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Tc-99m-DAPA Pulmonary Clearance in Normals (정상성인에서의 Tc-99m-DTPA 폐제거율)

  • Chung, Soo-Kyo;Yang, Woo-Jin;Sohn, Hyung-Sun;Shinn, Kyung-Sub;Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.3
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    • pp.338-342
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    • 1994
  • Pulmonary clearance of Tc-99m-DTPA(PCD) has been used for the measurement of polmonary epithelial permeability. It has been reported to be increased not only in variety of polmonary diseases including ARDS, interstitial fibrosis, and smokers, but also in normal subjects on positive end expiratory pressure respirator, or after exercise. It was also noted that decrease of pulmonary blood flow due to pulmonary arterial obstruction results in delayed PCD. Normal range of PCD varies with institutes. We prospectively measured PCD in 17 normals (5 males and 12 females) consisted of staffs and trainees in the department of radiology of Kangnam St. Mary's hospital using original Bark Nebulizer (India). Age ranged from 32 to 43 years. 370 MBq of Tc-99m-DTPA was inhaled in supine position and supine posterior images were subsequently obtained with 1 min/frame, $64{\times}64$ matrix and word mode for 30min. Regions of interest were set on each lung, whole lungs, and upper, middle and lower thirds of right lung, respectively. Best fit regression curve was obtained by least square method from initial 7min after peak activity on each curve and time for half clearance of maximum activity (t1/2) was calculated. Mean t1/2 was $51{\pm}11.2min$ for whole lung. There was no significant difference between t1/ 2 of right and left lungs. Initial uptake was higher in the lower third and t1/2 was shorter in the lower third than in the upper third(P<0.05). We reviewed several reports on PCD and compared our data with the others. In this study, faster clearance in the lower third may be due to the position imaged with or the environment the subjects belong to, and further investigation is under way.

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Mainstream smoke level of harmful substances in korean domestic cigarette brands

  • Choi, Hyun Doc;Song, Seok Ho;Cho, Hoonsik;Kim, Hyung Kyung;Lee, Jin-Hee;Yoon, Soon-Byung;Heo, Seok;Park, Hyoung-Joon
    • Analytical Science and Technology
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    • v.31 no.1
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    • pp.14-22
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    • 2018
  • After signing the WHO FCTC in 2003, South Korea ratified the FCTC in 2005. This study was conducted to provide data on toxic constituents that can be used as useful information for the level of exposure to Korean smokers. Emissions data from five brands of cigarettes were tested under the ISO and "Canadian Intense (HCI)" smoking regimes, respectively. We conducted an analysis of 25 compounds containing nicotine, tar, carbonyls, phenolics, volatile organic compounds (VOCs), and semi-VOC cigarette smoke. Tar and nicotine showed levels of 4.3 to 5.8 mg/cig and 0.4 to 0.5 mg/cig, respectively, which are within the range of tolerance presented in ISO 8243. In the case of carbonyls, formaldehyde was detected within a range of 8.2 to $14.3{\mu}g/cig$, and acetaldehyde was present within a range of 224.7 to $327.2{\mu}g/cig$ under the ISO smoke regime. Crotonaldehyde was not detected under the ISO regime, and all of the carbonyls showed values 2.3 to 4.5 times higher under the HCI regime than those under the ISO regime. Catechol, which showed a level of 47.0 to $80.5{\mu}g/cig$ under the ISO regime and 117.5 to $184.7{\mu}g/cig$ under the HCI regime, was the highest constituent among the phenols. The amount of isoprene was 91.7 to $158.3{\mu}g/cig$ under the ISO regime and 221.0 to 377.0 under the HCI regime. To summarize, most of the constituents showed a tendency to be detected at levels 2 to 4 times higher under the HCI regime than under the ISO regime. Above all, these results represent the first analysis in Korea from an independent institute of tobacco companies under accreditation of ISO 17025.

A analysis on oral health behaviors of workers and Korean adults (근로자와 한국성인의 구강건강 행태 분석)

  • Shim, Youn-Soo;Woo, Hee-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.4
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    • pp.839-848
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    • 2012
  • Objectives : Oral care is important for workers and Korean adults to improve the quality of life and perform economic activities. This study was conducted to prepare the basic data to establish the management system for adult oral health by looking into characteristics by ages and the genders questingly. Methods : Oral health examination was conducted on workers in 2009 in the city of Gwangju and Chonnam province. This analysis was extracted using SPSS(SPSS 12.0 for windows, SPSS Inc, Chicago, USA). Results : Among the study respondents, 39.5% workers and 47.7% Korean adults answered their subjective oral health is not good, but there was no statistically significant difference between them(p< $0.001^{***}$). 39.9% workers and 2 0.6% Korean adults were smokers, and they showed a statistically significance in the ages and genders (p< $0.001^{***}$). 91.2 %workers and 49.8% Korean adults brushed their teeth before going to bed, and they showed a statistically significance in the ages and genders(p< $0.001^{***}$). In terms of the gender, male workers and Korean female adults showed high frequency of use, and both workers and Korean adults aged 18-24 showed high frequency with regard to the age. Regarding the use of oral care items, 36.0% workers and 16.9% Korean adults used them, and a statistical significance was shown in both the gender and age(p< $0.001^{***}$). In terms of the gender, female workers and Korean female adults showed high frequency of use and in terms of the age, 45-54 age bracket workers and 30-34age bracket Korean adults used the items frequently. 28.0% workers and 30.7% Korean adults answered that their mastication among oral functions is uncomfortable, and 8.8% workers and 6.5% Korean adults responded that it is hard to pronounce. They were statistically significant in the gender and age(p< $0.001^{***}$). Workers and Korean female adults expressed their mastication discomfort and men expressed that they have a difficulty in pronouncing. In terms of the age, the 54-64 age bracket workers and Korean adults express their inconvenience of mastication and pronunciation. Conclusions : According to the above findings, it needs to build the economical and efficient adult oral health care system in order to enhance both workers and Korean adults' oral health.

An investigation on the actual status of oral health care and perceptions of oral health among the under graduates of S college of education in Cheongju-si - according to their experiences in oral health care education - (청주시 S사범대학 학생들의 구강보건관리 실태 및 구강보건의식 조사 - 구강보건교육경험 유무에 따른 -)

  • Ji, Min-Gyeong
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.4
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    • pp.569-582
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    • 2007
  • The author aims at first securing basic material required for developing and operating proper oral health care education programs though making an investigation into the undergraduates of S College of Education on the actual status of oral health care and perceptions of oral health care education. The obtained results were as follows 1. In the actual status of oral care based on whether or not they have experiences in taking oral health care education, undergraduates with teeth brushing for more than three minutes a time were found to be 25.9% and 15.7% respectively according to the existence and nonexistence of experiences in the education(pM0.020), and undergraduates with teeth brushing in a circular motion was found to be 64.7% and 51.7% respectively, showing statistically significant differences(pM0.015). 2. In the actual status of preventative oral care according to whether or not they have experiences in taking oral care education, degrees of awareness of the usefulness of dental cleansers among the undergraduates were found to be 37.6% and 21.5% respectively according to the existence and nonexistence of experiences in the education(pM0.001), undergraduates with experiences in scaling were found to be 51.8% and 34.9% respectively(pM0.002) and undergraduates with experiences in having dental sealants were found to be 26.5% and 16.9%(pM0.031), showing statistically significant differences. 3. In the survey on perceptions of oral health care according to the existence and nonexistence of experiences in oral health care education, it was revealed that the case that they indicated 'the necessity of oral health care education' was 87.1% and 64.0% respectively according to the existence and nonexistence of the experience(pM0.000), and undergraduates intended to 'participate in oral care education for students(at mid and high schools and so on) after being teachers' were 77.6% and 65.7% respectively, showing statistically significant differences(pM0.011). 4. In general characteristics according to awareness of the necessity of cultivating oral health professionals, groups with awareness of the necessity consisted of 31.8% of freshmen and juniors(pM0.001), 55.69b of female undergraduates(pM0.001), 80.8% of non-smokers(pM0.012), 38.9% of large city residents(pM0.002) and 32.3% of undergraduates living in their own houses (pM0.028), showing statistically significant differences.

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Physical Fitness and Health Promoting Life Styles of workers (근로자의 체력 및 건강증진 생활양식에 관한 연구)

  • Cho, Tong Ran;Kim, Soon-Lae
    • Korean Journal of Occupational Health Nursing
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    • v.8 no.1
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    • pp.5-21
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    • 1999
  • The purpose of this study is to evaluate the physical fitness status and health promoting life styles of the workers. For the purpose, 108 workers who attended the exercise program in Inchon branch of KISCO were selected as the subjects. From Oct. 20th to Nov. 30th, in 1998, they were firstly assessed their physical fitness. The items include cardio-respiratory endurance, flexibility, muscular strength, muscular endurance, agility, power, balance, body composition, etc. Secondly, the health promoting life styles were asked by questionnaires about daily life and dietary habits. Both of them were evaluated by 5 or 3 levels as A(very good) to E(very poor) or A (good) to C(poor). Those data were analyzed percentile, mean, standard deviation by SAS program. Major findings are as follows ; 1. The health promoting life styles were generally good, but 43.5% of the subjects didn't exercise at all. Most of them(93.5%) thought about their physical fitness status as lower than average level. About half of them(48.1%) didn't drink alcohol, non smokers were 70.4% of them. But they had poor dietary habits(lower than average level : 79.6%), females were a little bit better than males. The aged group had the poor body compositions, 21.4% of females and 10.0% of males were obese. 2. Physical fitness status of the workers were assessed as two areas, one is health related, the other is physical function related area. In the health related area, females were better than males, in view of age, forties aged group had the highest scores of all items except cardio-respiratory endurance. Among 'A' and 'B' level, muscular endurance was showed most frequently, followed by muscular strength, flexibility, cardiorespiratory endurance. In physical function related status, balance was ranked highly in the portion of over 'B', followed by power, agility. In view of sex, males were better than females for all items except balance, and there were various figures in the status by age groups. 3. Comprehensive assessment scores were poor(under 'D' leves were most frequent), females were better than males, and teenage group had the worst scores. In ages of the physical fitness, generally they had 1 year under their real ages, and females were better than males. In view of age, forties aged group was ranked highly and teenagers had lowest scores.

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A Case of Respiratory Bronchiolitis-Associated Interstitial Lung Disease (호흡성 세기관지염-연관 간질성 폐질환 1예)

  • Ahn, Byeong-Hoon;Park, Hyung-Suk;Do, Jung-Ho;Suh, Gee-Young;Chung, Man-Pyo;Rhee, Chong-H.;Kim, Kwan-Min;Lee, Kyung-Soo;Han, Jung-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.46 no.1
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    • pp.103-109
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    • 1999
  • Respiratory bronchiolitis-associated interstitial lung disease has been described among current or former smokers and has features consistent with interstitial lung disease. Symptoms include cough, dyspnea on exertion. Lung pathology is characterized by the accumulation of pigmented macrophages within respiratory bronchioles and adjacent air spaces associated with mild thickening of the peribronchiolar interstitium. It must be separated from the other interstitial lung disease because of marked differences in treatment and prognosis. Recently we experienced a case of respiratory bronchiolitis-associated interstitial lung disease in a 48-year-old man. As far as we know, this is the first case in Korea.

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A Case of Passive Smoking Induced Respiratory Bronchiolitis Associated Interstitial Lung Disease (간접흡연으로 유발된 호흡 세기관지염 연관 간질성 폐질환 1예)

  • Lee, Kyoung Ju;Kim, Jung Ha;Ha, Eun Sil;Jung, Jin Yong;Lee, Seung Hyeun;Kim, Se Joong;Lee, Eun Joo;Hur, Gyu Young;Jung, Hye Cheol;Lee, Sung Yong;Kim, Hyn Koo;Lee, Sang Yeub;Kim, Je Hyeong;Shin, Chol;Shim, Jae Jeong;In, Kwang Ho;Kang, Kyung Ho;Yoo, Se Hwa
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.5
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    • pp.541-545
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    • 2005
  • Respiratory bronchiolitis associated interstitial lung disease is a rare condition among current or ex-smokers, which has features consistent with interstitial lung disease. The presentations are non-specific, but symptoms generally include a cough and dyspnea on exertion, and its pathology is characterized by the accumulation of pigmented macrophages within the respiratory bronchioles and adjacent air spaces, and is associated with mild thickening of the peribronchiolar interstitium. Recently, the case of a 54-year-old woman passive smoker, diagnosed as having respiratory bronchiolitis associated interstitial lung disease, was experienced at our institution.

Comparison of Face-to-Face Interview Questionnaires and Medical Records Data for Smoking Habits in Lung Cancer Patients (폐암 환자들의 일대일 설문조사와 의무기록의 흡연 습관 비교)

  • Lee, Eui-Cheol;Ryu, Jeong-Seon;Kim, Hyun-Jung;Cho, Jae-Hwa;Kwak, Seoung-Min;Lee, Hong-Lyeol
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.1
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    • pp.27-32
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    • 2007
  • Background: This study evaluated the accuracy of smoking habit from the data obtained from the medical records of lung cancer patients against the data obtained form face-to-face interview questionnaires Methods: The smoking habits of 225 lung cancer patients were categorized into never smoked, ex-smoker and current smoker in face-to-face interview questionnaire and medical record taken at the time of admission for a diagnosis. The overall agreement between two sources was evaluated. The factors affecting the disagreement between two sources and the level of data omission of the smoking habits in medical records were analyzed suing multiple logistic regression. Results: The smoking habit between two sources showed moderate overall agreement(Kappa $({\kappa})=0.60$). The lowest agreement was observed in the ex-smokers(${\kappa}=0.49$). Multivariate analysis revealed an age of 65 or older to be a statistically significant factor associated with the increasing disagreement risk compared with those 64 or younger (OR 3.02; 95% CI 1.58-5.80). The omission rate of smoking habits in the medical records was 18.2%. Adenocarcinoma was shown to be a statistically significant factor of associated with an increasing omission rate compared with squamous cell carcinoma (OR 3.00; 95% CI 1.19-7.59). Conclusion: The smoking habits obtained from medical record moderately reflect their true behavior. However, the smoking habit data from medical record should be used with caution when being used in a clinical study or cohort study of lung cancer.

Health Behavior Motivators about Quit-Smoking in Some Outpatients of University Hospitals (일부 병원 내원 환자의 금연에 관한 건강행위 동기요소)

  • Koong, Hwa-Soo;Ryu, Seung-Mi;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.13 no.3
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    • pp.314-320
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    • 2013
  • This study was aimed to investigate the motivators of smoking in 300 subjects using convenient extraction in one hospital. After informed consent, the survey that consisted of general characteristics, health behavior, stage of change, health behavior-related-perceived benefit, health behavior-related-perceived barrier, health behavior-related-family support, oral health behavior, subjective oral health and others was carried out. The smoking rate was higher in case of male (sex), high school graduates (education) and 2~3 million Korean won (KRW) (monthly income). The present smokers responded lower oral health behavior (p<0.001), lower health behavior-related-perceived benefit (p=0.021), higher health behavior- related-perceived barrier (p<0.001) and lower stage of change (p<0.001). The oral health related variables were not influenced by smoking. In logistic regression model, odds ratios in smoking were 0.378 in below average (health behavior-related-perceived barrier), 4.746 in below average (stage of change), 12.743 in male (sex) and 3.271 in 2~3 million KRW (monthly income/standard : over 3 million KRW). It was suggested that oral health related manpower should take account of not only smoking-related oral health but also motivators of smoking as to deliver effective no-smoking program.

Effect of Cigarette Warning Sign Attached to Cigarettes on Smoking Cessation Effects (담배에 부착된 담뱃갑 경고 그림이 금연효과에 미치는 영향)

  • Lee, Tae-Hoon
    • Journal of Industrial Convergence
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    • v.18 no.1
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    • pp.45-52
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    • 2020
  • This study is a descriptive study conducted to investigate the effect of smoking cigarette sign sold in Korea on the smoking cessation effects and to use it as a basis for future smoking cessation and health related health data. To this end, we surveyed 500 men and women over 20 years of age on the Internet Naver web using Naver form questionnaire for 10 days from October 1, 2018 using blogs and cafes. The analyzed data were analyzed by factor analysis, T-test and correlation using SPSS WIN20.0. The main findings were as follows: First, the cigarette warning picture harmful to human body had the biggest influence on the smoking cessation effect. Second, the smoking cessation effect had the highest correlation with the pre-question consciousness about the cigarette warning picture. This indicates that the cigarette pack warning is considered the most sensitive part of smokers. Based on the results of this paper, diversification of cigarette warning picture and regular replacement of warning picture are expected to provide useful basic data for suggesting practical measures to prevent smoking. do. Therefore, the smoking warning picture is widely promoted through the media and the media, which has a positive effect on the practice of quitting smoking to the public, and is also used as a basic data for the health policy for the health promotion of the public.