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Volume 31(5); May 2010

Editorial

Processing of Edition.
Kwangmin Kim
Korean J Fam Med 2010;31(5):343-344.   Published online May 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.5.343
  • 1,548 View
  • 6 Download

Review

Recent Update in Adult Immunization.
Sunmi Yoo
Korean J Fam Med 2010;31(5):345-354.   Published online May 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.5.345
Immunization is the most effective and cost-beneficial means to prevent infectious diseases in adults as well as in children. However, adult immunization has been beyond the center of attention relatively to children's immunization in Korea. Since the Korean Academy of Family Medicine had published "Vaccination for Adults" in 1994, a recent update was done in this field by the Korean Centers for Disease Control and Prevention and the Korean Society of Infectious Diseases. This paper reviews standard immunization for healthy persons and supplementary immunization for persons with underlying diseases based on those recent recommendations. General information, indications, dosage, route of administration, efficacy and safety were reviewed for vaccination of influenza, pneumococcal infection, tetanus, hepatitis A, hepatitis B, human papilloma virus, varicella and measles/mumps/rubella.

Citations

Citations to this article as recorded by  
  • Screening and Vaccination Against Measles and Varicella Among Health Care Workers: A Cost-effectiveness Analysis
    Ji-Suk Lee, Oh Jeong, Hyunju Yang
    Asia Pacific Journal of Public Health.2021; 33(5): 508.     CrossRef
  • Comparison of three immunoassays for determination of immunity to rubella virus in healthcare workers
    Su-Yeon Jo, Kyung-Hwa Shin, Sun Min Lee, Eun-Young Jeong, Hyun-Ji Lee, Chulhun L. Chang
    Journal of Immunological Methods.2018; 463: 84.     CrossRef
  • One-Year Experience Managing a Cancer Survivorship Clinic Using a Shared-Care Model for Gastric Cancer Survivors in Korea
    Ji Eun Lee, Dong Wook Shin, Hyejin Lee, Ki Young Son, Warrick Junsuk Kim, Yun-Suhk Suh, Seong-Ho Kong, Hyuk Joon Lee, Belong Cho, Han-Kwang Yang
    Journal of Korean Medical Science.2016; 31(6): 859.     CrossRef
  • Factors associated with the Intention of Human Papillomavirus Vaccination among Mothers of Junior High School Daughters
    Hye-Min Park, Hyun-Ei Oh
    The Journal of the Korea Contents Association.2014; 14(8): 307.     CrossRef
  • Rapid Increase in the National Treatment Costs for Hepatitis A Infections in Korea
    Hee Suk Park, Bo Youl Choi, Young Dae Kwon
    The Tohoku Journal of Experimental Medicine.2012; 226(1): 85.     CrossRef
  • Factors Influencing Mothers' Acceptance of Human Papillomavirus Vaccination to Prevent Cervical Cancer in their Daughters
    Hae Won Kim
    Korean Journal of Women Health Nursing.2011; 17(2): 137.     CrossRef
  • Mothers' HPV-related Knowledge in an Area
    Moon Hee Kang
    Journal of Korean Oncology Nursing.2011; 11(3): 193.     CrossRef
  • 3,419 View
  • 63 Download
  • 7 Crossref

Original Articles

Background
Varenicline is known to have higher effect for smoking cessation than existing pharmacotherapies, including Bupropion and Nicotine replacement therapy, however, it can also bring about adverse effects such as problems in compliance due to the complicated dosage, side effects of high frequency, and financial burden resulted from a long term treatment. Moreover, the effect for smoking cessation with group program and non-pharmacotherapy, including financial. incentives, E-mails or SMS is well known, but, the study on their combination is rare. Therefore, in the present study, we tried to evaluate two things; the effect for smoking cessation with multi-modal intervention, and the compliance of Varenicline Methods: From July 2008 to February 2009, we conducted the multi-modal smoking cessation program for 30 volunteers in Dankook university. This program consisted short course of Varenicline, financial incentives, E-mail and short messageservice. Results: The continuous abstinence rate for weeks 9 throught 12 was 76.7% and for weeks 9 through 24 was 43.3%. Multivariate analysis revealed that duration of Varenicline treatment was significant factor affecting 12-week continuous abstinence rate. The average duration of Varenicline treatment was 17.1 (±10.8) days and 54.0% took Varenicline as directed. The most common adverse events were nausea (40.0%) and insomnia (23.3%).Conclusion: Multi-modal intervention (short course of Varenicline, financial incentive, E-mail and short message service) was effective for smoking cessation with high continuous abstinence rates in a university. We suggest multi-modal intervention because compliance of Varenicline seems to be low in real setting.

Citations

Citations to this article as recorded by  
  • Interventions to increase adherence to medications for tobacco dependence
    Gareth J Hollands, Felix Naughton, Amanda Farley, Nicola Lindson, Paul Aveyard
    Cochrane Database of Systematic Reviews.2019;[Epub]     CrossRef
  • Adherence to Pharmacological Smoking Cessation Interventions: A Literature Review and Synthesis of Correlates and Barriers
    Lauren R Pacek, F Joseph McClernon, Hayden B Bosworth
    Nicotine & Tobacco Research.2018; 20(10): 1163.     CrossRef
  • Interventions to increase adherence to medications for tobacco dependence
    Gareth J Hollands, Máirtín S McDermott, Nicola Lindson-Hawley, Florian Vogt, Amanda Farley, Paul Aveyard
    Cochrane Database of Systematic Reviews.2015;[Epub]     CrossRef
  • Efficacy of Smoking Cessation and Prevention Programs by Intervention Methods: A Systematic Review of Published Studies in Korean Journals during Recent 3 Years
    Hye Kyeong Kim, Ji Yeon Park, Eun Joo Kwon, Seung Hee Choi, Han-Ik Cho
    Korean Journal of Health Education and Promotion.2013; 30(5): 61.     CrossRef
  • A Short-Term Effectiveness of Smoking Cessation Intervention in Outpatient Department of Pulmonology
    Chang Dong Yeo, Hyeon Hui Kang, Ji Young Kang, Sung Kyoung Kim, Myung Sook Kim, Seung Soo Kim, Sang Haak Lee, Hwa Sik Moon
    Tuberculosis and Respiratory Diseases.2011; 71(2): 114.     CrossRef
  • 2,330 View
  • 19 Download
  • 5 Crossref
Factors Related to Eating Behavior Assessed Using the Dutch Eating Behavior Questionnaire and Change of Eating Behavior after Receiving Weight Reduction Treatment.
Sukyeong Lee, Kayoung Lee, Sang Yeoup Lee, Tae Jin Park, Jun Su Kim
Korean J Fam Med 2010;31(5):361-368.   Published online May 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.5.361
Background
This study aimed to examine the factors related to eating behavior subscales and change of eating behavior subscales among obese patients received weight reduction management. Methods: Eating behavior subscales (restrained eating, emotional eating, and external eating) were assessed using the Korean version of Dutch Eating Behavior Questionnaire in 76 obese female patients at obesity clinic and 83 female visitors at health promotion center. Fifty nine patients received weight reduction management and completed followup survey after 2-3 months. Demographics, physical activity, health behaviors, diet experience, BMI, and weight change were assessed. Results: The score of restrained eating was significantly higher in obese patients compared to controls, while scores of other subscales were not different between the two groups. Diet experience, score of emotional eating, and BMI explained 15% of variance of restrained eating score after adjustment for covariates. Likewise, increase of restrained and external eating scores and younger age explained 27% of variance of emotional eating score. External eating score was associated with increase in emotional eating score, higher education, regular exercise, and frequent overeating (R2 = 30%). Among obese patients, the follow-up score of restrained eating was significantly higher compared to that score at baseline, while the scores of emotional and external eating were not significantly changed. After adjustment for covariates, only irregular eating habit was associated with the change of restrained eating score. Conclusion: Restrained eating score was associated with BMI regardless of subjects group, while, among obese patients, the change of restrained eating score was associated with frequent irregular eating habit.

Citations

Citations to this article as recorded by  
  • Relationship between convergence awareness for healthy weight management and eating behavior, creativity and convergence competency of adolescents
    Yunhwa Kim, Youngmi Lee, Yeon-Kyung Lee
    Journal of Nutrition and Health.2022; 55(3): 376.     CrossRef
  • Body Image Perception and Eating Behaviors among Male Middle and High School Students according to Weight Status in Seoul
    Bo-Mi Kim, Kyung-Hee Kim
    Journal of the East Asian Society of Dietary Life.2018; 28(2): 123.     CrossRef
  • Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults
    Jiyeon Park, Hyekyeong Kim
    Korean Journal of Health Education and Promotion.2014; 31(4): 37.     CrossRef
  • 2,291 View
  • 53 Download
  • 3 Crossref
The Relationship between Cigarette Smoking and Obesity in the Adolescents.
Jong Dae Kwon, Bom Taeck Kim, Kwang Min Kim, Sat Byul Park, Eugene Kim, Chung Soo Chang, Bo Young Kim, Nam Seok Joo
Korean J Fam Med 2010;31(5):369-376.   Published online May 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.5.369
Background
The social problems of cigarette smoking and obesity are increasing and they threaten the health and dailylife of the both the young and old adults. Therefore, we evaluated the relationship between cigarette smoking and obesity. Methods: The study subjects were recruited from the middle and high school located in Ansan city. We used the selfques tionnaire to evaluate their general information including cigarette smoking at enrollment and 8,589 students informations were gathered. Data were classified into three groups (normal body weight, over weight and obesity). Smoking status was classified into past, current, and non smoker and analyzed the relationship with obesity and some life-style patterns. Results: Body weight and body mass index of the girls were significantly higher in the current smokers (52.4 ± 12.2 kg, 19.8 ± 3.5 kg/m2) than in the non-smokers (49.5 ± 7.7kg, 19.3 ± 2.6 kg/m2) and in the boys, body weight was higher in the current smokers (60.3 ± 10.7 kg, 20.4 ± 3.1 kg/m2) than in the non-smokers (57.5 ± 12.1 kg, 20.3 ± 3.3kg/m2), which was not significant. The odds ratios of having obesity were 2.33 (P <0.001; 95% confidence interval [CI], 1.24 to 3.34) in the current smokers and 2.04 (P < 0.001; 95% CI, 1.36 to 4.0) in the past smokers compared with the non-smokers in the girls. In the boys, there were no significance. Also, all students of the dietary pattern (breakfast, fast food, instant noodle, snack, soft drink) were associated with smoking status significantly. Conclusion: The current smokers showed higher prevalence of obesity and obesity-related dietary pattern than in the nonsmokers. Cigarette smoking may be associated with obesity in the school girls.

Citations

Citations to this article as recorded by  
  • Health behaviors and mental health among adolescents: A comparison based on BMI using the 2021 Korea Youth Risk Behavior Survey
    Hye-Ryeon Park, Na-Geong Kim
    Belitung Nursing Journal.2023; 9(6): 571.     CrossRef
  • Obesity-Related Quality of Life and Distorted Self-Body Image in Adults
    Dong Won Lee, Seonah Kim, Dong Yung Cho
    Applied Research in Quality of Life.2013; 8(1): 87.     CrossRef
  • 2,377 View
  • 25 Download
  • 2 Crossref
How Do the Drinking Motives and Expectancies Relate to Drinking Problems among University Students?.
Jin Gyu Jung, Jong Sung Kim, Jong Im Kim, Kyung Hee Kim
Korean J Fam Med 2010;31(5):377-383.   Published online May 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.5.377
Background
This study evaluated how the alcohol drinking motives and alcohol drinking expectancies, as the internal factors, would relate to university students' alcohol drinking problems. Methods: The general characteristics, the alcohol drinking problems, the motives to drink, and drinking expectancy were surveyed with 197 university students (106 males, 91 females) who visited the Health Center of Chungnam National University. Results: The alcohol drinking amount per drink (P < 0.001), weekly alcohol drinking frequency (P < 0.001), alcohol drinking problem score (P < 0.001), the score of drinking expectancy (P < 0.001) and motives to drink for each domain (P < 0.05) for male students were significantly higher or larger than those of the female students. The distribution of the number of binge, heavy and at risk drinkers didn't show significant difference between sexes. The drinking problem score, the score of drinking expectancy and motives to drink for each domain showed significant (P < 0.001) positive correlation and male students displayed a higher positive correlation than that of female. Stepwise multiple regression analysis was conducted to evaluate the influence on drinking problem score. The male students' drinking problem score was associated with the score of coping motive, lower grade, the score of enhancement motive and drinking expectancy (R2, 0.325; P < 0.05) whereas those of female students were related to the score of social and coping motive (R2, 0.477; P < 0.001). Conclusion: The common factor that related to drinking problem for both male and female students was the coping motive to resolve negative feeling. In addition, the enhancement motive and drinking expectancy in male students and the social motive in female students were the associated factors.

Citations

Citations to this article as recorded by  
  • The Effect of Stress and Impulsivity on Drinking Problem in College Student: The Moderated Mediation Effect of Social Support
    Dong-Jun LEE, Su-Gyun SEO
    THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2022; 34(6): 1042.     CrossRef
  • Factors Affecting Problem Drinking in Male Nursing Students
    Eun Joo JI, Eun Kyung Lee
    Journal of Korean Academy of Fundamentals of Nursing.2016; 23(4): 440.     CrossRef
  • The effects of drinking motives, refusal self-efficacy, and outcome expectancy on high risk drinking
    Eun Kyung Lee, Jin-Hwa Park
    Journal of the Korean Data and Information Science Society.2016; 27(4): 1047.     CrossRef
  • 2,262 View
  • 39 Download
  • 3 Crossref
Case Report
A Case Report of Sepsis by Extended-Spectrum beta-Lactamase Producing Escherichia Coli.
Seung Beom Lee, Choon Ok Kim, Hee Cheol Kang
Korean J Fam Med 2010;31(5):384-389.   Published online May 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.5.384
The overall prognosis of acute pyelonephritis is good, but the infections by extended spectrum Ղ-lactamase (ESBL) producing Escherichia coli (E.coli) cause poor responses to empirical antibiotic treatment, and consequently increase mortality. ESBL can hydrolyze the antibiotics with a Ղ-lactam ring and confer resistance to oxyimino-cephalosporins and monobactams. If the patient shows poor responses to empirical antibiotics or severe septic conditions, physicians must switch the antibiotics to other antibiotics covering resistant strains without delay. We report a case of acute pyelonephritis by extended-spectrum Ղ-lactamase producing E.coli in a 29-year-old woman who was empirically treated with oral ciprofloxacin as an initial treatment, but progressed to sepsis.
  • 1,847 View
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