Thursday 29 October 2015

Tobacco Use and Dependence



More Presentations from Dr.Naina Mohamed Pakkir Maideen

Ø Tobacco use is the largest single preventable cause of illness and premature deaths.
Ø Tobacco is consumed in many forms including…
§   Smokeless Tobacco
o  Chewing Tobacco
o  Snuff
o  Creamy Snuffs
o  Dipping Tobaccos
o  Gutka
o  Snus
§   Burned Tobacco
o  Cigarette Smoking
o  Cigar Smoking
o  Beedi (Bidi) smoking
o  Kreteks
o  Hookah
Ø Harmful health effects of Smokeless tobacco include:
§   Mouth, tongue, and throat cancer
§   Cancer of Esophagus, Stomach, Pancreas, etc.
§   Increased risk of heart disease, heart attacks, and stroke
§   Nicotine addiction
§   Leukoplakia (white sores in the mouth that can become cancer)
§   Receding gums (Gums slowly shrink from around the teeth)
§   Bone loss around the roots of the teeth
§   Abrasion (scratching and wearing down) of teeth
§   Tooth loss
§   Stained and discolored teeth
§   Bad breath
Ø Health risks of Burned tobacco include:
§   Cardiovascular disease (including myocardial infarction and sudden death)
§   Cerebrovascular disease (Stroke)
§   Peripheral vascular disease (Claudication, etc)
§   Chronic obstructive pulmonary disease
§   Asthma
§   Cancers of the Lung, Larynx, Oral cavity, Esophagus, Bladder, Kidney, Pancreas, and Uterine cervix.
§   Reduced Fertility
Ø Adverse health effects of Second hand smoke include:
§   Cancer (Increased lung cancer risk (by 20–30%))
§   Asthma
§   Respiratory infections
§   Reduced lung growth in children
§   Reductions in postnatal pulmonary function
§   Increased heart disease risk (by 25–30%)
§   Chronic otitis media
Ø Negative effects to babies due to Smoking during pregnancy, include:
§   Low birth weight
§   Premature birth (Being born too early)
§   Still birth (Being born dead)
§   Respiratory complications
§   Congenital heart defects
§   CNS effects
§   Fetal death
§   Infant death
Ø Negative effects to mothers due to Smoking during pregnancy, include:
§   Difficulty getting pregnant
§   Placental Abruption (Early seperation of Placenta )
§   Placenta previa (Placenta covers the cervix)
§   Premature rupture of membranes (Early breaking of water)
§   Ectopic pregnancy (Pregnancy occurs outside the womb)
Ø Health consequences of Youth smoking, include:
§   Nicotine addiction
§   Associated risk of other drug use like Alcohol, Marijuana, Cocaine, etc.
§   Reduction of the rate of lung growth and lung function
§   Chronic lung diseases, like emphysema and bronchitis
§   Shortness of breath
§   More production of phlegm
§   Elevated resting heart rates
§   Blood vessel disease, which can lead to heart attacks or strokes at a young age
§   Increased risk of lung cancer and other smoking-related cancers
§   More frequent headaches
§   Worst cold and flu symptoms
§   Reduced physical fitness
§   Worst overall health
§   Gum disease and tooth loss
§   Hearing loss
§   Vision problems, such as macular degeneration, which can lead to blindness
§   Excessive emotional or psychological complaint
§   Increased risky behaviors, such as fighting and engaging in unprotected sex.
Ø Health benefits of Smoking cessation, include:
§   Better sex
§   Improved fertility
§   Younger looking skin
§   Whiter teeth
§   Better breathing
§   Longer life
§   Less stress
§   Improved smell and taste
§   More energy
§   Healthier loved ones
Ø 5 A’s to offer smokers:
§   Ask about tobacco use
§   Advise to quit
§   Assess willingness to make a quit attempt
§   Assist in quit attempt
§   Arrange for follow-up
Ø TIPS to quit smoking:
§   Hide the matches, lighters, and ashtrays.
§   Designate the home a non-smoking area.
§   Ask people not to smoke around you.
§   Drink fewer caffeinated beverages which may stimulate the urge to smoke.
§   Avoid alcohol which may also increase the urge to smoke.
§   Change the habits connected with smoking.
§   Keep mints or gum (preferably sugarless) on hand to suppress urge to smoke.
§   Stay active to keep the mind off smoking and help relieve tension.
§   Take a walk, exercise, read a book, brush your teeth, take a shower, take a deep breath or try a new a hobby.
§   Make a list of reasons why you want to quit.
§   Carry this with you at all times. When you have an urge for a cigarette, read your list and it will help strengthen your resolve.
§   Look for support from others. Join a support group or smoking cessation program.
§   Do not go places where many people are smoking such as bars or clubs, and smoking sections of restaurants.
§   Find someone who can support you, for example a family member, friend or doctor.
Ø TIPS to get away from Second hand smoke:
§   Make the home and car smoke-free.
§   Ask the people not to smoke around you and your children.
§   Make sure that your children’s day care center or school is smoke-free.
§   Choosing restaurants and other businesses that are smoke-free.
§   Thank businesses for being smoke-free.
§   Teach children to stay away from other people’s smoke.
§   Avoid all smoke.
§   Learn as much as you can by talking to your doctor, nurse, or health care provider more about the dangers of other people’s smoke.
Ø Nicotine dependence may be treated by the following…
§   Nicotine replacement Therapy (NRT)
o  Over-the-counter (e.g., nicotine patch, gum, lozenge)
o  Prescription (e.g., nicotine inhaler, nasal spray)
§   Non-nicotine Prescription medications
o  Bupropion SR (Zyban®)
o  Varenicline tartrate (Chantix®)
Ø Complementary health approaches for smoking cessation, include:
§   Meditation
§   Hypnotherapy
§   Yoga
§   Acupuncture
§   Tai chi

Sunday 11 October 2015

Effects of Stress:



More Presentations from Dr.Naina Mohamed Pakkir Maideen

·       The Physiological effects of stress include…
Ø Tension Headache
Ø Back Ache
Ø Salivary secretion
Ø Diarrhoea
Ø Stomach Complaints
Ø Rapid Breathing
Ø Excessive Sweating
Ø Elevated Heart rate
Ø Increased Pulse rate
Ø Blood Pressure elevation
Ø Increased risk of Type 2 Diabetes
Ø Erectile Dysfunction
Ø Infertility
Ø Irregular menstrual cycle
Ø Weakening of Immune System
Ø Sleep Deprivation
Ø Fatigue
·       The Psychological effects of stress include…
Ø Anxiety
Ø Restlessness
Ø Depression
Ø Lack of motivation or focus
Ø Irritability or anger
Ø Sadness or depression
·       The Behavioural effects of stress include…
Ø Overeating or Undereating
Ø Angry Outbursts
Ø Smoking
Ø Alcohol or Drug abuse
Ø Social Withdrawal