Min-kyung Jung - Academia.edu (original) (raw)

Papers by Min-kyung Jung

African Journal of Food, Agriculture, Nutrition and Development, 2015

School-age children in developing countries are particularly vulnerable to undernutrition as the ... more School-age children in developing countries are particularly vulnerable to undernutrition as the priority of nutritional interventions focus on fetal development and the first years of life. This study examines anthropometric indices of school-age children in five communities located in rural Kwahu-Eastern Region, Ghana, West Africa and discusses environmental influences that contribute to their nutritional and growth status. Anthropometric indices of heights and weights were obtained from 411 school- aged children, (5-12 years old) in 5 villages (Asakraka, Awiseasu, Miaso, Oframase and Oworobong) during June 2012. Anthropometric parameters and influences that contributed to nutritional status (environmental, health facilities, availability of markets and gender) were assessed. Factorial ANOVAs were conducted with age, gender and village as factors for the z-score for ‘BMI-for-age’ and the z-score for ‘height-for-age’. The z-score of ‘BMI-for-age’ showed a significant two-way intera...

Frontiers in Public Health

IntroductionCoronaVirus Disease-2019 (COVID-19) led to social distancing and the need for alterna... more IntroductionCoronaVirus Disease-2019 (COVID-19) led to social distancing and the need for alternative care models. Telehealth programs for people with Parkinson's (PWP) disease may ensure continuity of care. The goal of this observational survey study was to determine the practicability, satisfaction, and barriers to online programs, their relationship to perceived symptoms, mood, and quality of life, and program sustainability beyond the immediate pandemic.MethodsIn-person Parkinson's programs at New York Institute of Technology College of Osteopathic Medicine transitioned online at the start of the pandemic to include Rock Steady Boxing, Support Groups, and Rock Steady Buddies. A custom online survey sent to 150 participants investigated PD history, symptomatology, level of exercise before and during the pandemic, depression (PHQ-9), quality of life (PDQ-39), and practicability and perceived satisfaction related to these online programs. Descriptive statistics were reporte...

Journal of Osteopathic Medicine, 2021

Context Comprehensive sports medicine care goes beyond the treatment of injuries resulting from a... more Context Comprehensive sports medicine care goes beyond the treatment of injuries resulting from athletic activities. Ultimately, it is a competence that includes knowledge in physical therapy, training, nutrition, coaching, motivation, competition, mentoring, psychology, and spirituality that allows the physician and patient to collaborate on promoting the patient’s health goals. The current literature demonstrates a lack of knowledge in the Osteopathic Primary Care Sports Medicine Model’s effectiveness in performance. Objectives To determine whether a comprehensive osteopathic primary care sports medicine approach can improve performance and health outcomes in collegiate athletes. Methods A randomized controlled trial commenced just prior to the start of the lacrosse season and concluded at the end of the season. All the New York Institute of Technology (NYIT) collegiate lacrosse players were educated first in a 1-day seminar of the core competencies, and all participants had acces...

Cureus, 2021

Background Although the standard of care for anterior abdominal gunshot wounds (AAGSWs) is immedi... more Background Although the standard of care for anterior abdominal gunshot wounds (AAGSWs) is immediate laparotomy, these operations are associated with a high rate of negativity and potentially serious complications. Recent data suggest the possibility of selective non-operative management (SNOM) of AAGSWs, but none implicate body mass index (BMI) as a factor in patient selection. Anecdotal experience at our trauma center suggested a protective effect of obesity among patients with AAGSWs, and given the exceptionally high rate of obesity in the Bronx, we sought to analyze the associations of AAGSWs and BMI to inform future trauma research and management. In this study, we aimed to evaluate whether BMI is associated with injury severity, resource utilization, and clinical outcomes of AAGSWs. Methodology From our prospectively accrued trauma registry, we retrospectively abstracted all patients greater than 16 years old with Current Procedural Terminology codes associated with gunshot wo...

Asian Journal of Sports Medicine, 2013

Purpose: Arterial stiffness increases with age and is related to an increased risk of coronary ar... more Purpose: Arterial stiffness increases with age and is related to an increased risk of coronary artery disease. Poor trunk flexibility has been shown to be associated with arterial stiffness in middle-aged subjects. The purpose of our research study was to measure arterial stiffness and flexibility in healthy middle-aged martial artists compared to age and gender matched healthy sedentary controls. Methods: Ten martial artists (54.0 ± 2.0 years), who practice Soo Bahk Do (SBD), a Korean martial art, and ten sedentary subjects (54.7 ± 1.8 years) for a total of twenty subjects took part in this cross-sectional study. Arterial stiffness was assessed in all subjects using pulse wave velocity (PWV), a recognized index of arterial stiffness. Flexibility of the trunk and hamstring were also measured. The independent variables were the martial artists and matched sedentary controls. The dependent variables were PWV and flexibility. Results: There were significant differences, between the SBD practitioners and sedentary controls, in PWV (P = 0.004), in trunk flexibility (P= 0.002), and in hamstring length (P= 0.003). Conclusion: The middle-aged martial artists were more flexible in their trunk and hamstrings and had less arterial stiffness compared to the healthy sedentary controls. The flexibility component of martial art training or flexibility exercises in general may be considered as a possible intervention to reduce the effects of aging on arterial stiffness.

Objectives: Health professionals recognize simulation training as a beneficial educational techno... more Objectives: Health professionals recognize simulation training as a beneficial educational technology. Physical therapy programs are slow to embrace this technology as a high-impact teaching tool, leaving students to learn in a more traditional, subjective manner with minimal objective feedback. Simulation technologies used during student physical therapist (SPT) education have been limited to mobilization and palpation. When learning palpation skills, SPTs rely mainly upon subjective feedback from peers and instructors to verify correct skill performance. Simulation with real time auditory feedback (RAF) as a teaching device may eliminate this bias. We hypothesize that the utilization of real-time audio feedback (RAF) during simulated lumbar spine palpation will improve the speed and accuracy skills of SPTs. Methods: This was a mixed design study. The effect of RAF on palpation speed and accuracy during use of a simulated lumbar spine was examined in 30 SPTs. All were randomly assi...

MedEdPublish

This article was migrated. The article was not marked as recommended. With more medical schools i... more This article was migrated. The article was not marked as recommended. With more medical schools in the United States and abroad turning to virtual anatomy instead of gross dissection of actual cadavers, unexpected pathological findings may not be encountered as teaching opportunities. By using real cadavers the cause of death information provided might confirm pathology which is found in the course of routine anatomical dissection. Additional pathology not attributable to cause of death adds further to the experience of the cadaver dissection. Over the course of four academic years, human cadavers at New York Institute of Technology College of Osteopathic Medicine were sampled based on encountered gross pathological findings. Over the four years, there were 64 cadavers sampled randomly and forty two percent of the cadavers had findings related to cause of death. Sixty-six percent of the cadavers had findings which were not related to the cause of death. Thus, not only is pathology a...

International Journal of Sports Physical Therapy

Background: Adolescence is the stage of development marked by peak rates of skeletal growth resul... more Background: Adolescence is the stage of development marked by peak rates of skeletal growth resulting in impaired dynamic postural control and increased injury risk, especially in female athletes. Reliable tests of dynamic postural control are needed to help identify athletes with balance deficits and assess changes in limb function after injury. Purpose: To estimate the interrater and test-retest (intrarater) reliability of the Y-Balance Test in a group of early adolescent females over a one-month period when administered by novice raters. Methods: Twenty-five early adolescent females (mean age 12.7 ± 0.6 years) participated. Two physical therapy student raters, randomly selected from a pool of five, simultaneously assessed each subject's performance on the Y-Balance Test and were blinded to each other's results. Twenty-one subjects returned for a second session (mean 32.3± 9.6 days) and were assessed by the same two raters, blinded to previous measurements. Maximum and normalized reach distances and composite scores of the right and left limbs were collected. Intraclass correlation coefficients (ICC) were calculated for between rater and between session agreement. Measurement error and minimal detectable change values were calculated for clinical interpretation. Results: Interrater reliability was excellent for all reach directions and composite scores of the right limb (ICC 0.973-0.998) and left limb (ICC 0.960-0.999) except for the day 1 left anterior reach which was good (ICC 0.811). Test-retest reliability were moderate to excellent for the right limb (ICC 0.681-0.908) and moderate to good for left limb (ICC 0.714-0.811). Minimal detectable change values for the right and left limbs ranged between 2.02-3.62% and 2.77-3.63%, respectively. Conclusions: The Y-Balance Test is a reliable tool to assess dynamic balance in early adolescent females and may be utilized in a clinical setting to monitor function over a one-month time interval. Between rater differences were mainly attributed to disparities in subjective test requirements and not quantitative measures of reach distance.

The Journal of the American Osteopathic Association

Context Recent studies suggest the shortage of US primary care physicians will be more than 50,00... more Context Recent studies suggest the shortage of US primary care physicians will be more than 50,000 by the year 2025. Mindful osteopathic medical students may be more inclined to pursue a career in primary care practice than those demonstrating lower levels of mindfulness. If so, assessing mindfulness before and after admission to medical school may reduce this shortage. Objective In this cross-sectional survey-based study, the authors assessed whether mindfulness among preclinical osteopathic medical students was associated with (a) their current preference for primary care practice as a residency, and (b) their choice between 2 alternative curricula. Method Participants were first- and second-year osteopathic medical students enrolled at the New York Institute of Technology College of Osteopathic Medicine (NYITCOM). They completed a 7-factor questionnaire of demographic variables and the online Five Facet Mindfulness Questionnaire (FFMQ) to determine their mindfulness score. They a...

American Journal of Gastroenterology

Orthopaedic Journal of Sports Medicine

BACKGROUND/PURPOSE: Adolescent females are at an increased risk of lower extremity injuries and m... more BACKGROUND/PURPOSE: Adolescent females are at an increased risk of lower extremity injuries and may be partially explained by the interaction of peak rates of skeletal growth, an immature neuromuscular system, and deficits in muscle strength and recruitment patterns. Reliable tests of dynamic stability can help identify athletes with balance deficits and assess changes in limb function after injury. Sophisticated measures of dynamic postural control, such as stabilometry, are able to detect subtle deficits in young athletes, but are expensive and may not be readily available in a clinical setting. The Y Balance Test (YBT) is a low-cost, clinical measure of dynamic postural control that mimics the demands of sports requiring unilateral balance. It requires the athlete to dynamically balance on each leg while performing a maximal reach with the other limb in three different directions: anterior (ANT), posteromedial (PM), and posterolateral (PL). The athlete is required to maintain uni...

The Journal of the American Osteopathic Association, 2018

Ultrasonography is becoming more common in clinical use, and it has been shown to have promising ... more Ultrasonography is becoming more common in clinical use, and it has been shown to have promising results when introduced into medical school curricula. To determine whether the use of ultrasonography as an educational supplement can improve osteopathic medical students' confidence and ability to locate 4 specific shoulder anatomical landmarks: the coracoid process, the transverse process of T1, the long head of the biceps within the bicipital groove, and the supraspinatus tendon. In this randomized controlled study, first-year osteopathic medical students aged 18 years or older were recruited and randomly assigned to a group with exposure (ultrasonography group) or without exposure (control group) to an ultrasonography machine. First, a survey was administered to measure students' baseline knowledge of shoulder anatomy, confidence in palpation skills, and opinion on anatomical landmark identification teaching methods. Next, students were shown presentations on shoulder anato...

Medicine & Science in Sports & Exercise

NeuroRehabilitation, 2016

Osteopathic Manipulative Medicine (OMM) is a therapy of manual forces that is directed to improve... more Osteopathic Manipulative Medicine (OMM) is a therapy of manual forces that is directed to improve function and homeostasis. It has been shown to improve balance in individuals with dizziness, and improve gait in Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease (PD). This study was designed to determine if our pre-defined OMM protocol would improve motor function and balance in individuals with PD. A randomized controlled trial to test OMM on balance and motor function in PD measured by the Mini-BESTest, Sensory Organization Test (SOT), and MDS-UPDRS. 11 Subjects (age 75±16) were randomly assigned to either bi-weekly OMM treatments first for 6 weeks or weekly counseling sessions from a medical provider for 6 weeks as a placebo-control. 9 subjects completed this study. There were no significant changes in SOT or Mini BESTest in either group (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.05). There was significant improvement in the OMM group for MDS-UPDRS. Our pilot data showed OMM treatment bi-weekly for 6 weeks improved motor function. There were no significant changes in balance, however there were clinically relevant improvements after 6 weeks of OMM. Using a predefined protocol, OMM may be a complementary approach to improving balance and motor function in individuals with PD.

Clinical, Cosmetic and Investigational Dermatology, 2016

Actinic keratoses (AKs), especially on areas of the face, have a negative impact on a patient's q... more Actinic keratoses (AKs), especially on areas of the face, have a negative impact on a patient's quality of life (QoL). These lesions manifest on sun-damaged skin and have the potential to progress to squamous cell carcinoma. Field-directed therapy alone and in combination with lesion-directed treatment is effective in clearing both visible and nonvisible AK lesions. Topical treatments of AKs thus have the potential to improve a patient's well-being. However, evidence demonstrating improvements in patient QoL is limited, and is mostly based on observational or retrospective studies. Some prospective studies have reported unchanged or even worsening QoL despite excellent treatment outcomes. Our prospective, pilot study demonstrated a significant increase in QoL in 28 subjects with AKs of the face treated with ingenol mebutate gel 0.015%. QoL was assessed at days 0 and 60 using the Skindex-16 survey. Mean overall scores improved from 24.5% at baseline to 15.5% at day 60 (P=0.031). Improvements in QoL were consistent with an 80% reduction in AK lesion number at day 60. These improved QoL findings are in line with those from a recent retrospective study using ingenol mebutate 0.015% gel. This study therefore further demonstrates the potential for field therapy to improve both treatment outcomes and patient satisfaction.

Biological factors involved in reproductive barriers between two divergent races of Ceratopteris ... more Biological factors involved in reproductive barriers between two divergent races of Ceratopteris richardii were investigated. We used a combination of spore germination rates, QTL analysis of spore germination rates, and transmission ratio distortion (TRD) of 729 RFLP, AFLP, and isozyme markers distributed across the genome based on hybrid populations of 488 doubled haploid lines (DHLs) and 168 F 2 s. Substantial reproductive barriers were found between the parental races, predominantly in the form of spore inviability (23.7% F 1 spore viability). Intrinsic genetic factors such as Bateson-Dobzhansky-Muller (BDM) incompatibilities, involving both nuclear-nuclear and nuclear-cytoplasmic factors, and chromosomal rearrangements appear to contribute to intrinsic postzygotic isolation. The genome-wide distribution patterns of TRD loci support the hypothesis that reproductive barriers are a byproduct of divergence in allopatry and that the strong reproductive barriers are attributable to a small number of genetic elements scattered throughout the genome. Divergent populations often exhibit various types of reproductive barriers. These range from ecological isolation such as habitat differentiation to reduced courtship arising from differences in mating behavior to complete hybrid sterility, ultimately resulting in separate species. Reproductive isolation has long been thought to accumulate gradually following population separation (STEBBINS 1950; DOBZHANSKY 1951; MAYR 1963; COYNE and ORR 1989), but an understanding of reproductive isolation at the genetic and molecular levels did not emerge until recently. Genetic mapping of hybrid incompatibilities has provided insights into the number, location, and effect of the genetic factors underlying intrinsic postzygotic reproductive barriers

Parkinsonism & Related Disorders, 2015

Recent experiments examining balance in Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp... more Recent experiments examining balance in Parkinson&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s disease (PD) have used the sensory organization test (SOT) to measure postural control and balance. Use of the SOT raises the question as to whether people will improve after undergoing the test multiple times or if there is a learning effect plateau after multiple trials. The objective of this study was to determine whether there is a learning effect using the SOT in subjects with PD both fallers and non-fallers, and healthy controls. Nineteen subjects completed the study. Ten subjects with PD who were non-fallers (PD-Non-fallers), nine subjects with PD who were fallers (PD-Faller), and 10 healthy controls (Controls). Subjects completed 5 SOT testing sessions over a 3 week period. Those with PD were tested at the same time in their peak &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;on&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; period. The PD-Faller groups SOT composite score improved from session 1 to session 4 and 5. In the Control group the composite score improved from session 1 to session 5. There was no change from session 1 to session 5 in the PD Non-faller group. The PD-Faller group had significantly lower composite scores than our PD Non-faller group and our Controls. Our PD-Non-faller group scores were similar to Controls. Multiple baseline measures are usually recommended for any task used as an outcome measure. Our findings suggest that in PD subjects who are considered fallers that by the fourth session any improvement may be due to a learning effect.

Journal of gastrointestinal cancer, 2013

We studied a racially diverse population and the relationship with colorectal adenomas (CA) furth... more We studied a racially diverse population and the relationship with colorectal adenomas (CA) further looking for risks related to BMI and metabolic factors. Seven hundred seventy-nine patients who underwent screening colonoscopies between 2007 and 2009 meeting exclusion criteria were included. To evaluate the association between race, BMI, and other metabolic factors with having one or more CA detected at colonoscopy, adjusted odds ratios and 95 % CI were estimated using unconditional logistic regression models. CA were detected in 167 out of 779 (21.4 %) patients. Compared to Whites, Hispanics were less likely to have one or more adenomas detected during a screening colonoscopy (OR = 0.52, 95 % CI, 0.31-0.88; p = 0.01). There was no significant statistical difference between Blacks and Whites, or other races and Whites. There was an association between the presence of CA and smoking (OR = 1.57, 95 % CI, 1.02-2.43; p = 0.04). Our results showed that Hispanics were less likely to have...

The Journal of the American Osteopathic Association, 2014

Little research has been done regarding osteopathic medical students' clinical exposure to osteop... more Little research has been done regarding osteopathic medical students' clinical exposure to osteopathic manipulative treatment (OMT). Most existing research focuses on third-and fourth-year students. Objective: To determine the effects of clinical exposure to OMT on first-and secondyear osteopathic medical students by assessing the same population's perceptions of OMT. Methods: In the present survey-based study, conducted at the New York Institute of Technology College of Osteopathic Medicine, first-and second-year osteopathic medical students were administered an electronic survey containing 18 multiplechoice questions. The first 2 questions were demographic. The next 6 questions had participants identify what, if any, clinical exposure to OMT they had, including clinical shadowing, the MedPrep program, and the Summer Student American Academy of Osteopathy Osteopathic Manipulative Medicine Preceptorship program. The 10 questions that followed assessed the participant's perception of OMT: (1) understanding, (2) attitude toward OMT, (3) scope of practice of OMT, and (4) intention to use OMT in future clinical practice. The survey used the statistically validated Likert scale for all of the scaled questions. Analysis was performed using the Pearson χ 2 test and the Fisher exact test. Results: Of the 600 students who were sent surveys, 364 replied, for a response rate of 60.7%. There was an association with students' anticipated use of OMT in their future clinical practice and the following types of clinical exposures to OMT: MedPrep (P=.04), Summer Student American Academy of Osteopathy Osteopathic Manipulative Medicine Preceptorship (P=.04), extracurricular OMT didactics (P=.048), and shadowing a physician performing OMT before attending osteopathic medical school (P=.007). Being treated with OMT had no association with anticipated future use of OMT. More OMT clinical exposures were associated with more positive responses to the perception questions (χ 2 1 =13.8, P<.001). Conclusion: Participants with clinical exposure to OMT before entering clinical training were more likely to plan to use OMT in future practice. Early clinical exposure to OMT before or during the first 2 years of osteopathic medical school was associated with a positive perception of OMT.

Journal of Cancer Education, 2014