BACKGROUND: Among the over- the -counter drugs, non-opioid analgesics are widely used in Korea. Non-opioid analgesics may have potential adverse effects such as side effects, tolerance, and addiction when used inappropriately. Moreover, children have less power to make a rational decisions than adults. Therefore, the role of parents in analgesic use is more and more important in children. This study was designed to investigate the frequency of use of analgesics in children and the behavior of parents administering them. METHODS: From April to May 2000, we collected questionnaires on the use of analgesics for relieving children's pain which were completed by parents from 3 elementary schools in Seoul. Student t-test and linear by linear test were applied to compare the difference between analgesic-administered group and non-administered group. RESULTS: The subjects were 630 parents among 702 respondents. Common reason for the parents to administer analgesics to their children were common cold, headache, abdominal pain etc. Pain severity were high in earache and fever and lower in abdominal pain and headache. Among the total 457 (72.1%) parents were said to have kept analgesics at home. Acetaminophen and ibuprofen were the most common kept analgesics at home. Were more analgesic-keeping house likely to analgesics at home. Younger parents, younger children and mothers. Only 25.4% among those with analgesics at home gave analgesics during the last month. The administration rate was higher in the higher education levels (P<0.05) , and increased linear by linear according to the number of house -keeping analgesics (P<0.05) CONCLUSIONS: Seventy two percent of parents kept analgesics at home. But only a quarter of the parents gave analgesics to their children. The administration rate of analgesics in relieving pain children by their Parents was higher in the highly educated parents group and showed linear increase in proportion to the number of house - keeping analgesics.
Abdominal Pain ; Acetaminophen ; Adult ; Analgesics* ; Child* ; Common Cold ; Surveys and Questionnaires ; Earache ; Education ; Fever ; Headache ; Humans ; Ibuprofen ; Korea ; Mothers ; Parents ; Seoul*

No abstract available.
Follow-Up Studies* ; Occupational Diseases*

BACKGROUND: Time to first cigarette after waking is an indicator of nicotine dependence. We aimed to identify the association between time to first cigarette and spirometry-proven obstructive respiratory impairment, especially chronic obstructive pulmonary disease, in current smokers. METHODS: We included 392 subjects who visited the comprehensive medical examination center of Hallym University Sacred Heart Hospital between July 2014 and September 2015. Subjects with lung disease or anemia were excluded. Obstructive pulmonary impairment was defined as < 70% of the predicted value of forced expiratory volume in 1 second/forced vital capacity. Subjects were classified into the early (≤30 minutes) and late (>30 minutes) groups based on the time to first cigarette. Logistic regression and linear regression analyses were used for data analysis. RESULTS: Ninety-eight subjects (25%) were classified into the early group. After adjusting for smoking behaviors (cigarettes per day and smoking duration), socioeconomic status (education and income), age, and physical activity, an early time to first cigarette was found to be associated with an increased risk of obstructive pulmonary impairment measured using spirometry (adjusted odds ratio, 2.84; 95% confidence interval, 1.22–6.61). CONCLUSION: Compared to current smokers with a late time to first cigarette, those with an early time to first cigarette had a higher risk of obstructive pulmonary impairment, especially chronic obstructive pulmonary disease. Classifying smoking-related behaviors, especially time to first cigarette, may help target clinical screening for chronic obstructive pulmonary disease.
Anemia ; Forced Expiratory Volume ; Heart ; Linear Models ; Logistic Models ; Lung Diseases ; Mass Screening ; Motor Activity ; Odds Ratio ; Pulmonary Disease, Chronic Obstructive* ; Respiratory Function Tests ; Smoke ; Smoking ; Social Class ; Spirometry* ; Statistics as Topic ; Tobacco Products* ; Tobacco Use Disorder ; Vital Capacity

No abstract available.
Gonadal Dysgenesis, 46,XY*

No abstract available.
Cervical Intraepithelial Neoplasia* ; Statistics as Topic*

Retroperitoneal tumors are relatively rare, accounting for 0.2% of all cancers; many different histologic types are present, and primitive retroperitoneal germ cell tumors constitute a small miniority of about 3%. Most primary extragonadal germ cell tumors (EGCTs) arise from the mediastinum of retroperitoneum in young males. The authors experienced a case of primary extragonadal mixed germ cell tumor with a 43-year-old woman complaining left lower abdominal pain. With the case report, a brief review was made.
Abdominal Pain ; Adult ; Female ; Germ Cells* ; Humans ; Male ; Mediastinum ; Neoplasms, Germ Cell and Embryonal*

Smoking cessation services are an important component of preventive medicine. Physicians can help smokers quit smoking by assessing their dependence and motivating them during their clinic visits. Brief advice provided by doctors is a simple and very cost-effective method of smoking cessation. The most effective method of helping smokers stop smoking is combining pharmacotherapy with counseling and behavioral interventions. In early 2015, the National Health Insurance Service started a smokingcessation support program that covered consultation and drug fees across the country. More than 400,000 smokers registered in this program and received assistance from doctors in 2016. The success rate at 6 months after registration was approximately 40%, which is comparable with that of smoking cessation clinics run by public health centers in local areas. Additional efforts are needed to increase the coverage levels of smoking cessation services in Korea.
Ambulatory Care ; Counseling ; Drug Therapy ; Fees and Charges ; Korea ; Methods ; National Health Programs ; Preventive Medicine ; Public Health ; Smoke ; Smoking Cessation ; Smoking

Smoking cessation services are an important component of preventive medicine. Physicians can help smokers quit smoking by assessing their dependence and motivating them during their clinic visits. Brief advice provided by doctors is a simple and very cost-effective method of smoking cessation. The most effective method of helping smokers stop smoking is combining pharmacotherapy with counseling and behavioral interventions. In early 2015, the National Health Insurance Service started a smokingcessation support program that covered consultation and drug fees across the country. More than 400,000 smokers registered in this program and received assistance from doctors in 2016. The success rate at 6 months after registration was approximately 40%, which is comparable with that of smoking cessation clinics run by public health centers in local areas. Additional efforts are needed to increase the coverage levels of smoking cessation services in Korea.

BACKGROUND: Increased levels of systemic markers of inflammation have been reported in patients with impaired lung function with obstructive and restrictive lung diseases. We hypothesized that forced expiratory volume in 1 second (FEV(1)) within the normal range is inversely associated with high sensitive C-reactive protein (hs-CRP), as a marker of chronic inflammation in healthy Korean adult men. METHODS: We analyzed the association of hs-CRP with pulmonary function test including FEV(1), components of metabolic syndrome among male participants (n=3,736), more than 20 years old who had visited a health promotion center at a university hospital between January and December, 2006. RESULTS: In this cross-sectional study, there was an inverse association between hs-CRP levels and quartiles of FEV(1) (P for trend<0.0001) after adjusting for age, smoking status, waist circumference, glucose, triglyceride, and HDL-cholesterol. A similar association was present in non-smoking subjects, but there was no significant trend (P for trend=0.115) whereas it was significant in smoking subjects (P for trend<0.0001), and in ex-smoking subjects (P for trend=0.006). The odds ratios of having elevated hs-CRP (>2.2 mg/L) across FEV(1) quartiles, with the lowest quartile (Q1) as the reference group was 1.01 (0.75~1.35) in Q2, 1.24 (0.93~1.65) in Q3, 1.52 (1.15~2.01) in Q4 after adjusting for the confounding variables. CONCLUSION: The decline of FEV(1) within the normal range was inversely associated with low grade inflammation as measured by hs-CRP. This result showed that systemic inflammation may be linked to early impaired pulmonary function in healthy adult men.
Adult* ; C-Reactive Protein* ; Confounding Factors (Epidemiology) ; Cross-Sectional Studies ; Forced Expiratory Volume ; Glucose ; Health Promotion ; Humans ; Inflammation ; Lung Diseases ; Lung* ; Male ; Odds Ratio ; Reference Values ; Respiratory Function Tests ; Smoke ; Smoking ; Triglycerides ; Waist Circumference ; Young Adult