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Web-based smoking cessation intervention that transitions from inpatient to outpatient: study protocol for a randomized controlled trial 2012 Department of Medicine, Division of Pulmonary, Allergy & Critical Care Medicine, The University of Alabama at Birmingham (UAB), Birmingham, Alabama 35249-7337, USA. kharring@uab.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Trials
Periodical, Abbrev.
Trials
Pub Date Free Form
1-Aug
Volume
13
Issue
Start Page
123
Other Pages
6215-13-123
Notes
LR: 20150224; ClinicalTrials.gov/NCT01277250; GR: 1U01DA031515/DA/NIDA NIH HHS/United States; GR: CA159533/CA/NCI NIH HHS/United States; GR: DA031515/DA/NIDA NIH HHS/United States; GR: HL105218/HL/NHLBI NIH HHS/United States; GR: HL105229/HL/NHLBI NIH HHS
Place of Publication
England
ISSN/ISBN
1745-6215; 1745-6215
Accession Number
PMID: 22852802
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM
DOI
10.1186/1745-6215-13-123 [doi]
Output Language
Unknown(0)
PMID
22852802
Abstract
BACKGROUND: E-health tools are a new mechanism to expand patient care, allowing supplemental resources to usual care, including enhanced patient-provider communication. These applications to smoking cessation have yet to be tested in a hospitalized patient sample. This project aims to evaluate the effectiveness and cost-effectiveness of a tailored web-based and e-message smoking cessation program for current smokers that, upon hospital discharge, transitions the patient to continue a quit attempt when home (Decide2Quit). DESIGN: A randomized two-arm follow-up design will test the effectiveness of an evidence- and theoretically-based smoking cessation program designed for post-hospitalization. METHODS: A total of 1,488 patients aged 19 or older, who smoked cigarettes in the previous 30 days, are being recruited from 27 patient care areas of a large urban university hospital. Study-eligible hospitalized patients receiving usual tobacco cessation usual care are offered study referral. Trained hospital staff assist the 744 patients who are being randomized to the intervention arm with registration and orientation to the intervention website. This e-mail and web-based program offers tailored messages as well as education, self-assessment and planning aids, and social support to promote tobacco use cessation. Condition-blind study staff assess participants for tobacco use history and behaviors, tobacco use cost-related information, co-morbidities and psychosocial factors at 0, 3, 6, and 12 months. The primary outcome is self-reported 30-day tobacco abstinence at 6 months follow-up. Secondary outcomes include 7-day point prevalence quit rates at 3-, 6-, and 12-month follow-up, 30-day point prevalence quit rates at 3 and 12 months, biologically confirmed tobacco abstinence at 6-month follow-up, and multiple point-prevalence quit rates based on self-reported tobacco abstinence rates at each follow-up time period. Healthcare utilization and quality of life are assessed at baseline, and 6- and 12-month follow-up to measure program cost-effectiveness from the hospital, healthcare payer, patient, and societal perspectives. DISCUSSION: Given the impact of tobacco use on medical resources, establishing feasible, cost-effective methods for reducing tobacco use is imperative. Given the minimal hospital staff burden and the automated transition to a post-hospitalization tailored intervention, this program could be an easily disseminated approach. TRIAL REGISTRATION: Current Intervention Trial NCT01277250.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Harrington,K.F., McDougal,J.A., Pisu,M., Zhang,B., Sadasivam,R.S., Houston,T.K., Bailey,W.C., CHART Collaborative Group
Original/Translated Title
URL
Date of Electronic
20120801
PMCID
PMC3533743
Editors
Shear strength of composite bonded to Er:YAG laser-prepared enamel: an in vitro comparative study 2013 Aachen University, Aachen, Germany, frankyung@rogers.com.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Lasers in medical science
Periodical, Abbrev.
Lasers Med.Sci.
Pub Date Free Form
May
Volume
28
Issue
3
Start Page
879
Other Pages
889
Notes
LR: 20141120; JID: 8611515; 0 (Composite Resins); 2011/10/22 [received]; 2012/07/16 [accepted]; 2012/08/02 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1435-604X; 0268-8921
Accession Number
PMID: 22855382
Language
eng
SubFile
Comparative Study; Journal Article; IM
DOI
10.1007/s10103-012-1169-1 [doi]
Output Language
Unknown(0)
PMID
22855382
Abstract
The primary objective of this study is to investigate the adhesion properties between four current generations of bonding systems and enamel surface conditioned by Er:YAG laser, using an energy density comparable to the ablation threshold of enamel. By including an energy density comparable to published adhesion studies, the secondary objective is to compare the adhesion effects of these selected laser conditioning parameters on enamel with other similar published studies. MATERIAL AND METHODS: Buccal sides of randomly selected human molars (N=117) were prepared and divided into nine experimental groups depending on the generations of bonding system represented by the corresponding number (G4, G5, G6, G7) and the additional laser conditioning on the enamel surface represented by laser etch (LE) and laser etch with a higher pulse energy, followed by acid etch (AE), if required. The bonding resin systems and their specific requirements were applied after the enamel surfaces were laser conditioned following a specific set of laser parameters. Composite posts of 1.6 mm in diameter and approximately 6 mm in length were then restored on each of the sample surfaces. After 48 h, the composite assemblies were tested to failure under compression using a knife edge loading head at a cross head speed of 1 mm/min until the composite cylinders were separated from the surface. The data collected were then analyzed using one-way analysis of variance and SAS software program (9.1, TS1M3). RESULTS: No significant difference was found among these groups: AE+G4/LEAE+G4, G6/LE+G6, and G7/LE+G7. Significant differences were found in the remaining groups: AE+G5/LEAE+G5, AE+G5/LEAE-H+G5, and LEAE+G5/LEAE-H+G5. The bond strength results were compared among similar published data and possible influences from different laser parameters, bonding systems, and their combined impact on the enamel surface and its adhesion properties were analyzed. CONCLUSION: Under our specific settings, additional laser conditioning after phosphoric acid etch is beneficial to one generation of bonding resin (G5). There is no significant change or detrimental effect to the other three groups (G4, G6, and G7) of bonding resins with respect to their final bond strength. The published reports of lower bond strength after additional laser conditioning may be related to thermal damage or unfavorable alteration to the enamel surface by excessive laser energy and the chemistry of bonding systems studied. These factors will affect the overall wettability and the subsequent adhesion properties of the enamel surface.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Yung,F.Y., Gutknecht,N., Franzen,R., Fischer,H.
Original/Translated Title
URL
Date of Electronic
20120802
PMCID
Editors
Multimodality evaluation of patients with gastroesophageal reflux disease symptoms who have failed empiric proton pump inhibitor therapy 2013 El Camino GI Medical Associates, Mountain View, California, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus / I.S.D.E
Periodical, Abbrev.
Dis.Esophagus
Pub Date Free Form
Jul
Volume
26
Issue
5
Start Page
443
Other Pages
450
Notes
LR: 20151119; CI: (c) 2012 Copyright the Authors. Journal compilation (c) 2012; JID: 8809160; 0 (Proton Pump Inhibitors); OTO: NOTNLM; 2012/08/02 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1442-2050; 1120-8694
Accession Number
PMID: 22862422
Language
eng
SubFile
Journal Article; IM
DOI
10.1111/j.1442-2050.2012.01381.x [doi]
Output Language
Unknown(0)
PMID
22862422
Abstract
Patients with symptoms suggestive of gastroesophageal reflux disease (GERD), such as chest pain, heartburn, regurgitation, and dysphagia, are typically treated initially with a course of proton pump inhibitors (PPIs). The evaluation of patients who have either not responded at all or partially and inadequately responded to such therapy requires a more detailed history and may involve an endoscopy and esophageal biopsies, followed by esophageal manometry, ambulatory esophageal pH monitoring, and gastric emptying scanning. To assess the merits of a multimodality 'structural' and 'functional' assessment of the esophagus in patients who have inadequately controlled GERD symptoms despite using empiric PPI, a retrospective cohort study of patients without any response or with poor symptomatic control to empiric PPI (>2 months duration) who were referred to an Esophageal Studies Unit was conducted. Patients were studied using symptom questionnaires, endoscopy (+ or - for erosive disease, or Barrett's metaplasia) and multilevel esophageal biopsies (eosinophilia, metaplasia), esophageal motility (aperistalsis, dysmotility), 24-hour ambulatory esophageal pH monitoring (+ if % total time pH 5%), and gastric emptying scanning (+ if >10% retention at 4 hours and >70% at 2 hours). Over 3 years, 275 patients (147 men and 128 women) aged 16-89 years underwent complete multimodality testing. Forty percent (n= 109) had nonerosive reflux disease (esophagogastroduodenoscopy [EGD]-, biopsy-, pH+); 19.3% (n= 53) had erosive esophagitis (EGD+); 5.5% (n= 15) Barrett's esophagus (EGD+, metaplasia+); 5.5% (n= 15) eosinophilic esophagitis (biopsy+); 2.5% (n= 7) had achalasia and 5.8% (n= 16) other dysmotility (motility+, pH-); 16% (n= 44) had functional heartburn (EGD-, pH-), and 5.8% (n= 16) had gastroparesis (gastric scan+). Cumulative symptom scores for chest pain, heartburn, regurgitation, and dysphagia were similar among the groups (mean range 1.1-1.35 on a 0-3 scale). Multimodality evaluation changed the diagnosis of GERD in 34.5% of cases and led to or guided alternative therapies in 42%. Overlap diagnoses were frequent: 10/15 (67%) of patients with eosinophilic esophagitis, 12/16 (75%) of patients with gastroparesis, and 11/23 (48%) of patients with achalasia or dysmotility had concomitant pathologic acid reflux by pH studies. Patients with persistent GERD symptoms despite empiric PPI therapy benefit from multimodality evaluation that may change the diagnosis and guide therapy in more than one third of such cases. Because symptoms are not specific and overlap diagnoses are frequent and multifaceted, objective evidence-driven therapies should be considered in such patients.
Descriptors
Links
Book Title
Database
Publisher
Wiley Periodicals, Inc. and the International Society for Diseases of the Esophagus
Data Source
Authors
Galindo,G., Vassalle,J., Marcus,S.N., Triadafilopoulos,G.
Original/Translated Title
URL
Date of Electronic
20120802
PMCID
Editors
Legionella on board trains: effectiveness of environmental surveillance and decontamination 2012 Institute of Hygiene, Universita Cattolica del Sacro Cuore, Lgo F, Vito 1, 00168 Rome, Italy.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
7-Aug
Volume
12
Issue
Start Page
618
Other Pages
2458-12-618
Notes
LR: 20150224; JID: 100968562; OID: NLM: PMC3519711; 2012/01/20 [received]; 2012/07/30 [accepted]; 2012/08/07 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 22870945
Language
eng
SubFile
Evaluation Studies; Journal Article; IM
DOI
10.1186/1471-2458-12-618 [doi]
Output Language
Unknown(0)
PMID
22870945
Abstract
BACKGROUND: Legionella pneumophila is increasingly recognised as a significant cause of sporadic and epidemic community-acquired and nosocomial pneumonia. Many studies describe the frequency and severity of Legionella spp. contamination in spa pools, natural pools, hotels and ships, but there is no study analysing the environmental monitoring of Legionella on board trains. The aims of the present study were to conduct periodic and precise environmental surveillance of Legionella spp. in water systems and water tanks that supply the toilet systems on trains, to assess the degree of contamination of such structures and to determine the effectiveness of decontamination. METHODS: A comparative pre-post ecological study was conducted from September 2006 to January 2011. A total of 1,245 water samples were collected from plumbing and toilet water tanks on passenger trains. The prevalence proportion of all positive samples was calculated. The unpaired t-test was performed to evaluate statistically significant differences between the mean load values before and after the decontamination procedures; statistical significance was set at p = 0.05. RESULTS: In the pre-decontamination period, 58% of the water samples were positive for Legionella. Only Legionella pneumophila was identified: 55.84% were serogroup 1, 19.03% were serogroups 2-14 and 25.13% contained both serogroups. The mean bacterial load value was 2.14 x 10(3) CFU/L. During the post-decontamination period, 42.75% of water samples were positive for Legionella spp.; 98.76% were positive for Legionella pneumophila: 74.06% contained serogroup 1, 16.32% contained serogroups 2-14 and 9.62% contained both. The mean bacterial load in the post-decontamination period was 1.72 x 10(3) CFU/L. According to the t-test, there was a statistically significant decrease in total bacterial load until approximately one and a half year after beginning the decontamination programme (p = 0.0097). CONCLUSIONS: This study indicates that systematic environmental surveillance could be a useful approach for assessing the risk of exposure to Legionella bacteria, which still represents a public health threat. According to the study results, an environmental surveillance programme, followed by decontamination procedures where necessary, would decrease the total bacterial count, protecting the health of travellers and workers.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Quaranta,G., Vincenti,S., Ferriero,A.M., Boninti,F., Sezzatini,R., Turnaturi,C., Gliubizzi,M.D., Munafo,E., Ceccarelli,G., Causarano,C., Accorsi,M., Del Nord,P., Ricciardi,W., Laurenti,P.
Original/Translated Title
URL
Date of Electronic
20120807
PMCID
PMC3519711
Editors
Current tobacco use among middle and high school students--United States, 2011 2012
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
MMWR.Morbidity and mortality weekly report
Periodical, Abbrev.
MMWR Morb.Mortal.Wkly.Rep.
Pub Date Free Form
10-Aug
Volume
61
Issue
31
Start Page
581
Other Pages
585
Notes
JID: 7802429; ppublish
Place of Publication
United States
ISSN/ISBN
1545-861X; 0149-2195
Accession Number
PMID: 22874835
Language
eng
SubFile
Journal Article; IM
DOI
mm6131a1 [pii]
Output Language
Unknown(0)
PMID
22874835
Abstract
Tobacco use continues to be the leading preventable cause of death and disease in the United States, with nearly 443,000 deaths occurring annually because of cigarette smoking and exposure to secondhand smoke. Moreover, nearly 90% of adult smokers begin smoking by age 18 years. To assess current tobacco use among youths, CDC analyzed data from the 2011 National Youth Tobacco Survey (NYTS). This report describes the results of that analysis, which indicated that, in 2011, the prevalence of current tobacco use among middle school and high school students was 7.1% and 23.2%, respectively, and the prevalence of current cigarette use was 4.3%, and 15.8%, respectively. During 2000-2011, among middle school students, a linear downward trend was observed in the prevalence of current tobacco use (14.9% to 7.1%), current combustible tobacco use (14.0% to 6.3%), and current cigarette use (10.7% to 4.3%). For high school students, a linear downward trend also was observed in these measures (current tobacco use [34.4% to 23.2%], current combustible tobacco use [33.1% to 21.0%], and current cigarette use [27.9% to 15.8%]). Interventions that are proven to prevent and reduce tobacco use among youths include media campaigns, limiting advertisements and other promotions, increasing the price of tobacco products, and reducing the availability of tobacco products for purchase by youths. These interventions should continue to be implemented as part of national comprehensive tobacco control programs and should be coordinated with Food and Drug Administration (FDA) regulations restricting the sale, distribution, and marketing of cigarettes and smokeless tobacco products to youths.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Centers for Disease Control and Prevention (CDC)
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Visual attention to health warnings on plain tobacco packaging in adolescent smokers and non-smokers 2013 School of Experimental Psychology, University of Bristol, Bristol, UK. olivia.maynard@bristol.ac.uk
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addiction (Abingdon, England)
Periodical, Abbrev.
Addiction
Pub Date Free Form
Feb
Volume
108
Issue
2
Start Page
413
Other Pages
419
Notes
CI: (c) 2012 The Authors, Addiction (c) 2012; JID: 9304118; 7U1EE4V452 (Carbon Monoxide); 2012/04/11 [received]; 2012/05/16 [revised]; 2012/07/20 [accepted]; 2012/10/18 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1360-0443; 0965-2140
Accession Number
PMID: 22882736
Language
eng
SubFile
Journal Article; Multicenter Study; IM
DOI
10.1111/j.1360-0443.2012.04028.x [doi]
Output Language
Unknown(0)
PMID
22882736
Abstract
AIMS: Previous research with adults indicates that plain packaging increases visual attention to health warnings in adult non-smokers and weekly smokers, but not daily smokers. The present research extends this study to adolescents aged 14-19 years. DESIGN: Mixed-model experimental design, with smoking status as a between-subjects factor and pack type (branded or plain pack) and eye gaze location (health warning or branding) as within-subjects factors. SETTING: Three secondary schools in Bristol, UK. PARTICIPANTS: A convenience sample of adolescents comprising never-smokers (n = 26), experimenters (n = 34), weekly smokers (n = 13) and daily smokers (n = 14). MEASUREMENTS: Number of eye movements to health warnings and branding on plain and branded packs. FINDINGS: Analysis of variance, irrespective of smoking status revealed more eye movements to health warnings than branding on plain packs, but an equal number of eye movements to both regions on branded packs (P = 0.033). This was observed among experimenters (P
Descriptors
Links
Book Title
Database
Publisher
Society for the Study of Addiction
Data Source
Authors
Maynard,O.M., Munafo,M.R., Leonards,U.
Original/Translated Title
URL
Date of Electronic
20121018
PMCID
Editors
Vortex-assisted extraction combined with dispersive liquid-liquid microextraction for the determination of polycyclic aromatic hydrocarbons in sediment by high performance liquid chromatography 2012 Department of Environmental Science and Engineering, Sichuan University, Chengdu, China.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of separation science
Periodical, Abbrev.
J.Sep.Sci.
Pub Date Free Form
Oct
Volume
35
Issue
20
Start Page
2796
Other Pages
2804
Notes
CI: (c) 2012; JID: 101088554; 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Water Pollutants, Chemical); 2012/03/04 [received]; 2012/06/12 [revised]; 2012/06/13 [accepted]; 2012/08/15 [aheadofprint]; ppublish
Place of Publication
Germany
ISSN/ISBN
1615-9314; 1615-9306
Accession Number
PMID: 22893532
Language
eng
SubFile
Evaluation Studies; Journal Article; IM
DOI
10.1002/jssc.201200234 [doi]
Output Language
Unknown(0)
PMID
22893532
Abstract
A simple, rapid, and efficient method, vortex-assisted extraction followed by dispersive liquid-liquid microextraction (DLLME) has been developed for the extraction of polycyclic aromatic hydrocarbons (PAHs) in sediment samples prior to analysis by high performance liquid chromatography fluorescence detection. Acetonitrile was used as collecting solvent for the extraction of PAHs from sediment by vortex-assisted extraction. In DLLME, PAHs were rapidly transferred from acetonitrile to dichloromethane. Under the optimum conditions, the method yields a linear calibration curve in the concentration range from 10 to 2100 ng g(-1) for fluorene, anthracene, chrysene, benzo[k]fluoranthene, and benzo[a]pyrene, and 20 to 2100 ng g(-1) for other target analytes. Coefficients of determinations ranged from 0.9986 to 0.9994. The limits of detection, based on signal-to-noise ratio of three, ranged from 2.3 to 6.8 ng g(-1) . Reproducibility and recoveries was assessed by extracting a series of six independent sediment samples, which were spiked with different concentration levels. Finally, the proposed method was successfully applied in analyses of real nature sediment samples. The proposed method extended and improved the application of DLLME to solid samples, which greatly shorten the extraction time and simplified the extraction process.
Descriptors
Links
Book Title
Database
Publisher
WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim
Data Source
Authors
Leng,G., Lui,G., Chen,Y., Yin,H., Dan,D.
Original/Translated Title
URL
Date of Electronic
20120815
PMCID
Editors
The role of tobacco promoting and restraining factors in smoking intentions among Ghanaian youth 2012 Department of Population and Health, University of Cape Coast, Private Mail Bag, University Post Office, Cape Coast, Ghana. dokudavid@gmail.com
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
15-Aug
Volume
12
Issue
Start Page
662
Other Pages
2458-12-662
Notes
LR: 20151119; JID: 100968562; OID: NLM: PMC3490846; 2012/04/30 [received]; 2012/08/09 [accepted]; 2012/08/15 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 22894679
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1186/1471-2458-12-662 [doi]
Output Language
Unknown(0)
PMID
22894679
Abstract
BACKGROUND: In Western countries, the relationship between smoking intentions and smoking behaviour is well established. However, youth smoking intentions and associated factors in developing countries are largely unexplored and the former may occur for a variety of reasons. We investigated youth smoking intentions in Ghana with regard to several tobacco promoting and restraining factors, including environmental, familial, attitudinal and knowledge measures. METHODS: A school-based survey of a representative sample of 12-20-year-olds was conducted in 2008 in Ghana (N = 1338, response rate 89.7%). RESULTS: In a bivariate model, both among ever and never smokers, allowing smoking on school compound, exposure to tobacco advertisement and parental smoking were associated with future intention to smoke. Compared to those who agreed that smoking is harmful to health, smoking is difficult to quit and that tobacco should not be sold to minors, those who disagreed or were not sure were more likely to have an intention to smoke. In the multivariate analyses, these associations persisted, except that the attitude measures concerning the difficulty of quitting smoking once started and tobacco sales ban were no longer significantly associated with smoking intentions. CONCLUSIONS: These findings underscore the importance of school smoking policy, parental smoking behaviour and knowledge of the harmful effects of tobacco use in determining Ghanaian youths' future smoking intentions. Because current high percentages of smoking intentions may turn into high smoking rates in the future, the introduction of effective tobacco control measures at all levels of society to prevent youth smoking in Ghana may be essential.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Doku,D., Raisamo,S., Wiium,N.
Original/Translated Title
URL
Date of Electronic
20120815
PMCID
PMC3490846
Editors
Nicotine vaccines for smoking cessation 2012 Department of Primary Care Health Sciences, University ofOxford, Oxford, UK. jamie.hartmann-boyce@phc.ox.ac.uk.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Cochrane database of systematic reviews
Periodical, Abbrev.
Cochrane Database Syst.Rev.
Pub Date Free Form
15-Aug
Volume
(8):CD007072. doi
Issue
8
Start Page
CD007072
Other Pages
Notes
LR: 20160602; JID: 100909747; 0 (NicVAX); 0 (Vaccines); 0 (nicotine Qbeta vaccine); epublish
Place of Publication
England
ISSN/ISBN
1469-493X; 1361-6137
Accession Number
PMID: 22895958
Language
eng
SubFile
Journal Article; Meta-Analysis; Review; IM
DOI
10.1002/14651858.CD007072.pub2 [doi]
Output Language
Unknown(0)
PMID
22895958
Abstract
BACKGROUND: By reducing the amount of nicotine that reaches the brain when a person smokes a cigarette, nicotine vaccines may help people to stop smoking or to prevent recent quitters from relapsing. OBJECTIVES: The aims of this review are to assess the efficacy of nicotine vaccines for smoking cessation and for relapse prevention, and to assess the frequency and type of adverse events associated with the use of nicotine vaccines. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Review Group specialised register for trials, using the term 'vaccine' in the title or abstract, or in a keyword (date of most recent search April 2012). To identify any other material including reviews and papers potentially relevant to the background or discussion sections, we also searched MEDLINE, EMBASE, and PsycINFO, combining terms for nicotine vaccines with terms for smoking and tobacco use, without design limits or limits for human subjects. We searched the Annual Meeting abstracts of the Society for Research on Nicotine and Tobacco up to 2012, using the search string 'vaccin'. We searched Google Scholar for 'nicotine vaccine'. We also searched company websites and Google for information related to specific vaccines. We searched clinicaltrials.gov in March 2012 for 'nicotine vaccine' and for the trade names of known vaccine candidates. SELECTION CRITERIA: We included randomized controlled trials of nicotine vaccines, at Phase II and Phase III trial stage and beyond, in adult smokers or recent ex-smokers. We included studies of nicotine vaccines used as part of smoking cessation or relapse prevention interventions. DATA COLLECTION AND ANALYSIS: We extracted data on the type of participants, the dose and duration of treatment, the outcome measures, the randomization procedure, concealment of allocation, blinding of participants and personnel, reporting of outcomes, and completeness of follow-up.Our primary outcome measure was a minimum of six months abstinence from smoking. We used the most rigorous definition of abstinence, and preferred cessation rates at 12 months and biochemically validated rates where available. We have used the risk ratio (RR) to summarize individual trial outcomes. We have not pooled the current group of included studies as they cover different vaccines and variable regimens. MAIN RESULTS: There are no nicotine vaccines currently licensed for public use, but there are a number in development. We found four trials which met our inclusion criteria, three comparing NicVAX to placebo and one comparing NIC002 (formerly NicQbeta) to placebo. All were smoking cessation trials conducted by pharmaceutical companies as part of the drug development process, and all trials were judged to be at high or unclear risk of bias in at least one domain. Overall, 2642 smokers participated in the included studies in this review. None of the four included studies detected a statistically significant difference in long-term cessation between participants receiving vaccine and those receiving placebo. The RR for 12 month cessation in active and placebo groups was 1.35 (95% Confidence Interval (CI) 0.82 to 2.22) in the trial of NIC002 and 1.74 (95% CI 0.73 to 4.18) in one NicVAX trial. Two Phase III NicVAX trials, for which full results were not available, reported similar quit rates of approximately 11% in both groups. In the two studies with full results available, post hoc analyses detected higher cessation rates in participants with higher levels of nicotine antibodies, but these findings are not readily generalisable. The two studies with full results showed nicotine vaccines to be well tolerated, with the majority of adverse events classified as mild or moderate. In the study of NIC002, participants receiving the vaccine were more likely to report mild to moderate adverse events, most commonly flu-like symptoms, whereas in the study of NicVAX there was no significant difference between the two arms. Information on adverse events wa
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Hartmann-Boyce,J., Cahill,K., Hatsukami,D., Cornuz,J.
Original/Translated Title
URL
Date of Electronic
20120815
PMCID
Editors
Microbiological components in mainstream and sidestream cigarette smoke 2012 Dept of Laboratory Medicine, Lund University, Lund, Sweden. Lennart.Larsson@med.lu.se.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco induced diseases
Periodical, Abbrev.
Tob Induc Dis.
Pub Date Free Form
16-Aug
Volume
10
Issue
1
Start Page
13
Other Pages
Notes
LR: 20130402; JID: 101201591; OID: NLM: PMC3444954; 2012/06/08 [received]; 2012/08/08 [accepted]; 2012/08/16 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1617-9625; 1617-9625
Accession Number
PMID: 22898193
Language
eng
SubFile
Journal Article
DOI
1617-9625-10-13 [pii]
Output Language
Unknown(0)
PMID
22898193
Abstract
BACKGROUND: Research has shown that tobacco smoke contains substances of microbiological origin such as ergosterol (a fungal membrane lipid) and lipopolysaccharide (LPS) (in the outer membrane of Gram-negative bacteria). The aim of the present study was to compare the amounts of ergosterol and LPS in the tobacco and mainstream (MS) and sidestream (SS) smoke of some popular US cigarettes. METHODS: We measured LPS 3-hydroxy fatty acids and fungal biomass biomarker ergosterol in the tobacco and smoke from cigarettes of 11 popular brands purchased in the US. University of Kentucky reference cigarettes were also included for comparison. RESULTS: The cigarette tobacco of the different brands contained 6.88-16.17 (mean 10.64) pmol LPS and 8.27-21.00 (mean 14.05) ng ergosterol/mg. There was a direct correlation between the amounts of ergosterol and LPS in cigarette tobacco and in MS smoke collected using continuous suction; the MS smoke contained 3.65-8.23% (ergosterol) and 10.02-20.13% (LPS) of the amounts in the tobacco. Corresponding percentages were 0.30-0.82% (ergosterol) and 0.42-1.10% (LPS) for SS smoke collected without any ongoing suction, and 2.18% and 2.56% for MS smoke collected from eight two-second puffs. CONCLUSIONS: Tobacco smoke is a bioaerosol likely to contain a wide range of potentially harmful bacterial and fungal components.
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Larsson,L., Pehrson,C., Dechen,T., Crane-Godreau,M.
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20120816
PMCID
PMC3444954
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