• 생명과학회지
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• 제34권5호
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• pp.320-332
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• 2024

본 연구는 연소담배와 비교해 서로 다른 가열담배(heated tobacco products, HTPs) 사용 시 혈역학적 지표들의 급성 반응을 비교하고, 급성 HTPs 에어로졸 노출이 심장 자율신경조절(cardiac autonomic regulation, CAR)에 미치는 영향을 탐색하려는 목적으로 수행되었다. 또한, 서로 다른 연초 스틱 간 급성 심혈관 효과의 비교 검증을 목표로 하위연구를 설계했다. 외관상 건강한 남성 흡연자 16명은 개방표지, 무작위 교차시험으로, 최소 48시간 세척기간과 함께 비-흡연(non-smoking, NS), 담배 흡연 및 서로 다른 두 가지 HTPs 사용 세션을 각각 수행했다. 하위연구는 NS와 함께 서로 다른 두 가지 연초 스틱 간 급성 심혈관 효과를 비교하기 위해, 참여자 중 8명을 대상으로 실시되었다. 수축기와 확장기 혈압 및 CAR을 반영하는 심박변이도(heart rate variability, HRV)가 각 세션 시작 전, 제품 사용 중 그리고 사용 후 30분까지 평가되었다. NS 동안 혈역학적 변화는 통계적 차가 없었으나, HTPs 에어로졸에 급성 노출은 담배 연기와 상응하는 수축기와 확장기 혈압의 유의한 증가를 초래했으며, 이들 지표에서 HTPs 기기 간 통계적 차는 없었다. 연소담배와 HTPs 사용 후 통계적으로 유의한 심장 교감신경활동(cardiac sympathetic nerve activity, CSNA)의 급성 증가와 심장 미주신경 긴장도(cardiac vagal tone, CVT)의 급격한 저하가 나타났다. 사용 기기와 독립적으로 HTPs 사용에 따른 CSNA와 CVT 반응은 연소담배와 통계적 차가 없었다. 서로 다른 두 가지 연초 스틱은 NS와 비교해 혈역학적 지표들의 유의한 증가를 유도했으나, 연초 스틱 간 통계적 차는 없었다. CVT는 두 가지 연초 스틱 사용에 따라 유의하게 감소했으며, 연초 스틱의 종류에 따라 CVT 저하에 통계적 차가 있었다. 이상의 결과들은 HTPs 에어로졸 노출이 사용 기기와 독립적으로 연소담배와 동등한 급성 심혈관 효과를 유도할 수 있으며, 연초 스틱의 종류에 따라 급성 CAR 저하가 강화될 수 있음을 시사한다.

• 보건행정학회지
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• 제33권1호
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• pp.85-106
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• 2023

Background: The Korean government has established Health Plan and reinforced tobacco control policies step by step according to Framework Convention on Tobacco Control (FCTC). This study aims to investigate yearly smoking and secondhand smoking (SHS) exposure rates adjusted by demographic and socioeconomic factors. Methods: Multiple logistic regression analysis was conducted about the smoking experience, current smoking, and exposure to SHS at home, at work, and in public places using data from the 6th to 8th Korea National Health and Nutrition Examination Survey (2015-2020). Results: Comparing 2015 with other years, smoking experience rates significantly decreased from 2015 to 2018 in men and significantly increased from 2018 to 2020 in women. Compared to 2015, current smoking rates significantly decreased only in 2020 for men and significantly increased in 2018 and 2019 for women. The rate of exposure to SHS at home significantly decreased until 2018. Rates of exposure to SHS in the workplace and public places were significant all year. Conclusion: There were a slowly decreasing trend in men and an increasing trend in women at current smoking rates. It was found that there were significant decreasing trends at exposure to SHS. There is a need to set policies that reduce current smoking rates and especially to set a customized program to lower women's smoking rates.

• Asian Pacific Journal of Cancer Prevention
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• 제15권24호
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• pp.10783-10786
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• 2015

Background: Smoking remains the major preventable cause of death worldwide, especially cancer-related death. Evidence clearly indicates that tobacco-related morbidity and mortality is reduced by smoking cessation. Pharmacists are well-positioned to provide tobacco cessation services an involvement of pharmacists in smoking cessation is encouraged by several organizations. While Indonesia's prevalence of smoking is in the first rank in Asian countries, none of the pharmacy schools in Indonesia are currently offering tobacco-related courses in their existing curricula at present. Our study aimed to develop and to evaluate the effectiveness of tobacco education (TE) for pharmacy students in Indonesia. Materials and Methods: A 6-hour TE was developed and evaluated using pre-test/post-test with control group design. A total of 137 fifth-year pharmacy students at Gadjah Mada University (GMU), Yogyakarta, were chosen as an intervention group while a total of 105 fifth-year students of Islamic University of Indonesia, (UII) served as the control group. Knowledge, perceived-role, self-efficacy, and ability to perform counseling using the 5A's framework were evaluated. Results: A significant improvement (P < 0.001) in knowledge, perceived-role, and self-efficacy was found in the intervention group but not in the control group. In addition, we revealed that 89.7% of the intervention group were able to perform counseling using 5A's. Conclusions: The developed TE significantly improved student knowledge, perceived-rolse, self-efficacy, and created an ability to perform cessation counseling. Integration of TE education in curricula of Indonesian pharmacy schools nation-wide should be encouraged.

• 보건교육건강증진학회지
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• 제33권5호
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• pp.71-81
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• 2016

Objectives: Tobacco marketing encourages smoking initiation of non-smokers, especially adolescents, and it hinders quit intention of those who smoke or who attempt to quit smoking. Article 13 of the WHO Framework Convention on Tobacco Control(WHO FCTC) requests a comprehensive ban on tobacco advertising, promotion and sponsorship(TAPS). Ratified the Convention in 2005, Korea has partially implemented the provisions. However, online marketing regulations are still insufficient. Methods: Based on relevant national and international regulations, this research designed monitoring mechanism for online tobacco marketing and studied 1,404 websites to identify current situation of online sales and advertisement of tobacco in Korea. Results: This study found that online trade of tobacco products are overtly conducted, while tobacco advertising with flavoring and misleading descriptors are also prevalent. Also, online tobacco marketing facilitate adolescents' access to tobacco product and that advertising and promotion activities lead to tobacco purchase without difficulties. Conclusions: Fundamental solution to prevent online tobacco advertisement and promotion is banning online sales of tobacco and conducting a regular monitoring for compliance. Korean government should consider establishing an official surveillance system for online tobacco advertisement, followed by a comprehensive ban on TAPS to fulfill its obligation as a Party to the FCTC.

• 한국연초학회지
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• 제12권2호
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• pp.67-75
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• 1990

담배향료로 사용하는 코코아 분말을 Cigarette smoking condition인 distillation-pyrolysis zone과 high temperature zone중에서 4개의 온도 35$0^{\circ}C$, 55$0^{\circ}C$, $650^{\circ}C$, 85$0^{\circ}C$를 선택하여 열분해 장치를 이용하여 열분해하였고, 열분해생성물은 CS2 trap과 charcoal tube로 포집하여 GC/MS분석에 이용하였다. 분석 결과 $650^{\circ}C$에서 열분해가 가장 잘 이루어졌고 수율 역시 가장 높았다. 열분해의 주요 성분은 주로 hydrocarboil과 phenolic화합물이 90%이상을 차지하였고 그 외에 소량의 aldehyde, ketone, pyrazine도 검출되었다. 열분해 온도에 따라서 성분의 변화를 보면 decane, styrene, tridecane, m-cresol,4-ethylphenol등은 증가하였고, hexadecane, tetradecane등은 감소하였다. 또 o-cresol, 2-ethylphenol등은 함량변화가 거의 없었다.

• 한국연초학회지
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• 제6권1호
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• pp.84-93
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• 1984

Six kinds of sugars (Maltose, Sucrose, Glucose, Fructose, Mannose and Lactose) and four kinds of organic acids (Malic, Tartaric, Lactic and Citric) were added by 2-10% for the former and 0.2-1.8% for the later in quantitatively to the inferior quality of Flue-cured leaf tobaccos, and treated at 135$^{\circ}C$ for 10 minutes to examine the effect on deliveries of tar and nicotine in smoke, variation of smoke pH and smoking taste. The results obtained are as follows. Tar and nicotine deliveries in smoke of tobacco show a great reduction with 5-6% addition of sugars. Reduction of nicotine delivery was to be 19% with addition of Glucose. Tar in smoke was, however, increased by 5-8% with 4% addition of Sucrose or Lactose. On the other hand, 4% addition of Glucose and Fructose gave 1 % reduction of tar delivery, but the reduction rate became to be small with increase of adding quantity. The smoking taste by the addition of Glucose and Fructose tobacco was found to be milder than by the other sugars. Tar and nicotine deliveries show a decreasing trend with the addition of organic acid, and Tartaric acid, among the organic acids described above, had greater effect than the other acids. 1% addition of Tartaric acid gaves 10-11% reduction in tar and nicotine delivery, and a fall of smoke pH, from 6.40 to 6.05, was found. Smoking taste by the addition of Lactic and Tartaric acid had milder than the others. And heat treatment for 10 minutes at $135^{\circ}C$ gave also better on smoking taste. The addition of mixture of sugars and organic acids, (Glucose 4%+Lactic acid 0.8% + Tartaric acid 0.2%) and then the successive heat treatment for 10 minutes at $135^{\circ}C$ improved greatly the quality of Fluecured leaf tobacco, and nicotine were reduced to 16-29%, and pH was changed from 6.46 to 6.14.

• 한국연초학회지
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• 제23권1호
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• pp.71-76
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• 2001

This study was conducted to determine the urinary nicotine and cotinine concentration in 126 smokers and 143 nonsmokers. While urine samples were being collected, personal characteristics related to smoking habit such as sex, age, number of years since a person has been a smoker, average number of cigarettes consumed per day, and number of smokers in the family were surveyed. Urinary nicotine and cotinine concentration were analyzed by GC/NPD. The smokers smoked an average 17.0 cigarettes per day and the average concentration of nicotine and cotinine was 3.88 $\mu\textrm{g}$/ml and 3.64 $\mu\textrm{g}$/ml, respectively. The average number of smokers in the family was 0.72 persons and the average concentration of nicotine and cotinine were 0.11 $\mu\textrm{g}$/ml and 0.02 $\mu\textrm{g}$/ml in the urine of non-smokers, respectively. The concentration of nicotine and cotnine in smoker\`s urine was dependent on the number of cigarettes smoked per day(p<0.01). The number of years since a person had been a smoker, and the number of smokers in the family were not associated with the concentration of nicotine and cotinine. Also there was no significant effects of passive smoking on the family of smokers by the level of nicotine and cotinine concentration. We describe the relationship between smoking habit as assessed by urinary nicotine and cotinine excretion. This study provides an evidence for the assessment of active and passive exposure to tobacco smoke.

• Membrane and Water Treatment
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• 제5권1호
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• pp.31-40
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• 2014

Papermaking tobacco sheet is an important reclaimed process for cigarette making. Traditionally, the pressure driven membrane was often used to isolate the effective compounds from the tobacco sheet extract. However, this method is difficult to remove small ionic compounds. Besides, membrane fouling is a major problem for effective use of these pressure driven membrane technologies. In this study, the electrodialysis process is used to removal the chloride ions and nitrate ions, thus the smoking quality of papermaking tobacco sheet extract can get improved. Three types of electrolytes ($Na_2SO_4$, NaCl and HCl) are chosen to prevent the generation of precipitation. The results indicate that 0.1mol/L HCl at current density of $30mA/cm^2$ is the optimal condition for the electrodialysis process. The removal rates of the Cland $NO{_3}^-$ in tobacco sheet extract are 97% and 98.4%, respectively. The electrodialysis process cost was estimated to be 0.11$/L. Naturally, electrodialysis is not only technological feasible, environmental-friendly and economical-attractive for tobacco extract treatment.

• 성인간호학회지
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• 제17권4호
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• pp.529-538
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• 2005

Purpose: This study was conducted to 1) find out the frequency of tobacco control intervention, barriers, and facilitators. 2) compare the differences in tobacco control intervention, barriers, and facilitators between oncology nurses and general nurses. Method: A sample was composed of 96 oncology nurses and 284 general nurses. The survey questionnaire was mailed out to nurses who were working at the randomly selected hospitals throughout the country. The questionnaire was adopted from the study of national survey on oncology nurse's tobacco interventions in United States by Sarnar, et al.(2000). Results: Oncology nurses were found to provide tobacco control interventions more frequently comparing to the general nurses. "Patient not motivated to quit smoking", "Lack of time", "Lack of recognition/rewards", were the most commonly identified barriers. "Patient wants to quit", "Adequate time", "Confidence in ability help people to stop smoking", were the most commonly identified facilitators. Conclusions: Although oncology nurses are in an important position in delivering tobacco interventions and providing resources, their participation in consistent delivery of a tobacco control intervention was less than desirable. To help nurses participate in the assessment of tobacco use and interventions for cessation, the development of educational program is necessary.

• 한국인구학
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• 제29권2호
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• pp.195-213
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• 2006

2004년 말 담배가격인상의 효과를 파악하기 위하여 성인남성 흡연자 700명 비흡연자 300 명으로 구성된 추적조사에서 6개월 후 네 차례의 조사가 끝날 때까지 흡연자 572명, 비흡연자 198명의 흡연행태에 관한 자료가 구축되었다. 이 자료를 활용하여 단기 가격탄력성을 추정한 결과 흡연자들만의 가격탄력성은 가격인상전후 1개월, 3개월, 6개월 기간 동안에 각각 -0.6853, -0.6230, -0.5482로 추정되었고. 비흡연자를 포함한 경우에는 -0.3920, -0.3739, -0.3081로 추정되었다. 이 결과는 흡연율 감소를 위하여서는 대폭적인 가격인상이 매우 효과적이며 따라서 추가적인 가격인상이 추진되어야 한다는 점을 암시하고 있다.