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Change in crackle characteristics among male adult smokers 成年男性吸烟者噼啪声特征的变化
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1242
S. Kaju, Michael J. Bennett, S. Bennett
Smoking is the main cause of Chronic Obstructive Pulmonary Disease (COPD) with the highest incidence of diagnosed COPD in males with age of 40 years and upwards. Crackle characteristics have been reported to indicate and differentiate COPD and other cardiopulmonary diseases. However, no studies have investigated the change of crackle characteristics among smokers within this specific group. The aim of this study was to compare crackle characteristics between adult male smokers and non smokers. Twenty smokers (10 mild (pack year: 9.05±3.9) and 10 moderate (pack year: 32.95±4.2)); age 8.95±6.4 year) and 20 non-smokers (age 50.90±5.3 year) with normal spirometry test were recruited into the study. Lung sound data were recorded, without airflow control, using a digital stethoscope (ThinkLabs ds32a, USA) connected to a laptop computer. The results showed significantly higher number of crackles per breathing cycle (NCpB) in smokers in all six areas across chest wall when compared with non smokers (p=0.043 for anterior left, p=0.009 for anterior right, p=0.032 for lateral left, p=0.008 for lateral right, p=0.015 for posterior left and p=0.001 for posterior right). These initial results indicate that NCpB might be able to reflect changes of the lung among adult smokers with normal spirometry test. This suggests that NCpB could possibly be used as an early indicator of smoking damage before turning to COPD, though a larger sample is needed to confirm it.
吸烟是慢性阻塞性肺疾病(COPD)的主要原因,在40岁及以上的男性中,诊断为COPD的发病率最高。据报道,裂纹特征可以指示和区分COPD和其他心肺疾病。然而,在这一特定群体中,没有研究调查吸烟者的噼啪特征的变化。本研究的目的是比较成年男性吸烟者和非吸烟者的噼啪声特征。吸烟者20人,轻度吸烟者10人(包年:9.05±3.9),中度吸烟者10人(包年:32.95±4.2);年龄(8.95±6.4岁)和肺活量测定正常的非吸烟者(50.90±5.3岁)20例。在没有气流控制的情况下,使用连接笔记本电脑的数字听诊器(ThinkLabs ds32a,美国)记录肺音数据。结果显示,与不吸烟者相比,吸烟者胸壁上所有六个区域的每个呼吸周期(NCpB)的响度明显更高(左前p=0.043,右前p=0.009,左外侧p=0.032,右外侧p=0.008,左后p=0.015,右后p=0.001)。这些初步结果表明,NCpB可能能够反映肺活量测定正常的成年吸烟者的肺变化。这表明NCpB可能被用作慢性阻塞性肺病之前吸烟损害的早期指标,尽管需要更大的样本来证实这一点。
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引用次数: 0
Exclusive e-cigarette use among Parisian school students 巴黎学校学生使用电子烟
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA4541
B. Dautzenberg, H. Torregrossa, M. Melchior, N. Rieu, P. Birkui, M. Mary-Krause, M. Dautzenberg
The objective of the study, conducted during 5 years among 12-19 years old secondary school students in Paris, is to compare exclusive e-cigarettes users to exclusive tobacco users. Methods: Each year from 2013 to 2017, we randomly selected classes in Paris to include approximately 3500 students. Current e-cigarette or tobacco use was defined as use in the preceding 30 days. Students completed a one-page self-reported questionnaire in school. Data were analyzed using marginal multinomial logistic regression models in which exclusive tobacco smokers served as the reference group. Results: Among the 17 435 students included, 2.3% (n=392) reported exclusive e-cigarette use, 7.9% (n=1370) exclusive tobacco use and 3.2% dual use (n=555). Compared to exclusive tobacco smokers, e-cigarette users were: - less likely to use cannabis (adjusted odds-ratio (OR) =0.12, 95%CI=0.06-0.23); - more likely to have used e-cigarettes rather than traditional tobacco at smoking initiation (OR=9.59, 95% CI=4.81-19.13); - more likely to use a water-pipe at smoking initiation (OR=2.27, 95% CI=1.23-4.20). Compared to 12-14 year olds, the probability of being an exclusive e-cigarette user decreased with age with an OR=0.28 (95% CI=0.14-0.55) among 14-16 year olds and OR=0.12 (95% CI=0.06-0.24) among ≥ 17 year olds. The probability of being an exclusive e-cigarette user was lower if the best friend smoked tobacco (OR=0.35, 95% CI=0.23-0.56). Conclusions: Teenagers who are exclusive users of e-cigarettes differ from those who use tobacco in terms of smoking trajectory and concurrent cannabis use.
该研究在巴黎12-19岁的中学生中进行了为期5年的研究,目的是比较独家电子烟使用者和独家烟草使用者。方法:从2013年到2017年,我们每年在巴黎随机抽取大约3500名学生。目前的电子烟或烟草使用被定义为在过去30天内使用。学生们在学校完成了一份一页的自我报告问卷。数据分析使用边际多项逻辑回归模型,其中专门吸烟者作为参照组。结果:在纳入的17435名学生中,2.3% (n=392)报告完全使用电子烟,7.9% (n=1370)报告完全使用烟草,3.2% (n=555)报告双重使用烟草。与完全吸烟的人相比,电子烟使用者使用大麻的可能性更低(调整比值比(OR) =0.12, 95%CI=0.06-0.23);-在开始吸烟时更有可能使用电子烟而不是传统烟草(OR=9.59, 95% CI=4.81-19.13);-更有可能在开始吸烟时使用水管(OR=2.27, 95% CI=1.23-4.20)。与12-14岁的人相比,14-16岁的人成为纯电子烟使用者的概率随着年龄的增长而下降,OR=0.28 (95% CI=0.14-0.55),≥17岁的人OR=0.12 (95% CI=0.06-0.24)。如果最好的朋友吸烟,成为纯电子烟使用者的可能性更低(OR=0.35, 95% CI=0.23-0.56)。结论:仅使用电子烟的青少年在吸烟轨迹和同时使用大麻方面与使用烟草的青少年不同。
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引用次数: 0
Study of lung functions in tobacco chewers 烟草咀嚼者肺功能的研究
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa1720
A. Ahuja, A. Uppe, Girija Nair
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引用次数: 1
Smoking in individuals with HIV/AIDS: a qualitative-quantitative approach 艾滋病毒/艾滋病患者吸烟:定性-定量方法
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1238
I. Godoy, Ligia Lopes Devóglio, I. Godoy
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引用次数: 0
The effect of parental smoking and smoking inside the house in the adolescents attitude towards smoking 父母吸烟和室内吸烟对青少年吸烟态度的影响
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa4571
Dimitra Mpousiou, Dimitra Lamprou, Michael Toumpis, Theodora Katsaounou, D. Fouskakis, Marina Moscholaki, Areti Karathanasi, C. Gratziou, E. Zervas, P. Katsaounou
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引用次数: 0
Smoking behaviour and age 吸烟行为与年龄
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA4539
F. Çiftçi, S. Ayoz, Dursun Baygul, Z. P. Önen, E. Şen
Aim: This study was aimed to evaluate age-related differences in smoking habits and to determine the different characteristics of the patients older than 65 years. Method: Information regarding demographic characteristics, comorbidities, and smoking history were obtained. The Hooked on Nicotine Checklist (HONC) questionnaire and the Fagerstrom Nicotine Dependence Test (NDT), were administered. Results: This study included a total of 140 patients with a mean age of 51.5±14.1 who presented to the smoking cessation unit between 2016-18. The age of onset for cigarette smoking was 16.9±5.1 years; the mean total smoking amount was 32.8±15.8 packs/year. 51(36.4%) patients were ≥65 years of age and 89 (63.6%) were Conclusion: Smoking is associated with male gender, a lower educational level, and a higher smoking rate above 65 years of age. These patients have a higher autonomy over smoking; they tried to quit smoking and used drugs more often. The rate of living with other smokers at home and at work is low. Patients over 65 years of age have different characteristics and treatments should be evaluated differently.
目的:本研究旨在评估年龄相关的吸烟习惯差异,并确定65岁以上患者的不同特征。方法:获得人口统计学特征、合并症、吸烟史等信息。采用尼古丁成瘾量表(HONC)和Fagerstrom尼古丁依赖测验(NDT)。结果:本研究共纳入了140例患者,平均年龄为51.5±14.1,于2016-18年间到戒烟单位就诊。发病年龄为16.9±5.1岁;平均总吸烟量为32.8±15.8包/年。年龄≥65岁51例(36.4%),年龄≥65岁89例(63.6%)。结论:吸烟与男性、低文化程度、65岁以上人群吸烟率较高有关。这些患者对吸烟有较高的自主性;他们试图戒烟,更频繁地使用毒品。在家里和工作中与其他吸烟者同住的比率很低。65岁以上的患者有不同的特点,治疗应不同评估。
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引用次数: 6
Carboxyhemoglobin level in patients undergoing home long term oxygen therapy declaring themselves as non-smokers. 在家庭长期吸氧治疗自称不吸烟者的患者的碳氧血红蛋白水平。
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1260
A. Nowiński, Damian Korzybski, Anna Czyzak-Gradkowska, R. Pływaczewski, P. Śliwiński
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引用次数: 0
Analysis of the ratio of ACO in elderly and non-elderly asthmatics with a history of smoking 有吸烟史的老年与非老年哮喘患者ACO比值分析
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa1231
A. Ebihara, A. Nagai, T. Iwamoto, I. Kuwahira
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引用次数: 0
Effects of electronic cigarette aerosol on isolated murine lung cells and bronchoalveolar lavage fluid 电子烟气溶胶对离体小鼠肺细胞和支气管肺泡灌洗液的影响
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1724
E. Roxlau, Alexandra Pichl, B. Selvakumar, R. Schermuly, H. Ghofrani, W. Seeger, J. Wilhelm, M. Fassbender, F. Grimminger, S. Herold, N. Sommer, N. Weissmann
Electronic cigarettes (e-cigarettes) are gaining popularity as an alternative to smoking, despite many unsolved questions regarding their safety. This study aimed to investigate effects of e-cigarette vapour extract (ECVE) and e-cigarette aerosol (ECA) on different pulmonary cell types or bronchoalveolar lavage fluid (BALF) from control mice or mice exposed to ECA, respectively. Primary isolated murine alveolar epithelial typeII cells (mAECII) and pulmonary arterial smooth muscle cells (mPASMC) were exposed to ECVE (containing 0mg/ml or 18mg/ml nicotine). We determined proliferation and migration in mPASMC, and performed whole genome expression analysis in mAECII and mPASMC. Additionally, flow cytometry was applied to characterize cellular composition of BALF from C57BL/6J mice exposed to ECA for 8 months. ECVE with and without nicotine inhibited cellular migration, but not proliferation in mPASMC and increased expression of inflammatory proteins, such as inducible nitric oxide synthase. Microarray data further revealed alteration of lysosomal and metabolic pathways, particularly glycolysis/gluconeogenesis in mPASMC. In contrast, metabolic pathways, particularly genes involved in cytochrome P450 and glutathione metabolism were upregulated in mAECII. Furthermore, the percentage of lymphocytes, neutrophils and alveolar exudate macrophages were increased, whereas resident alveolar macrophages were decreased in the BALF from mice exposed to ECA with or without nicotine compared to control groups. These results indicate that ECVE with and without nicotine alters cellular functions and intracellular pathways of mPASMC and mAECII. Moreover, ECA causes inflammatory responses in the lung.
电子烟(电子烟)作为吸烟的替代品越来越受欢迎,尽管其安全性仍有许多未解决的问题。本研究旨在研究电子烟蒸气提取物(ECVE)和电子烟气溶胶(ECA)对对照小鼠或暴露于ECA的小鼠不同肺细胞类型或支气管肺泡灌洗液(BALF)的影响。将原代分离的小鼠肺泡上皮ii型细胞(mAECII)和肺动脉平滑肌细胞(mPASMC)暴露于含有0mg/ml或18mg/ml尼古丁的ECVE中。我们检测了mPASMC的增殖和迁移,并进行了mAECII和mPASMC的全基因组表达分析。此外,用流式细胞术检测暴露于ECA 8个月的C57BL/6J小鼠的BALF细胞组成。含尼古丁和不含尼古丁的ECVE抑制mPASMC细胞迁移,但不抑制增殖,并增加炎症蛋白(如诱导型一氧化氮合酶)的表达。微阵列数据进一步揭示了mPASMC中溶酶体和代谢途径的改变,特别是糖酵解/糖异生。相反,代谢途径,特别是参与细胞色素P450和谷胱甘肽代谢的基因在mAECII中上调。此外,与对照组相比,在有或没有尼古丁的ECA小鼠的BALF中,淋巴细胞、中性粒细胞和肺泡渗出性巨噬细胞的百分比增加,而常驻肺泡巨噬细胞的百分比减少。这些结果表明,含尼古丁和不含尼古丁的ECVE改变了mPASMC和mAECII的细胞功能和细胞内通路。此外,ECA引起肺部炎症反应。
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引用次数: 0
Electronic cigarettes knowledge and use among smokers attending an intensive smoking cessation intervention programme 参加强化戒烟干预计划的吸烟者的电子烟知识和使用情况
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA4550
M. A. Mendes, Paula Faustino, Teresa Almeida, Manuel Preto, M. J. Oliveira, M. Dias, D. Coutinho, I. Ladeira, M. Guimarães, I. Pascoal
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引用次数: 1
期刊
Tobacco, smoking control and health education
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