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[PMID]: 29368489 [Au] Autor: Nadpara PA; Madhavan SS; Tworek C [Ti] Título: Tobacco-use Cessation Counseling Service Usage. [So] Source: W V Med J;112(5):66-71, 2016 Sep-Oct. [Is] ISSN: 0043-3284 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Objectives: Tobacco-use is common among elderly lung cancer patients and continued tobacco-use can impact prognosis. This study evaluates patterns of receipt of Tobacco-use Cessation Counseling (TCC) services among these patients. Methods: Using West Virginia Cancer Registry-Medicare linked database (2004-2007), we identified elderly patients with lung cancer (n = 922) and categorized them by receipt of TCC services. Hierarchical generalized logistic model was constructed and survival outcomes were analyzed by Kaplan-Meier analysis, Log-Rank test, and Cox proportional hazards modeling. Results: Majority of patients (76.7%) received TCC services. Unadjusted analysis showed favorable survival outcomes in patients who received TCC services. However, adjusted lung cancer mortality risk was no different between the groups (HR (95% CI) = 1.78 (0.87-3.64)). Conclusion: This study highlights the critical need to address disparities in receipt of TCC services among elderly. Although lung cancer preventive services are covered under the Medicare program, underutilization of these services is a concern. [Mh] Termos MeSH primário: Envelhecimento Carcinoma Pulmonar de Células não Pequenas/mortalidade Aconselhamento/utilização Neoplasias Pulmonares/mortalidade Carcinoma de Pequenas Células do Pulmão/mortalidade Fumar/efeitos adversos Abandono do Uso de Tabaco/estatística & dados numéricos [Mh] Termos MeSH secundário: Idoso Idoso de 80 Anos ou mais Carcinoma Pulmonar de Células não Pequenas/diagnóstico Carcinoma Pulmonar de Células não Pequenas/etiologia Aconselhamento/estatística & dados numéricos Feminino Seguimentos Seres Humanos Estimativa de Kaplan-Meier Neoplasias Pulmonares/diagnóstico Neoplasias Pulmonares/etiologia Masculino Medicare/estatística & dados numéricos Sistema de Registros Estudos Retrospectivos Carcinoma de Pequenas Células do Pulmão/diagnóstico Carcinoma de Pequenas Células do Pulmão/etiologia Fumar/mortalidade Estados Unidos West Virginia/epidemiologia [Pt] Tipo de publicação: RESEARCH SUPPORT, N.I.H., EXTRAMURAL; JOURNAL ARTICLE [Em] Mês de entrada: 1803 [Cu] Atualização por classe: 180301 [Lr] Data última revisão: 180301 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180126 [St] Status: MEDLINE

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[PMID]: 29298020 [Au] Autor: Norris AR; Estes Miller J [Ti] Título: Motivational interviewing or counseling, medical therapies or no intervention to improve tobacco cessation in adults and adolescents. [So] Source: J Okla State Med Assoc;110(3):142-3, 2017 03. [Is] ISSN: 0030-1876 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: CLINICAL QUESTION: In adults and adolescents using cigarettes and/or smokeless tobacco, is motivational interviewing (MI) more effective compared to counseling, medical therapies or no intervention for improving tobacco cessation? ANSWER: yes. Evidence is modest but conclusive that using MI alone or in conjunction with other therapies results in greater rates of tobacco cessation compared to interventions that did not include MI. LEVEL OF EVIDENCE OF THE ANSWER: A. DATE SEARCH WAS CONDUCTED: September 2015. LIMITS: Human, English, publication dates 2008 to present, meta-analyses, randomized-control trials, systematic reviews. INCLUSION CRITERIA: Meta-analyses, randomized-control trials, or systematic reviews published during or after 2008 comparing the use of MI to other therapies for tobacco cessation in humans. EXCLUSION CRITERIA: Studies published before 2008, MI used in other substance use disorders besides tobacco. [Mh] Termos MeSH primário: Aconselhamento Entrevista Motivacional Abandono do Uso de Tabaco [Mh] Termos MeSH secundário: Seres Humanos Metanálise como Assunto [Pt] Tipo de publicação: JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180220 [Lr] Data última revisão: 180220 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 180104 [St] Status: MEDLINE

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[PMID]: 29360311 [Au] Autor: Raduege TJ; Thomson Reuters Accelus.. [Ti] Título: Benefits and Services. [So] Source: Issue Brief Health Policy Track Serv;2017:1-59, 2017 Dec 26. [Cp] País de publicação: United States [La] Idioma: eng [Mh] Termos MeSH primário: Benefícios do Seguro Medicaid/organização & administração [Mh] Termos MeSH secundário: Orçamentos Administração de Caso Criança Serviços de Saúde da Criança Serviços de Saúde Comunitária Serviços de Saúde Bucal Serviços de Planejamento Familiar Governo Federal Infecções por HIV Serviços de Assistência Domiciliar Seres Humanos Cobertura do Seguro Seguro de Serviços Farmacêuticos Assistência de Longa Duração Serviços de Saúde Materna Serviços de Saúde Mental Terapia Ocupacional Patient Protection and Affordable Care Act Modalidades de Fisioterapia Governo Estadual Telemedicina Abandono do Uso de Tabaco Transporte de Pacientes Estados Unidos Transtornos da Visão/terapia Serviços de Saúde da Mulher [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180219 [Lr] Data última revisão: 180219 [Sb] Subgrupo de revista: T [Da] Data de entrada para processamento: 180124 [St] Status: MEDLINE

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[PMID]: 29023542 [Au] Autor: Henry AD; Gettens J; Savageau JA; Cullen D; Landau A [Ad] Endereço: Center for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury, MA, United States of America. [Ti] Título: Massachusetts Medicaid members that smoked in 2008: Characteristics associated with smoking status in 2014. [So] Source: PLoS One;12(10):e0186144, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: The smoking rate among non-elderly Medicaid enrollees is more than double the rate for those privately insured; smoking-related conditions account for 15% of Medicaid expenditures. Under state health reform, Massachusetts Medicaid (MassHealth) made tobacco cessation treatment available beginning in 2006. We used surveys conducted in 2008 and 2014 to examine changes in smoking abstinence rates among MassHealth members identified as smokers and to identify factors associated with being a former smoker. Members previously identified as smokers were surveyed by mail or phone; 2008 and 2014 samples included 3,116 and 2,971 members, respectively. Surveys collected demographic and health information, asked members whether they smoked cigarettes "every day, some days or not at all', and asked questions to assess smoking intensity among current smokers. The 2014 survey included an open ended-question asking members "what helped the most" in quitting or quit attempts. We observed a significant decrease in members reporting smoking "every/some days" of 15.5 percentage points (p < .0001) from 2008 to 2014, and a significant decrease in smokers reporting smoking "more than 10 cigarettes on days smoked" of 16.7 percentage points (p < .0001). Compared to smokers, former smokers more frequently reported health concerns, the influence of family members, and the use of e-cigarettes as helping the most in quitting. Expanded access to tobacco cessation treatment under the Affordable Care Act may have help to reduce the high smoking rates among Medicaid enrollees. Additionally, smokers' concerns about health and the influence of family and friends provide opportunities for targeted intervention and messaging about quitting. [Mh] Termos MeSH primário: Medicaid/organização & administração Fumar/epidemiologia Abandono do Uso de Tabaco/métodos [Mh] Termos MeSH secundário: Adulto Idoso Feminino Reforma dos Serviços de Saúde Seres Humanos Masculino Massachusetts/epidemiologia Medicaid/economia Meia-Idade Patient Protection and Affordable Care Act Fumar/economia Prevenção do Hábito de Fumar Inquéritos e Questionários Estados Unidos/epidemiologia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171116 [Lr] Data última revisão: 171116 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 171013 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0186144

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[PMID]: 28797036 [Au] Autor: Kharkova OA; Grjibovski AM; Krettek A; Nieboer E; Odland JØ [Ad] Endereço: Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway. [Ti] Título: First-trimester smoking cessation in pregnancy did not increase the risk of preeclampsia/eclampsia: A Murmansk County Birth Registry study. [So] Source: PLoS One;12(8):e0179354, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: BACKGROUND: Although prior studies have shown that smoking reduces preeclampsia/eclampsia risk, the consequence of giving up this habit during pregnancy should be assessed. The aims of the current study were threefold: (i) describe maternal characteristics of women with preeclampsia/eclampsia; (ii) examine a possible association between the number of cigarettes smoked daily during pregnancy and the development of this affliction; and (iii) determine if first-trimester discontinuation of smoking during pregnancy influences the risk. METHODS: A registry-based study was conducted using data from the Murmansk County Birth Registry (MCBR). It included women without pre-existing hypertension, who delivered a singleton infant during 2006-2011 and had attended the first antenatal visit before 12 week of gestation. We adjusted for potential confounders using logistic regression. RESULTS: The prevalence of preeclampsia/eclampsia was 8.3% (95%CI: 8.0-8.6). Preeclampsia/eclampsia associated with maternal age, education, marital status, parity, excessive weight gain and body mass index at the first antenatal visit. There was a dose-response relationship between the number of smoked cigarettes per day during pregnancy and the risk of preeclampsia/eclampsia (adjusted OR1-5 cig/day = 0.69 with 95%CI: 0.56-0.87; OR6-10 cig/day = 0.65 with 95%CI: 0.51-0.82; and OR≥11 cig/day = 0.49 with 95%CI: 0.30-0.81). There was no difference in this risk among women who smoked before and during pregnancy and those who did so before but not during pregnancy (adjusted OR = 1.10 with 95%CI: 0.91-1.32). CONCLUSIONS: Preeclampsia/eclampsia was associated with maternal age, education, marital status, parity, excessive weight gain, and body mass index at the first antenatal visit. There was a negative dose-response relationship between the number of smoked cigarettes per day during pregnancy and the odds of preeclampsia/eclampsia. However, women who gave up smoking during the first trimester of gestation had the same risk of preeclampsia/eclampsia as those who smoked while pregnant. Consequently, antenatal clinic specialists are advised to take these various observations into account when counselling women on smoking cessation during pregnancy. [Mh] Termos MeSH primário: Eclampsia/epidemiologia Pré-Eclâmpsia/epidemiologia Fumar/efeitos adversos Abandono do Uso de Tabaco [Mh] Termos MeSH secundário: Adulto Feminino Seres Humanos Gravidez Primeiro Trimestre da Gravidez Fatores de Risco Federação Russa/epidemiologia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171006 [Lr] Data última revisão: 171006 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170811 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0179354

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[PMID]: 28767965 [Au] Autor: d'Ornellas MCGDS; Brust-Renck PG [Ad] Endereço: Programa de Pós-graduação Stricto Sensu em Direito, Centro Universitário Ritter dos Reis, Porto Alegre, Brasil. [Ti] Título: Plain packaging of tobacco products in Brazil: the contribution of science to the decision to safeguard the human right to health. [Ti] Título: Adoção de embalagens padronizadas de produtos de tabaco no Brasil: contribuição da ciência da decisão à proteção do direito humano à saúde.. [So] Source: Cad Saude Publica;33(7):e00210216, 2017 07 27. [Is] ISSN: 1678-4464 [Cp] País de publicação: Brazil [La] Idioma: eng; por [Mh] Termos MeSH primário: Publicidade como Assunto/normas Pesquisa Biomédica Direitos Humanos/normas Embalagem de Produtos/normas Prevenção do Hábito de Fumar Produtos do Tabaco/normas [Mh] Termos MeSH secundário: Publicidade como Assunto/legislação & jurisprudência Brasil Promoção da Saúde Seres Humanos Rotulagem de Produtos/normas Embalagem de Produtos/legislação & jurisprudência Indústria do Tabaco/legislação & jurisprudência Indústria do Tabaco/normas Produtos do Tabaco/legislação & jurisprudência Abandono do Uso de Tabaco [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171116 [Lr] Data última revisão: 171116 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170803 [St] Status: MEDLINE

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[PMID]: 28759387 [Au] Autor: Brawley OW [Ad] Endereço: Office of the Chief Medical Officer, American Cancer Society Center, American Cancer Society, Atlanta, GA, USA; Department of Hematology and Oncology, Emory University, Atlanta, GA, USA. Electronic address: otis.brawley@cancer.org. [Ti] Título: The role of government and regulation in cancer prevention. [So] Source: Lancet Oncol;18(8):e483-e493, 2017 Aug. [Is] ISSN: 1474-5488 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: The world population is ageing and increasing in size. As a result, the numbers of people diagnosed with and dying of cancer are increasing. Cancer is also a growing problem in developing countries. Government, be it local, state, provincial, national, or even a union of nations, has clear roles in the control of cancer. It is widely appreciated that much of the research that has defined the causes and treatment of cancer was, and is, government funded. Less appreciated, the body of work about how to control cancer shows the importance of an environment that encourages individuals to adopt healthy behaviours, and government has a vitally important role. Through regulation, education, and support programmes, governments can create an environment in which tobacco use is reduced and citizens maintain good levels of physical activity, healthy bodyweight, and good nutrition. Cancer prevention and the creation of a culture of health is an essential mission of government, beyond that of the traditional health-focused departments such as health ministries; it is in the domain of governmental agencies involved in environmental protection, occupational safety, and transportation. Cancer prevention and health promotion are also in the realm of the zoning board, the board of education, and the board of health. [Mh] Termos MeSH primário: Governo Educação em Saúde Hepatite B/prevenção & controle Programas de Imunização Neoplasias/prevenção & controle Infecções por Papillomavirus/prevenção & controle Prevenção do Hábito de Fumar [Mh] Termos MeSH secundário: Consumo de Bebidas Alcoólicas/prevenção & controle Detecção Precoce de Câncer Exposição Ambiental/prevenção & controle Exercício Dieta Saudável Seres Humanos Produtos do Tabaco/legislação & jurisprudência Abandono do Uso de Tabaco [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 171116 [Lr] Data última revisão: 171116 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170801 [St] Status: MEDLINE

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[PMID]: 28720919 [Au] Autor: El-Awaisi A; Awaisu A; El Hajj MS; Alemrayat B; Al-Jayyousi G; Wong N; Verjee MA [Ad] Endereço: College of Pharmacy, Qatar University, Doha, Qatar. [Ti] Título: Delivering Tobacco Cessation Content in the Middle East Through Interprofessional Learning. [So] Source: Am J Pharm Educ;81(5):91, 2017 Jun. [Is] ISSN: 1553-6467 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: To explore the attitudes of pharmacy, pharmacy technician, medical, and public health students before and after an IPE activity that focused on smoking cessation in the Middle East. A pre-post intervention research design using the Readiness for Interprofessional Learning Scale (RIPLS) was used for this study. The tool contained 20 items, categorized under the following subscales: teamwork and collaboration, professional identity, and patient-centeredness. A total of 47 out of 50 students from four different health disciplines in Qatar (medicine, pharmacy, pharmacy technician, and public health) who participated in the activity completed a pre- and post-intervention pre-validated questionnaire (94% response rate). Total attitude scores were calculated for all the 20 items along with attitudinal scores of the three domains. Most of the students reported having a positive attitude toward IPE; the number of students having a positive attitude toward IPE increased after the IPE session. The overall median (IQR) score increased from 82 (16) before the session to 84 (15) after the session. Students from different disciplines did not vary in their attitude scores. Health care professional students in Qatar perceived IPE positively, believing that it enhanced their communication skills, collaboration and appreciation of professional roles. This study has implication on developing effective methods to implement IPE in various health professional education curricula. [Mh] Termos MeSH primário: Atitude do Pessoal de Saúde Atitude Frente à Saúde Técnicos em Farmácia/psicologia Estudantes de Medicina/psicologia Estudantes de Farmácia/psicologia Estudantes de Saúde Pública/psicologia Abandono do Uso de Tabaco/psicologia [Mh] Termos MeSH secundário: Adulto Feminino Seres Humanos Masculino Oriente Médio Catar Inquéritos e Questionários Adulto Jovem [Pt] Tipo de publicação: COMPARATIVE STUDY; JOURNAL ARTICLE [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171030 [Lr] Data última revisão: 171030 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170720 [St] Status: MEDLINE [do] DOI: 10.5688/ajpe81591

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[PMID]: 28704507 [Au] Autor: Björkman F; Edin F; Mattsson CM; Larsen F; Ekblom B [Ad] Endereço: Åstrand Laboratory of Work Physiology, The Swedish School of Sport and Health Sciences, Stockholm, Sweden. [Ti] Título: Regular moist snuff dipping does not affect endurance exercise performance. [So] Source: PLoS One;12(7):e0181228, 2017. [Is] ISSN: 1932-6203 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Physiological and medical effects of snuff have previously been obtained either in cross-sectional studies or after snuff administration to non-tobacco users. The effects of snuff cessation after several years of daily use are unknown. 24 participants with >2 years of daily snuff-use were tested before and after >6 weeks snuff cessation (SCG). A control group (CO) of 11 snuff users kept their normal habits. Resting heart rate (HR) and blood pressure (BP) were significantly lower in SCG after snuff cessation, and body mass was increased by 1.4 ± 1.7 kg. Total cholesterol increased from 4.12 ± 0.54 (95% CI 3.89-4.35) to 4.46 ± 0.70 (95% CI 4.16-4.75) mM L-1 in SCG, due to increased LDL, and this change was significantly different from CO. Resting values of HDL, C-reactive protein, and free fatty acids (FFA) remained unchanged in both groups. In SCG group, both HR and BP were reduced during a four-stage incremental cycling test (from 50 to 80% of VO2max) and a prolonged cycling test (60 min at 50% of VO2max). Oxygen uptake (VO2), respiratory exchange ratio, blood lactate (bLa) and blood glucose (bGlu) concentration, and rate of perceived exertion (RPE) were unchanged. In CO group, all measurements were unchanged. During the prolonged cycling test, FFA was reduced, but with no significant difference between groups. During the maximal treadmill running test peak values of VO2, pulmonary ventilation (VE), time to exhaustion and bLa were unchanged in both groups. In conclusion, endurance exercise performance (VO2max and maximal endurance time) does not seem to be affected by prolonged snuff use, while effects on cardiovascular risk factors are contradictory. HR and BP during rest and submaximal exercise are reduced after cessation of regular use of snuff. Evidently, the long-time adrenergic stress on circulation is reversible. [Mh] Termos MeSH primário: Resistência Física Tabaco sem Fumaça [Mh] Termos MeSH secundário: Adulto Estudos de Casos e Controles Estudos Transversais Teste de Esforço Seres Humanos Masculino Esforço Físico/fisiologia Troca Gasosa Pulmonar Corrida Fatores de Tempo Abandono do Uso de Tabaco Tabaco sem Fumaça/efeitos adversos [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170929 [Lr] Data última revisão: 170929 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170714 [St] Status: MEDLINE [do] DOI: 10.1371/journal.pone.0181228

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[PMID]: 28645292 [Au] Autor: Eaves ER; Howerter A; Nichter M; Floden L; Gordon JS; Ritenbaugh C; Muramoto ML [Ad] Endereço: Department of Anthropology, Northern Arizona University, 5 E. McConnell Drive, PO Box: 15200, Flagstaff, AZ, 86011-5200, USA. emery.eaves@nau.edu. [Ti] Título: Implementation of tobacco cessation brief intervention in complementary and alternative medicine practice: qualitative evaluation. [So] Source: BMC Complement Altern Med;17(1):331, 2017 Jun 23. [Is] ISSN: 1472-6882 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: This article presents findings from qualitative interviews conducted as part of a research study that trained Acupuncture, Massage, and Chiropractic practitioners' in Arizona, US, to implement evidence-based tobacco cessation brief interventions (BI) in their routine practice. The qualitative phase of the overall study aimed to assess: the impact of tailored training in evidence-based tobacco cessation BI on complementary and alternative medicine (CAM) practitioners' knowledge and willingness to implement BIs in their routine practice; and their patients' responses to cessation intervention in CAM context. METHODS: To evaluate the implementation of skills learned from a tailored training program, we conducted semi-structured qualitative interviews with 54 CAM practitioners in Southern Arizona and 38 of their patients. Interview questions focused on reactions to the implementation of tobacco cessation BIs in CAM practice. RESULTS: After participating in a tailored BI training, CAM practitioners reported increased confidence, knowledge, and motivation to address tobacco in their routine practice. Patients were open to being approached by CAM practitioners about tobacco use and viewed BIs as an expected part of wellness care. CONCLUSIONS: Tailored training motivated CAM practitioners in this study to implement evidence-based tobacco cessation BIs in their routine practice. Results suggest that CAM practitioners can be a valuable point of contact and should be included in tobacco cessation efforts. [Mh] Termos MeSH primário: Terapias Complementares/utilização Abandono do Uso de Tabaco/métodos Tabagismo/terapia [Mh] Termos MeSH secundário: Terapia por Acupuntura/psicologia Terapia por Acupuntura/utilização Adulto Arizona Quiroprática/recursos humanos Terapias Complementares/recursos humanos Terapias Complementares/psicologia Estudos de Avaliação como Assunto Feminino Pessoal de Saúde/psicologia Seres Humanos Masculino Massagem/recursos humanos Massagem/psicologia Massagem/utilização Inquéritos e Questionários Abandono do Uso de Tabaco/psicologia Tabagismo/psicologia Adulto Jovem [Pt] Tipo de publicação: EVALUATION STUDIES; JOURNAL ARTICLE [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170821 [Lr] Data última revisão: 170821 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170625 [St] Status: MEDLINE [do] DOI: 10.1186/s12906-017-1836-7

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