Korean Journal of Family Medicine最新文献_第10页

YouTube, Health Information, and Health Literacy. YouTube，健康信息和健康素养。

IF 2.3

Korean Journal of Family Medicine Pub Date : 2023-11-01 Epub Date: 2023-11-17 DOI: 10.4082/kjfm.44.6E

Seung-Won Oh

引用次数: 0

Family Involvement to Stop the Conversion of Prediabetes to Diabetes. 家庭参与阻止糖尿病前期转化为糖尿病。

IF 2.3

Korean Journal of Family Medicine Pub Date : 2023-11-01 Epub Date: 2023-08-14 DOI: 10.4082/kjfm.23.0019

Denny Anggoro Prakoso, Yodi Mahendradhata, Wahyudi Istiono

{"title":"Family Involvement to Stop the Conversion of Prediabetes to Diabetes.","authors":"Denny Anggoro Prakoso, Yodi Mahendradhata, Wahyudi Istiono","doi":"10.4082/kjfm.23.0019","DOIUrl":"10.4082/kjfm.23.0019","url":null,"abstract":"Prediabetes is a condition associated with an increased risk of developing diabetes, in which blood glucose levels are high but not high enough to be diagnosed as diabetes. The rapid increase in the prevalence of prediabetes is a major global health challenge. The incidence of prediabetes has increased to pandemic levels and can lead to serious consequences. Unfortunately, nearly 90% of prediabetic individuals are unaware of their ailment. A quarter of prediabetic individuals develop type 2 diabetes mellitus (T2DM) within 3-5 years. Although prediabetes is a reversible condition, the prevention of diabetes has received little attention. It is essential for prediabetic individuals to implement new health-improvement techniques. Focusing on family systems is one strategy to promote health, which is determined by health patterns that are often taught, established, and adjusted within family contexts. For disease prevention, a family-based approach may be beneficial. Family support is essential for the metabolic control of the disease. This study aimed to show several strategies for involving the patient's family members in preventing the conversion of prediabetes to T2DM and to emphasize that the patient's family members are a valuable resource to reduce the incidence of diabetes.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"303-310"},"PeriodicalIF":2.3,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10667073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10359405","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}

引用次数: 0

Low Serum Creatinine as Well as High Serum Creatinine Is Associated with Prognosis of Patients with Cancer in End-of-Life. 低血清肌酸和高血清肌酸与癌症患者的预后相关。

IF 2.3

Korean Journal of Family Medicine Pub Date : 2023-10-27 DOI: 10.4082/kjfm.23.0116

Yoo Jeong Lee, Soon-Young Hwang, Su Hyun Kim, Youn Seon Choi

{"title":"Low Serum Creatinine as Well as High Serum Creatinine Is Associated with Prognosis of Patients with Cancer in End-of-Life.","authors":"Yoo Jeong Lee, Soon-Young Hwang, Su Hyun Kim, Youn Seon Choi","doi":"10.4082/kjfm.23.0116","DOIUrl":"https://doi.org/10.4082/kjfm.23.0116","url":null,"abstract":"Background: The prognosis of end-of-life patients is challenging, and clinicians have attempted to predict survival more accurately. High serum creatinine (sCr) levels are associated with lower survival rates in patients with various cancers; however, low sCr levels are commonly expected in patients with terminal cancer because of muscle wasting and malnutrition. Therefore, we investigated the prevalence of low and high sCr levels and their association with survival duration in patients with terminal cancer in a palliative care unit.Methods: We analyzed the medical records of 280 patients admitted to a palliative care unit. Patients were divided into low (<0.5 mg/dL), normal (0.5-1.2 mg/dL), and high (>1.2 mg/dL) sCr groups. Kaplan-Meier survival curves using sCr levels were plotted and compared using the log-rank test. Using stepwise selection, a multivariable Cox proportional hazards model was used to identify the significant prognostic factors.Results: The median survival durations in the high-, low-, and normal-sCr groups were 9.57 days, 22.26 days, and 27.51 days, respectively. Multivariable Cox proportional hazard model identified that males (hazard ratio [HR], 1.81; 95% confidence interval [CI], 1.16-2.85), poor performance status (HR, 3.43; 95% CI, 1.12-10.54), total parenteral nutrition use (HR, 1.84; 95% CI, 1.09-3.1), high sCr (HR, 2.74; 95% CI, 1.52-4.94), and low sCr (HR, 1.22; 95% CI, 1.07-1.43) were significantly associated with a shorter survival time.Conclusion: Low and high serum creatinine levels were significantly associated with poor survival in patients with cancer at the end-of-life stage. Therefore, readily available and simple biomarkers may help plan advanced care in palliative care settings.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54229835","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}

引用次数: 0

Experience of Lifetime Health Maintenance Program: An Observational Study of a 30-Year Period of Outpatient Primary Care in a Tertiary Hospital. 终身健康维护计划的经验：一项对三级医院门诊初级保健30年的观察研究。

IF 2.3

Korean Journal of Family Medicine Pub Date : 2023-09-01 Epub Date: 2023-08-14 DOI: 10.4082/kjfm.23.0023

Seo Young Kang, Young Sik Kim

{"title":"Experience of Lifetime Health Maintenance Program: An Observational Study of a 30-Year Period of Outpatient Primary Care in a Tertiary Hospital.","authors":"Seo Young Kang, Young Sik Kim","doi":"10.4082/kjfm.23.0023","DOIUrl":"10.4082/kjfm.23.0023","url":null,"abstract":"Background: This study aimed to identify the clinical content of patients registered with the Lifetime Health Maintenance Program (LHMP) under the care of a single family physician who introduced and operated the program in Korea at a tertiary hospital for over 30 years.Methods: We analyzed the electronic medical records of 745 patients who had registered for more than 3 times with the LHMP under the care of a single family physician between January 1, 2010 and December 31, 2019. We reviewed medical records from June 1989, when the hospital was established, to February 2022. The participants' age at the time of LHMP enrollment, sex, initial consultation date, final consultation date, and consultation content were evaluated.Results: Patients visited the LHMP for various reasons, including acute symptom management, chronic disease management, psychiatric consultation, counseling on health behaviors, health checkups, and vaccination. The top five diagnoses for acute symptom management were upper respiratory infection, abdominal pain, dizziness/vertigo, headache, and lower back pain, whereas those for chronic disease management were dyslipidemia, hypertension, osteoarthritis, osteoporosis/osteopenia, and diabetes. More than one in five patients received psychiatric consultation and counseling on health behaviors. As the duration of the program enrollment increased, the proportion of patients visiting the LHMP for acute symptoms, vaccinations, and health checkups also increased. Furthermore, the number of categories of consultation content increased for each patient.Conclusion: The LHMP emphasized the need to systematize regular primary care physicians in Korea. Policy changes are necessary to strengthen primary care, and the LHMP serves as an intermediate step in organizing regular primary care physicians in Korea.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"281-288"},"PeriodicalIF":2.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d6/99/kjfm-23-0023.PMC10522474.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381087","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}

引用次数: 0

Post-traumatic Fibro-Osseous Lesion of the Fourth Rib Simulating a Chest Wall Tumor: A Case Report. 模拟胸壁肿瘤的创伤后第四肋骨纤维骨病变：一例报告。

IF 2.3

Korean Journal of Family Medicine Pub Date : 2023-09-01 Epub Date: 2023-06-20 DOI: 10.4082/kjfm.22.0223

Mouna Brahem, Olfa Jomaa, Mabrouk Abdelali, Rihab Sarraj, Amine Bayoudh, Leila Njim, Ahmed Zrig, Abdelfatteh Zakhama, Haifa Hachfi, Mohamed Younes

{"title":"Post-traumatic Fibro-Osseous Lesion of the Fourth Rib Simulating a Chest Wall Tumor: A Case Report.","authors":"Mouna Brahem, Olfa Jomaa, Mabrouk Abdelali, Rihab Sarraj, Amine Bayoudh, Leila Njim, Ahmed Zrig, Abdelfatteh Zakhama, Haifa Hachfi, Mohamed Younes","doi":"10.4082/kjfm.22.0223","DOIUrl":"10.4082/kjfm.22.0223","url":null,"abstract":"Post-traumatic fibro-osseous lesions (PTFOL) are a rare and benign tumor that typically affects the ribs and is probably caused by an excessive post-traumatic reactive process. PTFOL primarily affects the sixth, seventh, and eighth ribs. Here, we report a case of a PTFOL with an unusual location and expansion that simulated a malignant chest tumor. A 28-year-old male patient with a history of minor chest trauma presented with pain. Chest radiography revealed a large, well-defined lesion on the left fourth rib, and computed tomography (CT) of the chest revealed a lytic lesion-type IC on the posterior and middle arches of the left fourth rib with a cartilaginous matrix and discontinued periosteal reaction without soft tissue mass extension. Additionally, magnetic resonance imaging of the chest revealed an ovoid, expansive mass with cystic lobules and lobulated contours extending almost over the entire left fourth rib, measuring 134×47 mm in size. This mass has a low signal on T1-weighted images and a heterogeneous intermediate signal on T2-weighted images, with intense enhancement after gadolinium injection suggestive of a malignant chest tumor. A CT-guided bone biopsy confirmed the presence of an intramedullary lesion consisting of fibrous connective tissue with fusiform fibroblastic cells without atypical signs. The lesion was delimited by bone trabeculae with nibbled edges, indicating exaggerated osteoclastic activity compatible with a diagnosis of PTFOL. The patient was treated with simple analgesics, and chest pain was relieved, with an unchanged volume of the lesion at 1 year of follow-up.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"295-298"},"PeriodicalIF":2.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/56/kjfm-22-0223.PMC10522475.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9664267","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}

引用次数: 0

Association between Problematic Smartphone Use and Physical Activity among Adolescents: A Path Analysis Based on the 2020 Korea Youth Risk Behavior Web-Based Survey. 青少年有问题的智能手机使用与体育活动之间的关系：基于2020年韩国青少年风险行为网络调查的路径分析。

IF 2.3

Korean Journal of Family Medicine Pub Date : 2023-09-01 Epub Date: 2023-07-21 DOI: 10.4082/kjfm.22.0154

Ahnhyun Jeong, Soorak Ryu, Solji Kim, Hoon-Ki Park, Hwan-Sik Hwang, Kye-Yeung Park

{"title":"Association between Problematic Smartphone Use and Physical Activity among Adolescents: A Path Analysis Based on the 2020 Korea Youth Risk Behavior Web-Based Survey.","authors":"Ahnhyun Jeong, Soorak Ryu, Solji Kim, Hoon-Ki Park, Hwan-Sik Hwang, Kye-Yeung Park","doi":"10.4082/kjfm.22.0154","DOIUrl":"https://doi.org/10.4082/kjfm.22.0154","url":null,"abstract":"Background: Physical activity is known to prevent several diseases and positively affect mental health. Previous studies have shown that smartphone addiction negatively affects the physical activity of children and adolescents. This study aimed to investigate the relationship between problematic smartphone use and physical activity among adolescents and the related factors using path analysis.Methods: Using data from the 16th Youth Risk Behavior Web-based Survey from 2020, scores on the Smartphone Addiction Scale-Short Version for Adolescents, physical activity, sex, socioeconomic status (SES), academic performance, depression, smoking, drinking, and sitting time were assessed. Complex sampling and path analyses were performed.Results: Of the total 54,948 students, 25.5% were smartphone risk users, including potential and high-risk users. The direct path coefficients of each factor indicated that female sex (-0.14 for male), low SES (-0.062), high academic performance (0.056), low sitting time for studying purposes (-0.033), high sitting time for non-studying purposes (0.071), and depressive mood (0.130) were related to problematic smartphone use (all P<0.001). Each factor affected problematic smartphone use, and subsequently had a negative effect on the amount of physical activity, with a direct path coefficient of -0.115 (P<0.001).Conclusion: In this study, we confirmed that problematic smartphone use among adolescents was negatively associated with performing an adequate amount of physical activity and that various factors, such as sex, SES, academic performance, and sitting time, directly and indirectly affected this relationship.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"44 5","pages":"268-273"},"PeriodicalIF":2.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9b/e1/kjfm-22-0154.PMC10522472.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41176615","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}

引用次数: 1

Associations of Alcohol Consumption and Smoking Behaviors with Depressed Mood According to Gender in Korean Young Adults. 韩国年轻人按性别划分的饮酒和吸烟行为与抑郁情绪的关系。

IF 2.3

Korean Journal of Family Medicine Pub Date : 2023-09-01 Epub Date: 2023-07-07 DOI: 10.4082/kjfm.22.0146

Jung Won Hwang, Youngmi Eun, Chan-Hee Song

{"title":"Associations of Alcohol Consumption and Smoking Behaviors with Depressed Mood According to Gender in Korean Young Adults.","authors":"Jung Won Hwang, Youngmi Eun, Chan-Hee Song","doi":"10.4082/kjfm.22.0146","DOIUrl":"10.4082/kjfm.22.0146","url":null,"abstract":"Background: Recent studies have reported that chronic mental health problems often emerge in young adulthood. This study elucidated the independent effects of smoking and drinking on depressed mood in young adults by sex.Methods: We used Data from the Korea National Health and Nutrition Examination Surveys conducted in 2014, 2016, and 2018. A total of 3,391 participants aged 19-35 years, without serious chronic diseases, were recruited for this study. Depression was evaluated using the Patient Health Questionnaire (PHQ-9).Results: Smoking behavior, current smoking, and number of days smoked were significantly associated with higher PHQ-9 scores in both men and women (all P<0.05). However, past and ever smoking were positively associated with PHQ-9 scores only in women (all P<0.001). Regarding alcohol consumption, the age at which drinking first began was negatively associated with PHQ-9 scores in both men and women (all P<0.001), but the amount of alcohol consumed at 1 time was positively associated with PHQ-9 scores only in women (P=0.013). Men who drank 2-4 times a month and women who had not drunk during the past year had the lowest PHQ-9 scores.Conclusion: Smoking and alcohol consumption were independently associated with depressed mood in young Korean adults, which was more pronounced in women, and exhibited sex-specific characteristics.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"274-280"},"PeriodicalIF":2.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/6e/kjfm-22-0146.PMC10522473.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9763706","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}

引用次数: 0

Correspondence: Clinical Course of Adverse Effects after COVID-19 Vaccination. 通讯：新冠肺炎疫苗接种后不良反应的临床过程。

IF 2.3

Korean Journal of Family Medicine Pub Date : 2023-09-01 Epub Date: 2023-07-24 DOI: 10.4082/kjfm.23.0020

Amnuay Kleebayoon, Viroj Wiwanitkit

{"title":"Correspondence: Clinical Course of Adverse Effects after COVID-19 Vaccination.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.4082/kjfm.23.0020","DOIUrl":"10.4082/kjfm.23.0020","url":null,"abstract":"Copyright © 2023 The Korean Academy of Family Medicine This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Dear Editor, We would like to share our opinion on the article “Discussion on the clinical course of adverse effects after COVID-19 vaccination: a retrospective analysis of case series in an outpatient department.” To pinpoint the precise source of symptoms, Rhim et al. identified risk variables and investigated the clinical course. According to them, a primary physician plays a crucial role in thoroughly evaluating patients who complain of ill effects following vaccination, considering the vast array of symptoms and medical problems reported. Moreover, obtaining a complete medical history and nutritional counseling are necessary to identify potential underlying causes, treat symptoms, and instruct patients on self-care and adverse reactions to their chosen vaccines. We agree that vulvar aphthous ulcers may develop after receiving a coronavirus disease 2019 (COVID-19) vaccine. Immunization might have led to this case series. Co-morbidity and antecedent immunological/gynecological issues must be ruled out before concluding that the clinical condition resulted from the COVID-19 vaccine. Furthermore, since asymptomatic COVID-19 is not uncommon, it is crucial to rule out asymptomatic COVID-19 in people who need specific laboratory tests in order to avoid misdiagnosis.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"299"},"PeriodicalIF":2.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/1c/kjfm-23-0020.PMC10522471.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857976","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}

引用次数: 0

Immediate Antecedents of Intentions for Having Children in Southeast Iranian Women. 伊朗东南部妇女生育意愿的直接前因。

IF 2.3

Korean Journal of Family Medicine Pub Date : 2023-09-01 Epub Date: 2023-08-18 DOI: 10.4082/kjfm.23.0048

Javad Ghasemi, Mansoureh Safizadeh, Zahra Khajeh, Nouzar Nakhaee

{"title":"Immediate Antecedents of Intentions for Having Children in Southeast Iranian Women.","authors":"Javad Ghasemi, Mansoureh Safizadeh, Zahra Khajeh, Nouzar Nakhaee","doi":"10.4082/kjfm.23.0048","DOIUrl":"10.4082/kjfm.23.0048","url":null,"abstract":"Background: Over the last decade, Iran has experienced a declining birth trend. Identifying the proximate determinants of fertility intentions among married women is informative for population studies. This study aimed to examine the importance of three immediate antecedents of fertility intention.Methods: We invited 1,100 married women to complete a well-validated questionnaire based on the theory of planned behavior (TPB). The sampling framework consisted of visitors attending hospitals in two cities in southeastern Iran. Intention for having children was measured using the item \"Do you intend to have a/another child during the next 3 years?\" Attitude, subjective norms, and perceived behavioral control were measured using eight, three, and three items, respectively. Structural equation modeling was used to specify the model and to test the predictive ability of the TPB constructs.Results: The response rate was 90.7% (N=998), and the mean±standard deviation age of the respondents was 34.8±7.4 years. More than 50% of the respondents reported intending to have a child in the next 3 years. All three TPB model constructs showed significant associations with fertility intentions. The standardized beta coefficients for attitudes, subjective norms, and perceived behavioral control were 0.74, 0.41, and 0.55, respectively.Conclusion: The TPB model showed that psychological mechanisms play an important role in predicting the childbearing intentions of married women in Iran. Of the three TPB constructs, attitude was the strongest predictor of the intention to have a child.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"289-294"},"PeriodicalIF":2.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/13/kjfm-23-0048.PMC10522470.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10034079","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}

引用次数: 0

Does Excessive Smartphone Use Reduce Physical Activity in Adolescents? 过度使用智能手机会减少青少年的体育活动吗？

IF 1.4

Korean Journal of Family Medicine Pub Date : 2023-09-01 Epub Date: 2023-09-20 DOI: 10.4082/kjfm.44.5E

Soo Young Kim

引用次数: 0