The influence of personal tobacco smoking on the clinical practice of Italian chest physicians

Abstract

Tobacco smoking (TS) is a major cause of lung diseases. This study aimed to determine: 1) the prevalence of TS among chest physicians; 2) the influence of the personal smoking habit on clinical practice; and 3) what training about tobacco-related issues (TI) doctors received in medical school. A total of 983 attendees at the National Meeting of the Italian National Thoracic Society (AIPO) received a questionnaire about TI, which also contained the Fagerstroem Tolerance Questionnaire, and 605 (61.5%) answered. An independent assessment of the prevalence of smokers was carried out to minimize the bias of self-selection. The numbers of smokers was 151 (25%), never-smokers 246 (40.7%) and exsmokers 208 (34.4%). Smoking chest physicians underestimate the health hazards of smoking (p<0.001) and disregard their educational role (p=0.005) more than nonsmoking chest physicians. Compliance with smoking restrictions inside hospitals is frequently poor (30.1% smoke in clinics). In 33.1% of smokers a high nicotine addiction was found, which influenced their behaviour in hospital but not their ability to cope with tobacco-related problems. This ability was generally low: 39.1% of responders reported no training about TI. Smoking is frequent among Italian chest physicians, who are poorly trained about the health effects of tobacco smoking and are poorly skilled in treating smokers.

Haloalkane dehalogenase from Xanthobacter autotrophicus GJ10 refined at 1.15 Å resolution

“…taking a crystal from the same batch, also showed electron density for a chloride ion in this position (Nardini, 1998). Thus, the presence of the ion is more likely to arise from the crystallization medium or the PEG 6000 in the cryoprotectant solution, which might have contained traces of chloride.…”

Responsibility of Physician on Tobacco Addiction and Treatment: 5A 5R Approach

“…Tütün ürünü tüketmeyen hekimler çalıştıkları yerleri de hastalarını da olumlu bir örnek oluşturarak etkiledikleri gibi, tüketen hekimlere göre tütün ürünleri-nin olumsuz etkilerini daha fazla önemsemekte ve bu konuda hekim rolüne daha fazla inanarak hastalarına daha güçlü destek sunmaktadırlar (6,7) .…”

Characterization of Smoking Habits Patterns in Medical Doctors of a Central Hospital in Portugal–What has Changed after 15 Years? A Comparative CrossSectional Study

“…In 2012, more than a quarter of the population of 15 to 64 years was a tobacco consumer [4][5][6][7][8][9][10][11][12]. The majority of Portuguese started smoking consumption between 12 and 20 years of age, largely due to the influence of friends or curiosity and willingness to experiment.that it is imperative to invest in prevention and control of this important national public health problem [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17].…”

“…Studies suggest that as smoking rates decline among physicians, a similar reduction will be observed in the general population as well. Recent data demonstrated that surgical specialities have greater tendency to stress with more highest percentage of smokers [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17].…”