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Are primary health care providers prepared to implement an anti-smoking program in Syria? 2011
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Patient Educ Couns
Periodical, Abbrev.
Patient Educ.Couns.
Pub Date Free Form
Volume
85
Issue
2
Start Page
201
Other Pages
5
Notes
ID: 21168300
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVE: To document primary health care (PHC) providers' tobacco use, and how this influences their smoking cessation practices and attitudes towards tobacco-control policies. METHODS: Anonymous questionnaires were distributed to PHC providers in 7 randomly selected PHC centers in Aleppo, Syria. RESULTS: All PHC providers completed the questionnaires (100% response rate). A quarter of these providers smoke cigarettes and more than 10% smoke waterpipes. Physicians who smoke were less likely to advise patients to quit (OR=0.29; 95% CI, 0.09-0.95), assess their motivation to quit (OR=0.13, 95% CI=0.02-0.72), or assist them in quitting (OR=0.24, 95% CI=0.06-0.99). PHC providers who smoke were less likely to support a ban on smoking in PHC settings (68.2% vs. 89.1%) and in enclosed public places (68.2% vs. 86.1%) or increases in the price of tobacco products (43.2% vs. 77.4%) (P<0.01 for all comparisons). CONCLUSIONS: Smoking, including waterpipe, continues to be widespread among PHC providers in Syria and will negatively influence implementation of anti-smoking program in PHC settings. PRACTICE IMPLICATIONS: Smoking awareness and cessation interventions targeted to PHC providers, and training programs to build providers' competency in addressing their patients' smoking is crucial in Syria.
Descriptors
Attitude of Health Personnel, Nurses/psychology, Physicians/psychology, Primary Health Care, Smoking Cessation, Smoking/prevention & control, Smoking/psychology, Adult, Chi-Square Distribution, Female, Humans, Logistic Models, Male, Prevalence, Smoking/epidemiology, Questionnaires, Syria/epidemiology
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3074023/?tool=pubmed; http://dx.doi.org/10.1016/j.pec.2010.11.011
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Asfar,Taghrid, Al-Ali,Radwan, Ward,Kenneth D., Vander Weg,Mark,W., Maziak,Wasim
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Tobacco use among students aged 13-15 years--Baghdad, Iraq, 2008 2009
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
MMWR Morb Mortal Wkly Rep
Periodical, Abbrev.
MMWR Morb.Mortal.Wkly.Rep.
Pub Date Free Form
Volume
58
Issue
12
Start Page
305
Other Pages
8
Notes
ID: 19343010
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
In 2008, Iraq's parliament ratified the World Health Organization Framework Convention on Tobacco Control (WHO FCTC), which obligates participants to establish tobacco use monitoring, surveillance, and evaluation systems. Lack of data on adolescent tobacco use in Iraq led the Ministry of Health (MOH) to conduct the Global Youth Tobacco Survey (GYTS) in Baghdad in 2008. GYTS is a school-based survey of students aged 13--15 years that is self-administered in classes in selected schools. As in most Middle East countries, tobacco use in Iraq takes the form of cigarettes and shisha. Based on GYTS results, 7.4% of students aged 13--15 years reported having ever smoked cigarettes, 12.9% had ever smoked shisha, 3.2% currently smoked cigarettes, and 6.3% currently smoked shisha. Among never smokers aged 13--15 years, 13.0% reported they were likely to initiate cigarette smoking in the next year. Future declines in adolescent tobacco use in Iraq (and Baghdad) could be enhanced by expanding existing tobacco control programs to include prevention and cessation of the use of cigarettes and shisha, implementing measures that discourage adolescents who have never smoked from initiating tobacco use, expanding legislation to ban exposure to secondhand smoke in all indoor workplaces, and enacting legislation banning pro-tobacco advertising and sponsorship.
Descriptors
Smoking/epidemiology, Students, Adolescent, Advertising as Topic, Data Collection, Female, Humans, Iraq/epidemiology, Male, Public Policy, Tobacco Smoke Pollution/statistics & numerical data
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-19343010
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Tetra-ethyl-ammonium l-malate 1.36-hydrate 2008
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Acta crystallographica.Section E, Structure reports online
Periodical, Abbrev.
Acta Crystallogr.Sect.E.Struct.Rep.Online
Pub Date Free Form
10-Dec
Volume
65
Issue
Pt 1
Start Page
o49
Other Pages
50
Notes
LR: 20130329; JID: 101089178; OID: NLM: PMC2967964; 2008/11/12 [received]; 2008/12/01 [accepted]; 2008/12/10 [epublish]; epublish
Place of Publication
England
ISSN/ISBN
1600-5368; 1600-5368
Accession Number
PMID: 21581690
Language
eng
SubFile
Journal Article
DOI
10.1107/S1600536808040348 [doi]
Output Language
Unknown(0)
PMID
21581690
Abstract
The asymmetric unit of the title compound, C(8)H(20)N(+).C(4)H(5)O(5) (-).1.36H(2)O, contains two independent ion pairs, with similar conformations, and three water mol-ecules of crystallization, one water mol-ecule haing a site-occupancy factor of 0.721 (5). Intra-molecular O-Hcdots, three dots, centeredO hydrogen bonds, involving the hydr-oxy groups and an O atom of each carboxyl-ate anion, generate five-membered rings involving S(5) ring motifs. In the crystal structure, mol-ecules are linked together by water mol-ecules through four-membered O-Hcdots, three dots, centeredO-Hcdots, three dots, centeredO-H inter-actions to form one-dimensional infinite chains along the a axis. Since the mol-ecules are also linked into one-dimensional infinite chains along the b axis, mol-ecular sheets parallel to the (001) plane are created. Overall, the crystal structure is stabilized by two intra-molecular O-Hcdots, three dots, centeredO hydrogen bonds, nine inter-molecular O-Hcdots, three dots, centeredO and ten C-Hcdots, three dots, centeredO hydrogen bonds.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Abdul Rahman,M. B., Jumbri,K., Sirat,K., Kia,R., Fun,H. K.
Original/Translated Title
URL
Date of Electronic
20081210
PMCID
PMC2967964
Editors
Comparative study of the effect of cigarette and hubble bubble goza smoking on some essential glucoregulatory hormones 1993
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tanta Medical Journal
Periodical, Abbrev.
Pub Date Free Form
Volume
21
Issue
1
Start Page
103
Other Pages
113
Notes
ID: 35382
Place of Publication
ISSN/ISBN
Accession Number
Language
english
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
To compare the effects of Hubble-Bubble Goza] smoking with those of cigarette smoking on insulin, growth hormone and catecholamines secretion, 10 healthy male smokers were studied. Each subject worked as control for himself. After an overnight fast each subject was insucted to smoke 2 non-filtered cigarettes Cleopatra Super, Eastern Company, Egypt], over 10 minutes in one day and in an another day an equivalent amount tobacco as Meassel 7.1 g of the commercialy available Goza Tobacco] using Goza over the same 10 minutes period. Blood samles were assayed for plasma glucose, insulin, growth hormone, adrenaline and noradernaline in the fasting state and 10, 30, 60, 90, 120 and 180 minutes after the end of smoking by the glucose oxidase method for glucose, radioimmunoassay for insulin and growth hormone, and flourometry for catecholamines. The results of the present study showed significant elevation of plasma glucose after both types of smoking, with peak glucose response occurring earlier after Goza smoking. Plasma insulin showed no significant changes after both smoking types. Growth hormone levels were significantly and progressively elevated in both types of smoking. A significant elevation of adrenaline at 10 and 30 minutes and a significant elevation of noradrenaline at 10 minutes after both types of smoking were also observed. The results showed that Hubble-Bubble Goza] smoking produces the same effect on the parameters studied as those of cigarette smoking although the response is a little bit attenuated
Descriptors
Humans, Male, Comparative Study, Smoking, Tobacco Smoke Pollution, Catecholamines, Growth Hormone, Insulin
Links
http://pesquisa.bvsalud.org/ghl/resource/en/emro-35382
Book Title
Database
GHL; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Amara,Fahmy
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Patterns of waterpipe tobacco smoking among US young adults, 2013− 2014 2017
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Preventive Medicine
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Volume
52
Issue
4
Start Page
507
Other Pages
512
Notes
Place of Publication
ISSN/ISBN
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Links
Book Title
Database
Publisher
Elsevier
Data Source
google
Authors
Salloum, Ramzi G, Thrasher, James F, Getz, Kayla R, Barnett, Tracey E, Asfar, Taghrid, Maziak, Wasim
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Some chemical and biological effects of cigarettes and Hubbell bubble smoking 1990
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Bulletin of Alexandria Faculty of Medicine
Periodical, Abbrev.
Pub Date Free Form
Volume
26
Issue
1
Start Page
175
Other Pages
85
Notes
ID: 17970
Place of Publication
ISSN/ISBN
Accession Number
Language
english
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
The study was performed on 50 adult male cigarette and hubble smokers. The aim was to study and compare the cigarette and hubble bubble smoke on some chemical and biological functions of the smoke component. Plasma epinephrine, glucose, lactate/pyruvate ratio, growth hormone, free fatty acids, and cortisol were significantly higher in smokers than non smokers especially cigarette smokers. Plasma insulin concentration showed a significantly delayed response to the increased blood glucose. Plasma proteins, urea, pyruvate, creatinine and vitamin B12 were significantly reduced inn smokers than non smokers especially cigarette smokers. Both blood erythrocytes and leucocytes were increased significantly in smokers. Blood gases showed significantly low PaO2, significant blood level of Co fraction, while PaCO2 was unaffected. Urinary catecholamines were significantly higher in smokers especially in cigarette smokers
Descriptors
Humans, Male, Smoking/adverse effects, Tobacco/metabolism
Links
http://pesquisa.bvsalud.org/ghl/resource/en/emro-17970
Book Title
Database
GHL; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Abo Shamaa,M. N., Osman,H. A., Kamel,M. R.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Smoking habits among medical students in Central Saudi Arabia 2006
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Saudi Med J
Periodical, Abbrev.
Saudi Med.J.
Pub Date Free Form
Volume
27
Issue
5
Start Page
700
Other Pages
3
Notes
ID: 16680263
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVE: To estimate the prevalence of smoking habits among male medical students at the College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia (KSA). METHODS: We carried out this cross-sectional study using Arabic questionnaires distributed to the medical students in the College of Medicine, King Saud University, Riyadh, KSA at different educational levels from September 13 to September 25, 2005. A total of 322 medical students completed the questionnaires (response rate 80.5%). RESULTS: The study shows that 13% of male medical students were currently active smokers, 5.3% were ex-smokers, and 38.2% were passive smokers. The types of smoking included sheesha 44.1%, cigarette 32.2%, and both 23.7%. The common reason given for the smoking behavior was the influence of friends (35.6%). The study shows that 57.1% of current smokers were motivated to stop smoking. CONCLUSION: There is an urgent need to promote multi-disciplinary health education activities at different age groups in order to prevent young age students from smoking, and to help smokers to quit.
Descriptors
Smoking/epidemiology, Students, Medical, Adolescent, Adult, Cross-Sectional Studies, Health Education, Humans, Male, Prevalence, Saudi Arabia, Smoking/prevention & control, Smoking Cessation, Questionnaires
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-16680263
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Al-Turki,Yousef
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Le narguilé et ses effets sur la santé. Partie I : le narguilé, description générale et propriétés 2009
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Rev Pneumol Clin
Periodical, Abbrev.
Rev.Pneumol.Clin.
Pub Date Free Form
Volume
65
Issue
6
Start Page
369
Other Pages
75
Notes
ID: 19995660
Place of Publication
ISSN/ISBN
Accession Number
Language
fr
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
A narghile is a water-pipe used to smoke a tobacco preparation. As the smoker inhales, the tobacco smoke is sucked down from the bowl and then bubbles up through the water into the air of the smoke chamber and then through the hose to the smoker. Its origins are mysterious and controversial. Nevertheless it remains, under different names, an object used regularly by more than one hundred million people in the world. Since the eighties and especially nineties, its consumption has grown significantly and is now considered to be a worldwide epidemic. However, the knowledge about the effects of narghile smoke on health is partial and sometimes contradictory. Indeed, we are witnessing increasing confusion in biomedical studies and scientific debate about its health impact is unresolved. Given this situation, revealing a serious and profound lack of information about the real nature and toxicity of hookah smoke, the authors conducted this two-part study. The first part presents epidemiological data, describes the narghile and the different types of narghile tobacco and exposes the composition of narghile smoke. The second part highlights the lack of reliable data about the detrimental effects of the narghile pipe on health and especially on the cardiopulmonary function.
Descriptors
Cross-Cultural Comparison, Smoking/adverse effects, Tobacco Use Disorder/epidemiology, Adolescent, Adult, Cross-Sectional Studies, Equipment Design, Female, Humans, Incidence, Male, Risk Factors, Smoking/epidemiology, Tobacco Smoke Pollution/adverse effects, Young Adult
Links
http://dx.doi.org/10.1016/j.pneumo.2009.08.010
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Ben Saad,H.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Harm perception, attitudes and predictors of waterpipe (shisha) smoking among secondary school adolescents in Al-Hassa, Saudi Arabia 2010
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Asian Pac J Cancer Prev
Periodical, Abbrev.
Pub Date Free Form
Volume
11
Issue
2
Start Page
293
Other Pages
301
Notes
ID: 20843104
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVES: This study aimed to determine the prevalence and social determinants of waterpipe (WP) smoking among secondary school students in Al-Hassa, Saudi Arabia and to assess their health related knowledge and attitudes toward WP. SUBJECTS AND METHODS: A cross-sectional study was conducted with 1,652 Saudi secondary school students of both genders aged between 15-19 years selected by multistage sampling method. A self-administered anonymous Arabic version of Global Youth Tobacco Survey modified with items dedicated to WP smoking and to assess perception of health related hazards and attitudes towards WP was employed for data collection. RESULTS: Prevalence of current smokers 'all forms' was 30.3% among males (C.I= 27.5- 33.2%) and 8.5% in females (C.I= 6.6-10.9%). WP was used by 53.9% of the current tobacco users, significantly higher among older age students. Of the regular WP smokers, 20.7% smoked WP on daily basis, 23.8% weekly, 64.2% stated using flavored " Muassel " tobacco. Primary motives for WP smoking were outings with friends, company, boredom and wasting time. Of the total, 49.7% of students stated that WP smoking is less harmful than cigarettes, 60.5% believed that harmful substances were purified through water filtration, with non-addictive properties in 67.8%. Knowledge about health hazards of WP smoking was low, irrespective of student's smoking status. WP smoking is more socially acceptable than cigarettes (52.1%), represents a good opportunity for gathering of friends and family (33.8%), and smoking of WP can relieve stress and tensions (37.8%). Hierarchical regression analysis showed that socializing motives, cigarette smoking, smoking among close family and friends, male gender and increasing age were positive predictors for WP smoking. CONCLUSION: Social acceptability, poor knowledge of WP health related hazards and certain socio demographics are favoring the increasing current trend of WP use among adolescents in Al Hassa, Saudi Arabia.
Descriptors
Smoking/epidemiology, Smoking/psychology, Students/psychology, Students/statistics & numerical data, Tobacco Use Disorder/epidemiology, Adolescent, Adult, Attitude, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Prevalence, Risk Factors, Risk-Taking, Saudi Arabia/epidemiology, Schools, Social Environment, Questionnaires, Tobacco Use Disorder/prevention & control, Young Adult
Links
http://pesquisa.bvsalud.org/ghl/resource/en/mdl-20843104
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Amin,Tarek Tawfik, Amr,Mostafa Abdel Monem, Zaza,Burhan Omar, Suleman,Wassem
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Comparison of patterns of use, beliefs, and attitudes related to waterpipe between beginning and established smokers 2005
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC Public Health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
Volume
5
Issue
Start Page
19
Other Pages
19
Notes
ID: 15733316
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
BACKGROUND: To compare patterns of use, beliefs, and attitudes related to waterpipe smoking between university students (beginning smokers) and cafe customers (established smokers) in Aleppo Syria, in order to explore the evolution of this smoking method. METHODS: Two cross-sectional surveys were conducted among representative samples of university students (total 587, 48.4% men, mean age 22 years), and waterpipe users among cafe' customers (total 268, 60% men, mean age 30 years) in Aleppo, Syria. We used interviewer-administered questionnaire inquiring about pattern of waterpipe smoking (initiation, frequency), situational characteristics of use (partner, place, sharing), beliefs related to waterpipe smoking (harmful/addictive properties of waterpipe), attitudes related to waterpipe smoking (confidence in quitting, will to quit, motivation for quitting, past year quit attempt), and cigarette smoking. RESULTS: Daily and regular patterns of smoking become more prevalent with increased duration of smoking, but intermittent smoking remains the predominant pattern of waterpipe use. Women seem to be drawn later to the habit, which seem to escape the usual taboo against women's cigarette smoking. Patterns and context of waterpipe use tend to change with progress of the practice affecting frequency, setting, and sharing of waterpipe. Unlike beginners, established waterpipe smokers seem more smoking-method oriented, more hooked on the habit, less willing to quit, and less likely to foresee challenges to quitting. CONCLUSION: Use patterns and attitudes related to waterpipe smoking evolve to accommodate the change in dependence and life circumstances of the smoker. Most of use features, beliefs, attitudes, as well as time-course seem unique to this smoking method requiring novel approach to intervention.
Descriptors
Health Knowledge, Attitudes, Practice, Restaurants, Smoking/psychology, Social Perception, Students/psychology, Universities, Activities of Daily Living/psychology, Adolescent, Adult, Cross-Sectional Studies, Female, Humans, Male, Prevalence, Sex Factors, Smoking/adverse effects, Smoking/epidemiology, Questionnaires, Syria/epidemiology, Time Factors, Water
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC553967/?tool=pubmed
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Asfar,Taghrid, Ward,Kenneth D., Eissenberg,Thomas, Maziak,Wasim
Original/Translated Title
URL
Date of Electronic
PMCID
Editors