• Journal of Korean Academy of Nursing
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• v.30 no.6
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• pp.1400-1410
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• 2000

Purpose : To determine whether there is a discrepancy between the medical professions perception of what patients should know and that of the patients themselves, we studied patients need to be informed about different aspects of epilepsy and compared findings with medical personnels perceptions of the issue. Methods : Our study population consisted of 39 patients with epilepsy from the inpatient epilepsy unit, and 51patients from the outpatients clinic of the S. University Hospital between July and November 1997. However, the patients who declined to participate or who were not able to understand the directions and content of the questionnaire were excluded. The medical personnel participated in this study were 56 residents or nurses who were working in either Neurology or Neuro surgery Units. The questionnaire with 5 indicating the highest need. The data were analyzed with descriptive statistics, students t-tests, and chi-square. Results : Of the 90 patients and 56 medical personnel studied, the need for lifestyle information such as smoking, drinking, sleep, driving, employment, and marriage was significantly higher from medical personnel than that of the patients(p=0.00). Regarding medical knowledge about epilepsy, the patients group had higher scores in the need for information on the structure of the brain (p=0.00), whereas medical personnel had higher scores on the symptoms of epilepsy. There was no correlation between the length of epilepsy and the need for information on every item on the questionnaire. The patients had higher rank regarding diet, although it was not significantly different from the medical personnel. Regarding antiepileptic drugs and what to do when there is an attack, medical personnel scored higher. The items on which the patients group scored higher than 4.5 were the possibility of inheritance, the factors that might reduce the number of attacks, the period of usage of AED, and the food they have to avoid or the food they have to take to reduce seizure attacks. Conclusions : Our study indicates that the patients group requires higher educational need in the structure of the brain, diet, and surgical treatment, but less in lifestyles and what to do when there is an attack. The educational program for the patients with epilepsy should emphasize medical knowledge with regard to brain anatomy, what to eat and what to avoid, and details of surgical treatment.

• Journal of Korean Academy of Nursing
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• v.27 no.2
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• pp.423-432
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• 1997

This is a descriptive study to understand the preventive stage for STDs to provide a basis for sex education for college students. The colleges were selected by quota sampling in five representative cities in Korea. but the 1,691 college students were selected by convenient sampling in the cities nationwide, and the data were collected by self-reporting using a questionnaire consisting of 33 items. The results were as follows : 1. Their mean ages were 21.8 for female and 23.3 for male students, 2.78.0% of the males md 46.5% of the females permitted premarital sex, 57.1% of male and 10.3% of female college students had experienced sexual intercourse, 7. l% of males and 2.4% of females had experienced pregnancy, 10.3% of males and 3.4% of females had been infected with STDs, 72.1% of male and 13.8% of female didn't use condoms at the time of infection. 3. Most of the factors related to STDs infection, such as drinking, smoking, frequency of sexual intercourse. pregnancy, knowledge of STDs, the score of STDs prevention were statistically higher in the male student group than in the female group. 4. The students' mean score of knowledge about STDs was similar between the male group(7.80) and the female group(7.84) with a possible score range from 0-18. 5. Only fifteen percent of male and 9.6% of female students expressed that they will do something to prevent STD. 6. The group having the experience of sexual intercourse(t=3.924, P=.048) and the group of having experience of contracting STDs(t=16.638, P=.000) had shown statistically higher STDs prevention score than the group not having that kind of experience. but the group having experience with pregnancy didn't show any difference from. the group not having experience with pregnancy. Considering that 57.1% of males and 10.3% of females had sexual intercourse experience, 78% of male and 46.5% of female permitted premarital sex, 10.3% of male and 3.4% of female had been infected with STDs. It could be concluded that the college students were ignorant about the prevention of STDs and had unrealistic stage of the STDs prevention. Therefore, enforcement of education for the prevention of STDs including the dynamics of the sexual intercourse and STDs infection is needed.

• Korean Journal of Health Education and Promotion
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• v.9 no.1
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• pp.1-13
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• 1992

The purpose of this thesis is to provide the framework of the health education curriculum on a school level which should be accomplishe in futrue and farthermore to establish the health education as a independent and regular course. The relation among the status in quo and the satisfaction degree of health education, the degree of the knowledge about health, the degree of the understanding of the health education and the degree of requirement for the health education curriculum has been analyzed in this paper. The research has been carried out through the questionnaire forms distributed to the girl students and the instructors at a few general senior high school and vocational senior high schools in Seoul, and the consequences are as follows : 1. As to the degree of understanding of the health education, it has been indicated that the health education should be performed one or two hours a week from the elementary school for all the boy and girl students by the experts trained in the departments concerned with health. 2. Concerning the degree of requirement for health education curriculum, the high school girl students have shown the need for first aid, sex education, environmental health, drinking, smoking, drug abuse, maternal and child health, industrial health, safety health, mental health, growth & development, epidemiology, the old health in the order named. On the other hand, the instructors have shown the need for drinking, smoking, drug abuse, sex education, maternal and child health, public health and industrial health also in the order named. The items having low degree of requirement are biostatistics, community health and health administration in case of the gril students and biostatistics, health administration and health economics in case of the instructors. 3. The status in quo and the satisfaction degree of the health education has proved higher in senior high school curriculums than in junior high school curriculums, and the most instructive course about health has turned out to be gymnastics in junior high school and the training course in senior high school respectively. 4. As to the degree of understanding of the health education in case of the girl students, the significance has been found between the health condition and the time for performing the health education, the monthly income and the objects for the health education, and the school records and the school hours per week. The significance has been shown only in regard to the school records in case of the degree of requriement for the health education curriculum. 5. The degree of requirement for the health education in case of the instructors has shown the significance between the teching career and the need for the health education. In addition, the degree of requirement for the health education curriculum has indicated significance with regard to sex and age. 6. The degress of the understanding of the health education according to the degree of knowledge about health and the degree of requirement for the health educatio curriculum have been all turned out to be statistically significant. 8. Among the factors which have an influence on the degree of the understanding of the health education, the recognition of the relation between the health course and the training course has significatly influenced the selection of the health education instructors. In additon, the understanding of the need for the health eduation has significantly influenced the objects for the instructors and the school hours, and the understanding of the need for establishing the health education course has significatly influenced the time for performing the health education.

• The Korean Journal of Community Living Science
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• v.24 no.3
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• pp.411-427
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• 2013

To investigate the comparison of dietary status and health behaviors according to obesity, 239 male workers were selected and classified as normal (18.5-22.9 27.2%), overweight (23-24.9, 37.7%), and obese (25-29.9, 35.2%) by body mass index ($kg/m^2$). The SAS (ver. 9.2) program was used and verified by the chi-square and f-value methods. Drinking frequency(2-3 times a week) was higher in normal males(45.3%), but not as high as in obese males (48.1%) (p<0.001). Smoking frequency and amount were the highest in overweight males, but not-quit-smoking was high in obese males(51.9%) (p<0.001). Exercise time was longer in normal males(108 minutes) than other groups(69 overweight males, and 82 obese males (p<0.01). Obese groups(73.8%) slept well (p<0.001), but overweight males(44.4%) showed less than 6 hours of sleep (p<0.01). Meal frequency differed by group(two meals a day 67.7% in normal males (p<0.001), no-snack 65.5% in obese males(p<0.001). The frequency of eating-out was once a day in normal males (38.5%), differed in the eating-out time (lunch(45.8%) in normal males, dinner in overweight males(52.1%) and obese males(59.5%) (p<0.01). Korean food (49.3%) was selected, but noodle differed by group(10.2% normal 21.5% obese (p<0.01). Self-perception of body differed from the body's actual condition(p<0.001). For weight control, exercise(56.4%) was practiced more than diet(18.6%). Nutrition knowledge was poor (correct answer rate was 36.7% in normal males, 41.7% in overweight males, and 46.7% in obese males). For eating attitudes, obese males answered more in "flexible to change eating habits", "supplemented when poor eating"(p<0.001), normal responded in "impact on nutrition to health", "try new food for health"(p<0.01). From these results, it is evident that male workers, especially overweight ones, must work to learn more about health and nutrition so as to combat chronic diseases.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.18
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• pp.7891-7895
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• 2014

Background: Tobacco products continue to be used in large quantities in India despite the mandatory inclusion of pictorial health warnings (PHWs) on all tobacco packaging. The circumstances as to how people could continue the use of tobacco to the point of developing head and neck cancer despite enhanced awareness about the ill effects of tobacco is the main focus of this study. Materials and Methods: This study concerned patients with least 5-years history of tobacco use, having been diagnosed with histopathologically proven malignancies of the hypopharynx, larynx, oropharynx and oral cavity presenting at the Government Medical College-Haldwani, Nainital, India. A total of 183 patients were eligible for inclusion during July 1 2013 - June 30 2014. Of these, 59 patients used smoked tobacco exclusively, 22 patients used smokeless tobacco exclusively, and 102 patients used both forms of tobacco. Among users of smoked forms, 75.2% (n=121) were beedi users, and 24.8% (n=40) were cigarette users. Patients were asked direct questions as to whether they had noticed the presence of PHWs upon tobacco products. The reasons as to why PHWs were not effective in stopping the patients from tobacco use were investigated. Results: Of the 183 patients, 146 reported being aware about the presence of PHWs, and when they were asked reasons as to why they continued tobacco despite being aware of ill-effects, the commonest reason chosen (by 53.4%) was that patients had not regarded themselves as using tobacco heavy enough to cause cancer. Among the 36 patients who reported as being oblivious to the presence of PHWs on tobacco products, 63.9% reported that the products they used never displayed any PHWs, and 36.1% reported never having paid attention to the packaging. The awareness about PHWs was higher among cigarette smokers in comparison to beedi smokers (100% vs 76.1%, p=0.0002). Conclusions: Locally produced and marketed tobacco products such as beedis and oral tobacco often fail to display PHWs. The presence of PHWs without doubt enhances awareness about the carcinogenic risks of tobacco. However, enhanced awareness alone may not be enough, and as elucidated by this study, some persons continue to use tobacco to the point of developing malignancies. The need of the hour is the implementation of legal and economic sanctions discouraging the use of tobacco products.

• Journal of the Korean Home Economics Association
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• v.24 no.4
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• pp.57-68
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• 1986

The present survey was designed to investigate correlations among blood pressure, nutritional intakes, and various environmental factors in Korean adult males, and to observe the difference in dietary intakes between hypertensive patients and normotensive subjects. Two hundred forty-three adult men from Seoul and rural areas were interviewed about their food intakes, dietary patterns, food habits, and general environmental factors from December 20, 1982 to February 15, 1983. Their dietary intakes were surveyed by means of 24-hour recall diet method. Dietary score card was used in order to evaluate the quality of routine diet of the subject. Variables of environmental factors and factors related to hypertension were expressed as percentage, and the differences in nutrient intake and food score of each sub-group were examined by means of t-test. Correlation of all the variables were analyzed by Pearsons Correlation Coefficient. The results obtained are summarized as follows: 1. 38% of the subjects were between the ages of 40~49, and about one-half of the subjects were middle or high school graduates. 28% of the subjects earned 210, 000~350, 000 Won per month, and income distribution was almost identical to that of the urban population of Korea. 2. There was more overweight or obese found in the hypertensive patients than in the normotensive subjects. About 40% of the hypertensive patients reported a family history of hypertension, and their knowledge about hypertension was rather poor, but slightly better than the normotensive subjects. The patient group had less adherence to smoking and alcohol compared with the normotensive subjects, but no difference was observed in coffee drinking. The mean value of the blood pressure for the normotensive subjects was 127/86mmHg and 175/109mmHg for the hypertensive group. 3. Nutrient intake for the hypertensive group was lower for most of nutrients than in the healthy group. Hypertensive patients on diet therapy consumed less calories and carbohydrates compared with those who do not follow diet therapy. 4. There was no difference intake of these food groups between patients and the healthy group. Food score was strongly related to consumption of animal protein, saturated fats, Calcium, Iron, Vitamin A, Riboflavin, and Vitamin C, which are prone to be deficient in the typical Korean diet. 5. Blood pressure had a strong positive correlation with age, body weight, and socioeconomic level. In addition, monthly income was positively related with age and education level. 6. Three was a positive relationship between blood pressure and consumption of vegetable protein, and a negative relationship with consumption of Calories, Carbohydrates, Calcium, Iron, Vitamin A, Vitamin B1, Niacin, and Vitamin C. Animal protein intake increased as income and education levels increased, but this tendency was opposite for carbohydrates. In summary, nutritional intakes are strongly correlated with various environmental factors and the level of blood pressure. There was no difference between normotensive and hypertensive subjects with respect to the quality of food consumed except restricting energy and carbohydrate in the patient group.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.12
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• pp.5075-5080
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• 2016

Purpose: Factors associated with ever-use and differences between ever-users and non-users of tobacco among adolescent school students from low income families in Mumbai were assessed. Materials and Methods: A self-administered questionnaire, completed by 1918 students from grades 7, 8 and 9 in 12 schools managed by the city municipal corporation in July 2015, gathered data on socio-demographic characteristics, tobacco use and tobacco-related knowledge, attitudes and beliefs. Results: Although only 1% of respondents thought tobacco was cool, nearly 35% were unaware of associations between tobacco use and health problems. Male students were almost twice as likely (OR=2.5, P <= 0.05) to have ever used tobacco compared to females and Supari (areca nut) users were eight times more likely (OR=8.99, P < 0.001) than Supari non -users. Tobacco-users were more likely to agree with statements: 'People who use tobacco have more friends' (OR=2.8, P = 0.004), 'Smoking relieves stress' (OR=5.6, P = 0.002) and 'It is possible to purchase any tobacco product within 100 yards of school' (OR=10.8, P < 0.001). Conclusion: This study highlights the gains made by tobacco prevention campaigns in that almost all students did not consider tobacco as cool or a stress reliever. However, they still need education about health consequences of tobacco-use. In addition, Supari use has to be addressed in school-based tobacco prevention and cessation initiatives. Furthermore, programs must also address perceptions and norms related to peers and tobacco use and ensure active implementation of existing laws. Such integrated measures will help ensure tobacco-free spaces around schools.

• Korean Journal of Health Education and Promotion
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• v.17 no.2
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• pp.57-73
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• 2000

A study on drug abuse of young people who failed in college entrance examinations and preparing the next examination and those enrolled at colleges but trying to transfer to other colleges was conducted from February 3 to May 31, 1999 in order to determine current drug abuse status of them and factors affecting their behavior related to drug abuse. A total of 1,771 people were selected from college entrance preparation institutes in Seoul, Pusan, Taegu, Taejon and Kwangju and interviewed by using questionnaires. The results are summarized as follows; 1. 49.78％ of them experienced drinking, 22.8％ smoking, and 6.7％ drug previously. More males smoked cigarettes than females. The young in the age group of 25 to 29 years old, and the young living in small towns, and subjects who finished junior colleges and those without religions drank more than those in other categories. The subjects in the age group of 20 to 24 years old and those with one parent, and those living in small towns used more drugs than those in other categories. 2. 60.1％ of those with drug using experience used the drug in their or friends' homes. 53.6％ of them used drugs with their friends, junior or senior classmates. 36.6％ of them purchased drugs from drug stores. 76.0％ of them spent their pocket money for buying drugs. 3. The drugs (excluding alcohol and tobacco) they used were bond and butane gas (29.6％), stimulants (20.6％), marijuana 02.0％) LSD (4.8％), cocaine, heroine and opium (4.2％), and others (28.8％). 4. 21.5％ of those with drug using experience had detoxification treatment previously. The ajmor sufferings they experienced were distraction (42.6％), fear 01.7％), and others. 5. 51.0％ of the subjects experienced drug related health education in schools, and 14.6％ had that kind of education through social program. 6. 64.3％ of the subjects got information about drug abuse through mass media, 16.4％ through printed materials, and 11.4％ through public health professionals. 7. The knowledge level of drug abuse was 16.48:1:2.76 points out of 24 (68.6 points out of 100).

• Journal of dental hygiene science
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• v.19 no.2
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• pp.141-146
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• 2019

Background: Oral cancer has a high incidence worldwide and has been closely associated with smoking, alcohol, and infection by the human papillomavirus. Metastasis is highly important for oral cancer survival. Lysophosphatidic acid (LPA) is a bioactive lipid mediator that promotes various cellular processes, including cell survival, proliferation, metastasis, and invasion. Signal transducer and activator of transcription (STATs) are transcription factors that mediate gene expression. Among the seven types of STATs in mammals, STAT3 is involved in invasion and metastasis of numerous tumors. However, little is known about the role of STAT3 in oral tumor invasion. In the present study, we hypothesized that STAT3 mediates LPA-induced oral cancer invasion. Methods: Immunoblotting was performed to analyze LPA-induced STAT3 activation. 3-(4,5-Dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) assay was performed to assess the survival rates of YD-10B cells. STAT3 levels in LPA-treated oral tumor cells were evaluated by performing in vitro invasion assay. Results: To the best of our knowledge, this is the first study to demonstrate that LPA enhances STAT3 phosphorylation in oral cancer. In addition, treatment with WP1066, a selective inhibitor of STAT3, at a concentration that does not cause severe reduction in cell viability, significantly attenuated LPA-induced YD-10B cancer cell invasion. Conclusion: The results suggested that LPA induces oral tumor cells with greater invasive potential via STAT3 activation. Our findings provided important insights into the mechanisms underlying mouth neoplasms.

• Tuberculosis and Respiratory Diseases
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• v.86 no.4
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• pp.284-293
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• 2023

Background: Attitudes towards smoking, lung cancer screening, and perceived risk of lung cancer have not been widely studied in Malaysia. The primary objective of this study was to describe the factors affecting the willingness of high-risk current smokers and ex-smokers to undergo low-dose computed tomography (LDCT) screening for lung cancer. Methods: A prospective, cross-sectional questionnaire study was conducted in current smokers or ex-smokers aged between 55 and 80 years at three hospitals in Kota Kinabalu, Sabah, Malaysia. The questionnaire recorded the following parameters: perceived lung cancer risk; Prostate Lung Colon Ovarian Cancer 2012 risk prediction model excluding race and ethnicity predictor (PLCO_m2012norace); demographic characteristics; psychosocial characteristics; and attitudes towards lung cancer and lung cancer screening. Results: A vast majority of the 95 respondents (94.7%) indicated their willingness to undergo screening. Stigma of lung cancer, low levels of knowledge about lung cancer symptoms, concerns about financial constraints, and a preference for traditional medication were still prevalent among the respondents, and they may represent potential barriers to lung cancer screening uptake. A desire to have an early diagnosis (odds ratio [OR], 11.33; 95% confidence interval [CI], 1.53 to 84.05; p=0.02), perceived time constraints (OR, 3.94; 95% CI, 1.32 to 11.73; p=0.01), and proximity of LDCT screening facilities (OR, 14.33; 95% CI, 1.84 to 111.4; p=0.01) had significantly higher odds of willingness to undergo screening. Conclusion: Although high-risk current smokers and ex-smokers are likely to undergo screening for lung cancer, several psychosocial barriers persist. The results of this study may guide the policymakers and clinicians regarding the need to improve lung cancer awareness in our population.