No abstract available.
Ethics*

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.
Tobacco Smoke Pollution*

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

No abstract available.
Chest Pain* ; Thorax*

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

BACKGROUND: There were a lot of problems in the health care system of Korea, which was divided into Western and Korean Traditional Medicine since 1951. In 1976 WHO published program of The promotion and development of traditional medicine. In 1977, Korean Medical Association(KMA) asked unification of health care system to government. But there was no progress because there were the lacks of mutual respect and understanding be-tween doctors of Western and Korean Traditional Medicine. As one health care group competed with the other, so KMA proposed the unification of health system again in 1997. The objectives of this research are to analyze attitude and opinions of western medical doctors on Korean Traditional Medicine and to analyze the opinions on the unification of medical care system in Korea. METHODS: A list of western medical doctor in Seoul and Incheon was obtained from Korean Medical Association. We sampled 937 doctors by stratified random sampling method. We sent them a postal questionnaire with a prepaid return envelope two times during March and April 1997. Of the 937 questionnaire, 266 replies were received. We analyzed the preference score related referral, Korean Traditional Medicine education and unification of medical care system We analyzed the data by Chisquare test, t-test, ANCOVA. RESULTS: This study shows that the western doctors have negative attitude on Korean Traditional Medicine(M=1K8, SD=5.2). They thought Korean Traditional Medicine was not reliable because it was not scientific(79.4%). Doctor, who didn't take oriental medical education, preferred unification of health care system, but it was not statistically significant. Those who experienced oriental medical education used oriental medical treatment more frequently(F=1.17, p=0.04). The more positive attitude they have about Korean Traditional Medicine, the more frequently they refereed the patient to oriental medical doctor(t =3.57, p =0.0004). CONCLUSIONS: Western medical doctors have a negative attitude on Korean Traditional Medicine. Doctors, who did not have oriental medical education, preferred unification of health care system, but it was not statistically significant. In summary, the lack of mutual respect and understanding between doctors of the Western and Korean Traditional Medicine prevent unification of medical care system.
Delivery of Health Care ; Education ; Education, Medical ; Humans ; Incheon ; Korea ; Medicine, Korean Traditional* ; Medicine, Traditional ; Referral and Consultation ; Seoul ; Surveys and Questionnaires

BACKGROUND: To investigate the possibie difference, if any, between office blood pressure(BP) and home BP may be important in the diagnosis and treatment of hypersensive patients. This report deails the difference between the two BP's and the usefulness of digital electronic sphygmomanometer(DES) for self-monitoring of home BP. METHODS: The BP's of 14 patients with essential hypertension were measured with mercury sphygmomanometers at outpatient department by physician and with DES at home(twice a day) by the patients. Patients were followed up every 2 weeks for 4 weeks and previous 2 weeks' average home BP's were compared with the office BP's of each 2 weeks' end. RESULTS: There was a significant difference between office and home BP(both systolic and diastolic) ; office average BP(151/95mmHg) was higher than home average BP(136/86mmHg). CONCLUSION: Caution may be needed in the interpretation of office BP unless it is measured several times after adequate rest.
Blood Pressure* ; Diagnosis ; Humans ; Hypertension ; Outpatients ; Sphygmomanometers*

BACKGROUND: In spite of harmfulness of smoking, the smoking rate of adult male is high in Korea and that of adolescent and women has risen recently. Most smokers try to stop smoking for themselves without doctor's help or medication, but the success rate is extremely low. Although the number of smoking-cessation clinic has risen year by year, there are few researches about smoking cessation. In this study, we tried to find the factors associated with successful smoking cessation and the effective smoking cessation modalities. METHODS: 114 smokers, who has visited the smoking-cessation clinic of Seoul Paik Hospital from Oct. 1998 to June 2000, were included. After doing a survey with basic questionnaire and smoking cessation counselling, we followed up them. We also checked their smoking behavior 6 months later. RESULTS: The success rate was 32.5%. The demographic characteristics of success group and failure group no significant difference. But the factors such as age, BMI, expiratory CO level at initial visit to hospital, nicotine dependence scale, the duration using nicotine patch and the number of visit to smoking-cessation clinic showed significant difference between the two groups. CONCLUSION: The results of logistic regression showed that BMI and nicotine dependence scale were significantly different.
Adolescent ; Adult ; Female ; Humans ; Korea ; Logistic Models ; Male ; Nicotine ; Seoul ; Smoke* ; Smoking Cessation* ; Smoking* ; Tobacco Use Cessation Products ; Tobacco Use Disorder ; Surveys and Questionnaires