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EN
Purpose: Occurrence of skin changes, in the form of discolouration on neck and in form of a so-called ”thyroid shadow”, was observed in patients with: Hashimoto’s disease, Graves´ disease, struma nodosa euthyrotica or hyperthyreosis. Effects of selenium status and smoking on the risk of those skin changes were investigated. Materials and methods: The study group consisted of 267 patients with different kinds of thyroid disease. The control group included 34 healthy people. Selenium concentrations in serum were determined by electrothermal absorption spectrometry method. Results: Thyroid shadow was observed in 70 percent of the subject. Selenium levels in serum were lower in patients with thyroid disease (65.051±16.70 µg/L), especially in smokers (62.477±15.21 µg/L) than in the control group (75.162±19.92 µg/L). Conclusions: Thyroid shadow syndrome would be the diagnostic signal of thyroid diseases, especially Hashimoto disease. Selenium status is important in the studied thyroid diseases. Cigarette smoking decreases the concentration of selenium in the serum of patients with thyroid diseases.
EN
Purpose: To determine the obstacles encountered by chronic obstructive respiratory disease (COPD) patients when quitting smoking. Materials and methods: Phenomenological research design was used in this study. A total of 20 smoker COPD patients chosen with purposive sampling constituted the universe of this study. Data were collected through the in-depth interview method using semi-structured interview forms. Analysis of the data was performed with inductive analysis using the content analysis method. Results: The challenges encountered by COPD patients when quitting smoking consist of 3 main themes and sub-themes including “İndividual specific challenges, environmental and social challenges and addiction/life with cigarettes”. Conclusions: This study revealed the individual, environmental-social and physical, psychological and social challenges in relation to addiction encountered by COPD patients when quitting smoking. Patients should be informed about the relationship between COPD and smoking through trainings, behaviours of individuals about smoking cessation should be determined and accordingly necessary actions should be taken in line with the motivational interview principles and families be included in these actions.
EN
Objectives: The aim of the study was to characterize the PAH exposure level based on 1-hydroxypyrene (1-HP) in urine of Polish pregnant women and to assess the relationship between PAH and factors such as smoking, environmental tobacco smoke exposure, place of residence, heating and cooking method. Materials and Methods: The study population included in this analysis consisted of 449 pregnant women who had been the subjects of the prospective Polish Mother and Child Cohort study performed in 8 regions of Poland. The women were interviewed three times during pregnancy (once in each trimester). 1–HP concentration in urine was chosen as the biomarker of exposure to PAH. The urine sample was analysed using high performance liquid chromatography (HPLC). The active and passive smoking exposure was verified by saliva cotinine, analysed by high performance liquid chromatography coupled with tandem mass spectrometry (LC-MSMS) and isotope dilution method. Results: 1-HP concentration in urine ranged from 0.02 to 10.2 μg/g creatinine with the geometric mean (GM) 0.4 μg/g creatinine. The significantly higher concentration of urinary 1-HP in pregnant women was observed for summer collection (GM ratio: 1.1; p = 0.01), among smokers (GM ratio: 1.7; p < 0.001) and for the women living in big cities (GM ratio: 1.3; p = 0.001). Conclusions: The significantly higher concentration of urinary 1-HP in pregnant women was observed for summer collection, among smokers and those living in big cities.
EN
Introduction. Inflammatory periodontal diseases, arising against a background of stomach pathology from tobacco addiction remain an acute problem of modern dentistry. Aim. The experimental assessment of a new local treatment efficiency during therapy of simulated periodontitis with hyperacid gastritis and the tobacco smoke intoxication. Material and methods. The work was conducted in 2 stages. At the first stage, all experimental animals were divided into 4 groups: І — intact, II — with simulated periodontitis, III — with simulated periodontitis and hyperacid gastritis, IV — with simulated periodontitis with hyperacid gastritis and tobacco smoking. The local therapy efficiency was evaluated with the use of a new preparation for oral care and a comparison product conducted at the 2nd stage in rats with simulated periodontitis with hyperacid gastritis and tobacco smoking. Results. Experimental periodontitis with hyperacid gastritis and tobacco smoking provokes considerable changes in the periodontal tissues typical for the inflammatory process: lipid peroxidation activity rises and antioxidant system activity reduces. A local therapy in rats resulted in correction of detected metabolic disorders, improving removal of the damaging factors harmful influence and restoring the periodontal tissues condition. Conclusion. The medical efficiency of a new gel normalizes the influence of lipid peroxidation processes, inflammation and the oral cavity protective system activation during periodontitis which arises up against a background of the concomitant pathology of stomach – hyperacid gastritis.
EN
Objectives. The main objective of this study was to explore the views and beliefs of school-aged children on smoking and drinking of alcohol, using a qualitative approach and data of the cross-sectional HBSC (Health behaviour in school-aged children) 2013/2014 study. The aim was also to compare the variability of identified views and beliefs in terms of gender and age. Sample and settings. The sample comprised 75 participants from four Slovak elementary schools. The characteristics of the present sample were similar to those of the target population of HBSC study (11-, 13- and 15-years-old children). The research design was based on a qualitative approach using elicitation in a form of prepared worksheets and initial open questions. The data were collected using worksheets and observer’s records. Research questions. What are the views and beliefs of school-aged children about the HBSC findings regarding smoking and drinking and what are their recommendations regarding these issues. Data analysis. A qualitative controlled content analysis was carried out. Results. Participants have sufficient information particularly about the various negative impacts of smoking and alcohol use on health and life in general. However, they do not realize their own potential in addressing health risks. The results indicated some specifics in terms of the gender and age. Study limitation. The quantity and quality of the material gained from participants might be affected by their lack of experience with discussion methods and activities aimed at the development of active engagement. Focus groups size.
EN
Background: It is necessary that physicians, nurses, other health professionals and even medical students and students of nursing and midwifery schools abstain from smoking. Those who are already smokers should quit or make sure that patients are not around when smoking. Purpose: This study aims to examine the substance abuse among nurses, the substances that they mostly abuse and affecting factors in light of previous studies conducted in Turkey. Method: Systematic literature review. Results: Studies conducted in Turkey show that smoking rate among nurses varies between 42.3% to 68.6%, while quit rate varies between 6% to 12.7%. Unfortunately, these results are quite high. Being a widow/widower, having divorced, presence of a mental problem requiring treatment, and being a high school graduate increase the likelihood of smoking. Nurses with a university degree start smoking at the age of 21 or above. The leading reason for smoking is social environment and friends, followed by stress/boredom and pretension/enjoyment. Conclusion: Organizing educational programs and campaigns for all nurses, especially for the students of nursing and health vocational schools, which focus on the negative effects of smoking and quitting, and making changes in the curricula of health-related programs so that students get familiar with the topic as early as in the first year of their education, would make the fight against substance abuse more effective
EN
Objective: The aim of current analysis was to identify socio-demographic correlates of heavy smoking. Materials and Methods: Global Adult Tobacco Survey (GATS), a nationally representative household study was implemented in Poland between 2009 and 2010. We used data on representative sample of 1915 adults, age 25 years and older. The Odds Ratios (OR) and 95% Confidence Intervals (CI) for heavy smoking to the broad number of variables including age, age at smoking onset, education, occupational classification, living conditions, place of residence, place of residence at age about 14 years, awareness of smoking health consequences were tested in logistic regression model. Results: Among daily smokers the rate of heavy smokers was 63% in males and 45% in females (p < 0.001). The present study indicated that three characteristics: age, early age at smoking onset and lack of awareness of smoking health consequences were significantly associated with heavy smoking among both genders. Significantly higher risk of heavy smoking was observed among the 50–59 years of age population compared to the youngest group. The heavy smoking rate was highest among males who started smoking under age 14 years (OR = 3.1; 95% CI: 1.4–6.7; p < 0.001) and females that started smoking at age 14–17 years (OR = 2.3; 95% CI: 1.5–3.5; p < 0.0001) compared to those who started smoking at age 21 years or older. Heavy smoking was significantly correlated to lack of awareness of adverse health consequences of smoking (OR = 1.5; 95% CI: 1.1–2.03; p < 0.01 and OR = 1.5; 95% CI: 1.0–2.2; p < 0.01 for men and women, respectively) compared to aware respondents. Conclusions: These outcomes should be taken into account while developing tobacco control measures. Among other things, educational interventions to increase knowledge of adverse tobacco health effects should be widely implemented.
EN
Objectives: The aim of this study was to investigate the genotoxicity of waterpipe smoking in the lymphocytes of waterpipe smokers using chromosomal aberrations (CAs) assay. Materials and Methods: Fifty waterpipe smokers and 18 healthy nonsmokers volunteered to participate in the study. Additionally, 18 heavy cigarette smokers were recruited for comparison. Chromosomal aberrations (CAs) assay was used to evaluate DNA damage in the lymphocytes. Results: The results showed that similarly to cigarette smoking, waterpipe smoking significantly increased the frequencies of CAs (p < 0.01). In addition, the frequencies of CAs increased with more waterpipe use. Conclusions: Waterpipe smoking causes DNA damage to lymphocytes and the damage increases with more waterpipe use.
EN
The contribution is presenting the results of research realized with a sample of 744 respondents from the Banska Bystrica region. It is possible to deduce from the obtained answers that cigarette smoking – even despite anti-smoking education – is still attractive and popular. This is proved for example by 38% of pupils aged 10–11 who have already tried smoking as well as 25% of pupils who repeatedly smoked. Out of the whole sample of respondents, up to 65% of them tried smoking and 56.5% smoked again. Concurrently with the raising age of pupils there increases also the number of those who repeated smoking, so that in the category of 17–18 years of age it reaches as many as 71.5%. The numbers of pupils smoking on a daily basis are alarming (13–14 years of age 69.8%, 17–18 years of age 63%), and they are higher than those reported by other authors. The most frequent reason for first cigarette smoking was curiosity, around 75%. Pupils in most cases judge that sports can be a proper tool against smoking. Only 15.4% of them answered negatively. A relatively low percentage of respondents think that a sportsman must not smoke (55.6%); we assumed that there would be a larger number of them.
EN
Research background: Endeavouring to develop healthy societies is a primary goal in many countries. As smoking is a major problem of public health, lowering the extent of smoking is one of the conditions for developing a healthy society. Based on the research revealing that the pairing of the product with negative stimuli enhances the possibility of negative reaction to the product as negative stimulus transfers it’s meaning to the product, tobacco packaging was labelled with negative smoking-related pictures illustrating the danger of smoking. Nevertheless, the extent of smoking is still large in many countries. Hence, the effect of negative smoking-related pictures has been the subject of intense debate within the scientific community. Purpose of the article: The aim of this research is to determine the effect of negative smoking-related pictures on the both implicit and explicit attitude toward smoking. Methods: For the purpose of determining the effect of negative smoking-related pictures on the both implicit and explicit attitude toward smoking, Implicit Association Test and questionnaire survey were provided. The questionnaire was elaborated based on the analysis and synthesis of scientific literature. Findings & Value added: The theoretical analysis substantiated the influence of attitude toward the product on consumer purchase decisions. Nevertheless, people do not always want to reveal their opinion, hence traditional marketing research methods for measuring explicit attitude are not sufficient as they are often not objective. Therefore, neuromarketing research methods complement traditional marketing research methods by providing more objectivity. Consequently, the Implicit Association Test and traditional questionnaire research are applied for the empirical research, revealing the effect of negative smoking-related pictures on the both implicit and explicit attitude toward smoking. The recommendations for the usage of negative smoking-related pictures on purpose to influence attitude toward smoking and consumer purchase behaviour are substantiated.
EN
Our main goal was to verify the original factorial structure of the Wisconsin Inventory of Smoking Dependence Motives (WISDM-68) questionnaire, created by Piper, Piasecki et al. (2004), in which nicotine dependence was represented as a motivational based, multidimensional construct. The sample was taken from Hungarian university students who smoke at least one cigarette per week (N=243; 81% female, 19% male; mean age: 24,4 years, S.D.: 6,86). Method of data collection: smokers were invited to participate in the research during university lectures. As the theoretical 13-factor structure was seen to fit less than expected, we have done the exploratory factor analysis of WISDM-68. The 8-factor structure had good internal reliability, each scale had at least 0,7 Cronbach α. Furthermore, we have analyzed the relationship between the 8-factor structure, explored by the factor analysis, with the Fagerstrom Nicotine Dependence Scale (FTND), which measures the physical aspect of nicotine dependence, and with the depressive symptoms (Center for Epidemiological Studies-Depression: CES-D). The moderate correlations between WISDM scales and FTND refer to the convergent validity of these test batteries. In the multivariate linear regression model, FTND score was determined by Tolerance and Automaticity from WISDM scales. It seems that they can measure the physical aspect of the motivational background of nicotine dependence. Tolerance explains the CO level of breath as well. Depressive symptoms score correlates moderately with the Smoking as coping WISDM scale. There is a significant association between WISDM scale scores and the smoking status. To design appropriate intervention methods, it is important to get acquainted with the motivational factors which maintain tobacco consumption and the individual differences in that. Our results support that the identified motivational factors have different importance between heavy and not daily smokers.
EN
This paper focuses on naďve theories, illusions, and misconceptions regarding the outcome of men’s cigarette smoking on female impressions. Beliefs about those outcomes were examined in a correlational study and their content was compared with the results of previous experimental verifi cation. Male and female participants (N = 396) responded to an advertisement placed on an online general-interest forum and completed a questionnaire concerning their beliefs about the impact of cigarette smoking in men on their self-presentation to women. This included impressions of attractiveness, intelligence, strength, sexiness, and other male qualities. Results show that people believe that smoking decreases a man’s perceived aptitude for being a woman’s long-term partner. The belief that smoking enhances a man’s attractiveness to a woman as a short-term partner was limited to female smokers. Non-smokers believed that smoking in men signals poor impulse-control. Gender, age, smoking status (smoker vs non-smoker), and number of cigarettes smoked daily appeared to play an important role in predicting expressed beliefs. Young female smokers were indicated as the subgroup bearing the most optimistic illusions.
EN
Background and aim: The effect of socio-economic factors (living conditions) and parental smoking habits on development of facial morphology and body measurements was studied on a longitudinal Czech sample of 25 girls and 25 boys. Subjects and methods: A set of studied digitalized photographs taken from 0.5 to 18 years in intervals of 6 months originated in the Brno Longitudinal Study. Facial shape changes of sub-adult participants were described using a configuration of 27 landmarks and further studied by using methods of geometric morphometric and multivariate statistics. In order to localize growth-related shape changes within the face, the studied region was divided into upper, middle and lower facial units and analyzed separately. Results and conclusion: The results show that in the course of ontogenesis there is a strong correlation between facial shape change and body measurements, height included (r=0.10 and r=0.24 in boys and in girls, respectively). The pubertal spurt of the facial shape change rate was revealed at 10.5 years in girls and at 11.5 years in boys. The earlier onset of the pubertal rate increase in facial shape changes in boys was associated with records of poor living conditions. In addition, the mother’s smoking habits were linked to a noticeable facial shape change.
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EN
During the early adolescence period the parental behaviour belongsto one of the most important factors that may help to avoid adolescent risk behaviour. Among the most prevalent forms of risk behaviour in early adolescence are smoking and alcohol consumption. The first aim of this study is to explore discrepancies between parental and adolescent perceptions of several factors related to risk behaviour. The second aim of the study is to explore relationship between parental behaviour (as perceived by adolescents) and adolescents smoking and alcohol consumption. Research sample consisted of 580 adolescents (mean age 12.51, SD=0.59; 51.1% girls), 217 mothers and 150 fathers. In all studied all variables but spending free time, showed, significant differences between the perception of adolescents and their mothers /fathers were found with an exception of parental companionship. Results of logistic regression show that the most important factor that is associated with probability of smoking and drinking in early adolescence is perceived parental approval of such behaviour. It seems to be, that regardless of the way how parents try to prevent adolescents risk behaviour, the most important is to show clear and consistent disapproval of such behaviour. Our results may be applied also for teachers and significant others that are in contact with adolescents.
SK
V období ranej adolescencie patria rodičia a ich správanie k významným faktorom, ktoré môžu napomôcť predchádzaniu rizikovému správaniu dospievajúcich. K najčastejším formám rizikového správania v tomto období patrí fajčenie a konzumácia alkoholu. Prvým cieľom štúdie je sledovať rozdiely v percepcii s rizikovým správaním súvisiacich faktorov medzi adolescentmi a ich matkami/ otcami. Druhým cieľom je sledovať vzťah medzi premennými súvisiacimi so správaním rodičov (percipované adolescentom) a fajčením a užívaním alkoholu u dospievajúcich. Výskumnú vzorku tvorilo 580 dospievajúcich (priemerný vek 12,51; SD = 0,59; 51,1 % dievčat), 217 matiek a 150 otcov. Vo všetkých sledovaných premenných, s výnimkou trávenia spoločného času, boli identifikované významné rozdiely medzi percepciou dospievajúcich a rodičov. Výsledky logistickej regresie ukazujú, že najvýznamnejším faktorom súvisiacim s pravdepodobnosťou fajčenia a pitia alkoholu je percipované schvaľovanie takéhoto správania zo strany rodičov. Zdá sa, že bez ohľadu na to, akým spôsobom sa rodičia snažia ovplyvňovať rizikové správanie dospievajúcich, najdôležitejšie je zabezpečiť, aby adolescenti skutočne vnímali postoj rodičov voči alkoholu/cigaretám ako nesúhlasný. Získané výsledky by mohli byť aplikovateľné aj pre učiteľov a iných významných dospelých, ktorí sú v pravidelnom kontakte s dospievajúcimi.
EN
Objectives: In addition to being a serious health-hazard, substance-use-and-misuse (SUM) in military forces negatively infl uences physical fi tness and army readiness. The aim of this study was to defi ne the prevalence of SUM, which includes cigarette smoking, alcohol consumption, and multiple SUM (i.e. practice of daily smoking and harmful alcohol drinking), and factors infl uencing SUM in the Croatian Special Army Forces (SAF). Materials and Methods: We studied 73 SAF members. A self-administered validated questionnaire was used to gather socio-demographic and military-professionrelated data, and SUM factors. The associations between studied variables were established by the Chi² test, and forward conditional logistic regression (FCLR). Results: With less than 40% of daily smokers, smoking was within expected values. Almost 80% of the examinees reported no binge drinking, while 54% reported harmful drinking according to the Alcohol Use Disorders Identifi cation Test scale. Paternity and education level were negatively associated with daily smoking, while higher incidence of daily smoking was found for privates and those who practiced harmful drinking (all at p < 0.05). The FCLR demonstrated a higher risk of harmful alcohol consumption for younger commissioned offi cers (OR for military rank = 5.54, 95% CI: 2.19-13.99; OR for age = 0.85, 95% CI: 0.76-0.95). Conclusion: Although SUM incidence was not alarming compared to the overall population and the previously reported military data, additional efforts are necessary in order to decrease cigarette consumption. The study showed that protective/risk structure of the substance misuse in the military should be investigated specifi cally with regard to particular military services, corps, and socio-cultural environment.
EN
According to epidemiological forecasts, the incidence and mortality related to chronic diseases of the respiratory tract will be increasing systematically due to, among others, the growing number of persons above the age of 65, the pollution of the natural environment and smoking. In the opinion of the World Health Organisation, smoking is the main reason for diseases associated with the progress of civilisation, closely related to the respiratory tract. The Supreme Audit Office, taking the above factors into account, conducted the first coordinated audit in this area.
EN
Much like Western societies with developed economies, Polish society has become increasingly consumer-oriented, as is manifested by Poles’ desire for instant pleasure and the search for the meaning and sense of life through the purchase and consumption of goods and services available on the market. Such an approach could be positively or negatively connected with a healthy lifestyle. The aim of our study was to explore the relationship between a healthy lifestyle and the pro-consumer orientation in Poland. The study involved a survey conducted in 2016 on a nationwide sample of 1,000 people. The findings suggest that a pro-consumer orientation is positively correlated with those elements of a healthy lifestyle that are trendy and symbolize membership in certain social groups. On the other hand, this orientation is inversely correlated with behaviors that require constant self-control and do not bring immediate benefits.
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