Skip to main content
Title Pub Year Sort ascending Author SearchLink
Nicotine content in tobacco used in hubble-bubble smoking 2004 Hadidi, K.A., Forensic Med./Toxicology Division, Faculty of Medicine, University of Jordan, Amman 11942, Jordan
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Saudi medical journal
Periodical, Abbrev.
Saudi Med.J.
Pub Date Free Form
/
Volume
25
Issue
7
Start Page
912
Other Pages
917
Notes
Place of Publication
ISSN/ISBN
0379-5284
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Objective: To determine the nicotine content of commonly used tobacco in hubble-bubble (HB) and compare it with that found in cigarettes. Methods: Analysis of nicotine content of 13 commercial brands of HB tobacco was carried out using gas chromatography over an 8 month period; November 2002 through to June 2003 at the Toxicology Laboratory, University of Jordan. Results: A wide variation in nicotine content in all brands was noticed with an average of 8.32 mg/g tobacco, range (1.8-44.3 mg/g). The average nicotine content in each HB head (20 gm) of unflavored tobacco was (713mg/head) and flavored tobacco has (67mg/head). One head of unflavored tobacco has nicotine equivalent to 70 regular cigarettes. The addition of adulterations; honey, glycerin and other flavors in the process of preparing the flavored (Mua'sel) tobacco contributes to lowering the nicotine content in each gram of flavored tobacco. Smoking one head of flavored (Mua'sel) tobacco which contains on average one third of nicotine presented in 20 cigarettes (204mg/pack) usually resulted in a higher plasma nicotine level by 20%. Conclusion: Hubble-bubble smokers are not at a lesser risk from smoking than cigarette smokers in relation to nicotine dependence. The inability of water to trap significant amounts of chemical substances present in tobacco (especially nicotine) and the danger which might result from the combustion of additives like; glycerin, honey and other flavors could be a very important factor to extrapolate the damage resulting from HB smoking.
Descriptors
flavoring agent, glycerol, nicotine, article, blood level, chemical analysis, chemical composition, smoking, clinical laboratory, combustion, controlled study, flavor, gas chromatography, honey, Jordan, risk assessment, tobacco dependence, toxicology, university
Links
Book Title
Database
Embase; MEDLINE
Publisher
Data Source
Embase
Authors
Hadidi,K. A., Mohammed,F. I.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Exercise and nitric oxide prevent bubble formation: a novel approach to the prevention of decompression sickness? 2004 Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway. ulrik.wisloff@medisin.ntnu.no
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Journal of physiology
Periodical, Abbrev.
J.Physiol.
Pub Date Free Form
16-Mar
Volume
555
Issue
Pt 3
Start Page
825
Other Pages
829
Notes
LR: 20140610; JID: 0266262; 0 (Nitric Oxide Donors); 16051-77-7 (isosorbide-5-mononitrate); 31C4KY9ESH (Nitric Oxide); IA7306519N (Isosorbide Dinitrate); OID: NLM: PMC1664873; 2004/01/14 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
0022-3751; 0022-3751
Accession Number
PMID: 14724207
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1113/jphysiol.2003.055467 [doi]
Output Language
Unknown(0)
PMID
14724207
Abstract
Nitrogen dissolves in the blood during dives, but comes out of solution if divers return to normal pressure too rapidly. Nitrogen bubbles cause a range of effects from skin rashes to seizures, coma and death. It is believed that these bubbles form from bubble precursors (gas nuclei). Recently we have shown that a single bout of exercise 20 h, but not 48 h, before a simulated dive prevents bubble formation and protects rats from severe decompression sickness (DCS) and death. Furthermore, we demonstrated that administration of N(omega)-nitro-l-arginine methyl ester, a non-selective inhibitor of NO synthase (NOS), turns a dive from safe to unsafe in sedentary but not exercised rats. Therefore based upon previous data an attractive hypothesis is that it may be possible to use either exercise or NO-releasing agents before a dive to inhibit bubble formation and thus protect against DCS. Consequently, the aims of the present study were to determine whether protection against bubble formation in 'diving' rats was provided by (1) chronic and acute administration of a NO-releasing agent and (2) exercise less than 20 h prior to the dive. NO given for 5 days and then 20 h prior to a dive to 700 kPa lasting 45 min breathing air significantly reduced bubble formation and prevented death. The same effect was seen if NO was given only 30 min before the dive. Exercise 20 h before a dive suppressed bubble formation and prevented death, with no effect at any other time (48, 10, 5 and 0.5 h prior to the dive). Pre-dive activities have not been considered to influence the growth of bubbles and thus the risk of serious DCS. The present novel findings of a protective effect against bubble formation and death by appropriately timed exercise and an NO-releasing agent may form the basis of a new approach to preventing serious decompression sickness.
Descriptors
Animals, Decompression Sickness/prevention & control, Diving, Female, Isosorbide Dinitrate/analogs & derivatives/pharmacology, Motor Activity/physiology, Nitric Oxide/physiology, Nitric Oxide Donors/pharmacology, Rats, Rats, Sprague-Dawley
Links
Book Title
Database
Publisher
Data Source
Authors
Wisloff,U., Richardson,R. S., Brubakk,A. O.
Original/Translated Title
URL
Date of Electronic
20040114
PMCID
PMC1664873
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
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. © 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
Nargile (Hubble-Bubble) smoking-induced hand eczema 2002 Onder, M., Ankara, Turkey
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
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
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 ± 2.4 beats per minute, 6.7 ± 2.5 mm Hg, 4.4 ± 1.6 mm Hg, 5.2 ± 1.7 mm Hg, and 14.2 ± 1.8 ppm, (mean ± 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
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
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 ± 8 years, body weight of 82.7 ± 13.53 kg, participated in the study. All volunteers were habitual HB smokers for 3.29 ± 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 ± SEM throughout the text, Tables and Figures unless indicated otherwise. Results: Plasma nicotine levels rose from 1.11 ± 0.62 ng/ml at baseline to a maximum of 60.31 ± 7.58 ng/ml (p <0.001) at the end of smoking (45 min). Plasma cotinine levels increased from 0.79 ± 0.79 ng/ml at baseline to its highest concentration of 51.95 ± 13.58 ng/ml (p < 0.001) 3 hours following the end of smoking. Saliva nicotine levels significantly rose from 1.05 ± 0.72 to 624.74 ± 149.3 ng/ml and also saliva cotinine levels significantly increased from 0.79 ± 0.79 ng/ml to 283.49 ± 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 ± 18.28 and 249 ± 54.78 μg, 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
Ascent rate, age, maximal oxygen uptake, adiposity, and circulating venous bubbles after diving 2002 Faculte des Sciences du Sport, Luminy, 13009 Marseille, France. carturan@wanadoo.fr
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of applied physiology (Bethesda, Md.: 1985)
Periodical, Abbrev.
J.Appl.Physiol.(1985)
Pub Date Free Form
Oct
Volume
93
Issue
4
Start Page
1349
Other Pages
1356
Notes
LR: 20130926; JID: 8502536; ppublish
Place of Publication
United States
ISSN/ISBN
8750-7587; 0161-7567
Accession Number
PMID: 12235035
Language
eng
SubFile
Journal Article; IM
DOI
10.1152/japplphysiol.00723.1999 [doi]
Output Language
Unknown(0)
PMID
12235035
Abstract
Decompression sickness in diving is recognized as a multifactorial phenomenon, depending on several factors, such as decompression rate and individual susceptibility. The Doppler ultrasonic detection of circulating venous bubbles after diving is considered a useful index for the safety of decompression because of the relationship between bubbles and decompression sickness risk. The aim of this study was to assess the effects of ascent rate, age, maximal oxygen uptake (VO(2 max)), and percent body fat on the production of bubbles after diving. Fifty male recreational divers performed two dives at 35 m during 25 min and then ascended in one case at 9 m/min and in the other case at 17 m/min. They performed the same decompression stops in the two cases. Twenty-eight divers were Doppler monitored at 10-min intervals, until 60 min after surfacing, and the data were analyzed by Wilcoxon signed-rank test to compare the effect of ascent rate on the kinetics of bubbles. Twenty-two divers were monitored 60 min after surfacing. The effect on bubble production 60 min after surfacing of the four variables was studied in 47 divers. The data were analyzed by multinomial log-linear model. The analysis showed that the 17 m/min ascent produced more elevated grades of bubbles than the 9 m/min ascent (P < 0.05), except at the 40-min interval, and showed relationships between grades of bubbles and ascent rate and age and interaction terms between VO(2 max) and age, as well as VO(2 max) and percent body fat. Younger, slimmer, or aerobically fitter divers produced fewer bubbles compared with older, fatter, or poorly physically fit divers. These findings and the conclusions of previous studies performed on animals and humans led us to support that ascent rate, age, aerobic fitness, and adiposity are factors of susceptibility for bubble formation after diving.
Descriptors
Adipose Tissue/anatomy & histology, Adult, Aging/physiology, Decompression, Diving/adverse effects, Embolism, Air/etiology, Humans, Kinetics, Male, Middle Aged, Oxygen Consumption, Time Factors, Ultrasonography, Doppler
Links
Book Title
Database
Publisher
Data Source
Authors
Carturan,D., Boussuges,A., Vanuxem,P., Bar-Hen,A., Burnet,H., Gardette,B.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Arteriovenous bubbles following cold water sport dives: relation to right-to-left shunting 2000 Department of Neurology, Justus-Liebig-University, Giessen, Germany.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Neurology
Periodical, Abbrev.
Neurology
Pub Date Free Form
12-Dec
Volume
55
Issue
11
Start Page
1741
Other Pages
1743
Notes
LR: 20081121; JID: 0401060; ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
0028-3878; 0028-3878
Accession Number
PMID: 11113236
Language
eng
SubFile
Journal Article; AIM; IM
DOI
Output Language
Unknown(0)
PMID
11113236
Abstract
Neurologic injury subsequent to decompression from diving may be due to paradoxical arterialization of venous gas emboli. Of 40 divers who performed 53 open water dives after being tested for a patent foramen ovale (PFO), arterial gas emboli were detected in 7 of 13 dives, which resulted in venous bubbles. In five of these seven dives, there was evidence of a PFO by contrast transcranial Doppler sonography, indicating an increased risk of arterializing venous bubbles in divers with a PFO.
Descriptors
Adult, Cold Temperature/adverse effects, Decompression Sickness, Diving, Embolism, Air/physiopathology/ultrasonography, Female, Humans, Male, Middle Aged, Ultrasonography, Doppler
Links
Book Title
Database
Publisher
Data Source
Authors
Gerriets,T., Tetzlaff,K., Liceni,T., Schafer,C., Rosengarten,B., Kopiske,G., Algermissen,C., Struck,N., Kaps,M.
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
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
Arterial gas bubbles after decompression in pigs with patent foramen ovale 1993 Section for Extreme Work Environment, Sintef Unimed, Trondheim, Norway.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc
Periodical, Abbrev.
Undersea Hyperb.Med.
Pub Date Free Form
Jun
Volume
20
Issue
2
Start Page
121
Other Pages
131
Notes
LR: 20071115; JID: 9312954; 0 (Gases); ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
1066-2936; 1066-2936
Accession Number
PMID: 8329939
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM; S
DOI
Output Language
Unknown(0)
PMID
8329939
Abstract
With patent foramen ovale (PFO), thought to be a risk factor for some forms of DCS, venous bubbles may pass through the patent opening to become arterial bubbles. We exposed 14 anesthetized, spontaneously breathing pigs to air at 5 bar (500 kPa, absolute pressure) for 30 min and then rapidly decompressed at 2 bar/min to 1 bar. We measured intravascular pressures, blood gases, and, with transesophageal echocardiology, bubbles in the pulmonary artery and ascending aorta. Autopsy showed that six of the pigs had a PFO. Arterial bubbles occurred more frequently in the PFO group (in six out of six) than in the non-PFO group (in two out of eight, P < 0.01). When arterial bubbles were detected, the venous bubble count and the pulmonary artery pressure tended to be lower in pigs with PFO than in pigs without a PFO. We conclude that a PFO increases the risk of arterial bubbles after decompression.
Descriptors
Animals, Atmosphere Exposure Chambers, Decompression Sickness/blood/etiology/physiopathology, Embolism, Air/blood/etiology/physiopathology, Gases/blood, Heart Septal Defects, Atrial/blood/complications/physiopathology, Hemodynamics/physiology, Swine
Links
Book Title
Database
Publisher
Data Source
Authors
Vik,A., Jenssen,B. M., Brubakk,A. O.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors