• Asian Pacific Journal of Cancer Prevention
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• v.17 no.sup1
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• pp.1-9
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• 2016

In Vietnam, the WHO Framework Convention on Tobacco Control (WHO FCTC) took effect in March 2005 while MPOWER has been implemented since 2008. This paper describes the progress and challenges of implementation of the MPOWER package in Vietnam. We can report that, in term of monitoring, Vietnam is very active in the Global Tobacco Surveillance System, completing two rounds of the Global Adult Tobacco Survey (GATS) and three rounds of the Global Youth Tobacco Survey (GYTS). To protect people from tobacco smoke, Vietnam has issued and enforced a law requiring comprehensive smoking bans at workplaces and public places since 2013. Tobacco advertising and promotion are also prohibited with the exception of points of sale displays of tobacco products. Violations come in the form of promotion girls, corporate social responsibility activities from tobacco manufacturers and packages displayed by retail vendors. Vietnam is one of the 77 countries that require pictorial health warnings to be printed on cigarette packages to warn about the danger of tobacco and the warnings have been implemented effectively. Cigarette tax is 70% of factory price which is equal to less than 45% of retail price and much lower than the recommendation of WHO. However, Vietnam is one of the very few countries that require manufacturers and importers to make "compulsory contributions" at 1-2% of the factory price of cigarettes sold in Vietnam for the establishment of a Tobacco Control Fund (TCF). The TCF is being operated well. In 2015, 67 units of 63 provinces/cities, 22 ministries and political-social organizations and 6 hospitals received funding from TCF to implement a wide range of tobacco control activities. Cessation services have been starting with a a toll-free quit-line but need to be further strengthened. In conclusion, Vietnam has constantly put efforts into the tobacco control field with high commitment from the government, scientists and activists. Though several remarkable achievements have been gained, many challenges remain. To overcome those challenges, implementation strategies that take into account the contextual factors and social determinants of tobacco use in Vietnam are needed.

• Environmental Mutagens and Carcinogens
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• v.22 no.2
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• pp.97-105
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• 2002

Nowadays a huge variety of products that aim to assist to quit smoking or reduce addictive symptoms are developed and manufactured with safety evaluation, but the safety of the most recent products of interest which do not contain tobacco and nicotine, and shape cigarettes is not evaluated and guaranteed relatively. This study was carried out to evaluate the single and repeated dose inhalation toxicity and genotoxicity of H menthol (Nicotine free-tobacco free) herbal cigarettes provided by Cigastop Ltd. in ICR mice. In this study, doses which we determined to expose to mice were 40 cigarettes for 6 hours a day to mice in single dose and 20 (high dose), 10 (middle dose) and 5 cigarettes (low dose) a day for 28 days in repeated dose inhalation toxicity, in vivo chromosome aberration test and micronucleus test. The particulate substances from H menthol herbal cigarettes also were gathered and used in the Salmonella typhimurium/microsome assay (Salmonella test; Ames test). We could find neither significant changes between control and treatment groups nor dose-response effects of test material at all except serum Ca level of female middle dose treatment group in repeated dose inhalation toxicity test. In conclusion, H menthol herbal cigarettes, when applied clinically intended dose we used, might not show any toxic and/or mutagenic effect.

• Journal of the Korean Society of Tobacco Science
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• v.27 no.1 s.53
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• pp.31-39
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• 2005

This study was conducted to evaluate the characterization of the pyrolysis products of propylene glycol(PG) and glycerine alone and together with tobacco. The weight change of the samples during the pyrolysis was measured by a thermal analyzer(STD-2960). The pyrolysis products were determined by GC/MS after pyrolysis using a curie-point pyrolyzer(CPP, $220^{\circ}C,\;420^{\circ}C,\;650^{\circ}C,\;and\;920^{\circ}C$) and a double-shot pyrolyzer(DSP, $220^{\circ}C,\;420^{\circ}C,\;650^{\circ}C,\;and\;800^{\circ}C$), respectively. The pyrolysis products from tobacco with and without the addition of PG($2\%$) and glycerine($2\%$ were assayed for its pyrolytic behavior. The results showed that a dramatic change in weight of PG and glycerine was observed at $175^{\circ}C\;and\;249^{\circ}C$, respectively. PG and glycerine showed different patterns for their pyrolysis products according to the method of pyrolysis. Namely, the change rate in pyrolysis with DSP was much higher than that of CPP at above $650^{\circ}C$. The major pyrolysis products of PG were propene, acetaldehyde, propanal, and acetol; the major pyrolysis products of glycerine were 2-propenal, 2-propenol, acetol, and acetic acid. In the pyrolysis experiments of tobacco added PG and glycerine, the pyrolysis products of PG and glycerine weren't detected additionally, except for diethyleneglycol diacetate. From these results, it can be concluded that the PG and glycerine added to tobacco would not be expected to pyrolyse extensively during smoking.

• Journal of the Korean Society of Tobacco Science
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• v.27 no.1 s.53
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• pp.11-18
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• 2005

The nicotine converter genotypes of burley tobacco (Nicotiana tabacum L.), which convert nicotine to nornicotine, contain a high amount of nornicotine that degrades tobacco quality and smoking taste. Elimination of nicotine converter plants before seed harvesting is required for breeding nicotine low-converter lines and for increasing their seed production. This study aims to develop a rapid and convenient method of identifying nicotine converter plants of burley breeding lines of KB9118(KB108) using thin-layer chromatography (TLC) and isatin coloration method. Out of 223 plants in 10 lines harvested at maturity in 2002, 102 plants ($45\%$) were identified as nicotine converters by TLC of tobacco leaves air-cured. For 16 lines selected as low-converters in 2002, 148 plants grown in the field in 2003 were tested by the isatin coloration method using two detached leaves at the flowering stage thoroughly sprayed with $1\%\;NaHCO_3$ solution and cured in conditioned chambers for the early identification of nicotine to nornicotine conversion. From these samples, 46 plants ($31\%$) in 4 lines were identified as nicotine converters, indicating that the ratio of converters significantly decreased by one time selection. Mean percent conversion of non-screened lines was $14\%$ higher than that of following generation. Therefore in the burley tobacco, a rapid and convenient means of identifying and removing nornicotine converter plants by the isatin coloration method during growth in the greenhouse or field were effective in reducing the converter plants in the following generation.

• Journal of the Korean Society of Tobacco Science
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• v.29 no.2
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• pp.90-97
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• 2007

This study was conducted to evaluate the effect of additives (antioxidants for free radicals reduction) in cigarette filter treated with various antioxidants (three types of proanthocyanidins and ascorbic acid) and various concentrations of ascorbic acid and loaded with activated carbon on the delivery of free radicals of mainstream smoke (MS) by ESR. Also, we analyzed Hoffmann's analytes andscavenger activity according to the storage time and in vitro cytotoxicity. The analysis of spin number of vapor and particulate phase free radicals in MS are decreased to $14{\sim}24\;%$ and $16{\sim}40\;%$, respectively. As aresult of antioxidant potential for inactivity of vapor and particulate phase free radicals, natural antioxidants were more effective than ascorbic acid. Based on the result of the analysis of Hoffmann's analytes for various antioxidantstreated cigarette filters during the smoking, cigarette filter treated with ascorbic acid showed the lower amount of the deliveries of hydroquinone, isoprene and quinoline in MS than those treated with the other antioxidants. In the significant t-test on the difference of the cytotoxicity among the various antioxidants treated-cigarette filters, there are no significant differences at the 95 % confidence level. Those results indicated that the antioxidants were useful for reducing free radicals in MS because of the fast reaction between antioxidant and free radicals.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.2
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• pp.829-833
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• 2016

Purpose: To investigate the work associated stress and nicotine dependence among law enforcement personnel in Mangalore, India. Materials and Methods: A cross-sectional questionnaire survey was conducted among law enforcement personnel in Mangalore, India. Demographic details, stress factors experienced at work and nicotine dependency were the variables studied. The extent of stress factors experienced at work was assessed using the Effort-Reward Imbalance scale (ERI). Nicotine dependence was measured using the Fagerstrom Test for Nicotine Dependence (FTND) and the Fagerstrom Test for Nicotine Dependence-Smokeless Tobacco (FTND-ST). Logistic regression was used for the statistical analysis. Results: Three hundred and four law enforcement personnel participated in the study, among whom 68 had the presence of one or more habits like tobacco smoking, tobacco chewing and alcohol use. The mean effort score was $15.8{\pm}4.10$ and the mean reward and mean overcommitment scores were $36.4{\pm}7.09$ and $17.8{\pm}5.32$ respectively. Effort/Reward ratio for the total participants was 1.0073 and for those with nicotine habit was 1.0850. Results of our study demonstrated no significant association between domains of ERI scale and presence of habits but work associated stress was associated with the presence of one or more habits. Compared to constables, head constables had 1.12 times higher risk of having a nicotine habit. Conclusions: Our study implies job designation is associated with nicotine habits. However, there was no association between work associated stress and nicotine dependence among law enforcement personnel in Mangalore.

• Tuberculosis and Respiratory Diseases
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• v.76 no.6
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• pp.276-283
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• 2014

Background: We aimed to investigate the role of the physician in practice and the factors that influence the success rate of smoking cessation. Methods: This study retrospectively analyzed 126 adult smokers who had visited the outpatient department of pulmonology, and received motivational interviewing with or without supplement drugs. The findings include continuous smoking abstinence rate, which was evaluated at 6, 12 and 24 weeks, and the factors associated with continuous abstinence for 6 months or longer. Results: The patients with only motivational interviewing accounted for 57.9%, while the nicotine patch therapy was applied to 30.2%; and varenicline was prescribed to 11.9%. The smoking cessation success rates of at 6, 12, and 24 weeks were 55.6%, 47.6%, and 33.3%, respectively. However, even in the failure group at six months, tobacco consumption was decreased under 10 cigarettes per day in 42.1% (53/126). In multivariate logistic regression analysis, degree of Fagerst$\ddot{o}$m Test for Nicotine Dependence (p=0.034; odds ratio, 3.607; 95% confidence interval [CI], 1.102-1.807), the absence of smoking-related lung disease (p=0.008; odds ratio, 4.693; 95% CI, 1.497-14.707), and education level (p=0.001; odds ratio, 181.420; 95% CI, 8.414-3,911.502) were the predictors of successful smoking cessation. Conclusion: An improved continuous smoking abstinence rate can be obtained by motivational interviewing, regardless of the association with pharmacotherapy.

• Journal of dental hygiene science
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• v.9 no.4
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• pp.397-404
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• 2009

The purpose of this study was to evaluate the tobacco cessation activities of the dental staffs in Wonju city. All 137 subjects were surveyed by structured questionnaire with convenience sampling. The distribution and correlation of attitude, behavior, and intervention were evaluated by both frequency test and ANOVA test. 75.2% of total subjects responded that the dental staff should give a model through prohibition of smoking and 66.5% responded that tobacco cessation activities should be responsibility of the dental staff. Tobacco cessation counsel was performed by little but with positive attitude. Advice method of tobacco cessation was used to counsel on tobacco cessation (68.6%). The dentists (48.2%) and dental hygienists (23.4%) were responded adequate for the tobacco cessation counselor, however, it was shown that the dentist had lower level of attitude about tobacco cessation than dental hygienist (p<0.01). The dental staff needs to participate in the tobacco cessation counseling program more regularly and actively. In order for the dental staffs gets the counsel effectively and intervene with tobacco cessation, it is essential that the education of tobacco cessation is integrated in dental school. Furthermore, it is necessary for the dental staffs to take continuing education for more effective understanding of tobacco cessation.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.sup1
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• pp.17-23
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• 2016

The aim of this paper is to report the rate of current and ever cigarette smoking and explore correlates of current cigarette smoking among adolescents aged 13-15 in Viet Nam. This analysis was derived from GYTS survey, which comprised of 3,430 adolescents aged 13-15, conducted in 2014 in 13 cities and provinces of Viet Nam. We calculated the weighted rates of current and ever cigarette smoking and reported patterns of smoking behavior. We also performed logistic regression to explore correlates of current cigarette smoking behavior. The weighted rate of ever cigarette smoking was 9.5% (95% confidence interval (CI): 8.5 %-10.5%), in which the weighted rate among males (15.4%; 95% CI: 13.6%-17.0%) was higher than that among females (4.2%; 95% CI: 3.3%-5.1%). The weighted rate of current cigarette smoking was relatively low at 2.5% (95%CI: 2.0%-3.0%) with higher weighted rate among males (4.9%; 95% CI: 3.8%-5.9%) compared to the corresponding figure among females (0.2%; 95% CI: 0.0 %-0.5%). Current cigarette smoking was significantly higher among males than females, in students aged 15 versus 13 years old, and in students who had several or all close friends smoking and students with daily observation of smoking at school. For greater smoking reduction outcomes, we recommend that tobacco interventions for adolescents should consider targeting more male students at older ages, establish stricter adherence to school-based banning of cigarette smoking, engage both smoking and nonsmoking adolescents and empower adolescents to resist peer smoking influence as well as changing their norms or beliefs towards smoking benefits.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.5
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• pp.1993-1999
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• 2014

Background: This study aimed to explore the role of XRCC1 (Arg399Gln) and XPD (Lys751Gln) gene polymorphisms, lifestyle and environmental factors as well as their possible interactions in propensity to develop lung cancer in a population with high incidence from North East India. Materials and Methods: A total of 272 lung cancer cases and 544 controls were collected and XRCC1 (Arg399Gln) and XPD (Lys751Gln) genotypes were analyzed using a polymerase chain reaction based restriction fragment length polymorphism assay. Conditional multiple logistic regression analysis was used to calculate adjusted odds ratios and 95% confidence intervals after adjusting for confounding factors. Results: The combined Gln/Gln genotype of XRCC1 and XPD genes (OR=2.78, CI=1.05-7.38; p=0.040) was significantly associated with increased risk for lung cancer. Interaction of XRCC1Gln/Gln genotype with exposure of wood combustion (OR=2.56, CI=1.16-5.66; p=0.020), exposure of cooking oil fumes (OR=3.45, CI=1.39-8.58; p=0.008) and tobacco smoking (OR=2.54, CI=1.21-5.32; p=0.014) and interaction of XPD with betel quid chewing (OR=2.31, CI=1.23-4.32; p=0.009) and tobacco smoking (OR=2.13, CI=1.12-4.05; p=0.022) were found to be significantly associated with increased risk for lung cancer. Conclusions: Gln/Gln alleles of both XRCC1 and XPD genes appear to amplify the effects of household exposure, smoking and betel quid chewing on lung cancer risk in the study population.