Mood,Dietary Restraint,and Women's Smoking and Eating Urges

Women may have difficulty maintaining smoking cessation efforts due to negative affect and fear of weight gain. Dieting smokers who rely on cigarettes for affect regulation and weight management may be especially prone to weight gain and smoking relapse following initial smoking abstinence. The present study, which included 82 women smokers, assessed the relationship between dieting status, self-efficacy, and temptation to smoke and eat following a depressing or elating mood induction. Women with high levels of dietary restraint (i.e., more dieting behavior) had more confidence in their ability to refrain from smoking when in the elated mood condition, and they were more tempted to smoke when in the depressed condition. At low levels of dietary restraint (i.e., less dieting behavior), depressed or elated mood condition appeared to have little impact on women's confidence to refrain from smoking or their temptation to smoke. Dieting status seems to moderate the impact of positive and negative mood states, especially with respect to women's smoking behavior. These findings may have implications for dieters who are trying to quit smoking and also maintain their weight.     

Attitudes of oncology healthcare practitioners towards smoking cessation: A systematic review of the facilitators,barriers and recommendations for delivery of advice and support to cancer patients

ObjectivesA systematic review of the literature was conducted. The review was conducted using a search of the literature for all years up to October 2016. Statements that identified facilitators, barriers or recommendations surrounding smoking cessation delivery were extracted and analogous statements aggregated to enable thematic analysis. After searching multiple databases and the application of exclusion and inclusion criteria, a total of 19 acceptable studies were identified.Key findingsDelivery of cessation by oncology professionals was impacted by their own knowledge and views, their perception of the benefits to patient health and by the workplace procedures within their institution.ConclusionOncology practitioners worldwide face similar issues in delivering smoking cessation advice. By improving training programs that address the attitudes and beliefs which facilitate or block delivery of smoking cessation and by implementing systemic changes within cancer centres, delivery of smoking cessation should be enabled.     

克罗恩病患者吸烟饮酒现状的调查与分析

目的了解克罗恩病患者吸烟饮酒现状,为给予针对性的生活习惯指导和健康教育提供借鉴。方法采用便利抽样的方法,应用自行设计的炎症性肠病患者吸烟饮酒情况调查问卷对杭州、南京和广州三市多家医院的157例克罗恩病患者进行调查。结果克罗恩病患者确诊后吸烟率为14.01%,且均为男性,其中36.36%患者每日吸烟量大于10支,有超过半数的患者存在不同程度的被动吸烟情况。目前有36.36%的吸烟患者已经戒烟;克罗恩病患者确诊后饮酒率为7.64%,其中38.46%患者每日饮用两种类型酒,23.08%患者饮酒频率超过3次/周,还有部分患者每日饮酒量超过正常人群平均水平。目前,50.00%的饮酒患者已经戒酒。结论部分克罗恩病患者仍有吸烟和/或饮酒的生活习惯,在知晓其具体吸烟饮酒行为的基础上,通过评估其对烟酒与疾病关系的了解程度给予个体化的健康指导,强调戒烟和适度饮酒对疾病的重要性。     

Cese paradójico de un caso de síndrome de Charles Bonnet

Case report78-year-old male patient diagnosed with Charles Bonnet syndrome (CBS) showing secondary visual deficit toward end-stage glaucoma. He progressed to amaurosis, with an abrupt disappearance of hallucinations in parallel to the loss of residual vision.DiscussionThe paradoxical cessation of CBS occurs when the patient loses residual vision and progresses to amaurosis. The lack of stimulation, both in the corresponding retina and the cortex, lead to the disappearance of hallucinations because the desafferented and hyper-excited neurons lose the necessary stimulus that triggers CBS.     

Substance use after bariatric surgery: A review

BackgroundPrevalence of obesity has increased dramatically. Obese individuals may undergo bariatric surgery to lose excessive body fat and mitigate obesity-related comorbidities. However, bariatric patients are particularly vulnerable to substance use problems. We conducted a review to examine the prevalence change and factors associated with substance use and determine the association between substance use and health status after weight loss among bariatric patients.MethodsWe searched peer-reviewed articles published between January 1990 and January 2015 in several databases (PubMed, PsycINFO, Cochrane Library, Google Scholar) using different keywords combinations. Studies that focused on pre-surgery substance use only or without reported effect measurements were excluded.ResultsOverall, 40 studies were included in the review. Preoperative history of substance use was a reliable correlate of postoperative substance use. The prevalence of postoperative alcohol use was higher among patients with preoperative history of alcohol use than those without. Postoperative prevalence of alcohol use ranged from 7.6% to 11.8%. No significant prevalence change in cigarette smoking from pre-to postoperative period was observed. Time effect was not observed on smoking or drug use prevalence, while an increase in alcohol consumption was inconsistent across studies. The proportion of new-onset substance users among bariatric patients after surgery ranged from 34.3% to 89.5%.ConclusionSubstance use is associated with poor health among bariatric patients. Preoperative assessment and postoperative follow-up should include interventions to reduce relapse among users and prevent substance use initiation.