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Transvaginal echography in the description of anal sphincters 1999 Plaza, F.J., Servicio Obstetricia y Ginecologia, Fundacion Jimenez Diaz, Clinica Ntra. Sra. de la Concepcion, 28040 Madrid, Spain
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Progresos en Obstetricia y Ginecologia
Periodical, Abbrev.
Prog.Obstet.Ginecol.
Pub Date Free Form
1999/
Volume
42
Issue
1
Start Page
61
Other Pages
66
Notes
Place of Publication
ISSN/ISBN
0304-5013
Accession Number
Language
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Objective: Our purpose wthe application of the transvaginal ultrasound, for the ddescription of the main structures annals: mucus, internal anal sphincter, external anal sphincter and fascicle pubococcigeal of the muscle elevator of the year. Patiens and methods: In consultation during the period puerperal, six weeks after the childbirth, ultrasound exam. Results: Obtains the following dimensions: internal anal sphincter: 2.9 +/- 0.9 mm, external anal sphincter: 2.7 +/- 0.9 mm, pubococcigeal of the elevator: 1.9 +/- 0.8 mm. Conclusions: Structural alterations are diagnosed by traumatic lesion in the moment of the cildbirth like lacerations, abscesses, water-pipes or hematomas.
Descriptors
adult, anus sphincter, article, childbirth, clinical article, female, hematoma, human, laceration, perianal abscess, puerperium, transvaginal echography
Links
Book Title
Ecografia transvaginal en la descripcion de los esfinteres anales
Database
Embase
Publisher
Data Source
Embase
Authors
Plaza,F. J., Espinosa,J. A., Hernandez,C., Moya,J. M. F., Recasens,J. D.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
A bibliometric analysis of research productivity of Malaysian publications in leading toxicology journals during a 10-year period (2003-2012) 2014 Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine Department of Pharmacology and Toxicology, College of Medicine and Health Sciences, An-Najah National University,
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Human & experimental toxicology
Periodical, Abbrev.
Hum.Exp.Toxicol.
Pub Date Free Form
Dec
Volume
33
Issue
12
Start Page
1284
Other Pages
1293
Notes
CI: (c) The Author(s) 2014; JID: 9004560; OTO: NOTNLM; 2014/02/06 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1477-0903; 0960-3271
Accession Number
PMID: 24505047
Language
eng
SubFile
Journal Article; IM
DOI
10.1177/0960327113514101 [doi]
Output Language
Unknown(0)
PMID
24505047
Abstract
BACKGROUND: Toxicology in Malaysia has experienced rapid development and made great progress in education and research in conjunction with economic development in Malaysia over the past two decades. OBJECTIVES: The main objectives of this study were to analyse the research originating from Malaysia and published in toxicology journals and to examine the authorship pattern and the citations retrieved from the Scopus database. METHODS: Data from 1 January 2003 till 31 December 2012 were searched for documents with specific words in the toxicology field as a 'source title' and Malaysia as an affiliation country. Research productivity was evaluated based on a methodology we developed and used in other bibliometric studies by analysing: (a) total and trends of contributions in toxicology fields between 2003 and 2012; (b) Malaysian authorship pattern and productivity; (c) collaboration patterns; (d) journals in which Malaysian researchers publish; (e) the classification of journals to Institute for Scientific Information (ISI) or non-ISI; (f) impact factors (IFs) of all publications; and (g) citations received by the publications. RESULTS: In total, 290 documents were retrieved from 55 international peer-reviewed toxicology journals. The quantity of publication increased by around 10-fold from 2003 to 2012. The h-index of the retrieved documents was 20. Of the 55 journal titles, 42 (76.4%) have their IF listed in the journal citation reports 2012. Forty-two documents (14.5%) were published in journals that had no official IF. The total number of citations, at the time of manuscript writing (5 August 2013), was 1707, with a median (interquartile range) of 3 (0-7). Malaysia collaborated mostly with countries in the Asia-Pacific regions (18.3%), especially India and Japan, followed by the Middle East and Africa (10.0%), especially Palestine and Yemen. CONCLUSION: The present data show a promising rise and a good start for toxicology research activity in Malaysia. The sharing of relevant research questions by developed and developing countries can lead to research opportunities in the field of toxicology.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Zyoud,Sh, Al-Jabi,S., Sweileh,W., Awang,R.
Original/Translated Title
URL
Date of Electronic
20140206
PMCID
Editors
Worldwide research productivity of paracetamol (acetaminophen) poisoning: a bibliometric analysis (2003-2012) 2015 Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine Department of Pharmacology and Toxicology, College of Medicine and Health Sciences, An-Najah National University,
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Human & experimental toxicology
Periodical, Abbrev.
Hum.Exp.Toxicol.
Pub Date Free Form
Jan
Volume
34
Issue
1
Start Page
12
Other Pages
23
Notes
CI: (c) The Author(s) 2014; JID: 9004560; 0 (Anti-Inflammatory Agents, Non-Steroidal); 362O9ITL9D (Acetaminophen); OTO: NOTNLM; 2014/04/22 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1477-0903; 0960-3271
Accession Number
PMID: 24758786
Language
eng
SubFile
Journal Article; IM
DOI
10.1177/0960327114531993 [doi]
Output Language
Unknown(0)
PMID
24758786
Abstract
PURPOSE: There is a lack of data concerning the evaluation of scientific research productivity in paracetamol poisoning from the world. The purposes of this study were to analyse the worldwide research output related to paracetamol poisoning and to examine the authorship pattern and the citations retrieved from the Scopus database for over a decade. METHODS: Data were searched for documents with specific words regarding paracetamol poisoning as 'keywords' in the title or/and abstract. Scientific output was evaluated based on a methodology developed and used in other bibliometric studies. Research productivity was adjusted to the national population and nominal gross domestic product (GDP) per capita. RESULTS: There were 1721 publications that met the criteria during study period from the world. All retrieved documents were published from 72 countries. The largest number of articles related to paracetamol poisoning was from the United States (US; 30.39%), followed by India (10.75%) and the United Kingdom (UK; 9.36%). The total number of citations at the time of data analysis was 21,109, with an average of 12.3 citations per each documents and median (interquartile range) of 4 (1-14). The h-index of the retrieved documents was 57. After adjusting for economy and population power, India (124.2), Nigeria (18.6) and the US (10.5) had the highest research productivity. Countries with large economies, such as the UK, Australia, Japan, China and France, tended to rank relatively low after adjustment for GDP over the entire study period. CONCLUSION: Our study demonstrates evidence that research productivity related to paracetamol poisoning has increased rapidly during the recent years. The US obviously dominated in research productivity. However, certain smaller country such as Nigeria has high scientific output relative to their population size and GDP. A highly noticeable increase in the contributions of Asia-Pacific and Middle East regions to scientific literature related to paracetamol poisoning was also observed.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Zyoud,S.H., Al-Jabi,S.W., Sweileh,W.M.
Original/Translated Title
URL
Date of Electronic
20140422
PMCID
Editors
Bibliometric analysis of scientific publications on waterpipe (narghile, shisha, hookah) tobacco smoking during the period 2003-2012 2014 Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine. saedzyoud@yahoo.com.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Tobacco induced diseases
Periodical, Abbrev.
Tob Induc Dis.
Pub Date Free Form
13-Apr
Volume
12
Issue
1
Start Page
7
Other Pages
12/7/9625
Notes
LR: 20140418; JID: 101201591; OID: NLM: PMC3989780; 2013/11/22 [received]; 2014/04/08 [accepted]; 2014/04/13 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
2070-7266; 1617-9625
Accession Number
PMID: 24725483
Language
eng
SubFile
Journal Article
DOI
10.1186/1617-9625-12-7 [doi]
Output Language
Unknown(0)
PMID
24725483
Abstract
BACKGROUND: Waterpipe tobacco smoking has spread worldwide. However, the evaluation of scientific output in the field of waterpipe tobacco smoking has not been studied yet. The main objectives of this study were to analyze worldwide research output in the waterpipe tobacco smoking field, and to examine the authorship pattern and the citations retrieved from the Scopus database for over a decade. METHODS: Data from January 1, 2003 through December 31, 2012 were searched for documents with specific words regarding waterpipe tobacco smoking as "keywords" in the title. Scientific output was evaluated based on a methodology developed and used in other bibliometric studies: (a) total and trends of contributions in waterpipe tobacco smoking research between 2003 and 2012; (b) authorship patterns and research productivity; (c) collaboration patterns; (d) the citations received by the publications; and (e) areas of interest of the published papers. RESULTS: Worldwide there were 334 publications that met the criteria during the study period. The largest number of publications in waterpipe tobacco smoking were from the United States of America (USA) (33.5%), followed by Lebanon (15.3%), and France (10.5%). The total number of citations at the time of data analysis (October 18, 2013) was 4,352, with an average of 13 citations per document and a median (interquartile range) of 4.0 (1.0-16.0). The h-index of the retrieved documents was 34. The highest h-index by country was 27 for the USA, followed by 20 for Syrian Arab Republic and Lebanon. CONCLUSIONS: The present data reveal a promising rise and a good start for research activity in the field of waterpipe tobacco smoking. More effort is needed to bridge the gap in waterpipe smoking-based research and to promote better evaluation of waterpipe smoking, risks, health effects, or control services worldwide.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Zyoud,S.H., Al-Jabi,S.W., Sweileh,W.M.
Original/Translated Title
URL
Date of Electronic
20140413
PMCID
PMC3989780
Editors
Worldwide research productivity in the field of electronic cigarette: a bibliometric analysis 2014 Poison Control and Drug Information Center (PCDIC), College of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine. saedzyoud@yahoo.com.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
30-Jun
Volume
14
Issue
Start Page
667
Other Pages
2458-14-667
Notes
LR: 20150805; JID: 100968562; OID: NLM: PMC4089552; 2013/12/06 [received]; 2014/06/25 [accepted]; 2014/06/30 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 24975597
Language
eng
SubFile
Journal Article; IM
DOI
10.1186/1471-2458-14-667 [doi]
Output Language
Unknown(0)
PMID
24975597
Abstract
BACKGROUND: Electronic cigarette (EC) is an emerging phenomenon that is becoming increasingly popular with smokers worldwide. There is a lack of data concerning the evaluation of research productivity in the field of EC originating from the world. The main objectives of this study were to analyse worldwide research output in EC field, and to examine the authorship pattern and the citations retrieved from the Scopus database. METHODS: Data were searched for documents with specific words regarding EC as "keywords" in the title. Scientific output was evaluated based on the methodology developed and used in other bibliometric studies by investigation: (a) total and trends of contributions in EC research during all previous years up to the date of data analysis (June 13, 2014); (b) authorship patterns and research productivity; (c) countries contribution; and (d) citations received by the publications. RESULTS: Three hundred and fifty-six documents were retrieved comprising 31.5% original journal articles, 16% letters to the editor, 7.9% review articles, and 44.6% documents that were classified as other types of publications, such as notes or editorials or opinions. The retrieved documents were published in 162 peer-reviewed journals. All retrieved documents were published from 27 countries. the largest number of publications in the field of EC was from the United States of America (USA); (33.7%), followed by the United Kingdom (UK); (11.5%), and Italy (8.1%). The total number of citations at the time of data analysis was 2.277, with an average of 6.4 citations per document and median (interquartile range) of 0.0 (0.0-5.0). The h-index of the retrieved documents was 27. The most productive institutions were Food and Drug Administration, USA (4.2% of total publications) followed by Universita degli Studi di Catania, Italy (3.9%), University of California, San Francisco, USA (3.7%). CONCLUSIONS: This bibliometric study is a testament to the progress in EC research from the world over the last few years. More effort is needed to bridge the gap in EC-based research and to promote better evaluation of EC, risks, health effects, or control services worldwide.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Zyoud,S.H., Al-Jabi,S.W., Sweileh,W.M.
Original/Translated Title
URL
Date of Electronic
20140630
PMCID
PMC4089552
Editors
Home visiting and perinatal smoking: a mixed-methods exploration of cessation and harm reduction strategies 2016 PolicyLab, The Children's Hospital of Philadelphia, 3535 Market, Suite 1424, Philadelphia, PA, 19104, USA. griffish@email.chop.edu.; PolicyLab, The Children's Hospital of Philadelphia, 3535 Market, Suite 1424, Philadelphia, PA, 19104, USA.; Division of Ge
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
11-Aug
Volume
16
Issue
1
Start Page
764
Other Pages
016-3464-4
Notes
LR: 20160817; JID: 100968562; OID: NLM: PMC4982407; OTO: NOTNLM; 2016/01/20 [received]; 2016/08/05 [accepted]; 2016/08/11 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 27514836
Language
eng
SubFile
Journal Article; IM
DOI
10.1186/s12889-016-3464-4 [doi]
Output Language
Unknown(0)
PMID
27514836
Abstract
BACKGROUND: Home visiting programs represent an important primary prevention strategy for adverse prenatal health behaviors; the various ways in which home visiting programs impact prenatal smoking cessation and reduction behaviors remain understudied. METHODS: Mixed methods approach using a retrospective cohort of propensity score matched home visiting clients and local-area comparison women with first births between 2008-2014 in a large Northeast state. Multivariable logistic and linear regression estimated third trimester prenatal tobacco smoking cessation and reduction. Additionally, qualitative interviews were conducted with 76 home visiting clients. RESULTS: A program effect was seen for smoking cessation such that clients who smoked less than ten cigarettes per day and those who smoked 20 or more cigarettes per day during the first trimester were more likely to achieve third trimester cessation than comparison women (p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Griffis,H., Matone,M., Kellom,K., Concors,E., Quarshie,W., French,B., Rubin,D., Cronholm,P.F.
Original/Translated Title
URL
Date of Electronic
20160811
PMCID
PMC4982407
Editors
The integration of family planning and childhood immunization services in Togo 1994 Population Council, Dokki, Giza, Egypt.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Studies in family planning
Periodical, Abbrev.
Stud.Fam.Plann.
Pub Date Free Form
May-Jun
Volume
25
Issue
3
Start Page
176
Other Pages
183
Notes
LR: 20041117; JID: 7810364; OID: PIP: 096937; OID: POP: 00231327; OTO: PIP; GN: PIP: TJ: STUDIES IN FAMILY PLANNING.; ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
0039-3665; 0039-3665
Accession Number
PMID: 7940622
Language
eng
SubFile
Clinical Trial; Journal Article; Randomized Controlled Trial; IM; J
DOI
Output Language
Unknown(0)
PMID
7940622
Abstract
Improvements in the constellation of services in the African context are largely addressed through attaining better measures of service integration, which can be achieved through improved referral across categories of health programs. The use of an unobtrusive referral message that linked family planning and the Expanded Program of Immunizations (EPI) services was tested in an operations research study in Togo. The introduction of the referral message was accompanied by an 18-percent increase in awareness of available family planning services and an increase in the average monthly number of new family planning clients of 54 percent. These positive results indicate that the use of referral can have a significant and dramatic impact on family planning services in a relatively short time. In Togo, no evidence existed of a negative impact on EPI services, and a majority of the EPI providers reported satisfaction with the effect of the referral message at the close of the study.; PIP: Quality of care is currently construed to mean matching population needs with service provision. Improvements in African services are valued when there is a constellation of multiple services provided in a fixed center. In Togo, a simple intervention was developed to link childhood immunization and family planning services. Before immunizing each child, the service provider would make 3 family planning statements to the child's mother. The statements were salient and easy to remember: "Madame, your child is still young, and you should be concerned about having another pregnancy too soon." "This clinic provides family planning services that can help you delay your next pregnancy." And, "You should visit the family planning services after the immunization today for more information." Clinic staff were trained in a day and a half orientation session. The referral message was evaluated with a quasi-experimental design. Impact was measured in terms of knowledge of family planning methods and availability of family planning in the clinic, intention to use a contraceptive method, and the history of contraceptive use. 16 urban and rural clinics were involved. The sample included 1000 randomly selected women who has just had their children immunized. The pretest was conducted in January, 1992, and the post test was conducted in August, 1992, 6 months after the intervention in the study. Service statistics were also collected from 9 months prior to the intervention until September, 1992. Pretest and post test women were similar demographically. Recall levels were also similar. The results indicated that control group persons did not show any change in their awareness of family service availability in the clinic. The increase in the study group was from 40% to 58%. Differences between awareness in the control and study groups was 8% before the intervention and 22% after. Women desiring a longer birth-spacing period were more likely to be aware of service availability. The mean number of acceptors in the study group increased significantly from 200 to 307; average monthly number of family planning users also increased significantly from 1035 to 1311, which was a significant difference from control group users. Both groups showed significant increases in number of vaccines administered monthly in the study period.
Descriptors
Child Health Services/organization & administration, Child, Preschool, Family Planning Services/organization & administration/utilization, Health Knowledge, Attitudes, Practice, Humans, Immunization, Interinstitutional Relations, Operations Research, Patient Acceptance of Health Care, Program Evaluation, Referral and Consultation/organization & administration, Retrospective Studies, Time Factors, Togo, Africa, Africa South Of The Sahara, Communication, Communication Programs, Comparative Studies, Data Collection, Delivery Of Health Care, Developing Countries, Family Planning, Family Planning Programs, French Speaking Africa, Health, Health Services, Integrated Programs, Interviews, Knowledge, Organization And Administration, Pre-post Tests, Primary Health Care, Program Activities, Programs, Referral And Consultation, Research Methodology, Research Report, Service Statistics, Studies, Western Africa
Links
Book Title
Database
Publisher
Data Source
Authors
Huntington,D., Aplogan,A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Rethinking postpartum family planning 1991 Population Council, New York, NY 10017.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Studies in family planning
Periodical, Abbrev.
Stud.Fam.Plann.
Pub Date Free Form
Sep-Oct
Volume
22
Issue
5
Start Page
294
Other Pages
307
Notes
LR: 20051116; JID: 7810364; RF: 57; OID: IND: 8019698; OID: PIP: 069243; OID: POP: 00206738; OTO: PIP; GN: PIP: TJ: STUDIES IN FAMILY PLANNING.; ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
0039-3665; 0039-3665
Accession Number
PMID: 1759275
Language
eng
SubFile
Journal Article; Review; IM; J
DOI
Output Language
Unknown(0)
PMID
1759275
Abstract
This article examines the rationales for commonly advocated postpartum family planning services and challenges the behavioral and biological assumptions on which they are based. An alternative approach to service delivery is suggested. Services should be designed to incorporate breastfeeding and to increase their acceptability to postpartum women.; PIP: Postpartum is considered conceptually muddy, since the definition varies with its use, even within family planning programs; the context within this article is after childbirth. Postpartum programs to provide contraceptive information and supplies after childbirth are an accepted part of family planning service delivery. The objective of this article is to review the underpinnings of the postpartum service delivery model. Demographic implications are discussed based on empirical and simulation studies; the assumptions that women are most receptive to contraceptive programs at the time of childbirth, and that women will not generally return for services are discussed in terms of descriptions of women's contraceptive behavior in the postpartum period (survey and program information). Another objective is to discuss recent findings on the effects of breastfeeding on fertility and the implications for postpartum programs. A reexamination of women's needs is suggested. Studies discussed in the demographic implications sections pertain to postpartum ovulation and menstruation, the use of oral contraceptives during lactational amenorrhea, and studies of the duplication of protection. Various simulation models of the timing of postpartum contraceptive use are described, but none deals with whether women are more motivated to practice contraception just after childbirth, or whether women find it difficult to return for services after leaving a health facility. Attitudinal data are missing and are needed on postpartum motivation to contracept. Initiation after a recent birth may be based on her amenorrheic and breastfeeding status, the infant's developmental level, household or extra household activities, or the appropriate age at which the child may be left with others. The scarce data on the timing of contraceptive use indicates that women not menstruating were less likely to use contraception. The 1987 Thailand survey showed that 14% of women returned to nonpermanent methods prior to the return of menses, and 32% in the month immediately after the return of menses. This pattern may reflect the practices of family planning providers. Multivariate analyses support the inverse relationship between breastfeeding and use of contraception. In the returning to services issue, models do not tell whether availability of full services for well baby care and postpartum and contraceptive care would improve returns. The International Postpartum Program reveals some patterns. Future research agendas should focus on experiments to test different options for mother and baby care, and to test options and timing of their initiation.
Descriptors
Attitude to Health, Birth Intervals, Breast Feeding, Contraception Behavior, Family Planning Services/organization & administration/standards, Female, Fertility, Humans, Models, Psychological, Motivation, Patient Acceptance of Health Care, Postnatal Care/organization & administration/psychology/standards, Acceptors--women, Behavior, Contraception, Contraceptive Methods Chosen, Contraceptive Usage, Developing Countries, Economic Factors, Family Planning, Family Planning Programs, Health, Infant Nutrition, Literature Review, Marketing, Method Acceptability, Nutrition, Postpartum Amenorrhea, Postpartum Programs, Promotion, Psychological Factors, Puerperium, Reproduction
Links
Book Title
Database
Publisher
Data Source
Authors
Winikoff,B., Mensch,B.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Pattern of shisha and cigarette smoking in the general population in Malaysia 2014 Population Health and Preventive Medicine Department, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Kuala Lumpur, Malaysia E-mail : y.bobryshev@unsw.edu.au.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Asian Pacific journal of cancer prevention : APJCP
Periodical, Abbrev.
Asian Pac.J.Cancer.Prev.
Pub Date Free Form
Volume
15
Issue
24
Start Page
10841
Other Pages
10846
Notes
LR: 20151119; JID: 101130625; ppublish
Place of Publication
Thailand
ISSN/ISBN
1513-7368; 1513-7368
Accession Number
PMID: 25605187
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
25605187
Abstract
BACKGROUND: Smoking is a primary risk factor for cancer development. While most research has focused on smoking cigarettes, the increasing popularity of shisha or water pipe smoking has received less attention. This study measured the prevalence and risk factors for shisha and cigarette smoking and related knowledge. MATERIALS AND METHODS: This cross-sectional analytical study was conducted in Shah Alam, Malaysia. Participants aged >/= 18 years were selected from restaurants. Data regarding demographic variables, smoking patterns, and knowledge about shisha smoking were collected in local languages. Logistic regression was performed to assess risk factors. RESULTS: Of 239 participants, 61.9 % were male and 99.2% revealed their smoking status. Some 57.4% were smokers: 50.7% only cigarettes, 5.9% only shisha and 42% both. Mean age of starting cigarette smoking was 17.5 +/- 2.4 years and for shisha smoking 18.7 +/- 2.0 years. In a univariate model, male gender, age 33-52 years and monthly income > MYR 4,000 increased the risk and unemployment and being a student decreased the risk. In a multivariate model, male gender increased the risk of smoking, while being a student decreased the risk, adjusting for age and income. The perception of shisha being less harmful than cigarettes was present in 14.6% and 7.5% had the opinion that shisha is not harmful at all, while 21.7% said that it is less addictive than cigarettes, 39.7% said that shisha did not contain tar and nicotine, 34.3% said that it did not contain carbon monoxide and 24.3% thought that shisha did not cause health problems. CONCLUSIONS: Prevalence of shisha and cigarette smoking is high in the general population in Malaysia and knowledge about shisha smoking is relatively low. The findings of our study might have implications for understanding similarities and differences in incidence of shisha and cigarette smoking in other cultural/geographic regions.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Al-Naggar,R.A., Bobryshev,Y.V., Anil,S.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Effects of environment and lifestyle on gastroesophageal reflux disease 2011 Portland VA Medical Center, Oregon Health & Science University, Portland, Oreg., USA. sonnenbe@ohsu.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Digestive diseases (Basel, Switzerland)
Periodical, Abbrev.
Dig.Dis.
Pub Date Free Form
Volume
29
Issue
2
Start Page
229
Other Pages
234
Notes
LR: 20130715; CI: Copyright (c) 2011; JID: 8701186; 2011/07/05 [aheadofprint]; ppublish
Place of Publication
Switzerland
ISSN/ISBN
1421-9875; 0257-2753
Accession Number
PMID: 21734389
Language
eng
SubFile
Journal Article; Review; IM
DOI
10.1159/000323927 [doi]
Output Language
Unknown(0)
PMID
21734389
Abstract
BACKGROUND: Gastroesophageal reflux disease (GERD) is comprised of a spectrum of related disorders, including hiatal hernia, reflux disease with its associated symptoms, erosive esophagitis, peptic stricture, Barrett's esophagus, and esophageal adenocarcinoma. Besides multiple pathophysiological associations among these disorders, they are also characterized by their comorbid occurrence in identical patients and by their similar epidemiologic behavior. The occurrence of GERD is shaped by marked temporal and geographic variations, suggesting the influence of environmental risk factors in the etiology of these diseases. VARIATIONS BY TIME, GEOGRAPHY, AND RACE: Between 1975 and 2005, the incidence of GERD and esophageal adenocarcinoma increased fivefold in most Western countries. The incidence of GERD also appears to be rising in the most developed countries of Asia. All severe forms of GERD, such as erosive esophagitis, peptic stricture, Barrett's metaplasia, and esophageal adenocarcinoma, are more common among whites than other ethnic groups. AFFLUENCE AND OBESITY AS RISK FACTORS: Barrett's esophagus and esophageal adenocarcinoma tend to occur slightly more often in subjects with higher income. Overweight and obesity contribute to the development of hiatal hernia, increase intra-abdominal pressure, and promote gastroesophageal reflux. Weight gain increases reflux symptoms, whereas weight loss decreases such symptoms. Other risk factors, such as smoking, alcohol, dietary fat, or drugs, play only a minor role in shaping the epidemiologic patterns of GERD. PROTECTION THROUGH HELICOBACTER PYLORI: On a population level, a high prevalence of H. pylori infection is likely to reduce levels of acid secretion and protect some carriers of the infection against reflux disease and its associated complications. Several studies have confirmed a lesser prevalence of H. pylori among subjects with than without GERD. Until recently, populations in Africa and Asia may have been protected against the development of GERD and esophageal adenocarcinoma by their higher prevalence of H. pylori infection. CONCLUSION: The study of environmental risk factors may provide an opportunity to better understand GERD and develop a means of its prevention.
Descriptors
Links
Book Title
Database
Publisher
S. Karger AG, Basel
Data Source
Authors
Sonnenberg,A.
Original/Translated Title
URL
Date of Electronic
20110705
PMCID
Editors