Staphylococcus aureus is a bacterial species responsible for food poisoning and outbreaks of opportunistic, nosocomial and community-acquired diseases. The aim of this study was to characterize S. aureus strains resis...Staphylococcus aureus is a bacterial species responsible for food poisoning and outbreaks of opportunistic, nosocomial and community-acquired diseases. The aim of this study was to characterize S. aureus strains resistant to methicillin. Seventy-five (75) samples of smoked fish, including Scomber scombrus, Trachurus trachurus, Thunnus spp., Cyprinus spp. and Sardinella spp., were studied. The Mueller-Hinton diffusion method was used to determine the phenotypic resistance profile. The coagulase test and thermonuclease detection were used to assess the enzymatic production potential of the strains. The methicillin resistance mecA gene was detected by PCR. With a contamination rate of 80%, the prevalence of S. aureus varied from 15% to 31.7% in animal products. S. aureus strains were DNase (91.7%) and coagulase (50%) producers. The resistance of these strains was 42.7% (cefoxitin), 37.8% (oxacillin) and 26.4% (cefuroxime sodium). They were resistant to tetracycline (62.4%), erythromycin (61.1%), vancomycin (34.6%), levofloxacin (33.3%) and imipenem (12.7%). The prevalence of the mecA gene in animal products ranged from 13.9% to 33.4%. The mecA gene induction showed different sensitivities with cefoxitin (100%) and oxacillin (56.7%). In addition, all tests showed a specificity of 100%. This work demonstrates the need to strengthen surveillance to prevent the spread of S. aureus epidemics in various environments.展开更多
AIM： To quantify smoking/lung cancer relationships accurately using parametric modelling.METHODS： Using the International Epidemiological Studies on Smoking and Lung Cancer database of all epidemiological studies of...AIM： To quantify smoking/lung cancer relationships accurately using parametric modelling.METHODS： Using the International Epidemiological Studies on Smoking and Lung Cancer database of all epidemiological studies of 100＋ lung cancer cases published before 2000, we analyzed 97 blocks of data for amount smoked, 35 for duration of smoking, and 27 for age started. Pseudo-numbers of cases and controls （or at risk） estimated from RRs by dose level formed the data modelled. We fitted various models relating loge RR to dose （d）, including βd, βdY and βloge （1 ＋ Wd）, and investigated goodness-of-fit and heterogeneity between studies.0.833 loge [1 ＋ （8.1c/10）] for cigarettes/d （c）, 0.792 （y/10）0.74 for years smoked （y） and 0.176 [（70 - a）/10]1.44 for age of start （a）. Each model fitted well overall, though some blocks misfitted. RRs rose from 3.86 to 22.31 between c = 10 and 50, from 2.21 to 13.54 be-tween y = 10 and 50, and from 3.66 to 8.94 between a = 30 and 12.5. Heterogeneity （P 〈 0.001） existed by continent for amount, RRs for 50 cigarettes/d being 7.23 （Asia）, 26.36 （North America） and 22.16 （Europe）. Little heterogeneity was seen for duration of smoking or age started.CONCLUSION： The models describe the dose-relation-ships well, though may be biased by factors including misclassification of smoking status and dose.展开更多
The present study monitored bacterial succession,physicochemical properties,and volatile organic compounds(VOCs)changes in smoked chicken legs with modified atmosphere packaging(MAP,60% CO_(2) and 40%N_(2))during a 25...The present study monitored bacterial succession,physicochemical properties,and volatile organic compounds(VOCs)changes in smoked chicken legs with modified atmosphere packaging(MAP,60% CO_(2) and 40%N_(2))during a 25-day storage period at 4℃.After 15 days of storage,S erratia proteamaculans and Pseudomonas fragi became the predominant bacteria.Furthermore,physicochemical properties changed significantly,as evidenced by an increase in thiobarbituric acid reactive substances and b*(yellowness)value,and a decrease in hardness.A total of 65 VOCs were identified during storage.Correlation between bacterial succession and quality indicators(including VOCs and physicochemical properties)allowed the identification of 26 core dominant bacteria,including S.proteamaculans,Psychrobacter alimentarius,Pseudomonas putida,and Pseudomonas poae,which were positively related to spoilage VOCs(e.g.,1-octen-3-ol,1-pentanol,and 3-methyl-1-butanol)and could be defined as specific spoilage organisms(SSOs).The results of this study provide a systematic approach to predict SSOs in smoked chicken legs during storage,which can also provide a basis for product safety.展开更多
To improve the catalytic performance of La_(0.6)Sr_(0.4)Co_(0.2)Fe_(0.8)O_(3)(LSCF)towards carbon soot,we utilized the impregnation method to incorporate Ag into the prepared LSCF catalyst.We conducted a series of cha...To improve the catalytic performance of La_(0.6)Sr_(0.4)Co_(0.2)Fe_(0.8)O_(3)(LSCF)towards carbon soot,we utilized the impregnation method to incorporate Ag into the prepared LSCF catalyst.We conducted a series of characterization tests and evaluated the soot catalytic activity of the composite catalyst by comparing it with the LaCoO_(3) group,LaFeO_(3) group,and catalyst-free group.The results indicate that the Ag-LSCF composite catalyst exhibits the highest soot catalytic activity,with the characteristic temperature values of 376.3,431.1,and 473.9℃at 10%,50%,and 90%carbon soot conversion,respectively.These values are 24.8,20.2,and 23.1℃lower than those of the LSCF group.This also shows that LSCF can improve the catalytic activity of soot after compounding with Ag,and reflects the necessity of using catalysts in soot combustion reaction.XPS characterization and BET test show that Ag-LSCF has more abundant surface-adsorbed oxygen species,larger specific surface area and pore volume than LSCF,which also proves that Ag-LSCF has higher soot catalytic activity.展开更多
1.Background Air pollution is a global environmental problem and has serious impacts on human health,climate change,and ecological systems.From the lessons learned by developed countries,the use of various energy type...1.Background Air pollution is a global environmental problem and has serious impacts on human health,climate change,and ecological systems.From the lessons learned by developed countries,the use of various energy types can result in different types of air pollution,such as smoke from coal burning and photochemical smog from gasoline/diesel vehicle emissions.Meanwhile,in China,rapid development in the last several decades has led to a drastic increase in coal consumption and the number of vehicles;and consequently,air pollution in China is complicated by the coexistence of high concentrations of primary and secondary trace gases and aerosol particles from multiple sources.The concept of an“air pollution complex”was first proposed by Xiaoyan TANG in 1997 to characterize the complexity of the formation mechanisms of air pollution,and calls for science-based control strategies(Zhu,2005).展开更多
The corrosion behavior and life of Sn−3.0Ag−0.5Cu solder joints were investigated through fire smoke exposure experiments within the temperature range of 45−80℃.The nonlinear Wiener process and Arrhenius equation wer...The corrosion behavior and life of Sn−3.0Ag−0.5Cu solder joints were investigated through fire smoke exposure experiments within the temperature range of 45−80℃.The nonlinear Wiener process and Arrhenius equation were used to establish the probability distribution function and prediction model of the solder joint’s average life and individual remaining useful life.The results indicate that solder joint resistance shows a nonlinear growth trend with time increasing.After 24 h,the solder joint transforms from spherical to rose-like shapes.Higher temperatures accelerate solder joint failure,and the relationship between failure time and temperature conforms to the Arrhenius equation.The predicted life of the model is in good agreement with experimental results,demonstrating the effectiveness and accuracy of the model.展开更多
Preparation: Buy a ready cooked Zhangcha Duck—a kind of duck stewed in sugar, spiced with tea leaves and smoked, which can be bought at the takeout departments of many Chinese restaurants. Bring the duck home and fry...Preparation: Buy a ready cooked Zhangcha Duck—a kind of duck stewed in sugar, spiced with tea leaves and smoked, which can be bought at the takeout departments of many Chinese restaurants. Bring the duck home and fry in oil until the skin is crisp. Slice thickly and serve with steamed bread,展开更多
The impact of different woodchips(beech,oak,pear,and apple)on the contents of heterocyclic aromatic amines(HAAs)and quality characteristics of smoked bacon was investigated.The results indicated that the contents of t...The impact of different woodchips(beech,oak,pear,and apple)on the contents of heterocyclic aromatic amines(HAAs)and quality characteristics of smoked bacon was investigated.The results indicated that the contents of total HAAs and non-polar HAAs in beech-and oak-smoked bacon were lower than that in pear-and apple-smoked bacon(P<0.05).There were no HAAs detectable in control(non-smoking)sample.The smoking process promoted the formation of free amino acids(FAA)in the smoked bacon.The total contents of FAA in beech-and oak-smoked bacon were higher than these in the pear-and apple-smoked bacons(P<0.05).The beech-smoked bacon had the highest L^(*)-value(P<0.05),and oak-smoked bacon had the lowest thiobarbituric acid-reactive substance(TBARS)value and carbonyl content(P<0.05).Additionally,woodchip types had no significant influence on a^(*)-value,b^(*)-value,moisture content,aw,T_(20),T_(21) and T_(22)(P>0.05).PCA of the HAA contents and quality characteristics could effectively differentiate that were unsmoked and smoked bacon.Therefore,woodchip types had a great influence on HAA contents and quality of smoked bacon.展开更多
The Annual Report on Cardiovascular Health and Diseases in China(2022)intricate landscape of cardiovascular health in China.This is the first section of the report,which dissects influential factors across diverse dom...The Annual Report on Cardiovascular Health and Diseases in China(2022)intricate landscape of cardiovascular health in China.This is the first section of the report,which dissects influential factors across diverse domains.The investigation identifies tobacco use as a paramount concern,portraying China as the global epicenter of tobacco consumption.Cigarette smoking,exacerbated by second-hand smoke exposure,emerges as a critical and preventable risk factor,contributing to a surge in attributable deaths over the past three decades.In the realm of dietary nutrition,the study discerns an overall improvement,yet discerns worrisome deviations,notably an escalating fat intake surpassing recommended guidelines.The shifting dietary structure reveals diminished consumption of cereals and vegetables juxtaposed with an uptick in animal foods,while excessive intake of cooking oil and salt persists,straying substantially from endorsed levels.The exploration of physical activity patterns unfolds a nuanced narrative.Varied trends are observed among students,with concerns arising from sedentary behaviors and inadequate adherence to recommended guidelines.The analysis spans a trajectory of declining physical activity in Chinese adults,coupled with an alarming surge in sedentary leisure time,ultimately linking these factors to heightened risks of cardiovascular diseases and increased adiposity.An examination of overweight and obesity trends uncovers a relentless upward trajectory,projecting substantial prevalence by 2030.Noteworthy prevalence rates underscore the imperative for targeted interventions to curtail this burgeoning health crisis,with the anticipated prevalence extending to nearly two-thirds of the adult population.Psychological factors,notably depression,constitute an integral facet of cardiovascular health.Prevalence rates among patients with coronary artery disease and acute myocardial infarction underscore the intricate interplay between mental health and cardiovascular outcomes.Additionally,persistent depressive symptoms are shown to significantly elevate the risk of cardiovascular diseases and mortality.This first section underscores the multifaceted challenges facing cardiovascular health in China,emphasizing the imperative for tailored interventions across tobacco control,dietary habits,physical activity,obesity management,and psychological well-being to mitigate the escalating burden of cardiovascular diseases in the population.展开更多
Currently,cigarette smoke(CS)remains a major contributor to disease morbidity and mortality.CS can be divided into cigarette mainstream smoke(CMS)and side-stream smoke,depending on where it is produced by burning toba...Currently,cigarette smoke(CS)remains a major contributor to disease morbidity and mortality.CS can be divided into cigarette mainstream smoke(CMS)and side-stream smoke,depending on where it is produced by burning tobacco^([1]).CMS is inhaled by smokers from the filter end during cigarette combustion and is strongly associated with the development of several diseases^([2-4]).展开更多
Industrial activities, through the human-induced release of Green House Gas (GHG) emissions, have beenidentified as the primary cause of global warming. Accurate and quantitative monitoring of these emissions isessent...Industrial activities, through the human-induced release of Green House Gas (GHG) emissions, have beenidentified as the primary cause of global warming. Accurate and quantitative monitoring of these emissions isessential for a comprehensive understanding of their impact on the Earth’s climate and for effectively enforcingemission regulations at a large scale. This work examines the feasibility of detecting and quantifying industrialsmoke plumes using freely accessible geo-satellite imagery. The existing systemhas so many lagging factors such aslimitations in accuracy, robustness, and efficiency and these factors hinder the effectiveness in supporting timelyresponse to industrial fires. In this work, the utilization of grayscale images is done instead of traditional colorimages for smoke plume detection. The dataset was trained through a ResNet-50 model for classification and aU-Net model for segmentation. The dataset consists of images gathered by European Space Agency’s Sentinel-2 satellite constellation from a selection of industrial sites. The acquired images predominantly capture scenesof industrial locations, some of which exhibit active smoke plume emissions. The performance of the abovementionedtechniques and models is represented by their accuracy and IOU (Intersection-over-Union) metric.The images are first trained on the basic RGB images where their respective classification using the ResNet-50model results in an accuracy of 94.4% and segmentation using the U-Net Model with an IOU metric of 0.5 andaccuracy of 94% which leads to the detection of exact patches where the smoke plume has occurred. This work hastrained the classification model on grayscale images achieving a good increase in accuracy of 96.4%.展开更多
Background:Lung cancer(LC)is one of the most common neoplastic diseases and a leading cause of death in Saudi Arabia.Its incidence in Saudi Arabia has increased by more than 3%within two decades.Our study aimed to des...Background:Lung cancer(LC)is one of the most common neoplastic diseases and a leading cause of death in Saudi Arabia.Its incidence in Saudi Arabia has increased by more than 3%within two decades.Our study aimed to describe the epidemiological and genetic landscapes of LC in Al-Madinah city in Saudi Arabia.Methods:A retrospective analysis was conducted on the medical records of 65 patients diagnosed with lung cancer between 2015 and 2021 at a single medical oncology center in Al-Madinah city of Saudi Arabia.Results:The mean patients’age was 59.2 years,with 50(76.9%)males and 15(23.1%)females;37(57%)smokers,and 28(43%)non-smokers.The number of cases per year has increased gradually over six years from 2015(n=3)to 2020(n=13).The most prevalent histopathological diagnosis was non-small cell lung cancer(NSCLC)(n=58,89%)followed by small cell lung cancer(SCLC)(n=5,7.8%).NSCLC was frequently more common in smokers while squamous cell carcinoma was more frequent in non-smokers.Around 89%(n=58)of the cases were diagnosed in late stage IV and the most common metastatic sites were to pleura and lymph nodes(n=32,49.2%).Program Death Legend-1(PDL-1)was fairly expressed in 7/10(70%)patients.Epidermal Growth Factor Receptor(EGFR)was mutated in 5/17(29%)patients.Other mutations detected include Anaplastic Lymphoma Kinase(ALK)and phosphatidylinositol 3-kinase(PIK3C)mutations in two patients.Conclusions:Our study revealed that lung cancer is a significant burden in AlMadinah city of Saudi Arabia.If the risk factors are not controlled,the number of cases may increase considerably.Health education about the risk factors and cancer prevention helps in early lung cancer detection.展开更多
In the rapidly evolving urban landscape,outdoor parking lots have become an indispensable part of the city’s transportation system.The growth of parking lots has raised the likelihood of spontaneous vehicle combus-ti...In the rapidly evolving urban landscape,outdoor parking lots have become an indispensable part of the city’s transportation system.The growth of parking lots has raised the likelihood of spontaneous vehicle combus-tion,a significant safety hazard,making smoke detection an essential preventative step.However,the complex environment of outdoor parking lots presents additional challenges for smoke detection,which necessitates the development of more advanced and reliable smoke detection technologies.This paper addresses this concern and presents a novel smoke detection technique designed for the demanding environment of outdoor parking lots.First,we develop a novel dataset to fill the gap,as there is a lack of publicly available data.This dataset encompasses a wide range of smoke and fire scenarios,enhanced with data augmentation to ensure robustness against diverse outdoor conditions.Second,we utilize an optimized YOLOv5s model,integrated with the Squeeze-and-Excitation Network(SENet)attention mechanism,to significantly improve detection accuracy while maintaining real-time processing capabilities.Third,this paper implements an outdoor smoke detection system that is capable of accurately localizing and alerting in real time,enhancing the effectiveness and reliability of emergency response.Experiments show that the system has a high accuracy in terms of detecting smoke incidents in outdoor scenarios.展开更多
Background:Head and neck squamous cell carcinoma(HNSCC)is a prevalent form of cancer globally,with chemoresistance posing a major challenge in treatment outcomes.The efficacy of the commonly used chemotherapeutic agent...Background:Head and neck squamous cell carcinoma(HNSCC)is a prevalent form of cancer globally,with chemoresistance posing a major challenge in treatment outcomes.The efficacy of the commonly used chemotherapeutic agent,cisplatin,is diminished in patients with poor prognoses.Methods:Various bioinformatics databases were utilized to examine Carboxylesterase 1(CES1)gene expression,clinicopathologic features,patient survival analysis,and gene function.An organoid model of HNSCC was established,along with the induction of drug-resistant HNSCC in the organoid model.CES1 expression was assessed using qRT-PCR and Western Blot,and differential markers were identified through transcriptome sequencing.Knockdown and overexpression models of CES1 were created in SCC-9 and patient-derived organoid(PDO)cells using shRNA and lentivirus to investigate the tumor biology and cisplatin resistance associated with CES1.Results:Research in bioinformatics has uncovered a strong correlation between the expression level of CES1 and the prognosis of HNSCC.The data suggests a significant link between CES1 expression and tobacco smoking.RNA-sequencing revealed a notable increase in CES1 expression in HNSCC-PDOcis-R cells compared to the parental PDO cells.Subsequently,we performed in vitro studies by HNSCC-PDO and SCC-9 and found that CES1-overexpressing cells exhibited reduced sensitivity to cisplatin and stronger tumor malignant biological behavior compared with CES1-knockdown cells.Conclusion:The observed association between CES1 expression and tobacco smoking implies a potential influence of smoking on the efficacy of cisplatin-based chemotherapy in HNSCC through the regulation of CES1 expression.展开更多
The Shenzhen–Zhongshan Bridge is a 24‐km‐long bridge and tunnel system,including a 6.8-km-long super cross section subsea tunnel.To solve the smoke exhaust problem of a super large cross-section subsea tunnel,the t...The Shenzhen–Zhongshan Bridge is a 24‐km‐long bridge and tunnel system,including a 6.8-km-long super cross section subsea tunnel.To solve the smoke exhaust problem of a super large cross-section subsea tunnel,the tunnel has a new smoke exhaust system that combines a horizontal smoke exhaust cross section at the top and sidewall smoke exhaust holes.In order to evaluate the potential fire hazards of this type of tunnel,a 1:30 tunnel model was established and 140 smallscale experiments on underwater tunnel fires were conducted.By changing the fire power,fire location,and fan operation mode,different scenarios of submarine immersed tunnel fire were simulated and the related key parameters such as fire smoke diffusion behavior and smoke temperature distribution were studied.On this basis,the optimal smoke control strategy was proposed for different fire scenarios.The research results indicate that the new smoke exhaust system can fully utilize the smoke flow characteristics,significantly improve smoke exhaust efficiency,and increase available evacuation time,thus further enhancing the fire safety of super large cross-section subsea tunnels.展开更多
Tobacco use remains one of the leading preventable causes of morbidity and mortality globally,with nicotine addiction significantly impacting health outcomes.This literature review explores the multifaceted nature of ...Tobacco use remains one of the leading preventable causes of morbidity and mortality globally,with nicotine addiction significantly impacting health outcomes.This literature review explores the multifaceted nature of tobacco use and its health implications,emphasizing the role of nursing interventions in smoking cessation.The review highlights various strategies employed by nurses,including assessment,counseling,pharmacotherapy support,and behavioral interventions,which are essential for effective tobacco cessation.By analyzing current evidence-based practices,the study underscores the importance of comprehensive assessments and personalized care plans tailored to individual patient needs.It also addresses the significance of motivational interviewing and the 5 A’s framework in facilitating successful quit attempts.In addition,the review discusses the integration of cognitive-behavioral therapy and stress management techniques as vital components of behavioral interventions.Recommendations for improving tobacco cessation efforts include enhanced training for healthcare professionals,the establishment of community-based support groups,and advocacy for robust tobacco control policies.The findings underscore the critical need for ongoing research into the long-term effectiveness of cessation interventions across diverse populations.This study aims to inform nursing practice and public health policy,ultimately contributing to the reduction of tobacco-related health issues and promoting healthier communities.展开更多
Background:In response to the need for research clearly demonstrating the net effect of smoking cessation on mental health status,considering the causal relationship between smoking cessation and changes in mental hea...Background:In response to the need for research clearly demonstrating the net effect of smoking cessation on mental health status,considering the causal relationship between smoking cessation and changes in mental health status,this study was undertaken.Thus,this study aimed to examine the net effect of short-term smoking cessation on five specific mental health metrics and the overall mental health status score.Methods:We used data from the first wave of the Korean Health Panel(KHP)Survey(2011–2013,2016–2018)and focused on men aged 19 years and older,to explore the effects of smoking cessation.We compared mental health status before and after cessation among current non-smokers who had quit smoking and continuous smokers.We ensured homogeneity between the two groups via inverse probability of treatment weighting(IPTW)and employed a difference-in-differences(DID)analysis to assess changes in mental health status.This study controlled for factors that could influence mental health and explored the net effect of short-term smoking cessation through difference-in-differences model using multiple regression analysis.Results:The results showed that short-term smoking cessation significantly alleviated mental and physical stress(p<0.1),reduced experiences of frustration(p<0.01),and improved the overall mental health status score(p<0.1).Conclusion:Thus,these results highlight a meaningful link between positive health behavior changes,such as smoking cessation,and enhanced mental health.Moreover,the application of temporal variables further improved the understanding of the causal relationship between health behaviors and mental health.展开更多
This paper explores the smoke flow characteristics in tunnel fires,giving a particular emphasis on the effects of different distances between the smoke outlets and the fire source.It examines the smoke behavior under ...This paper explores the smoke flow characteristics in tunnel fires,giving a particular emphasis on the effects of different distances between the smoke outlets and the fire source.It examines the smoke behavior under different conditions,including variations in heat release rates,exhaust volumetric flow rates,spacing between smoke outlets,and the longitudinal fire source positions.Results indicate that altering the fire source positions and the smoke outlets in the tunnel leads to variations in the properties of smoke flow both the fire source upstream and downstream;the distance between fire source and smoke outlet increases gradually,airflow rate decreases initially and eventually reaches a stable state.Similarly,smoke mass flow rate exhibits an increasing trend that eventually reaches a stable state.Moreover,the heat exchange between the tunnel walls and hot smoke increases as the smoke outlet moves further away from the fire source.This interaction leads to a reduction in the heat exhaust coefficient and a decrease in the distance the smoke spreads.This study investigates the impact of altering the relative longitudinal fire source positions and smoke outlet on smoke flow characteristics by numerical simulation.A theoretical analytical method is used to give a predictive model for the heat exhaust coefficient and the smoke spreading distance.This research can support the theory and technical process of tunnel smoke exhaust prevention and control.展开更多
BACKGROUND The role of smoking in the incidence of colorectal cancer(CRC)or gastric cancer(GC)in populations undergoing cholecystectomy has not been investigated.AIM To evaluate the effect of smoking on CRC or GC deve...BACKGROUND The role of smoking in the incidence of colorectal cancer(CRC)or gastric cancer(GC)in populations undergoing cholecystectomy has not been investigated.AIM To evaluate the effect of smoking on CRC or GC development in cholecystectomy patients.METHODS A total of 174874 patients who underwent cholecystectomy between January 1,2010 and December 31,2017 were identified using the Korean National Health Insurance Service claims database.These patients were matched 1:1 with mem-bers of a healthy population according to age and sex.CRC or GC risk after cholecystectomy and the association between smoking and CRC or GC risk in cholecystectomy patients were evaluated using adjusted hazard ratios(HRs)and 95%CIs.RESULTS The risks of CRC(adjusted HR:1.15;95%CI:1.06-1.25;P=0.0013)and GC(adjusted HR:1.11;95%CI:1.01-1.22;P=0.0027)were significantly higher in cholecystectomy patients.In the population who underwent cholecystectomy,both CRC and GC risk were higher in those who had smoked compared to those who had never smoked.For both cancers,the risk tended to increase in the order of non-smokers,ex-smokers,and current smokers.In addition,a positive correlation was observed between the amount of smoking and the risks of both CRC and GC.CONCLUSION Careful follow-up and screening should be performed,focusing on the increased risk of gastrointestinal cancer in the cholecystectomy group,particularly considering the individual smoking habits.展开更多
BACKGROUND Tobacco use is a well-documented modifiable risk factor for perioperative complications.AIM To determine the tobacco abstinence rates of patients who made cessation efforts prior to a total joint arthroplas...BACKGROUND Tobacco use is a well-documented modifiable risk factor for perioperative complications.AIM To determine the tobacco abstinence rates of patients who made cessation efforts prior to a total joint arthroplasty(TJA)procedure.METHODS A retrospective evaluation was performed on 88 self-reported tobacco users who underwent TJA between 2014-2022 and had tobacco cessation dates within 3 mo of surgery.Eligible patients were contacted via phone survey to understand their tobacco use pattern,and patient reported outcomes.A total of 37 TJA patients participated.RESULTS Our cohort was on average 61-years-old,60%(n=22)women,with an average body mass index of 30 kg/m^(2).The average follow-up time was 2.9±1.9 years.A total of 73.0%(n=27)of patients endorsed complete abstinence from tobacco use prior to surgery.Various cessation methods were used perioperatively including prescription therapy(13.5%),over the counter nicotine replacement(18.9%),cessation programs(5.4%).At final follow up,43.2%(n=16)of prior tobacco smokers reported complete abstinence.Patients who were able to maintain cessation postoperatively had improved Patient-Reported Outcomes Measurement Information System(PROMIS)-10 mental health scores(49 vs 58;P=0.01),and hip dysfunction and osteoarthritis outcome score for joint replacement(HOOS.JR)scores(63 vs 82;P=0.02).No patients in this cohort had a prosthetic joint infection or required revision surgery.CONCLUSION We report a tobacco cessation rate of 43.2%in patients undergoing elective TJA nearly 3 years postoperatively.Patients undergoing TJA who were able to remain abstinent had improved PROMIS-10 mental health scores and HOOS.JR scores.The perioperative period provides clinicians a unique opportunity to assist active tobacco smokers with cessation efforts and improve postoperative outcomes.展开更多
文摘Staphylococcus aureus is a bacterial species responsible for food poisoning and outbreaks of opportunistic, nosocomial and community-acquired diseases. The aim of this study was to characterize S. aureus strains resistant to methicillin. Seventy-five (75) samples of smoked fish, including Scomber scombrus, Trachurus trachurus, Thunnus spp., Cyprinus spp. and Sardinella spp., were studied. The Mueller-Hinton diffusion method was used to determine the phenotypic resistance profile. The coagulase test and thermonuclease detection were used to assess the enzymatic production potential of the strains. The methicillin resistance mecA gene was detected by PCR. With a contamination rate of 80%, the prevalence of S. aureus varied from 15% to 31.7% in animal products. S. aureus strains were DNase (91.7%) and coagulase (50%) producers. The resistance of these strains was 42.7% (cefoxitin), 37.8% (oxacillin) and 26.4% (cefuroxime sodium). They were resistant to tetracycline (62.4%), erythromycin (61.1%), vancomycin (34.6%), levofloxacin (33.3%) and imipenem (12.7%). The prevalence of the mecA gene in animal products ranged from 13.9% to 33.4%. The mecA gene induction showed different sensitivities with cefoxitin (100%) and oxacillin (56.7%). In addition, all tests showed a specificity of 100%. This work demonstrates the need to strengthen surveillance to prevent the spread of S. aureus epidemics in various environments.
文摘AIM： To quantify smoking/lung cancer relationships accurately using parametric modelling.METHODS： Using the International Epidemiological Studies on Smoking and Lung Cancer database of all epidemiological studies of 100＋ lung cancer cases published before 2000, we analyzed 97 blocks of data for amount smoked, 35 for duration of smoking, and 27 for age started. Pseudo-numbers of cases and controls （or at risk） estimated from RRs by dose level formed the data modelled. We fitted various models relating loge RR to dose （d）, including βd, βdY and βloge （1 ＋ Wd）, and investigated goodness-of-fit and heterogeneity between studies.0.833 loge [1 ＋ （8.1c/10）] for cigarettes/d （c）, 0.792 （y/10）0.74 for years smoked （y） and 0.176 [（70 - a）/10]1.44 for age of start （a）. Each model fitted well overall, though some blocks misfitted. RRs rose from 3.86 to 22.31 between c = 10 and 50, from 2.21 to 13.54 be-tween y = 10 and 50, and from 3.66 to 8.94 between a = 30 and 12.5. Heterogeneity （P 〈 0.001） existed by continent for amount, RRs for 50 cigarettes/d being 7.23 （Asia）, 26.36 （North America） and 22.16 （Europe）. Little heterogeneity was seen for duration of smoking or age started.CONCLUSION： The models describe the dose-relation-ships well, though may be biased by factors including misclassification of smoking status and dose.
基金funded by the National Natural Science Foundation of China(U22A20547)the Major Science and Technology Projects of Heilongjiang Province(2021ZX12B05 and 2020ZX07B02)。
文摘The present study monitored bacterial succession,physicochemical properties,and volatile organic compounds(VOCs)changes in smoked chicken legs with modified atmosphere packaging(MAP,60% CO_(2) and 40%N_(2))during a 25-day storage period at 4℃.After 15 days of storage,S erratia proteamaculans and Pseudomonas fragi became the predominant bacteria.Furthermore,physicochemical properties changed significantly,as evidenced by an increase in thiobarbituric acid reactive substances and b*(yellowness)value,and a decrease in hardness.A total of 65 VOCs were identified during storage.Correlation between bacterial succession and quality indicators(including VOCs and physicochemical properties)allowed the identification of 26 core dominant bacteria,including S.proteamaculans,Psychrobacter alimentarius,Pseudomonas putida,and Pseudomonas poae,which were positively related to spoilage VOCs(e.g.,1-octen-3-ol,1-pentanol,and 3-methyl-1-butanol)and could be defined as specific spoilage organisms(SSOs).The results of this study provide a systematic approach to predict SSOs in smoked chicken legs during storage,which can also provide a basis for product safety.
文摘To improve the catalytic performance of La_(0.6)Sr_(0.4)Co_(0.2)Fe_(0.8)O_(3)(LSCF)towards carbon soot,we utilized the impregnation method to incorporate Ag into the prepared LSCF catalyst.We conducted a series of characterization tests and evaluated the soot catalytic activity of the composite catalyst by comparing it with the LaCoO_(3) group,LaFeO_(3) group,and catalyst-free group.The results indicate that the Ag-LSCF composite catalyst exhibits the highest soot catalytic activity,with the characteristic temperature values of 376.3,431.1,and 473.9℃at 10%,50%,and 90%carbon soot conversion,respectively.These values are 24.8,20.2,and 23.1℃lower than those of the LSCF group.This also shows that LSCF can improve the catalytic activity of soot after compounding with Ag,and reflects the necessity of using catalysts in soot combustion reaction.XPS characterization and BET test show that Ag-LSCF has more abundant surface-adsorbed oxygen species,larger specific surface area and pore volume than LSCF,which also proves that Ag-LSCF has higher soot catalytic activity.
基金the National Natural Science Foundation of China(Grant No.91844000)is acknowledged.
文摘1.Background Air pollution is a global environmental problem and has serious impacts on human health,climate change,and ecological systems.From the lessons learned by developed countries,the use of various energy types can result in different types of air pollution,such as smoke from coal burning and photochemical smog from gasoline/diesel vehicle emissions.Meanwhile,in China,rapid development in the last several decades has led to a drastic increase in coal consumption and the number of vehicles;and consequently,air pollution in China is complicated by the coexistence of high concentrations of primary and secondary trace gases and aerosol particles from multiple sources.The concept of an“air pollution complex”was first proposed by Xiaoyan TANG in 1997 to characterize the complexity of the formation mechanisms of air pollution,and calls for science-based control strategies(Zhu,2005).
基金National Natural Science Foundation of China (No. 52206180)Fundamental Research Funds for the Central Universities,China (No. WK2320000050)。
文摘The corrosion behavior and life of Sn−3.0Ag−0.5Cu solder joints were investigated through fire smoke exposure experiments within the temperature range of 45−80℃.The nonlinear Wiener process and Arrhenius equation were used to establish the probability distribution function and prediction model of the solder joint’s average life and individual remaining useful life.The results indicate that solder joint resistance shows a nonlinear growth trend with time increasing.After 24 h,the solder joint transforms from spherical to rose-like shapes.Higher temperatures accelerate solder joint failure,and the relationship between failure time and temperature conforms to the Arrhenius equation.The predicted life of the model is in good agreement with experimental results,demonstrating the effectiveness and accuracy of the model.
文摘Preparation: Buy a ready cooked Zhangcha Duck—a kind of duck stewed in sugar, spiced with tea leaves and smoked, which can be bought at the takeout departments of many Chinese restaurants. Bring the duck home and fry in oil until the skin is crisp. Slice thickly and serve with steamed bread,
基金funded by the Major science and technology projects of Heilongjiang province(2020ZX07B02)the National Key Research and Development Program during the 13th Five-year Plan in China(2018YFD0401200).
文摘The impact of different woodchips(beech,oak,pear,and apple)on the contents of heterocyclic aromatic amines(HAAs)and quality characteristics of smoked bacon was investigated.The results indicated that the contents of total HAAs and non-polar HAAs in beech-and oak-smoked bacon were lower than that in pear-and apple-smoked bacon(P<0.05).There were no HAAs detectable in control(non-smoking)sample.The smoking process promoted the formation of free amino acids(FAA)in the smoked bacon.The total contents of FAA in beech-and oak-smoked bacon were higher than these in the pear-and apple-smoked bacons(P<0.05).The beech-smoked bacon had the highest L^(*)-value(P<0.05),and oak-smoked bacon had the lowest thiobarbituric acid-reactive substance(TBARS)value and carbonyl content(P<0.05).Additionally,woodchip types had no significant influence on a^(*)-value,b^(*)-value,moisture content,aw,T_(20),T_(21) and T_(22)(P>0.05).PCA of the HAA contents and quality characteristics could effectively differentiate that were unsmoked and smoked bacon.Therefore,woodchip types had a great influence on HAA contents and quality of smoked bacon.
文摘The Annual Report on Cardiovascular Health and Diseases in China(2022)intricate landscape of cardiovascular health in China.This is the first section of the report,which dissects influential factors across diverse domains.The investigation identifies tobacco use as a paramount concern,portraying China as the global epicenter of tobacco consumption.Cigarette smoking,exacerbated by second-hand smoke exposure,emerges as a critical and preventable risk factor,contributing to a surge in attributable deaths over the past three decades.In the realm of dietary nutrition,the study discerns an overall improvement,yet discerns worrisome deviations,notably an escalating fat intake surpassing recommended guidelines.The shifting dietary structure reveals diminished consumption of cereals and vegetables juxtaposed with an uptick in animal foods,while excessive intake of cooking oil and salt persists,straying substantially from endorsed levels.The exploration of physical activity patterns unfolds a nuanced narrative.Varied trends are observed among students,with concerns arising from sedentary behaviors and inadequate adherence to recommended guidelines.The analysis spans a trajectory of declining physical activity in Chinese adults,coupled with an alarming surge in sedentary leisure time,ultimately linking these factors to heightened risks of cardiovascular diseases and increased adiposity.An examination of overweight and obesity trends uncovers a relentless upward trajectory,projecting substantial prevalence by 2030.Noteworthy prevalence rates underscore the imperative for targeted interventions to curtail this burgeoning health crisis,with the anticipated prevalence extending to nearly two-thirds of the adult population.Psychological factors,notably depression,constitute an integral facet of cardiovascular health.Prevalence rates among patients with coronary artery disease and acute myocardial infarction underscore the intricate interplay between mental health and cardiovascular outcomes.Additionally,persistent depressive symptoms are shown to significantly elevate the risk of cardiovascular diseases and mortality.This first section underscores the multifaceted challenges facing cardiovascular health in China,emphasizing the imperative for tailored interventions across tobacco control,dietary habits,physical activity,obesity management,and psychological well-being to mitigate the escalating burden of cardiovascular diseases in the population.
基金supported by the National Natural Science Foundation of China(Grant No.82060638)Academic and Technical Leaders of Major Disciplines in Jiangxi Province(Grant No.20194BCJ22032)
文摘Currently,cigarette smoke(CS)remains a major contributor to disease morbidity and mortality.CS can be divided into cigarette mainstream smoke(CMS)and side-stream smoke,depending on where it is produced by burning tobacco^([1]).CMS is inhaled by smokers from the filter end during cigarette combustion and is strongly associated with the development of several diseases^([2-4]).
文摘Industrial activities, through the human-induced release of Green House Gas (GHG) emissions, have beenidentified as the primary cause of global warming. Accurate and quantitative monitoring of these emissions isessential for a comprehensive understanding of their impact on the Earth’s climate and for effectively enforcingemission regulations at a large scale. This work examines the feasibility of detecting and quantifying industrialsmoke plumes using freely accessible geo-satellite imagery. The existing systemhas so many lagging factors such aslimitations in accuracy, robustness, and efficiency and these factors hinder the effectiveness in supporting timelyresponse to industrial fires. In this work, the utilization of grayscale images is done instead of traditional colorimages for smoke plume detection. The dataset was trained through a ResNet-50 model for classification and aU-Net model for segmentation. The dataset consists of images gathered by European Space Agency’s Sentinel-2 satellite constellation from a selection of industrial sites. The acquired images predominantly capture scenesof industrial locations, some of which exhibit active smoke plume emissions. The performance of the abovementionedtechniques and models is represented by their accuracy and IOU (Intersection-over-Union) metric.The images are first trained on the basic RGB images where their respective classification using the ResNet-50model results in an accuracy of 94.4% and segmentation using the U-Net Model with an IOU metric of 0.5 andaccuracy of 94% which leads to the detection of exact patches where the smoke plume has occurred. This work hastrained the classification model on grayscale images achieving a good increase in accuracy of 96.4%.
文摘Background:Lung cancer(LC)is one of the most common neoplastic diseases and a leading cause of death in Saudi Arabia.Its incidence in Saudi Arabia has increased by more than 3%within two decades.Our study aimed to describe the epidemiological and genetic landscapes of LC in Al-Madinah city in Saudi Arabia.Methods:A retrospective analysis was conducted on the medical records of 65 patients diagnosed with lung cancer between 2015 and 2021 at a single medical oncology center in Al-Madinah city of Saudi Arabia.Results:The mean patients’age was 59.2 years,with 50(76.9%)males and 15(23.1%)females;37(57%)smokers,and 28(43%)non-smokers.The number of cases per year has increased gradually over six years from 2015(n=3)to 2020(n=13).The most prevalent histopathological diagnosis was non-small cell lung cancer(NSCLC)(n=58,89%)followed by small cell lung cancer(SCLC)(n=5,7.8%).NSCLC was frequently more common in smokers while squamous cell carcinoma was more frequent in non-smokers.Around 89%(n=58)of the cases were diagnosed in late stage IV and the most common metastatic sites were to pleura and lymph nodes(n=32,49.2%).Program Death Legend-1(PDL-1)was fairly expressed in 7/10(70%)patients.Epidermal Growth Factor Receptor(EGFR)was mutated in 5/17(29%)patients.Other mutations detected include Anaplastic Lymphoma Kinase(ALK)and phosphatidylinositol 3-kinase(PIK3C)mutations in two patients.Conclusions:Our study revealed that lung cancer is a significant burden in AlMadinah city of Saudi Arabia.If the risk factors are not controlled,the number of cases may increase considerably.Health education about the risk factors and cancer prevention helps in early lung cancer detection.
基金This work was supported byNatural Science Foundation of China(No.62362008,author Z.Z,https://www.nsfc.gov.cn/)Guizhou Provincial Science and Technology Projects(No.ZK[2022]149,author Z.Z,https://kjt.guizhou.gov.cn/)+2 种基金Guizhou Provincial Research Project(Youth)for Universities(No.[2022]104,author Z.Z,https://jyt.guizhou.gov.cn/)Natural Science Special Foundation of Guizhou University(No.[2021]47,author Z.Z,https://www.gzu.edu.cn/)GZU Cultivation Project of NSFC(No.[2020]80,author Z.Z,https://www.gzu.edu.cn/).
文摘In the rapidly evolving urban landscape,outdoor parking lots have become an indispensable part of the city’s transportation system.The growth of parking lots has raised the likelihood of spontaneous vehicle combus-tion,a significant safety hazard,making smoke detection an essential preventative step.However,the complex environment of outdoor parking lots presents additional challenges for smoke detection,which necessitates the development of more advanced and reliable smoke detection technologies.This paper addresses this concern and presents a novel smoke detection technique designed for the demanding environment of outdoor parking lots.First,we develop a novel dataset to fill the gap,as there is a lack of publicly available data.This dataset encompasses a wide range of smoke and fire scenarios,enhanced with data augmentation to ensure robustness against diverse outdoor conditions.Second,we utilize an optimized YOLOv5s model,integrated with the Squeeze-and-Excitation Network(SENet)attention mechanism,to significantly improve detection accuracy while maintaining real-time processing capabilities.Third,this paper implements an outdoor smoke detection system that is capable of accurately localizing and alerting in real time,enhancing the effectiveness and reliability of emergency response.Experiments show that the system has a high accuracy in terms of detecting smoke incidents in outdoor scenarios.
基金supported by the National Natural Science Foundation of China(No.82160386)the Guangxi Natural Science Foundation of China(No.2024GXNSFDA010032,2023GXNSFAA026189).
文摘Background:Head and neck squamous cell carcinoma(HNSCC)is a prevalent form of cancer globally,with chemoresistance posing a major challenge in treatment outcomes.The efficacy of the commonly used chemotherapeutic agent,cisplatin,is diminished in patients with poor prognoses.Methods:Various bioinformatics databases were utilized to examine Carboxylesterase 1(CES1)gene expression,clinicopathologic features,patient survival analysis,and gene function.An organoid model of HNSCC was established,along with the induction of drug-resistant HNSCC in the organoid model.CES1 expression was assessed using qRT-PCR and Western Blot,and differential markers were identified through transcriptome sequencing.Knockdown and overexpression models of CES1 were created in SCC-9 and patient-derived organoid(PDO)cells using shRNA and lentivirus to investigate the tumor biology and cisplatin resistance associated with CES1.Results:Research in bioinformatics has uncovered a strong correlation between the expression level of CES1 and the prognosis of HNSCC.The data suggests a significant link between CES1 expression and tobacco smoking.RNA-sequencing revealed a notable increase in CES1 expression in HNSCC-PDOcis-R cells compared to the parental PDO cells.Subsequently,we performed in vitro studies by HNSCC-PDO and SCC-9 and found that CES1-overexpressing cells exhibited reduced sensitivity to cisplatin and stronger tumor malignant biological behavior compared with CES1-knockdown cells.Conclusion:The observed association between CES1 expression and tobacco smoking implies a potential influence of smoking on the efficacy of cisplatin-based chemotherapy in HNSCC through the regulation of CES1 expression.
基金National Natural Science Foundation of China,Grant/Award Numbers:72091512,52104198,52374210。
文摘The Shenzhen–Zhongshan Bridge is a 24‐km‐long bridge and tunnel system,including a 6.8-km-long super cross section subsea tunnel.To solve the smoke exhaust problem of a super large cross-section subsea tunnel,the tunnel has a new smoke exhaust system that combines a horizontal smoke exhaust cross section at the top and sidewall smoke exhaust holes.In order to evaluate the potential fire hazards of this type of tunnel,a 1:30 tunnel model was established and 140 smallscale experiments on underwater tunnel fires were conducted.By changing the fire power,fire location,and fan operation mode,different scenarios of submarine immersed tunnel fire were simulated and the related key parameters such as fire smoke diffusion behavior and smoke temperature distribution were studied.On this basis,the optimal smoke control strategy was proposed for different fire scenarios.The research results indicate that the new smoke exhaust system can fully utilize the smoke flow characteristics,significantly improve smoke exhaust efficiency,and increase available evacuation time,thus further enhancing the fire safety of super large cross-section subsea tunnels.
文摘Tobacco use remains one of the leading preventable causes of morbidity and mortality globally,with nicotine addiction significantly impacting health outcomes.This literature review explores the multifaceted nature of tobacco use and its health implications,emphasizing the role of nursing interventions in smoking cessation.The review highlights various strategies employed by nurses,including assessment,counseling,pharmacotherapy support,and behavioral interventions,which are essential for effective tobacco cessation.By analyzing current evidence-based practices,the study underscores the importance of comprehensive assessments and personalized care plans tailored to individual patient needs.It also addresses the significance of motivational interviewing and the 5 A’s framework in facilitating successful quit attempts.In addition,the review discusses the integration of cognitive-behavioral therapy and stress management techniques as vital components of behavioral interventions.Recommendations for improving tobacco cessation efforts include enhanced training for healthcare professionals,the establishment of community-based support groups,and advocacy for robust tobacco control policies.The findings underscore the critical need for ongoing research into the long-term effectiveness of cessation interventions across diverse populations.This study aims to inform nursing practice and public health policy,ultimately contributing to the reduction of tobacco-related health issues and promoting healthier communities.
文摘Background:In response to the need for research clearly demonstrating the net effect of smoking cessation on mental health status,considering the causal relationship between smoking cessation and changes in mental health status,this study was undertaken.Thus,this study aimed to examine the net effect of short-term smoking cessation on five specific mental health metrics and the overall mental health status score.Methods:We used data from the first wave of the Korean Health Panel(KHP)Survey(2011–2013,2016–2018)and focused on men aged 19 years and older,to explore the effects of smoking cessation.We compared mental health status before and after cessation among current non-smokers who had quit smoking and continuous smokers.We ensured homogeneity between the two groups via inverse probability of treatment weighting(IPTW)and employed a difference-in-differences(DID)analysis to assess changes in mental health status.This study controlled for factors that could influence mental health and explored the net effect of short-term smoking cessation through difference-in-differences model using multiple regression analysis.Results:The results showed that short-term smoking cessation significantly alleviated mental and physical stress(p<0.1),reduced experiences of frustration(p<0.01),and improved the overall mental health status score(p<0.1).Conclusion:Thus,these results highlight a meaningful link between positive health behavior changes,such as smoking cessation,and enhanced mental health.Moreover,the application of temporal variables further improved the understanding of the causal relationship between health behaviors and mental health.
文摘This paper explores the smoke flow characteristics in tunnel fires,giving a particular emphasis on the effects of different distances between the smoke outlets and the fire source.It examines the smoke behavior under different conditions,including variations in heat release rates,exhaust volumetric flow rates,spacing between smoke outlets,and the longitudinal fire source positions.Results indicate that altering the fire source positions and the smoke outlets in the tunnel leads to variations in the properties of smoke flow both the fire source upstream and downstream;the distance between fire source and smoke outlet increases gradually,airflow rate decreases initially and eventually reaches a stable state.Similarly,smoke mass flow rate exhibits an increasing trend that eventually reaches a stable state.Moreover,the heat exchange between the tunnel walls and hot smoke increases as the smoke outlet moves further away from the fire source.This interaction leads to a reduction in the heat exhaust coefficient and a decrease in the distance the smoke spreads.This study investigates the impact of altering the relative longitudinal fire source positions and smoke outlet on smoke flow characteristics by numerical simulation.A theoretical analytical method is used to give a predictive model for the heat exhaust coefficient and the smoke spreading distance.This research can support the theory and technical process of tunnel smoke exhaust prevention and control.
基金the Clinical Research Invigoration Project of the St Vincent’s Hospital,The Catholic University of Korea,No.VC22ZASI0080.
文摘BACKGROUND The role of smoking in the incidence of colorectal cancer(CRC)or gastric cancer(GC)in populations undergoing cholecystectomy has not been investigated.AIM To evaluate the effect of smoking on CRC or GC development in cholecystectomy patients.METHODS A total of 174874 patients who underwent cholecystectomy between January 1,2010 and December 31,2017 were identified using the Korean National Health Insurance Service claims database.These patients were matched 1:1 with mem-bers of a healthy population according to age and sex.CRC or GC risk after cholecystectomy and the association between smoking and CRC or GC risk in cholecystectomy patients were evaluated using adjusted hazard ratios(HRs)and 95%CIs.RESULTS The risks of CRC(adjusted HR:1.15;95%CI:1.06-1.25;P=0.0013)and GC(adjusted HR:1.11;95%CI:1.01-1.22;P=0.0027)were significantly higher in cholecystectomy patients.In the population who underwent cholecystectomy,both CRC and GC risk were higher in those who had smoked compared to those who had never smoked.For both cancers,the risk tended to increase in the order of non-smokers,ex-smokers,and current smokers.In addition,a positive correlation was observed between the amount of smoking and the risks of both CRC and GC.CONCLUSION Careful follow-up and screening should be performed,focusing on the increased risk of gastrointestinal cancer in the cholecystectomy group,particularly considering the individual smoking habits.
文摘BACKGROUND Tobacco use is a well-documented modifiable risk factor for perioperative complications.AIM To determine the tobacco abstinence rates of patients who made cessation efforts prior to a total joint arthroplasty(TJA)procedure.METHODS A retrospective evaluation was performed on 88 self-reported tobacco users who underwent TJA between 2014-2022 and had tobacco cessation dates within 3 mo of surgery.Eligible patients were contacted via phone survey to understand their tobacco use pattern,and patient reported outcomes.A total of 37 TJA patients participated.RESULTS Our cohort was on average 61-years-old,60%(n=22)women,with an average body mass index of 30 kg/m^(2).The average follow-up time was 2.9±1.9 years.A total of 73.0%(n=27)of patients endorsed complete abstinence from tobacco use prior to surgery.Various cessation methods were used perioperatively including prescription therapy(13.5%),over the counter nicotine replacement(18.9%),cessation programs(5.4%).At final follow up,43.2%(n=16)of prior tobacco smokers reported complete abstinence.Patients who were able to maintain cessation postoperatively had improved Patient-Reported Outcomes Measurement Information System(PROMIS)-10 mental health scores(49 vs 58;P=0.01),and hip dysfunction and osteoarthritis outcome score for joint replacement(HOOS.JR)scores(63 vs 82;P=0.02).No patients in this cohort had a prosthetic joint infection or required revision surgery.CONCLUSION We report a tobacco cessation rate of 43.2%in patients undergoing elective TJA nearly 3 years postoperatively.Patients undergoing TJA who were able to remain abstinent had improved PROMIS-10 mental health scores and HOOS.JR scores.The perioperative period provides clinicians a unique opportunity to assist active tobacco smokers with cessation efforts and improve postoperative outcomes.
