Discover and read the best of Twitter Threads about #smoking

Most recents (24)

What are the short-term effects of #vaping and #tobacco #smoke on lung ventilation and perfusion?

Inspired from a recent study in @radiology_rsna by Nyilas, Bauman et al. pubs.rsna.org/doi/10.1148/ra…

#tweetorial thread 👇
BACKGROUND:

Randomized control trials suggest that #vaping
can effectively support #smoking cessation.

What is the effect of #vaping on airway inflammation and airway resistance?
Answer: It has been shown that after 5 minutes of vaping the airway inflammation and airway resistance increases⬆️

physoc.onlinelibrary.wiley.com/doi/10.1113/JP…

sciencedirect.com/science/articl…
Read 17 tweets
#Cannabis: Do you really know what you take?

A thread… #CannabisCommunity

Do you know that cannabis plants are used for both recreational and medical purposes? The legal use of cannabis, however, varies from one state to another...
So before indulging yourself, it is quite necessary you confirm the legality of #cannabis in your current state.

Products that contain cannabis are made from the dried flowering tops, leaves, stems, and seeds of the hemp plant.
Medical Uses Of #Cannabis

From intensive research, cannabis or its products have been found useful in the management of medical ailments below…

- Chronic pain in adults
- Some symptoms of multiple sclerosis
- Nausea and vomiting
- Insomnia
- Anxiety
- Low appetite, etc
Read 14 tweets
1/🧵
I remember how excited I was a year ago when @cdoug Tweeted his statement about how we need to #ChangeTheConversation about #THR and #Smoking. His latest tweet reminds me that his voice is one of many. This gives me hope.
2/

"The debate is heated, driven as much by emotions and philosophies as by facts. One hopes that the debate will move to an evidence-based discussion as research fleshes out the factual basis for evaluating the roles of these novel products."

ncbi.nlm.nih.gov/labs/pmc/artic…
3/

“We must not focus our efforts so narrowly on preventing tobacco use by youth that we send smokers the message that we have abandoned them -- that their addiction is their own fault and that we don't care about them.”

washingtonpost.com/archive/opinio…
Read 42 tweets
Join us tomorrow for the launch of a new accredited tweetorial – a case-based program on the assessment and management of patients with IgA #nephropathy (#IgAN). Free CE/#CME for #physicians, #nurses, #pharmacists! Expert author none other than @IgAN_JBarratt. FOLLOW US . . .
. . . and tell your colleagues to join you here on @ckd_ce, your ONLY source for accredited #tweetorials in the #CKD space! #nephtwitter #nephjc @nephondemand @Nephro_Sparks @edgarvlermamd @ChristosArgyrop @goKDIGO @nicklimd @CKJsocial @ERAkidney @kidney_boy @kidneypathology
1) Welcome to our accredited #tweetorial on optimal contemporary mgt of #IgAN. Earn 0.5h CME/CE credit #physicians #nurses #nursepractitioners #physicianassistants by following this thread. I am @IgAN_JBarratt. @MedTweetorials #nephtwitter #nephjc #FOAMed #MedEd Image
Read 56 tweets
#Peripheralarterialdisease or PAD - 63y old smoker with right hand pain on doing any work. His angio showed triple vessel disease in the heart and a tight narrowing or blockage of the right subclavian artery (which supplies the right upper limb) stented - good result. #Smoking
In PAD, blockages can happen in the arteries supplying the lower limb or upper limb. These are similar to blockages in the heart. They're made up of cholesterol, inflammatory cells, calcium and fibrous tissue. These lead to reduced blood supply the hands and legs/ #gangrene
Causes of PAD
1. SMOKING
2. DIABETES
3. HYPERTENSION
4. HIGH CHOLESTEROL
5. SOME INFLAMMTORY DISORDERS (VASCULITIS)
Read 8 tweets
@MondayNightIBD @DCharabaty @JanssenUS @pfizer @TakedaPharma 2/ 📸 Faculty disclosures & CME certification ℹ 👇
#CME certificate 🏅 → ℹ️ bit.ly/3GOowNG Image
@MondayNightIBD @DCharabaty @JanssenUS @pfizer @TakedaPharma 3/ 👌let's 🚴

In addition to 💉, pts w #IBD should undergo regular #PreventiveHealth #HCM:
📌Cancer Screening 🦀
📌Bone Health assessment 🦴
📌Mental Health 🥺
📌Treatment specific Testing 💉💊
📌Nutrition
📌Smoking cessation 🚬

#ICYMI vaccines #MNIBDTweetorial 📎 @🔚 of 🧵 Image
@MondayNightIBD @DCharabaty @JanssenUS @pfizer @TakedaPharma 4/ 🧩Who is IS? #IBD pts on or had within last 3 months:
🚩 Prednisone > 20mg/day >2wks
🚩 AZA >2.5 mg/kg/day
🚩 6MP >1.5 mg/kg/day
🚩 MTX >0.4 mg/kg/week
🚩 Cyclosporine
🚩 Tacrolimus
🚩 Tofacitinib, ozanimod
🚩 TNFi, UST

Also:
🚩 Significant protein-calorie malnutrition
Read 22 tweets
If VLNC helps some people stop smoking, I will be glad to see it. I'm concerned about sending people the wrong message about nicotine. I'm going to park some random thoughts throughout the day in this 🧵, as I work on the @SaferWiki VLN page. safernicotine.wiki/mediawiki/inde…
1/
2/🧵 fda.gov/media/135146/d…
Some people are concerned when people making the switch from smoking to vaping dual use. What happens if people dual use cigarettes and VLNC? Is smoking less/day a good thing? Is it reducing harm? Some against vaping have said "no". Image
3/🧵fda.gov/media/135146/d… (page 6)
My concern is sending consumers the wrong message about nicotine. It's not the nicotine that causes death and disease. If someone likes smoking and doesn't want to quit they need to understand that VLNC isn't safer, it's less addictive. Image
Read 16 tweets
What all steps can our friends with Diabetes take to keep their feet healthy?

Always remember, Prevention is better, cheaper and safer than cure.

Few pointers about footcare for patients with Diabetes. A thread 🧵

Do read and share.

#Diabetes #Footcare (1/n)
Diabetes can be dangerous to your feet🦶

Even a small cut can have serious consequences.

It can affect blood flow to the lower limbs, affecting healing and making prone to infection.

It can affect nerves leading to reduced sensation including pain. #Diabetes #Footcare (2/n)
If you have diabetes & develop a blister or cut or a sore, it could lead to a non healing wound that could progress & some cases requiring surgeries & even amputation. We see many cases in late stages, hence requires intervention. Many are PREVENTABLE. #Diabetes #Footcare (3/n)
Read 18 tweets
November 25 is International Day for the Elimination of Violence against Women. #ViolenceAgainstWomen is a human rights violation that remains largely unreported and manifests in physical, sexual and psychological forms #SpreadTheWord @UN_Women 🧵
TW: Abuse
Have you experienced abuse and need help? If you have felt threatened, unsafe or need assistance, please see the list of country help lines. You are not alone.
endvawnow.org/en/need-help
TW: Abuse

#ViolenceAgainstWomen can manifest insidiously:
👉 Intimate partner violence (psychological abuse, battering, marital rape, femicide)
👉 Sexual violence and harassment, stalking
👉 Forced marriage & child marriage
👉 Human trafficking
👉 Female genital mutilation
Read 9 tweets
1/8 It was not unexpected that pts w/ #STEMI would fare worse w/ than w/o #COVID19
2/8 However, our study was unique in design compared w/ prior studies, allowing for more accurate estimates of mortality risk: 1) larger, more representative cohort; 2) more contemporary control groups
3/8 We characterized mortality risk separately for pts with pre-hospital and in-hospital #STEMI
Read 10 tweets
The sad story of a small business crushed by draconian overregulation:
Hi @DrWoodcockFDA , I wanted to give you the human side of what's now done. I quit smoking w/ #vaping over 9 years ago, and w/ $400 I started my vape business. I was driven by an evangelical need to-1/12
to spread the word about this miracle that broke my 33 year 2 pack a day #smoking habit.
Business grew, and customers came, and then I realized I had a good thing going-helping people; it was brilliant-you could see the change in them for the better each time 2/12
they came. I decided I may have stumbled upon the #AmericanDream as I outgrew my 1st shop, moved and opened a second. All helping people. It grew from a thousand dollars a week to well over a million $ a year-with every cent of taxes paid, steady, fulfilling employment etc. 3/12
Read 14 tweets
The @GlobalStateTHR's response to the @WHO's 8th 'annual report on the #tobacco epidemic' calls out its attempt to distract from years of failure to reduce #smoking with a misguided war on #safernicotine products that are helping smokers quit. 1/
gsthr.org/media/releases…
@WHO The WHO's release celebrates progress of its MPOWER strategy. Yet 1.1 billion people continue to #smoke worldwide and 8 million lives are lost annually to #smoking-related disease, figures that have remained static for two decades. This is not success.
2/
@WHO Even progress on MPOWER is underwhelming. 41 of the 49 countries that have not implemented a single MPOWER measure are LMIC - home to 80 per cent of the world’s smokers. 3/
Read 10 tweets
@GregHuntMP / @TGAgovau pls note:
Reports are coming in that some batches of #varenicline (marketed as Champix or Chantix) have been recalled due to contamination with #nitrosamines.
[At low levels of - much lower than #cigarettes.]
1/
ema.europa.eu/en/news/suspen…
#Israel has issued a recall on those batches of #varenicline as has #Greece, while #SouthKorea is conducting an ongoing investigation..
Hopefully our TGA in #Australia is aware of the problem and is investigating as well.
2/
koreabiomed.com/news/articleVi…
But this thread is less about varenicline specifically and more about product recalls, quality control & #nicotine containing products such as #snus, #HTP / #HnB & (most) #eCigarettes. Product recalls are not possible in an illicit mkt or practical in a poorly regulated mkt.
3/
Read 19 tweets
People in #TobaccoControl often chant a mantra to the effect "#ThinkOfTheChildren!"
Of course, children should be considered, & protected, but why not focus on the harm facing adult smokers? If they can #QuitSmoking by 40 years old (some say 35), they can avoid any serious health implications.
Well, I've thought (probably too) much on this, and suspect these folks all hold the same beliefs:
Read 11 tweets
📣✨ 3 global studies on #smoking published today in @TheLancet & @TheLancetPH using data from 3,625 surveys #GBDstudy.

🚬 Latest data finds nearly 8 million deaths from smoking in 2019 & 90% of new smokers addicted by age 25.

📄➡️thelancet.com/journals/lance… Image
🚭📊 The global numbers as of 2019:

▪️ Number of smokers increased to 1.1 billion
▪️ Caused 7.7 million deaths
▪️ Over 1/2 of countries showed no progress in reducing smoking among 15-24 year olds
▪️ 1 in 3 current tobacco smokers live in China
Since 1990, global smoking prevalence among men decreased ⬇️ by 27% and by 37% among women. However, 20 countries saw significant increases in prevalence among men and 12 saw significant increases among women.
Read 15 tweets
On behalf of KAC, the #GSTHR's @GerryStimson gave evidence to the UK @AppgVaping's inquiry into the #FCTC in Feb - see yday's Daily Express featuring @MarkPawsey MP:

express.co.uk/news/uk/142803…

A summary of Prof. Stimson's points can be found here and ⬇️:

kachange.eu/uk-appg-vaping…
Professor Stimson:
"The UK is a world leader in #tobaccoharmreduction – expertise, governmental and institutional support, the data, and evidence that access to safer #nicotine products speeds up the switch away from #smoking."

kachange.eu/uk-appg-vaping…
Professor Stimson:
"The UK’s experience with #THR is being systematically ignored or worse, derided behind the scenes by the
@WHO and #FCTC process, instead of being highlighted as a best practice. Why is this?"
kachange.eu/uk-appg-vaping…
Read 5 tweets
🚨n.b. #postprint 🚨

v10 of our #LivingReview is live on @qeios

We have reviewed 345 studies. 52 of sufficient quality for #MetaAnalysis to explore the association of #Smoking and #COVID19 #infection, #hospitalisation, #severity and #mortality.

qeios.com/read/UJR2AW.11
No dramatic changes from v9 posted in November.

Most studies from 🇺🇸, 🇨🇳 & 🇬🇧 but from 39 countries. 65% hospital based, 8% purely community. Median of 461 individuals per study.

Smoking remains poorly recorded, only 29% of studies categorise as current 🚬, former and never 🚭
6 studies report on alternative nicotine products.

Large amounts of missing data in many studies on 🚬 status introducing bias.

Huge reliance on #ElectronicHealthRecords and all the limitations that brings. See our recent #PrePrint if interested (doi.org/10.1101/2020.1…)
Read 16 tweets
@CDCgov 1) My Mom had #BeenSmokingCigarettes for 30 #Years when she had gotten #pneumonia 2x's during the Winter of 1989-1990. Her doctor told her if she didn't #QuitSMOKING , she would #VeryLikely get #pneumonia again. Then, he Highly recommended that she #GiveNicotinePatchesATry . She
@CDCgov 2) decided to try them; for #ThreeEntireMonths , as the amount of #Nicotine in the patches is reduced each month; even though they caused her to get a small amount of hives! 😃 By that time, she was down to #Smoking 1 or 2 #Cigarettes a day; instead of her usual #PackADay Habit!
@CDCgov 3) And, back then, packs had 30 #Cigarettes in them! BUT, she had to keep a #PenInHerMouth every day; & leave the #SmokingLunchroom at work, too. And, for some odd reason, she used #CinnamonCandies to help herself, too. So, she was #TryingVeryHard to quit; using psychological
Read 10 tweets
@kavitapmd @djrothkopf. You want to get public to social distance, wear masks & not travel to avoid #Christmas #COVID disaster, w/ 500,000 dead by March?Ask @MikeBloomberg @BillGates @georgesoros #EricScmidt etc. to bankroll massive scary ad campaign incl. #FoxNews, w/@adcouncil
Seek winners of @ClioAwards, advice of @adforum @Adweek @ProjectLincoln @therickwilson for best creatives to design, produce hard-hitting emotional ads to scare, shock #MAGA #conspiracy believers to protect themselves, families. Standard media coverage of #CDC #Fauci won't work.
Some sample ad ideas, but consult with pros: show festive Christmas dinner with CGI Airborne virus, then some family members turning to skeletons or show their empty seats Christmas 2021. Cut to plea of real #COVID survivor w/oxygen tubes saying not hoax, or grieving loved ones.
Read 7 tweets
Did you miss the talk "Panorama of #lupus in 2020?" I did yesterday for @LupusEurope?

No worries, I'm starting a #tweeter #SLE #thread so that you can pick up the slides you're interested in 👍

Check below for the SLIDES ⬇️
Slide #1
Current classification of #Lupus
Slide #2
What is #lupus #SLE
#Lupusawareness
Read 18 tweets
@SimonChapman6criticizes #vape advocate for mentioning success, not failure. What's the failure rate of #ColdTurkey, Simon? Not heard you mention that..
#AusTHRInquiry2020 #PH2
@SimonChapman6 criticizes #vape advocate for mentioning success, not failure. What's the failure rate of #ColdTurkey, Simon? Not heard you mention that..
#AusTHRInquiry2020 #PH2
Read 203 tweets
What Skerrit is saying in regard to not bringing #tobacco under the prescription model is complete rubbish. The @TGAgovau site explicitly mentions novel #nicotine products - #SLT & #HTP.
Huh.. @hollieahughes just said they're due to report by /18th/ December. I'd thought it was the 1st of December.
#AusTHRInquiry2020
Emily Banks 'sum total of world experience' .. yeah, with some heavy #CherryPicking.
The Oz #ANTZ /all/ seem to be loving 'the #GatewayEffect' which is a 'real thing'.. 🙄
#AusTHRInquiry2020
Read 137 tweets
1/ Not saying anything revolutionary here but thought I'd gather my thoughts in a big ol' #thread on #smoking, esp why I think pubs/bars/restaurants should voluntarily create generously-sized outdoor #nonsmoking areas ASAP (esp aimed at #Norwich venues bc of self-interest!)
2/ New gov guidance suggests venues will have to provide outdoor non-smoking areas soon anyway, though it's not clear from exactly when (anyone know?). gov.uk/government/new…
3/ But pubs should do it soon, before they are forced to, from a sense of moral duty & to protect punters from 2nd hand smoke (SHS).
Read 25 tweets
Recapping @AmCollegeGastro's #VirtualGrandRounds on #IBS! Let's begin!
🟣IBS can be diagnosed with the Rome criteria
🟣Making a positive diagnosis is very helpful to patients, many of whom have gone years without a name for their symptoms
#IBS is heterogeneous, and so are its pathogenesis and pathophysiology.
🟣Identifying underlying factors in patients can help target treatment!

@AmCollegeGastro
Important principles when diagnosing and treating #IBS.

@AmCollegeGastro
Read 34 tweets

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