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1. Ruptured Middle Colic Artery Aneurysm Presenting with Symptoms of Acute Cholecystitis: A Case Report and Literature Review

Author

Johnson GGRJ, Dhaliwal S, Launcelott S, Hyun E, Helewa R, Shariff F, and Hochman D

Subjects
middle colic artery, mesenteric aneurysm, endovascular therapy, coil embolization, intra-aortic balloon placement, Medicine (General), R5-920
Abstract

Garrett GRJ Johnson,1,2 Surinder Dhaliwal,3 Sebastian Launcelott,4 Eric Hyun,1 Ramzi Helewa,1 Farhana Shariff,1 David Hochman1 1Department of Surgery, Section of General Surgery, University of Manitoba, Winnipeg, Manitoba, Canada; 2Clinician Investigator Program, University of Manitoba, Winnipeg, Manitoba, Canada; 3Department of Radiology, University of Manitoba, Winnipeg, Manitoba, Canada; 4Department of Surgery, Section of Vascular Surgery, University of Manitoba, Winnipeg, Manitoba, CanadaCorrespondence: David Hochman, Department of Surgery, Section of General Surgery, University of Manitoba, 343 Tache Avenue, Winnipeg, Manitoba, R2H 2A5, Canada, Tel +1 204-925-9592, Fax +1 204-231-2283, Email dhochman@sbgh.mb.caBackground: Ruptured middle colic artery aneurysm is extremely uncommon. Diagnosis can be challenging, as symptomatology can be attributed to more common abdominal pathologies. Due to the rarity of this condition, only case reports are available to inform management.Case Presentation: We present the case of a 72-year-old woman with a ruptured middle colic artery aneurysm presenting with signs and symptoms more suggestive of acute calculous cholecystitis. Her co-existing bleed was confirmed on CT angiogram. Coil embolization was initially attempted unsuccessfully. She underwent laparotomy, a middle colic artery ligation, and extended right hemicolectomy with intra-aortic balloon placement for emergency proximal vascular control. Post-operatively, she had a re-bleed that was successfully managed with covered stent placement in the proximal superior mesenteric artery after an unsuccessful re-attempt at coil embolization. Her apparent associated cholecystitis was managed with antibiotics and resolved uneventfully.Conclusion: A middle colic artery aneurysm can be challenging to diagnose and treat. Management options include endovascular techniques, open surgery, or a combination approach. Intra-aortic balloon placement for emergency vascular control is a novel approach that could avoid hemorrhage when intra-abdominal vascular access is challenging.Keywords: middle colic artery, mesenteric aneurysm, endovascular therapy, coil embolization, intra-aortic balloon placement

Published
2022

2. Rectal Cancer Metastasis to the Anal Verge: An Unusual Case Presentation and Review of the Literature

Author

Johnson GGRJ, Yip B, Helewa RM, Shariff F, and Hyun E

Subjects
colorectal cancer, anal metastasis, rectal cancer, anal adenocarcinoma, Medicine (General), R5-920
Abstract

Garrett GRJ Johnson,1,2 Benson Yip,1 Ramzi M Helewa,1 Farhana Shariff,1 Eric Hyun1 1Department of Surgery, Section of General Surgery, University of Manitoba, Winnipeg, Manitoba, Canada; 2Clinician Investigator Program, University of Manitoba, Winnipeg, Manitoba, CanadaCorrespondence: Eric Hyun Email ehyun@sbgh.mb.caBackground: Anal metastasis of colorectal adenocarcinoma is very rare, represented by only a handful of case reports in the literature. Previously, reports of metastasis to this region had occurred following a history of anorectal disease, such as anal fistulae. Antecedent trauma to the area from hemorrhoidectomy, fissures, or perineal retractor injury have also been implicated.Case Presentation: Herein we report the case of 69-year-old man without any history of anal disease presenting with a metachronous metastasis of a colorectal-type adenocarcinoma to the anal verge. He was previously treated for T1N0 rectal adenocarcinoma at the rectosigmoid junction with a low anterior resection 5 years prior, then had a T3N0 local recurrence at the colorectal anastomosis treated with neoadjuvant chemoradiation, and eventually a Hartmann’s procedure 4 years later. Subsequently, on surveillance flexible sigmoidoscopy, a new tumor was identified on the perianal skin extending from the anal verge. Histopathology demonstrated colorectal-type adenocarcinoma. Flexible endoscopy identified no other residual or recurrent disease in the colon or rectal stump. The patient was treated with wide local excision and advancement flap reconstruction.Conclusion: Isolated metastasis to the anus is an extremely rare occurrence for colorectal adenocarcinoma. There exists little evidence to inform management. One option is to treat like a locally recurrent rectal cancer with aggressive tri-modality management consisting of chemoradiation, abdominal perineal resection, and adjuvant chemotherapy. In the absence of metastatic disease, local resection and close surveillance remain an option. As always, patient factors should guide management.Keywords: colorectal cancer, anal metastasis, rectal cancer, anal adenocarcinoma

Published
2022

3. A Strangulated Meckel’s Diverticulum in an Inguinal Hernia: A Case Report and Literature Review

Author

Johnson GGRJ, Holden J, Helewa RM, Hochman D, and Hyun E

Subjects
meckel's diverticulum, littré's hernia, inguinal hernia., Medicine (General), R5-920
Abstract

Garrett GRJ Johnson,1,2 James Holden,1 Ramzi M Helewa,1 David Hochman,1 Eric Hyun1 1Department of Surgery, Section of General Surgery, University of Manitoba, Winnipeg, Manitoba, Canada; 2Clinician Investigator Program, University of Manitoba, Winnipeg, Manitoba, CanadaCorrespondence: Eric HyunSt. Boniface Hospital, Z3037 - 409 Tache Avenue, Winnipeg, Manitoba, R2H 2A6, CanadaEmail ehyun@sbgh.mb.caBackground: Meckel’s diverticulum is an embryologic remnant of the vitelline duct, occurring in approximately 2% of the adult population. A hernia containing a Meckel’s diverticulum is called a Littré’s hernia and is rarely reported in the medical literature. Clinically, a Littré’s hernia is indistinguishable from a hernia containing small bowel and is often discovered incidentally during a repair.Case Presentation: Herein, we report a rare case of strangulated Littré’s hernia in a patient’s right groin. The sac contained a long segment of small bowel in addition to a large Meckel’s diverticulum. The bowel was irreducible through the groin incision, and a lower midline laparotomy was made. Necrotic bowel including the Meckel’s diverticulum was resected. Given the presence of necrotic bowel and potential for infection, the hernia was repaired with a Bassini herniorrhaphy, reinforced with absorbable mesh. The patient recovered uneventfully.Conclusion: Littré’s hernia is a rare clinical entity. Treatment is similar to any bowel-containing hernia. Repair of the hernia defect with permanent mesh should be weighed against the risk of implant infection.Keywords: Meckel’s diverticulum, Littré’s hernia, inguinal hernia

Published
2021

12. Mediating and Moderating Effects of Uncertainty on the Relationship between Family Function, Self-Care, and Depression among Blood Cancer Survivors.

Author

Yeom, Hyun-E and Park, Da-Som

Subjects
*FAMILY roles, *CANCER survivors, *PEARSON correlation (Statistics), *FAMILY relations, *FAMILY support, *PSYCHOLOGICAL well-being
Abstract

Uncertainty in cancer survivorship poses a substantial challenge to survivors' coping mechanisms and psychological well-being. This study investigated the intricate interplay among family function, uncertainty, self-care, and depression in this context, with a primary focus on discerning the mediating and moderating roles of uncertainty in the relationship between family function, self-care, and depression among blood cancer survivors. Cross-sectional data from 147 survivors in South Korea underwent analysis using descriptive statistics, Pearson's correlations, and the PROCESS macro in SPSS version 26.0. The results revealed that family function significantly predicted both self-care and depression. Notably, uncertainty mediated the relationship between family function and these outcomes. Furthermore, the impact of family function on depression was moderated by uncertainty, indicating a relatively weaker association in survivors facing higher uncertainty levels. This study contributes valuable insights by elucidating the role of uncertainty in regulating how family function influences self-care and depression among survivors of blood cancer. It emphasizes the critical need to enhance family function and alleviate uncertainty for the improved adjustment of cancer survivorship. The findings underscore the importance of targeted support for individuals grappling with different levels of uncertainty, aiming to prevent or mitigate depressive symptoms through the reinforcement of family function. [ABSTRACT FROM AUTHOR]

Published
2024
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16. Minimum standards of pelvic exenterative practice:PelvEx Collaborative guideline

Author

Fahy, MR, Kelly, ME, Aalbers, AGJ, Abdul Aziz, N, Abecasis, N, Abraham-Nordling, M, Akiyoshi, T, Alberda, W, Albert, M, Andric, M, Angeles, MA, Angenete, E, Antoniou, A, Auer, R, Austin, KK, Aytac, E, Aziz, O, Bacalbasa, N, Baker, RP, Bali, M, Baransi, S, Baseckas, G, Bebington, B, Bedford, M, Bednarski, BK, Beets, GL, Berg, PL, Bergzoll, C, Beynon, J, Biondo, S, Boyle, K, Bordeianou, L, Brecelj, E, Bremers, AB, Brunner, M, Buchwald, P, Bui, A, Burgess, A, Burger, JWA, Burling, D, Burns, E, Campain, N, Carvalhal, S, Castro, L, Caycedo-Marulanda, A, Ceelan, W, Chan, KKL, Chang, GJ, Chang, M, Chew, MH, Chok, AY, Chong, P, Clouston, H, Codd, M, Collins, D, Colquhoun, AJ, Constantinides, J, Corr, A, Coscia, M, Cosimelli, M, Cotsoglou, C, Coyne, PE, Croner, RS, Damjanovich, L, Daniels, IR, Davies, M, Delaney, CP, de Wilt, JHW, Denost, Q, Deutsch, C, Dietz, D, Domingo, S, Dozois, EJ, Drozdov, E, Duff, M, Eglinton, T, Enriquez-Navascues, JM, Espín-Basany, E, Evans, MD, Eyjólfsdóttir, B, Fearnhead, NS, Ferron, G, Flatmark, K, Fleming, FJ, Flor, B, Folkesson, J, Frizelle, FA, Funder, J, Gallego, MA, Gargiulo, M, García-Granero, E, García-Sabrido, JL, Gava, VG, Gentilini, L, George, ML, George, V, Georgiou, P, Ghosh, A, Ghouti, L, Gil-Moreno, A, Giner, F, Ginther, DN, Glyn, T, Glynn, R, Golda, T, Griffiths, B, Harris, DA, Hagemans, JAW, Hanchanale, V, Harji, DP, Helewa, RM, Hellawell, G, Heriot, AG, Hochman, D, Hohenberger, W, Holm, T, Hompes, R, Hornung, B, Hurton, S, Hyun, E, Ito, M, Iversen, LH, Jenkins, JT, Jourand, K, Kaffenberger, S, Kandaswamy, GV, Kapur, S, Kanemitsu, Y, Kazi, M, Kelley, SR, Keller, DS, Ketelaers, SHJ, Khan, MS, Kiran, RP, Kim, H, Kim, HJ, Koh, CE, Kok, NFM, Kokelaar, R, Kontovounisios, C, Kose, F, Koutra, M, Kristensen, HØ, Kroon, HM, Kumar, S, Kusters, M, Lago, V, Lampe, B, Lakkis, Z, Larach, JT, Larkin, JO, Larsen, SG, Larson, DW, Law, WL, Lee, PJ, Limbert, M, Loria, A, Lydrup, ML, Lyons, A, Lynch, AC, Maciel, J, Manfredelli, S, Mann, C, Mantyh, C, Mathis, KL, Marques, CFS, Martinez, A, Martling, A, Mehigan, BJ, Meijerink, WJHJ, Merchea, A, Merkel, S, Mehta, AM, Mikalauskas, S, McArthur, DR, McCormick, JJ, McCormick, P, McDermott, FD, McGrath, JS, Malde, S, Mirnezami, A, Monson, JRT, Navarro, AS, Negoi, I, Neto, JWM, Ng, JL, Nguyen, B, Nielsen, MB, Nieuwenhuijzen, GAP, Nilsson, PJ, Nordkamp, S, Nugent, T, Oliver, A, O’Dwyer, ST, O’Sullivan, NJ, Paarnio, K, Palmer, G, Pappou, E, Park, J, Patsouras, D, Peacock, O, Pellino, G, Peterson, AC, Pinson, J, Poggioli, G, Proud, D, Quinn, M, Quyn, A, Rajendran, N, Radwan, RW, Rao, C, Rasheed, S, Rausa, E, Regenbogen, SE, Reims, HM, Renehan, A, Rintala, J, Rocha, R, Rochester, M, Rohila, J, Rothbarth, J, Rottoli, M, Roxburgh, C, Rutten, HJT, Safar, B, Sagar, PM, Sahai, A, Saklani, A, Sammour, T, Sayyed, R, Schizas, AMP, Schwarzkopf, E, Scripcariu, D, Scripcariu, V, Selvasekar, C, Shaikh, I, Simpson, A, Skeie-Jensen, T, Smart, NJ, Smart, P, Smith, JJ, Solbakken, AM, Solomon, MJ, Sørensen, MM, Sorrentino, L, Steele, SR, Steffens, D, Stitzenberg, K, Stocchi, L, Stylianides, NA, Swartling, T, Spasojevic, M, Sumrien, H, Sutton, PA, Swartking, T, Takala, H, Tan, EJ, Taylor, C, Tekin, A, Tekkis, PP, Teras, J, Thaysen, HV, Thurairaja, R, Thorgersen, EB, Toh, EL, Tsarkov, P, Tsukada, Y, Tsukamoto, S, Tuech, JJ, Turner, WH, Tuynman, JB, Valente, M, van Ramshorst, GH, van Zoggel, D, Vasquez-Jimenez, W, Vather, R, Verhoef, C, Vierimaa, M, Vizzielli, G, Voogt, ELK, Uehara, K, Urrejola, G, Wakeman, C, Warrier, SK, Wasmuth, HH, Waters, PS, Weber, K, Weiser, MR, Wheeler, JMD, Wild, J, Williams, A, Wilson, M, Wolthuis, A, Yano, H, Yip, B, Yip, J, Yoo, RN, Zappa, MA, Winter, DC, Fahy, Mr, Kelly, Me, Aalbers, Agj, Abdul Aziz, N, Abecasis, N, Abraham-Nordling, M, Akiyoshi, T, Alberda, W, Albert, M, Andric, M, Angeles, Ma, Angenete, E, Antoniou, A, Auer, R, Austin, Kk, Aytac, E, Aziz, O, Bacalbasa, N, Baker, Rp, Bali, M, Baransi, S, Baseckas, G, Bebington, B, Bedford, M, Bednarski, Bk, Beets, Gl, Berg, Pl, Bergzoll, C, Beynon, J, Biondo, S, Boyle, K, Bordeianou, L, Brecelj, E, Bremers, Ab, Brunner, M, Buchwald, P, Bui, A, Burgess, A, Burger, Jwa, Burling, D, Burns, E, Campain, N, Carvalhal, S, Castro, L, Caycedo-Marulanda, A, Ceelan, W, Chan, Kkl, Chang, Gj, Chang, M, Chew, Mh, Chok, Ay, Chong, P, Clouston, H, Codd, M, Collins, D, Colquhoun, Aj, Constantinides, J, Corr, A, Coscia, M, Cosimelli, M, Cotsoglou, C, Coyne, Pe, Croner, R, Damjanovich, L, Daniels, Ir, Davies, M, Delaney, Cp, de Wilt, Jhw, Denost, Q, Deutsch, C, Dietz, D, Domingo, S, Dozois, Ej, Drozdov, E, Duff, M, Eglinton, T, Enriquez-Navascues, Jm, Espín-Basany, E, Evans, Md, Eyjólfsdóttir, B, Fearnhead, N, Ferron, G, Flatmark, K, Fleming, Fj, Flor, B, Folkesson, J, Frizelle, Fa, Funder, J, Gallego, Ma, Gargiulo, M, García-Granero, E, García-Sabrido, Jl, Gava, Vg, Gentilini, L, George, Ml, George, V, Georgiou, P, Ghosh, A, Ghouti, L, Gil-Moreno, A, Giner, F, Ginther, Dn, Glyn, T, Glynn, R, Golda, T, Griffiths, B, Harris, Da, Hagemans, Jaw, Hanchanale, V, Harji, Dp, Helewa, Rm, Hellawell, G, Heriot, Ag, Hochman, D, Hohenberger, W, Holm, T, Hompes, R, Hornung, B, Hurton, S, Hyun, E, Ito, M, Iversen, Lh, Jenkins, Jt, Jourand, K, Kaffenberger, S, Kandaswamy, Gv, Kapur, S, Kanemitsu, Y, Kazi, M, Kelley, Sr, Keller, D, Ketelaers, Shj, Khan, M, Kiran, Rp, Kim, H, Kim, Hj, Koh, Ce, Kok, Nfm, Kokelaar, R, Kontovounisios, C, Kose, F, Koutra, M, Kristensen, Hø, Kroon, Hm, Kumar, S, Kusters, M, Lago, V, Lampe, B, Lakkis, Z, Larach, Jt, Larkin, Jo, Larsen, Sg, Larson, Dw, Law, Wl, Lee, Pj, Limbert, M, Loria, A, Lydrup, Ml, Lyons, A, Lynch, Ac, Maciel, J, Manfredelli, S, Mann, C, Mantyh, C, Mathis, Kl, Marques, Cf, Martinez, A, Martling, A, Mehigan, Bj, Meijerink, Wjhj, Merchea, A, Merkel, S, Mehta, Am, Mikalauskas, S, Mcarthur, Dr, Mccormick, Jj, Mccormick, P, Mcdermott, Fd, Mcgrath, J, Malde, S, Mirnezami, A, Monson, Jrt, Navarro, A, Negoi, I, Neto, Jwm, Ng, Jl, Nguyen, B, Nielsen, Mb, Nieuwenhuijzen, Gap, Nilsson, Pj, Nordkamp, S, Nugent, T, Oliver, A, O’Dwyer, St, O’Sullivan, Nj, Paarnio, K, Palmer, G, Pappou, E, Park, J, Patsouras, D, Peacock, O, Pellino, G, Peterson, Ac, Pinson, J, Poggioli, G, Proud, D, Quinn, M, Quyn, A, Rajendran, N, Radwan, Rw, Rao, C, Rasheed, S, Rausa, E, Regenbogen, Se, Reims, Hm, Renehan, A, Rintala, J, Rocha, R, Rochester, M, Rohila, J, Rothbarth, J, Rottoli, M, Roxburgh, C, Rutten, Hjt, Safar, B, Sagar, Pm, Sahai, A, Saklani, A, Sammour, T, Sayyed, R, Schizas, Amp, Schwarzkopf, E, Scripcariu, D, Scripcariu, V, Selvasekar, C, Shaikh, I, Simpson, A, Skeie-Jensen, T, Smart, Nj, Smart, P, Smith, Jj, Solbakken, Am, Solomon, Mj, Sørensen, Mm, Sorrentino, L, Steele, Sr, Steffens, D, Stitzenberg, K, Stocchi, L, Stylianides, Na, Swartling, T, Spasojevic, M, Sumrien, H, Sutton, Pa, Swartking, T, Takala, H, Tan, Ej, Taylor, C, Tekin, A, Tekkis, Pp, Teras, J, Thaysen, Hv, Thurairaja, R, Thorgersen, Eb, Toh, El, Tsarkov, P, Tsukada, Y, Tsukamoto, S, Tuech, Jj, Turner, Wh, Tuynman, Jb, Valente, M, van Ramshorst, Gh, van Zoggel, D, Vasquez-Jimenez, W, Vather, R, Verhoef, C, Vierimaa, M, Vizzielli, G, Voogt, Elk, Uehara, K, Urrejola, G, Wakeman, C, Warrier, Sk, Wasmuth, Hh, Waters, P, Weber, K, Weiser, Mr, Wheeler, Jmd, Wild, J, Williams, A, Wilson, M, Wolthuis, A, Yano, H, Yip, B, Yip, J, Yoo, Rn, Zappa, Ma, Winter, Dc, Surgery, CCA - Cancer Treatment and quality of life, CCA - Imaging and biomarkers, and Amsterdam Gastroenterology Endocrinology Metabolism

Subjects
Neoplasm Recurrence, Local/surgery, Humans, Surgery, Neoplasm Recurrence, Local, Pelvic Exenteration
Abstract

This document outlines the important aspects of caring for patients who have been diagnosed with advanced pelvic cancer. It is primarily aimed at those who are establishing a service that adequately caters to this patient group. The relevant literature has been summarized and an attempt made to simplify the approach to management of these complex cases.

Published
2022

17. Validation and psychometric properties of the multidimensional scale of perceived social support among Korean breast cancer survivors

Author

Mijung Kim, Hyun-E Yeom, and Mi Sook Jung

Subjects
Oncology, Oncology (nursing)
Abstract

Social support plays a key role in dealing with various challenges accompanying cancer treatment and survivorship. The multidimensional scale of perceived social support (MSPSS) is a valid measurement used globally to assess general support from social interpersonal relations. This study aims to validate the psychometric properties of the Korean version of the MSPSS among Korean women with breast cancer.Two independent cross-sectional studies collected data from 349 non-metastatic breast cancer survivors. Statistical analyses of confirmatory factor analyses,Factor analysis confirmed a three-factor construct (i.e., family, friends, and spouse) with good fit indices. Concurrent validity was verified by correlations with social well-being and interpersonal relationships, which are theoretically relevant concepts. Known-group validity was also confirmed by different MSPSS scores according to depression and symptom distress levels. Reliability was supported by good internal consistency and acceptable test-retest correlation coefficients.The findings demonstrate the MSPSS is a valid and reliable measurement to assess the extent to which women with breast cancer perceive social support from spouses, other family members, and friends in Korea. Further studies should verify the psychometric properties of the MSPSS in patients with other cancers beyond breast cancer. Health professionals could administer the MSPSS to evaluate the diverse resources of social support among cancer survivors.

Published
2022

22. Contemporary management of locally advanced and recurrent rectal cancer: views from the PelvEx collaborative

Author

Kelly M. E., O’Sullivan N. J., Fahy M. R., Aalbers A. G. J., Abdul Aziz N., Abecasis N., Abraham-Nordling M., Abu Saadeh F., Akiyoshi T., Alberda W., Albert M., Andric M., Angeles M. A., Angenete E., Antoniou A., Auer R., Austin K. K., Aytac E., Aziz O., Bacalbasa N., Baker R. P., Bali M., Baransi S., Baseckas G., Bebington B., Bedford M., Bednarski B. K., Beets G. L., Berg P. L., Bergzoll C., Beynon J., Biondo S., Boyle K., Bordeianou L., Brecelj E., Bremers A. B., Brunner M., Buchwald P., Bui A., Burgess A., Burger J. W. A., Burling D., Burns E., Campain N., Carvalhal S., Castro L., Caycedo-Marulanda A., Ceelen W., Chan K. K. L., Chang G. J., Chang M., Chew M. H., Chok A. Y., Chong P., Clouston H., Codd M., Collins D., Colquhoun A. J., Constantinides J., Corr A., Coscia M., Cosimelli M., Cotsoglou C., Coyne P. E., Croner R. S., Damjanovich L., Daniels I. R., Davies M., Delaney C. P., de Wilt J. H. W., Denost Q., Deutsch C., Dietz D., Domingo S., Dozois E. J., Drozdov E., Duff M., Eglinton T., Enriquez-Navascues J. M., Espín-Basany E., Evans M. D., Eyjólfsdóttir B., Fearnhead N. S., Ferron G., Fichtner-Feigl S., Flatmark K., Fleming F. J., Flor B., Folkesson J., Frizelle F. A., Funder J., Gallego M. A., Gargiulo M., García-Granero E., García-Sabrido J. L., Gava V. G., Gentilini L., George M. L., George V., Georgiou P., Ghosh A., Ghouti L., Gil-Moreno A., Giner F., Ginther D. N., Glyn T., Glynn R., Golda T., Griffiths B., Harris D. A., Hanchanale V., Harji D. P., Harris C., Helewa R. M., Hellawell G., Heriot A. G., Hochman D., HohenbergerW., Holm T., Hompes R., Hornung B., Hurton S., Hyun E., Ito M., Iversen L. H., Jenkins J. T., Jourand K., Kaffenberger S., Kandaswamy G. V., Kapur S., Kanemitsu Y., Kazi M., Kelley S. R., Keller D. S., Ketelaers S. H. J., Khan M. S., Kiran R. P., Kim H., Kim H. J., Koh C. E., Kok N. F. M., Kokelaar R., Kontovounisios C., Kose F., Koutra M., Kristensen H. Ø., Kroon H. M., Kumar S., Kusters M., Lago V., Lampe B., Lakkis Z., Larach J. T., Larkin J. O., Larsen S. G., Larson D. W., Law W. L., Lee P. J., Limbert M., Loria A., Lydrup ML., Lyons A., Lynch A. C., Maciel J., Manfredelli S., Mann C., Mantyh C., Mathis K. L., Marques C. F. S., Martinez A., Martling A., Mehigan B. J., MeijerinkW. J. H. J., Merchea A., Merkel S., Mehta A. M., Mikalauskas S., McArthur D. R., McCormick J. J., McCormick P., McDermott F. D., McGrath J. S., Malde S., Mirnezami A., Monson J. R. T., Navarro A. S., Neeff H., Negoi I., Neto J. W. M., Ng J. L., Nguyen B., Nielsen M. B., Nieuwenhuijzen G. A. P., Nilsson P. J., Nordkamp S., Nugent T., Oliver A., O’Dwyer S. T., Paarnio K., Palmer G., Pappou E., Park J., Patsouras D., Peacock O., Pellino G., Peterson A. C., Pfeffer F., Pinson J., Poggioli G., Proud D., Quinn M., Quyn A., Rajendran N., Radwan R. W., Rao C., Rasheed S., Rausa E., Regenbogen S. E., Reims H. M., Renehan A., Rintala J., Rocha R., Rochester M., Rohila J., Rothbarth J., Rottoli M., Roxburgh C., Rutten H. J. T., Safar B., Sagar P. M., Sahai A., Saklani A., Sammour T., Sayyed R., Schizas A. M. P., Schwarzkopf E., Scripcariu D., Scripcariu V., Selvasekar C., Shaikh I., Simpson A., Skeie-Jensen T., Smart N. J., Smart P., Smith J. J., Solbakken A. M., Solomon M. J., Sørensen M. M., Sorrentino L., Steele S. R., Steffens D., Stitzenberg K., Stocchi L., Stylianides N. A., Swartling T., Spasojevic M., Sumrien H., Sutton P. A., Swartking T., Takala H., Tan E. J., Taylor C., Taylor D., Tekin A., Tekkis P. P., Teras J., Thaysen H. V., Thurairaja R., Thorgersen E. B., Tiernan J., Toh E. L., Tolenaar J., Tsarkov P., Tsukada Y., Tsukamoto S., Tuech J. J., Turner W. H., Tuynman J. B., Valente M., van Ramshorst G. H., van Rees J., van Zoggel D., Vasquez-JimenezW., Vather R., Verhoef C., Vierimaa M., Vizzielli G., Voogt E. L. K., Uehara K., Urrejola G., Wakeman C., Warrier S. K., Wasmuth H. H., Waters P. S., Weber K., Weiser M. R., Wheeler J. M. D., Wild J., Williams A., Wilson M., Wolthuis A., Yano H., Yip B., Yoo R. N., Zappa M. A., Winter D. C., and Kelly M.E., O’Sullivan N.J., Fahy M.R., Aalbers A.G.J., Abdul Aziz N., Abecasis N., Abraham-Nordling M., Abu Saadeh F., Akiyoshi T., Alberda W., Albert M., Andric M., Angeles M.A., Angenete E., Antoniou A., Auer R., Austin K.K., Aytac E., Aziz O., Bacalbasa N., Baker R.P., Bali M., Baransi S., Baseckas G., Bebington B., Bedford M., Bednarski B.K., Beets G.L., Berg P.L., Bergzoll C., Beynon J., Biondo S., Boyle K., Bordeianou L., Brecelj E., Bremers A.B., Brunner M., Buchwald P., Bui A., Burgess A., Burger J.W.A., Burling D., Burns E., Campain N., Carvalhal S., Castro L., Caycedo-Marulanda A., Ceelen W., Chan K.K.L., Chang G.J., Chang M., Chew M.H., Chok A.Y., Chong P., Clouston H., Codd M., Collins D., Colquhoun A.J., Constantinides J., Corr A., Coscia M., Cosimelli M., Cotsoglou C., Coyne P.E., Croner R.S., Damjanovich L., Daniels I.R., Davies M., Delaney C.P., de Wilt J.H.W., Denost Q., Deutsch C., Dietz D., Domingo S., Dozois E.J., Drozdov E., Duff M., Eglinton T., Enriquez-Navascues J.M., Espín-Basany E., Evans M.D., Eyjólfsdóttir B., Fearnhead N.S., Ferron G., Fichtner-Feigl S., Flatmark K., Fleming F.J., Flor B., Folkesson J., Frizelle F.A., Funder J., Gallego M.A., Gargiulo M., García-Granero E., García-Sabrido J.L., Gargiulo M., Gava V.G., Gentilini L., George M.L., George V., Georgiou P., Ghosh A., Ghouti L., Gil-Moreno A., Giner F., Ginther D.N., Glyn T., Glynn R., Golda T., Griffiths B., Harris D.A., Hanchanale V., Harji D.P., Harris C., Helewa R.M., Hellawell G., Heriot A.G., Hochman D., HohenbergerW., Holm T., Hompes R., Hornung B., Hurton S., Hyun E., Ito M., Iversen L.H., Jenkins J.T., Jourand K., Kaffenberger S., Kandaswamy G.V., Kapur S., Kanemitsu Y., Kazi M., Kelley S.R., Keller D.S., Ketelaers S.H.J., Khan M.S., Kiran R.P., Kim H., Kim H.J., Koh C.E., Kok N.F.M., Kokelaar R., Kontovounisios C., Kose F., Koutra M., Kristensen H.Ø., Kroon H.M., Kumar S., Kusters M., Lago V., Lampe B., Lakkis Z., Larach J.T., Larkin J.O., Larsen S.G., Larson D.W., Law W.L., Lee P.J., Limbert M., Loria A., Lydrup ML., Lyons A., Lynch A.C., Maciel J., Manfredelli S., Mann C., Mantyh C., Mathis K.L., Marques C.F.S., Martinez A., Martling A., Mehigan B.J., MeijerinkW.J.H.J., Merchea A., Merkel S., Mehta A.M., Mikalauskas S., McArthur D.R., McCormick J.J., McCormick P., McDermott F.D., McGrath J.S., Malde S., Mirnezami A., Monson J.R.T., Navarro A.S., Neeff H., Negoi I., Neto J.W.M., Ng J.L., Nguyen B., Nielsen M.B., Nieuwenhuijzen G.A.P., Nilsson P.J., Nordkamp S., Nugent T., Oliver A., O’Dwyer S.T., Paarnio K., Palmer G., Pappou E., Park J., Patsouras D., Peacock O., Pellino G., Peterson A.C., Pfeffer F., Pinson J., Poggioli G., Proud D., Quinn M., Quyn A., Rajendran N., Radwan R.W., Rajendran N., Rao C., Rasheed S., Rausa E., Regenbogen S.E., Reims H.M., Renehan A., Rintala J., Rocha R., Rochester M., Rohila J., Rothbarth J., Rottoli M., Roxburgh C., Rutten H.J.T., Safar B., Sagar P.M., Sahai A., Saklani A., Sammour T., Sayyed R., Schizas A.M.P., Schwarzkopf E., Scripcariu D., Scripcariu V., Selvasekar C., Shaikh I., Simpson A., Skeie-Jensen T., Smart N.J., Smart P., Smith J.J., Solbakken A.M., Solomon M.J., Sørensen M.M., Sorrentino L., Steele S.R., Steffens D., Stitzenberg K., Stocchi L., Stylianides N.A., Swartling T., Spasojevic M., Sumrien H., Sutton P.A., Swartking T., Takala H., Tan E.J., Taylor C., Taylor D., Tekin A., Tekkis P.P., Teras J., Thaysen H.V., Thurairaja R., Thorgersen E.B., Tiernan J., Toh E.L., Tolenaar J., Tsarkov P., Tsukada Y., Tsukamoto S., Tuech J.J., Turner W.H., Tuynman J.B., Valente M., van Ramshorst G.H., van Rees J., van Zoggel D., Vasquez-JimenezW., Vather R., Verhoef C., Vierimaa M., Vizzielli G., Voogt E.L.K., Uehara K., Urrejola G., Wakeman C., Warrier S.K.,Wasmuth H.H.,Waters P.S.,Weber K.,Weiser M.R., Wheeler J.M.D.,Wild J., Williams A., Wilson M., Wolthuis A., Yano H., Yip B., Yoo R.N., Zappa M.A., Winter D.C.

Subjects
Cancer Research, perioperative care, ENHANCED RECOVERY, diagnostic, EXENTERATION, surgical management, surgical outcomes, recurrent rectal cancer, SDG 3 - Good Health and Well-being, locally advanced rectal cancer, QUALITY-OF-LIFE, Medicine and Health Sciences, diagnostics, 1112 Oncology and Carcinogenesis, PATHOLOGICAL COMPLETE RESPONSE, rectal cancer, SURGICAL TECHNIQUES, OUTCOMES, Science & Technology, HYPERTHERMIC INTRAPERITONEAL, PelvEx Collaborative, CHEMOTHERAPY, WHOLE-BODY MRI, NEOADJUVANT CHEMORADIOTHERAPY, Oncology, quality of life, CYTOREDUCTIVE SURGERY, HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY, Life Sciences & Biomedicine
Abstract

Pelvic exenteration is a complex operation performed for locally advanced and recurrent pelvic cancers. The goal of surgery is to achieve clear margins, therefore identifying adjacent or involved organs, bone, muscle, nerves and/or vascular structures that may need resection. While these extensive resections are potentially curative, they can be associated with substantial morbidity. Recently, there has been a move to centralize care to specialized units, as this facilitates better multidisciplinary care input. Advancements in pelvic oncology and surgical innovation have redefined the boundaries of pelvic exenterative surgery. Combined with improved neoadjuvant therapies, advances in diagnostics, and better reconstructive techniques have provided quicker recovery and better quality of life outcomes, with improved survival This article provides highlights of the current management of advanced pelvic cancers in terms of surgical strategy and potential future developments.

Published
2022

23. The association of education level with autonomy support, self‐efficacy and health behaviour in patients with cardiovascular risk factors

Author

Hyun-E Yeom and Jungmin Lee

Subjects
Gerontology, Self-efficacy, Mediation (statistics), Descriptive statistics, business.industry, media_common.quotation_subject, Health Behavior, Multilevel model, General Medicine, Self Efficacy, Cross-Sectional Studies, Cardiovascular Diseases, Heart Disease Risk Factors, Risk Factors, Surveys and Questionnaires, Scale (social sciences), Health care, Educational Status, Humans, business, Psychology, General Nursing, Autonomy, Patient education, media_common
Abstract

AIM AND OBJECTIVES The study aimed to investigate whether the patients' education level affected the mediation effect of self-efficacy on the relationship between the autonomy-supportive healthcare climate and health behaviour among patients with cardiovascular risk factors. BACKGROUND Autonomy and self-efficacy are identified as influential factors related to the behaviours of individuals with health problems. However, it is unclear whether autonomy support from healthcare providers affects health behaviour through self-efficacy and if patients' education level affects the association. DESIGN A cross-sectional study. METHODS A convenience sample of 207 individuals with one or more cardiovascular diseases completed self-administered surveys including the healthcare climate questionnaire, self-efficacy scale and the engagement in health behaviour scale. Data were analysed using descriptive statistics, t test, Pearson's correlation coefficients and hierarchical regression analysis. All procedures of the study adhered to the STROBE guidelines. RESULTS The influence of autonomy support from healthcare providers on self-efficacy differed by individuals' education level. Self-efficacy in less educated, but not highly educated individuals, tended to depend on the autonomy-supportive climate. Additionally, the autonomy-supportive healthcare climate affected health behaviour through self-efficacy only in less educated individuals. CONCLUSION The relationship between autonomy support from healthcare providers and self-efficacy was more evident in the relatively less educated individuals. The associations among autonomy support, self-efficacy and health behaviour differed by patient education level, and the mediating role of self-efficacy on the relationship between autonomy-supportive climate and health behaviour was found only in those less educated. RELEVANCE TO CLINICAL PRACTICE Healthcare providers should recognise the importance of supporting patients' need for autonomy to improve self-efficacy and healthy behaviour, particularly in less educated patients. Additionally, healthcare providers' support tailored to patients' needs and educational status should be highlighted.

Published
2021

28. Causal beliefs about hypertension and self-care behaviour in Korean patients

Author

Hyun-E Yeom

Subjects
030504 nursing, business.industry, media_common.quotation_subject, Disease, Logistic regression, Exploratory factor analysis, Compliance (psychology), 03 medical and health sciences, Self-care behaviour, 0302 clinical medicine, Perception, Nursing Interventions Classification, Medicine, 030212 general & internal medicine, 0305 other medical science, Attribution, business, General Nursing, Clinical psychology, media_common
Abstract

Background Hypertension is a lifelong disease that requires a healthy lifestyle and medical treatment. Patients’ views about the causes of hypertension play a role in guiding their self-care to regulate hypertension. Aims This study aimed to examine the internal structure underlying the causal beliefs about hypertension in Korean patients and their influence on self-care intention and medication compliance. Methods A cross-sectional study was conducted using a convenience sample of 145 patients. Causal beliefs about hypertension were assessed using a modified Illness Perception Questionnaire-Revised. The internal structure of causal beliefs about hypertension was extracted with an exploratory factor analysis of SPSS 22.0. The influence of causal beliefs on self-care intention and medication compliance was tested using multiple linear regression and logistic regression analyses. Findings Causal beliefs about hypertension were structured into four dimensions: psychological, fate-related, risk, and habitual factors. Attributing the causes of hypertension to risk factors (e.g., smoking, alcohol) and fate-related factors (e.g., fate, accident) was a significant predictor of lower self-care intention and poorer medication compliance, respectively. Discussion Patients’ causal beliefs about hypertension were either relevant or irrelevant to medical facts. Special attention is needed for patients who believe that risky behaviour or supernatural power causes hypertension. Understanding patients’ beliefs about hypertension should be highlighted as a primary step to develop nursing strategies corresponding to patients’ recognition about hypertension. Conclusion Careful assessment of the causal beliefs about hypertension is essential to develop nursing interventions to maintain and promote active self-care.

Published
2021

29. Threshold effects of body mass index on cognitive function and heterogeneity by sex and cardiovascular risk factors

Author

Young-Joo Kim and Hyun-E Yeom

Subjects
Male, Cognition, Thinness, Cardiovascular Diseases, Heart Disease Risk Factors, Risk Factors, Public Health, Environmental and Occupational Health, Humans, Longitudinal Studies, Middle Aged, Overweight, Body Mass Index
Abstract

BackgroundDisclosing the underlying relationship between body mass index (BMI) and cognitive decline is imperative for cognitive impairment prevention and early detection. Empirical studies have indicated the risk of abnormal BMI leading to cognitive impairment. However, the relative risk of underweight or overweight on cognitive function is obscure. This study investigated the asymmetric causal effect of BMI on cognitive decline below and above an unknown threshold and the heterogeneity in the threshold level and the magnitude of the threshold effect due to sex and cardiovascular risk factors.MethodsThis study used 2010–2018 panel data from the Korean Longitudinal Study of Aging that assessed sociodemographic and health-related trends in Korean middle-aged to older population. A generalized method of moments estimator of the panel threshold model was applied to estimate the potential nonlinear pattern between BMI and cognitive function.ResultsThere was a threshold effect in the relationship between BMI and cognitive function. An increase in BMI below the threshold was associated with higher cognitive function, whereas a further increase in BMI above the threshold led to cognitive decline. The nonlinear pattern between BMI and cognitive function differed by sex and cardiovascular risk appearing more distinctively within men or the cardiovascular risk group.ConclusionsThe detrimental impact of being underweight or overweight on cognitive function is heterogeneous by sex or cardiovascular risk. For obese men or individuals with cardiovascular risk factors, maintaining adequate BMI should be highlighted to help prevent cognitive decline.

Published
2022

32. Estimating a breakpoint in the pattern of spread of COVID-19 in South Korea

Author

Hyun-E Yeom, Young-Joo Kim, and Myung Hwan Seo

Subjects
0301 basic medicine, Microbiology (medical), Counterfactual thinking, Coronavirus disease 2019 (COVID-19), Pneumonia, Viral, Disease transmission, 030106 microbiology, Public health interventions, Article, lcsh:Infectious and parasitic diseases, Betacoronavirus, 03 medical and health sciences, 0302 clinical medicine, Republic of Korea, Pandemic, Statistics, Humans, lcsh:RC109-216, 030212 general & internal medicine, Pandemics, Interventions, Public health, Potential impact, SARS-CoV-2, Breakpoint, COVID-19, General Medicine, Infectious Diseases, Geography, Infectious disease (medical specialty), SIR model, Coronavirus Infections, Epidemic model
Abstract

Highlights • We applied the SIR (susceptible–infected–removed) model with a breakpoint to allow for a change in transmission rate. • The model accurately estimated the trajectory of COVID-19 spread in South Korea. • The breakpoint may reflect potential effects of preventive strategies on transmission rates. • Counterfactual experiments illustrated potential impacts of the breakpoint on the spread of infection., Objectives Amid the global coronavirus disease 2019 (COVID-19) crisis, South Korea has been lauded for successfully preventing the spread of this infectious disease, which may be due to the aggressive implementation of preventive policies. This study was performed to evaluate the pattern of spread of COVID-19 in South Korea considering the potential impact of policy interventions on transmission rates. Methods A SIR (susceptible–infected–removed) model with a breakpoint that allows a change in transmission rate at an unknown point was established. Estimated trajectories of COVID-19 from SIR models with and without a breakpoint were compared. Results The proposed model with a break fitted the actual series of infection cases much better than the classic model. The estimated breakpoint was March 7, 2020 and the transmission rate dropped by 0.23 after the breakpoint. A counterfactual study based on our estimate indicated that the number of infected could have reached 2 500 000 compared to the peak of 8000 in the observed series. Conclusions It is critical to consider a change in the transmission rate to evaluate the trajectory of spread of COVID-19 in South Korea. Our estimation and counterfactual experiments indicate that public health interventions may play a role in determining the pattern of spread of infectious diseases.

Published
2020

33. Gender Difference in the Relationship Among Family Function, Health Behavior, and Stress in Midlife

Author

Jungmin Lee and Hyun-E Yeom

Subjects
Male, Aging, Health Behavior, Psychological intervention, 050109 social psychology, 03 medical and health sciences, Sex Factors, 0302 clinical medicine, Republic of Korea, Stress (linguistics), Linear regression, Developmental and Educational Psychology, Humans, Family, 0501 psychology and cognitive sciences, 030212 general & internal medicine, 05 social sciences, Middle Aged, Healthy diet, Middle age, Social relation, Cross-Sectional Studies, Female, Health information, Geriatrics and Gerontology, Health behavior, Psychology, Stress, Psychological, Clinical psychology
Abstract

This study investigated whether there are gender-based differences in the process wherein family functions influence stress through various health behaviors in midlife adults. A cross-sectional study was done using a convenience sample of 250 middle-aged Koreans. Data on the family APGAR index, four health behaviors (i.e., seeking health information, physical activity, healthy diet, and social interaction), and stress were collected by a self-administered survey and analyzed using hierarchical multiple linear regression analyses and a PROCESS macro for SPSS. The study results showed that an indirect effect of family function on stress through health behaviors was significant in women, whereas such a relationship was not shown in men. This study found that the process wherein family function is linked with stress through health behaviors differs by gender. Developing gender-specific interventions is essential to decrease stress in midlife adults.

Published
2020

34. Impact of Autonomy Support on the Association between Personal Control, Healthy Behaviors, and Psychological Well-Being among Patients with Hypertension and Cardiovascular Comorbidities

Author

Hyun-E Yeom and Jungmin Lee

Subjects
Health, Toxicology and Mutagenesis, Surveys and Questionnaires, Health Behavior, Hypertension, Personal Autonomy, Public Health, Environmental and Occupational Health, Quality of Life, Humans, internal–external control, personal autonomy, health personnel, health behavior, quality of life, hypertension, comorbidity
Abstract

A sense of control and autonomy are key components in guiding health-related behaviors and quality of life in people with chronic diseases. This study investigated whether autonomy support from health professionals moderates the impact of personal control on psychological well-being through healthy behaviors in patients with hypertension and cardiovascular comorbidities. Data from 149 hypertensive patients with comorbid cardiovascular risk factors were collected via self-administered surveys. A moderated mediation effect of a hypothesized model was analyzed using the PROCESS macro bootstrapping method. Autonomy support from health professionals moderated the relationship between personal control and healthy behaviors (B = 0.16, t = 2.48, p < 0.05), showing that the effect of personal control on healthy behaviors differed by the level of autonomy support. Additionally, autonomy support moderated the mediation effect of healthy behaviors in the relationship between personal control and psychological well-being (Index = 0.15; 95% CI = 0.010, 0.335). The mediation effect existed only in patients with higher autonomy support. The findings demonstrate that autonomy support from health professionals plays a crucial role in reinforcing the positive impact of personal control on healthy behaviors and psychological well-being. Enhancing the supportive attitudes of health professionals that facilitate patients’ autonomous self-regulation is necessary for better health outcomes in people with combined cardiovascular diseases.

Published
2021

35. Age and sex-specific associations between depressive symptoms, body mass index and cognitive functioning among Korean middle-aged and older adults: a cross-sectional analysis

Author

Hyun-E Yeom and Young-Joo Kim

Subjects
Male, Cognition, Cross-Sectional Studies, Depression, Republic of Korea, Weight Loss, Humans, Female, Longitudinal Studies, Geriatrics and Gerontology, Middle Aged, Aged, Body Mass Index
Abstract

Background Although depression and body weight have been noted as important predictors of cognitive health, it remains unclear how age and sex influence the mechanism by which depressive symptoms and body weight are associated with cognitive functioning. This study examined whether and how the relationships between depressive symptoms and cognitive functioning mediated by body mass index (BMI) differ in terms of age and sex. Methods A cross-sectional analysis of a large sample of population-based data (N = 5,619; mean age 70.73 [± 9.07]), derived from the Korean Longitudinal Study of Aging, was conducted with hierarchical mediated-moderation regressions and a PROCESS macro approach in SPSS. Depressive symptoms were measured through the 10-item Center for Epidemiologic Studies Depression (CES-D) scale, and cognitive functioning was assessed with the Korean Mini-Mental State Examination (K-MMSE). Results The results showed that depressive symptoms were significantly associated with cognitive decline directly and indirectly through reduced BMI. The estimated coefficients indicated that a one standard deviation increase in CES-D scale was associated with about 0.9 decrease in K-MMSE score. However, the indirect relationship between depressive symptoms and cognitive function through BMI emerged only in men or individuals older than 70 years. Conclusions The findings suggest that a careful assessment of BMI is warranted for early detection and prevention of cognitive decline related to depressive symptoms, particularly among older men.

Published
2021

37. Anger and disgust shape judgments of social sanctions across cultures, especially in high individual autonomy societies

Author

Per A. Andersson, Irina Vartanova, Daniel Västfjäll, Gustav Tinghög, Pontus Strimling, Junhui Wu, Isabela Hazin, Charity S. Akotia, Alisher Aldashev, Giulia Andrighetto, Adote Anum, Gizem Arikan, Fatemeh Bagherian, Davide Barrera, Dana Basnight-Brown, Birzhan Batkeyev, Elizaveta Berezina, Marie Björnstjerna, Paweł Boski, Inna Bovina, Bui Thi Thu Huyen, Đorđe Čekrlija, Hoon-Seok Choi, Carlos C. Contreras-Ibáñez, Rui Costa-Lopes, Mícheál de Barra, Piyanjali de Zoysa, Angela R. Dorrough, Nikolay Dvoryanchikov, Jan B. Engelmann, Hyun Euh, Xia Fang, Susann Fiedler, Olivia A. Foster-Gimbel, Márta Fülöp, Ragna B. Gardarsdottir, C. M. Hew D. Gill, Andreas Glöckner, Sylvie Graf, Ani Grigoryan, Vladimir Gritskov, Katarzyna Growiec, Peter Halama, Andree Hartanto, Tim Hopthrow, Martina Hřebíčková, Dzintra Iliško, Hirotaka Imada, Hansika Kapoor, Kerry Kawakami, Narine Khachatryan, Natalia Kharchenko, Toko Kiyonari, Michal Kohút, Lisa M. Leslie, Yang Li, Norman P. Li, Zhuo Li, Kadi Liik, Angela T. Maitner, Bernardo Manhique, Harry Manley, Imed Medhioub, Sari Mentser, Pegah Nejat, Orlando Nipassa, Ravit Nussinson, Nneoma G. Onyedire, Ike E. Onyishi, Penny Panagiotopoulou, Lorena R. Perez-Floriano, Minna Persson, Anna-Maija Pirttilä-Backman, Marianna Pogosyan, Jana Raver, Ricardo Borges Rodrigues, Sara Romanò, Pedro P. Romero, Inari Sakki, Alvaro San Martin, Sara Sherbaji, Hiroshi Shimizu, Brent Simpson, Erna Szabo, Kosuke Takemura, Maria Luisa Mendes Teixeira, Napoj Thanomkul, Habib Tiliouine, Giovanni A. Travaglino, Yannis Tsirbas, Sita Widodo, Rizqy Zein, Lina Zirganou-Kazolea, and Kimmo Eriksson

Subjects
Medicine, Science
Abstract

Abstract When someone violates a social norm, others may think that some sanction would be appropriate. We examine how the experience of emotions like anger and disgust relate to the judged appropriateness of sanctions, in a pre-registered analysis of data from a large-scale study in 56 societies. Across the world, we find that individuals who experience anger and disgust over a norm violation are more likely to endorse confrontation, ostracism and, to a smaller extent, gossip. Moreover, we find that the experience of anger is consistently the strongest predictor of judgments of confrontation, compared to other emotions. Although the link between state-based emotions and judgments may seem universal, its strength varies across countries. Aligned with theoretical predictions, this link is stronger in societies, and among individuals, that place higher value on individual autonomy. Thus, autonomy values may increase the role that emotions play in guiding judgments of social sanctions.

Published
2024
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40. Sex Differences in the Influence of Sleep on Body Mass Index and Risk of Metabolic Syndrome in Middle-Aged Adults

Author

Hyun-E Yeom and Jungmin Lee

Subjects
Leadership and Management, lcsh:Medicine, Health Informatics, body mass index, 030204 cardiovascular system & hematology, Article, metabolic syndrome, 03 medical and health sciences, 0302 clinical medicine, Health Information Management, Medicine, 030212 general & internal medicine, Sleep quality, business.industry, Health Policy, lcsh:R, nutritional and metabolic diseases, medicine.disease, Sleep in non-human animals, Obesity, Poor sleep, sleep disorders, Metabolic syndrome, sex characteristics, business, Body mass index, Demography, Sex characteristics
Abstract

Poor sleep and obesity are intimately related to cardiovascular diseases. We aimed to examine whether the influence of sleep and body mass index (BMI) on the risk of metabolic syndrome (MetS) differed by sex in middle-aged people. It is a cross-sectional study of 458 Korean participants who completed self-administered surveys, the data were analyzed using the PROCESS macro for SPSS. We found that both sleep and BMI were significant predictors of MetS risk in women, particularly by the role of BMI connecting the impact of sleep to MetS risk. However, the association was not found in men, showing that BMI, but not sleep, was a significant predictor of MetS. This sex-related difference was due to different relationships between sleep and BMI, indicating that BMI was more dependent on sleep quality for women than for men. Therefore, a sex-specific approach to decrease the risk of MetS is warranted.

Published
2020

41. Changes in social norms during the early stages of the COVID-19 pandemic across 43 countries

Author

Giulia Andrighetto, Aron Szekely, Andrea Guido, Michele Gelfand, Jered Abernathy, Gizem Arikan, Zeynep Aycan, Shweta Bankar, Davide Barrera, Dana Basnight-Brown, Anabel Belaus, Elizaveta Berezina, Sheyla Blumen, Paweł Boski, Huyen Thi Thu Bui, Juan Camilo Cárdenas, Đorđe Čekrlija, Mícheál de Barra, Piyanjali de Zoysa, Angela Dorrough, Jan B. Engelmann, Hyun Euh, Susann Fiedler, Olivia Foster-Gimbel, Gonçalo Freitas, Marta Fülöp, Ragna B. Gardarsdottir, Colin Mathew Hugues D. Gill, Andreas Glöckner, Sylvie Graf, Ani Grigoryan, Katarzyna Growiec, Hirofumi Hashimoto, Tim Hopthrow, Martina Hřebíčková, Hirotaka Imada, Yoshio Kamijo, Hansika Kapoor, Yoshihisa Kashima, Narine Khachatryan, Natalia Kharchenko, Diana León, Lisa M. Leslie, Yang Li, Kadi Liik, Marco Tullio Liuzza, Angela T. Maitner, Pavan Mamidi, Michele McArdle, Imed Medhioub, Maria Luisa Mendes Teixeira, Sari Mentser, Francisco Morales, Jayanth Narayanan, Kohei Nitta, Ravit Nussinson, Nneoma G. Onyedire, Ike E. Onyishi, Evgeny Osin, Seniha Özden, Penny Panagiotopoulou, Oleksandr Pereverziev, Lorena R. Perez-Floriano, Anna-Maija Pirttilä-Backman, Marianna Pogosyan, Jana Raver, Cecilia Reyna, Ricardo Borges Rodrigues, Sara Romanò, Pedro P. Romero, Inari Sakki, Angel Sánchez, Sara Sherbaji, Brent Simpson, Lorenzo Spadoni, Eftychia Stamkou, Giovanni A. Travaglino, Paul A. M. Van Lange, Fiona Fira Winata, Rizqy Amelia Zein, Qing-peng Zhang, and Kimmo Eriksson

Subjects
Science
Abstract

Abstract The emergence of COVID-19 dramatically changed social behavior across societies and contexts. Here we study whether social norms also changed. Specifically, we study this question for cultural tightness (the degree to which societies generally have strong norms), specific social norms (e.g. stealing, hand washing), and norms about enforcement, using survey data from 30,431 respondents in 43 countries recorded before and in the early stages following the emergence of COVID-19. Using variation in disease intensity, we shed light on the mechanisms predicting changes in social norm measures. We find evidence that, after the emergence of the COVID-19 pandemic, hand washing norms increased while tightness and punishing frequency slightly decreased but observe no evidence for a robust change in most other norms. Thus, at least in the short term, our findings suggest that cultures are largely stable to pandemic threats except in those norms, hand washing in this case, that are perceived to be directly relevant to dealing with the collective threat.

Published
2024
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43. The association of education level with autonomy support, self‐efficacy and health behaviour in patients with cardiovascular risk factors.

Author

Yeom, Hyun‐E and Lee, Jungmin

Subjects
*CARDIOVASCULAR diseases risk factors, *OCCUPATIONAL roles, *SOCIAL support, *CONFIDENCE intervals, *CROSS-sectional method, *CHRONIC diseases, *SELF-efficacy, *T-test (Statistics), *NURSE-patient relationships, *CRONBACH'S alpha, *PEARSON correlation (Statistics), *AUTONOMY (Psychology), *HEALTH behavior, *QUESTIONNAIRES, *SCALE analysis (Psychology), *DESCRIPTIVE statistics, *RESEARCH funding, *STATISTICAL sampling, *DATA analysis software, *EDUCATIONAL attainment
Abstract

Aim and objectives: The study aimed to investigate whether the patients' education level affected the mediation effect of self‐efficacy on the relationship between the autonomy‐supportive healthcare climate and health behaviour among patients with cardiovascular risk factors. Background: Autonomy and self‐efficacy are identified as influential factors related to the behaviours of individuals with health problems. However, it is unclear whether autonomy support from healthcare providers affects health behaviour through self‐efficacy and if patients' education level affects the association. Design: A cross‐sectional study. Methods: A convenience sample of 207 individuals with one or more cardiovascular diseases completed self‐administered surveys including the healthcare climate questionnaire, self‐efficacy scale and the engagement in health behaviour scale. Data were analysed using descriptive statistics, t test, Pearson's correlation coefficients and hierarchical regression analysis. All procedures of the study adhered to the STROBE guidelines. Results: The influence of autonomy support from healthcare providers on self‐efficacy differed by individuals' education level. Self‐efficacy in less educated, but not highly educated individuals, tended to depend on the autonomy‐supportive climate. Additionally, the autonomy‐supportive healthcare climate affected health behaviour through self‐efficacy only in less educated individuals. Conclusion: The relationship between autonomy support from healthcare providers and self‐efficacy was more evident in the relatively less educated individuals. The associations among autonomy support, self‐efficacy and health behaviour differed by patient education level, and the mediating role of self‐efficacy on the relationship between autonomy‐supportive climate and health behaviour was found only in those less educated. Relevance to clinical practice: Healthcare providers should recognise the importance of supporting patients' need for autonomy to improve self‐efficacy and healthy behaviour, particularly in less educated patients. Additionally, healthcare providers' support tailored to patients' needs and educational status should be highlighted. [ABSTRACT FROM AUTHOR]

Published
2022
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46. Interactive Impact of Sleep Duration and Sleep Quality on the Risk of Developing Metabolic Syndrome in Korean Adults

Author

Hyun-E Yeom and Young-Joo Kim

Subjects
Pediatrics, medicine.medical_specialty, differential threshold, Leadership and Management, lcsh:Medicine, 030209 endocrinology & metabolism, Health Informatics, 030204 cardiovascular system & hematology, Logistic regression, Article, metabolic syndrome, 03 medical and health sciences, 0302 clinical medicine, Health Information Management, healthy lifestyle, medicine, sleep, Sleep quality, business.industry, Health Policy, lcsh:R, Odds ratio, medicine.disease, Sleep in non-human animals, Confidence interval, Increased risk, Metabolic syndrome, business, Sleep duration
Abstract

Sleep quality is important for the normal functioning of hormonal and metabolic processes in the body, however, few studies have considered the effects of both sleep duration and sleep quality on predicting metabolic syndrome risk. We examined the interactive impact of sleep duration and sleep quality on the risk of developing metabolic syndrome using logistic regression analysis with a threshold based on hours of sleep. Data were collected from 411 adults in South Korea and, according to the estimated threshold of 6 h of sleep (95% Confidence Interval, CI = 5&ndash, 7 h), participants were classified as short (&lt, 6 h) or adequate-long (&ge, 6 h) sleepers. The two groups differed significantly on various health measures. While short sleepers were more likely than adequate-long sleepers to experience adverse health conditions, which increased their risk of developing metabolic syndrome, they were not influenced by sleep quality. For adequate-long sleepers, however, a decrease in sleep quality was associated with an increased risk of developing metabolic syndrome (odds ratio = 1.24, 95% CI = 1.07&ndash, 1.43). Our results suggest that both sleep duration and sleep quality are crucial determinants of the development of metabolic syndrome and that it is important to maintain at least 6 h of sleep.

Published
2020

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