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A Study on the Sanitary Status at Various Types of Restaurants in Changwon City (창원시 식품접객업소의 위생실태에 관한 조사연구)

  • 이경혜;류은순;이경연
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.30 no.4
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    • pp.747-759
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    • 2001
  • The sanitary status of 264 restaurants was investigated to develop a program of sanitary education at restaurants for improving sanitary levels of restaurant and consumers’ food safety. This investigation was performed through direct interviews on general items and sanitations for employees, facilities, equipments and food treatment. The restaurants are grouped into four different types according to the food served: Korean style food, Japanese style raw fish, roasted ribs, and western style food. It is found that sanitary education for employees are conducted at 66.5% of the total restaurants. The highest percentages are obtained by Korean style food restaurants (83.1%) and the lowest by western style food restaurants (55.6%).Washing facilities for employees are equipped at only 66.8% of the total restaurants. In the personal sanitation, 96.6% of the employees wash their hand after touching a dirty stuff, 77.5% after touching money and 57.1% after using telephone. It is also revealed that during food preparation shoes, overgarments, and caps are worn by 58.5%, 55.5%, and 20.6% of the employees, respectively. 73.5% of the restaurants are equipped with dish storages facilities while only 59.2% of restaurants have sterilizers for dishes. Also, chopping boards are sterilized more than once a week by 74.8% of them and knives everyday by 71.6%, 15.4% of restaurants sterilize their knives only once a week. 56.8% of restaurants check temperatures of the refrigerators and 26.2% of restaurants do not even sterilize the refrigerators. 31.8% of restaurants sterilize the kitchens with sodium hopochlorite after cooking. 93.3% of the restaurants store the raw food and the cooked foods separately. 49.8% of the restaurants refroze thawed food and 19.4% of the restaurants reuse leftovers. The frozen foods are thawed at room temperature by 49.4% of the total restaurants and 66.7% of the roasted rib restaurants.

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Short-term Effect of Botulinum Toxin Injection on the Surface EMG of Masticatory Muscles and Jaw Function (교근 부위의 보툴리눔 독소 주사가 저작근의 근전도 및 악기능에 미치는 영향)

  • Lee, Jeong-Yun;Park, Hee-Kyung;Chung, Jin-Woo
    • Journal of Oral Medicine and Pain
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    • v.31 no.1
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    • pp.69-77
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    • 2006
  • Botulinum toxin injection has been used in the masticatory muscle area as an effective treatment method of various movement disorders and facial contouring, but its effects on jaw function have not been evaluated. The aims of this study were to evaluate the effects of botulinum toxin type A injection into the masseter muscle on the EMG activities of masseter and anterior temporal muscles, and the limitation of jaw function. Fourteen healthy subjects were recruited. Five subjects were injected with 80 units of botulinum toxin type A(Dysport, Ipsen, Wrexham, UK) into each side of masseter muscle, and nine subjects were injected with saline into the same site as the botulinum toxin group. The surface EMG activities at maximum voluntary contraction of masseter and anterior temporal muscles were recorded before, 1 week, 2 weeks, and 3 weeks after injection. Presence of jaw functional limitations in each subject was investigated using Korean version of Jaw Functional Limitation Scale(JFLS) questionnaire. The masseter muscle EMG was gradually decreased in the botulinum toxin group comparing with that of the control group(p<0.001), but the anterior temporal muscle EMG did not show significant changes. There was significant increases in the mastication (p<0.01), and global jaw limitation(p<0.05) subscales of JFLS at 1 week after injection, but no significant changes in the other subscales including opening, and verbal and emotional expression during the recording periods. Our results suggest that botulinum toxin injection into masseter muscle can affect modest limitation in mastication function at 1 week after injection but recovered to the baseline until 3 weeks after injection. The EMG activity of masseter muscle had been gradually decreased until 3 weeks after botulinum toxin injection but the anterior temporal muscle did not show any significant changes.

A Study on the Mitigation of Nitrous Oxide emission with the Horticultural Fertilizer of Containing Urease Inhibitor in Hot Pepper and Chinese Cabbage Field (고추와 배추 재배지에서 요소분해효소 억제제 함유 원예용 비료 시용에 따른 아산화질소 배출 저감 효과)

  • Ju, Ok Jung;Lim, Gap June;Lee, Sang Duk;Won, Tae Jin;Park, Jung Soo;Kang, Chang Sung;Hong, Soon Sung;Kang, Nam Goo
    • Korean Journal of Environmental Agriculture
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    • v.37 no.4
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    • pp.235-242
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    • 2018
  • BACKGROUND: About 81% of nitrous oxide ($N_2O$) emissions from agricultural land to the atmosphere is due to nitrogen (N) fertilizer application. Mitigation of $N_2O$ emissions can be more effective in controlling biochemical processes such as nitrification and denitrification in the soil rather than decreasing fertilizer application. The use of urease inhibitors is an effective way to improve N fertilizer efficiency and reduce $N_2O$ emissions. Several compounds act as urease inhibitors, but N-(n-butyl) thiophosphoric triamide (NBPT) has been used worldwide. METHODS AND RESULTS: Hot pepper and chinese cabbage were cultivated in five treatments: standard fertilizer of nitrogen-phosphorus-potassium(N-P-K, $N-P_2O_5-K_2O$: 22.5-11.2-14.9 kg/ha for hot pepper and $N-P_2O_5-K_2O$: 32.0-7.8-19.8 kg/ha for chinese cabbage), no fertilizer, and NBPT-treated fertilizer of 0.5, 1.0, and 2.0 times of nitrogen basal application rate of the standard fertilizer, respectively in Gyeonggi-do Hwaseong-si for 2 years(2015-2016). According to application of NBPT-treated fertilizer in hot pepper and chinese cabbage, $N_2O$ emission decreased by 19-20% compared to that of the standard fertilizer plot. CONCLUSION: NBPT-treated fertilizer proved that $N_2O$ emissions decreased statistically significant in the same growth conditions as the standard fertilization in the hot pepper and chinese cabbage cultivated fields. It means that NBPT-treated fertilizer can be applied for N fertilizer efficiency and $N_2O$ emissions reduction.

Optimum Radiotherapy Schedule for Uterine Cervical Cancer based-on the Detailed Information of Dose Fractionation and Radiotherapy Technique (처방선량 및 치료기법별 치료성적 분석 결과에 기반한 자궁경부암 환자의 최적 방사선치료 스케줄)

  • Cho, Jae-Ho;Kim, Hyun-Chang;Suh, Chang-Ok;Lee, Chang-Geol;Keum, Ki-Chang;Cho, Nam-Hoon;Lee, Ik-Jae;Shim, Su-Jung;Suh, Yang-Kwon;Seong, Jinsil;Kim, Gwi-Eon
    • Radiation Oncology Journal
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    • v.23 no.3
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    • pp.143-156
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    • 2005
  • Background: The best dose-fractionation regimen of the definitive radiotherapy for cervix cancer remains to be clearly determined. It seems to be partially attributed to the complexity of the affecting factors and the lack of detailed information on external and intra-cavitary fractionation. To find optimal practice guidelines, our experiences of the combination of external beam radiotherapy (EBRT) and high-dose-rate intracavitary brachytherapy (HDR-ICBT) were reviewed with detailed information of the various treatment parameters obtained from a large cohort of women treated homogeneously at a single institute. Materials and Methods: The subjects were 743 cervical cancer patients (Stage IB 198, IIA 77, IIB 364, IIIA 7, IIIB 89 and IVA 8) treated by radiotherapy alone, between 1990 and 1996. A total external beam radiotherapy (EBRT) dose of $23.4\~59.4$ Gy (Median 45.0) was delivered to the whole pelvis. High-dose-rate intracavitary brachytherapy (HDR-IBT) was also peformed using various fractionation schemes. A Midline block (MLB) was initiated after the delivery of $14.4\~43.2$ Gy (Median 36.0) of EBRT in 495 patients, while In the other 248 patients EBRT could not be used due to slow tumor regression or the huge initial bulk of tumor. The point A, actual bladder & rectal doses were individually assessed in all patients. The biologically effective dose (BED) to the tumor ($\alpha/\beta$=10) and late-responding tissues ($\alpha/\beta$=3) for both EBRT and HDR-ICBT were calculated. The total BED values to point A, the actual bladder and rectal reference points were the summation of the EBRT and HDR-ICBT. In addition to all the details on dose-fractionation, the other factors (i.e. the overall treatment time, physicians preference) that can affect the schedule of the definitive radiotherapy were also thoroughly analyzed. The association between MD-BED $Gy_3$ and the risk of complication was assessed using serial multiple logistic regression models. The associations between R-BED $Gy_3$ and rectal complications and between V-BED $Gy_3$ and bladder complications were assessed using multiple logistic regression models after adjustment for age, stage, tumor size and treatment duration. Serial Coxs proportional hazard regression models were used to estimate the relative risks of recurrence due to MD-BED $Gy_{10}$, and the treatment duration. Results: The overall complication rate for RTOG Grades $1\~4$ toxicities was $33.1\%$. The 5-year actuarial pelvic control rate for ail 743 patients was $83\%$. The midline cumulative BED dose, which is the sum of external midline BED and HDR-ICBT point A BED, ranged from 62.0 to 121.9 $Gy_{10}$ (median 93.0) for tumors and from 93.6 to 187.3 $Gy_3$ (median 137.6) for late responding tissues. The median cumulative values of actual rectal (R-BED $Gy_3$) and bladder Point BED (V-BED $Gy_3$) were 118.7 $Gy_3$ (range $48.8\~265.2$) and 126.1 $Gy_3$ (range: $54.9\~267.5$), respectively. MD-BED $Gy_3$ showed a good correlation with rectal (p=0.003), but not with bladder complications (p=0.095). R-BED $Gy_3$ had a very strong association (p=<0.0001), and was more predictive of rectal complications than A-BED $Gy_3$. B-BED $Gy_3$ also showed significance in the prediction of bladder complications in a trend test (p=0.0298). No statistically significant dose-response relationship for pelvic control was observed. The Sandwich and Continuous techniques, which differ according to when the ICR was inserted during the EBRT and due to the physicians preference, showed no differences in the local control and complication rates; there were also no differences in the 3 vs. 5 Gy fraction size of HDR-ICBT. Conclusion: The main reasons optimal dose-fractionation guidelines are not easily established is due to the absence of a dose-response relationship for tumor control as a result of the high-dose gradient of HDR-ICBT, individual differences In tumor responses to radiation therapy and the complexity of affecting factors. Therefore, in our opinion, there is a necessity for individualized tailored therapy, along with general guidelines, in the definitive radiation treatment for cervix cancer. This study also demonstrated the strong predictive value of actual rectal and bladder reference dosing therefore, vaginal gauze packing might be very Important. To maintain the BED dose to less than the threshold resulting in complication, early midline shielding, the HDR-ICBT total dose and fractional dose reduction should be considered.

Cassava Tops Ensiled With or Without Molasses as Additive Effects on Quality, Feed Intake and Digestibility by Heifers

  • Van Man, Ngo;Wiktorsson, Hans
    • Asian-Australasian Journal of Animal Sciences
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    • v.14 no.5
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    • pp.624-630
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    • 2001
  • Two experiments on the effects of molasses additive on cassava tops silage quality to its feed intake and digestibility by growing Holstein$\times$local crossbred heifers were carried out. Sixteen plastic bags of one meter diameter and two meters length were allocated in a $2{\times}2$ factorial design with four replicates in the ensiling study, with and without the molasses additive and with two storage times (2 and 3 months). The silage produced in the first experiment was used in the feed intake and digestibility study. Six crossbred Holstein heifers, 160-180 kg live weight, were randomly allocated in a $3{\times}2$ change-over design to three treatments: Guinea grass ad libitum, 70% of grass ad libitum with a supplement of non-molasses cassava silage ad libitum, and 70% of grass ad libitum with a supplement of molasses cassava silage ad libitum. Ensiling was shown to be a satisfactory method for preservation of cassava tops. The HCN content was significantly reduced from $840mg\;kg^{-1}$ to 300 or $130mg\;kg^{-1}$, depending on storage period. The tannin content was not significantly changed. Molasses additive resulted in lower pH, Crude Protein (CP), NDF and higher DM content but did not otherwise affect chemical composition. The voluntary feed intake per 100 kg live weight of the heifers was 2.59, 2.65 and 2.91 kg DM of Guinea grass, non-molasses cassava tops silage and molasses cassava tops silage diet, respectively. Crude protein intake was significantly improved in the cassava tops silage diets. The apparent digestibility of DM, OM, CP, NDF and ADF decreased with the silage supplement diets. No significant difference in digestibility was found between the non-molasses and molasses silage diets. The digestibility coefficient of DM, OM, CP, NDF, ADF in non-molasses cassava tops silage and molasses cassava tops silage was 49.4, 52.1, 45.81, 36.6, 27.7 and 49.7, 51.9, 47.55, 28.1, 19.5, respectively. It is concluded that cassava tops can be preserved successfully by ensiling and that cassava tops silage is a good feed resource for cattle.

Safe Margin beyond Dens Tips to Ventral Dura in Anterior Odontoid Screw Fixation : Analysis of Three-Dimensional Computed Tomography Scan of Odontoid Process

  • Sung, Min-Jae;Kim, Kyoung-Tae;Hwang, Jeong-Hyun;Sung, Joo-Kyung;Cho, Dae-Chul
    • Journal of Korean Neurosurgical Society
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    • v.61 no.4
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    • pp.503-508
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    • 2018
  • Objective : Anterior odontoid screw fixation is a safe and effective method for the treatment of odontoid fractures. The surgical technique is recommended for perforation of the apical cortex of the dens by the lag screw. However, overpenetration of the apical cortex may lead to potentially serious complications such as damages of adjacent vascular and neural structures. The purpose of this study was to assess the role of three-dimensional computed tomography (CT) scan to evaluate the safe margin beyond dens tip to ventral dura for anterior odontoid screw fixation. Methods : We retrospectively analyzed the three-dimensional CT scans of the cervical spines in 55 consecutive patients at our trauma center. The patients included 38 males and 17 females aged between 22 and 73 years (mean age${\pm}$standard deviation, $45.8{\pm}14.2years$). Using sagittal images of 3-dimensional CT scan, the safe margins beyond dens tip to ventral dura as well as the appropriate screw length were measured. Results : The mean width of the apical dens tip was $9.6{\pm}1.1mm$. The mean lengths from the screw entry point to the apical dens tip and posterior end of dens tip were $39.2{\pm}2.6mm$ and $36.6{\pm}2.4mm$. The safe margin beyond apical dens tip to ventral dura was $7.7{\pm}1.7mm$. However, the safe margin beyond the posterior end of dens tip to ventral dura was decreased to $2.1{\pm}3.2mm$, which was statistically significant (p<0.01). There were no significant differences of safe margins beyond dens tip to ventral dura with patient gender and age. Conclusion : Extension by several millimeters beyond the dens tip is safe, if the trajectory of anterior odontoid screw is targeted at the apical dens tip. However, if the trajectory of the screw is targeted to the posterior end of dens tip, extension beyond dens tip may lead to damage immediately adjacent to the vental dura mater.

Brain abscess in Korean children: A 15-year single center study

  • Lee, Cha-Gon;Kang, Seong-Hun;Kim, Yae-Jean;Shin, Hyung-Jin;Choi, Hyun-Shin;Lee, Jee-Hun;Lee, Mun-Hyang
    • Clinical and Experimental Pediatrics
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    • v.53 no.5
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    • pp.648-652
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    • 2010
  • Purpose: A brain abscess is a serious disease of the central nerve system. We conducted this study to summarize the clinical manifestations and outcomes of brain abscesses. Methods: A retrospective chart review of pediatric patients diagnosed with brain abscesses from November 1994 to June 2009 was performed at Samsung Medical Center, Seoul, Korea. Results: Twenty-five patients were included in this study. On average, 1.67 cases per year were identified and the median age was 4.3 years. The common presenting clinical manifestations were fever (18/25, 72%), seizure (12/25, 48%), altered mental status (11/25, 44%), and signs of increased intracranial pressure (9/25, 36%). A total of 14 (56%) patients had underlying illnesses, with congenital heart disease (8/25, 32%) as the most common cause. Predisposing factors were identified in 15 patients (60%). The common predisposing factors were otogenic infection (3/25, 12%) and penetrating head trauma (3/25, 12%). Causative organisms were identified in 64% of patients (16/25). The causative agents were $S$ $intermedius$ (n=3), $S$ $aureus$ (n=3), $S$ $pneumoniae$ (n=1), Group B streptococcus (n=2), $E.$ $coli$ (n=1), $P.$ $aeruginosa$ (n=1), and suspected fungal infection (n=5). Seven patients received medical treatment only while the other 18 patients also required surgical intervention. The overall fatality rate was 16% and 20% of patients had neurologic sequelae. There was no statistical association between outcomes and the factors studied. Conclusion: Although uncommon, a brain abscess is a serious disease. A high level of suspicion is very important for early diagnosis and to prevent serious consequences.

A study on the oral health care of pregnant women in a region (일부지역 임산부의 구강건강관리에 대한 조사연구)

  • Lee, Ka-Yean;Won, Bok-Yeon
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.1
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    • pp.1-14
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    • 2009
  • The purpose of this study was to examine the oral health care aware-ness of pregnant women and their actual oral health care in an effort to provide information on how to assist pregnant women to have the right knowledge on oral health and improve their oral health care. The subjects in this study were pregnant women who used obstetrics and gynecology hospitals or participated in pregnancy/child-rearing programs in the region of P. After a self-administered survey was conducted in July and August 2008, the following findings were given: 1. As for the best case of oral health care, the largest number(77.2%) of the pregnant women investigated brushed all the teeth, gums and tongue when they did toothbrushing. The smallest number of the women(6.8%) spent three minutes or more brushing their teeth. 2. As to dental treatment experience during pregnancy by age, 27.0 percent of the age 26-30 group had ever received dental treatment during pregnancy, which was higher than the rates of the other age groups with the same experience. 3. Regarding the necessity of oral health education geared toward pregnant women, 94.1 percent of the age 26-30 group and 96.3 percent of the group of age 31 and up felt the need for that, which were significantly higher than 72.7 percent of the age 20-25 group who agreed to the necessity of that education. 4. As to connections between oral health status and oral health care, the women who were in good oral health got 6.60 on oral health care. They scored significantly higher than those who were in a moderate state of oral health and who were in bad oral health, as the latter two groups respectively got 5. There was a significant correlation between oral health state and oral health care and between oral health knowledge and oral health care. The better oral health status led to better oral health knowledge, and the better oral health knowledge was followed by better oral health care. 6. As for factors affecting oral health care, oral health knowledge had the largest impact on that, followed by age, oral health status, experience of receiving oral health education for pregnant woman, dental treatment experience during pregnancy, monthly income and stress caused by oral diseases. Given the findings of the study, oral health education should be provided in light of the special physical and mental state of pregnant women. They should be encouraged to receive possible dental treatment during pregnancy if necessary, and they should learn about how to cope with a dental disease in case of develop it.

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Distribution and Ecology of a Land-Locked Ayu, Plecoglossusaltivelis (Pisces: Osmeridae) in Lake Okjeong, Korea (옥정호 육봉형 은어 Plecoglossus altivelis (Pisces: Osmeridae)의 서식분포와 생태)

  • Ko, Myeong-Hun;Kim, Ik-Soo;Park, Jong-Yeong;Lee, Yong-Joo
    • Korean Journal of Ichthyology
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    • v.19 no.1
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    • pp.24-34
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    • 2007
  • After releasing more than 1,000,000 fertilized eggs of Plecoglossus altivelis into Lake Okjeong, Jeollabuk-do, on October, 2001 by KOWACO, they seem to be land-locked. Study on the distribution and ecology of a land-locked ayu, P. altivelis, was performed from Lake Okjeong to upper streams as Jowon, Churyeong, Oknyedong where consisted of rocky bottom with fast current freshwater system during April to October. The hatched larva and juveniles descended from streams to Lake Okjeong and inhabit Lake Okjeong from November to next March. The sex ratio of female to male was 1 : 2.70, and the size in standard length of females and males was similar, in $90{\sim}220(142{\pm}29.3)mm$. During the middle September to the middle October, they laid eggs on the pebbly bottom of the rapids which are $20{\sim}22^{\circ}C$ in water temperature and 30~70 cm in depth. The number of full-grown eggs was greatly various from 14,283~91,500.

Characteristics of PM10, VOCs and Aldehydes Levels in Nail and Hair Shops (네일샵미용실의 실내공기 중 미세먼지(PM10), 휘발성 유기화합물 (VOCs), 알데하이드류(Aldehydes)의 농도 및 업소 특성에 따른 상관성 분석)

  • Lee, Boram;Kuag, Sooyoung;Yang, Wonho;Jun, Sang il;Kim, Jung-su;Lee, Kiyoung
    • Journal of Environmental Health Sciences
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    • v.43 no.6
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    • pp.509-515
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    • 2017
  • Objectives: The purpose of this study was to assess the indoor levels of $PM_{10}$, VOCs and aldehydes in nail shop and hair salon. Methods: The field survey was conducted for 52 hair salons 52 nail shops, and 26 shop-in-shops in Seoul and Daegu city. The field technicians investigated characteristics of each shop including operating time, indoor volume, ventilation and so on. Indoor concentrations of $PM_{10}$, VOCs and aldehydes, indoor temperature and humidity were measured in 12 hair salons, 12 nail shops and 6 shop-in shops. MP Surveryor II (Graywolf, USA) was used to measure $CO_2$ concentration, temperature and humidity for 8 hours. $PM_{10}$ concentrations were measured by minivolume air sampler with Teflon quartz filter ($0.2{\mu}m$ pore size, ${\varphi}$ 47 mm, Graseby-Anderson TEF-DISKTM) for 6 hours. VOCs passive sampler (OVM 3500) was used to collect VOCs for 8 hours and analyzed by GC/MSD. Results: The $CO_2$ concentrations were $759.4{\pm}58.2$ ppm in nail shops, $731.0{\pm}72.5$ ppm in hair salons, and $656.4{\pm}31.2$ ppm in shop-in-shops. The $PM_{10}$ concentrations were $27.5{\pm}14.2{\mu}g/m^3$ in nail shops, $33.1{\pm}6.3{\mu}g/m^3$ in hair salons, and $39.0{\pm}26.9{\mu}g/m^3$ in shop-in-shops. TVOCs concentrations were $3085.4{\pm}1667.8{\mu}g/m^3$ in nail shops, $2131.1{\pm}617.3{\mu}g/m^3$ in hair salons, and $1550.3{\pm}529.0{\mu}g/m^3$ in shop-in-shops. TVOCs concentrations in nail shops were significantly higher than those in hair salons and shop-in-shops (p=0.002). Formaldehyde concentrations were $60.8{\pm}36.6{\mu}g/m^3$ in nail shops, $89.1{\pm}55.4{\mu}g/m^3$ in hair salons, and $45.1{\pm}22.5{\mu}g/m^3$ in shop-in-shops. Conclusion: TVOCs concentrations in nail shop were the highest among others. TVOC concentrations in all stores exceeded indoor air quality stand of indoor air quality control in public-use facilities, etc act.