Thoracic research and practice最新文献

{"title":"Third-hand Smoking Beliefs in Patients with Cancer.","authors":"Remziye Can, Elif Saraç, Esra Yıldız, Şerif Kurtuluş","doi":"10.4274/ThoracResPract.2024.24054","DOIUrl":"10.4274/ThoracResPract.2024.24054","url":null,"abstract":"<p><strong>Objective: </strong>Exposure to third-hand smoke (THS) represents an important health concern in many indoor environments. This study was conducted to test the beliefs of cancer patients about THS and to examine associations with effective factors.</p><p><strong>Material and methods: </strong>This cross-sectional study included 119 patients who were being treated for cancer in the oncology clinic of a University Hospital. The data were collected using a face-to-face questionnaire. This study consisted of the introductory characteristic form and the \"Turkish Form of the Beliefs About Third-hand Smoke Scale\".</p><p><strong>Results: </strong>The mean age was 58.52±14.01, with 73% of the participants being female, and 58% reported not smoking. They had a moderate Third-hand Smoke Scale (3.53±0.45). The impact of THS on health was 3.92±0.48 and Persistence in the Environment was 3.21±0.57. Education, smoking, and having cancer relatives were significantly associated with the THS scale scores.</p><p><strong>Conclusion: </strong>None of the participants had previously heard of the concept of THS. Beliefs about the harms of THS exposure were moderate. They believed that THS has a more harmful impact on health than its persistence in the environment. Graduate degrees, smoking, and those with cancer relatives believed the harms of third-hand exposure more than the others.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"26 2","pages":"55-60"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11796301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression Paradox in Cardiovascular Outcomes of Adult Patients with Obstructive Sleep Apnea: Insights from 2 Million Nationwide Hospitalizations.","authors":"Rupak Desai, Sashwath Srikanth, Shaylika Chauhan, Zainab Gandhi, Warda Shahnawaz, Aleen Rahman, Bisharah Rizvi, Akhil Jain","doi":"10.4274/ThoracResPract.2024.23132","DOIUrl":"10.4274/ThoracResPract.2024.23132","url":null,"abstract":"<p><strong>Objective: </strong>Depression is a frequent comorbidity in obstructive sleep apnea (OSA) patients. There is a scarcity of data on the impact of depression on the outcomes of OSA.</p><p><strong>Material and methods: </strong>Using the National Inpatient Sample (2018), we identified hospitalizations in the US with OSA. Following propensity-score matching, the two cohorts of OSA with depression (OSA+D+) vs. without depression (OSA+D-) were compared for demographic and comorbidities profiles differences. Multivariable regression analyses were performed to assess the odds of events with depression versus those without.</p><p><strong>Results: </strong>Of 2,169.730 hospitalizations in patients with OSA, 20.1% had comorbid depression. Matched cohorts included 846,150 admissions in both groups: OSA+D+ and OSA+D-. Both cohorts predominantly comprised Caucasians, the elderly (median age, 64 vs. 65 years), and females (55.5% vs. 55.2%). OSA+D+ cohort had a higher prevalence of hypertension, diabetes, hyperlipidemia, congestive heart failure, anemia, smoking, substance abuse, prior myocardial infarction (MI), transient ischemic attack (TIA), TIA/stroke, and venous thromboembolism than the OSA+D- group (all <i>P</i> < 0.001). Paradoxically, there was decreased risk of all-cause mortality [odds ratios (OR): 0.79, 95% confidence interval (CI): 0.73-0.86], major adverse cardiac and cerebrovascular events (OR: 0.83, 95% CI: 0.80-0.87), acute MI (OR: 0.80, 95% CI: 0.76-0.85), dysrhythmia/atrial fibrillation (OR: 0.81, 95% CI: 0.79-0.83), and cardiac arrest including ventricular fibrillation (OR: 0.65, 95% CI: 0.73-0.82) in the OSA+D+ cohort (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>OSA+D+ patients had better in-hospital outcomes as compared to OSA+D- despite having a higher burden of comorbidities. Additional research is warranted to validate this paradoxical effect of depression in OSA.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"26 2","pages":"43-47"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11796293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Gender and Women's Tobacco Use: An Ecological Analysis with Country-level Data.","authors":"Hanife Ece Erik, Tülin Çoban, Lütfiye Hilal Özcebe","doi":"10.4274/ThoracResPract.2024.24072","DOIUrl":"10.4274/ThoracResPract.2024.24072","url":null,"abstract":"<p><strong>Objective: </strong>Health and well-being are profoundly influenced by gender and its dimensions. This study explores the intricate relationship between gender roles and tobacco use.</p><p><strong>Material and methods: </strong>The study investigates correlations between the Gender Development Index (GDI), the Global Gender Gap Index (GGGI), and its sub-indicators-critical markers of gender equality-and tobacco prevalence and tobacco-related mortality. Statistical analyses, conducted using the Statistical Package for Social Science and Microsoft Excel, involve Spearman correlation analysis for continuous numerical data and the Kruskal-Wallis H test for differences between means.</p><p><strong>Results: </strong>As per the GDI, a decrease in gender inequality correlates with an increase in tobacco prevalence among women. The highest prevalence of tobacco use in women is found in countries within GDI group 1, with the lowest observed in group 5, characterized by pronounced gender inequality. A moderate positive correlation is identified between the prevalence of tobacco use in women and the GDI, GGGI, and the education sub-component of GGGI. Similarly, a moderate positive relationship is observed between tobacco-related mortality in women and the education subcomponent of GGGI. Education exhibits the highest correlation with both tobacco prevalence and tobacco-related mortality in women.</p><p><strong>Conclusion: </strong>The increased prevalence of tobacco use among women in countries with high education and socioeconomic status suggests the early stages of the tobacco epidemic. Smoking cessation remains a persistent challenge, especially for women. The study emphasizes the imperative for tailored gender-specific policies, highlighting the integration of gender considerations into health promotion and public health initiatives.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"26 2","pages":"61-68"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11796305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Response to: Evaluation of Long-Coronavirus Disease-2019 Cases Readmitted to Intensive Care Units due to Acute Respiratory Failure: Point Prevalence Study","authors":"Eylem Tunçay","doi":"10.5152/ThoracResPract.2024.240752","DOIUrl":"10.5152/ThoracResPract.2024.240752","url":null,"abstract":"","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"1 1","pages":"87"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11796302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospitality Venues’ Anti-tobacco Legislation Violation in 11 Different Cities in Türkiye","authors":"Dilek Aslan, Yağmur Ünal, Sevinç Sütlü, Raika Durusoy, Mahmut Talha Uçar, Evrim Arslan, Elçin Balcı, Elif Sızan, Gündoğdu Beyza Püren Selcan, Emir Atasoy, Şeyma Duman, Selma Karabey, Özge Yaman Coşkun, Günay Saka, Hatice Nilden Arslan, İlayda Kulaç Aksu, Ceren Varer Akpınar, İsmail Erdem Erkoyun, Burak Kahraman, Elif Işık, İpek Gündoğdu, Türkan Günay, Muhammed Nur Özkan Tanrıverdi, Meryem Nisa Özdel, Rabia Cansel Çetin, Mehmet Ali Kurçer, Ümit Kamacı, Mehmet Fatih Yılmaz, Emine Baran Deniz","doi":"10.5152/ThoracResPract.2024.24033","DOIUrl":"10.5152/ThoracResPract.2024.24033","url":null,"abstract":"<p><strong>Objective: </strong>In Türkiye, anti-tobacco legislation (Law No. 4207 on the Prevention and Control of Harms of Tobacco Products) aims to ensure a “tobacco-free” life for current and future generations. Thus, there are observations of violations in the hospitality sector. In this study, we aimed to observe the status of hospitality venues’ violation of the law in 11 different cities in Türkiye.</p><p><strong>Material and methods: </strong>This descriptive study examined 772 hospitality venues in Ankara, Burdur, Diyarbakır, Giresun, Hatay, İstanbul, İzmir, Kars, Kayseri, Samsun, and Zonguldak between August 1 and October 10, 2023. The Google Forms survey, Microsoft Excel, and IBM SPSS Statistics (Version 23) programs were used for data collection, entry, and analysis. A logistic regression model was used to understand the associations between non-compliance and the characteristics of the venues.</p><p><strong>Results: </strong>During the observation of indoor spaces, tobacco products were used in 282 venues (37.1%). Non-compliance in bars, pubs, traditional coffee houses, and hookah cafes was statistically significantly higher than in the other venue types [odds ratio (OR)= 3.031, 95% confidence interval (CI): 1.699 to 5.408, <i>P</i> < 0.001]. The presence of a retractable roof and/or side wall (OR=5.362, 95% CI: 3.518 to 8.173, <i>p</i> < 0.001), later hour observations (OR= 2.120, 95% CI: 1.399 to 3.212, <i>p</i> < 0.001), and the existence of outdoor venues where smoking is permitted (OR= 3.165, 95% CI: 2.170 to 4.617, <i>p</i> < 0.001) also increased indoor violations.</p><p><strong>Conclusion: </strong>The findings provided scientific evidence that violations of Turkish anti-tobacco legislation exist in hospitality venues. The public authorities are advised to play their vital role in preventing violations in indoor spaces.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"1 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum.","authors":"","doi":"10.4274/ThoracResPract.2024.e001","DOIUrl":"10.4274/ThoracResPract.2024.e001","url":null,"abstract":"","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"26 1","pages":"42"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term Home Mechanical Ventilation of Children in İstanbul.","authors":"Mürüvvet Yanaz, Füsun Ünal, Evrim Hepkaya, Hakan Yazan, Sinem Can Oksay, Ebru Köstereli, Cansu Yılmaz Yeğit, Azer Kılıç Başkan, Zeynep Reyhan Onay, Aynur Gulieva, Aslınur Soyyiğit, Mine Kalyoncu, Hanife Büşra Küçük, Yetkin Ayhan, Almala Pınar Ergenekon, Emine Atağ, Selçuk Uzuner, Nilay Baş İkizoğlu, Ayşe Ayzıt Kılınç, Pınar Ay, Ela Erdem Eralp, Sedat Öktem, Erkan Çakır, Saniye Girit, Zeynep Seda Uyan, Haluk Çokuğraş, Refika Ersu, Bülent Karadağ, Fazilet Karakoç","doi":"10.4274/ThoracResPract.2024.24042","DOIUrl":"10.4274/ThoracResPract.2024.24042","url":null,"abstract":"<p><strong>Objective: </strong>The aims of this multi-center study were to describe the characteristics of children receiving long-term home mechanical ventilation (HMV) in İstanbul and to compare the patients receiving non-invasive and invasive ventilation.</p><p><strong>Material and methods: </strong>This cross-sectional multicenter study included all children receiving long-term HMV followed by admission to six tertiary hospitals. The data were collected between May 2020 and May 2021. Demographic data and data regarding HMV were collected from the patient charts.</p><p><strong>Results: </strong>The study included 416 participants. The most common diagnoses were neuromuscular (35.1%) and neurological diseases (25.7%). Among the patients, 49.5% (n = 206) received non-invasive ventilation (NIV), whereas 50.5% (n = 210) received invasive ventilation. The median age at initiation was significantly younger in the invasive ventilation group than in the NIV group (10 vs. 41 months, <i>P</i> < 0.001). Most subjects in the NIV group (81.1%) received ventilation support only during sleep, whereas most subjects in the invasive ventilation group (55.7%) received continuous ventilator support (<i>P</i> < 0.001). In addition to ventilation support, 41.9% of the subjects in the invasive ventilation group and 28.6% in the NIV group received oxygen supplementation (<i>P</i> = 0.002). Within the last year, 59.1% (n = 246) of the subjects were hospitalized. The risk factors for hospitalization were invasive ventilation, continuous ventilatory support, oxygen supplementation, tube feeding, and swallowing dysfunction (<i>P</i> = 0.002, 0.009, <0.001, <0.001 and <0.001 respectively).</p><p><strong>Conclusion: </strong>Despite the increasing use of NIV in most studies, half of the study population received invasive ventilation. Patients receiving invasive ventilation were more likely to require continuous ventilator support and oxygen supplementation and were at increased risk of hospitalization.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"26 1","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of the Turkish Version of the Breathlessness Catastrophizing Scale in Patients with Chronic Obstructive Pulmonary Disease.","authors":"Şerife Demirbaş, İlknur Naz, Elvan Felekoğlu, Melissa Köprülüoğlu, Hülya Şahin","doi":"10.4274/ThoracResPract.2024.24035","DOIUrl":"10.4274/ThoracResPract.2024.24035","url":null,"abstract":"<p><strong>Objective: </strong>To examine the validity and reliability of the Turkish version of the Breathlessness Catastrophizing Scale (BCS) in patients with chronic obstructive pulmonary disease (COPD).</p><p><strong>Material and methods: </strong>Seventy patients with COPD (55 male/15 female, mean age: 68.7±7.3 years, FEV1%: 45.4±19.5) were included in this methodological study. Internal consistency was measured using Cronbach's α, and intra-rater reliability was assessed using the intraclass correlation coefficient (ICC). Correlations between the BCS and Modified Medical Research Council Dyspnea Scale (mMRCS), COPD Assessment Test (CAT), Hospital Anxiety and Depression Scale (HADS), Breathlessness Beliefs Questionnaire (BBQ), and St. the George Respiratory Questionnaire (SGRQ) scores were assessed for convergent validity. Known-group comparisons were performed according to COPD stage and dyspnea severity using the independent sample t-test.</p><p><strong>Results: </strong>Internal consistency was excellent (Cronbach's α=0.941), and the ICC for reliability was 0.955. The BCS score was correlated with the mMRCS (r=0.745), CAT (r=0.652), HADS anxiety (r=0.556) and depression (r=0.588), the BBQ (r=-0.567), and SGRQ (r=0.550-0.634) scores (<i>P</i> < 0.05). The BCS score was higher in patients with advanced COPD (<i>P</i> = 0.003) and those with severe dyspnea (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>The Turkish version of the BCS is a valid and reliable tool for evaluating catastrophic dyspnea in patients with COPD.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"26 1","pages":"17-24"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can E-cigarettes Be the Source of Lead Toxicity?","authors":"Merve Demirci Atik, Seda Yılmaz, Oğuz Kılınç","doi":"10.5152/ThoracResPract.2024.24034","DOIUrl":"10.5152/ThoracResPract.2024.24034","url":null,"abstract":"","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"1 1","pages":"40-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term Effects of COVID-19 on Sleep Patterns","authors":"Salma Batool-Anwar, Olabimpe S Fashanu, Stuart F Quan","doi":"10.5152/ThoracResPract.2024.24013","DOIUrl":"10.5152/ThoracResPract.2024.24013","url":null,"abstract":"<p><strong>Objective: </strong>To examine the long-term impact of Coronavirus disease-2019 (COVID-19) on sleep patterns and the prevalence of sleep disorders and to increase public health awareness of long-term COVID-19.</p><p><strong>Material and methods: </strong>Using the Massachusetts General Brigham Research Patient Data Registry, Severe acute respiratory syndrome-Coronavirus-2 (SARS-CoV-2) positive patients were surveyed about their sleep patterns before and after the viral infection. Information related to comorbid conditions and medications was obtained through chart review.</p><p><strong>Results: </strong>Two hundred and forty-six completed surveys were analyzed. Average age was 53.3±16.3 years, and they were predominantly non-hispanic white (84.1%) and female (74.3%). The mean body mass index (kg/m²) was 29.9±6.9, and a greater proportion were non-smokers (63.2%). After COVID-19, there was an increase in the percentage of participants reporting difficulty initiating (39±49% vs. 31±46% prior to COVID-19 infection <i>P</i> = 0.01). Similarly, the participants reported difficulty in maintaining sleep after COVID infection (57% vs. 43% prior to infection <i>P</i> < 0.001). Additionally, there was an increase in the use of sleep aids (30% vs. 24% before the infection <i>P</i> = 0.003). The participants also reported a decrease in feeling rested and an increase in the need for napping (58% vs. 36%, <i>P</i> < 0.0001) and (27% vs. 40%, <i>P</i> < 0.0001) respectively. The sleep symptoms persisted beyond 12 months in 28% of the participants.</p><p><strong>Conclusion: </strong>SARS-CoV-2 infection had negative effects on sleep, and a significant proportion of adults experienced insomnia and daytime sleepiness beyond 12 months after recovering from the initial infection.</p>","PeriodicalId":75221,"journal":{"name":"Thoracic research and practice","volume":"1 1","pages":"9-16"},"PeriodicalIF":0.0,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11784924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}