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Updating the minimal important difference for six-minute walk distance in patients with chronic obstructive pulmonary disease 2010 School of Physiotherapy, La Trobe University, Melbourne, Australia. a.holland@alfred.org.au
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Archives of Physical Medicine and Rehabilitation
Periodical, Abbrev.
Arch.Phys.Med.Rehabil.
Pub Date Free Form
Feb
Volume
91
Issue
2
Start Page
221
Other Pages
225
Notes
LR: 20101118; CI: Copyright 2010; JID: 2985158R; 2009/08/05 [received]; 2009/10/12 [revised]; 2009/10/19 [accepted]; ppublish
Place of Publication
United States
ISSN/ISBN
1532-821X; 0003-9993
Accession Number
PMID: 20159125
Language
eng
SubFile
Controlled Clinical Trial; Journal Article; AIM; IM
DOI
10.1016/j.apmr.2009.10.017 [doi]
Output Language
Unknown(0)
PMID
20159125
Abstract
OBJECTIVE: To establish the minimal important difference (MID) for the six-minute walk distance (6MWD) in persons with chronic obstructive pulmonary disease (COPD). DESIGN: Analysis of data from an observational study using distribution- and anchor-based methods to determine the MID in 6MWD. SETTING: Outpatient pulmonary rehabilitation program at 2 teaching hospitals. PARTICIPANTS: Seventy-five patients with COPD (44 men) in a stable clinical state with mean age 70 years (SD 9 y), forced expiratory volume in one second 52% (SD 21%) predicted and baseline walking distance 359 meters (SD 104 m). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Participants completed the six-minute walk test before and after a 7-week pulmonary rehabilitation program. Participants and clinicians completed a global rating of change score while blinded to the change in 6MWD. RESULTS: The mean change in 6MWD in participants who reported themselves to be unchanged was 17.7 meters, compared with 60.2 meters in those who reported small change and 78.4 meters in those who reported substantial change (P=.004). Anchor-based methods identified an MID of 25 meters (95% confidence interval 20-61 m). There was excellent agreement with distribution-based methods (25.5-26.5m, kappa=.95). A change in 6MWD of 14% compared with baseline also represented a clinically important effect; this threshold was less sensitive than for absolute change (sensitivity .70 vs .85). CONCLUSIONS: The MID for 6MWD in COPD is 25 meters. Absolute change in 6MWD is a more sensitive indicator than percentage change from baseline. These data support the use of 6MWD as a patient-important outcome in research and clinical practice.
Descriptors
Aged, Aged, 80 and over, Cohort Studies, Exercise Test, Exercise Tolerance/physiology, Female, Forced Expiratory Volume, Humans, Male, Middle Aged, Outcome Assessment (Health Care), Predictive Value of Tests, Pulmonary Disease, Chronic Obstructive/physiopathology/rehabilitation, Self-Assessment, Walking/physiology
Links
Book Title
Database
Publisher
American Congress of Rehabilitation Medicine. Published by Elsevier Inc
Data Source
Authors
Holland,A. E., Hill,C. J., Rasekaba,T., Lee,A., Naughton,M. T., McDonald,C. F.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Urinary cotinine in narguila or chicha tobacco smokers. 1997 Macaron, C., RIA Reference Laboratory, Zahleh, Lebanon.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Le Journal médical libanais.The Lebanese medical journal
Periodical, Abbrev.
J.Med.Liban.
Pub Date Free Form
/
Volume
45
Issue
1
Start Page
19
Other Pages
20
Notes
Place of Publication
ISSN/ISBN
0023-9852
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Urinary levels of nicotine metabolites were measured in nonsmokers and smokers of tobacco either as cigarettes or as the Middle-Eastern water pipes (narguila). Levels of urinary cotinine were similar for the smokers of cigarettes (median 30 cigarettes per day) and narguila (median 2 pipes per day, or around 40 grams of tobacco). Use of water pipes may remove a small amount of nicotine, but smokers appear to titrate dose to effect. It is unlikely that narguila smoking confers any less risk.
Descriptors
cotinine, drug derivative, hydroxycotinine, adult, aged, article, comparative study, female, human, Lebanon, male, middle aged, radioimmunoassay, sex difference, smoking, urine
Links
Book Title
Database
MEDLINE
Publisher
Data Source
Embase
Authors
Macaron,C., Macaron,Z., Maalouf,M. T., Macaron,N., Moore,A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
US college students' use of tobacco products: results of a national survey 2000 Division of General Medicine, Massachusetts General Hospital, 50 Staniford St, 9th Floor, Boston, MA 02114, USA. nrigotti@partners.org
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Jama
Periodical, Abbrev.
JAMA
Pub Date Free Form
9-Aug
Volume
284
Issue
6
Start Page
699
Other Pages
705
Notes
LR: 20151119; JID: 7501160; ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
0098-7484; 0098-7484
Accession Number
PMID: 10927777
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; AIM; IM
DOI
joc00488 [pii]
Output Language
Unknown(0)
PMID
10927777
Abstract
CONTEXT: Adults aged 18 to 24 years, many of whom are in college, represent the youngest legal targets for tobacco industry marketing. Cigarette smoking has been described among college students, but little is known about non-cigarette tobacco use by college students or cigar use by adults of any age. OBJECTIVES: To assess the prevalence of all forms of tobacco use (cigarettes, cigars, pipes, and smokeless tobacco) among US college students and to identify student- and college-level factors associated with use of each product. DESIGN: The Harvard College Alcohol Survey, a self-administered survey conducted in 1999. SETTING: One hundred nineteen nationally representative US 4-year colleges. SUBJECTS: A total of 14,138 randomly selected students (60% response rate). MAIN OUTCOME MEASURES: Self-report of current (in the past 30 days), past-year, and lifetime use of cigarettes, cigars, pipes, smokeless tobacco, and all tobacco products. RESULTS: Nearly half (45.7%) of respondents had used a tobacco product in the past year and one third (32.9%) currently used tobacco. Cigarettes accounted for most of the tobacco use (28.5% current prevalence), but cigar use was also substantial (37.1% lifetime prevalence, 23.0% past-year prevalence, and 8.5% current prevalence) and combinations of the 2 were common. Total tobacco use was higher in men than in women (37. 9% vs 29.7%; P<.001), despite nearly identical current cigarette smoking rates between the sexes (28.5% for women vs 28.4% for men), because of greater use of cigars (current prevalence, 15.7% vs 3.9%; P<.001) and smokeless tobacco (current prevalence, 8.7% vs 0.4%; P<. 001) by men. Tobacco use was significantly higher among white students (P<.001), users of other substances (alcohol and marijuana) (P<.001), and students whose priorities were social rather than educational or athletic (P<.05). Among students who had used both cigars and cigarettes, only 8.9% smoked cigars at an earlier age than they had smoked cigarettes. CONCLUSION: Our study indicates that tobacco use is common among college students and is not limited to cigarettes. College appears to be a time when many students are trying a range of tobacco products and are in danger of developing lifelong nicotine dependence. National efforts to monitor and reduce tobacco use of all types should expand to focus on college students and other young adults. JAMA. 2000;284:699-705
Descriptors
Adolescent, Adult, Female, Health Surveys, Humans, Logistic Models, Male, Plants, Toxic, Prevalence, Smoking/epidemiology, Students/statistics & numerical data, Surveys and Questionnaires, Tobacco Use Disorder/epidemiology, Tobacco, Smokeless, United States/epidemiology, Universities/statistics & numerical data
Links
Book Title
Database
Publisher
Data Source
Authors
Rigotti,N. A., Lee,J. E., Wechsler,H.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
US health policy related to hookah tobacco smoking 2012
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Am J Public Health
Periodical, Abbrev.
Am.J.Public Health
Pub Date Free Form
Volume
102
Issue
9
Start Page
e47
Other Pages
51
Notes
ID: 22827447
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
OBJECTIVES: Although US cigarette smoking is decreasing, hookah tobacco smoking (HTS) is an emerging trend associated with substantial toxicant exposure. We assessed how a representative sample of US tobacco control policies may apply to HTS. METHODS: We examined municipal, county, and state legal texts applying to the 100 largest US cities. We developed a summary policy variable that distinguished among cities on the basis of how current tobacco control policies may apply to HTS and used multinomial logistic regression to determine associations between community-level sociodemographic variables and the policy outcome variable. RESULTS: Although 73 of the 100 largest US cities have laws that disallow cigarette smoking in bars, 69 of these cities have exemptions that allow HTS; 4 of the 69 have passed legislation specifically exempting HTS, and 65 may permit HTS via generic tobacco retail establishment exemptions. Cities in which HTS may be exempted had denser populations than cities without clean air legislation. CONCLUSIONS: Although three fourths of the largest US cities disallow cigarette smoking in bars, nearly 90% of these cities may permit HTS via exemptions. Closing this gap in clean air regulation may significantly reduce exposure to HTS.
Descriptors
Links
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3482044/?tool=pubmed
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Primack,Brian A., Hopkins,Maggie, Hallett,Cynthia, Carroll,Mary V., Zeller,Mitchell, Dachille,Kathleen, Kim,Kevin H., Fine,Michael J., Donohue,Julie M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
US is to regulate all tobacco products, including e-cigarettes and hookah tobacco 2016 Seattle.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMJ (Clinical research ed.)
Periodical, Abbrev.
BMJ
Pub Date Free Form
6-May
Volume
353
Issue
Start Page
i2594
Other Pages
Notes
JID: 8900488; epublish
Place of Publication
England
ISSN/ISBN
1756-1833; 0959-535X
Accession Number
PMID: 27154555
Language
eng
SubFile
Journal Article; AIM; IM
DOI
10.1136/bmj.i2594 [doi]
Output Language
Unknown(0)
PMID
27154555
Abstract
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
McCarthy,M.
Original/Translated Title
URL
Date of Electronic
20160506
PMCID
Editors
US Medical Schools’ Awareness of Their Students Who Smoke, Cessation Programs Available, and the Potential Impact on Residency Match 2016
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & Tobacco Research
Periodical, Abbrev.
Nicotine Tobacco Res.
Pub Date Free Form
Volume
Issue
Start Page
ntw250
Other Pages
Notes
Place of Publication
ISSN/ISBN
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Descriptors
Links
Book Title
Database
Publisher
Oxford University Press
Data Source
google
Authors
Chidiac, Joseph E, Mohamed, Ahmed, Krishnamoorthy, Madhumitha, Mahmoud, Karim, Rajasekaranrathnakumar, Geethapriya, Palla, Mohan, Levine, Diane L
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
US news media coverage of tobacco control issues 2006 Department of Journalism and Technical Communication, C223 Clark Building, Colorado State University, Fort Collins, CO 80523, USA. malong@lamar.colostate.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco control
Periodical, Abbrev.
Tob.Control
Pub Date Free Form
Oct
Volume
15
Issue
5
Start Page
367
Other Pages
372
Notes
LR: 20151119; GR: AA10377/AA/NIAAA NIH HHS/United States; GR: CA109649/CA/NCI NIH HHS/United States; JID: 9209612; OID: NLM: PMC2563650; ppublish
Place of Publication
England
ISSN/ISBN
1468-3318; 0964-4563
Accession Number
PMID: 16998170
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
15/5/367 [pii]
Output Language
Unknown(0)
PMID
16998170
Abstract
OBJECTIVE: To characterise the relative amount and type of daily newspaper, local and national TV newscast, and national news magazine coverage of tobacco control issues in the United States in 2002 and 2003. DESIGN: Content analysis of daily newspapers, news magazines, and TV newscasts. SUBJECTS: Items about tobacco in daily newspapers, local and national TV newscasts, and three national news magazines in a nationally representative sample of 56 days of news stratified by day of week and season of the year, from 2002 and 2003. MAIN OUTCOME MEASURES: Story theme, tobacco topics, sources, story prominence, story valence (orientation), and story type. RESULTS: Tobacco coverage was modest over the two-year period as estimated in our sample. Only 21 TV stories, 17 news magazine stories, and 335 daily newspaper stories were found during the two-year sampling period. Noteworthy results for the newspaper data set include the following: (1) government topics predominated coverage; (2) government action and negative health effects topics tended not to occur together in stories; (3) tobacco stories were fairly prominently placed in newspapers; (4) opinion news items tended to favour tobacco control policies, while news and feature stories were evenly split between positive and negative stories; and (5) tobacco coverage in the southeast, which is the country's major tobacco producing region, did not differ from the rest of the country. CONCLUSION: Results suggest mixed support in news coverage for tobacco control efforts in the United States. The modest amount of news coverage of tobacco is troubling, particularly because so few news stories were found on TV, which is a more important news source for Americans than newspapers. When tobacco was covered, government themed stories, which often did not include mentions of negative health effects, were typical, suggesting that media coverage does not reinforce the reason for tobacco control efforts. However, some results were encouraging. For example, when newspapers did cover tobacco, they accorded the stories relatively high prominence, thus increasing the chance that readers would see tobacco stories when they were published.
Descriptors
Humans, Mass Media/statistics & numerical data, Newspapers as Topic, Smoking/adverse effects, Smoking Cessation, Television, Tobacco, Tobacco Industry, United States
Links
Book Title
Database
Publisher
Data Source
Authors
Long,M., Slater,M. D., Lysengen,L.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC2563650
Editors
Use & Misuse of Water-filtered Tobacco Smoking Pipes in the World. Consequences for Public Health, Research & Research Ethics 2015 DIU Tabacologie, Universite Paris XI, France.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The open medicinal chemistry journal
Periodical, Abbrev.
Open Med.Chem.J.
Pub Date Free Form
27-Feb
Volume
9
Issue
Start Page
1
Other Pages
12
Notes
LR: 20150412; JID: 101507899; OID: NLM: PMC4384226; OTO: NOTNLM; 2015 [ecollection]; 2014/08/18 [received]; 2014/12/27 [revised]; 2015/01/22 [accepted]; 2015/02/27 [epublish]; epublish
Place of Publication
Netherlands
ISSN/ISBN
1874-1045
Accession Number
PMID: 25861403
Language
eng
SubFile
Journal Article
DOI
10.2174/1874104501509010001 [doi]
Output Language
Unknown(0)
PMID
25861403
Abstract
BACKGROUND: The traditional definition of an "epidemic" has been revisited by antismoking researchers. After 400 years, Doctors would have realized that one aspect of an ancient cultural daily practice of Asian and African societies was in fact a "global "epidemic"". This needed further investigation particularly if one keeps in his mind the health aspects surrounding barbecues. METHOD: Here, up-to-date biomedical results are dialectically confronted with anthropological findings, hence in real life, in order to highlight the extent of the global confusion: from the new definition of an "epidemic" and "prevalence" to the myth of "nicotine "addiction"" and other themes in relation to water filtered tobacco smoking pipes (WFTSPs). RESULTS: We found that over the last decade, many publications, -particularly reviews, "meta-analyses" and "systematic reviews"- on (WFTSPs), have actually contributed to fuelling the greatest mix-up ever witnessed in biomedical research. One main reason for such a situation has been the absolute lack of critical analysis of the available literature and the uncritical use of citations (one seriously flawed review has been cited up to 200 times). Another main reason has been to take as granted a biased smoking robot designed at the US American of Beirut whose measured yields of toxic chemicals may differ dozens of times from others' based on the same "protocol". We also found that, for more than one decade, two other main methodological problems are: 1) the long-lived unwillingness to distinguish between use and misuse; 2) the consistent unethical rejection of biomedical negative results which, interestingly, are quantitatively and qualitatively much more instructive than the positive ones. CONCLUSION: the great majority of WFTSP toxicity studies have actually measured, voluntarily or not, their misuse aspects, not the use in itself. This is in contradiction with both the harm reduction and public health doctrines. The publication of negative results should be encouraged instead of being stifled.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Chaouachi,K.
Original/Translated Title
URL
Date of Electronic
20150227
PMCID
PMC4384226
Editors
Use and abuse of licit and illicit substances: prevalence and risk factors among students in Lebanon 2000 Department of Psychiatry, St. George Hospital, Beirut, Lebanon. egkaram@dm.net.lb
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
European addiction research
Periodical, Abbrev.
Eur.Addict.Res.
Pub Date Free Form
Dec
Volume
6
Issue
4
Start Page
189
Other Pages
197
Notes
LR: 20041117; JID: 9502920; 0 (Street Drugs); ppublish
Place of Publication
Switzerland
ISSN/ISBN
1022-6877; 1022-6877
Accession Number
PMID: 11124572
Language
eng
SubFile
Journal Article; IM
DOI
52045 [pii]
Output Language
Unknown(0)
PMID
11124572
Abstract
OBJECTIVE: This study aims at examining the patterns of 'substance' use in Lebanon among an 'at risk' population, the university students. METHOD: A stratified cluster sample of 1,851 students from two major universities was included in the study and the Diagnostic Interview Schedule (version 3) was administered. RESULTS: The prevalence of nicotine users in the sample was 18.3% and of ever consuming alcohol 49.4%. 2.1% of the sample were alcohol abusers and 2.4% alcohol dependents according to DSM-III criteria. For the remaining substances, tranquilizers were found to have the highest rate of ever use (10.2%), whereas heroin had the lowest rate (0.4%); the rates of abuse and dependence in these categories (other than alcohol and nicotine) following DSM-III criteria ranged from 0.1 to 0.8%. CONCLUSION: University students in Lebanon in this study have relatively low rates of use and abuse of substances but this might be changing.
Descriptors
Adolescent, Adult, Alcohol Drinking/epidemiology, Alcoholism/epidemiology, Cross-Sectional Studies, Female, Humans, Incidence, Lebanon/epidemiology, Male, Risk Factors, Smoking/epidemiology, Street Drugs, Students/statistics & numerical data, Substance-Related Disorders/epidemiology
Links
Book Title
Database
Publisher
Data Source
Authors
Karam,E., Melhem,N., Mansour,C., Maalouf,W., Saliba,S., Chami,A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Use and Effectiveness of a Video- and Text-Driven Web-Based Computer-Tailored Intervention: Randomized Controlled Trial 2015 Maastricht University, Department of Health Promotion, Maastricht, Netherlands. michel.walthouwer@maastrichtuniversity.nl.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of medical Internet research
Periodical, Abbrev.
J.Med.Internet Res.
Pub Date Free Form
25-Sep
Volume
17
Issue
9
Start Page
e222
Other Pages
Notes
LR: 20160113; NTR/NTR3501; JID: 100959882; OID: NLM: PMC4642388; OTO: NOTNLM; 2015/04/02 [received]; 2015/07/08 [accepted]; 2015/06/23 [revised]; epublish
Place of Publication
Canada
ISSN/ISBN
1438-8871; 1438-8871
Accession Number
PMID: 26408488
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; IM
DOI
10.2196/jmir.4496 [doi]
Output Language
Unknown(0)
PMID
26408488
Abstract
BACKGROUND: Many Web-based computer-tailored interventions are characterized by high dropout rates, which limit their potential impact. OBJECTIVE: This study had 4 aims: (1) examining if the use of a Web-based computer-tailored obesity prevention intervention can be increased by using videos as the delivery format, (2) examining if the delivery of intervention content via participants' preferred delivery format can increase intervention use, (3) examining if intervention effects are moderated by intervention use and matching or mismatching intervention delivery format preference, (4) and identifying which sociodemographic factors and intervention appreciation variables predict intervention use. METHODS: Data were used from a randomized controlled study into the efficacy of a video and text version of a Web-based computer-tailored obesity prevention intervention consisting of a baseline measurement and a 6-month follow-up measurement. The intervention consisted of 6 weekly sessions and could be used for 3 months. ANCOVAs were conducted to assess differences in use between the video and text version and between participants allocated to a matching and mismatching intervention delivery format. Potential moderation by intervention use and matching/mismatching delivery format on self-reported body mass index (BMI), physical activity, and energy intake was examined using regression analyses with interaction terms. Finally, regression analysis was performed to assess determinants of intervention use. RESULTS: In total, 1419 participants completed the baseline questionnaire (follow-up response=71.53%, 1015/1419). Intervention use declined rapidly over time; the first 2 intervention sessions were completed by approximately half of the participants and only 10.9% (104/956) of the study population completed all 6 sessions of the intervention. There were no significant differences in use between the video and text version. Intervention use was significantly higher among participants who were allocated to an intervention condition that matched their preferred intervention delivery format. There were no significant interaction terms for any of the outcome variables; a match and more intervention use did not result in better intervention effects. Participants with a high BMI and participants who felt involved and supported by the intervention were more likely to use the intervention more often. CONCLUSIONS: Video delivery of tailored feedback does not increase the use of Web-based computer-tailored interventions. However, intervention use can potentially be increased by delivering intervention content via participants' preferred intervention delivery format and creating feelings of relatedness. Because more intervention use was not associated with better intervention outcomes, more research is needed to examine the optimum number of intervention sessions in terms of maximizing use and effects. TRIAL REGISTRATION: Nederlands Trial Register: NTR3501; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=3501 (Archived by WebCite at http://www.webcitation.org/6b2tsH8Pk).
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Walthouwer,M.J., Oenema,A., Lechner,L., de Vries,H.
Original/Translated Title
URL
Date of Electronic
20150925
PMCID
PMC4642388
Editors