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An outbreak of Ebola in Uganda 2002 Uganda Ministry of Health, Kampala, Uganda.
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Journal Article
Periodical, Full
Tropical medicine & international health : TM & IH
Periodical, Abbrev.
Trop.Med.Int.Health
Pub Date Free Form
Dec
Volume
7
Issue
12
Start Page
1068
Other Pages
1075
Notes
LR: 20061115; JID: 9610576; ppublish
Place of Publication
England
ISSN/ISBN
1360-2276; 1360-2276
Accession Number
PMID: 12460399
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; IM
DOI
944 [pii]
Output Language
Unknown(0)
PMID
12460399
Abstract
An outbreak of Ebola disease was reported from Gulu district, Uganda, on 8 October 2000. The outbreak was characterized by fever and haemorrhagic manifestations, and affected health workers and the general population of Rwot-Obillo, a village 14 km north of Gulu town. Later, the outbreak spread to other parts of the country including Mbarara and Masindi districts. Response measures included surveillance, community mobilization, case and logistics management. Three coordination committees were formed: National Task Force (NTF), a District Task Force (DTF) and an Interministerial Task Force (IMTF). The NTF and DTF were responsible for coordination and follow-up of implementation of activities at the national and district levels, respectively, while the IMTF provided political direction and handled sensitive issues related to stigma, trade, tourism and international relations. The international response was coordinated by the World Health Organization (WHO) under the umbrella organization of the Global Outbreak and Alert Response Network. A WHO/CDC case definition for Ebola was adapted and used to capture four categories of cases, namely, the 'alert', 'suspected', 'probable' and 'confirmed cases'. Guidelines for identification and management of cases were developed and disseminated to all persons responsible for surveillance, case management, contact tracing and Information Education Communication (IEC). For the duration of the epidemic that lasted up to 16 January 2001, a total of 425 cases with 224 deaths were reported countrywide. The case fatality rate was 53%. The attack rate (AR) was highest in women. The average AR for Gulu district was 12.6 cases/10 000 inhabitants when the contacts of all cases were considered and was 4.5 cases/10 000 if limited only to contacts of laboratory confirmed cases. The secondary AR was 2.5% when nearly 5000 contacts were followed up for 21 days. Uganda was finally declared Ebola free on 27 February 2001, 42 days after the last case was reported. The Government's role in coordination of both local and international support was vital. The NTF and the corresponding district committees harmonized implementation of a mutually agreed programme. Community mobilization using community-based resource persons and political organs, such as Members of Parliament was effective in getting information to the public. This was critical in controlling the epidemic. Past experience in epidemic management has shown that in the absence of regular provision of information to the public, there are bound to be deleterious rumours. Consequently rumour was managed by frank and open discussion of the epidemic, providing daily updates, fact sheets and press releases. Information was regularly disseminated to communities through mass media and press conferences. Thus all levels of the community spontaneously demonstrated solidarity and response to public health interventions. Even in areas of relative insecurity, rebel abductions diminished considerably.
Descriptors
Adolescent, Adult, Child, Child, Preschool, Community Health Services, Disease Outbreaks, Female, Hemorrhagic Fever, Ebola/epidemiology/prevention & control, Humans, Male, Middle Aged, Patient Isolation, Public Health Practice, Sex Distribution, Uganda/epidemiology
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Book Title
Database
Publisher
Data Source
Authors
Okware,S. I., Omaswa,F. G., Zaramba,S., Opio,A., Lutwama,J. J., Kamugisha,J., Rwaguma,E. B., Kagwa,P., Lamunu,M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Containing a haemorrhagic fever epidemic: the Ebola experience in Uganda (October 2000-January 2001) 2004 Uganda Ministry of Health, Kampala, Uganda. mlamunu@yahoo.co.uk
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
Periodical, Abbrev.
Int.J.Infect.Dis.
Pub Date Free Form
Jan
Volume
8
Issue
1
Start Page
27
Other Pages
37
Notes
LR: 20130715; JID: 9610933; ppublish
Place of Publication
Canada
ISSN/ISBN
1201-9712; 1201-9712
Accession Number
PMID: 14690778
Language
eng
SubFile
Journal Article; IM
DOI
S1201971203000079 [pii]
Output Language
Unknown(0)
PMID
14690778
Abstract
INTRODUCTION: The Ebola virus, belonging to the family of filoviruses, was first recognized in 1976 when it caused concurrent outbreaks in Yambuku in the Democratic Republic of Congo (DRC), and in the town of Nzara in Sudan. Both countries share borders with Uganda. A total of 425 cases and 224 deaths attributed to Ebola haemorrhagic fever (EHF) were recorded in Uganda in 2000/01. Although there was delayed detection at the community level, prompt and efficient outbreak investigation led to the confirmation of the causative agent on 14 October 2000 by the National Institute of Virology in South Africa, and the subsequent institution of control interventions. CONTROL INTERVENTIONS: Public health interventions to contain the epidemic aimed at minimizing transmission in the health care setting and in the community, reducing the case fatality rate due to the epidemic, strengthening co-ordination for the response and building capacity for on-going surveillance and control. Co-ordination of the control interventions was organized through the Interministerial Committee, National Ebola Task Force, District Ebola Task Forces, and the Technical Committees at national and district levels. The World Health Organization (WHO) under the Global Outbreak Alert and Response Network co-ordinated the international response. The post-outbreak control interventions addressed weaknesses prior to outbreak detection and aimed at improving preparations for future outbreak detection and response. Challenges to control efforts included inadequate and poor quality protective materials, deaths of health workers, numerous rumors and the rejection of convalescent cases by members of the community. CONCLUSIONS: This was recognized as the largest reported outbreak of EHF in the world. Control interventions were very successful in containing the epidemic. The community structures used to contain the epidemic have continued to perform well after containment of the outbreak, and have proved useful in the identification of other outbreaks. This was also the first outbreak response co-ordinated by the WHO under the Global Outbreak Alert and Response Network, a voluntary organization recently created to co-ordinate technical and financial resources to developing countries during outbreaks.
Descriptors
Communicable Disease Control/methods, Disease Outbreaks, Ebolavirus/growth & development, Hemorrhagic Fever, Ebola/epidemiology/prevention & control/virology, Humans, Uganda/epidemiology, World Health Organization
Links
Book Title
Database
Publisher
Data Source
Authors
Lamunu,M., Lutwama,J. J., Kamugisha,J., Opio,A., Nambooze,J., Ndayimirije,N., Okware,S.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Tobacco use and associated factors among Adults in Uganda: Findings from a nationwide survey 2016 Uganda Public Health Fellowship Program, Field Epidemiology Track, Ministry of Health, Kampala, Uganda.; Mental Health and Substance Abuse, Ministry of Health, Kampala, Uganda.; Control of Non-Communicable Diseases Desk, Ministry of Health, Kampala, Ugand
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco induced diseases
Periodical, Abbrev.
Tob Induc Dis.
Pub Date Free Form
11-Aug
Volume
14
Issue
Start Page
27
Other Pages
016-0093-8. eCollection 2016
Notes
LR: 20160817; JID: 101201591; OID: NLM: PMC4981967; OTO: NOTNLM; 2016 [ecollection]; 2016/05/12 [received]; 2016/08/05 [accepted]; 2016/08/11 [epublish]; epublish
Place of Publication
England
ISSN/ISBN
2070-7266; 1617-9625
Accession Number
PMID: 27524959
Language
eng
SubFile
Journal Article
DOI
10.1186/s12971-016-0093-8 [doi]
Output Language
Unknown(0)
PMID
27524959
Abstract
BACKGROUND: Tobacco use and the exposure to tobacco smoke is one of the most preventable causes of death and disability globally. The risk is even higher among daily tobacco users. The World Health Organization (WHO) has recommended that surveillance of major risk factors for Non Communicable Diseases (NCDs) such as tobacco use is imperative to predict the future burden of NCDs, identify interventions to reduce future burden and monitor emerging patterns and trends. In 2014 the first Uganda nation-wide NCD risk factor survey was carried out to estimate the prevalence of major NCD risk factors. We analyzed data from this survey to estimate the prevalence of daily tobacco use and associated risk factors. METHODS: A nationally representative sample was drawn stratified by the four regions of the country. The WHO's STEPwise tool was used to collect data on demographic and behavioral characteristics including tobacco use, physical and biochemical measurements. Tobacco use was divided into three categories; daily tobacco use, daily smoked tobacco use and daily smokeless tobacco use. Weighted logistic regression analysis was used to identify factors associated with daily tobacco use. RESULTS: Of the 3983 participants, 9.2 % (366) were daily tobacco users, 7.4 % (294) were daily smoked tobacco users and 2.9 % (115) were daily smokeless tobacco users. Male participants were more likely to be daily tobacco users compared with female participants AOR 5.51 [3.81-7.95]. Compared with participants aged 18-29 years, those aged 30-49 years were more likely to be daily tobacco users AOR 2.47 [1.54-3.94] as were those aged 50-69 years AOR 2.82 [1.68-4.74]. Compared with participants without any education, those with primary education were less likely to be daily tobacco users AOR 0.43 [0.29-0.65], as were those with secondary education AOR 0.21 [0.14-0.33] and those with university level of education AOR 0.23 [0.11-0.48]. Compared with participants in the central region, those in the eastern region were more likely to be daily tobacco users AOR 2.14 [1.33-3.45] as were those in the northern region AOR 4.31 [2.79-6.45] and those in the western region AOR 1.87 [1.18-2.97]. Participants who were underweight were more likely to be daily tobacco users compared with people with normal BMI AOR 2.19 [1.48-3.24]. CONCLUSIONS: In agreement with previous surveys on tobacco use, there is a high prevalence of tobacco use in Uganda with almost 1 in every 10 Ugandans using tobacco products daily. Being older, male, having no formal education, residing in the east, north and western regions and having low BMI were significantly associated with daily tobacco use. This information provides a useful benchmark to the National Tobacco Control Program for the designing of public health interventions for the control and prevention of tobacco use in Uganda.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Kabwama,S.N., Ndyanabangi,S., Mutungi,G., Wesonga,R., Bahendeka,S.K., Guwatudde,D.
Original/Translated Title
URL
Date of Electronic
20160811
PMCID
PMC4981967
Editors
The effectiveness of tobacco control television advertisements in increasing the prevalence of smoke-free homes 2015 UK Centre for Tobacco and Alcohol Studies, Division of Epidemiology and Public Health, University of Nottingham, Clinical Sciences Building, Nottingham City Hospital, Nottingham, NG5 1PB, UK. sarah.lewis@nottingham.ac.uk.; UK Centre for Tobacco and Alcoho
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
8-Sep
Volume
15
Issue
Start Page
869
Other Pages
015-2207-2
Notes
LR: 20151222; GR: MR/J00023X/1/Medical Research Council/United Kingdom; JID: 100968562; 0 (Smoke); 0 (Tobacco Smoke Pollution); OID: NLM: PMC4562106; 2014/12/11 [received]; 2015/09/02 [accepted]; 2015/09/08 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 26350614
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1186/s12889-015-2207-2 [doi]
Output Language
Unknown(0)
PMID
26350614
Abstract
BACKGROUND: There is considerable evidence that tobacco control mass media campaigns can change smoking behaviour. In the UK, campaigns over the last decade have contributed to declines in smoking prevalence and been associated with falls in cigarette consumption among continuing smokers. However, it is less evident whether such campaigns can also play a role in changing smokers' behaviour in relation to protecting others from the harmful effects of their smoking in the home. We investigated whether exposure to English televised tobacco control campaigns, and specifically campaigns targeting second hand smoking, is associated with smokers having a smoke-free home. METHODS: We used repeated cross-sectional national survey data on 9872 households which participated in the Health Survey for England between 2004 and 2010, with at least one adult current smoker living in the household. Exposure to all government-funded televised tobacco control campaigns, and to those specifically with a second hand smoking theme, was quantified in Gross Rating Points (GRPs), an average per capita measure of advert exposure where 100 GRPs indicates 100 % of adults exposed once or 50 % twice. Our outcome was self-reported presence of a smoke-free home (where no one smokes in the home on most days). Analysis used generalised additive models, controlling for individual factors and temporal trends. RESULTS: There was no association between monthly televised campaigns overall and the probability of having a smoke-free home. However, exposure to campaigns specifically targeting second hand smoke was associated with increased odds of a smoke-free home in the following month (odds ratio per additional 100 GRPs, 1.07, 95 % CI 1.01 to 1.13), though this association was not seen at other lags. These effects were not modified by socio-economic status or by presence of a child in the home. CONCLUSIONS: Our findings provide tentative evidence that mass media campaigns specifically focussing on second hand smoke may be effective in reducing smoking in the home, and further evaluation of campaigns of this type is needed. General tobacco control campaigns in England, which largely focus on promoting smoking cessation, do not impact on smoke-free homes over and above their direct effect at reducing smoking.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Lewis,S., Sims,M., Richardson,S., Langley,T., Szatkowski,L., McNeill,A., Gilmore,A.B.
Original/Translated Title
URL
Date of Electronic
20150908
PMCID
PMC4562106
Editors
Lack of attentional retraining effects in cigarette smokers attempting cessation: a proof of concept double-blind randomised controlled trial 2015 UK Centre for Tobacco and Alcohol Studies, Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford OX2 6GG, UK. Electronic address: rachna.begh@phc.ox.ac.uk.; UK Centre for Tobacco and Alcohol Studies, School of Experimental Psyc
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Drug and alcohol dependence
Periodical, Abbrev.
Drug Alcohol Depend.
Pub Date Free Form
1-Apr
Volume
149
Issue
Start Page
158
Other Pages
165
Notes
LR: 20160805; CI: Copyright (c) 2015; ISRCTN/ISRCTN54375405; GR: MC_UU_12013/6/Medical Research Council/United Kingdom; JID: 7513587; EMS69300; OID: NLM: EMS69300; OID: NLM: PMC4961243; OTO: NOTNLM; 2014/10/02 [received]; 2015/01/20 [revised]; 2015/01/28
Place of Publication
Ireland
ISSN/ISBN
1879-0046; 0376-8716
Accession Number
PMID: 25697911
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.drugalcdep.2015.01.041 [doi]
Output Language
Unknown(0)
PMID
25697911
Abstract
BACKGROUND: Observational studies have shown that attentional bias for smoking-related cues is associated with increased craving and relapse. Laboratory experiments have shown that manipulating attentional bias may change craving. Interventions to reduce attentional bias could reduce relapse in smokers seeking to quit. We report a clinical trial of attentional retraining in treatment-seeking smokers. METHODS: This was a double-blind randomised controlled trial that took place in UK smoking cessation clinics. Smokers interested in quitting were randomised to five weekly sessions of attentional retraining (N=60) or placebo training (N = 58) using a modified visual probe task from one week prior to quit day. Both groups received 21 mg nicotine patches (from quit day onwards) and behavioural support. Primary outcomes included change in attentional bias reaction times four weeks after quit day on the visual probe task and craving measured weekly using the Mood and Physical Symptoms Scale. Secondary outcomes were changes in withdrawal symptoms, time to first lapse and prolonged abstinence. RESULTS: No attentional bias towards smoking cues was found in the sample at baseline (mean difference = 3 ms, 95% CI = -2, 9). Post-training bias was not significantly lower in the retraining group compared with the placebo group (mean difference = -9 ms, 95% CI = -20, 2). There was no difference between groups in change in craving (p = 0.89) and prolonged abstinence at four weeks (risk ratio = 1.00, 95% CI = 0.70, 1.43). CONCLUSIONS: Taken with one other trial, there appears to be no effect from clinic-based attentional retraining using the visual probe task. Attentional retraining conducted out of clinic may prove more effective. CLINICAL TRIAL REGISTRATION: UK Clinical Trials ISRCTN 54375405.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ireland Ltd
Data Source
Authors
Begh,R., Munafo,M.R., Shiffman,S., Ferguson,S.G., Nichols,L., Mohammed,M.A., Holder,R.L., Sutton,S., Aveyard,P.
Original/Translated Title
URL
Date of Electronic
20150209
PMCID
PMC4961243
Editors
Canadian and English students' beliefs about waterpipe smoking: a qualitative study 2009 UK Centre for Tobacco Control Studies, Primary Care Clinical Sciences, University of Birmingham, Birmingham, UK.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
10-Jan
Volume
9
Issue
Start Page
10
Other Pages
9/10/2458
Notes
LR: 20151119; JID: 100968562; 059QF0KO0R (Water); 6M3C89ZY6R (Nicotine); OID: NLM: PMC2628878; 2008/06/23 [received]; 2009/01/10 [accepted]; 2009/01/10 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 19134220
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1186/1471-2458-9-10 [doi]
Output Language
Unknown(0)
PMID
19134220
Abstract
BACKGROUND: Waterpipe smoking is becoming popular among western students. The aim was to understand the appeal to students of this form of smoking when other forms of smoking are becoming less common. METHODS: Waterpipe smokers were identified by snowball sampling and interviewed following a semi-structured schedule in waterpipe cafes and in their homes. Constant comparative analysis was used to derive themes for the analysis. RESULTS: Waterpipe smokers saw smoking as an alternative to more expensive nights out in bars. The appeal was related to the communal activity and the novelty of the experience. Respondents had not thought deeply about the health risks and reasoned that if no warnings about waterpipe smoking were apparent (unlike cigarette smoking) then it was probably safe. These observations were reinforced by observations about the mildness of the smoke, the fruit flavours, and beliefs about the filtering of the water. Waterpipe smokers felt no pressure to stop smoking and therefore had not tried to do so, but felt it might be something they did not continue after university. Waterpipe smoking was not linked in students' minds to other forms of smoking except in one individual who was using waterpipe smoking to help quit cigarettes. CONCLUSION: In the absence of public health information, students have fallen back on superficial experiences to form views that waterpipe smoking is less harmful than other forms of smoking and it is currently much more acceptable in student society than other forms of smoking.
Descriptors
Administration, Inhalation, Adolescent, Age Distribution, Cross-Sectional Studies, Cultural Characteristics, Female, Great Britain/epidemiology, Group Processes, Health Behavior, Humans, Interpersonal Relations, Male, Nicotine/administration & dosage, Ontario/epidemiology, Prevalence, Qualitative Research, Sex Distribution, Smoking/epidemiology/psychology, Students/psychology, Surveys and Questionnaires, Tobacco, Water, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Roskin,J., Aveyard,P.
Original/Translated Title
URL
Date of Electronic
20090110
PMCID
PMC2628878
Editors
Patterns of electronic cigarette use and user beliefs about their safety and benefits: an internet survey 2013 UK Centre for Tobacco Control Studies, Tobacco Dependence Research Unit, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK. m.goniewicz@qmul.ac.uk
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Drug and Alcohol Review
Periodical, Abbrev.
Drug Alcohol Rev.
Pub Date Free Form
Mar
Volume
32
Issue
2
Start Page
133
Other Pages
140
Notes
LR: 20150222; CI: (c) 2012; GR: R25 CA113710/CA/NCI NIH HHS/United States; GR: R25CA113710/CA/NCI NIH HHS/United States; GR: Cancer Research UK/United Kingdom; GR: British Heart Foundation/United Kingdom; GR: Medical Research Council/United Kingdom; JID:
Place of Publication
Australia
ISSN/ISBN
1465-3362; 0959-5236
Accession Number
PMID: 22994631
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1111/j.1465-3362.2012.00512.x [doi]
Output Language
Unknown(0)
PMID
22994631
Abstract
INTRODUCTION AND AIMS: As the popularity of electronic cigarettes (e-cigarettes) increases, it is becoming important to find out more about the characteristics of e-cigarette users, why and how they use the product and whether e-cigarettes are used exclusively or in combination with conventional cigarettes. The objective of this study was to investigate patterns and effects of e-cigarette use and user beliefs about e-cigarette safety and benefits. DESIGN AND METHODS: E-cigarette users in Poland were recruited online and asked to participate in a web-based survey. The participants provided information on their smoking history, patterns of e-cigarette use, beliefs and attitudes regarding the product and information on concurrent use of conventional cigarettes. RESULTS: The survey was completed by 179 e-cigarette users. Almost all participants used e-cigarettes daily. E-cigarettes were primarily used to quit smoking or to reduce the harm associated with smoking (both 41%), and were successful in helping the surveyed users to achieve these goals with 66% not smoking conventional cigarettes at all and 25% smoking under five cigarettes a day. Most participants (82%) did not think that e-cigarettes were completely safe, but thought that they were less dangerous than conventional cigarettes. Sixty percent believed that e-cigarettes were addictive, but less so than conventional cigarettes. DISCUSSION AND CONCLUSIONS: The participants primarily used e-cigarettes as a stop-smoking aid or as an alternative to conventional cigarettes, and the majority reported that they successfully stopped smoking. More data on e-cigarette safety and its efficacy in harm-reduction and smoking cessation are needed.
Descriptors
Links
Book Title
Database
Publisher
Australasian Professional Society on Alcohol and other Drugs
Data Source
Authors
Goniewicz,M.L., Lingas,E.O., Hajek,P.
Original/Translated Title
URL
Date of Electronic
20120920
PMCID
PMC3530631
Editors
The forgotten smoker: a qualitative study of attitudes towards smoking, quitting, and tobacco control policies among continuing smokers 2013 UK Centre for Tobacco Control Studies, University of Nottingham, Clinical Sciences Building, City Hospital, Nottingham NG5 1PB, UK. mcxnu1@nottingham.ac.uk
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
3-May
Volume
13
Issue
Start Page
432
Other Pages
2458-13-432
Notes
LR: 20150427; JID: 100968562; OID: NLM: PMC3651294; 2012/07/25 [received]; 2013/04/22 [accepted]; 2013/05/03 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 23641875
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1186/1471-2458-13-432 [doi]
Output Language
Unknown(0)
PMID
23641875
Abstract
BACKGROUND: Although research suggests that the majority of smokers want to quit smoking, the uptake of Stop Smoking Services, designed to assist smokers with quitting, remains low. Little is known about continuing smokers who do not access these services, and opportunities to influence their motivation and encourage quit attempts through the uptake of services. Using PRIME theory, this study explored differences between continuing smokers who had varying levels of motivation to quit, in terms of their plans to quit, evaluative beliefs about smoking, cigarette dependence, and attitudes towards tobacco control policies and services. METHODS: Twenty-two current smokers, recruited from the community, were classified by motivation level to quit using a self-report questionnaire (two groups: high/low). Four focus groups (n=13) and individual interviews (n=9) were conducted with both groups using an interview guide incorporating aspects of PRIME theory. Discussion areas included motives for smoking, attitudes towards smoking and quitting, perceptions of dependence, motives for quitting, barriers to quitting, and attitudes towards existing and impending tobacco control policies and services. Verbatim transcripts were analysed using thematic framework analysis. RESULTS: All participants expressed low motivation to quit during discussions, despite some initially self-classifying as having high explicit levels of motivation to quit. Both groups reported similar attitudes towards smoking and quitting, including a perceived psychological addiction to smoking, positive evaluations about smoking which inhibited plans to quit, and similar suggested methods to increase motivation (simply wanting to, save money, improve health). Most felt that they 'ought' to quit as opposed to 'wanted' to. Little influence was ascribed towards tobacco control policies such as plain packaging and hidden sales displays, and participants felt that price increases of tobacco products needed to be considerable in order to influence motivation. Highly motivated smokers expressed more willingness to visit Stop Smoking Services, although none had done so. CONCLUSION: Continuing smokers' attitudes towards smoking and quitting suggests that research and policy need to focus on increasing smokers' implicit motivation to quit smoking, even for those who classified themselves as having high motivation to quit. Targeted information and further education about Stop Smoking Services is required to increase uptake.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Uppal,N., Shahab,L., Britton,J., Ratschen,E.
Original/Translated Title
URL
Date of Electronic
20130503
PMCID
PMC3651294
Editors
Carbon monoxide poisoning after smoking from a water pipe 2013 UMCG, afd. Spoedeisende Hulp, Groningen, the Netherlands. b.w.j.bens@umcg.nl
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nederlands tijdschrift voor geneeskunde
Periodical, Abbrev.
Ned.Tijdschr.Geneeskd.
Pub Date Free Form
Volume
157
Issue
29
Start Page
A6201
Other Pages
Notes
LR: 20131121; JID: 0400770; S88TT14065 (Oxygen); ppublish
Place of Publication
Netherlands
ISSN/ISBN
1876-8784; 0028-2162
Accession Number
PMID: 23859108
Language
dut
SubFile
Case Reports; English Abstract; Journal Article; IM
DOI
Output Language
Unknown(0)
PMID
23859108
Abstract
BACKGROUND: Smoking from a water pipe has become increasingly popular, but this is not as innocent as it seems. CASE DESCRIPTION: Three women presented to the emergency department after having smoked from a water pipe. The first patient had experienced a syncopal episode and still had symptoms of dizziness and a headache afterwards. The second patient only had a headache and the third had no symptoms. The physical examinations and standard vital sign measurements of all three patients were normal. Analyses of the arterial blood gases, however, showed carbon monoxide (CO) poisoning: the patients had HbCO concentrations of 22, 19.5 and 5.7%, respectively. We administered high concentrations of oxygen to each, but the first 2 patients continued to experience symptoms for several weeks. The CO poisoning was probably caused by the incomplete combustion of the charcoal in the water pipe which resulted in CO being released. CONCLUSION: The regular or even one-time use of a water pipe containing tobacco or an aromatised substance can cause CO poisoning. Patients can continue to experience symptoms for weeks after an episode of acute CO poisoning.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Bens,B.W., ter Maaten,J.C., Ligtenberg,J.J.
Original/Translated Title
Koolmonoxidevergiftiging na roken van een waterpijp
URL
Date of Electronic
PMCID
Editors
Diversity of lactic acid bacteria isolated from Brazilian water buffalo mozzarella cheese 2015 UNESP-Sao Paulo State Univ, Food Engineering and Technology Dept, Sao Jose do Rio Preto, Brazil.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of Food Science
Periodical, Abbrev.
J.Food Sci.
Pub Date Free Form
Feb
Volume
80
Issue
2
Start Page
M411
Other Pages
7
Notes
CI: (c) 2015; JID: 0014052; 0 (DNA, Bacterial); 0 (RNA, Ribosomal, 16S); 33X04XA5AT (Lactic Acid); OTO: NOTNLM; 2014/08/17 [received]; 2014/04/12 [accepted]; 2015/01/16 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1750-3841; 0022-1147
Accession Number
PMID: 25597646
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1111/1750-3841.12771 [doi]
Output Language
Unknown(0)
PMID
25597646
Abstract
The water buffalo mozzarella cheese is a typical Italian cheese which has been introduced in the thriving Brazilian market in the last 10 y, with good acceptance by its consumers. Lactic acid bacteria (LAB) play an important role in the technological and sensory quality of mozzarella cheese. In this study, the aim was to evaluate the diversity of the autochthones viable LAB isolated from water buffalo mozzarella cheese under storage. Samples were collected in 3 independent trials in a dairy industry located in the southeast region of Brazil, on the 28th day of storage, at 4 masculineC. The LAB were characterized by Gram staining, catalase test, capacity to assimilate citrate, and production of CO2 from glucose. The diversity of LAB was evaluated by RAPD-PCR (randomly amplified polymorphic DNA-polymerase chain reaction), 16S rRNA gene sequencing, and by Vitek 2 system. Twenty LAB strains were isolated and clustered into 12 different clusters, and identified as Streptococcus thermophilus, Enterococcus faecium, Enterococcus durans, Leuconostoc mesenteroides subsp. mesenteroides, Lactobacillus fermentum, Lactobacillus casei, Lactobacillus delbrueckii subsp. bulgaricus, and Lactobacillus helveticus. Enterococcus species were dominant and citrate-positive. Only the strains of L. mesenteroides subsp. mesenteroides and L. fermentum produced CO2 from glucose and were citrate-positive, while L. casei was only citrate positive. This is the first report which elucidates the LAB diversity involved in Brazilian water buffalo mozzarella cheese. Furthermore, the results show that despite the absence of natural whey cultures as starters in production, the LAB species identified are the ones typically found in mozzarella cheese.
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Institute of Food Technologists(R)
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Silva,L.F., Casella,T., Gomes,E.S., Nogueira,M.C., De Dea Lindner,J., Penna,A.L.
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20150116
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