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One of the important problems facing modern society is the increase in the number of people with various types of addictions, the most common of which is smoking. Smoking and its medical-demographic and economic consequences are in the circle of scientific interests of many domestic and foreign scientists. That is why the aim of the scientific article is to study the peculiarities of the state of the respiratory system in women at rest and during the burning of another cigarette. The study was conducted in the Laboratory of Medical and Biological Monitoring and Public Health at the Department of Human and Animal Physiology, Faculty of Biology and Forestry, Lesya Ukrainka Volyn National University for 60 women aged 17-21. At the first stage of the study, absolute anthropometric indicators were measured, such as height, weight, chest circumference. In the second stage women were interviewed on the Fagerström test. According to its results, the study is divided into 3 groups: Group I – women who have a history of smoking more than 3 years, burn more than 10 cigarettes per day and have a high level of dependence, Group II – women who have a history of smoking 1-3 years, up to 10 cigarettes are smoked per day and have a low and medium level of dependence, Group III – (control) women who do not smoke. The next stage of the study involved a functional diagnosis of the external respiratory system in women at rest and 15 minutes after smoking a cigarette using the functional method of pneumotachography (PTG). Registration and analysis of relevant indicators was carried out using a diagnostic automated complex “Cardio+”. Statistical data processing was performed using generally accepted methods of variation statistics (because the distribution of the results was normal) using MS Excel 2007 software. This article presents a study of the state of external respiration at rest and 15 minutes after burning another cigarette, which revealed the negative effects of smoking on the respiratory system of women who smoke. The study made it possible to make a detailed analysis of indicators of respiratory function in women aged 17-21 years, smokers and compare them with non-smokers. Based on the obtained results, it was found that in women smokers (groups I and II) there is a significant decrease in volume (FVC, VC, FEV1) indicators of external respiration, as well as the Tiffeneau-Pinelli test at p<0.05, compared with the group of women control group both at rest and 15 minutes after firing the next cigarette. Analysis of velocity (MEF at the level of exhalation 25 %, 50 %, 75 %, PEF) of airflow through the bronchi to the lungs indicates a gradual decrease from MEF 25 % to MEF 75 % in women of the experimental groups, but a significant decrease is observed only at the level sight of 75 % in 15 min after burning of the next cigarette between I and III groups (at p<0.05). A statistically significant difference between the values of the calculated Tiffeneau-Pinelli index, which characterizes the presence of obstructive respiratory failure, in women of groups II and III both at rest and 15 minutes after burning another cigarette. Thus, a decrease in these indicators indicates the presence of bronchial obstruction of the middle and small bronchi, as well as a violation of respiratory muscle strength and bronchial patency. It has also been shown that the reactivity (reduction) of volumetric and velocity indicators of external respiration to cigarette burning was higher in the group of women who do not smoke (control).
One of the important problems facing modern society is the increase in the number of people with various types of addictions, the most common of which is smoking. Smoking and its medical-demographic and economic consequences are in the circle of scientific interests of many domestic and foreign scientists. That is why the aim of the scientific article is to study the peculiarities of the state of the respiratory system in women at rest and during the burning of another cigarette. The study was conducted in the Laboratory of Medical and Biological Monitoring and Public Health at the Department of Human and Animal Physiology, Faculty of Biology and Forestry, Lesya Ukrainka Volyn National University for 60 women aged 17-21. At the first stage of the study, absolute anthropometric indicators were measured, such as height, weight, chest circumference. In the second stage women were interviewed on the Fagerström test. According to its results, the study is divided into 3 groups: Group I – women who have a history of smoking more than 3 years, burn more than 10 cigarettes per day and have a high level of dependence, Group II – women who have a history of smoking 1-3 years, up to 10 cigarettes are smoked per day and have a low and medium level of dependence, Group III – (control) women who do not smoke. The next stage of the study involved a functional diagnosis of the external respiratory system in women at rest and 15 minutes after smoking a cigarette using the functional method of pneumotachography (PTG). Registration and analysis of relevant indicators was carried out using a diagnostic automated complex “Cardio+”. Statistical data processing was performed using generally accepted methods of variation statistics (because the distribution of the results was normal) using MS Excel 2007 software. This article presents a study of the state of external respiration at rest and 15 minutes after burning another cigarette, which revealed the negative effects of smoking on the respiratory system of women who smoke. The study made it possible to make a detailed analysis of indicators of respiratory function in women aged 17-21 years, smokers and compare them with non-smokers. Based on the obtained results, it was found that in women smokers (groups I and II) there is a significant decrease in volume (FVC, VC, FEV1) indicators of external respiration, as well as the Tiffeneau-Pinelli test at p<0.05, compared with the group of women control group both at rest and 15 minutes after firing the next cigarette. Analysis of velocity (MEF at the level of exhalation 25 %, 50 %, 75 %, PEF) of airflow through the bronchi to the lungs indicates a gradual decrease from MEF 25 % to MEF 75 % in women of the experimental groups, but a significant decrease is observed only at the level sight of 75 % in 15 min after burning of the next cigarette between I and III groups (at p<0.05). A statistically significant difference between the values of the calculated Tiffeneau-Pinelli index, which characterizes the presence of obstructive respiratory failure, in women of groups II and III both at rest and 15 minutes after burning another cigarette. Thus, a decrease in these indicators indicates the presence of bronchial obstruction of the middle and small bronchi, as well as a violation of respiratory muscle strength and bronchial patency. It has also been shown that the reactivity (reduction) of volumetric and velocity indicators of external respiration to cigarette burning was higher in the group of women who do not smoke (control).
Annotation. With the help of Google forms, a questionnaire was conducted among applicants of medical institutions of higher education regarding the prevalence, duration, and preferences of types of alternative tobacco products, namely: National Pirogov Memorial Medical University, Vinnytsya (VNMU), Lviv National Medical University named after D. Halytskyi (LNMU), Bukovyna State Medical University (BDMU), Kharkiv National Medical University (KHNMU), National Medical University named after O. O. Bogomolets (NMU), among the five medical higher education institutions of Ukraine. The purpose of the study is to identify the prevalence, duration, causes of smoking, and health threats as consequences of smoking among students of medical institutions of higher education in Ukraine. A content analysis of scientific sources of foreign scientists from many countries of the world regarding the spread of tobacco smoking among student youth in European countries was conducted based on PubMed I Google Scholar databases for the period 2008-2022. Based on the results of the questionnaire, it was determined and compared with the questionnaire of 2019. It was established that among the applicants of medical institutions of higher education I-VI courses – 69.8% (61.2% – in 2019) of students do not smoke, and 30.2% (38.8% – 2019) smoke. Out of them, 76.9% are feminine and 23.1% are masculine. The average age of starting smoking among respondents of medical institutions of higher education was 16 to 18 years old – 21.0%. They use such a bad habit to relieve stress, which accounts for 30.0% of women and 43.6% of men. Cigarettes are preferred by 40.0% of women and 20.0% of men; to cigarettes – by 25.0% of women and 23.3% of men (in 2019 – 48.6%); IQOS – 17.0% of persons of the female article and 6.7% of the persons of the male article; electronic cigarettes – 33.3% of men and 10.0% of women (in 2019 – 10.9%); hookah tobacco – 10.0% among men and 8.0% among women (21.5% in 2019). The solution to the problem of smoking among students of medical institutions of higher education can only be systematic educational measures of anti-nicotine propaganda.
Tobacco smoking is one of the urgent social and medical problems of our time, as well as the cause of many serious diseases (oncological, cardiovascular, respiratory, etc.). The prevalence of smoking in Ukraine remains at a fairly high level: on average, 40.1% of men and 8.9% of women smoke (this is almost ¼ of the entire adult population). The harmful effects of tobacco smoking are well known to doctors of various specialties, but few people pay attention to the fact that smoking also causes negative consequences for the oral cavity, because the mucous membrane of the oral cavity and periodontal tissue are the first to be hit by the harmful factor. The prevalence of smoking among the population of Ukraine aged 12 and older in 2020 was 16.5%, which is 2% less than in 2019. Since 2006, when electronic cigarettes appeared on the world market, there has been a constant increase in their sales. This increase in sales is reflected in survey data, especially in high-income countries, and is linked to the benefits of e-cigarettes, which some people believe carry fewer health risks compared to traditional cigarettes, due to their lack of toxic chemicals that are formed in large quantities during the combustion of tobacco. Scientific data does not allow us to claim that the use of any type of tobacco product can be safer for health, compared to others. According to a 2020 WHO report, the use of tobacco heating devices containing nicotine leads to symptoms of nicotine dependence. The aerosol of the above-mentioned cigarettes can cause malfunction of some cells of the human body. The reason lies in the composition of their liquids: most of them contain toxic substances metals, carbonyls, harmful aromas, etc. Therefore, the best way to get rid of all risks is to completely stop using tobacco and nicotine in any form. Therefore, it is important for the dental professional to understand the difference between the effects of new products and traditional smoking, while encouraging the patient to completely quit smoking.
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