• Tuberculosis and Respiratory Diseases
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• v.42 no.1
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• pp.42-49
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• 1995

Background: Hemoptysis always merits thorough investigation because even minimal bleeding may be an early indicator of the presence of significant bronchopulmonary disease. But in patients with hemoptysis & a normal chest roentgenogram, there are no clear guidelines for a diagnostic approach, including the indications of bronchoscopy. Methods: Eighty patients with hemoptysis and a normal chest roentgenogram were involved in this study. We evaluated the cause of hemoptysis in these patients by bronchoscopy and/or bronchogram or high-resolution CT of the lung and we analyzed the relationship of clinical features, such as age, sex, smoking and properties of hemoptysis, to the cause of hemoptysis. Results: 1) They were 34 men and 46 women, with the mean age of 46.7 and 41.8 years old, respectively. 2) Initial bronchoscopy provided a diagnosis in 8 patients - bronchogenic carcinoma in 3 patients (3.8%), metastatic cancer in 1 patient(1.3%) and endobronchial tuberculosis in 4 patients(5.0%). 3) Two clinical findings of patients over 50 years and/or with more than 30 pack-year smoking history were associated with bronchogenic carcinoma, and among these two factors, a more than 30 pack-year smoking history was the best predictor for diagnosis of bronchogenic cancer. 4) The 72 patients in whom no specific cause of hemoptysis was identified by initial bronchoscopy underwent bronchogram and/or high resolutional CT of the lung. Then, 6 patients were diagnosed as bronchiectasis and 5 patients rebleeded in the follow up period of 9 to 90 weeks. Of the remaining 66 patients, 33 were followed for 7 to 80 weeks. Among these patients, only 5 patients had recurrent episodes of hemoptysis & they were diagnosed as bronchiectasis in 1 patient, tuberculosis in 2 patients and catamenial hemoptysis in 2 patients. Conclusion: We conclude that patients with hemoptysis and a normal chest roentgenogram who are more than 50 years old or have more than 30 pack-year smoking history should undergo bronchoscopy to exclude possible bronchogenic carcinoma. In patients without these clinical features, a conservative approach with observation appears justified. If hemoptysis recurs to these patients, bronchogram or high-resolutional CT of the lung with sputum examination are necessary.

• Tuberculosis and Respiratory Diseases
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• v.39 no.6
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• pp.511-516
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• 1992

Background: It is well known that cigarette smoking is the risk factor of lung cancer, chronic obstructive pulmonary disease and ischemic heart disease. But there are few reports about the immediate effect of cigarette smoking on the cardiopulmonary functions. The serum level of carbon monoxide increases during cigarette smoking. It is known that carbon monoxide increases respration rate, heart rate and cardiac output, with decrease in maximal oxygen consumption. So we have studied to determine the immediate effects of cigarette smoking on the cardiopulmonary function during exercise. Method: Thirteen healthy smoking male subjects were included in this study. Each subject was undertaken pulmonary function test and incremental exercise test on two separate days, one without smoking (control) and the other after smoking three cigarettes per hour for five hours. The order of the two tests was randomized. Results: 1) The mean age of the subjects was $25{\pm}4.9$ year-old and the mean smoking history was $6{\pm}5$ pack years. 2) The mean blood level of carbon monoxide on the smoking day was higher than that on the nonsmoking day ($5.97{\pm}1.34%$ vs. $1.45{\pm}0.83%$; p<0.01). 3) The mean maximal oxygen consumption on the smoking day was lower than that on the nonsmoking day ($2.09{\pm}0.32$ L/min vs. $2.39{\pm}0.32$ L/min; p<0.05). 4) The mean anaerobic threshold on the smoking day was lower than that on the nonsmoking day ($1.33{\pm}0.24$ L/min vs. $1.53{\pm}0.20$ L/min; p<0.05). 5) The mean heart rate at rest on the smoking day was higher than that on nonsmoking day ($84.38{\pm}11.06$ beats/min vs. $75.46{\pm}5.83$ beats/min; p<0.05). But the means of maximal heart rate on both days were not different. 6) The pulmonary function tests were similar on both days. Conclusion: There was no change in pulmonary function test, but the maximal oxygen consumption and anaerobic threshold were decreased on the smoking day. So it was concluded that cigarette smoking impaired the cardiovascular functions immediately during exercise.

• Tuberculosis and Respiratory Diseases
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• v.62 no.5
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• pp.365-373
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• 2007

Background: Smoking is one of the most important leading causes of morbidity and mortality. Smoking habit is recognized as nicotine dependence, which consists of physical and psychosocial dependence. To evaluate social nicotine dependence, the Kano Test for Social Nicotine Dependence (KTSND) working group developed a new questionnaire, which consists of 10 questions with a total score of 30 in Japan. We examined the social nicotine dependence among healthy adults using the new KTSND questionnaire and evaluated validity of the KTSND questionnaire in Korea. Method: We applied Korean KTSND questionnaire version 2 to employees of hospital, university students and people for medical examination and promotion test. Complete data obtained from the 741 responders were analyzed. Result: The mean age of responders was 31.8 years. Among them, males were 57.8%. Current smokers, ex-smokers, and non-smokers were 13.8%, 12.8%, and 73.4% respectively. According to smoking status, the total KTSND scores of current smokers were significantly higher than those of ex-smokers, and of non-smokers ($17.1{\pm}5.4$ versus $14.3{\pm}5.5$, and $12.3{\pm}5.5$, $p{\leq}0.001$). The total KTSND scores of males were higher than those of females, suggesting that males have a propensity for depending nicotine socially much more than females ($14.3{\pm}5.7$ and $11.7{\pm}5.4$ respectively, p<0.001). Eight of ten questions produced significantly different scores among three different smoking groups. When current smokers were sub-classified by heavy smoking index (HSI) that represented physical nicotine dependence, we did not find a significant difference of KTSND score between low HSI group (<4) and high HSI group (${\geq}4$), This finding suggested that the psychosocial dependence might play a different role from physical nicotine dependence in smoking. Most of the non-smokers (62.5%) had an experience of harmful passive smoking especially in public place. Conclusion: Our study suggested that the KTSND questionnaire could be a useful method to evaluate psychosocial aspects of smoking.

• Tuberculosis and Respiratory Diseases
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• v.39 no.2
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• pp.141-149
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• 1992

In order to establish predicted normal values of volume of isoflow($V_{iso}\dot{V}$), $V_{iso}\dot{V}$ were measured in a total 234 healthy adults, consisting of 78 male nonsmokers, 108 male smokers and 48 female nonsmokers. The volumes of isoflow were determined through analysis of maximal expiratory flow volume curves recorded with a mixture of 80% helium and 20% oxygen(He-$O_2$ gas) following one(1VC) and three vital capacity(3VC) maneuver and with room air. Based upon the correlation of the observed values of the parameters to age and physical characteristics, the following regression formulars for the prediction of the parameters, using age in year(A) as a variable, were obtained. 1VC method ($V_{iso}\dot{V}_1$) Male smoker : 0.614A+2.347 Male nonsmoker : 0.370A-2.792 Female nonsmoker : 0.588A-2.459 3VC method ($V_{iso}\dot{V}_3$) Male smoker : 0.467A+1.696 Male nonsmoker : 0.288A-1.538 Female nonsmoker : 0.367A-0.114.

• Journal of the Korean Society of Radiology
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• v.17 no.3
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• pp.343-350
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• 2023

Based on Lung CT Screening Reporting and Data System (Lung-RADS), which has been used to standardize reading for lung cancer screening since November 2016, the types and frequency of "S" modifier findings other than lung cancer were analyzed. As a result of this study, 360 cases (35.19%) of "S" modifier were found in 1,023 subjects, and the most frequent diseases were coronary calcification and emphysema, 145 (14.17%) of coronary calcification and 138 (13.49%) of emphysema, indicating that the discovery rate was very high compared to other findings. In addition, it was found to be highly associated with the duration of smoking, and in the case of coronary calcification, 9 cases (5.73%) were found in the non-smokers group A, 23 cases (11.44%) within 10 years of smoking, 39 cases (13.68%) in the C group within 20 years of smoking, and 31% of the E group over 30 years of smoking. In addition to coronary calcification and emphysema, abnormal findings of pneumonia, lung epilepsy, and mediastinal disease were also found to be p<0.05 as a result of the analysis of the association with the smoking period, indicating that the smoking period was affected.

• Journal of the Korea Convergence Society
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• v.8 no.8
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• pp.137-145
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• 2017

The purposed of this study was to identify cardiocerebrovascular disease risk assessment and the factors that affect cardiocerebrovascular disease risk. The subjects of this study were 1340 middle age women worker in one shipyard. This study was base on worker health check up data. Data were analyzed using SPSS18.0 program. "healthy group" were 1078(80.4%), "low risk group" were 45(3.4%), "moderate risk group" were 150(11.2%), "high risk group" were 67(5.0%). Age, HDL, LDL, smoking, family history of stroke, hypertension were the factors that affected the risk cardiocerebrovascular disease. Results of this study can be used as fundamental data for developing cardiocerebrovascular disease preventive program in middle aged women.

• Tuberculosis and Respiratory Diseases
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• v.48 no.3
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• pp.331-338
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• 2000

Background : While the incidence of lung cancer is gradually leveling off in developed countries, it is continuing to rise in Korea. With the rapid increase in the prevalence of smoking among women and the young, the incidence of lung cancer is also expected to increase within the next three and four decades. The aims of the present study are to analyze the smoking habits in patients with lung cancer and to evaluate of the relative risk of lung cancer according to patients' smoking habits. Method : This investigation was a hospital-based, case control study, which included data of 93 case subjects with lung cancer and 1132 controls with disease unrelated to smoking, obtained through a smoking history questionnaire by a direct personal interview. Result : Compared with non-smokers, those who smoked for more than 50 years had an odds ratio for lung cancer of 8.8(1.8-20.7). The odds ratios was 8.5(3.5-20.7) for those who smoke more than a total of 40 cigarettes per day and 5.5(2.3-13.3) for men who started habitual smoking under the age of 20. The risk increased for men with more than of cigarette smoking(OR : 5.5, 95% CIa : 2.6-11.9). Odds ratios associated with cigarette smoking were 2.5(1.1-5.8) and 5.1(2.6-10.4) for ex-smokers and current smokers, respectively and 2.2(0.0-4.6) for non-filter smokers of more than 16 years. Conclusion : There was a clear dose-response relationship between the risk of lung cancer and smoking. It can be concluded that dose is an important risk factor for lung cancer, as well as smoking habits.

• Journal of Digital Convergence
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• v.14 no.2
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• pp.295-303
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• 2016

This study aimed to assess the influence of nicotine dependence with satisfaction of basic psychological needs, social support, attitude on smoking among middle school students. From Sep, 2015 to Nov, 2015, participants included 150 middle school students from D city and K province in Korea. Data for basic psychological needs, social support, attitude on smoking and nicotine dependence were collected through a self-reported questionnaire and were analyzed with independent t-test and analysis of variance, Pearson's correlation analysis, and multiple linear regression analysis. This study shows negative correlations between nicotine dependence and satisfaction of basic psychological needs(r=-.221, P=.008), competency(r=-.194, P=.021), relatedness(r=-.219, P=.009). The variables predicting nicotine dependence were satisfaction of basic psychological needs(${\beta}=.221$, p=.008). These variables accounted for 42% of the variance of nicotine dependence in smoking middle school students. Our results indicated that it is necessary to increase basic psychological needs to decrease nicotine dependence. Therefore we should develop programs in order to increase satisfaction of basic psychological needs.

• 건강소식
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• v.30 no.1 s.326
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• pp.14-15
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• 2006

병술년 새해를 맞이하여 건강하게 사는데 지켜야 할 몇 가지를 소개하고자 한다.우선 명심해야 할 것은 현재 거의 모든 사람들의 건강을 위협하고 있는 일상 생활습성과 주위 환경요인들 같은 것들이다. 실제로 담배, 비만, 스트레스, 영양의 불균형, 지나친 음주 같은 일상 생활습관들이 조기 사망을 일으키는 원인의 50%를 차지하고 있는 것이 현실이다. 흡연, 음주, 영양, 고혈압, 고지혈증, 운동 부족, 스트레스, 비만, 유전, 나이, 성, 가족력 등에 의하여 건강이 좌우된다고 정리할 수 있는데, 이 중에서 나이나 성, 가족력, 유전은 어쩔 수 없다고 하지만, 다른 것은 잘만하면 새해 뿐만 아니라 평생을 건강하게 살 수 있으니 꼭 실천하길 바란다.

• Journal of Digital Convergence
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• v.15 no.6
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• pp.249-258
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• 2017

This study examined the influence of self- efficacy for smoking cessation, depression, social support and nicotine dependency in the college male smoker. This survey design was adopted for 149 male college students in Gyeongbuk. Data were gathered from September 7 to 18, 2016. Data was analyzed for descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression. There was a significant positive correlation between depression and nicotine dependency. There was a significant negative correlation between self-efficacy for smoking cessation and nicotine dependency and between social support and nicotine dependency. The significant factors influencing nicotine dependency were self-efficacy for smoking cessation and depression. This model explained 34% of variance in nicotine dependency. The results suggest that an intervention program is needed to reduce the depression and to increase the ability of self-efficacy for smoking cessation in the college male smoker.