Comments on Statistical Issues in November 2015.
Korean Journal of Family Medicine.2015;36(6):357-358. doi:10.4082/kjfm.2015.36.6.357
No abstract available.
Korean Journal of Family Medicine
to Present ISSN: 2005-6443
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A Case Report of Superior Mesenteric Artery Syndrome after Acute Gastroenteritis.
Korean Journal of Family Medicine.2010;31(11):862-866. doi:10.4082/kjfm.2010.31.11.862
The most common cause of small bowel obstruction is postoperative adhesion, and besides a hernia, metastatic or primary cancer and small bowel tumors are possible causes. Superior mesenteric artery (SMA) syndrome is a rare cause of upper gastrointestinal obstruction and is associated with debilitating conditions with marked weight loss. SMA syndrome results from the compression of the third part of the duodenum due to the narrowing of the aortomesenteric angle. We report a 28-year-old woman with SMA syndrome after acute gastroenteritis. Her stomach was severely dilated due to the duodenal obstruction and computed tomography showed the compression of the third portion of the duodenum by SMA. She was conservatively cared for and thus favorably improved.
Adult ; Duodenal Obstruction ; Duodenum ; Female ; Gastroenteritis ; Hernia ; Humans ; Mesenteric Artery, Superior ; Stomach ; Superior Mesenteric Artery Syndrome ; Weight Loss
Adult ; Duodenal Obstruction ; Duodenum ; Female ; Gastroenteritis ; Hernia ; Humans ; Mesenteric Artery, Superior ; Stomach ; Superior Mesenteric Artery Syndrome ; Weight Loss
The Association of Childhood Obesity with Attention Deficit/Hyperactivity Disorder.
Korean Journal of Family Medicine.2010;31(11):852-861. doi:10.4082/kjfm.2010.31.11.852
BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is caused by multiple risk factors and accompany many problems. This study aimed to analyze the association of childhood obesity with ADHD and to know the related factors of ADHD. METHODS: In 2006, 427 students in fourth grade were recruited from two elementary schools in Gwangmyeong city. Height and weight were measured and children's weight status was classified as normal weight, overweight and obese using the age and gender-specific BMI established by Korean Academy of Pediatrics. The Korean abbreviated Conners' parent rating scale (ACRS) was used to measure the ADHD state. RESULTS: The obesity rate was higher in ADHD group than in non-ADHD group (P = 0.005). The Kovacs' children's depression inventory score (CDI score) of ADHD group was higher than that of non-ADHD group (P = 0.003). In ADHD group, there were many cases where students were looked after by members of the family other than the parents after school (P = 0.01). ADHD group had a tendency to have breakfast heavily (P = 0.01). The average monthly income of the parents of ADHD group was relatively higher than that of the non-ADHD group (P = 0.03), and the fathers of ADHD group tend to have night eating syndrome (P = 0.003). CONCLUSION: The ADHD was significantly associated with childhood obesity, and was likely to be more depressive and had different life styles than non-ADHD group.
Attention Deficit Disorder with Hyperactivity ; Breakfast ; Depression ; Eating ; Fathers ; Humans ; Life Style ; Obesity ; Overweight ; Parents ; Pediatrics ; Risk Factors
Attention Deficit Disorder with Hyperactivity ; Breakfast ; Depression ; Eating ; Fathers ; Humans ; Life Style ; Obesity ; Overweight ; Parents ; Pediatrics ; Risk Factors
Group Intervention by Primary Care Physicians on Heavy Drinkers: A 1-Year Follow-up Study.
Korean Journal of Family Medicine.2010;31(11):845-851. doi:10.4082/kjfm.2010.31.11.845
BACKGROUND: This study was performed to evaluate the effect of group intervention by primary care physicians on the changes of drinking behaviors in Korean heavy drinkers. METHODS: A total of 32 male heavy drinkers participated in group intervention by family physicians of Chungnam National University Hospital. Initially, they were assessed for general characteristics, family function and drinking characteristics prior to the intervention conducted 4 times (about 40 minutes/each session). Reassessment on their drinking frequencies (times/week), drinking amounts (drinks/drinking day) and Alcohol Use Disorders Identification Test (AUDIT) score was achieved at directly, at 12 weeks and at 1 year after intervention. RESULTS: The mean drinking frequency was significantly (P < 0.01) decreased from 5.2 +/- 1.7 before to 3.5 +/- 2.4 at directly, 3.9 +/- 2.3 at 12 weeks and 4.0 +/- 2.3 at 1 year after intervention. The mean drinking amounts were significantly (P < 0.01) decreased from 17.0 +/- 16.5 before to 11.0 +/- 16.9 at directly, 14.2 +/- 17.8 at 12 weeks and 13.9 +/- 17.8 at 1 year after intervention. The mean AUDIT score was significantly (P < 0.01) decreased from 29.4 +/- 5.8 before to 19.1 +/- 11.0 at directly, 21.8 +/- 9.1 at 12 weeks and 23.0 +/- 9.4 at 1 year after intervention. The number of heavy drinkers and binge drinkers were significantly (P < 0.05) decreased from 32 (100%) and 32 (100%) before to 20 (62.5%) and 22 (68.8%) at directly, 23 (71.9%) and 24 (75.0%) at 12 weeks, and 22 (68.8%) and 19 (59.4%) at 1 year after intervention. CONCLUSION: It is suggested that group intervention by family physicians may be effective on the improvement of drinking behavior at 12 weeks and 1 year after the intervention in heavy drinkers.
Drinking ; Drinking Behavior ; Family Characteristics ; Follow-Up Studies ; Humans ; Male ; Physicians, Family ; Physicians, Primary Care ; Primary Health Care
Drinking ; Drinking Behavior ; Family Characteristics ; Follow-Up Studies ; Humans ; Male ; Physicians, Family ; Physicians, Primary Care ; Primary Health Care
Prevalence of Sleep Disorder and Associated Factors in Family Practice.
Korean Journal of Family Medicine.2010;31(11):837-844. doi:10.4082/kjfm.2010.31.11.837
BACKGROUND: Sleep is an essential restorative physiologic phenomenon. Impaired sleep results in significant negative effect to the health. Symptoms like sleep initiation difficulty, frequent awakening, severe snoring have related to poor sleep quality. We studied frequency and compared the characteristics of common sleep disorders at family practice. METHODS: We surveyed patients over 18 years of age and their guardians who visited 16 familial practices for 6 days. We investigated sleep characteristics, frequency of sleep disorder and associated factors by questionnaires and analyzed by frequency analysis, Spearman's correlation coefficient, multiple logistic regression. RESULTS: We enrolled 1,117 participants. Older participants were more likely to report early sleep onset and off time, short sleep duration. Mean number of awakening during a typical night is 1.69. Female complained difficulties in initiation and maintenance of sleep more than male. A total of 32.5% had these insomnia symptoms and related to hypertension, stroke, stress, arthralgia, depression, urological disorder. 31.1% had excessive daytime sleepiness, related to stress, arthralgia, depression. Loud snoring and gasp for breath showed positive correlation between male, high BMI. Disrupted sleep over 3 times was related to old age, female, diabetes, hypertension, stroke, stress, arthralgia, depression. Restless leg syndrome were high in elderly, high BMI, stress, arthralgia and depression. CONCLUSION: About one in three who visit in primary medical practice have sleep disorder symptoms like insomnia, daytime fatigue, snoring. 3% of them have gasp for breath, 8% have restless leg syndrome.
Aged ; Arthralgia ; Depression ; Family Practice ; Fatigue ; Female ; Humans ; Hypertension ; Leg ; Male ; Prevalence ; Sleep Wake Disorders ; Sleep Initiation and Maintenance Disorders ; Snoring ; Stroke
Aged ; Arthralgia ; Depression ; Family Practice ; Fatigue ; Female ; Humans ; Hypertension ; Leg ; Male ; Prevalence ; Sleep Wake Disorders ; Sleep Initiation and Maintenance Disorders ; Snoring ; Stroke
Korean Journal of Family Medicine.2010;31(11):829-836. doi:10.4082/kjfm.2010.31.11.829
Generalized or localized edema is a very common symptom in primary care. Edema is developed from an imbalance in the filtration system between the vessel and interstitial spaces. A systematic approach is extremely important to determine the underlying diagnosis, because its management plan depends on the cause of edema. Treatment includes sodium restriction, diuretic use, appropriate management of the underlying disorder, et al. This review can be helpful in establishing the management of edema in clinical practice.
Diuretics ; Edema ; Filtration ; Glycosaminoglycans ; Primary Health Care ; Sodium ; Water
Diuretics ; Edema ; Filtration ; Glycosaminoglycans ; Primary Health Care ; Sodium ; Water
KJFM Written by English Not Korean.
Korean Journal of Family Medicine.2010;31(11):827-828. doi:10.4082/kjfm.2010.31.11.827
No abstract available.
Socioeconomic Indicators Associated with Initiation and Cessation of Smoking among Women in Seoul.
Korean Journal of Family Medicine.2012;33(1):1-8. doi:10.4082/kjfm.2012.33.1.1
BACKGROUND: While smoking prevalence in Korean men has been decreasing, it is increasing in Korean women. Little is known about women's smoking inequalities in Korea. This study was conducted to investigate the association of socioeconomic indicators with the initiation and cessation of smoking among Korean women. METHODS: This was a cross-sectional study on 9,089 women aged 25-64 years from the 2008 Seoul Community Health Survey. The data on smoking and socioeconomic status were obtained through face-to-face interviews. Smoking initiation rate was defined as the proportion of the individuals who had started smoking at least one cigarette among all subjects. Smoking cessation rate was calculated by dividing the number of individuals who had quit smoking by the number of ever smokers. Education level, total family income and occupation were investigated as socioeconomic indicators. RESULTS: Education level was significantly associated with both initiation and cessation of smoking. Lower educated women had a higher likelihood of smoking initiation (odds ratio [OR], 1.72; 95% confidence interval [CI], 1.17 to 2.51) but lower likelihood of smoking cessation (OR, 0.38; 95% CI, 0.22 to 0.66) than higher educated women. Smoking initiation rate was higher in manual workers (OR, 1.65; 95% CI, 1.20 to 2.27) than in non-manual workers. However, there were no significant differences of both initiation and cessation of smoking according to total household income. CONCLUSION: This study shows that there are smoking inequalities among Korean women. It is thought that education level and occupation are important determinants of women's smoking status.
Aged ; Cross-Sectional Studies ; Family Characteristics ; Female ; Health Surveys ; Humans ; Korea ; Male ; Occupations ; Prevalence ; Smoke ; Smoking ; Smoking Cessation ; Social Class ; Socioeconomic Factors ; Tobacco Products
Aged ; Cross-Sectional Studies ; Family Characteristics ; Female ; Health Surveys ; Humans ; Korea ; Male ; Occupations ; Prevalence ; Smoke ; Smoking ; Smoking Cessation ; Social Class ; Socioeconomic Factors ; Tobacco Products
Korean Journal of Family Medicine.2009;30(4):307-308. doi:10.4082/kjfm.2009.30.4.307
No abstract available.
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A Case Report of Usual Interstitial Pneumonia after Treatment of Bronchopneumonia.
Korean Journal of Family Medicine.2009;30(4):301-306. doi:10.4082/kjfm.2009.30.4.301
Usual interstitial pneumonia (UIP) is one type of idiopathic interstitial pneumonia, characterized by its poor prognosis and gradual deterioration of clinical course. So it is important to distinguish UIP from other interstitial pneumonia. Defi nitive histological diagnosis of UIP requires lung biopsy. The criteria for diagnosis of UIP in the absence of a surgical lung biopsy were recently defi ned. We report a case of 75-year-old man who was diagnosed as bronchopneumonia with chief complaint of fever, dyspnea on fi rst visit, then fi nally diagnosed as UIP through the remaining of chest abnormality after treatment.
Aged ; Biopsy ; Bronchopneumonia ; Dyspnea ; Fever ; Humans ; Idiopathic Interstitial Pneumonias ; Idiopathic Pulmonary Fibrosis ; Lung ; Lung Diseases, Interstitial ; Prognosis ; Thorax
Aged ; Biopsy ; Bronchopneumonia ; Dyspnea ; Fever ; Humans ; Idiopathic Interstitial Pneumonias ; Idiopathic Pulmonary Fibrosis ; Lung ; Lung Diseases, Interstitial ; Prognosis ; Thorax
Country
Republic of Korea
Publisher
The Korean Academy of Family Medicine
ElectronicLinks
http://www.kjfm.or.krEditor-in-chief
Abbreviation
Korean J Fam Med
Vernacular Journal Title
가정의학회지
ISSN
2005-6443
EISSN
2092-6715
Year Approved
2007
Current Indexing Status
Currently Indexed
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