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How to help your patients quit smoking.
Authors: Wong JG
Abstract
Preview Motivating patients to quit smoking is one of the greatest challenges in medicine. The adverse effects of smoking on a patient's general health and the enormous cost of the habit to society should make smoking cessation a priority for physician intervention. In this article, Dr Wong discusses the addictive properties of nicotine and the consequences of giving it up and outlines a simple four-step approach to behavior modification.
PMID: 29219673 [PubMed]
Source: Postgraduate Medicine - December 10, 2017 Category: Internal Medicine Tags: Postgrad Med Source Type: research
Patient Risk Factors for Assault in the Healthcare Workplace Patient Risk Factors for Assault in the Healthcare Workplace
Are certain patients more likely to commit violence against healthcare workers? Find out which patient-level risk factors have been identified.Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Source: Medscape Today Headlines - January 15, 2018 Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news
Documentation of e-cigarette use and associations with smoking from 2012 to 2015 in an integrated healthcare delivery system
We examined the incidence of ENDS use (2012–2015) based on clinician documentation and tested whether EHR documented ENDS use is associated with twelve-month changes in patient smoking status using a matched retrospective cohort design. The sample was Kaiser Permanente Northern California (KPNC) patients aged ≥12 with documented ENDS use (N = 7926); 57% were current smokers, 35% former smokers, and 8% never-smokers. ENDS documentation incidence peaked in 2014 for current and former smokers and in 2015 for never-smokers. We matched patients with documented ENDS use to KPNC patients without documented ENDS use (N =...
Source: Preventive Medicine - January 31, 2018 Category: International Medicine & Public Health Source Type: research
Green Tobacco Sickness: A Brief Review
Shailee Fotedar, Vikas FotedarIndian Journal of Occupational and Environmental Medicine 2017 21(3):101-104
Green tobacco sickness (GTS) is the condition that mainly affects the tobacco harvesters. The condition is prevalent in Asian and South American tobacco harvesters. The present review was conducted to discuss the etiology, epidemiology, symptoms, and prevention of GTS. It is caused by the absorption of nicotine through the skin while the workers are engaged in handling the uncured tobacco leaves. The symptoms include nausea, vomiting, pallor, dizziness, headaches, increased perspiration, chills, abdominal pain, diarr...
Source: Indian Journal of Occupational and Environmental Medicine - March 7, 2018 Category: Occupational Health Authors: Shailee Fotedar Vikas Fotedar Source Type: research
FDA Considers Lowering Nicotine Levels in Cigarettes
Source: Pulmonary Medicine News - Doctors Lounge - March 15, 2018 Category: Respiratory Medicine Tags: Oncology, Pharmacy, Pulmonology, Dependence, Preventive Medicine, News, Source Type: news
Potential Public Health Effects of Reducing Nicotine Levels in Cigarettes in the United States
New England Journal of Medicine, Ahead of Print.
Source: New England Journal of Medicine - March 15, 2018 Category: Internal Medicine Source Type: research
E-cigarettes: from nicotine to cannabinoids, the French situation
Publication date: Available online 5 April 2018 Source:The Lancet Respiratory Medicine Author(s): Jérémie Pourchez, Valérie Forest
Source: The Lancet Respiratory Medicine - April 6, 2018 Category: Respiratory Medicine Source Type: research
Most widely prescribed diabetes drug improves nicotine withdrawal symptoms in animal model
(University of Pennsylvania School of Medicine) Metformin, the most widely used medication for diabetes, has also been shown to help treat dementia and some cancers. New research shows smoking cessation may be added to that list. The research team found that after giving mice metformin the animals displayed reduced symptoms when going through nicotine withdrawal.
Source: EurekAlert! - Medicine and Health - April 12, 2018 Category: International Medicine & Public Health Source Type: news
Tobacco Use and Sexual Orientation in a National Cross-sectional Study: Age, Race/Ethnicity, and Sexual Identity –Attraction Differences
Conclusions These findings provide valuable new information about sexual minority subgroups, such as self-identified bisexual older adults and sexual identity–attraction discordant women, that appear to be at higher risk for adverse smoking-related health consequences as a result of their elevated rates of cigarette smoking. Additional attention is warranted to examine these high-risk subpopulations prospectively and, if the results are replicated with larger samples, this information can be used to target smoking-cessation and lung cancer screening efforts.
Source: American Journal of Preventive Medicine - April 14, 2018 Category: International Medicine & Public Health Source Type: research
E-cigarettes Associated With Depressed Smoking Cessation: A Cross-sectional Study of 28 European Union Countries
Conclusions These results suggest that e-cigarettes are associated with inhibiting rather than assisting in smoking cessation. On the population level, the net effect of the entry of e-cigarettes into the European Union (and Great Britain) is associated with depressed smoking cessation of conventional cigarettes.
Source: American Journal of Preventive Medicine - April 14, 2018 Category: International Medicine & Public Health Source Type: research
Proactive Tobacco Treatment for Smokers Using Veterans Administration Mental Health Clinics
Conclusions Proactive outreach was more effective than usual Veterans Administration care at increasing treatment engagement and long-term abstinence in mental health patients. Trial registration This study is registered at www.clinicaltrials.gov NCT01737281.
Source: American Journal of Preventive Medicine - April 14, 2018 Category: International Medicine & Public Health Source Type: research
Neighbourhood safety and smoking in population subgroups: The HELIUS study
This study examines the associations between neighbourhood safety and three types of smoking behaviour, and whether these associations differ by sex, age, ethnicity and individual-level socio-economic position. Baseline data (2011–2015) from the The HEalthy LIfe in an Urban Setting (HELIUS) study (Amsterdam, the Netherlands) were used. Smoking behaviour was based on self-report. Heavy smoking was defined as smoking ≥10 cigarettes per day. Nicotine dependence was assessed using the Fagerström questionnaire. Geographic Information System techniques were used to construct local residential areas and to examine neighbourh...
Source: Preventive Medicine - April 18, 2018 Category: International Medicine & Public Health Source Type: research
Reported exposure to E-cigarette advertising and promotion in different regulatory environments: Findings from the International Tobacco Control Four Country (ITC-4C) Survey
This study examines how differences in e-cigarette advertising regulations influence exposure to e-cigarette advertising, and perceptions about what participants had seen and read about e-cigarettes. Data come from the ITC Four Country Survey (Canada [CA], United States [US], Australia [AU] and United Kingdom [UK]) carried out between August 2013 and March 2015 (n = 3460). In 2014, AU and CA had laws prohibiting the retail sale of e-cigarettes containing nicotine while the US and UK had no restrictions, although a voluntary agreement restricting advertising in the UK was introduced during fieldwork. Smokers and ex-smok...
Source: Preventive Medicine - April 22, 2018 Category: International Medicine & Public Health Source Type: research
Potential Public Health Effects of Reducing Nicotine Levels in Cigarettes in the United States
New England Journal of Medicine, Ahead of Print.
Source: New England Journal of Medicine - March 15, 2018 Category: Internal Medicine Authors: Benjamin J. Apelberg Shari P. Feirman Esther Salazar Catherine G. Corey Bridget K. Ambrose Antonio Paredes Elise Richman Stephen J. Verzi Eric D. Vugrin Nancy S. Brodsky Brian L. Rostron Source Type: research
Hybrid nanoparticle-based nicotine nanovaccines: Boosting the immunological efficacy by conjugation of potent carrier proteins
Publication date: Available online 30 April 2018 Source:Nanomedicine: Nanotechnology, Biology and Medicine Author(s): Zongmin Zhao, Yun Hu, Theresa Harmon, Paul R. Pentel, Marion Ehrich, Chenming Zhang A series of hybrid nanoparticle-based nicotine nanovaccines (NanoNicVac) were engineered in this work by conjugating potent carrier protein candidates (Keyhole limpet hemocyanin (KLH) multimer, KLH subunit, cross reactive material 197 (CRM197), or tetanus toxoid (TT)) for enhanced immunological efficacy. NanoNicVac with CRM197 or TT were processed by dendritic cells more efficiently than that with KLH multimer or subunit. N...
Source: Nanomedicine: Nanotechnology, Biology and Medicine - May 13, 2018 Category: Nanotechnology Source Type: research
