Giving up smoking: how doctors can help

1975 ◽  
Vol 13 (1) ◽  
pp. 1-3 ◽  

Cigarette smoking remains the most important preventable cause of premature death in the western world How best to help adults to give up cigarettes and stop the young from starting is unknown. If all doctors gave up cigarette smoking the example might be their most useful contribution to preventive health care. Health Education campaigns and anti-smoking clinics have had little success. Yet about one out of every four patients can stop after firm unequivocal advice from the doctor to do so.1 Where motivation was increased by a recent myocardial infarction, 62% of patients were persuaded by their doctor to stop for at least one year.2 No method is known to be more effective than this personal advice from doctor to patient, yet many patients have never been told by their doctor to stop smoking, even for chronic bronchitis or ischaemic heart disease.

2020 ◽  
Vol 13 (3) ◽  
Author(s):  
K Shama R Joshi ◽  
Ruta Furmonaviciene

Cigarette smoke contains around 7000 chemicals that are harmful to health and cause premature death. Most smokers acknowledge the harm they are doing to them yet continue to smoke. This pilot study was designed to understand the impact of cigarette smoking, the addictive effect of nicotine, and also hypothesize a recommendation for smoking cessation.  Methods: This study recruited English speaking adult participants who were either current, occasional, and ex-smokers from NHS stop smoking clinics in Leicester, United Kingdom, using a self-completed questionnaire. Results: Out of 32 participants, White British were thirteen & Asian were nine with majority of males. Stress, boredom, nervousness, and just like it, were the main reasons quoted for cigarette smoking.  Irritation & mood swings were the top reasons for craving. The visual stimuli and smell of smoking were reported as the top two strong cues. Majority of the participants reported having several effects due to cigarette smoking such as respiratory cough, feel like tightening of lungs, asthma, high blood pressure, difficulty in losing weight, excess fat accumulation near the waist, poor appetite, fatigue, sleep disturbances, darkened teeth as well as an inability to differentiate between taste. Conclusion: Our study suggested that cigarette smoking may be more like a habit than an addiction, therefore unable to relieve stress or boredom, but keep smokers hooked to the habit.


Itinerario ◽  
2009 ◽  
Vol 33 (2) ◽  
pp. 17-27 ◽  
Author(s):  
Már Jónsson

On 2 January 1625, the English ambassador Robert Anstruther met with King Christian IV of Norway and Denmark and requested his participation in a union of Protestant states against Emperor Ferdinand II and the Catholic League in Germany. Within three days, King Christian proposed to contribute five thousand soldiers for one year, as part of an army of almost thirty thousand men. In early June, despite opposition from the Danish Council of State, reluctant to put a huge amount of money into foreign affairs, Christian decided to join what he called “the war for the defence of Lower Saxony”. He then headed an army of mercenaries southwards through Lower Saxony, secured all crossings over the river Weser and prepared to confront the Catholic forces. On 29 November, it was decided that Denmark would be in charge of military operations in Northern Germany, whereas England and the United Provinces would provide a monthly subsidy. The political and military prospects for Denmark were excellent, to say the least. It had the fourth strongest navy in Europe (after Spain and the two new allies), and only a few years before the Danish warships had been described by a French observer as “merveilles de l'océan”. A small standing army of two regiments had recently been established and Denmark was the fourth European state to do so after France, Spain and the neighbouring Sweden.


Author(s):  
Bozidar Novosel ◽  
Damir Sekulic ◽  
Mia Peric ◽  
Miran Kondric ◽  
Petra Zaletel

Professional ballet is a highly challenging art, but studies have rarely examined factors associated with injury status in ballet professionals. This study aimed to prospectively examine gender-specific correlates of injury occurrence and time-off from injury in professional ballet dancers over a one-year period. The participants were 99 professional ballet dancers (41 males and 58 females). Variables included: (i) predictors: sociodemographic data (age, educational status), ballet-related factors (i.e., experience in ballet, ballet status), cigarette smoking, alcohol drinking, and consumption of illicit drugs; and (ii) outcomes: injury occurrence and time-off from injury. Participants were questioned on predictors at the beginning of the season, while data on outcomes were collected continuously once per month over the study period. Dancers reported total of 196 injuries (1.9 injuries (95% CI: 1.6–2.3) per dancer in average), corresponding to 1.4 injuries per 1000 dance-hours (95% CI: 1.1–1.7). In females, cigarette smoking was a predictor of injury occurrence in females (OR: 4.33, 95% CI: 1.05–17.85). Alcohol drinking was a risk factor for absence from dance in females (OR: 1.29, 95% CI: 1.01–4.21) and males (OR: 1.21, 95% CI: 1.05–3.41). Less experienced dancers were more absent from dance as a result of injury than their more experienced peers (Mann-Whitney Z: 2.02, p < 0.04). Ballet dancers and their managers should be aware of the findings of this study to make informed decisions on their behavior (dancers) or to initiate specific programs aimed at the prevention of substance use and misuse in this profession (managers).


1991 ◽  
Vol 29 (26) ◽  
pp. 104.1-104

Articles in the Bulletin have been unsigned since it began. This is because they aim to present a consensus view which incorporates contributions from many people, including specialists, general practitioners and members of the pharmaceutical industry, as well as the Bulletin’s Advisory Council. We are very grateful to them all, but although we have often been asked who they are, we cannot name the many hundreds who have helped us in any one year. However, we can at least name those not listed in our tailpiece who have taken a major share in the production of articles published in the last year, and do so now.


Author(s):  
Meera Shivasekar ◽  
Vinodhini Vm ◽  
Rupesh Kumar Y

 Objective: Cigarette smoking is a major global public health problem and increases in the prevalence of tobacco smoking is the cause premature death worldwide. Serum ferritin an intracellular protein that can store and release iron is considered to be one of the important clinical biomarkers to evaluate iron status. This study explores the effect of cigarette smoking on serum ferritin level.Methods: The study was carried out in 100 cigarette smokers and 100 nonsmokers.Results: Subjects with smoking habits showed a significant increase in the serum ferritin levels compared to nonsmokers. Serum iron level, as well as total iron-binding capacity, showed significant increase compared with nonsmokers. Serum ferritin is found to correlate with serum iron.Conclusion: This study supports the fact that cigarette smoking has adverse effect on serum ferritin and other hematologic parameters, and serum ferritin is one of the most reliable indicators of iron status.


2019 ◽  
Vol 5 (1) ◽  
pp. 25-44
Author(s):  
Alexandra Gheciu

AbstractThese days, when we hear the slogan ‘let's make our country great again’ we almost automatically assume the state concerned is the US, and the leader uttering the slogan is President Trump. This article invites readers to explore the discourse and practices through which another national leader is seeking to restore his country's ‘greatness’ and promote national and international security. The leader concerned is France's Emmanuel Macron. Why focus on the French president? Because since his election he has become the most dynamic European leader, on a mission to enhance France's international stature, and to do so via a broader process of protecting and empowering the EU. More broadly, France stands out as a country whose political leadership has long been committed to the goal of playing a global role. As Pernille Rieker reminds us, ‘Since 1945, French foreign policy has been dominated by the explicit ambition of restoring the country's greatness [la grandeur de la France], justified in terms of French exceptionalism’.1Macron has cast his vision of national/European greatness, security, and international order in opposition to the isolationist, rigidly nationalist visions articulated by his domestic opponents and, internationally, by President Trump. In his view, France and Europe can only be secure if they defeat the illiberal ideas advocated by the increasingly vocal political forces, particularly far-right movements, seeking to undermine the core values and multilateral principles of the post-1945 international order. Under these circumstances, an analysis of Macron's policies and practices of grandeur can help us gain a better understanding of the competition between liberal and illiberal worldviews – a competition that is increasingly pronounced within the Western world.


2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Onno C. P. van Schayck ◽  
Lynn Bindels ◽  
Ancka Nijs ◽  
Bo van Engelen ◽  
Adrienne van den Bosch ◽  
...  

Abstract Although tobacco smoking is the world’s most important preventable cause of many chronic diseases (including COPD and asthma) and premature death, many physicians do not routinely apply smoking cessation in the daily health care of their patients. Two widely felt important concerns of physicians are that smoking cessation as part of a treatment is time-consuming and may jeopardize their relationship with patients. Very Brief Advice (VBA) is a non-confrontational method, which could assist general practitioners (GPs) as a simple, quick first step in getting patients to stop smoking. In this study, we investigated the opinions and experiences of GPs with VBA in their routine care in two rounds of telephone interviews with 19 GPs. The interviews were recorded and transcribed and subsequently analysed with NVivo12. We observed that the GPs had a very positive experience with using VBA. They found the method to be efficient as to the time involved, patient-friendly and easy to implement.


1970 ◽  
Vol 2 ◽  
pp. 49-53 ◽  
Author(s):  
Mohammed Montasir Islam ◽  
Md Ruhul Amin ◽  
Shameema Begum ◽  
Dilruba Akther ◽  
Abedur Rahman

The present study was carried out to observe the changes in total count in WBC in cigarette smokers. The study population consisted of 105 adult male smokers and non-smokers, aged 20~40 years, from different socio-economic classes. Among them, 30 apparently healthy non-smokers were taken as control. 75 apparently healthy smokers, who had the history of smoking of one or more cigarette per day, regularly for at least last one year, were taken as the study group. Smokers were again subdivided into three categories according to the number of cigarettes they consumed per day. For statistical analysis unpaired ‘t' test was used for comparison. Mean ± SD of Total count of WBC in non smokers and smokers were 7501.66 ± 929.4 /mm3 and 9171.3 ± 1037.7/mm3 respectively. Smokers had significantly (P<0.001) higher WBC counts than non-smokers. In addition, WBC count was found increased with intensity of smoking. The smokers who were smoking e 20 cigarettes per day had the higher total WBC count than those who were smoking lesser. The findings of the present study suggest that cigarette smoking may cause increased the total count of WBC, which may predict high risk for some fatal diseases. Key words: Cigarette Smoking; White Blood Cell; Adult Male DOI:10.3329/jbsp.v2i0.985 J Bangladesh Soc Physiol. 2007 Dec;(2): 49-53


2012 ◽  
Vol 6 (1) ◽  
pp. 33-43 ◽  
Author(s):  
Graeme J. McColl ◽  
Frederick M. Burkle

ABSTRACTThe series of earthquakes and aftershocks that have hit Christchurch, New Zealand, for more than one year has been severe and sustained, resulting in major damage to homes, buildings, essential services, and resources in water, sewerage, food, access to health care, energy for heating and cooling, and unprecedented challenges to resiliency. Large swathes of destroyed buildings, land damage, and liquefaction have made rebuilding impossible for many. Populations have moved or report that they either wish to or plan to do so. For those who remain, a ”new normal” mindset has taken hold and serves as an objective measure for the process that defines daily life and future decisions. The new normal serves as an uncomfortable but realistic guideline by which further resiliency can be measured. A number of factors have led to the development of the new normal state for the Christchurch earthquake survivors.(Disaster Med Public Health Preparedness. 2012;6:33-43)


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