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Nargile (Hubble-Bubble) smoking-induced hand eczema	2002	Onder, M., Ankara, Turkey	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of dermatology Periodical, Abbrev. Int.J.Dermatol. Pub Date Free Form 2002/11 Volume 41 Issue 11 Start Page 771 Other Pages 772 Notes Place of Publication ISSN/ISBN 0011-9059 Accession Number Language SubFile DOI Output Language Unknown(0) PMID Abstract Descriptors corticosteroid, urea, aged, anamnesis, article, case report, clinical examination, diagnostic test, differential diagnosis, finger nail, hand eczema, hand injury, hand palm, human, index finger, palmoplantar keratoderma, leisure, microbiological examination, patch test, physical examination, smoking cessation, smoking habit, thumb, yeast Links Book Title Database Embase; MEDLINE Publisher Data Source Embase Authors Onder,M., Oztas,M., Arnavut,O. Original/Translated Title URL Date of Electronic PMCID Editors
Narghile (hubble-bubble) smoking, low birth weight, and other pregnancy outcomes	1998	Nuwayhid, I.A., American University of Beirut, New York, NY 10022, United States	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full American Journal of Epidemiology Periodical, Abbrev. Am.J.Epidemiol. Pub Date Free Form 1998/08 Volume 148 Issue 4 Start Page 375 Other Pages 383 Notes Place of Publication ISSN/ISBN 0002-9262 Accession Number Language SubFile DOI Output Language Unknown(0) PMID Abstract Narghile smoking, a common habit among women in many non-Western societies, is assumed by the public to be minimally harmful. This study aims at identifying the effect of smoking narghiles during pregnancy on the weight of the newborn and other pregnancy outcomes. Three groups of pregnant women were interviewed in several hospitals in Lebanon between 1993 and 1995: 106 who smoked narghiles during their pregnancy, 277 who smoked cigarettes, and 512 who did not smoke. The adjusted mean birth weight of babies born to women who smoked one or more narghiles a day during pregnancy and to women who started smoking in the first trimester was more than 100 g less than that of babies born to nonsmokers (p < 0.1). The adjusted odds ratio of having babies with low birth weight (<2,500 g) among the narghile smokers was 1.89 (95% confidence interval (CI) 0.67-5.38). The risk increased to 2.62 (95% CI 0.90- 7.66) among those who started smoking narghiles in the first trimester. A stronger association and a dose-response relation were found among cigarette smokers. The association between narghile smoking and other pregnancy outcomes, especially Apgar score and respiratory distress, was also noticeable. Further research and a policy action to fight the misperception that narghile smoking is safe are both recommended. Descriptors adult, Apgar score, article, controlled study, female, fetus outcome, human, Lebanon, low birth weight, major clinical study, respiratory distress, risk assessment, risk factor, smoking Links Book Title Database Embase; MEDLINE Publisher Data Source Embase Authors Nuwayhid,I. A., Yamout,B., Azar,G., Kambris,M. A. K. Original/Translated Title URL Date of Electronic PMCID Editors
Levels of maximum end-expiratory carbon monoxide and certain cardiovascular parameters following hubble-bubble smoking	2002	Shafagoj, Y.A., Dept. of Physiology and Biochemistry, Faculty of Medicine, University of Jordan, Amman 11942, Jordan	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Saudi medical journal Periodical, Abbrev. Saudi Med.J. Pub Date Free Form 2002/08 Volume 23 Issue 8 Start Page 953 Other Pages 958 Notes Place of Publication ISSN/ISBN 0379-5284 Accession Number Language SubFile DOI Output Language Unknown(0) PMID Abstract Objective: The physiological effects of cigarette smoking have been widely studied, however, little is known regarding the effects of smoking hubble-bubble. We examined the acute effects of hubble-bubble smoking on heart rate, systolic, diastolic, and mean arterial blood pressure and maximum end-expiratory carbon monoxide. Methods: This study was carried out in, in the student laboratory, School of Medicine, Department of Physiology, University of Jordan, Amman, Jordan, during the summer of 1999. In 18 healthy habitual hubble-bubble smokers, heart rate, blood pressure, and maximum end-expiratory carbon monoxide was measured before, during and post smoking of one hubble-bubble run (45 minutes). Results: Compared to base line (time zero), at the end of smoking heart rate, systolic blood pressure, diastolic blood pressure, mean arterial blood pressure, and maximum end-expiratory carbon monoxide were increased 16 Â± 2.4 beats per minute, 6.7 Â± 2.5 mm Hg, 4.4 Â± 1.6 mm Hg, 5.2 Â± 1.7 mm Hg, and 14.2 Â± 1.8 ppm, (mean Â± standard error of mean, P<.05). Conclusions: Acute short-term active hubble-bubble smoking elicits a modest increase in heart rate, systolic blood pressure, diastolic blood pressure, mean arterial blood pressure and maximum end-expiratory carbon monoxide in healthy hubble-bubble smokers. Descriptors carbon monoxide, adult, article, blood pressure, cardiovascular parameters, controlled study, diastolic blood pressure, heart rate, human, human experiment, Jordan, laboratory, male, mean arterial pressure, normal human, smoking, summer, systolic blood pressure, university Links Book Title Database Embase; MEDLINE Publisher Data Source Embase Authors Shafagoj,Y. A., Mohammed,F. I. Original/Translated Title URL Date of Electronic PMCID Editors
Laryngeal findings and acoustic changes in hubble-bubble smokers	2010		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Eur Arch Otorhinolaryngol Periodical, Abbrev. Eur.Arch.Otorhinolaryngol. Pub Date Free Form Volume 267 Issue 10 Start Page 1587 Other Pages 92 Notes ID: 20480370 Place of Publication ISSN/ISBN Accession Number Language en SubFile DOI Output Language Unknown(0) PMID Abstract The purpose of our investigation was to evaluate the laryngeal findings and acoustic changes in hubble-bubble smokers. A total of 42 subjects with history of hubble-bubble smoking were recruited for this study. A corresponding group with a history of cigarette smoking and controls were matched. All subjects underwent laryngeal video-endostroboscopic evaluation and acoustic analysis. In the hubble-bubble smoking group, 61.9% were males. The average age was 30.02 +/- 9.48 years and the average number of years of smoking was 8.09 +/- 6.45 years. Three subjects had dysphonia at the time of examination. The incidence of benign lesions of the vocal folds in the hubble-bubble group was 21.5%, with edema being the most common at 16.7% followed by cyst at 4.8%. The incidence of laryngeal findings was significantly higher in the hubble-bubble group compared to controls. In the cigarette-smoking group, the most common finding was vocal fold cyst in 14.8% followed by polyps in 7.4%, and edema, sulcus vocalis and granuloma. These findings were not significantly different from the hubble-bubble group except for the thick mucus, which was significantly higher in the latter. There were no significant changes in any of the acoustic parameters between hubble-bubble smokers and controls except for the VTI and MPT, which were significantly lower in the hubble-bubble group. In comparison with the cigarette-smoking group, hubble-bubble smokers had significantly higher Fundamental frequency and habitual pitch (p value 0.042 and 0.008, respectively). The laryngeal findings in hubble-bubble smokers are comparable to cigarette smokers. These laryngeal findings are not translated acoustically, as all the acoustic parameters are within normal range compared to controls. Descriptors Laryngeal Diseases/epidemiology, Larynx/pathology, Larynx/physiopathology, Smoking/adverse effects, Speech Acoustics, Voice Quality, Adult, Aerosols/adverse effects, Case-Control Studies, Female, Humans, Laryngeal Diseases/pathology, Laryngeal Diseases/physiopathology, Male, Stroboscopy, Young Adult Links http://dx.doi.org/10.1007/s00405-010-1273-4 Book Title Database MEDLINE; http://www.globalhealthlibrary.net/ Publisher Data Source Authors Hamdan,Abdul-latif, Sibai,Abla, Oubari,Dima, Ashkar,Jihad, Fuleihan,Nabil Original/Translated Title URL Date of Electronic PMCID Editors
Knowledge, attitudes, and practices of argileh (water pipe or hubble-bubble) and cigarette smoking among pregnant women in Lebanon	2004	Chaaya, M., Dept. of Epidemiol. and Pop. Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Addictive Behaviors Periodical, Abbrev. Addict.Behav. Pub Date Free Form / Volume 29 Issue 9 Start Page 1821 Other Pages 1831 Notes Place of Publication ISSN/ISBN 0306-4603 Accession Number Language SubFile DOI Output Language Unknown(0) PMID Abstract Background: Currently, little is known about argileh (water pipe or hubble-bubble) and cigarette smoking among pregnant women in the Arab world, despite emerging evidence on the adverse health effects of argileh smoking and well-established knowledge about the health risks of cigarette smoking during pregnancy. Objectives: The present study assesses pregnant Arab women's knowledge of chemical contents and related harmful effects of argileh and cigarettes, their attitudes towards smoking argileh and cigarettes, and their actual smoking of argileh and cigarettes, both before and during pregnancy. Methods: A stratified sample of 864 women from 23 health care centers in Lebanon completed a structured, interviewer-administered questionnaire. Information was collected on basic demographic variables, women's knowledge, attitudes, and cigarette and argileh smoking. Results: Women were partially knowledgeable about the health risks of cigarette smoking, knew little about the harmful ingredients of argileh smoking, and had many misconceptions regarding how argileh worked or how it can produce harm. Attitudes were permissive towards all forms of smoking. Almost one quarter (23%) of participants reported smoking during pregnancy, with 17% smoking only cigarettes, 4% smoking only argileh, and 1.5% smoking both cigarette and argileh. Conclusion: A significant and growing percentage of pregnant Arab women are smoking in Lebanon, with four cigarette smokers for every argileh smoker. Smoking behaviors are empirically linked with important gaps in knowledge and with permissive attitudes. These data may be used to design more effective prevention programs targeting this vulnerable population. Â© 2004 Elsevier Ltd. All rights reserved. Descriptors adult, article, attitude, behavior, smoking, controlled study, demography, female, human, Lebanon, pregnancy Links Book Title Database Embase; MEDLINE Publisher Data Source Embase Authors Chaaya,M., Jabbour,S., El-Roueiheb,Z., Chemaitelly,H. Original/Translated Title URL Date of Electronic PMCID Editors
Knowledge, attitude and believes of Nargila (hubble-bubble) smoking in Iraq	2005		Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Journal of the Bahrain Medical Society Periodical, Abbrev. J.Bahrain Med.Soc. Pub Date Free Form 2005/04 Volume 17 Issue 2 Start Page 128 Other Pages 134 Notes Place of Publication ISSN/ISBN 1015-6321 Accession Number Language SubFile DOI Output Language Unknown(0) PMID Abstract Aim: To study the knowledge, attitude and practice of smoking Nargila. Methods: Cross-sectional study of 200 male smokers from different parts of Iraq. Results: The study showed that the highest rate was among youth aged 20-39 years and negatively correlated with the level of education. The cost ranged between 250-15,000 ID per weak and the average time spent for each smoking was 30 minutes. The study revealed that 90% of the sample prefer Nargila smoking than cigarette, because they believed it is less harmful, due to passage of smoke through water, and more enjoyable. Less than 10% used a disposable tip while the rest shared the same tip with their friends and even with worker responsible for preparing Nargilas. Moreover, about half of the sample declared that they were unwilling to quit from the habit. A Preliminary test of especially manufactured smoking machine showed that the amount of tar and nicotine precipitated from the Nargila smoke might be more than that expected and that declared by manufacturers. Conclusions: The study pointed out the importance of changing the wrong belives knowledge towards Nargila and arrange a suitable health education programme to highlight its harmful effect on the health of smokers. Descriptors nicotine, tar, academic achievement, adult, age distribution, article, attitude, health education, human, Iraq, male, normal human, smoking Links Book Title Database Embase Publisher Data Source Embase Authors Al-Dabbagh,S., Al-Sinjari,K. M. Original/Translated Title URL Date of Electronic PMCID Editors
Inner-ear decompression sickness: 'hubble-bubble' without brain trouble?	2015	Deptartment of Neurology, San Gerardo Hospital and University of Milano-Bicocca, Italy, E-mail: lucio.tremolizzo@unimib.it.; Emergency Medical Service, Ventotene Island, Italy.; Deptartment of Neurology, San Gerardo Hospital and University of Milano-Bicoc	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Diving and hyperbaric medicine Periodical, Abbrev. Diving.Hyperb.Med. Pub Date Free Form Jun Volume 45 Issue 2 Start Page 135 Other Pages 136 Notes JID: 101282742; OTO: NOTNLM; ppublish Place of Publication Australia ISSN/ISBN 1833-3516; 1833-3516 Accession Number PMID: 26165540 Language eng SubFile Case Reports; Letter; IM DOI Output Language Unknown(0) PMID 26165540 Abstract Inner-ear decompression sickness (DCS) is an incompletely understood and increasingly recognized condition in compressed-air divers. Previous reports show a high association of inner-ear DCS with persistent foramen ovale (PFO), suggesting that a moderate-to-severe right-to-left shunt might represent a major predisposing factor, and more properly de fi ning it as an event from arterial gas embolism (AGE). However, other conditions characterized by bubbles entering the arterial circulation, such as open-chamber cardiac surgery, do not produce inner-ear involvement, while sometimes damaging the brain extensively. Moreover, in other sites, such as the spinal cord, the prevailing mechanism for DCS is not AGE, but more likely local bubble formation with subsequent compression of venules and capillaries. Thus, AGE might be, more properly, a predisposing condition, neither suf fi cient, nor possibly even strictly necessary for inner-ear DCS. A 'two-hit hypothesis' has been proposed, implying a locally selective vulnerability of the inner ear to AGE. Modelled kinetics for gas removal are slower in the inner ear compared to the brain, leading to a supersaturated environment which allows bubbles to grow until they eventually obstruct the labyrinthine artery. Since this artery is relatively small, there is a low probability for a bubble to enter it; this might explain the disproportion between the high prevalence of PFO in the general population (25-30%) and the very low incidence of inner-ear DCS in compressed-air diving (approximately 0.005%). Furthermore, given that the labyrinthine artery usually originates either from the anterior inferior cerebellar artery, or directly from the basilar artery, shunting bubbles will more frequently swarm through the entire brain. In this case, however, the brain's much faster gas removal kinetics might allow for them to be reabsorbed without damaging brain tissue. In line with this scenario is the low probability (approx. 15%) of inner-ear DCS presenting with concomitant symptoms suggestive of brain involvement. Interestingly, PFO is a putative risk factor not only for DCS but also for ischaemic stroke, and it has been hypothesized that a predominantly silent ischaemic cerebral burden might represent a meaningful surrogate of end-organ damage in divers with PFO, with implications for stroke or cognitive decline. Here we report the case of a 44-year-old diving instructor (> 350 dives) who suffered from inner-ear DCS about 10 min after a routine dive (5 min/40 metres' fresh water (mfw), ascent 7.5 mfw.min(-)(1), stop 10 min/5 mfw), resulting in severe left cochlear/vestibular impairment (complete deafness and marked vertigo, only the latter slowly receding after a few hours). The patient was not recompressed. A few months later, transcranial Doppler ultrasonography demonstrated a moderate-to-severe shunt (> 30 bubbles), presumably due to a PFO (he refused confirmatory echocardiography), while a brain MRI (1.5 T) was reported as negative for both recent and remote lacunar infarcts (Figure 1). We believe this may be evidence that inner-ear DCS could occur while the brain is completely spared, not only clinically, but also at neuroimaging. This would support either of two hypotheses: (a) that the brain is indeed relatively protected from arterial bubbles that preferentially harm the inner ear where, however, they only rarely in fi ltrate, or (b) that direct bubble formation within the inner ear cannot be completely discarded, and that the elevated PFO-inner-ear DCS association might be, in this latter case, merely circumstantial. We favour the hypothesis that inner-ear DCS might be related to AGE in an anatomically vulnerable region. More precise data regarding the exact incidence of inner-ear involvement, isolating those subjects with moderate-to-severe shunt, should be obtained before exploring the risk-to-bene fi t ratio given by transcatheter occlusion of a PFO for prevention of inner-ear DCS; odds th Descriptors Links Book Title Database Publisher Data Source Authors Tremolizzo,L., Malpieri,M., Ferrarese,C., Appollonio,I. Original/Translated Title URL Date of Electronic PMCID Editors
Hubble-bubble (water pipe) smoking: Levels of nicotine and cotinine in plasma, saliva and urine	2002	Shafagoj, Y.A., Dept. of Physiology/Biochemistry, Faculty of Medicine, University of Jordan, Amman 11942, Jordan	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full International journal of clinical pharmacology and therapeutics Periodical, Abbrev. Int.J.Clin.Pharmacol.Ther. Pub Date Free Form 2002/ Volume 40 Issue 6 Start Page 249 Other Pages 255 Notes Place of Publication ISSN/ISBN 0946-1965 Accession Number Language SubFile DOI Output Language Unknown(0) PMID Abstract Objectives: The purpose of the present study was to assess the levels of nicotine and cotinine in biological fluids (plasma, saliva, and urine) following hubble-bubble (HB) smoking. Methods: Fourteen healthy male volunteers, aged 28 Â± 8 years, body weight of 82.7 Â± 13.53 kg, participated in the study. All volunteers were habitual HB smokers for 3.29 Â± 1.90 years who smoked at least 3 runs per week with an average of 20 g Mua'sel per run. Volunteers were requested to avoid smoking, at least 84 hours prior to the time of the study. After baseline samples were taken, volunteers started smoking 20 g of Mua'sel for a period of 45 minutes. Heparinized blood samples (5 or 10 ml each) were drawn for nicotine and cotinine analysis before, during and after the smoking period. Saliva samples were collected just before smoking (time 0) and at the end of smoking (45 min). Urine also was collected at time 0 and 24-hour urine collection was also taken to measure nicotine and cotinine excretion. Nicotine and cotinine were extracted from samples and assayed by gas chromatography. All data are presented as mean Â± SEM throughout the text, Tables and Figures unless indicated otherwise. Results: Plasma nicotine levels rose from 1.11 Â± 0.62 ng/ml at baseline to a maximum of 60.31 Â± 7.58 ng/ml (p <0.001) at the end of smoking (45 min). Plasma cotinine levels increased from 0.79 Â± 0.79 ng/ml at baseline to its highest concentration of 51.95 Â± 13.58 ng/ml (p < 0.001) 3 hours following the end of smoking. Saliva nicotine levels significantly rose from 1.05 Â± 0.72 to 624.74 Â± 149.3 ng/ml and also saliva cotinine levels significantly increased from 0.79 Â± 0.79 ng/ml to 283.49 Â± 75.04 ng/ml. Mean amounts of nicotine and cotinine excreted in urine during the 24-hour urine collection following smoking were equal to 73.59 Â± 18.28 and 249 Â± 54.78 Î¼g, respectively. Conclusion: Following a single run of HB smoking, plasma, saliva and urinary nicotine and cotinine concentration increased to high values. This observation suggests that HB may not be an innocent habit, as people believe. Descriptors cotinine, heparin, nicotine, adult, article, blood analysis, blood level, body fluid, body weight, controlled study, gas chromatography, human, male, normal human, saliva level, smoking, smoking cessation, tobacco, urinalysis, urinary excretion, urine level, volunteer Links Book Title Database Embase; MEDLINE Publisher Data Source Embase Authors Shafagoj,Y. A., Mohammed,F. I., Hadidi,K. A. Original/Translated Title URL Date of Electronic PMCID Editors
Hubble bubble equals trouble: the hazards of water pipe smoking.	2006	Urkin, J., Primary Pediatric Unit, Faculty of Health Sciences, Ben-Gurion University of theNegev, Beer-Sheva, Israel.	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full TheScientificWorldJournal Periodical, Abbrev. ScientificWorldJournal Pub Date Free Form / Volume 6 Issue Start Page 1990 Other Pages 1997 Notes Place of Publication ISSN/ISBN 1537-744X Accession Number Language SubFile DOI Output Language Unknown(0) PMID Abstract A Narghile, one of the names for a water pipe, is an instrument for tobacco smoking that has became a trend among the youth in Israel. The mistaken opinion that smoking a Narghile is not as dangerous as smoking cigarettes makes the youngsters and their parents take it lightly and contributes to the expansion of its use. The objective of this paper was to review the literature on the health risks of Narghile smoking. A literature search of Medline (PubMed) and the Internet on the health hazards of Narghile smoking was conducted. The health hazards that the Narghile smoker is exposed to include interference with oxidation, damage to genetic compounds, increased risk of developing malignancies, infectious diseases, damage to the fetus and newborn, and exposure to commonly abused chemicals. It is concluded that increased awareness of the expanded use of the Narghile is imperative and education programs about the prevention of cigarette smoking and substance abuse should also include Narghile smoking. Descriptors adolescent, child behavior, human, psychological aspect, review, smoking, tobacco dependence Links Book Title Database MEDLINE Publisher Data Source Embase Authors Urkin,J., Ochaion,R., Peleg,A. Original/Translated Title URL Date of Electronic PMCID Editors
Flying after diving: should recommendations be reviewed? In-flight echocardiographic study in bubble-prone and bubble-resistant divers	2015	DAN Europe Research Division, Contrada Padune 11, 64026 Roseto degli, Abruzzi (TE), Italy, Phone: +39(0)85-893-0333, Fax: +39-(0)85-893-0050, E-mail: dcialoni@daneurope.org.; DAN Europe Research Division, Roseto degli Abruzzi, Italy.; DAN Europe Research	Read more...
Source Type Print(0) Ref Type Journal Article Periodical, Full Diving and hyperbaric medicine Periodical, Abbrev. Diving.Hyperb.Med. Pub Date Free Form Mar Volume 45 Issue 1 Start Page 10 Other Pages 15 Notes JID: 101282742; OTO: NOTNLM; 2014/12/12 [received]; 2015/01/17 [accepted]; ppublish Place of Publication Australia ISSN/ISBN 1833-3516; 1833-3516 Accession Number PMID: 25964033 Language eng SubFile Journal Article; Research Support, Non-U.S. Gov't; IM DOI Output Language Unknown(0) PMID 25964033 Abstract INTRODUCTION: Inert gas accumulated after multiple recreational dives can generate tissue supersaturation and bubble formation when ambient pressure decreases. We hypothesized that this could happen even if divers respected the currently recommended 24-hour pre-flight surface interval (PFSI). METHODS: We performed transthoracic echocardiography (TTE) on a group of 56 healthy scuba divers (39 male, 17 female) as follows: first echo--during the outgoing flight, no recent dives; second echo--before boarding the return flight, after a multiday diving week in the tropics and a 24-hour PFSI; third echo--during the return flight at 30, 60 and 90 minutes after take-off. TTE was also done after every dive during the week's diving. Divers were divided into three groups according to their 'bubble-proneness': non-bubblers, occasional bubblers and consistent bubblers. RESULTS: During the diving, 23 subjects never developed bubbles, 17 only occasionally and 16 subjects produced bubbles every day and after every dive. Bubbles on the return flight were observed in eight of the 56 divers (all from the 'bubblers' group). Two subjects who had the highest bubble scores during the diving were advised not to make the last dive (increasing their PFSI to approximately 36 hours), and did not demonstrate bubbles on the return flight. CONCLUSIONS: Even though a 24-hour PFSI is recommended on the basis of clinical trials showing a low risk of decompression sickness (DCS), the presence of venous gas bubbles in-flight in eight of 56 divers leads us to suspect that in real-life situations DCS risk after such a PFSI is not zero. Descriptors Links Book Title Database Publisher Data Source Authors Cialoni,D., Pieri,M., Balestra,C., Marroni,A. Original/Translated Title URL Date of Electronic PMCID Editors

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