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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
Laryngeal findings and acoustic changes in hubble-bubble smokers 2010
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
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
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
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
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
Patent foramen ovale and the risk of paradoxical embolization of venous bubbles in divers - cave for foam sclerotization of varicose veins 2012 Kardiologicka klinika. jakub.honek@gmail.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti
Periodical, Abbrev.
Rozhl.Chir.
Pub Date Free Form
Jul
Volume
91
Issue
7
Start Page
378
Other Pages
380
Notes
JID: 9815441; ppublish
Place of Publication
Czech Republic
ISSN/ISBN
0035-9351; 0035-9351
Accession Number
PMID: 23078256
Language
cze
SubFile
English Abstract; Journal Article; IM
DOI
38891 [pii]
Output Language
Unknown(0)
PMID
23078256
Abstract
INTRODUCTION: Foam sclerotization of varicose veins may cause paradoxical embolization through patent foramen ovale (PFO). The aim of our study was to: 1) select an optimal screening method for the detection of PFO; 2) determine the prevalence of PFO in a non-selected population; and 3) test the risk of paradoxical embolization of venous bubbles in patients with PFO. MATERIALS AND METHODS: A diver after decompression is a suitable model for determining the risk of paradoxical embolization of venous gas bubbles. 329 Czech divers were screened for PFO. In a pilot study, we compared Transcranial Doppler Sonography (TCD) with Transesophageal Echocardiography (TEE) in 100 patients. TCD alone was used for further screening. In 31 divers with PFO, nitrogen bubbles were detected after simulated dives. Transthoracic Echocardiography (TTE) was used to detect venous bubbles in right-sided heart chambers; TTE and TCD were used to detect arterial bubbles. The right-to-left shunt was rated as non-significant (
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Honek,J., Honek,T., Januska,J., Sebesta,P., Novotny,S., Sefc,L., Fiedler,J., Sramek,M., Horvath,M., Parobkova,M.
Original/Translated Title
Perzistence foramen ovale patens a riziko paradoxni embolizace zilnich bublin u potapecu - cave pro sklerotizaci varixu penovou metodou
URL
Date of Electronic
PMCID
Editors
Predictions: hubble bubble. 1986 Naughtie, J.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nursing times
Periodical, Abbrev.
Nurs.Times
Pub Date Free Form
/
Volume
82
Issue
1
Start Page
18
Other Pages
19
Notes
Place of Publication
ISSN/ISBN
0954-7762
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
article, human, national health service, politics, United Kingdom
Links
Book Title
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Naughtie,J.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Presence of dipalmitoylphosphatidylcholine from the lungs at the active hydrophobic spots in the vasculature where bubbles are formed on decompression 2016 Israel Naval Medical Institute rarieli@netvision.net.il.; Department of Oxidative Stress and Human Diseases, MIGAL - Galilee Research Institute and Tel Hai College, Kiryat Shmona.; Department of Oxidative Stress and Human Diseases, MIGAL - Galilee Researc
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
11-Aug
Volume
Issue
Start Page
jap.00649.2016
Other Pages
Notes
LR: 20160812; CI: Copyright (c) 2016; JID: 8502536; OTO: NOTNLM; 2016/08/10 [accepted]; 2016/07/19 [received]; aheadofprint; SO: J Appl Physiol (1985). 2016 Aug 11:jap.00649.2016. doi: 10.1152/japplphysiol.00649.2016.
Place of Publication
ISSN/ISBN
1522-1601; 0161-7567
Accession Number
PMID: 27516538
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
10.1152/japplphysiol.00649.2016 [doi]
Output Language
Unknown(0)
PMID
27516538
Abstract
Most severe cases of decompression illness (DCI) are caused by vascular bubbles. We showed that there are active hydrophobic spots (AHS) on the luminal aspect of ovine blood vessels where bubbles are produced after decompression. It has been suggested that AHS may be composed of lung surfactant. Dipalmitoylphosphatidylcholine (DPPC) is the main component of lung surfactants. Blood samples and four blood vessels, the aorta, superior vena cava, pulmonary vein and pulmonary artery, were obtained from 11 slaughtered sheep. Following exposure to 1013 kPa for 20.4 h, we started photographing the blood vessels 15 min after the end of decompression for a period of 30 min, to determine AHS by observing bubble formation. Phospholipids were extracted from AHS and from control tissue and plasma for determination of DPPC. DPPC was found in all blood vessel samples and all samples of plasma. The concentration of DPPC in the plasma samples (n = 8) was 2.04+/-0.90 microg/ml. The amount of DPPC in the AHS which produced four or more bubbles (n = 16) was 1.59+/-0.92 microg. This was significantly higher than the value obtained for AHS producing less than four bubbles and for control samples (n = 19) (0.97+/-0.61 microg, P = 0.027). DPPC leaks from the lungs into the blood, settling on the luminal aspect of the vasculature to create AHS. Determining the constituents of the AHS might pave the way for their removal, resulting in a dramatic improvement in diver safety.
Descriptors
Links
Book Title
Database
Publisher
Journal of Applied Physiology
Data Source
Authors
Arieli,R., Khatib,S., Vaya,J.
Original/Translated Title
URL
Date of Electronic
20160811
PMCID
Editors
Short term effect of hubble-bubble smoking on voice 2011
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
J Laryngol Otol
Periodical, Abbrev.
J.Laryngol.Otol.
Pub Date Free Form
Volume
125
Issue
5
Start Page
486
Other Pages
91
Notes
ID: 21281535
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVE: To investigate the short term effect of hubble-bubble smoking on voice. STUDY DESIGN: Prospective study. MATERIAL: Eighteen non-dysphonic subjects (seven men and 11 women) with a history of hubble-bubble smoking and no history of cigarette smoking underwent acoustic analysis and laryngeal video-stroboscopic examination before and 30 minutes after hubble-bubble smoking. RESULTS: On laryngeal video-stroboscopy, none of the subjects had vocal fold erythema either before or after smoking. Five patients had mild vocal fold oedema both before and after smoking. After smoking, there was a slight increase in the number of subjects with thick mucus between the vocal folds (six, vs four before smoking) and with vocal fold vessel dilation (two, vs one before smoking). Acoustic analysis indicated a drop in habitual pitch, fundamental frequency and voice turbulence index after smoking, and an increase in noise-to-harmonics ratio. CONCLUSION: Even 30 minutes of hubble-bubble smoking can cause a drop in vocal pitch and an increase in laryngeal secretions and vocal fold vasodilation.
Descriptors
Smoking/adverse effects, Speech Acoustics, Vocal Cords/pathology, Voice Disorders/pathology, Voice Quality/drug effects, Adolescent, Adult, Edema/epidemiology, Edema/etiology, Equipment Design, Erythema/epidemiology, Erythema/etiology, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Mucus, Pregnancy, Prospective Studies, Stroboscopy/methods, Vocal Cords/blood supply, Vocal Cords/physiopathology, Voice Disorders/diagnosis, Voice Disorders/etiology, Young Adult
Links
http://dx.doi.org/10.1017/S0022215110003051
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Hamdan,A-L, Sibai,A., Mahfoud,L., Oubari,D., Ashkar,J., Fuleihan,N.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors