Korean Journal of Family Medicine最新文献_第4页

Effect of Electronic Cigarettes on the Change of Fagerstrom Test for Nicotine Dependence Scores during 1-Year Follow-up. 电子香烟对一年随访期间法格斯托姆尼古丁依赖测试评分变化的影响。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-11-13 DOI: 10.4082/kjfm.24.0038

Saksorn Meelarp, Pantitra Singkheaw, Thanin Chattrapiban

{"title":"Effect of Electronic Cigarettes on the Change of Fagerstrom Test for Nicotine Dependence Scores during 1-Year Follow-up.","authors":"Saksorn Meelarp, Pantitra Singkheaw, Thanin Chattrapiban","doi":"10.4082/kjfm.24.0038","DOIUrl":"https://doi.org/10.4082/kjfm.24.0038","url":null,"abstract":"Background: The use of e-cigarettes is increasing globally, particularly among young adults. Although several use them to quit smoking, their effects are controversial. The Fagerstrom Test for Nicotine Dependence (FTND) was used to assess nicotine dependence in the smoking cessation process. This study examined changes in FTND scores among young adults using different types of cigarettes over a 1-year period.Methods: Prospective cohort data were collected from cigarette users at higher education institutions in the lower northern region of Thailand to analyze changes in FTND scores over a 1-year period. E-cigarette users and combined users were compared with conventional cigarette users. A marginal structural model (MSM) with an inverse probability of weighting (IPW) was used to adjust for time-dependent and time-independent confounders.Results: Of the 133 participants, 58 were e-cigarette users (43.6%), 33 were combined cigarette users (24.8%), and 42 were conventional cigarette users (31.6%). The results revealed that when both time-dependent and time-independent confounders were adjusted using MSM with IPW, e-cigarette users had a 0.20 decrease in the mean FTND score, and combined users had a 0.47 decrease in the mean FTND score compared to conventional cigarette users. However, the difference was not statistically significant.Conclusion: The use of e-cigarettes or combined cigarettes did not significantly affect nicotine dependence levels in young adults over a 1-year period. Consequently, e-cigarettes should not be recommended to reduce nicotine dependence among young adult cigarette users. Further studies are required to determine whether e-cigarettes affect smoking cessation rates.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622721","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

Usefulness of Glycated Albumin Levels in Predicting the Maternal or Neonatal Complications of Gestational Diabetes Mellitus during Late Pregnancy in South Korea: A Retrospective Study. 糖化白蛋白水平在预测韩国妊娠晚期妊娠糖尿病产妇或新生儿并发症中的作用：一项回顾性研究。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-11-12 DOI: 10.4082/kjfm.24.0048

Jihan Kim, Sami Lee, Jong Sung Kim

{"title":"Usefulness of Glycated Albumin Levels in Predicting the Maternal or Neonatal Complications of Gestational Diabetes Mellitus during Late Pregnancy in South Korea: A Retrospective Study.","authors":"Jihan Kim, Sami Lee, Jong Sung Kim","doi":"10.4082/kjfm.24.0048","DOIUrl":"https://doi.org/10.4082/kjfm.24.0048","url":null,"abstract":"Background: Gestational diabetes can lead to complications in pregnant women and neonates. Maternal glycated albumin levels during late pregnancy may help predict complications in both mothers and neonates.Methods: This study was conducted in 120 singleton pregnant women diagnosed with gestational diabetes who visited Trinium Woman's Hostipal between July 1, 2020, and June 30, 2022. In this study, the patients' medical records were retrospectively analyzed. Gestational diabetes was diagnosed using a two-step testing method, and glycated albumin tests were performed during the third trimester of pregnancy. The optimal cutoff value of glycated albumin for predicting maternal complications during pregnancy and neonatal complications was determined using the receiver operating characteristic curve.Results: A total of 45 patients developed maternal complications, with cesarean section (39 patients) due to fetal cephalopelvic disproportion being the most common. As for the neonatal complications, eight neonates were macrosomic or overweight, while 15 neonates required neonatal intensive care unit admission. Additionally, 13 patients had concurrent complications affecting both the mother and neonate. The glycated albumin level in patients with complications was 12.87%, which was significantly higher than that in patients without complications (glycated albumin, 11.67%) (P<0.001). The optimal cutoff value of glycated albumin for predicting maternal and neonatal complications was 12.45%. The sensitivity, specificity, and Youden index were 66.7 %, 86.7%, and 0.534, respectively.Conclusion: The third trimester glycated albumin test in mothers with gestational diabetes provides limited predictive value for maternal and neonatal complications.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142622827","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

Non-Insulin-Based Indices of Insulin Resistance for Predicting Incident Albuminuria: A Nationwide Population-Based Study. 以非胰岛素为基础的胰岛素抵抗指标预测白蛋白尿的发生：一项基于全国人口的研究。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-11-01 Epub Date: 2024-03-25 DOI: 10.4082/kjfm.23.0138

Hea Lim Choi, Juyeon Yang, Hye Sun Lee, Ji-Won Lee

{"title":"Non-Insulin-Based Indices of Insulin Resistance for Predicting Incident Albuminuria: A Nationwide Population-Based Study.","authors":"Hea Lim Choi, Juyeon Yang, Hye Sun Lee, Ji-Won Lee","doi":"10.4082/kjfm.23.0138","DOIUrl":"10.4082/kjfm.23.0138","url":null,"abstract":"Background: Studies have shown that incident albuminuria is associated with insulin resistance (IR); however, an IR marker that best predicts the prevalence of albuminuria has not yet been established. This study explored the association between IR and incident albuminuria using various IR indices, including the homeostasis model assessment of IR (HOMA-IR), metabolic score for IR (METS-IR), and triglyceride-glucose (TyG) index, and compared their predictive abilities for the prevalence of albuminuria.Methods: A total of 4,982 Korean adults from the 2019 Korea National Health and Nutritional Examination Survey were analyzed. The odds of albuminuria were determined using the quartiles of the IR indices. Receiver operating characteristic (ROC) curves were used to calculate the area under the ROC curve and predictability. The cutoff values for albuminuria detection were also computed.Results: An increase in the quartiles of all three IR indices was associated with incident albuminuria, even after full adjustment for covariates (HOMA-IR: odds ratio [OR], 1.906; 95% confidence interval [CI], 1.311-2.772; P=0.006; METS-IR: OR, 2.236; 95% CI, 1.353-3.694; P=0.002; TyG index: OR, 1.757; 95% CI, 1.213-2.544; P=0.003). The area under the ROC curve for incident albuminuria based on the HOMA-IR, METS-IR, and TyG indices was 0.594 (95% CI, 0.568-0.619), 0.633 (95% CI, 0.607-0.659), and 0.631 (95% CI, 0.606-0.656), respectively. The optimal cutoff values for predicting albuminuria were 2.38, 35.38, and 8.72 for the HOMA-IR, METS-IR, and TyG indices, respectively.Conclusion: The METS-IR and TyG indices outperformed HOMA-IR in predicting incident albuminuria.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"324-330"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207188","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 Combustible Cigarettes and Noncombustible Nicotine or Tobacco Products and Generalized Anxiety Disorder Based on Data from the 8th Korea National Health and Nutrition Examination Survey 2021. 基于 2021 年第八次韩国国民健康与营养调查数据的可燃卷烟和不可燃尼古丁或烟草制品与广泛性焦虑症之间的关系》，《韩国健康与营养调查》，2011 年第 2 期。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-11-01 Epub Date: 2024-03-25 DOI: 10.4082/kjfm.23.0172

Sungkwon Cho, Joo-Hyun Park, Do-Hoon Kim, Hangseok Choi, Youngdoo Park, Hyun-Jin Kim, An-Na Lee, Junghwa Shin, Jaesun Ha

{"title":"Association between Combustible Cigarettes and Noncombustible Nicotine or Tobacco Products and Generalized Anxiety Disorder Based on Data from the 8th Korea National Health and Nutrition Examination Survey 2021.","authors":"Sungkwon Cho, Joo-Hyun Park, Do-Hoon Kim, Hangseok Choi, Youngdoo Park, Hyun-Jin Kim, An-Na Lee, Junghwa Shin, Jaesun Ha","doi":"10.4082/kjfm.23.0172","DOIUrl":"10.4082/kjfm.23.0172","url":null,"abstract":"Background: Despite the increasing prevalence of anxiety disorders in Korea, there have been no nationwide studies on the association between tobacco status and generalized anxiety disorder (GAD). Furthermore, despite the increasing number of people using noncombustible nicotine or tobacco products (NNTPs), the association between NNTP use and GAD remains unclear. Therefore, this study investigated the association between tobacco use and GAD.Methods: This nationwide study used data from the 8th Korea National Health and Nutrition Examination Survey (2021) and included 5,454 adults aged ≥19 years who self-reported on the tobacco use and mental health sections. Multivariable logistic regression analysis was performed to investigate the odds ratios (ORs) of GAD (Generalized Anxiety Disorder-7 score ≥10) according to tobacco status among Korean adults. The severity of anxiety was assessed using the Generalized Anxiety Disorder-7 scale.Results: Compared to never tobacco users, the ORs of GAD for combustible cigarette smokers and NNTP users were 2.74 (95% confidence interval [CI], 1.66-4.50) and 2.11 (95% CI, 1.16-3.83), respectively. The OR of GAD for former tobacco users was 1.63 (95% CI, 0.98-2.72).Conclusion: Tobacco use (combustible cigarettes and NNTP) was positively associated with GAD. However, in former tobacco users, there was no significant association with GAD when compared with never tobacco users. Given the OR of GAD among tobacco users, it is crucial to pay attention to screening for GAD and implement appropriate early interventions.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"317-323"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207229","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

Integrating Machine Learning for Personalized Fracture Risk Assessment: A Multimodal Approach. 整合机器学习，实现个性化骨折风险评估：多模式方法

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-11-01 Epub Date: 2024-11-20 DOI: 10.4082/kjfm.24.0134

Sheikh Mohd Saleem, Shah Sumaya Jan

引用次数: 0

The Effect of Psychological Resilience on Cognitive Decline in Community-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study. 心理复原力对社区老年人认知能力下降的影响：韩国虚弱与老龄化队列研究》（Korean Frailty and Aging Cohort Study）。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-11-01 Epub Date: 2024-03-25 DOI: 10.4082/kjfm.23.0145

Sunwoo Kim, Chang Won Won, Sunyoung Kim, Jung Ha Park, Miji Kim, Byungsung Kim, Jihae Ryu

{"title":"The Effect of Psychological Resilience on Cognitive Decline in Community-Dwelling Older Adults: The Korean Frailty and Aging Cohort Study.","authors":"Sunwoo Kim, Chang Won Won, Sunyoung Kim, Jung Ha Park, Miji Kim, Byungsung Kim, Jihae Ryu","doi":"10.4082/kjfm.23.0145","DOIUrl":"10.4082/kjfm.23.0145","url":null,"abstract":"Background: Chronic stress is associated with an increased risk of cognitive impairment and Alzheimer's disease. This study aimed to assess whether better coping with stress, as assessed using the Brief Resilience Scale (BRS), is associated with slower cognitive decline in community-dwelling older adults.Methods: This study used 2018/2019 data and 2-year follow-up data from the Korean Frailty and Aging Cohort Study. Of the 3,014 total participants, we included 1,826 participants (mean age, 77.6±3.7 years, 51.9% female) who completed BRS and Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Battery and the Korean version of the Frontal Assessment Battery (FAB).Results: Higher BRS score at baseline was associated with a lesser decline in the Mini-Mental State Examination score over 2 years after adjusting for age, sex, years of education, smoking status, hypertension, diabetes, and depression (B, 0.175; 95% confidence interval, 0.025-0.325) for 2 years, which represents global cognitive function. Other cognitive function measurements (Word List Memory, Word List Recall, Word List Recognition, Digit Span, Trail Making Test-A, and FAB) did not change significantly with the BRS score at baseline.Conclusion: These findings suggest that better stress-coping ability, meaning faster termination of the stress response, may limit the decline in cognitive function.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"331-336"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140207189","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

Comprehensive Health Strategies for the Post-pandemic Era: Integrating Physical Health, Psychological Resilience, Lifestyle Choices, and Occupational Well-being. 后流行病时代的综合健康战略：整合身体健康、心理复原力、生活方式选择和职业福祉。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-11-01 Epub Date: 2024-11-20 DOI: 10.4082/kjfm.45.6E

Su Hwan Cho

引用次数: 0

Long COVID: A Comprehensive Overview of the Signs and Symptoms across Multiple Organ Systems. Long COVID：多器官系统体征和症状综合概述。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-11-01 Epub Date: 2024-11-20 DOI: 10.4082/kjfm.24.0085

Zachary Isaac Merhavy, Tiana Junor, Aranice Gonzalez, Samantha Michelle De Filippis, Sarah Oveisitork, Eliu Rivera, Ifeanyi Ndukwu, Kanika Bhatara

{"title":"Long COVID: A Comprehensive Overview of the Signs and Symptoms across Multiple Organ Systems.","authors":"Zachary Isaac Merhavy, Tiana Junor, Aranice Gonzalez, Samantha Michelle De Filippis, Sarah Oveisitork, Eliu Rivera, Ifeanyi Ndukwu, Kanika Bhatara","doi":"10.4082/kjfm.24.0085","DOIUrl":"10.4082/kjfm.24.0085","url":null,"abstract":"Long coronavirus disease (COVID), also known as the post-acute sequelae of coronavirus disease 2019 (COVID-19) (PASC), is a significant concern since the end of the COVID-19 pandemic, as it still manifests in individuals with persistent symptoms and complications beyond the acute phase of infection. Defining this disease is challenging, as it manifests as a spectrum of symptoms varying in severity among individuals who have previously tested positive for COVID-19. Long COVID is more prevalent in hospitalized COVID-19 patients and presents in various ways, ranging from pulmonary to extrapulmonary symptoms. This literature review examines the current body of research on long COVID with a focus on its effects on the cardiovascular, hematological, respiratory, renal, and neurological systems with systematically analyzed, peer-reviewed articles retrieved from the PubMed database. There have been several proposed pathophysiological mechanisms by which severe acute respiratory syndrome coronavirus 2 affects the aforementioned organ systems; however, research on the definite mechanisms is lacking, especially when considering the management of long COVID in the perioperative setting. The impact of post-COVID sequelae necessitates individualized management strategies tailored to each symptomatic profile, particularly in patients with comorbidities. The COVID-19 pandemic affected millions of people and had a profound impact on those who developed PASC, lowering their quality of life and increasing potential surgical risks. However, there is still uncertainty regarding the specific risk factors for long COVID and who is most susceptible to it. Further research is required to fill these gaps and explore potential avenues for preventing PASC.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":"45 6","pages":"305-316"},"PeriodicalIF":1.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11605154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142729425","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

Implementation of Precision Medicine in Primary Care: A Struggle to Improve Disease Prevention. 在初级保健中实施精准医疗：为改善疾病预防而奋斗。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-11-01 Epub Date: 2024-11-20 DOI: 10.4082/kjfm.24.0165

Erlina Wijayanti, Zwasta Pribadi Mahardhika

引用次数: 0

"Doing Housework with a Walker? No Way!": Exploring the Perceptions of Community-Dwelling Frail Older Adults and Their Informal Caregivers on "Informal Caregiver-Induced Forced Immobility". "用助步器做家务？没门！"：探索居住在社区的体弱老年人及其非正规护理人员对 "非正规护理人员导致的被迫行动不便 "的看法。

IF 1.4

Korean Journal of Family Medicine Pub Date : 2024-09-24 DOI: 10.4082/kjfm.24.0050

Parvaneh Ghahremaninasab, Haidar Nadrian, Nafiseh Ghassab-Abdollahi, Parvin Sarbakhsh, Fatemeh Zarghami

{"title":"\"Doing Housework with a Walker? No Way!\": Exploring the Perceptions of Community-Dwelling Frail Older Adults and Their Informal Caregivers on \"Informal Caregiver-Induced Forced Immobility\".","authors":"Parvaneh Ghahremaninasab, Haidar Nadrian, Nafiseh Ghassab-Abdollahi, Parvin Sarbakhsh, Fatemeh Zarghami","doi":"10.4082/kjfm.24.0050","DOIUrl":"https://doi.org/10.4082/kjfm.24.0050","url":null,"abstract":"Background: Family caregivers should focus on maintaining independence when assisting older adults with mobility. This may, however, bring about a counterproductive effect, namely Informal Caregiver-induced Forced Immobility (ICFI). This study explored the perceptions and experiences of older adults and their informal caregivers regarding ICFI.Methods: This qualitative study used a conventional content analysis approach and was conducted from January to September 2023 in Tabriz, Iran. Twenty older adults (aged 60 years and above) who had used a mobility aid, such as a cane or walker, and 14 informal caregivers were purposefully (purposive sampling) selected to participate in the study. Individual semi-structured interviews were conducted until data saturation was achieved. MAXQDA ver. 20.0 software (VERBI Software, Germany) was used to manage and analyze the data.Results: Based on the participants' perceptions, ICFI means that for an older adult, \"social interaction/social participation is limited,\" \"performing activities of daily living is disallowed,\" and \"engaging in physical activities and exercising is prohibited.\"Conclusion: Our findings revealed the concept of ICFI from various perspectives in Iranian families with older adults, leading to a clearer understanding of this phenomenon. This aspect should be considered when developing intervention strategies for the care of older adults in home and residential care settings by, health practitioners, gerontologists, and policymakers. This research can serve as a foundation for future studies to develop pertinent indicators and tools for measuring ICFI in the hope of providing sufficient evidence to support interventions that aim to prevent or stop ICFI.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308031","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