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Affiliation(s)
- Yoo Seock Cheong
- Department of Family Medicine, Dankook University School of Medicine, Cheonan, Korea
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Lee SM, Kim SJ, Choi YS, Heo DS, Baik S, Choi BM, Kim D, Moon JY, Park SY, Chang YJ, Hwang IC, Kwon JH, Kim SH, Kim YJ, Park J, Ahn HJ, Lee HW, Kwon I, Kim DK, Kim OJ, Yoo SH, Cheong YS, Koh Y. Consensus guidelines for the definition of the end stage of disease and last days of life and criteria for medical judgment. J Korean Med Assoc 2018. [DOI: 10.5124/jkma.2018.61.8.509] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Affiliation(s)
- Sang-Min Lee
- Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
| | - Su-Jung Kim
- Department of Internal Medicine, Seoul Red Cross Hospital, Seoul, Korea
- Public Health Medical Service, Seoul National University Hospital, Seoul, Korea
| | - Youn Seon Choi
- Department of Family Medicine, Korea University Guro Hospital, Seoul, Korea
| | - Dae Seog Heo
- Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
| | - Sujin Baik
- Korea National Institute for Bioethics Policy, Seoul, Korea
| | - Bo Moon Choi
- Education Center for Public Health & Medicine, National Medical Center of Korea, Seoul, Korea
| | - Daekyun Kim
- Department of Family Medicine, Incheon St. Mary's Hospital, Incheon, Korea
| | - Jae Young Moon
- Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea
| | - So Young Park
- Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea
| | - Yoon Jung Chang
- Hospice and Palliative Care Branch, National Cancer Control Institute, National Cancer Center, Goyang, Korea
| | - In Cheol Hwang
- Department of Family Medicine, Gachon University Gil Medical Center, Incheon, Korea
| | - Jung Hye Kwon
- Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea
| | - Sun-Hyun Kim
- Department of Family Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea
| | - Yu Jung Kim
- Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
| | | | - Ho Jung Ahn
- Division of Oncology, Department of Internal Medicine, Catholic University St. Vincent's Hospital, Seoul, Korea
| | - Hyun Woo Lee
- Department of Hematology-Oncology, Ajou University Hospital, Suwon, Korea
| | - Ivo Kwon
- Department of Medical Education, Ewha Womans University College of Medicine, Seoul, Korea
| | - Do-Kyong Kim
- Department of Medical Humanities, Dong-A University College of Medicine, Busan, Korea
| | - Ock-Joo Kim
- Department of the History of Medicine and Medical Humanities, Seoul National University College of Medicine, Seoul, Korea
| | - Sang-Ho Yoo
- Department of Medical Humanities and Ethics, Hanyang University College of Medicine, Seoul, Korea
| | - Yoo Seock Cheong
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Younsuck Koh
- Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Lee C, Kim S, Cheong YS. Issues of new types of tobacco (e-cigarette and heat-not-burn tobacco): from the perspective of ‘tobacco harm reduction’. J Korean Med Assoc 2018. [DOI: 10.5124/jkma.2018.61.3.181] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Cheolmin Lee
- Department of Family Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea
| | - Sungroul Kim
- Department of Environmental Health Sciences, Soonchunhyang University, Asan, Korea
| | - Yoo Seock Cheong
- Department of Family Medicine, Dankook University School of Medicine, Cheonan, Korea
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Kim KY, Lim K, Park EW, Choi EY, Cheong YS. Patients' Perceived Quality of Family Physicians' Primary Care with or without 'Family Medicine' in the Clinic Name. Korean J Fam Med 2016; 37:303-7. [PMID: 27688865 PMCID: PMC5039123 DOI: 10.4082/kjfm.2016.37.5.303] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2016] [Revised: 04/22/2016] [Accepted: 04/25/2016] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Patients' perspectives of family medicine according to the physician's identity and role as a primary-care specialist need to be investigated. This study was conducted to investigate the perceived quality of the primary care of family medicine clinics as assessed by patients in a community setting. METHODS Patients (or their guardians) visiting nine community family medicine clinics were surveyed using the Korean Primary Care Assessment Tool from April 2014 to June 2014. The scores of the Korean Primary Care Assessment Tool domains were compared according to the clinics' designation (or not) as 'family medicine' and the patients' recognition (or not) of the physicians as board-certified family medicine specialists. RESULTS A total of 196 subjects responded to the questionnaire. They assessed the community clinics' quality of primary care as moderate to high. Of the clinics, those that were not designated as family medicine scored higher than those that were designated as family medicine (P<0.05). The group of patients that recognized a clinic as that of a board-certified family medicine specialist awarded higher scores than the non-recognition group in the domains of coordination function and personalized care (P<0.05). CONCLUSION The moderate to high scores for the community family medicine clinics' quality of primary care are encouraging. It seems that patients' recognition of the family physician's role and of the physician-patient relationship has a significant influence on their assessment of the quality of primary care.
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Affiliation(s)
- Ka Young Kim
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Kangjin Lim
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Eal Whan Park
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Eun Young Choi
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Yoo Seock Cheong
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
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Shin GH, Yi SW, Cheong YS, Park EW, Choi EY. Compliance and Effectiveness of Smoking Cessation Program Started on Hospitalized Patients. Korean J Fam Med 2016; 37:149-55. [PMID: 27274385 PMCID: PMC4891316 DOI: 10.4082/kjfm.2016.37.3.149] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Revised: 08/26/2015] [Accepted: 09/27/2015] [Indexed: 11/25/2022] Open
Abstract
Background Varenicline is now very useful medication for cessation; however, there is only little result of researches with varenicline for cessation of hospitalized patients. This research attempted to analyze the cessation effect of medication and compliance of hospitalized patients. Methods This research included data for 52 patients who were prescribed varenicline among 280 patients who were consulted for cessation during their admission period. This research checked whether smoking was stopped or not after six months and analyzed their compliance, the factors for succeeding in smoking cessation. Results One hundred and ninety hospitalized patients participated in smoking cessation counseling among 280 patients who included consultation from their admission departments. And varenicline was prescribed for only 80 patients after counseling. Nineteen smokers were successful in smoking cessation among 52 final participants representing the rating of success of 36.5%. The linkage between compliance of varenicline and rate of smoking successful has no statistical significance. The factors for succeeding in smoking of hospitalized patients are admission departments, diseases, and economic states. Conclusion Smoking cessation program has low inpatient compliance. Cooperation of each departments is very important for better compliance. Success rate of cessation was relatively high (36.5%). Cessation attempt during hospitalization is very effective strategy.
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Affiliation(s)
- Gun Hee Shin
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Sung Won Yi
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Yoo Seock Cheong
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Eal Whan Park
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Eun Young Choi
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
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Kim JH, Park YN, Park EW, Cheong YS, Choi EY. Effects of BATHE Interview Protocol on Patient Satisfaction. Korean J Fam Med 2012; 33:366-71. [PMID: 23267422 PMCID: PMC3526719 DOI: 10.4082/kjfm.2012.33.6.366] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2011] [Accepted: 10/24/2012] [Indexed: 11/18/2022] Open
Abstract
Background BATHE, the acronym for background, affect, trouble, handling, and empathy, is an interview approach that can be applied in the out-patient setting whereby questions belonging to each of the 5 categories are asked in the above order. As we have been taught to believe that BATHE raises the level of patient satisfaction and the quality of medical treatment overall, this study was designed to test the validity of the claim that applying BATHE heightens patient satisfaction. Methods Each of the 5 doctors was assigned 10 patients (5 in the BATHE group and the other 5 in the control group) with each patient being randomly assigned to either of the groups. The control group was interviewed as usual and the BATHE group was interviewed using BATHE. Immediately after the interview, each patient anonymously filled out a patient satisfaction questionnaire. Whether the questions asked were appropriate for each category of the protocol was evaluated by the researcher through video clips taped during the interviews. Results On 7 out of 10 items on the patient satisfaction questionnaire, the BATHE group was found to experience higher level of satisfaction than the control group in a statistically significant manner. The questions asked the BATHE group were confirmed to be more appropriate for each category of the protocol except empathy than those asked the control group. Conclusion As applying the BATHE approach was found to achieve higher level of patient satisfaction, we recommend using it in the out-patient setting.
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Affiliation(s)
- Ji Hyun Kim
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
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Suh HW, Kim HO, Kim YS, Sunwoo S, Lee JA, Lee HR, Kim B, Kim DH, Choi YS, Cheong YS, Yum K, Yang YJ, Yu BY, Cho CH, Park SB, Shin DH. The efficacy and safety of a combined alendronate and calcitriol agent (maxmarvil): a postmarketing surveillance study in korean postmenopausal women with osteoporosis. Korean J Fam Med 2012; 33:346-55. [PMID: 23267420 PMCID: PMC3526717 DOI: 10.4082/kjfm.2012.33.6.346] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2011] [Accepted: 10/11/2012] [Indexed: 12/02/2022] Open
Abstract
Background Combined therapy with alendronate and calcitriol may have additive effects on bone density. An observational study was performed to evaluate the efficacy and safety of Maxmarvil, a combinative agent of alendronate (5 mg) and calcitriol (0.5 µg), and to identify factors associated with efficacy. Methods A total of 568 postmenopausal women with osteoporosis were enrolled by family physicians in 12 hospitals. The study subjects took Maxmarvil daily for 12 months. Questionnaires about baseline characteristics, socioeconomic status, and daily calcium intake were completed at the first visit. Adverse events were recorded every 3 months and bone mineral density (BMD) in the lumbar spine was measured using dual-energy X-ray absorptiometry at baseline and after 12 months. We evaluated the efficacy and safety of Maxmarvil, and the factors related to BMD improvement. Results A total of 370 patients were included in final analysis. The median BMD was 0.81 ± 0.12 g/cm2 at pre-treatment and 0.84 ± 0.13 g/cm2 after one year. The average BMD improvement was 3.4% ± 6.4% (P < 0.05), and 167 (45.1%) patients showed improvement. Factors associated with improved BMD were continuation of treatment (odds ratio [OR], 2.41; 95% confidence interval [CI], 1.15 to 5.07) and good compliance (OR, 2.54; 95% CI, 1.29 to 5.00). Adverse events were reported by 35 of the 568 patients, with the most common being abdominal pain and dyspepsia. Conclusion Maxmarvil was found to be safe, well tolerated and effective in osteoporosis treatment. Continuation of treatment and good compliance were the factors associated with efficacy.
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Affiliation(s)
- Hee-Won Suh
- Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Kim YJ, Park EW, Cheong YS, Choi EY, Baek KH, Sung HY, Lee HY, Kim JH. Residents' expectation of family medicine-specific training program and its current state. Korean J Fam Med 2012; 32:390-8. [PMID: 22745877 PMCID: PMC3383154 DOI: 10.4082/kjfm.2011.32.7.390] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2011] [Accepted: 10/13/2011] [Indexed: 11/18/2022] Open
Abstract
Background The family medicine residency program consists mainly of clinical rotations in other specialties and the family medicine-specific training. We conducted this study to investigate how family medicine residents evaluated their training program that include family-oriented medicine, clinical preventive medicine, behavioral science and research in primary care. Methods In 2009, third-year residents of 129 training hospitals in Korea were surveyed to investigate the current state and their expectation of the residency program. The contents of questionnaires included training periods, conferences, procedures, interview techniques, outpatient and inpatient consultations, and written thesis. Results Total 133 out of 142 residents (93.7%) responded that 3 years of training is ideal or pertinent. Residents responded that the types of conference that they need most are journal review (81%), staff lecture (73.2%), and clinical topic review (73.2%), in that order. Procedures and interview techniques that the residents want to learn most were gastroscopy (72.5%), abdominal ultrasonography (65.2%), and pain management (46.4%). Hospitals where family medicine residents do not see hospitalized patients or patients in the outpatient clinic were 7.9% and 6.5%, respectively, whereas hospitals that maintain continuous family medicine outpatient clinics were only 40.8%. Education in outpatient clinic and articlewriting seminars was done less frequently in the secondary hospitals than in the tertiary hospitals. Conclusion Evaluation and quality improvement of family medicine training program as well as specialty rotations should be considered in order to foster better family physicians. The efforts have to be made to minimize the difference in quality of each family medicine residency program.
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Affiliation(s)
- Yong Jun Kim
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
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Kim HJ, Choi EY, Park EW, Cheong YS, Lee HY, Kim JH. The Utility of HbA1c as a Diagnostic Criterion of Diabetes. Korean J Fam Med 2011; 32:383-9. [PMID: 22745876 PMCID: PMC3383149 DOI: 10.4082/kjfm.2011.32.7.383] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2011] [Accepted: 10/13/2011] [Indexed: 12/16/2022] Open
Abstract
Background Hemoglobin A1c (HbA1c) was adopted as a new standard criterion for diagnosing diabetes. We investigated the diagnostic utility of HbA1c by comparing the 2003 American Diabetes Association (ADA) diagnostic criteria of diabetes with HbA1c of 6.5%. Furthermore, the cut-off value for HbA1c was investigated using receiver operating characteristic curves. Methods This study included 224 subjects without a history of diabetes that had a fasting plasma glucose level of above 100 mg/dL. The subjects had undergone a 75 g oral glucose tolerance test, and diabetes was defined as according to 2003 ADA criteria. Results The prevalence of newly diagnosed diabetes was 58.2% by the 2003 ADA criteria, and 47.8% by HbA1c of 6.5%, which underestimated the prevalence of diabetes. Compared with the 2003 ADA criteria, the sensitivity and specificity of HbA1c of 6.5% were 73.5% and 89.1%, respectively. The kappa index of agreement between 2003 ADA and HbA1c criteria was 0.60. The cut-off point of HbA1c for diagnosing diabetes was 6.45% (sensitivity, 73.3%; specificity, 88.2%; area under the curve, 0.85). HbA1c was significantly associated with fasting glucose (r = 0.82, P < 0.01), postprandial glucose (r = 0.78, P < 0.01), and homeostasis model assessment of insulin resistance (r = 0.16, P < 0.05). Conclusion For high risk patients whose fasting glucose was more than 100 mg/dL, HbA1c criterion underestimated the prevalence of newly diagnosed diabetes compared to the 2003 ADA criteria, and showed moderate agreement. The cut-off value for HbA1c was 6.45%, which was similar to the recommended diagnostic criterion of HbA1c by the 2009 ADA.
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Affiliation(s)
- Hee-Jung Kim
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
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Lee SH, Huh GY, Cheong YS. A case of endoscopic resection of a colonic semipedunculated leiomyoma. J Korean Soc Coloproctol 2011; 27:215-9. [PMID: 21980593 PMCID: PMC3180603 DOI: 10.3393/jksc.2011.27.4.215] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/30/2011] [Accepted: 05/17/2011] [Indexed: 02/07/2023]
Abstract
During colonoscopic examination, epithelial lesions, such as adenomatous polyps, are frequently encountered, unlike subepithelial lesions, such as leiomyomas, which are uncommon. A colonic leiomyoma is a rare tumor, originating either from the mucularis mucosa or from the proper muscle, and accounts for only 3% of all gastrointestinal leiomyomas. Colonic leiomyomas are usually benign and asymptomatic. However, they can sometimes cause symptoms, ie, abdominal pain, intestinal obstruction, hemorrhage, and perforation. The traditional management option for a colonic leiomyoma is surgical resection. Recently, with the development of endoscopy devices and techniques, the endoscopic resection has been considered as an alternative treatment option. We experienced a patient with a leiomyoma that was diagnosed during colonoscopy. The leiomyoma was resected endoscopically without complication. We report this case with a review of the literature.
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Affiliation(s)
- Seung Hwa Lee
- Health Promotion Center, Dankook University College of Medicine, Cheonan, Korea
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Lee SH, Lee WA, Park EW, Cheong YS. Four Cases of Carcinoid Tumor in Asymptomatic Thirties. Korean J Fam Med 2011. [DOI: 10.4082/kjfm.2011.32.2.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Affiliation(s)
- Seung Hwa Lee
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Won Ae Lee
- Department of Pathology, Dankook University College of Medicine, Cheonan, Korea
| | - Eal Whan Park
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Yoo Seock Cheong
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
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12
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Affiliation(s)
- Seung Hwa Lee
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
| | - Ji Eun Kwon
- Department of Pathology, Dankook University College of Medicine, Cheonan, Korea
| | - Yoo Seock Cheong
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
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Cheong YS, Ahn SH. Effect of Multi-modal Interventions for Smoking Cessation in a University Setting: A Short Course of Varenicline, Financial Incentives, E-mail and Short Message Service. Korean J Fam Med 2010. [DOI: 10.4082/kjfm.2010.31.5.355] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Affiliation(s)
- Yoo Seock Cheong
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
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Cho SJ, Kim YS, Shin HC, Sung EJ, Kim DH, Lee S, Jeon TH, Yang YJ, Cho CH, Kang HC, Cheong YS. A Randomized Controlled Trial of SMS Text Messaging versus Postal Reminder to Improve Attendance after Lipid Lowering Therapy in Primary Care. Korean J Fam Med 2010. [DOI: 10.4082/kjfm.2010.31.4.284] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Affiliation(s)
- Sung Ja Cho
- Department of Family Medicine, University of Ulsan College of Medicine, Seoul, Korea
| | - Young Sik Kim
- Department of Family Medicine, University of Ulsan College of Medicine, Seoul, Korea
| | - Ho Cheol Shin
- Department of Family Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Eun Ju Sung
- Department of Family Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Dae Hyun Kim
- Department of Family Medicine, Keimyung University College of Medicine, Daegu, Korea
| | - Sangyeoup Lee
- Department of Family Medicine, Pusan National University School of Medicine, Busan, Korea
| | - Tae Hee Jeon
- Department of Family Medicine, Seoul Veterans Hospital, Seoul, Korea
| | - Yun Jun Yang
- Department of Family Medicine, Inje University College of Medicine, Goyang, Korea
| | - Chung Hwan Cho
- Department of Family Medicine, Jeunju Jesus Hospital, Jeonju, Korea
| | - Hee-Cheol Kang
- Department of Family Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Yoo Seock Cheong
- Department of Family Medicine, Dankook University College of Medicine, Cheonan, Korea
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Lee SR, Park EW, Cheong YS, Choi EY, Lim SJ, Sung HJ, Kim YJ, Ha SO. Patient's Perspective of Common Cold and Health Care Utilization. Korean J Fam Med 2009. [DOI: 10.4082/kjfm.2009.30.6.440] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Affiliation(s)
- Sa Ra Lee
- Department of Family Medicine, College of Medicine, Dankook University, Cheonan, Korea
| | - Eal Whan Park
- Department of Family Medicine, College of Medicine, Dankook University, Cheonan, Korea
| | - Yoo Seock Cheong
- Department of Family Medicine, College of Medicine, Dankook University, Cheonan, Korea
| | - Eun Young Choi
- Department of Family Medicine, College of Medicine, Dankook University, Cheonan, Korea
| | - Seon Je Lim
- Department of Family Medicine, College of Medicine, Dankook University, Cheonan, Korea
| | - Hwa Jin Sung
- Department of Family Medicine, College of Medicine, Dankook University, Cheonan, Korea
| | - Yong Jun Kim
- Department of Family Medicine, College of Medicine, Dankook University, Cheonan, Korea
| | - Sang Ouk Ha
- Department of Family Medicine, College of Medicine, Dankook University, Cheonan, Korea
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Abstract
We investigated the relationship between the clustering of risk factors for metabolic syndrome and the plasma C-reactive protein (CRP) concentration as measured by high-sensitive CRP assay. Body mass index, waist circumference, triglycerides (TGs), high-density lipoprotein cholesterol, fasting glucose, systolic and diastolic blood pressures, insulin, and CRP were measured in 1046 Korean adults (560 males; age, 18-64 years) in 2003 to 2004. There were statistically significant positive correlations for log CRP with body mass index, waist circumference, log TG, log insulin, and log homeostasis model assessment in both sexes after adjusting for age and smoking status. High-density lipoprotein cholesterol showed a significant negative correlation with log CRP in both sexes. For both sexes, the mean level of log CRP increased with increasing number of risk factors of metabolic syndrome (P for trend <.01 for males and <.001 for females). Stepwise multivariate linear regression analysis showed that waist circumference contributed the largest portion of the variance in CRP levels in both sexes. Log homeostasis model assessment and log TG were independently associated with log CRP levels only in females. These results indicate that CRP, a marker of inflammation that underlies atherosclerosis, is associated with the clustering of each metabolic syndrome risk factor and, furthermore, that abdominal obesity is the strongest predictor of CRP level in the Korean adult population.
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Affiliation(s)
- Eun Young Choi
- Department of Family Medicine, Dankook University College of Medicine, Cheonan 330-715, South Korea
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Sunwoo S, Kim YS, Cho BL, Cheon KS, Seo HG, Rho MK, Cheong YS, Hong MH, Kim SW, Kim DH. Post-marketing surveillance study of the safety and efficacy of sildenafil prescribed in primary care to erectile dysfunction patients. Int J Impot Res 2005; 17:71-5. [PMID: 15510193 DOI: 10.1038/sj.ijir.3901263] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
In order to investigate the safety and efficacy of sildenafil prescribed in primary care, a post-marketing surveillance study was undertaken. A total of 651 men with erectile dysfunction (ED) were enrolled from 31 family physicians in Korea from December 1999 to July 2002. Patients were regularly followed up to ascertain the safety and efficacy of sildenafil. Of the 651 patients enrolled, 572 (87.9%) returned for safety evaluation and efficacy assessment. In all, 458 (80.1%) of 572 patients reported improved erectile function with sildenafil. Hypertension, diabetes and low-dose sildenafil were associated with poor efficacy. A total of 71 adverse events were reported among 56 patients (8.6%), with the most frequent being hot flushes (5.6%), followed by headache (2.6%), palpitation (1.0%), anxiety (0.5%) and elevated ALT (0.5%). Only six patients (1.0%) discontinued sildenafil as a direct result of adverse events. These results suggest that sildenafil prescribed by primary care physicians was well tolerated and improved erectile function in patients with ED.
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Affiliation(s)
- S Sunwoo
- Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul, Republic of Korea
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Cheong YS. Smoking Cessation : Behavioral Therapies Based on Evidence. J Korean Med Assoc 2002. [DOI: 10.5124/jkma.2002.45.6.676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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Cheong YS, Park SG. Ethical Considerations on Physician' Strike in Korea. J Korean Med Assoc 2001. [DOI: 10.5124/jkma.2001.44.1.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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