• Journal of Chest Surgery
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• 제30권1호
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• pp.112-115
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• 1997

악성림프종과 병발한 폐의 편평세포암종을 1례 치험하였다. 환자는 19세 남자로 비 흡연자였다. 수술은 우 전폐절제술을 시행하였고 조직소견상 전이의 증거는 없었다. 조직의 확진은 면역조직화자염색을 통해 이루어졌다. 환자는 술후 3개월째 흉벽으로 림프종의 재발이 있었으며 술후 5개월째 호흡부전으로 사망하였다.

• 대한기관식도과학회지
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• 제3권1호
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• pp.122-127
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• 1997

Carcinosarcoma of the lung is a rare turner with an admixture of malignant epithelial(carcinomatous) and malignant mesenchymal (sarcomatous) components. Clinicopathologically, pulmonary carcinosarcoma has been divided into two types by its anatomical locations and growth nature, peripheral parenchymal and central endobronchial variants. We experienced an endobronchial carcinosarcoma that induced complete atelectasis of the right lung due to polypoid growing mass from the right upper lobe bronchus in a 67 year old male smoker. The patient underwent a successful right pneumonectomy. The tumor was composed of squamous cell carcinoma with variable sarcomatous differentiation into myogenous and undifferenciated sarcoma that demonstrated by immunohistochemical study. The patient has been doing well for the last seven months since the operation, without metastases or turner recurrence.

• 치위생과학회지
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• 제3권1호
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• pp.15-21
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• 2003

사회생활의 위축원인요소이며 현실적으로 타인에게 불쾌감을 주는 요인이 되는 구취의 사회관심도와 치료에 대한 기초자료를 확보할 목적으로 일반성인 552명을 대상으로 구취에 대한 인식도, 식 습관, 관심도에 대하여 조사 분석한 바 다음과 같은 결론을 얻었다. 1. 일일 중 구취가 가장 심한 시기는 아침에 일어난 직후가 조사대상자 중 67.6%로 가장 높게 나타났다. 2. 평상시 구취자각자율은 자주 그렇다 남자 4.9%, 여자 2.7%로 가끔 그렇다 남자 71.4%, 여자 52.7%로 남자가 여자보다 높게 나타났다(p<0.05). 3. 자신의 구취지적을 받아본 경험으로 그렇지 않다 38.1%, 가끔 그렇다 32.3% 그저 그렇다 14.1%로 나타났다. 4. 구취느낌의 유형별 분포는 구린 냄새 39.7%, 음식섭취 후 특정음식 냄새 24.5%, 표현이 어려움 18.5%, 계란 썩는 냄새 10.1%, 단 냄새 7.2%로 나타났다. 5. 섭취 후 구취감소로 느끼는 음식은 껌 40.2%, 녹차 31.5%, 매실 9.8%, 사탕 6.5% 순으로 나타났다. 6. 구취를 막기 위한 해결책으로는 잇솔질을 한다 남자 42.7%, 여자 63.2%, 금연이 남자 8.9%, 여자 5.5% 스켈링 남자 6.5%, 여자 3.8%로 나타났으며 흡연이 남자 4.6%, 여자 0.5%로 나타났다(p<0.05). 7. 구취가 날 경우 치료 희망도는 매우 그렇다 9.1%, 가끔 그렇다 28.3%, 그저 그렇다 43.7%로 구취 치료 희망도에 대한 결과가 나타났다.

• Tuberculosis and Respiratory Diseases
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• 제38권2호
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• pp.155-163
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• 1991

Bronchoalveolar lavage had been done as the treatment of some diseases such as alveolar proteinsois, bronchiectasis, and severe asthma to remove excessive secretion or mucus. But in the recent decade it has been done as a diagnostic method and a tool to understand and evaluate the pathophysiology of diffuse interstitial lung diseases such as sarcoidosis, pneumoconiosis and hypersensitivity pneumonitis. To analyse the bronchoalveolar fluid, it might be useful to have a standard reference (especially cell counts and differetial count of the cells from bronchoalveolar lavage fluid) of normal person. But it is difficult to study the normal volunteers. We investgated the bronchoalveolar lavage fluid of 48 patients (28 nonsmokers, 20 smokers) who visited Severance Hospital because of minor pulmonary symptoms such as cough and sputum. They did neither complain of dyspnea nor cyanosis, and had normal or unilateral minor lesion on physical examination and chest X-ray. We analysed the recovery rate, viability, total cell count and differential count of the cells in fluid obtained by bronchoalveolar lavage. The following results were obtained: 1) Age ranged from 17 to 72 years-old with the mean age of 36.7; there was no difference of age between the nonsmoker and the smoker gorup. Male to female ratio was 2.43:1 for total group, 1.15:1 for nonsmokers, and 19:1 for smokers. 2) The diagnoses of the patients were undetermined in 41.9%, healed pulmonary tuberculosis in 37.5%, laryngitis or pharyngitis in 10.4% and others in 10.4%. 3) Total cell number of the recovered fluid by bronchoalveolar lavage was significantly higher in male[$9.6{\pm}6.2({\times}10^6)$] than in female[$5.1{\pm}3.0({\times}10^6)$](p<0.05), and there was no significant difference in the total cell number between the smokers and nonsmokers [$9.3{\pm}5.8({\times}10^6)$ vs $7.5{\pm}5.8({\times}10^6)$]. 4) The differential count of the cells from bronchoalveolar lavage fluid had no difference between the nonsmokers and the smokers. 5) There was no correlation between the total cell count and smoking or age. 6) In the smoker group, there was no correlation between the amount of smoking and the total cell count of the bronchoalveolar fluid. In conclusion, it should be careful to regard the patients with symptoms or minor radiologic abnormalities as a control group in bronchoalveolar lavage study and further study of cell analysis in bronchoalveolar lavage will be needed between smoker and nonsmoker in the male and female healthy people.

• 한국식생활문화학회지
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• 제17권3호
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• pp.329-336
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• 2002

본 연구는 건강한 남자 대학생을 중심으로 흡연 여부에 따른 흡연에 대한 인식 및 항산화 영양소 섭취수준과 혈장 농도를 비교하고자 흡연자 30명, 비흡연자 30명을 선정하여 신체계측과 설문조사를 통해 다음과 같은 결과를 얻었다. 대상자의 연령은 흡연자가 24.4세 비흡연자가 22.4세이고, 신장은 각각 173.4cm, 172.6cm, 체중은 69.8kg, 67.9kg으로 나타났으며, BMI, 체지방, 체지방량, 제지방량(LBM), 체수분량(TBW)에서 군간 유의적인 차이가 없었다. 수축기 혈압 및 이완기 혈압은 흡연자에게서 유의적으로 높았으며, 혈당은 유의적이지는 않았지만, 흡연자가 높은 경향을 보였다. 커피와 알코올을 섭취하는 비율은 모두 흡연자에서 유의적으로 높았으며, 일일 섭취하는 알코올의 양도 흡연자에서 유의적으로 높았다. 흡연자들의 흡연 이유로는 '스트레스 해소'가 가장 많았고, 다음으로는 '습관적', '대인관계 향상을 위해서' 순이었다. 흡연여부에 따라 흡연에 대한 인식도를 조사한 결과, 흡연자가 비흡연자에 비해 유의적으로 흡연에 동의하는 경향이 높은 것으로 나타났다. 식품섭취 빈도조사에 의한 항산화 비타민 섭취량은 비타민 A의 경우 흡연자 $505.15{\pm}123.32gR.E.$ 비흡연자 $519.48{\pm}111.25{\mu}gR.E.$로 유의적 차이는 없었다. 비타민 C는 각각 133.13 37.76mg, $124.68{\pm}27.12mg$로 유의적이지는 않았지만 흡연자가 약간 높았으며, 비타민 E 섭취량은 $6.91{\pm}2.39mg$, $7.09{\pm}1.73mg$로 차이를 보이지 않았다. 신체 계측치와 생화학적 성분간 상관관계에서는 이완기 혈압과 연령, 체지방, 체지방량이 양의 상관관계를 보였고, 혈장 비타민 C 농도는 체중(p＜0.05), 체수분량(p＜0.05)과 음의 상관관계가 있는 것으로 나타났다. 본 연구의 결과 혈압이나 혈당에서 흡연자가 비흡연자에 비해 높은 수준을 보여 흡연이 건강에 부정적인 영향을 미치는 것으로 나타났으며, 흡연에 대한 인식에서는 흡연자가 흡연에 동의하는 경향이 더 높았다. 흡연자와 비흡연자의 항산화 비타민 섭취량은 차이가 없었으나 활동량이 많고, 흡연력이 짧으며, 식이 섭취량이 비교적 많은 남자 대학생을 대상으로 하였음에도 불구하고 혈장의 비타민 C 농도가 유의적으로 낮았던 것은 흡연으로 인해 비타민 C 요구량이 증가된 것이라고 볼 수 있다. 따라서 항산화 영양소의 급원이 될 수 있는 식물의 섭취를 증가시키고 올바른 식습관을 형성하기 위한 교육이 이루어져야 할 것으로 사료된다.

• 한국산학기술학회논문지
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• 제22권5호
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• pp.443-452
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• 2021

대학생들의 취업난이 심각한 상황에서 대학생들은 취업 스트레스를 많이 받을 것으로 생각되며, 이는 흡연태도에 영향을 미칠 것으로 생각된다. 본 연구는 남자 대학생의 강인성 및 취업스트레스와 흡연태도와의 관련성을 확인하고 흡연태도의 영향요인을 확인하기 위하여 시도되었다. 일부 지역의 남자 대학생 145명을 대상으로 구조화된 설문지를 이용하여 자료를 수집하였다. 자료분석은 SPSS 프로그램을 이용하였으며, t-test, ANOVA, Kruskal Wallis test, Pearson's Correlation Coefficients, 위계적 다중회귀분석을 시행하였다. 연구 결과 현재 흡연자인 남자 대학생은 22.1%였으며, 대상자의 흡연상태에 따라 흡연태도는 유의한 차이를 보였다(H=28.26, p<.001). 대상자의 강인성 점수가 높은 군(t=-3.27, p=.001)과 취업스트레스가 낮은 군(t=4.40, p<.001)에서 흡연태도가 바람직하게 나타났다. 강인성과 흡연태도는 양의 상관관계를 보였으며(r=.18, p=.028), 취업스트레스와 흡연태도는 음의 상관관계를 보였다(r=-.28, p=.001). 또한, 대상자의 흡연태도에 영향을 미치는 요인은 비흡연자(β=.50, p<.001), 취업스트레스(β=-.23, p=.015), 과거흡연자(β=.22, p=.016)로 나타났으며, 설명력은 24.3%였다. 이러한 연구 결과를 통해 학교와 보건소 등을 통한 상담이나 취업지원 프로그램을 통해 스트레스 상황을 능동적으로 조절하고 대처할 수 있도록 돕는 것이 남자 대학생의 흡연태도를 바람직한 방향으로 변화시킬 수 있을 것이다.

• 대한지역사회영양학회지
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• 제15권6호
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• pp.783-795
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• 2010

This study was intended to investigate the risk of metabolic syndrome (MS) in healthy 92 male smokers (mean age: $44.4\;{\pm}\;7.8\;yrs$). We investigated the anthropometric assessment and dietary intake survey for 2 days by 24-recall method, also blood pressure and serum lipids were measured. The average numbers of cigarettes smoking a day were 21.3/d, smoking duration were 21.5 years. The proportion of fat energy was 24.9% and intakes of vitamin B2, folate, calcium, potassum and fiber were lower than KDRI. The body mass index (BMI) and body fat % were 24.8, 23.9% respectively. The systolic ($134.1\;{\pm}\;1.4\;mmHg$) and the diastolic blood ($87.9\;{\pm}\;1.1\;mmHg$) pressure were in borderline hypertension. Among biochemical parameters, TG ($173.6\;{\pm}\;9.4\;mg/dL$) and fasting blood glucose ($109.0\;{\pm}\;2.4\;mg/dL$) levels were out of normal values. The most occurred problem among the risk factors related to MS was the borderline hypertension (63%) in subjects. Regarding the correlations of anthropometric data with biochemical factors, TG was significantly correlated with the BMI, body fat % and waist circumference. Smoking years showed positive correlation with AI. These results suggest that the smoking habit has significant relations with the risk factors of MS. Therefore, quitting is necessary to prevent MS, and nutrition education and dietary management program are required to prevent the degenerative disease.

• 보건교육건강증진학회지
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• 제23권1호
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• pp.23-43
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• 2006

Objectives: To investigate the drinking behavior and related factors of community residents in G city. Methods: Examination was executed with questionnaire to 1973 adults. Data were collected from October 1, 2005 to November 16, 2005. Drinking behavior involves rate of drinking, frequency of drinking, age of starting drinking, drinking amount, rate of attempts to drink moderately and reasons for reducing drinking. Related factors involves the general characteristics, the habits of health behaviors. This was analyzed with frequency, percentage, mean, standard deviation, x2-test, t-test, ANOVA and logistic regression. Results: The drinking rate of the respondents was 67.4%, that rate of male was 83.1%, while that rate of female was 52.5%. The drinking rate was higher in groups of younger aged and highly educated people than that rate of the other groups. The highest level of drinking frequency was ones or twice a week. The drinking frequency of those who drank more than three times weekly was higher in the groups of male, old aged, married people, low educated people, rural residents, farmers or fisherman or laborers and those who unemployed or who did not exercise frequently and control their body weight. These individuals also preferred salty food and meat and fish, dined out frequently, did not visit dental clinic regularly, and tend to be smokers. The mean of the age of starting drinking was 21.17 year-old, that of males was 19.94 year-old, that of females was 22.82 year-old. The mean of the age of starting drinking was lower in groups of male, young aged, unmarried, college educated, rural residents, clerks, high monthly income, healthy and no illness, and smokers than that of the other group. The average of the drinking amount was 5.77 pack, that of males was 7.41 pack, and that of females was 3.31 pack. The drinking amount is much more in groups of males, fifties, unmarried, college educated, rural residents, self-employed, healthy people, and smoker than the other. 33.4% of the respondents attempted to drink moderately. According to the reasons of trying to drink moderately, the rate of prevention illness was highest. Conclusions: The variables of influencing drinking were sex, marital status, education, smoking, monthly income, health status, and stress.

• Journal of Preventive Medicine and Public Health
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• 제39권4호
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• pp.339-345
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• 2006

Objectives: This study (a) investigated the rate of smoking cessation sucess for current male smokers, and (b) identified the factors that are associated with the smoking cessation success. Methods: Data were collected from four follow-up surveys of 700 current male smokers. The follow-up period was from December 2004 to June 2005. Success of smoking cessation was defined as "maintaining a smoking cessation status for six months". The demographic and socioeconomic factors included age, the household income level and, occupation. The smoking behavioral factors were composed of the amount of smoking, the duration of smoking, the age of initiating smoking, the willingness to quit, the frequency of trying to quit smoking and the smoker's attitude toward the anti-smoking policies. Results: The proportion of quitters increased from 6.6% to 11.0% during the follow-up period. The majority of quitters answered that the increase of tobacco price acted as cue to achieve smoking cessation. The age-standardized experience and success rate of smoking cessation were 16.0% (95% C.I.=13.0% to, 19.0%) and 4.5% (95% C.I.=3.0% to, 6.0%), respectively. On the multivariate analysis, success for smoking cessation was associated with the willingness to quit smoking, low prior tobacco consumption, and agreement on the tobacco price increase. Conclusions: The results of this study suggest that the recent anti-smoking policies provided an opportunity to quit smoking. The results of this study can be used to establish evidence for further anti-smoking policies.

• Journal of Preventive Medicine and Public Health
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• 제42권1호
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• pp.59-66
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• 2009

Objectives : This study was performed using a longitudinal approach to explore the predictors for current smoking among male high school students. Methods : Baseline data was collected in May 2004 through a self-administrated questionnaire completed by 607 male students in a technical high school in Daegu city, Korea. Subsequently, their smoking behaviors were followed one year after. Among the 544 followed participants, data for 439 non-smokers in the first year was used in longitudinal analysis. Current smokers were defined as those respondents who had smoked one or more cigarettes within the 30 days preceding the survey. Several potential predictors for smoking were investigated including smoking history(never, experimental, former smoker), sociodemographic factors, environmental factors, attitudes toward smoking, and behavioral factors. Logistic regression was used to predict smoking with SPSS ver. 12.0. Results : According to multiple logistic regression analysis, those students who were more likely to smoke after one year were former smokers(OR: 2.12, 95% CI=1.01-4.44), current drinkers(OR: 2.55, 95% CI=1.33-4.89), who had four or five smokers among five best friends(OR: 3.43. 95% CI=1.14-10.30). In addition, those who had smokers among family members besides parents or siblings(OR: 1.66, 95% CI=0.92-2.98), exhibited a high level of subjective stress(OR: 1.77, 95% CI=0.96-3.26), or had a very good relationship with friends(OR: 1.93, 95% CI=0.99-3.75) were also more likely to smoke albeit with marginal statistical significance(p<0.1). Conclusions : A smoking prevention program aimed at high school students may be more effective with due consideration of the predictors highlighted in this study. However, further studies with larger sample size and various target populations are necessary to find potential predictors not found in this study but suggested in other longitudinal studies.