The most common disease in Korea is smoking and the number of the sufferers is about twelve million. The prevalence of smoking among doctors may indicate the likelihood of success of population-based anti-tobacco campaigns. It has been established that the decline in the prevalence of smoking among physicians has preceded the decline in the general population according to the Kunz's two-phase model in smoking epidemic. There is also evidence that physicians who smoke are less likely to counsel patients about the hazards of smoking. For these three reasons it is important to understand the current smoking status among medical doctors. The smoking rate was reported to be 34.9% among Korean doctors in male and 2.3% in female in 2000. In the same period it has been reported to be 67.6% in male and 3% in female in the general population. According to Kunz, Korea is a mature country in terms of smoking epidemic. All the doctors should be well aware that there are effective and scientific ways of smoking cessation. But the proportion of doctors who have never been educated for smoking cessation was 97.9%. Undergraduate and continuous medical education for smoking cessation should be reinforced. The drop smoking rate among Korean medical doctors is mandatory.
Education, Medical ; Female ; Humans ; Korea ; Male ; Prevalence ; Smoke* ; Smoking Cessation ; Smoking*

No abstract available.
Ethics*

No abstract available.
Tobacco Smoke Pollution*

BACKGROUND: It has been found that sterss challenge with heat shock produces the acquisition of cellular resistance to ischemin injury in the hearts, which is associated with stress protein induction. The conventional heat shock(42degrees C of rectal temperature for 15min, anesthetized animal), however, is strong enough to endanger the animal life and then not suitable for practiocal application in human. The present study was performedd in an attempt to search the safely applicabel stress modalities to acquire the myocardial tolerance to ischemia-reperfusion in jury. METHODS: Male, Sprague-Ddawley rats(200-250g) were exposed to various stressful conditions, such as heat stimulation(environmental temperature of 42degrees C for 30min, live animal), swimming(20min), immobilization(60min), treadmill exercise(20M/min, 30min) and hyperbaric oxygenation(3atm, 60min) given once a day for 5 days. Twenty-four hours after the last application the hearts were isolated and perfused with oxygenated Krebs-Henseleit buffer solution by Langendorff method. Ischemia-reperfusion injury was produced by 20 min-global ischemia followed by 30 min-reperfusion. Cardiac mechanical function, lactate dehydrogenase release, the induction of stree proteins were assayed and compared dbetween the stressed dand the control animals. RESULTS: Upon reperfusion after ischemia the recovery of cardiac function was significantly improved in the stressed animals. The percentile recovery at 30min of reperfusion was in a range from 55.3%(swimming) to 89.3%(treadmill exercise), which was significantly higher than that of the control hearts(38%). The functional recovery of the conventional heat shocked heart was 57.7%. In stressed animals, lactate dehydrogenase release, which indicates myocardial cell injury, was significantly reduced by 20 to 30% compared to that for the control. The expression of an inducible form of 70 series stress protein, SP72, which was assayed by immunoblotting method, was markedly increased by heat stimulation while the other stress modalities failed to increase, it. There were no appreciable inductions of SP73(constitutive form) and GRR78 in the stressed animals. CONCLUSION: These results suggest that the cardiac protection from the ischemia-reperfusion injury could be induced by the repetitive non-fatal stress stimulations and that SP70 family proteins may be partly involved in the cardioprotective effect produced by heat stimulation, but not play the essential roles in anti-ischemic effects produced by other stress modalities.
Animals ; Heart* ; Hot Temperature ; Humans ; Immunoblotting ; Ischemia ; L-Lactate Dehydrogenase ; Male ; Oxygen ; Rats* ; Reperfusion ; Reperfusion Injury ; Shock

No abstract available.
Humans ; Patient Education as Topic* ; Primary Health Care*

No abstract available.
Chest Pain* ; Thorax*

Japan extended her territory since the end of 19th century, Sahalin island northward, Ryukyu islands southward. Japan annexed Chosen in 1910. The task of Japanase ethnology was how to describe and define the people of many races in Japanese territory. On the other hand Japanese ethnology was a confrontation of Japanese about the sense of superiority of the West. Japanese ethnology was the background of exploitation and discrimination of other Asian countries and their people. In that sense Japan imitated Western countries in an age of imperialism. Japanese ethnologist adopted two theories; one was an anthropology and another was the theory of evolution. They classified races into two categories, evoluted one and primitive one. Japanese government intended to utilize Asian people in respond to the advantages and disadvantages of each race. Kubo, Koganei, Kyono, and Hasebe were those who studied Chosen people. Kubo, a professor of department of Anatomy of Kyungsung Junior Medical College, was the most productive one in anthropology of Chosen people. He describes Chosen people as a primitive one. His prejudice about Chosen people was very closely related with so called "Kubo abusive words case". It was a symbolic happening rather than a personal defect in the perspective of the idea of Japanese ethnology about Chosen people.
Ethnology/*history ; History of Medicine, 19th Cent. ; History of Medicine, 20th Cent. ; Japan ; Korea

Since its introduction to Korea from Japan at the beginning of the seventeenth century, tobacco became very popular with an amazing rapidity among Koreans. Along with widespread cultivation of tobacco, smoking also became very popular among Koreans, regardless of their classes, ages, and sexes. On the other hand, other imported crops from America via Europe in the sam period, like sweet potato, potato, corn and tomato, did not enjoy such popularity in Korea. A long time after their introduction, Koreans began to cultivate these crops. Why did Koreans respond enthusiastically to the newly-imported tobacco? What kind of factors contributed to the rapid transmission of tobacco in Korea? This study examined the causes of rapid diffusion of the smoking population in three aspects. First was economic aspect. The farming of tobacco yielded a profit by selling it to Chinese. The climate and the soil of Korea fit for farming of tobacco. So the farm land of tobacco expanded gradually since the 18th century. Second was medical aspect. At first, many Koreans believed that smoking was helpful to digestion, expectoration, protecting coldness, and exterminating parasites. Afterwards, they believed smoking could encourage vitality and protect diseases. There was no reason of smoking cessation for the people's health in that the hazards of smoking were not well known to the commonage in those days, though a few intellectuals acknowledge its harm. Third was sociocultural aspect. We could trace the smoking culture of Chosun dynasty through arts, poems, and essays. The making of smoking culture made stable reproduction of smokers generation by generation. Especially, the smoking culture secured juvenile's smoking. Considering the three aspects above, we know that what reason the Decree of Ban of Smoking in Korea was not strict in comparison to that of China (Qing Dynasty), in which the violators were executed. The regulation of smoking by the government failed except controlling in sociocultural aspect. The government reinforced controlling of smoking culture in counteraction to the threat of collapse of the hierarchy of Chosun dynasty in 18th century.
English Abstract ; History of Medicine, 17th Cent. ; History of Medicine, 18th Cent. ; History of Medicine, 19th Cent. ; Korea ; Smoking/*history ; *Tobacco

The origin of the periodic health examination can be traced to Horace Dobell, a British physician. The periodic health examination became popular in the early 20th century with many advocates such as the life insurance companies, private corporate industry, medical professionals, and the prepaid health care in North America. The contents and legitimacy of periodic health examination has changed markedly over time according to the objectives. There were various objectives of the periodic health examination according to the advocates: reduction of morbidity and mortality, scientific knowledge, economic savings, professional empowerment, the patient-physician relationship, satisfaction of patient demand, and efficient administration. Recent remarkable changes led by Canadian Task Force and U.S. Preventive Services Task Force were the emphasis of reduction of disease-specific morbidity and mortality, risk adjusted application, and the inclusion of counseling, immunization, and chemoprophylaxis. Health screening has become a promising medical practice in Korea. The main environment of the periodic health examination in Korea is fee-for-service system, the national medical insurance system, and Korean cultural background. However, the consensus of Korean government and society for controlling medical cost will limit the irrational prosperity of periodic health examination in near future.
English Abstract ; History of Medicine, 20th Cent. ; Patient Education/*history ; Preventive Health Services/*history