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electronic cigarettes guidelines

Priyanga Jayakumar, Hema Madhuri Mekala, Rajashekar Reddy Yeruva, Steven Lippmann
Despite the known dangers of cigarette smoking, many smokers do not use effective means for cessation. Smoking-cessation guidelines recommend a variety of psychological and medicinal options that include nicotine-replacement products, pharmaceuticals, and electronic cigarettes. This article describes these smoking-cessation options and provides guidance for physicians.
June 8, 2017: Primary Care Companion to CNS Disorders
Donatella Canistro, Fabio Vivarelli, Silvia Cirillo, Clara Babot Marquillas, Annamaria Buschini, Mirca Lazzaretti, Laura Marchi, Vladimiro Cardenia, Maria Teresa Rodriguez-Estrada, Maura Lodovici, Caterina Cipriani, Antonello Lorenzini, Eleonora Croco, Silvia Marchionni, Paola Franchi, Marco Lucarini, Vincenzo Longo, Clara Maria Della Croce, Andrea Vornoli, Annamaria Colacci, Monica Vaccari, Andrea Sapone, Moreno Paolini
Electronic cigarettes (e-cigs) are devices designed to deliver nicotine in a vaping solution rather than smoke and without tobacco combustion. Perceived as a safer alternative to conventional cigarettes, e-cigs are aggressively marketed as lifestyle-choice consumables, thanks to few restrictions and a lack of regulatory guidelines. E-cigs have also gained popularity among never-smokers and teenagers, becoming an emergent public health issue. Despite the burgeoning worldwide consumption of e-cigs, their safety remains largely unproven and it is unknown whether these devices cause in vivo toxicological effects that could contribute to cancer...
May 17, 2017: Scientific Reports
Pauline Vabre, Nicolas Gatimel, Jessika Moreau, Véronique Gayrard, Nicole Picard-Hagen, Jean Parinaud, Roger D Leandri
BACKGROUND: Because only 25% of cases of premature ovarian insufficiency (POI) have a known etiology, the aim of this review was to summarize the associations and mechanisms of the impact of the environment on this pathology. Eligible studies were selected from an electronic literature search from the PUBMED database from January 2000 to February 2016 and associated references in published studies. Search terms included ovary, follicle, oocyte, endocrine disruptor, environmental exposure, occupational exposure, environmental contaminant, pesticide, polyaromatic hydrocarbon, polychlorinated biphenyl PCB, phenol, bisphenol, flame retardant, phthalate, dioxin, phytoestrogen, tobacco, smoke, cigarette, cosmetic, xenobiotic...
April 7, 2017: Environmental Health: a Global Access Science Source
Jinsong Chen, Chris Bullen, Kim Dirks
Background: Although some studies have identified hazardous substances in electronic cigarette (EC) liquids and emissions, there is limited information about the health risks of using ECs. Methods: In this study, the U.S. Environmental Protection Agency (EPA) health risk assessment model and findings of a literature review were used to determine and profile hazards. Focus was put on the toxicants reported in the literature on conventional cigarette (CC) smoke that most strongly associated with adverse health effects...
April 5, 2017: International Journal of Environmental Research and Public Health
Ana C N Marques Gomes, Shereen Nabhani-Gebara, Reem Kayyali, Federico Buonocore, Gianpiero Calabrese
OBJECTIVES: To seek community pharmacists' perception on use, safety and possible effectiveness of e-cigarettes as quit smoking tools, and their future regulation. SETTING: A survey of a sample of 154 community pharmacies across London, UK. CONTEXT: E-cigarettes have exclusively established themselves in the market through consumers-led demand. To date, e-cigarettes still remain unregulated and can be easily purchased in shops, over the internet, but more controversially also in pharmacies in the UK...
November 10, 2016: BMJ Open
Amy Guzik, Cheryl Bushnell
PURPOSE OF REVIEW: Death from stroke has decreased over the past decade, with stroke now the fifth leading cause of death in the United States. In addition, the incidence of new and recurrent stroke is declining, likely because of the increased use of specific prevention medications, such as statins and antihypertensives. Despite these positive trends in incidence and mortality, many strokes remain preventable. The major modifiable risk factors are hypertension, diabetes mellitus, tobacco smoking, and hyperlipidemia, as well as lifestyle factors, such as obesity, poor diet/nutrition, and physical inactivity...
February 2017: Continuum: Lifelong Learning in Neurology
Albert Park, Shu-Hong Zhu, Mike Conway
BACKGROUND: The popularity and use of electronic cigarettes (e-cigarettes) has increased across all demographic groups in recent years. However, little is currently known about the readability of health information and advice aimed at the general public regarding the use of e-cigarettes. OBJECTIVE: The objective of our study was to examine the readability of publicly available health information as well as advice on e-cigarettes. We compared information and advice available from US government agencies, nongovernment organizations, English speaking government agencies outside the United States, and for-profit entities...
January 6, 2017: JMIR Public Health and Surveillance
Isabel Mr Hess, Kishen Lachireddy, Adam Capon
OBJECTIVES: Electronic cigarettes (ECs) have recently become popular around the world, and their safety is being widely discussed in the scientific literature. Previous studies have examined the chemicals in e-liquids and vapour, and demonstrated that the aerosol from ECs can contain toxic chemicals that are harmful to health. However, little is known about the potential adverse health effects of passive exposure to EC vapour. The aim of this paper is to summarise and review all studies that have examined potential adverse health effects of passive exposure from inhaling EC vapour...
April 15, 2016: Public Health Research & Practice
Ki-Hyun Kim, Ehsanul Kabir, Shamin Ara Jahan
Electronic cigarettes (ECs) are devised to deliver nicotine in a vapor rather than in smoke without tar. ECs are hence advertised as being safer than tobacco cigarette products as the chemical compounds inhaled in the former are believed to be fewer and less toxic than those of the latter. Hazardous chemicals (e.g., formaldehyde) are nonetheless found to be generated incidentally by contacting the heated wire (i.e., the oxidation of glycerol/glycol in e-liquid). Although the extent of their release varies by several variables (e...
October 2016: Journal of Environmental Science and Health. Part C, Environmental Carcinogenesis & Ecotoxicology Reviews
Mohammad Abul Kaisar, Shikha Prasad, Tylor Liles, Luca Cucullo
It is well known that tobacco consumption is a leading cause of preventable deaths worldwide and has been linked to major diseases ranging from cancer to chronic obstructive pulmonary disease, atherosclerosis, stroke and a host of neurological/neurodegenerative disorders. In the past decade a number of alternative vaping products have hit the market, rapidly gaining consumers especially among the younger population. Electronic nicotine delivery systems or e-cigarettes have become the sought-after product due to the belief that they are much safer than traditional cigarettes...
July 15, 2016: Toxicology
Antonietta De Clemente, Simona Frigerio, Marco Clari, Ilaria Bergese, Salvatore Lanzarone, Elena Ponticelli, Enrica Scavino
BACKGROUND: Electronic cigarette smoking is spreading among health care professionals. E-cigarette smoke effects on health are not known, especially long-term effects. AIM: The aim of this study was to investigate the phenomenon of electronic cigarettes as regards smoking habits, knowledge and opinions of health care professionals. METHODS: A multicentre cross-sectional descriptive study was conducted by administering an online questionnaire to all the health care professionals employed in two hospitals...
2016: La Medicina del Lavoro
Barbara Silver, Carol Ripley-Moffitt, Jennifer Greyber, Adam O Goldstein
Although use of electronic nicotine delivery system devices, such as e-cigarettes and vapor pens, is on the rise, no treatment protocols exist to help such users quit. We report the case of a 24-year-old patient in a tobacco treatment program who successfully quit e-cigarette use by using nicotine replacement therapy.
April 2016: Clinical Case Reports
Amy Tomashefski
BACKGROUND AND PURPOSE: There is a lack of research on perceived health effects of electronic cigarettes by adult users. Because more people are choosing electronic cigarettes (e-cigarettes) in addition to, or instead of traditional cigarettes, it is important for the nurse practitioner (NP) to understand why. METHODS: A comprehensive literature search was conducted using four scholarly databases. The search strategy utilized remained consistent. Qualitative, quantitative, observational studies and meta-analyses were considered for review...
September 2016: Journal of the American Association of Nurse Practitioners
Jason W Flora, Naren Meruva, Chorng B Huang, Celeste T Wilkinson, Regina Ballentine, Donna C Smith, Michael S Werley, Willie J McKinney
E-cigarettes are gaining popularity in the U.S. as well as in other global markets. Currently, limited published analytical data characterizing e-cigarette formulations (e-liquids) and aerosols exist. While FDA has not published a harmful and potentially harmful constituent (HPHC) list for e-cigarettes, the HPHC list for currently regulated tobacco products may be useful to analytically characterize e-cigarette aerosols. For example, most e-cigarette formulations contain propylene glycol and glycerin, which may produce aldehydes when heated...
February 2016: Regulatory Toxicology and Pharmacology: RTP
Robert J Norman
The time of our conception is when we are most vulnerable to survival and growing as a healthy human being. Genetic and environmental effects on gametes and the developing embryo can be literally life-and-death events with regard to the successful outcome of pregnancy. In the past decade, we have also understood that environmental factors under which the gametes grow and the embryo develops have lifelong implications with regard to developmental origins of health and disease. We now know that parenting begins before conception in that a compromised egg or sperm from either parent can alter the trajectory of development even if the embryo and intrauterine environment is optimal...
December 2015: Australian & New Zealand Journal of Obstetrics & Gynaecology
Lori Pbert, Harold Farber, Kimberly Horn, Harry A Lando, Myra Muramoto, Jennifer O'Loughlin, Susanne Tanski, Robert J Wellman, Jonathan P Winickoff, Jonathan D Klein
Tobacco use and tobacco smoke exposure are among the most important preventable causes of premature disease, disability, and death and therefore constitute a major pediatric health concern. The pediatric primary care setting offers excellent opportunities to prevent tobacco use in youth and to deliver cessation-related treatment to youth and parents who use tobacco. This report updates a "state-of-the-art" article published a decade ago on office-based interventions to address these issues. Since then there has been marked progress in understanding the nature, onset, and trajectories of tobacco use and nicotine addiction in youth with implications for clinical practice...
April 2015: Pediatrics
Christian Reinhardt, Stefan Andreas
No abstract text is available yet for this article.
February 2015: Deutsche Medizinische Wochenschrift
Enrique Galve, Alberto Cordero, Vicente Bertomeu-Martínez, Lorenzo Fácila, Pilar Mazón, Eduardo Alegría, Jaime Fernández de Bobadilla, Esteban García-Porrero, Manuel Martínez-Sellés, José Ramón González-Juanatey
As in other fields, understanding of vascular risk and rehabilitation is constantly improving. The present review of recent epidemiological update shows how far we are from achieving good risk factor control: in diet and nutrition, where unhealthy and excessive societal consumption is clearly increasing the prevalence of obesity; in exercise, where it is difficult to find a balance between benefit and risk, despite systemization efforts; in smoking, where developments center on programs and policies, with the electronic cigarette seeming more like a problem than a solution; in lipids, where the transatlantic debate between guidelines is becoming a paradigm of the divergence of views in this extensively studied area; in hypertension, where a nonpharmacological alternative (renal denervation) has been undermined by the SYMPLICITY HTN-3 setback, forcing a deep reassessment; in diabetes mellitus, where the new dipeptidyl peptidase-4 and sodium-glucose cotransporter type 2 inhibitors and glucagon like peptide 1 analogues have contributed much new information and a glimpse of the future of diabetes treatment, and in cardiac rehabilitation, which continues to benefit from new information and communication technologies and where clinical benefit is not hindered by advanced diseases, such as heart failure...
February 2015: Revista Española de Cardiología
Carrie Printz
No abstract text is available yet for this article.
December 15, 2014: Cancer
Barbara Davis, Michael Dang, Jisoo Kim, Prue Talbot
INTRODUCTION: We evaluated the accuracy of nicotine concentration labeling on electronic cigarette refill products. METHODS: The nicotine concentration of 71 electronic cigarette refill fluid products and 1 related do-it-yourself (DIY) product was quantified using high-performance liquid chromatography. Quantified data were compared with manufacturers labeled concentrations. Duplicate refill fluid products purchased at different times were evaluated by visual comparison of fluid coloration and quantified nicotine concentration...
February 2015: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
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