جستجوی مقالات مرتبط با کلیدواژه "tobacco" در نشریات گروه "پزشکی"

The risk of periodontal disease is considered to be high among tobacco users compared to those not consuming tobacco in any form. A rise in salivary enzyme levels reflects the destruction of healthy tissues, making it a potential clinical biomarker. Thus, the aim was to assess periodontal health and examine salivary enzyme levels and their correlation with tobacco use. Unstimulated saliva was collected using a standard protocol from 128 individuals who visited the outpatient department (OPD) of a dental hospital, divided into four groups. Clinical assessment was done using the gingival index (1963) (GI) and the community periodontal index (1982) (CPI). There was a strong correlation between tobacco use and salivary enzyme levels. Tobacco chewers had the most elevated salivary enzyme levels, followed by smokers and passive smokers. Significant periodontal deterioration presenting as an increase in probing depth and clinical loss of attachment (LOA) was seen among the chewers (3.22 ± 0.87 and 2.16 ± 1.27, respectively) and smokers (3.16 ± 0.80 and 1.63 ± 1.38, respectively), which was more than passive smokers (2.75 ± 0.80 and 0.84 ± 0.30, respectively) and was considered significant between all the groups (P = 0.001). Tobacco use in either form affects the severity of periodontal diseases and the levels of salivary enzymes. Thus, salivary enzymes are regarded as reliable biochemical indicators of periodontal tissue damage and can be used as motivators to quit tobacco usage. Additionally, passive smoking was found to have a negative impact on periodontal health and can be considered a risk factor.

 Hookah smoking is now increasing and has become a serious public health warning worldwide. Hookah smoking has led to the transmission of infectious diseases. This study investigates the microbial contamination of hookah mouth tips in Bandar Abbas City, Iran.

 This descriptive study was conducted in Bandar Abbas City, Iran. The hookah mouth tip samples were obtained from various hookah supply centers and the Ultersnap U device measured the microbial load of hookah mouth tips. The microbial load ranks were divided into three categories. Meanwhile, data analysis was done using the SPSS software, version 26.

 The highest contamination tips were observed in the beach boulevard (Saheli-Blv), where vendors operate. In three parks, namely Park-e-Ghadir, Park-e-Dowlat, and 13-Hektar, one contaminated hookah mouth tip was observed in each station. A significant difference was observed between the stations in both clean and warning levels; however, this difference was not significant in the contaminated level (P˃0.05). The highest level of contamination was observed in the guild of peddlers. A significant difference was also observed between the guilds in both clean and warning levels, but this difference was not significant in the contaminated level (P˃0.05).

 Our results showed that a significant number of hookah mouth tips were in warning and contaminated levels. The highest number of contaminated hookah mouth tips were observed in the peddlers guild, which is strongly recommended to collect and prevent their inactivity, especially in public places. In addition, health warnings should be posted on all tobacco products and the environment of smoking and or cafes.

 Tobacco consumption, especially hookah, is one of the major behavioral health problems that has been more prevalent among young people and adolescents in recent years. Therefore, identifying the influential factors in tobacco consumption is essential for planning preventive measures. This study investigates the relationship between cultural, social, political, and economic factors with hookah smoking in Iranian adolescents.

 The present research is a systematic review study, which was conducted by examining data through PubMed, ProQuest, Google Scholar, Ovid, Magiran, SID, Science, Cochrane Medlib, and Medex Iran databases between 2000-2024 using the keywords hookah, tobacco, cultural, the teenager has been collected. In the initial search, 500 articles were retrieved, which were then screened at different stages (removing duplicate articles [300], reviewing titles and abstracts [170], and full-text [13]). Finally, 17 papers that passed the researchers’ criteria were reviewed carefully.

 The results of the studies showed that various factors influence hookah consumption among adolescents, which were divided into social, economic, political, cultural, and psychological factors. Numerous factors influence adolescents’ inclination toward hookah consumption, with the most important ones being planned advertisements, incorrect knowledge, and attitudes about the harms of hookah, easy and affordable access, sensory attractions, peer encouragement, cultural acceptance of hookah, and a means to fill leisure time.

 It is recommended to focus on promoting culture and increasing awareness, effective advertising, increasing leisure-time activities for adolescents, enforcing laws prohibiting hookah use in public places, increasing tobacco prices, and enhancing recreational facilities.

 Today, tobacco use is considered a pervasive health problem globally, with projections indicating that by 2020, tobacco will account for one in three adult deaths. Despite the well-documented harmful effects of tobacco use and societal expectations for future healthcare providers to lead healthy lifestyles, smoking remains prevalent among medical students.

 In this study, 248 medical students of Hormozgan University of Medical Sciences were selected. After providing comprehensive explanations and obtaining their consent to participate, each student received a questionnaire comprising two parts: the first part gathered demographic information, while the second part utilized a Likert scale to measure attitudes toward smoking and hookah use.

 In this study, 63.3% of participants were female, 36.7% were male, and the majority (37.1%) were between 21 and 23 years old. Additionally, 89.5% of participants were single. Also, 17.7% had a history of smoking or hookah use, 35.1% had family members who smoked or used hookahs, and 37.1% had friends who smoked or used hookahs. Furthermore, 6.9% had a history of neurological disease, and 11.7% had underlying medical conditions.

 We found statistically significant relationships between attitudes towards smoking and various factors, including gender, personal history of smoking, family history of smoking, presence of smoking or hookah-using friends, place of residence, ethnicity, parents’ level of education, history of chronic disease and grade point average.

 Smoking is known to have adverse effects on various human body systems. While previous studies have predominantly emphasized the harmful effects of smoking on other organs, the impact on the musculoskeletal system has been relatively understudied. This study aimed to survey the association between hookah smoking and musculoskeletal conditions.

 This descriptive cross-sectional study was conducted on 4026 participants selected from baseline data of the Bandar-Kong non-communicable diseases (BKNCD) cohort study in southern Iran. Skeletal muscle injuries were identified through the medical questionnaire of the cohort based on the participants’ history, where “yes” denoted the presence of injuries and “no” indicated their absence. Statistical analysis was performed by SPSS software, version 26 at a significance level of P<0.05.

 Among the 4026 participants, 2315(57.5%) were women and 1711(42.5%) were men. The mean age of participants was 48±9 years. Among 709 hookah users, 20(2.83%) and 40(5.64%) cases suffered from movement disorders and osteoporosis, respectively. Also, 108(15.23%) and 284(40.05%) hookah users experienced back pain and joint pain, respectively. The odds ratio (OR) of movement disorder was 2.38 times higher for hookah smokers than non-smokers (OR=2.38; P=0.002). There was no significant relationship between hookah smoking and other injuries (P>0.05).

 The most common problem was joint pain. The mechanism of the effect of smoking on injuries was unknown. Further studies, with larger sample sizes, are necessary to evaluate the association between hookah smoking and musculoskeletal injuries.

Individuals with compromised immune systems are more susceptible to novel coronavirus (COVID-19), and data are limited on the relationship between opium and tobacco use and COVID-19 mortality.

This study aimed to determine the effect of opium and tobacco use, as well as the effect of different consumption intensities of these substances, on the outcomes of patients with COVID-19. Patients and

In this cross-sectional study, 900 patients with a clinical diagnosis of COVID-19 who were referred to Imam Khomeini Hospital in Sari, Iran, were reviewed. Data collection was conducted through the patient information registry system and telephone contact with patients or their companions. Statistical analysis was performed using SPSS 25 software. Chi-Square, Fisher's exact, and Mann-Whitney tests were used for comparisons between groups. A P-value of 0.05 or lower was considered statistically significant.

Death and systolic blood pressure were significantly higher (P = 0.023 and P = 0.01, respectively), and erythrocyte sedimentation rate was significantly lower in tobacco smokers (P = 0.046). Additionally, cardiovascular disease, pulmonary disease, and multiple co-morbidities were significantly higher in opioid users (P < 0.001, P = 0.004, and P = 0.014, respectively), and fatigue was significantly lower in the group that did not use opioids (P = 0.009). No statistically significant relationship was found in any of the subgroups of opioid and tobacco users in terms of death or discharge (P > 0.05).

In a global context where COVID-19 mutations are prevalent, any amount of tobacco and opium use should be considered a risk factor.

Oxidative stress (OS) results from an imbalance between the formation and detoxification of reactive species. Although reactive species at low or moderate levels play numerous physiological roles, high concentrations can lead to disturbances in signaling and metabolic pathways and cause different metabolic, chronic, and age-related disorders. Several endogenous and exogenous processes may lead to the formation of reactive species. The severity of OS can be reduced with the help of antioxidants. Tobacco is one of the most important environmental factors contributing to reactive species production. After cigarette smoking, waterpipe tobacco (WPT) smoking is ranked as the second most popular tobacco product. Its popularity is proliferating due to flavored products, social acceptability, etc. However, studies have shown that WPT smoking is associated with an increased risk of arterial stiffness, ischemic heart disease, and several cancer types. In this study, we aimed to review the most recent evidence on WPT smoking constituents and their association with OS.

Most people in the United States live busy stressful lives which can lead to significant health challenges, especially to one’s mental health. After years of being ignored and stigmatized, mental illness has been given the recognition it deserves. It is now associated with the overall health of a person and treated seriously. The same could be said about substance abuse disorder though on a lesser scale. This paper attempts to understand the relationship between drug use and mental health illness differentiated across age groups. The understanding of these causations and relationships could help us better understand the rate and triggers of mental illness in the United States.

We used data from a 2023 survey, which contains a total of 69,850 completed interviews. The data collected were taken from each state individually with each of them implementing the same survey to collect responses. Instead of looking at all fifty states, we decided to analyze only the highest twentyone most populated states. Various non-parametric tests were used to analyze age groups and their rate of mental health illnesses and drug use within the country.

We found that tobacco use is associated with mental illness, while alcohol use is associated with attempted suicide. It appears that indicators of drug use are not homogeneous across states for either age group. We also found that the alcohol consumption is related to a declining proportion of attempted suicides.

In this research we found a significant association between drug use and inidcators of mental illness. The association differed across different age groups and also across states. Since we found that the alcohol consumption is related to a declining proportion of attempted suicides, it will be interesting to explore why this is the case and what could be observed to decrease suicidal rates.

Context: 

In recent decades, the tobacco epidemic has spread worldwide. The impact of tobacco control policies has been different among countries. This paper aims to explain how two countries, the United Kingdom (UK) and India, with different political, social, and cultural contexts, implemented theWorld Health Organization (WHO) Framework Convention on Tobacco Control.

Evidence Acquisition: 

A comparative study was done for tobacco control in UK and India in 2022. A review of literature in five databases, observational data and legal documents on tobacco use were undertaken. To identify and explain the factors that pose challenges to the implementation of tobacco control policies, country reports and health policy monitoring and research databases (in total, 27 papers and 16 reports) were reviewed.

Having different economic, social, and cultural backgrounds, a similar pathway to control the tobacco industry can be seen in UK and India. The factors that can explain the similar outcomes in two countries are the global pressure of WHO, increased awareness of people and policymakers, and a sense of urgency about the tobacco problem in both societies.

At different stages of tobacco control in both countries, various interest groups with different routes of political influence used veto opportunities to overturn political decisions in the policy process. Continuous analysis of interest groups and their status quo is necessary to restrict the tobacco industry in favor of public health. Governments should carefully recognize the stakeholders and stake challengers in the policy domain and balance their interests.

Although the harmful effects of smoking on the musculoskeletal system, especially bone effects, are well identified, the data on the relationship between smoking and cartilage disorders are limited. This review discovered associations between smoking and cartilage disorders.

A literature search was conducted in the following three databases in September 2023 for related articles in English without time limitation: Web of Science, Scopus, and PubMed. In the initial search, 285 documents were recorded. Eventually, 20 studies were involved in this review, and the required data were extracted from the full text. 

Our review study provided evidence for the association between smoking and different knee/spine cartilage disorders, such as augmented cartilage size, declined strain ratio, weak postoperative outcome, low fusion rate, and risk for spinal reoperation. 

As the use of tobacco products is a crucial global public health concern, additional research to comprehend the mechanisms of the effects of smoking on musculoskeletal system disorders is highly recommended.

Background  Non-communicable diseases (NCDs) kill 41 million people a year. The products and services of unhealthy commodity industries (UCIs) such as tobacco, alcohol, ultra-processed foods and beverages and gambling are responsible for much of this health burden. While effective public health policies are available to address this, UCIs have consistently sought to stop governments and global organisations adopting such policies through what is known as corporate political activity (CPA). We aimed to contribute to the study of CPA and development of effective countermeasures by formulating a model and evidence-informed taxonomies of UCI political activity.Methods  We used five complementary methods critical interpretive synthesis of the conceptual CPA literature; brief interviews; expert co-author knowledge; stakeholder workshops; testing against the literature.Results  We found 11 original conceptualisations of CPA; four had been used by other researchers and reported in 24 additional review papers. Combining an interpretive synthesis of all these papers and feedback from users, we developed two taxonomies – one on framing strategies and one on action strategies. The former identified three frames (policy actors, problem, and solutions) and the latter six strategies (access and influence policy-making, use the law, manufacture support for industry, shape evidence to manufacture doubt, displace, and usurp public health, manage reputations to industry’s advantage). We also offer an analysis of the strengths and weaknesses of UCI strategies and a model that situates industry CPA in the wider social, political, and economic context.Conclusion  Our work confirms the similarity of CPA across UCIs and demonstrates its extensive and multi-faceted nature, the disproportionate power of corporations in policy spaces and the unacceptable conflicts of interest that characterise their engagement with policy-making. We suggest that industry CPA is recognised as a corruption of democracy, not an element of participatory democracy. Our taxonomies and model provide a starting point for developing effective solutions.

Tobacco smoking is an essential factor that affects people’s quality of life. Numerous studies have suggested that tobacco smoking has considerable harmful effects on the musculoskeletal system. In addition, it has a high prevalence in Hormozgan Province, Iran. Accordingly, this research investigates the consumption of tobacco products and its relationship with the prevalence of symptoms of musculoskeletal disorders in service workers of Bandar Abbas City, Iran. 

This was a descriptive-analytical epidemiological study with cross-sectional data. The population comprised 351 urban service workers employed in Bandar Abbas City, Iran. In the present research, musculoskeletal disorders over the past 12 months were investigated using the Nordic questionnaire in each of the nine body parts.

The mean age of the participants was 37.66±7.9 years. More than half of the studied population (52%) smoked tobacco, and all of them experienced more musculoskeletal problems compared to the other group. Musculoskeletal disorders in tobacco smokers showed a significant difference in four parts of the body, including the elbow, lower back, hip, and knees, with P<0.05 when compared to individuals who did not smoke tobacco.

Individuals who smoked tobacco experienced higher pain in their muscles and bones compared to the other group, which can arise from the adverse effects of tobacco products on muscles, tendons, cartilage, and ligaments. Hence, suitable policies and plans are required to prevent and reduce tobacco consumption in the province, especially in occupations that are susceptible to musculoskeletal disorders.

Tobacco consumption causes altered immune and inflammatory responses which lead to various respiratory diseases such as asthma and chronic obstructive pulmonary disease, as well as cardiovascular and cerebrovascular disorders. Studies have only confirmed the harmful effects of tobacco consumption on the severity of COVID-19. The present study aimed to explore the association between tobacco consumption and the initiation of COVID-19. This retrospective cohort study was conducted to explore the relationship between tobacco consumption and COVID-19. A brief closed-ended, self-structured questionnaire was prepared to record participants’ responses. The Participants included the individuals who visited Rajendra Institute of Medical Sciences (RIMS), Ranchi, India for the COVID-19 diagnostic test. The statistical analysis was performed using SPSS software (version 24). The chi-square test and logistic regression analysis were also used to predict the odds of getting infected with COVID-19.  A total of 521 valid responses were obtained and subjected to analysis. Moreover, 256 participants (49.13%) were COVID-19 positive and 57 participants (10.94%) were tobacco users. The odds ratio of tobacco consumption was higher in COVID-19-positive patients compared to COVID-19-negatives (OR=1.78; 95% CI 1.01, 3.13). The current tobacco users had a higher risk of developing COVID-19 as compared to the former users (OR=4.8; 95% CI 1.39, 16.61). The frequency and duration of tobacco use also affected the COVID-19 infectivity rate but these were statistically insignificant. The COVID-19 positivity rate was significantly higher in tobacco users, especially in current tobacco users as compared to former users. Nevertheless, gender and occupation had no significant effect on COVID-19 incidence in this study.