Korean Journal of Family Medicine最新文献_第6页

Syringomyelia and hydrocephalus following tuberculosis are not necessarily caused by mild Chiari I malformation. 结核后脊髓空洞和脑积水并不一定是由轻度的Chiari I畸形引起的。

IF 3.4

Korean Journal of Family Medicine Pub Date : 2026-05-01 Epub Date: 2026-05-20 DOI: 10.4082/kjfm.26.0014

Sinda Zarrouk, Josef Finsterer

引用次数: 0

Adolescence and young adulthood: a critical period for lifelong health. 青春期和青年期：对终身健康至关重要的时期。

IF 3.4

Korean Journal of Family Medicine Pub Date : 2026-05-01 Epub Date: 2026-05-20 DOI: 10.4082/kjfm.47.3E

Su-Min Jeong

引用次数: 0

Endometrial cancer in a young nulliparous woman: a case report. 年轻未生育妇女子宫内膜癌1例报告。

IF 3.4

Korean Journal of Family Medicine Pub Date : 2026-05-01 Epub Date: 2025-12-26 DOI: 10.4082/kjfm.25.0163

Herfiana Mohd Rapi, Azlina Ishak, Juliawati Muhammad, Engku Ismail Engku-Husna

{"title":"Endometrial cancer in a young nulliparous woman: a case report.","authors":"Herfiana Mohd Rapi, Azlina Ishak, Juliawati Muhammad, Engku Ismail Engku-Husna","doi":"10.4082/kjfm.25.0163","DOIUrl":"10.4082/kjfm.25.0163","url":null,"abstract":"Prolonged or irregular menstrual bleeding is common in women, particularly in the early years after menarche. Over time, menstrual cycles often become regular; however, persistently irregular menstruation warrants further investigation. Serious conditions, such as endometrial cancer, which is often linked to prolonged unopposed estrogen exposure, can be prevented with timely detection. We report a case involving a 27-year-old obese, nulliparous woman with a history of prolonged irregular menstrual bleeding since menarche. She had not undergone regular health checkups and had never been properly evaluated until multiple admissions for severe anemia prompted further investigation, which confirmed the diagnosis of endometrial carcinoma. Delays in seeking care for abnormal menstrual bleeding resulted in serious outcomes. Endometrial carcinoma may significantly reduce future fertility potential. Therefore, primary healthcare providers play a pivotal role in educating and raising public awareness about this frequently under-recognized issue, as timely investigation for early recognition is paramount.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"274-278"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145833983","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

Reply to the letter: "Syringomyelia and hydrocephalus following tuberculosis are not necessarily caused by mild Chiari I malformation". 回复函件：“结核后脊髓空洞和脑积水不一定是由轻度的甲肝I型畸形引起的”。

IF 3.4

Korean Journal of Family Medicine Pub Date : 2026-05-01 Epub Date: 2026-05-20 DOI: 10.4082/kjfm.26.0097

Suraya Abdul-Razak, Siti Anisah Jamaludin, Shalini Bhaskar

引用次数: 0

Factors associated with intention to quit smoking in Indonesia: findings from a cross-sectional Global Adult Tobacco Survey. 印度尼西亚与戒烟意向相关的因素：来自全球成人烟草横断面调查的结果

IF 3.4

Korean Journal of Family Medicine Pub Date : 2026-05-01 Epub Date: 2025-11-18 DOI: 10.4082/kjfm.25.0016

Dea Anita Ariani Kurniasih, Bunga Astria Paramashanti, Wahyu Pudji Nugraheni, Tities Puspita, Basuki Rachmat, Debri Rizki Faisal

{"title":"Factors associated with intention to quit smoking in Indonesia: findings from a cross-sectional Global Adult Tobacco Survey.","authors":"Dea Anita Ariani Kurniasih, Bunga Astria Paramashanti, Wahyu Pudji Nugraheni, Tities Puspita, Basuki Rachmat, Debri Rizki Faisal","doi":"10.4082/kjfm.25.0016","DOIUrl":"10.4082/kjfm.25.0016","url":null,"abstract":"Background: Smoking affects human health and healthcare systems worldwide, particularly in Indonesia. We used secondary data from the 2021 Global Adult Tobacco Survey (GATS) to analyze Indonesian smoking cessation determinants.Methods: We analyzed data from 2,877 individuals aged 15 years and older from the 2021 GATS Indonesia, selected through multistage clustering. We used multiple logistic regression analysis adjusted for the complex survey in STATA 17.0 to examine Indonesian smokers' intention to quit including age, sex, education, occupation, household wealth, place of residence, perceptions that smoking causes serious illness, efforts to stop smoking in the past, abstinence days in the past, health-related reason, social reason, environmental reason, and financial reason).Results: Weighted adult intention to quit smoking within 12 months was 17.8%. Factors associated with intention to quit smoking among current smokers in Indonesia included adults age 45 years or older (adjusted odds ratio [AOR], 1.69; 95% confidence interval [CI], 1.12-2.54), completed higher education (AOR, 1.85; 95% CI, 1.01-3.42), working status (AOR, 0.72; 95% CI, 0.55-0.96), perception that smoking causes serious illness (AOR, 2.88; 95% CI, 1.96-4.22), abstinence days in the past >30 days (AOR, 3.10; 95% CI, 2.18-4.41), social reason (AOR, 1.48; 95% CI, 1.05-2.09), and environmental reason (AOR, 1.67; 95% CI, 1.23-2.28).Conclusion: Intention to quit smoking depends on several factors. Smoking cessation guidelines must be widely and often implemented, especially for high-risk smokers. Pharmacological and non-pharmacological smoking cessation strategies require cooperation among healthcare providers, public health actors, and the government.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"267-273"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145541103","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

Causal effects of type 2 diabetes, obesity, gout, and hypothyroidism on carpal tunnel syndrome: a univariable and multivariable Mendelian randomization study. 2型糖尿病、肥胖、痛风和甲状腺功能减退对腕管综合征的因果影响：单变量和多变量孟德尔随机研究。

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-04-30 DOI: 10.4082/kjfm.25.0263

Heng Tian, Ling Hong, Wenlai Guo, Quanzhe Liu

{"title":"Causal effects of type 2 diabetes, obesity, gout, and hypothyroidism on carpal tunnel syndrome: a univariable and multivariable Mendelian randomization study.","authors":"Heng Tian, Ling Hong, Wenlai Guo, Quanzhe Liu","doi":"10.4082/kjfm.25.0263","DOIUrl":"https://doi.org/10.4082/kjfm.25.0263","url":null,"abstract":"Background: Carpal tunnel syndrome (CTS) is a prevalent peripheral neuropathy with unclear pathogenesis. This study investigated the causal relationships between metabolic diseases and CTS using univariable and multivariable Mendelian randomization (MR) analyses.Methods: Single nucleotide polymorphisms from large genetic databases served as instrumental variables. Genome-wide data on type 2 diabetes (T2D), obesity, gout, hypothyroidism, and CTS were obtained from the IEU OpenGWAS Project (Integrative Epidemiology Unit Open Genome-Wide Association Studies Project). Univariable MR analysis assessed individual causal effects, and multivariable MR evaluated combined effects. Sensitivity analyses examined heterogeneity and pleiotropy.Results: The univariable MR analysis identified significant associations of CTS with obesity (odds ratio [OR], 1.0135; 95% confidence interval [CI], 1.0118-1.0151; P<0.001), T2D (OR, 1.0028; 95% CI, 1.0011-1.0045; P=0.0011), gout (OR, 1.0559; 95% CI, 1.0152-1.0982; P=0.0067), and hypothyroidism (OR, 1.0517; 95% CI, 1.013-1.0919; P=0.0084). The multivariable MR analysis confirmed obesity (OR, 1.0129; 95% CI, 1.0088-1.0171; P<0.001) and T2D (OR, 1.002; 95% CI, 1.0006-1.0033; P=0.0042) as significant independent risk factors. Gout and hypothyroidism lost significance after adjustment. No notable pleiotropy was observed.Conclusion: Obesity and T2D independently increase CTS risk, whereas the univariable associations for gout and hypothyroidism were attenuated after adjustment for other metabolic conditions, suggesting mediation by or confounding with obesity and glucose metabolism in this dataset.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775287","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

Effect of dermatology rotation on the diagnostic accuracy of family medicine residents for skin lesions: a cross-sectional study in Türkiye. 皮肤科轮换对家庭医学住院医师对皮肤病变的诊断准确性的影响：一项在<s:1> rkiye的横断面研究。

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-04-13 DOI: 10.4082/kjfm.25.0073

Serap Dogan, Ülker Gül, Cenk Aypak

{"title":"Effect of dermatology rotation on the diagnostic accuracy of family medicine residents for skin lesions: a cross-sectional study in Türkiye.","authors":"Serap Dogan, Ülker Gül, Cenk Aypak","doi":"10.4082/kjfm.25.0073","DOIUrl":"https://doi.org/10.4082/kjfm.25.0073","url":null,"abstract":"Background: Although family physicians frequently encounter dermatological conditions, the effect of dermatology rotations on their diagnostic competency remains underexplored. We aimed to determine the effect of a mandatory 1-month dermatology rotation on the diagnostic accuracy of family medicine (FM) residents for skin lesions.Methods: We conducted a cross-sectional study among FM residents from September 1 to December 1, 2023. We assessed participants' ability to identify 54 dermatological lesions using a structured, face-to-face questionnaire. A multivariable linear regression model was used to identify independent predictors of diagnostic knowledge scores.Results: A total of 260 residents participated; 121 (46.5%) had completed the dermatology rotation, whereas 139 (53.5%) had not. Mean diagnostic knowledge scores were significantly higher among residents who completed the rotation (79.17±8.69 vs. 73.06±8.94; P<0.001). In the multivariable model, completing the dermatology rotation was the only independent predictor of higher diagnostic scores (P<0.001).Conclusion: Completing a dermatology rotation improves the diagnostic accuracy of FM residents for skin lesions, underscoring the value of structured dermatological training within FM curricula.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674581","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

Serum vitamin D level is inversely associated with non-high-density lipoprotein/high-density lipoprotein ratio: a cross-sectional study utilizing Korea National Health and Nutrition Examination Survey 2022-2023 data. 血清维生素D水平与非高密度脂蛋白/高密度脂蛋白比率呈负相关：利用2022-2023年韩国国家健康和营养检查调查数据的横断面研究

IF 2.6

Korean Journal of Family Medicine Pub Date : 2026-04-07 DOI: 10.4082/kjfm.25.0267

Yoojung Choi, Hyang Rae Lee, Da Eun Choung, Nam-Seok Joo

{"title":"Serum vitamin D level is inversely associated with non-high-density lipoprotein/high-density lipoprotein ratio: a cross-sectional study utilizing Korea National Health and Nutrition Examination Survey 2022-2023 data.","authors":"Yoojung Choi, Hyang Rae Lee, Da Eun Choung, Nam-Seok Joo","doi":"10.4082/kjfm.25.0267","DOIUrl":"https://doi.org/10.4082/kjfm.25.0267","url":null,"abstract":"Background: Recent evidence has underscored the crucial metabolic role of vitamin D. An increased non-high-density lipoprotein (non-HDL)/HDL ratio has been identified as a meaningful marker of metabolic risk. This study aimed to examine the relationship between serum 25-hydroxyvitamin D (25(OH)D) concentration and non-HDL/HDL ratio in a cohort of Korean adults.Methods: For analysis, 10,864 participants aged 19 years or older were selected from the 2022-2023 Korea National Health and Nutrition Examination Survey (KNHANES). Serum 25(OH)D concentrations were classified into three groups: deficient (<20 ng/mL), insufficient (20-30 ng/mL), and sufficient (≥30 ng/mL). Non-HDL/HDL ratio was derived from total cholesterol and HDL cholesterol values. One-way analysis of variance and separate multiple regression analyses were conducted to assess differences in metabolic parameters between the 25(OH)D groups in both the general and diabetes subgroups (glycated hemoglobin ≥6.5%).Results: Triglycerides, low-density lipoprotein cholesterol, and non-HDL/HDL ratio values were significantly lower in the group with sufficient vitamin D levels. Serum 25(OH)D and non-HDL/HDL ratio showed an inverse correlation in both general (r=-0.09) and diabetes (r=-0.15) subgroups. Across all regression models, a statistically significant inverse association persisted even after comprehensive adjustments for potential confounders.Conclusion: A significant inverse correlation exists between serum 25(OH)D concentration and non-HDL/HDL ratio in Korean adults, with a more pronounced effect observed in individuals with diabetes.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628029","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

Sociodemographic determinants and comorbidities associated with polypharmacy among the adult population in Korea: a nationwide claim analysis. 韩国成年人中与多药相关的社会人口统计学决定因素和合并症：一项全国性的索赔分析。

IF 3.4

Korean Journal of Family Medicine Pub Date : 2026-03-01 Epub Date: 2025-10-28 DOI: 10.4082/kjfm.24.0328

Woo-Young Shin, Tae-Hwa Go, Jung-Ha Kim

{"title":"Sociodemographic determinants and comorbidities associated with polypharmacy among the adult population in Korea: a nationwide claim analysis.","authors":"Woo-Young Shin, Tae-Hwa Go, Jung-Ha Kim","doi":"10.4082/kjfm.24.0328","DOIUrl":"10.4082/kjfm.24.0328","url":null,"abstract":"Background: Polypharmacy poses a growing challenge to healthcare systems because of its association with adverse effects and the misuse of medication. This study aimed to identify the sociodemographic factors and comorbidities associated with polypharmacy.Methods: We selected patients aged ≥30 years registered in the National Health Information Database in 2018 who were prescribed at least one medication for ≥180 days. Multivariate logistic regression analyses were performed to evaluate the associations between polypharmacy, sociodemographic characteristics, and comorbidities.Results: Polypharmacy was significantly associated with increasing age, with the strongest association observed in adults aged ≥65 years. Compared with medical aid recipients, higher-income groups had a weaker association with polypharmacy. After adjusting for covariates, significant associations with polypharmacy were found for specific comorbidities, such as Parkinson disease (odds ratio [OR], 3.804; 95% confidence interval [CI], 3.733-3.876; P<0.001) and chronic ischemic heart disease (OR, 3.199; 95% CI, 3.178-3.221; P<0.001).Conclusion: These findings may help reduce the burden of polypharmacy by facilitating the development of targeted strategies tailored to patients.","PeriodicalId":17893,"journal":{"name":"Korean Journal of Family Medicine","volume":" ","pages":"171-177"},"PeriodicalIF":3.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145390744","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

Sarcopenia considerations when prescribing glucagon-like peptide-1 agonists to older adults. 老年人开具胰高血糖素样肽-1激动剂时对骨骼肌减少症的考虑。

IF 3.4

Korean Journal of Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-01-28 DOI: 10.4082/kjfm.25.0397

Azwan Aziz Mohamad

引用次数: 0