Cochrane 2018 reviews, we identified five new randomized trials that evaluated screening and counseling interventions for unhealthy alcohol use. For Key Question 2, the sensitivity and specificity of the new screening studies were consistent with those of prior research. Brief interventions were confirmed to reduce alcohol use (Key Question 4a), although additional research is required for a wider array of health outcomes. One study highlighted the benefits of counseling interventions for newborn health indicators in pregnant women (Key Question 4b). No new evidence was found regarding the harms of screening (Key Question 3) or alcohol use reduction interventions (Key Question 5).</p><p><strong>Conclusion: </strong>This review supports the continued use of brief interventions to reduce alcohol consumption in highrisk groups and highlights the need for culturally tailored research in Korea.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"20-26"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yoo-Bin Seo, Sang-Wook Song, Sung-Goo Kang, Soo Young Kim
{"title":"Tobacco cessation: screening and interventions.","authors":"Yoo-Bin Seo, Sang-Wook Song, Sung-Goo Kang, Soo Young Kim","doi":"10.4082/kjfm.24.0034","DOIUrl":"10.4082/kjfm.24.0034","url":null,"abstract":"<p><strong>Background: </strong>Tobacco use has been the leading cause of disease and death in South Korea. Early detection of tobacco use and evidence-based interventions play pivotal roles in facilitating tobacco cessation.</p><p><strong>Methods: </strong>In accordance with the earlier iterations of the Lifetime Health Maintenance Program (2009) and recent recommendations from the United States Preventive Services Task Force (USPSTF; 2021), two themes were chosen for investigation: the identification of and intervention for tobacco use. The USPSTF recommendations were formulated by conducting an overview of reviews. In this study, literature searches and quality assessments of reviews were conducted.</p><p><strong>Results: </strong>The findings highlighted the efficacy of physician-led identification and advising in promoting tobacco cessation, with robust evidence supporting the implementation of behavioral and pharmacological interventions. These interventions significantly increased the likelihood of successful cessation compared with usual care. Digital interventions, such as internet- or mobile-based interventions, showed additive effects for quitting.</p><p><strong>Conclusion: </strong>Identification and targeted interventions are essential for tobacco cessation. By leveraging evidencebased strategies and enhancing access to resources, healthcare providers can empower individuals to achieve successful tobacco cessation and improve overall health outcomes.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"12-19"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between obstructive sleep apnea and glaucoma.","authors":"Yoonchae Zoh, Jae Moon Yun","doi":"10.4082/kjfm.23.0162","DOIUrl":"10.4082/kjfm.23.0162","url":null,"abstract":"<p><strong>Background: </strong>Obstructive sleep apnea (OSA) and glaucoma are major global health challenges. However, the probable association between them is yet to be fully elucidated. This study aimed to investigate the association between OSA and glaucoma.</p><p><strong>Methods: </strong>Data for this cross-sectional study were obtained from the eighth Korea National Health and Nutrition Examination Survey (2019-2021). From among 9,495 individuals who completed the STOP-Bang questionnaire on OSA (for those aged ≥40 years) and provided their glaucoma prevalence/intraocular pressure (IOP) data, 8,741 were selected for glaucoma prevalence analysis. A total of 754 individuals aged 80 years or older or those with missing confounding variable data were excluded. A separate subgroup of 8,627 individuals was selected for IOP analysis after excluding 114 individuals who use glaucoma eye drops. The study employed linear and logistic regression analyses with Stata/MP ver. 17.0 (Stata Corp., USA) to understand the relationship between the risk of OSA assessed using the STOP-Bang score and key glaucoma indicators, adjusted for confounders. Statistical significance was set at a P-value <0.05.</p><p><strong>Results: </strong>The average±standard deviation [SD] age of the glaucoma prevalence study group was 56.59±10.48, and 42.98% were male. Notably, every unit increase in the STOP-Bang score was associated with a greater risk of glaucoma (odds ratio, 1.097; P=0.044). In the IOP subgroup, the average±SD age was 56.49±10.45 years, with 42.88% being males. The linear regression showed a statistically significant relationship between the STOP-Bang score and IOP after adjusting for confounding variables (β=0.171, P<0.001).</p><p><strong>Conclusion: </strong>Our findings revealed a significant positive association between OSA risk, as measured using the STOP-Bang score, and both the likelihood of glaucoma and high IOP.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"35-41"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial intelligence implementation in the management of patients with tuberculosis.","authors":"Erlina Wijayanti, Ummi Azizah Rachmawati, Citra Fitri Agustina","doi":"10.4082/kjfm.24.0268","DOIUrl":"10.4082/kjfm.24.0268","url":null,"abstract":"","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"46 1","pages":"52-53"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hemicrania continua with rhinosinusitis: a case report.","authors":"Dae Hyun Kim, Yoonseo Lee","doi":"10.4082/kjfm.24.0178","DOIUrl":"10.4082/kjfm.24.0178","url":null,"abstract":"<p><p>Hemicrania continua (HC) is an indomethacin-responsive headache, characterized by unilateral and continuous headaches with cranial autonomic symptoms. Various pathologies, including sinus-related conditions, are associated with HC. Here, we report the case of a 62-year-old man with HC and rhinosinusitis. The patient complained of a unilateral continuous headache with ipsilateral cranial autonomic symptoms, conjunctival injection, and eyelid edema for 20 months. HC was identified as a potential diagnosis based on the symptom criteria, and a response to indomethacin confirmed the diagnosis. Trigeminal autonomic cephalalgia should be considered in patients with unilateral headaches and cranial autonomic symptoms.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"46 1","pages":"48-51"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What is the optimal number of physicians for a sustainable healthcare system?","authors":"Seung-Won Oh","doi":"10.4082/kjfm.46.1E","DOIUrl":"10.4082/kjfm.46.1E","url":null,"abstract":"","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"46 1","pages":"1-3"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Variables in the projection of physician demand and supply in primary care.","authors":"Dae Hyun Kim, Yoonseo Lee","doi":"10.4082/kjfm.24.0153","DOIUrl":"10.4082/kjfm.24.0153","url":null,"abstract":"<p><p>Primary care services improve healthcare outcomes and limit unnecessary specialty care. Thus, it is essential to monitor primary care physician demand and supply projections to suggest evidence-based healthcare reforms and promote better healthcare delivery. This study evaluates 28 demand variables, 50 supply variables, and 26 additional variables associated with the demand and supply projections of physicians by reviewing scenarios from other countries, including Taiwan, Singapore, Japan, and the United States of America. The results indicate that Korea uses less diverse demand and supply indicators and suggest the need to implement variables used in the other four countries to improve projection modeling.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"4-11"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Myungeun Kim, Kyung-Jin Lee, In Choi, Seung Hee Kim, Kunyoung Ryu
{"title":"Relationship between Heated Tobacco Product Use and Low-Density Lipoprotein Cholesterol in Korean Adults: A Cross-Sectional Study Using Korea National Health and Nutrition Examination Survey 2018-2021 (VII-1 and VIII).","authors":"Myungeun Kim, Kyung-Jin Lee, In Choi, Seung Hee Kim, Kunyoung Ryu","doi":"10.4082/kjfm.24.0201","DOIUrl":"https://doi.org/10.4082/kjfm.24.0201","url":null,"abstract":"<p><strong>Background: </strong>The use of heated tobacco products (HTPs) among Korean adults has been steadily increasing since they were first introduced in 2017. It is known that smoking combustible cigarettes (CCs) adversely affects the serum lipid profile and increases the risk of cardiovascular disease. However, the health impacts of HTPs remain under- researched. This study, therefore, aims to explore the effects of HTP use on serum lipid levels.</p><p><strong>Methods: </strong>This study involved 10,309 participants, selected from the Korea National Health and Nutrition Examination Survey VII-1 and VIII conducted between 2018 and 2021. Participants were categorized based on their smoking status: \"HTPs ever user\" included dual, triple, and past HTP users; \"current HTPs only user\" for those exclusively using HTPs; \"current CCs only user\" for those exclusively smoking CCs; and \"never smoker.\" Logistic regression analysis was used to assess the impact of smoking type on serum lipid concentrations.</p><p><strong>Results: </strong>The analysis revealed that the \"HTPs ever user\" group had a higher odds ratio (OR) for elevated total cholesterol compared to the \"never smoker\" group (OR, 1.40; 95% confidence interval [CI], 1.03-1.92). The likelihood of having high low-density lipoprotein (LDL)-cholesterol was greatest in the \"current HTPs only user\" group when compared to \"never smokers\" (OR, 1.71; 95% CI, 1.01-2.89).</p><p><strong>Conclusion: </strong>The findings indicate that exclusive use of HTPs is linked to an increased level of serum LDL-cholesterol. Further longitudinal studies are necessary to fully determine the health risks associated with HTPs.</p>","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142895769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}