The Factors Implicated When an Individual Starts to Smoke Again After a 6 Month Cessation / 예방의학회지

OBJECTIVES: This study was conducted to examine the factors implicated when people start smoking again after a 6 month cessation, and was carried out at the smoking cessation clinic of a public health center. METHODS: The study subjects were 191 males who had attended the smoking cessation clinic of a public health center for 6 months in an attempt to quit smoking. Data was collected, by phone interview, regarding individual smoking habits, if any, over the 6 month study period. The factors which may have caused an individual to smoke again were examined. This study employed a health belief model as it theoretical basis. RESULTS: Following a 6 month cessation, 24.1% of the study group began to smoke again during the 6 month test period. In a simple analysis, the factors related to individuals relapsing and smoking again included barriers of stress reduction, body weight gain and induction of smoking by surroundings among perceived barriers factor of our health belief model (p<0.05). In multiple logistic regression analysis for relapsed smoking, significant factors included barriers of stress reduction and induction of smoking by surroundings (p<0.05). The most important reason of for an individual to relapse into smoking was stress (60.9%) and the most likely place for a relapse to occur was a drinking establishment (39.1%). CONCLUSIONS: Our results indicate that both regular consultations and a follow-up management program are important considerations in a public health center program geared towards maintaining smoking cessation.

A Clinical Survey on Perinephric Abscess / 대한비뇨기과학회지

A clinical survey was made on 15 cases of perinephric abscess who were admitted to the department of urology during 12 years from May, 1972 to April, 1984. We reviewed perinephric abscess, analyzed according to incidence, symptoms, laboratory finding, culture in urine and blood and abscess, sensitivity to antibiotics, associated disease, radiographic finding and treatment. On the abscess culture, the organisms were identified in 12 cases (80.0%) : S. aureus was in 5 cases, E. coli in 5 cases, Hemolytic streptococcus in 1 case and Klebsiella in 1 case. The diagnostic ultrasonographic evaluation in perinephric abscess performed in 6 cases and documented it was very highly valuable method. The treatment was satisfactory with incision and drainage in 9 cases and with nephrectomy in 6 cases. The average duration of hospital stay was 21 days.