Practice and attitude differences in physician cigarette use: A study of prevalence, physicians' role, and smoking policy awareness in Dubai, UAE

The use of tobacco products ruins the health of millions of people around the world. On average, tobacco users die nearly seven years earlier than non-tobacco users. n1 Cigarette smoking is a particular concern in the developing countries of the Middle East and Gulf Cooperation Council (GCC) region where smoking prevalence is expected to increase. This is due to the tobacco industry's vigorous commercial and marketing activities. n3 Smoking prevalence among physicians is considered to be an effective indicator of a society's readiness to identify the smoking epidemic and its related health diseases. n4 There is a lack of detailed data on the smoking prevalence among healthcare professionals, particularly physicians, in the United Arab Emirates (UAE). This cross sectional study is the first to address smoking practices among physicians working at the Department of Health and Medical Services (DOHMS); in Dubai, UAE. ^ This study describes the cigarette smoking prevalence among DOHMS Physicians, physician attitudes towards tobacco use and tobacco bans; physician attitudes towards smoking cessation techniques (among smokers and non-smokers); and physician awareness of official anti-smoking policies. Data for the study was collected through the use of an adapted WHO standardized questionnaire, the Global Health Professionals Survey. The questionnaire was administered by the researcher to physicians (n=288) at their work place. Date was analyzed using the SPSS analytic software program. ^ Twelve percent of DOHMS physicians smoked cigarettes. Regardless of smoking status, the majority supported a tobacco ban in hospitals and public places, and a ban on tobacco advertising. There is a significant relationship between physician smoking status and discussing risks of tobacco use (p < 0.05). Non-smoking physicians reported spending more time with patients discussing hazards of smoking (p < 0.01). Non-smokers reported providing more counseling than their smoking colleagues. The majority of DOHMS physicians (63%) reported a lack of knowledge about 5As/ 5Rs. The majority of physicians also reported they are aware of hospital smoking policies that restrict smoking. Regardless of physician smoking status, DOHMS physicians are not very actively involved in smoking cessation activities. This cross sectional study is the first to address smoking programs, policies, and practices among physicians in Dubai, UAE. Findings support the need for increased physical smoking cessation training as well as the development of smoking cessation programs for tobacco control, and programs with a focus on physician participation in reducing tobacco and cigarette use among the general population.^

The role of environmental tobacco smoke in the development and exacerbation of asthma among children in developing countries: A systematic review

Environmental tobacco smoke (ETS) is an important indoor air pollutant associated with adverse effects on the respiratory health of the general population, especially people with asthma. ETS consists mainly of sidestream smoke from burning cigarettes and a smaller quantity of mainstream smoke which is exhaled by the smoker. At least one out of every three children is frequently exposed to ETS. ^ This paper reviewed the literature for studies on the role of ETS in the development and exacerbation of asthma among children in developing countries, specifically the low and middle income countries from the year 1980 to the present. The databases searched in this systematic review were: Ovid Medline; PubMed (National Library of Medicine); and Cumulative Index to Nursing and Allied Health (CINAHL) (EBSCOhost). Out of a total of 197 articles initially identified, only four studies (two from China, one from Macedonia and one from Brazil) were rated by two independent raters as being of high quality, and were selected for final abstraction, synthesis and evidence weighting. Results from these four studies suggests that, in developing countries, ETS exposure is associated with childhood asthma, and that asthma prevalence increases with an increase in the amount and duration of exposure to ETS. Similarly, exposure to ETS is associated with persistent cough, current night dry cough, and exacerbation of asthma symptoms. ^ Therefore, as is the case in developed nations, there is suggestive evidence in the literature that ETS exposure plays substantial role in the development and/or exacerbation of asthma among children in developing countries. To decrease the likelihood of new asthma development, enhance asthma control, and reduce the rate of medical service utilization in children exposed to ETS, smoking should be eliminated at home and in public places.^

Investigating the effects of the 2007 Texas tobacco tax increase on the smoking behavior of adults

Smoking is major cause of premature mortality and morbidity in the United States. The health consequences of tobacco usage are increasingly concentrated in minority and lower socioeconomic groups. One of the most effective means of deterring tobacco consumption and generating revenue to fund prevention activities is the levying of excise taxes. In 2007 the state of Texas increased the excise tax on cigarettes by $1.00 per pack. This study sought to determine if there was a significant effect on smoking prevalence in the state by examining Behavioral Risk Factor Surveillance System (BRFSS) data for two years leading up to the tax increase-2005 and 2006- and two years post tax increase -2007 and 2008. Results were compared against a chi square distribution and three multiple logistic regression models were created to adjust for race/ethnicity, age, education and income. Results from this study show that there was not a significant decrease in smoking prevalence for most of the groups stratified by age, income and ethnicity. There was not a significant decrease in the younger adults aged 18-34 by income, ethnicity, or education. Smoking prevalence increased for some groups, e.g., Hispanic females. In the regression models, the tax effect was not significant. While overall prevalence decreased by 9%, there were not significant reductions among non-White or Hispanic survey participants. Taxed sales dropped by approximately 17% according to the Texas Comptroller. Without BRFSS data measuring daily cigarette consumption among current smokers, now not assessed, it is impossible to determine whether the discrepancy in reported prevalence and taxes sales is attributable to consumption of fewer cigarettes among smokers or tax avoidance.^

Parental influence on adolescent smoking initiation among Mexican origin youth

Smoking is often initiated in adolescence through trying or experimenting with cigarettes. Smoking initiation is the beginning critical stage in the smoking trajectory often resulting in addiction. This dissertation examined the effect of parenting variables on smoking initiation behavior among 11–14 year old Mexican origin adolescents, a largely understudied group. The participants in this study were part of a population-based cohort of Mexican origin adolescents residing in Houston, Texas. ^ Aim 1 of this study assessed the appropriateness of the Family Life Questionnaire (FLQ) among Mexican origin adolescents. Second order confirmatory factor analysis (CFA) was performed to examine the factor structure of the FLQ and measurement invariance testing was conducted to evaluate the cross-cultural validity of this scale. Aim 2 analyzed cross-sectional associations between parenting variables and adolescent ever tried smoking behavior while aim 3 focused on prospective examination of changes in parenting variables from baseline to final follow-up on ever tried smoking behavior among never smokers. ^ Overall, the results of the CFA indicated that the original factor structure of the FLQ, with alterations, was a good fit for the Mexican origin adolescents. The measurement invariance analysis of the modified FLQ scale indicated adequate measurement invariance. The aim 2 cross-sectional analyses indicated that family cohesion was significantly associated with lower odds of ever tried smoking. Authoritarian parenting was significantly associated with smoking initiation only at the baseline while family conflict was significantly associated with smoking initiation only at the two-year final home visit. The findings from the aim 3 prospective analysis indicated that changes in levels of family cohesion and conflict are important predictors of smoking initiation among those who have never tried smoking. Specifically, perceiving low levels of family cohesion and a decrease in the family cohesion over two years, as well as perceiving high levels of family conflict and an increase in conflict over two years was associated with smoking initiation among never smokers. ^ In general, the findings of this study provide important insights on the links between parenting and adolescent smoking and assist in designing prevention and intervention programs that emphasize the role of family bonding to prevent adolescent smoking behavior. Family education programs for Mexican culture could also highlight the positive effects of authoritarian practices and good family communication to prevent family conflict and subsequent smoking behavior.^

Evaluación del dispositivo Raspberry Pi como elemento de despliegue de servicios en el marco de las Smart Grids

La tendencia actual de las redes de telecomunicaciones conduce a pensar en un futuro basado en el concepto emergente de las Smart Cities¸ que tienen como objetivo el desarrollo urbano basado en un modelo de sostenibilidad que responda a las necesidades crecientes de las ciudades. Dentro de las Smart Cities podemos incluir el concepto de Smart Grid, el cual está referido a sistemas de administración y producción de energía eficientes, que permitan un sistema energético sostenible, y que den cabida a las fuentes de energía renovables. Sistemas de este tipo se muestran a los usuarios como un conjunto de servicios con los que interactuar sin ser tan sólo un mero cliente, sino un agente más del entorno energético. Por otro lado, los sistemas de software distribuidos son cada vez más comunes en una infraestructura de telecomunicaciones cada vez más extensa y con más capacidades. Dentro de este ámbito tecnológico, las arquitecturas orientadas a servicios han crecido exponencialmente sobre todo en el sector empresarial. Con sistemas basados en estas arquitecturas, se pueden ofrecer a empresas y usuarios sistemas software basados en el concepto de servicio. Con la progresión del hardware actual, la miniaturización de los equipos es cada vez mayor, sin renunciar por ello a la potencia que podemos encontrar en sistemas de mayor tamaño. Un ejemplo es el dispositivo Raspberry Pi, que contiene un ordenador plenamente funcional contenido en el tamaño de una cajetilla de tabaco, y con un coste muy reducido. En este proyecto se pretenden aunar los tres conceptos expuestos. De esta forma, se busca utilizar el dispositivo Raspberry Pi como elemento de despliegue integrado en una arquitectura de Smart Grid orientada a servicios. En los trabajos realizados se ha utilizado la propuesta definida por el proyecto de I+D europeo e-GOTHAM, con cuya infraestructura se ha tenido ocasión de realizar diferentes pruebas de las descritas en esta memoria. Aunque esta arquitectura está orientada a la creación de una Smart Grid, lo experimentado en este PFG podría encajar en otro tipo de aplicaciones. Dentro del estudio sobre las soluciones software actuales, se ha trabajado en la evaluación de la posibilidad de instalar un Enterprise Service Bus en el Raspberry Pi y en la optimización de la citada instalación. Una vez conseguida una instalación operativa, se ha desarrollado un controlador de un dispositivo físico (sensor/actuador), denominado Dispositivo Lógico, a modo de prueba de la viabilidad del uso del Raspberry Pi para actuar como elemento en el que instalar aplicaciones en entornos de Smart Grid o Smart Home. El éxito logrado con esta experimentación refuerza la idea de considerar al Raspberry Pi, como un importante elemento a tener en cuenta para el despliegue de servicios de Smart Cities o incluso en otros ámbitos tecnológicos. ABSTRACT. The current trend of telecommunication networks lead to think in a future based on the emerging concept of Smart Cities, whose objective is to ensure the urban development based on a sustainable model to respond the new necessities of the cities. Within the Smart cites we can include the concept of Smart Grid, which is based on management systems and efficient energy production, allowing a sustainable energy producing system, and that includes renewable energy sources. Systems of this type are shown to users as a set of services that allow users to interact with the system not only as a single customer, but also as other energy environment agent. Furthermore, distributed software systems are increasingly common in a telecommunications infrastructure more extensive and with more capabilities. Within this area of technology, service-oriented architectures have grown exponentially especially in the business sector. With systems based on these architectures, can be offered to businesses and users software systems based on the concept of service. With the progression of the actual hardware, the miniaturization of computers is increasing, without sacrificing the power of larger systems. An example is the Raspberry Pi, which contains a fully functional computer contained in the size of a pack of cigarettes, and with a very low cost. This PFG (Proyecto Fin de Grado) tries to combine the three concepts presented. Thus, it is intended to use the Raspberry Pi device as a deployment element integrated into a service oriented Smart Grid architecture. In this PFG, the one proposed in the European R&D e-GOTHAM project has been observed. In addition several tests described herein have been carried out using the infrastructure of that project. Although this architecture is oriented to the creation of a Smart Grid, the experiences reported in this document could fit into other applications. Within the study on current software solutions, it have been working on assessing the possibility of installing an Enterprise Service Bus in the Raspberry Pi and optimizing that facility. Having achieved an operating installation, it has been developed a driver for a physical device (sensor / actuator), called logical device, for testing the feasibility of using the Raspberry Pi to act as an element in which to install applications in Smart Grid and Smart Home Environments. The success of this experiment reinforces the idea of considering the Raspberry Pi as an important element to take into account in the deployment of Smart Cities services or even in other technological fields.

O MUNDO DE MARLBORO: A Comunicação Corporativa da Philip Morris Brasil

Este projeto tem como tema central o estudo da comunicação corporativa da Philip Morris Brasil, subsidiária da Philip Morris International, uma das maiores industria de tabaco do mundo. Os objetivos desta pesquisa é demonstrar como a Philip Morris Brasil se comunica e se relaciona com seus públicos de interesse, a comunidade, o varejo e os consumidores jovens e que estratégias ela utiliza para estabelecer e manter este relacionamento, garantindo assim a sua sustentabilidade. Outro fator importante é entender como a empresa divulga o seu produto e estimula o consumo do cigarro no Brasil sabendo-se que a legislação brasileira impõe uma forte restrição à propaganda do cigarro nas principais mídias nacionais.(AU)

O MUNDO DE MARLBORO: A Comunicação Corporativa da Philip Morris Brasil

Este projeto tem como tema central o estudo da comunicação corporativa da Philip Morris Brasil, subsidiária da Philip Morris International, uma das maiores industria de tabaco do mundo. Os objetivos desta pesquisa é demonstrar como a Philip Morris Brasil se comunica e se relaciona com seus públicos de interesse, a comunidade, o varejo e os consumidores jovens e que estratégias ela utiliza para estabelecer e manter este relacionamento, garantindo assim a sua sustentabilidade. Outro fator importante é entender como a empresa divulga o seu produto e estimula o consumo do cigarro no Brasil sabendo-se que a legislação brasileira impõe uma forte restrição à propaganda do cigarro nas principais mídias nacionais.(AU)

Reduction of tobacco smoke components yield in commercial cigarette brands by addition of HUSY, NaY and Al-MCM-41 to the cigarette rod

The effect of two zeolites, HUSY, NaY and a mesoporous synthesized Al-MCM-41 material on the smoke composition of ten commercial cigarettes brands has been studied. Cigarettes were prepared by mixing the tobacco with the three powdered materials, and the smoke obtained under the ISO conditions was analyzed. Up to 32 compounds were identified and quantified in the gas fraction and 80 in the total particulate matter (TPM) condensed in the cigarettes filters and in the traps located after the mouth end of the cigarettes. Al-MCM-41 is by far the best additive, providing the highest reductions of the yield for most compounds and brands analyzed. A positive correlation was observed among the TPM and nicotine yields with the reduction obtained in nicotine, CO, and most compounds with the three additives. The amount of ashes in additive free basis increases due to the coke deposited on the solids, especially with Al-MCM-41. Nicotine is reduced with Al-MCM-41 by an average of 34.4% for the brands studied (49.5% for the brand where the major reduction was obtained and 18.5 for the brand behaving the worst). CO is reduced by an average of 18.6% (ranging from 10.3 to 35.2% in the different brands).

Comparison between the mainstream smoke of eleven RYO tobacco brands and the reference tobacco 3R4F

In this study 11 commercial roll-your-own (RYO) tobacco brands sold in Spain and the reference tobacco 3R4F have been smoked and several components of the mainstream tobacco smoke have been analyzed. Cigarettes were prepared using commercial tubes, and were smoked under smoking conditions based on the ISO 3308. The gaseous and condensed fractions of the smoke from RYO brands and 3R4F have been analyzed and compared. RYO tobaccos, as opposed to 3R4F, present lower amounts of condensed products in the traps than in the filters. In general, RYO tobaccos also provide lower yields of most of the compounds detected in the gas fraction. The yield of CO is between 15.4 and 20.4 mg/cigarette. In most of the cases studied, RYO tobaccos deliver higher amounts of nicotine than the 3R4F tobacco. On average, the yield of the different chemical families of compounds appearing in the particulate matter retained in the cigarette filters tends to be around three times higher than those obtained from 3R4F, whereas similar values have been obtained in the particulate matter retained in the traps located after the filters. It can be concluded that RYO tobaccos are not less hazardous than the reference tobacco, which may be contrary to popular belief.

Quand le tabac s’affiche au Parlement. Débats sur les limitations en matière de publicité de la cigarette dans les cantons romands

Cette contribution porte sur les politiques d’interdiction de la publicité pour les cigarettes, l’un des axes-clé de la prévention structurelle du tabagisme. Nous nous intéressons à la rapide et récente dissémination de ces politiques dans les cantons suisses, qui contraste avec l’immobilisme fédéral. Nous attirons alors l’attention sur le rôle moteur du niveau d’action cantonal, au sein d’un domaine de santé publique qui avait pourtant connu, cette dernière décennie, ses plus formidables avancées dans le sillage de mouvements d’essence supranationaux. L’analyse des débats parlementaires romands nous permet finalement d’élaborer une typologie des argumentaires en présence, et de mettre en évidence les axes les plus à mêmes de provoquer une scission gauche/droite.

Illinois cigarette tax, tobacco products tax, and tobacco settlement update /

"July 2006."

Expiring cigarette excise tax provisions : hearing before the Subcommittee on Taxation and Debt Management of the Committee on Finance, United States Senate, Ninety-ninth Congress, first session, September 10, 1985.

"September 16, 1985"--Pt. 2.

Tobacco Retail Outlet Density in King County: Implications for Health Equity and Youth Access to Tobacco

Thesis (Master's)--University of Washington, 2016-06

Defining nicotine dependence for genetic research: evidence from Australian twins

Background. Whether current criteria used to define nicotine dependence are informative for genetic research is an important empirical question. The authors used items of the DSM-IV and of the Heaviness of Smoking Index to characterize the nicotine dependence phenotype and to identify salient symptoms in a genetically informative community sample of Australian young adult female and mate twins. Method. Phenotypic and genetic factor analyses were performed on nine dependence symptoms (the seven DSM-IV substance dependence criteria and the two Heaviness of Smoking Index (HSI) items derived from the Fagerstrom Tolerance Questionnaire, time to first cigarette in the morning and number of cigarettes smoked per day). Phenotypic and genetic analyses were restricted to ever smokers. Results. Phenotypic nicotine dependence symptom covariation was best captured by two factors with a similar pattern of factor loadings for women and men. In genetic factor analysis item covariation was best captured by two genetic but one shared environmental factor for both women and men; however, item factor loadings differed by gender. All nicotine dependence symptoms were substantially heritable, except for the DSM-IV criterion of 'giving up or reducing important activities in order to smoke', which was weakly familial. Conclusions. The salient behavioral indices of nicotine dependence are similar for women and men. DSM-IV criteria of tolerance, withdrawal, and experiencing difficulty quitting and HSI items time to first cigarette in the morning and number of cigarettes smoked per day may represent the most highly heritable symptoms of nicotine dependence for both women and men.

The measurement of nicotine in human plasma by high-performance liquid chromatography-electrospray-tandem mass spectrometry

The authors describe a reverse-phase high-performance liquid chromatography-electrospray-tandem mass spectrometry method for the measurement of nicotine in human plasma. Samples (500 muL) with added deuterium-labeled d(3)-nicotine as an internal standard (IS) were treated with a 2-step process of ether extraction (6 mL) followed by back-extraction into 0.1% formic acid (50 muL). Chromatography was performed on a phenyl Novapak column with a mobile phase consisting of 50% 10 mM ammonium fortriate (pH 3.3) and acetonitrile (50:50, vol/vol). A flow rate of 0.2 mL/min resulted in a total analysis time of 5 minutes per sample. Mass spectrometric detection was by selected reactant monitoring (nicotine m/z 163.2 --> 130.2; IS m/z 166.2 --> 87.2). The assay was linear from 0.5 to 100 mug/L (r > 0.993, n = 9). The accuracy and imprecision of the method for quality control sampleswere 87.5% to 113% and < 10.2%, respectively. Interday accuracy and imprecision at the limit of quantification (0.5 mug/L) was 113% and 7.2% (n = 4). The process efficiency for nicotine in plasma was > 75%. The method described has good process efficiency, stabilized nicotine, avoided concentration steps, and most importantly minimized potential contamination. Further, we have established that water-based standards and controls are interchangeable with plasma-based samples. This method was used successfully to measure the pharmacokinetic profiles of subjects involved in the development of an aerosol inhalation drug delivery system.