Factors Associated with the Use of Uterine Cervical Cancer Screening Services in Korean Elderly Women

Background: The Papanicolaou (Pap) smear test is an effective screening test for the early detection of uterine cervicalcancer. The Pap test still plays an important role in Korean elderly women, as uterine cervical cancer remains a frequentform of cancer and an important cause of death. However, the participation rate and other factors related to the Pap testin Korean elderly women have been studied insufficiently.Methods: This study included 654 individuals aged 65 and over who completed a cervical cancer screening questionnairefrom the Third Korean National Health and Nutrition Examination Survey 2005. Using multiple logistic regression, oddsratios and confidence intervals for the association between attendance of the Pap test and sociodemographic or healthrelatedfactors were calculated.Results: One hundred and eleven individuals (17.0%) of the study population showed compliance with Pap testingwithin the previous 2 years. We recognized that the most elderly women (75 years and over) or those with lower levels ofeducation were less likely to have had the test.Conclusion: Primary health care providers need to make efforts to improve attendance rates of Pap smear screening inKorean elderly women, individually taking into account previous Pap results, life expectancy, risk factors for cervicalcancer, and preferences. More attention will especially be needed among the eldest elderly or less educated elderlywomen.OAIID:oai:osos.snu.ac.kr:snu2012-01/102/0000052039/9SEQ:9PERF_CD:SNU2012-01EVAL_ITEM_CD:102USER_ID:0000052039ADJUST_YN:YEMP_ID:A077862DEPT_CD:801CITE_RATE:0FILENAME:25_Factors associated with use of gastric cancer screening services in Korea.pdfDEPT_NM:의학과EMAIL:[email protected]_YN:NCONFIRM:

Implementation of a Videoconferencing System between Multiple Family Medicine Departments

Attending conferences is important for doctors and residents in family medicine. Nevertheless, departments of family medicine at many hospitals find it difficult to hold regular conferences. Holding joint videoconferences between Family Medicine Departments of several hospitals through a videoconferencing system could solve this problem. Therefore, Family Medicine Departments of Seoul National University Hospital, Seoul National University Bundang Hospital, and Kangwon National University Hospital decided to hold regular joint videoconferences via a videoconferencing system. Eighty-one joint videoconferences were held from April 1 to October 29, 2010. PowerPoint slideshows were transferred to the other two locations in the same resolution as presenter's monitor. Image and voice of the speaker were transferred in real time and in acceptable quality. Joint videoconferences are feasible, satisfactory and useful for medical education, especially when individual family medicine departments are small and lack resources to hold face-to-face conferences. We expect that more family medicine departments will choose to participate in implementing similar joint videoconferencing systems in the future

Association between the awareness of osteoporosis and the quality of care for bone health among Korean women with osteoporosis

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.Background: The prevalence of osteoporosis is increasing and is a socio-economic burden worldwide. Although screening tests for osteoporosis in Korea are easily accessible, this condition remains undertreated. Evaluating post-diagnostic behavior changes may be helpful for improving the quality of care for bone health in osteoporotic patients. Methods: After reviewing the Fourth Korean National Health and Nutrition Examination Survey 2008–2009, 1,114 women with osteoporosis aged >50 years were included in this cross-sectional study. Factors related to bone health were categorized into the following groups: (1) behavioral health (smoking, alcohol consumption, and physical activity); (2) measured factors (lean body mass [kg], appendicular skeletal muscle mass [kg], and serum vitamin D level [nmol/L]); and (3) nutritional factors (calcium intake, vitamin/mineral supplementation, and healthy supplementary food). Logistic regression analysis and analysis of covariance was conducted after adjusting for age, education, income, residential area, height, weight, and self-perceived health using a weighted method. Results: Doctors diagnosed 39.5% of patients with osteoporosis, and these patients were compared with the control group. The awareness group, who had been diagnosed with osteoporosis by a doctor, had a lower proportion of smokers and higher serum vitamin D level than the control group, who had never been diagnosed with osteoporosis. No other associations were found for quality of bone health care variables. The awareness group had higher odds ratios of vitamin/mineral replacement and healthy supplementary food but no other differences were observed, indicating the patients beliefs in bone health care do not follow the recommended clinical guidelines (e.g. higher physical activity, lower alcohol consumption). Conclusion: To improve the quality of care for bone health in osteoporotic patients, an initial step should be the development of post-diagnostic procedures such as patient counseling and education through a multi-team care approach.Peer Reviewe

Influenza Vaccination and Associated Factors among Korean Cancer Survivors : A Cross-Sectional Analysis of the Fourth Fifth Korea National Health and Nutrition Examination Surveys

Influenza vaccination is important for cancer survivors, a population with impaired immunity. This study was designed to assess influenza vaccination patterns among Korean cancer survivors. In this cross-sectional analysis, data were obtained from standardized questionnaires from 943 cancer survivors and 41,233 non-cancer survivors who participated in the Fourth and Fifth Korea National Health and Nutrition Examination Surveys (2007-2011). We identified the adjusted influenza vaccination rates and assessed factors associated with influenza vaccination using multivariate logistic regression. Cancer survivors tended to have a higher adjusted influenza vaccination rate than the general population. The rates for influenza vaccination in specific cancer types such as stomach, hepatic, colon, and lung cancers were significantly higher than non-cancer survivors. Among all cancer survivors, those with chronic diseases, elderly subjects, and rural dwellers were more likely to receive influenza vaccination; those with cervical cancer were less likely to receive influenza vaccination. Cancer survivors were more likely to receive influenza vaccinations than non-cancer survivors, but this was not true for particular groups, especially younger cancer survivors. Cancer survivors represent a sharply growing population; therefore, immunization against influenza among cancer survivors should be concerned as their significant preventative healthcare services.OAIID:oai:osos.snu.ac.kr:snu2014-01/102/0000052039/13SEQ:13PERF_CD:SNU2014-01EVAL_ITEM_CD:102USER_ID:0000052039ADJUST_YN:YEMP_ID:A079543DEPT_CD:806CITE_RATE:1.253FILENAME:influenza vaccination and associated factors among korean cancer survivors, a cross-sectional analysis of the fourth ~.pdfDEPT_NM:의과학과SCOPUS_YN:YCONFIRM:

Association Between Insulin Resistance and Bone Mass in Men

Context: The association between insulin resistance and bone mass is still not clear. Objective: The purpose of this study was to evaluate the association between insulin resistance and bone mass. Design and Setting: This was a cross-sectional survey of the nationally representative population. Participants: A total of 3113 men (aged >= 20 years) from the fourth Korean National Health and Nutrition Examination Survey of 2008-2009 were included. Main Outcome Measures: Bone mineral density (BMD) was measured using dual-energy x-ray absorptiometry. Osteopenia and osteoporosis were defined using the World Health Organization T score criteria. Fasting plasma insulin and glucose levels were measured, and insulin resistance was evaluated using the homeostasis model assessment-estimated insulin resistance (HOMA-IR) index. Results: Age-, height-, and weight-adjusted mean BMD values significantly decreased as quartiles of HOMA-IR and the fasting plasma insulin level increased (P for trends <.001). In multivariable logistic regression analyses, participants who had a higher HOMA-IR or fasting plasma insulin level had a higher odds ratio for osteoporosis/osteopenia. Interestingly, the association between fasting plasma insulin level and whole-body BMD differed by the degree of insulin resistance. In the lowest quartile of HOMA-IR, the fasting insulin level was positively associated with BMD. As insulin resistance increased, however, the fasting insulin level was inversely associated with BMD, and this relationship became more significant as the degree of insulin resistance increased. Conclusions: In a nationally representative sample of Korean men, insulin resistance and the fasting plasma insulin level were inversely associated with bone mass. Further studies are required to confirm this association and reveal the underlying mechanisms.OAIID:oai:osos.snu.ac.kr:snu2014-01/102/0000052039/4SEQ:4PERF_CD:SNU2014-01EVAL_ITEM_CD:102USER_ID:0000052039ADJUST_YN:YEMP_ID:A079543DEPT_CD:806CITE_RATE:6.31FILENAME:association between insulin resistance and bone mass in men.pdfDEPT_NM:의과학과SCOPUS_YN:YCONFIRM:

The Student Movement Volume 108 Issue 10: VP or Not VP?: That is the Question

HUMANS Interview with Dr. Ponce-Rodas: Change within the Church, Grace No Dean Spotlight Interview: Alyssa Palmer, Lauren Kim Maya Sukumaran\u27s Exploration: Unraveling the Neurobiology of Cricket Behavior, Nick Bishop ARTS & ENTERTAINMENT AUSO\u27s Vienna Classics Concert, Nate Miller Discovering the Fine Arts Program, Amelia Stefanescu What Do Murder and Law School Have in Common?, Amelia Stefanescu NEWS AU Abroad, Katie Davis Context, Changes, Reactions, What\u27s Coming, VP to the Assistant to the President, Lily Burke Founding of Andrews University, Kiheon Chung Israel-Gaza Follow Up, Robert Zhang Second Annual AU Shark Tank Features Intriguing Proposals, Andrew Francis IDEAS Coming Out Ministries in Berrien Springs, Erin Beers How to Spread Holiday Cheer on a Budget!, Reagan Westerman Rabbit Rabbit, Katie Davis What is Truth? My Personal Exploration into Moral Relativism, Bella Hamann PULSE A Taste of Goodness, Anna Rybachek Countdown to Finals: Tips for Test-Taking, Sumin Lee Why Andrews?, Alyssa Caruthers LAST WORD My Semester of Touching Grass and Smelling the Roses, Grace Nohttps://digitalcommons.andrews.edu/sm-108/1009/thumbnail.jp

Association of smoking cessation after atrial fibrillation diagnosis on the risk of cardiovascular disease: a cohort study of South Korean men

While smoking elevates the risk for cardiovascular disease (CVD) among atrial fibrillation (AF) patients, whether smoking cessation after AF diagnosis actually leads to reduced CVD risk is unclear. We aimed to determine the association of smoking cessation after AF diagnosis with subsequent CVD Risk among South Korean men. This retrospective cohort study included 2372 newly diagnosed AF male patients during 2003–2012 from the Korean National Health Insurance Service database. Self-reported smoking status within 2 years before and after diagnosis date were determined, after which the participants were divided into continual smokers, quitters (smokers who quit after AF diagnosis), sustained-ex smokers (those who quit prior to AF diagnosis), and never smokers. Participants were followed up from 2 years after AF diagnosis until 31 December 2015 for CVD. Cox proportional hazards regression was used to determine the adjusted hazard ratios (aHRs) and 95% confidence interval (CIs) for CVD according to the change in smoking habits before and after AF diagnosis. The mean (standard deviation, minimum-maximum) age of the study subjects was 62.5 (8.6, 41–89) years. Among AF patients, quitters had 35% reduced risk (aHR 0.65, 95% CI 0.44–0.97) and never smokers had 32% reduced risk (aHR 0.68, 95% CI 0.52–0.90) for CVD compared to continual smokers (p for trend 0.020). Similarly, compared to continual smokers, quitters had 41% risk-reduction (aHR 0.59, 95% CI 0.35–0.99) and never smokers 34% risk-reduction (aHR 0.66, 95% CI 0.46–0.93) for total stroke (p for trend 0.047). Quitters had 50% reduction (aHR 0.50, 95% CI 0.27–0.94), sustained ex-smokers had 36% reduction (aHR 0.64, 95% CI 0.42–0.99), and never smokers had 39% reduction (aHR 0.61, 95% CI 0.41–0.91) in ischemic stroke risk (p for trend 0.047). The risk-reducing effect of quitting on CVD risk tended to be preserved regardless of aspirin or warfarin use. Smoking cessation after AF diagnosis was associated with reduced CVD, total stroke, and ischemic stroke risk

The Student Movement Volume 108 Issue 8: Conducting Us Into The Season

HUMANS Eating Healthier at Andrews, Brooklyn Anderson Honors Research with Shania Watts, Grace No Social Media: Is It Really Social?, Colin Cha ARTS & ENTERTAINMENT Journey to the Marvelous God - A double conducting recital, Aiko J. Ayala Rios Love, Murder, and Secrets: A Night At The MSU French Film Festival, Amelia Stefanescu What To Do About National Clean Out Your Refrigerator Day, Nate Miller Places to Go: The Lake Michigan College Mendel Center, Madison Vath NEWS Argentina Election Article, Regan McCain Qualitative Research Writing Group: Your Research Accountability Partner, Melissa Moore Self-Driving Taxis, Katie Davis Students\u27 reactions to Andrews\u27s National Ranking, Kiheon Chung Upcoming Winter Events, Melissa Moore IDEAS Morally Gray, Katie Davis Red and Green Flags, Ruben Colón Remembering Matthew Perry, Corinna Bevier SDAs and The Big Bang: A Survey, Erin Beers Shoot Your Shot - Or Maybe Not?, Regan Westerman PULSE Burnout vs. Laziness: What\u27s The Difference?, Lexie Dunham How Habits Happen, Anna Rybachek The Mauricio Fund, Elianna Fisher LAST WORD Reality for a Second-Generation Immigrant, Gio Leehttps://digitalcommons.andrews.edu/sm-108/1007/thumbnail.jp

Factors associated with use of breast cancer screening services by women aged ≥ 40 years in Korea: The Third Korea National Health and Nutrition Examination Survey 2005 (KNHANES III)

<p>Abstract</p> <p>Background</p> <p>Despite evidence that breast cancer screening reduces morbidity and mortality, until recently most women have not undergone regular mammogram examinations in Korea. We aimed to identify factors associated with use of breast cancer screening services.</p> <p>Methods</p> <p>The Health Promotion Knowledge, Attitude and Practice survey (HP-KAP survey) is part of the Third Korea National Health and Nutrition Examination Survey 2005 (KNHANES III), a nationwide health survey in Korea. Of 7,802 individuals who participated in the HP-KAP survey, 4,292 were female. Of these, 2,583 were women aged at least 40 years and without a history of breast cancer; these women were included in this study. Information about breast cancer screening participation was obtained from the responses to questionnaires. The overall rate of regular breast cancer screening was measured. Factors that affect participation in a breast cancer screening program were identified using multiple logistic regression analysis.</p> <p>Results</p> <p>Among women aged at least 40 years, 30.4% complied with breast screening recommendations. Age of at least 65 years (adjusted odds ratio, aOR 0.61, 95% CI: 0.42-0.88), education level (no [ref], elementary school [aOR 1.51, 95% CI: 1.06-1.47], middle/high school [aOR 1.99, 95% CI: 1.36-2.92], university/higher [aOR 2.73, 95% CI: 1.71-4.35]), private health insurance (aOR 1.42, 95% CI: 1.71-4.35), attitude towards screening tests (aOR 0.18, 95% CI: 0.14-0.23), self-reported health status of 'fair' (aOR 1.26 95% CI: 1.00-1.58), and smoking (aOR 0.52, 95% CI: 0.35-0.79) were associated with the rate of regular breast cancer screening</p> <p>Conclusions</p> <p>To increase the nationwide breast cancer screening rate, more attention should be given to underrepresented groups, particularly the elderly, those with a low education level, smokers, and those with a negative attitude towards screening tests. These issues highlight the need for a new emphasis in health education, promotional campaigns and public health policy aimed at these underrepresented groups.</p

Are Heated Tobacco Product Users Less Likely to Quit than Cigarette Smokers? Findings from THINK (Tobacco and Health IN Korea) Study

Since the advent of heated tobacco products in June 2017 in South Korea, the sale of heated tobacco products accounted for 10.5% of total tobacco sales in 2019. However, the decreasing trend in total tobacco sales is gradually weakening and the number of visitors using stop smoking services has also dropped. This study examines the association between the use of new tobacco products and related products and cessation behaviors. A cross-sectional study using a self-administered questionnaire was conducted from March 2019 to July 2019 for 2831 adult tobacco users. The difference in rates of quit attempts using the type of tobacco products and related products in the past year were noted (55.6% (any cigarette smoker), 46.7% (any e-cigarette user), and 39.6% (any heated tobacco product user)). About a 30% increase in quit attempts was observed for the triple users of either conventional cigarette or heated tobacco product than exclusive users. Exclusive heated tobacco product and e-cigarette users were approximately 40% and 20% less likely to quit the product they used than exclusive cigarette smokers, respectively. These findings can explain recent occurrences in South Korea, such as the reduction of visitors at smoking cessation clinics and the attenuation of the decline in tobacco sales