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Navas Alcántara MS, Montero Rivas L, Guisado Espartero ME, Rubio-Rivas M, Ayuso García B, Moreno Martinez F, Ausín García C, Taboada Martínez ML, Arnalich Fernández F, Martínez Murgui R, Molinos Castro S, Ramos Muñoz ME, Fernández-Garcés M, Carreño Hernandez MC, García García GM, Vázquez Piqueras N, Abadía-Otero J, Lajara Villar L, Salazar Monteiro C, Pascual Pérez MDLR, Perez-Martin S, Collado-Aliaga J, Antón-Santos JM, Lumbreras-Bermejo C. Influence of smoking history on the evolution of hospitalized in COVID-19 positive patients: results from the SEMI-COVID-19 registry. Med Clin (Barc) 2022; 159:214-223. [PMID: 34895891 PMCID: PMC8590935 DOI: 10.1016/j.medcli.2021.10.011] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 10/05/2021] [Accepted: 10/14/2021] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Smoking can play a key role in SARS-CoV-2 infection and in the course of the disease. Previous studies have conflicting or inconclusive results on the prevalence of smoking and the severity of the coronavirus disease (COVID-19). METHODS Observational, multicenter, retrospective cohort study of 14,260 patients admitted for COVID-19 in Spanish hospitals between February and September 2020. Their clinical characteristics were recorded and the patients were classified into a smoking group (active or former smokers) or a non-smoking group (never smokers). The patients were followed up to one month after discharge. Differences between groups were analyzed. A multivariate logistic regression and Kapplan Meier curves analyzed the relationship between smoking and in-hospital mortality. RESULTS The median age was 68.6 (55.8-79.1) years, with 57.7% of males. Smoking patients were older (69.9 [59.6-78.0 years]), more frequently male (80.3%) and with higher Charlson index (4 [2-6]) than non-smoking patients. Smoking patients presented a worse evolution, with a higher rate of admission to the intensive care unit (ICU) (10.4 vs 8.1%), higher in-hospital mortality (22.5 vs. 16.4%) and readmission at one month (5.8 vs. 4.0%) than in non-smoking patients. After multivariate analysis, smoking remained associated with these events. CONCLUSIONS Active or past smoking is an independent predictor of poor prognosis in patients with COVID-19. It is associated with higher ICU admissions and in-hospital mortality.
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Affiliation(s)
| | - Lorena Montero Rivas
- Servicio de Medicina Interna, Hospital Infanta Margarita, Cabra, Córdoba, España
| | | | - Manuel Rubio-Rivas
- Servicio de Medicina Interna, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat (Barcelona), Barcelona, España
| | - Blanca Ayuso García
- Servicio de Medicina Interna, Hospital Universitario 12 de Octubre, Madrid, España
| | | | | | | | | | | | - Sonia Molinos Castro
- Servicio de Medicina Interna, Hospital Clínico de Santiago de Compostela, A Coruña, España
| | | | | | - Mari Cruz Carreño Hernandez
- Unidad de Riesgo Vascular, Servicio de Neumología, Hospital Madrid Norte Sanchinarro, Hospital Universitario Puerta de Hierro, Majadahonda, Madrid, España
| | | | - Nuria Vázquez Piqueras
- Servicio de Medicina Interna, Hospital Moisès Broggi, Sant Joan Despí, Barcelona, España
| | - Jesica Abadía-Otero
- Consulta de Enfermedades Infecciosas, Servicio de Medicina Interna, Hospital Universitario Río Hortega, Valladolid, España
| | - Lourdes Lajara Villar
- Servicio de Medicina Interna, Hospital Universitario San Juan de Alicante, Alicante, España
| | - Cristina Salazar Monteiro
- Servicio de Medicina Interna, Hospital Nuestra Señora del Prado,Talavera de la Reina, Toledo, España
| | | | | | - Javier Collado-Aliaga
- Servicio de Medicina Interna, Complejo Asistencial Universitario de Salamanca, España
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Navas Alcántara MS, Montero Rivas L, Guisado Espartero ME, Rubio-Rivas M, Ayuso García B, Moreno Martinez F, Ausín García C, Taboada Martínez ML, Arnalich Fernández F, Martínez Murgui R, Molinos Castro S, Ramos Muñoz ME, Fernández-Garcés M, Carreño Hernandez MC, García García GM, Vázquez Piqueras N, Abadía-Otero J, Lajara Villar L, Salazar Monteiro C, Pascual Pérez MDLR, Perez-Martin S, Collado-Aliaga J, Antón-Santos JM, Lumbreras-Bermejo C. Influence of smoking history on the evolution of hospitalized in COVID-19 positive patients: Results from the SEMI-COVID-19 registry. MEDICINA CLÍNICA (ENGLISH EDITION) 2022; 159:214-223. [PMID: 35935808 PMCID: PMC9339973 DOI: 10.1016/j.medcle.2022.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 10/14/2021] [Indexed: 11/03/2022]
Abstract
Introduction Methods Results Conclusions
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Cui T, Miao G, Jin X, Yu H, Zhang Z, Xu L, Wu Y, Qu G, Liu G, Zheng Y, Jiang G. The adverse inflammatory response of tobacco smoking in COVID-19 patients: biomarkers from proteomics and metabolomics. J Breath Res 2022; 16. [PMID: 35772384 DOI: 10.1088/1752-7163/ac7d6b] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2022] [Accepted: 06/30/2022] [Indexed: 01/08/2023]
Abstract
Whether tobacco smoking affects the occurrence and development of COVID-19 is still a controversial issue, and potential biomarkers to predict the adverse outcomes of smoking in the progression of COVID-19 patients have not yet been elucidated. To further uncover their linkage and explore the effective biomarkers, three proteomics and metabolomics databases (i.e. smoking status, COVID-19 status, and basic information of population) from human serum proteomic and metabolomic levels were established by literature search. Bioinformatics analysis was then performed to analyze the interactions of proteins or metabolites among the above three databases and their biological effects. Potential confounding factors (age, BMI, and gender) were controlled to improve the reliability. The obtained data indicated that smoking may increase the relative risk of conversion from non-severe to severe COVID-19 patients by inducing the dysfunctional immune response. Seven interacting proteins (C8A, LBP, FCN2, CRP, SAA1, SAA2, and VTN) were found to promote the deterioration of COVID-19 by stimulating the complement pathway and macrophage phagocytosis as well as inhibiting the associated negative regulatory pathways, which can be biomarkers to reflect and predict adverse outcomes in smoking COVID-19 patients. Three crucial pathways related to immunity and inflammation, including tryptophan, arginine, and glycerophospholipid metabolism, were considered to affect the effect of smoking on the adverse outcomes of COVID-19 patients. Our study provides novel evidence and corresponding biomarkers as potential predictors of severe disease progression in smoking COVID-19 patients, which is of great significance for preventing further deterioration in these patients.
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Affiliation(s)
- Tenglong Cui
- Qingdao University Medical College, Qingdao, Qingdao, Shandong, 266021, CHINA
| | - Gan Miao
- Qingdao University Medical College, Qingdao, Qingdao, Shandong, 266021, CHINA
| | - Xiaoting Jin
- Qingdao University Medical College, Qingdao, Qingdao, Shandong, 266021, CHINA
| | - Haiyi Yu
- Qingdao University Medical College, Qingdao, Qingdao, Shandong, 266021, CHINA
| | - Ze Zhang
- Qingdao University Medical College, Qingdao, Qingdao, Shandong, 266021, CHINA
| | - Liting Xu
- Qingdao University Medical College, Qingdao, Qingdao, Shandong, 266021, CHINA
| | - Yili Wu
- Qingdao University Medical College, Qingdao, Qingdao, Shandong, 266021, CHINA
| | - Guangbo Qu
- Research Centre for Eco-Environmental Sciences Chinese Academy of Sciences, Beijing, Beijing, Beijing, 100085, CHINA
| | - Guoliang Liu
- China-Japan Friendship Hospital, No 2, East Yinghua Road, Chaoyang District, Beijing, China., Beijing, 100029, CHINA
| | - Yuxin Zheng
- Qingdao University Medical College, Qingdao, Qingdao, Shandong, 266021, CHINA
| | - Guibin Jiang
- Research Centre for Eco-Environmental Sciences Chinese Academy of Sciences, State Key Laboratory of Environmental Chemistry and Ecotoxicology , PO Box 2871, 18 Shuangqing Road, Haidian District, Beijing, 100085 PR CHINA, Beijing, Beijing, 100085, CHINA
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The Effect of COVID-19 on Smoking and Vaping Rates. Ann Am Thorac Soc 2022; 19:1440-1441. [PMID: 35533309 PMCID: PMC9353957 DOI: 10.1513/annalsats.202202-119le] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Lang AE, Yakhkind A. Implementing a Nicotine-Free Policy in the United States Military. Chest 2022; 161:845-852. [PMID: 34582843 DOI: 10.1016/j.chest.2021.09.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2021] [Revised: 08/26/2021] [Accepted: 09/14/2021] [Indexed: 10/20/2022] Open
Abstract
In December 2019, the command of a US Army Advanced Individual Training battalion on Fort Eustis, Virginia, was briefed on the results of tobacco and nicotine use surveys distributed to trainee soldiers and subsequently decided to ban tobacco and nicotine products in this population. The policy implementation process was thoroughly planned in a joint effort between battalion leadership and the installation military health facility. Data were collected throughout the process that evaluated nicotine product use among trainee soldiers, instructors, and leaders. Preferences on assistance with quitting and views on policy implementation processes also were collected. Comprehensive and multimodal resources and therapy to assist with treatment of dependence of tobacco and nicotine were offered. Although more data are needed on outcomes of this type of intervention, addressing tobacco and nicotine use in the military is long overdue, and our intervention offers a reproducible model to do so. It incorporates education, behavioral resources, and medication therapy with the aim to improve long-term quit rates and to improve the health of soldiers throughout and after their careers.
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Affiliation(s)
- Adam Edward Lang
- Department of Primary Care, McDonald Army Health Center, Fort Eustis, VA.
| | - Aleksandra Yakhkind
- Department of Neurology, University of Pennsylvania Health System, Philadelphia, PA
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Ghadban YA, Zgheib N, Romani M, Akl IB, Nasr R. Impact of the COVID-19 pandemic on smoking behavior and beliefs among the American University of Beirut community. Tob Prev Cessat 2022; 8:02. [PMID: 35118214 PMCID: PMC8785139 DOI: 10.18332/tpc/144499] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Revised: 11/30/2021] [Accepted: 12/03/2021] [Indexed: 11/24/2022]
Abstract
INTRODUCTION The current COVID-19 outbreak has led to sudden changes in routine and modifications in health behaviors. The study presented here investigates the changes in smoking behavior and beliefs due to the pandemic among a sample of individuals at the American University of Beirut (AUB) in Lebanon, between August and September 2020. METHODS This is a cross-sectional exploratory study based on data collected through an anonymous, web-based questionnaire. We performed descriptive and univariate analysis on sociodemographic factors, smoking practices, smoking behavior changes, and smoking beliefs. RESULTS In all, 197 participants (65.5% never smokers, 8.1% former smokers, and 26.4% current smokers) completed the online survey. Of these, 19.3% reported a change in their smoking behavior in the last four months, with an equal number of participants increasing and decreasing smoking. Univariate analysis showed that fear of contracting coronavirus and personal health concerns were significantly associated with a decrease in smoking. In contrast, the stress associated with the COVID-19 crisis and the economic crisis was associated with an increase in smoking. CONCLUSIONS The current COVID-19 outbreak has resulted in unexpected alterations in routine and changes in health behaviors. A quarter of all participants said they had changed their smoking habits, with an equal percentage saying they had increased or decreased their smoking. Future research is needed to look into changes in smoking behavior in a more representative group.
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Affiliation(s)
- Yasmina Al Ghadban
- School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, United States
| | - Nathalie Zgheib
- Cancer Prevention and Control Program, Naef K. Basile Cancer Institute, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
- Department of Pharmacology and Toxicology, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Maya Romani
- Cancer Prevention and Control Program, Naef K. Basile Cancer Institute, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
- Department of Family Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Imad Bou Akl
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Rihab Nasr
- Cancer Prevention and Control Program, Naef K. Basile Cancer Institute, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
- Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
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Chung K, Rafferty H, Suen LW, Vijayaraghavan M. System-Level Quality Improvement Initiatives for Tobacco Use in a Safety-Net Health System During the COVID-19 Pandemic. J Prim Care Community Health 2022; 13:21501319221107984. [PMID: 35748431 PMCID: PMC9234926 DOI: 10.1177/21501319221107984] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Introduction: The shift from in-person care to telemedicine made it challenging
to provide guideline-recommended tobacco cessation care during
the COVID-19 pandemic. We described quality improvement (QI)
initiatives for tobacco cessation during the COVID-19 pandemic,
focusing on African American/Black patients with high smoking
rates. Methods: The QI initiatives took place in the San Francisco Health Network,
a network of 13 safety-net clinics in San Francisco, California
between February 2020 and February 2022. We conducted direct
patient outreach by telephone and increased staff capacity to
increase cessation care delivery. We examined trends in tobacco
screening, provider counseling, and best practice for cessation
care (ie, the proportion of patients receiving at least 1
smoking cessation service during a clinical encounter). Results: In-person visits at the onset of the pandemic was 20% in April 2020
and increased to 67% by February 2022. During this time, tobacco
screening increased from 29% to 74%. From March 2020 to March
2021, 34% more patients received provider counseling by
telephone than in-person. The trend reversed from April 2021 to
February 2022, where 23% more patients received counseling
in-person than by telehealth. Best practice care increased by
23% from June 2020 to February 2022: 24% for African
American/Black patients and 23% for other patients. Conclusions: Telehealth adaptations to the EHR, targeted outreach to patients,
and a multi-disciplinary medical team may be associated with
increases in cessation care delivery during the COVID-19
pandemic.
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Affiliation(s)
- Kara Chung
- University of California, San Francisco, San Francisco, CA, USA
| | - Henry Rafferty
- San Francisco Department of Public Health, San Francisco, CA, USA
| | - Leslie W Suen
- University of California, San Francisco, San Francisco, CA, USA.,San Francisco Veteran Affairs Medical Center, San Francisco, CA, USA
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Feng GC, Zhu S, Zhao X. Antecedents and Consequences of Smoking Cessation Intention in the Context of the Global COVID-19 Infodemic. Front Public Health 2021; 9:684683. [PMID: 34497791 PMCID: PMC8419308 DOI: 10.3389/fpubh.2021.684683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 07/12/2021] [Indexed: 11/18/2022] Open
Abstract
A growing body of scientific studies has been published to inform responses to the ongoing coronavirus pandemic, and some have claimed that cigarette smoking has a beneficial or mixed effect on the prevention and treatment of COVID-19. The presentation of such findings, unfortunately, has created an infodemic. This study integrated the theory of planned behavior and the health belief model and incorporated findings on addiction from the medical literature to predict cessation intention and support for tobacco control measures in the context of the COVID-19 infodemic. The study found that cessation intention partially mediated the effect of perceived severity and fully mediated the effects of perceived benefits, self-efficacy, and addiction on support for control measures. In addition, a positively-valenced message of the effect of smoking on the prevention and treatment of COVID-19 vs. a mixedly-valenced message was significant in predicting cessation intention, and the positively-valenced message of smoking indirectly predicted support for tobacco control measures. Perceived susceptibility, barriers, and subjective norms, however, exerted neither direct nor indirect effects on the two outcome variables.
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Affiliation(s)
| | - Shan Zhu
- College of Communication, Shenzhen University, Shenzhen, China
| | - Xinshu Zhao
- Department of Communication, University of Macau, Macau, China
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Mihaltan FD, Rajnoveanu AG, Rajnoveanu RM. Impact of Smoking on Women During the Covid-19 Pandemic. Front Med (Lausanne) 2021; 8:584061. [PMID: 33996840 PMCID: PMC8119742 DOI: 10.3389/fmed.2021.584061] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 03/09/2021] [Indexed: 01/08/2023] Open
Abstract
The coronavirus disease 2019 (COVID-19) brought in 2020 an important challenge for health-care systems and authorities. Smoking and its influence on this disease remain, after months of the pandemic, one of the debatable risk factors. From the literature point of view, the focus of most articles is on smoking as a possible general risk factor for all analyzed populations. Women tend to represent a more significant population in exposed occupations. In our mini-review, we try to dig deeper, looking for gender-related health effects of smoking in this pandemic context, its effects on the infection with this novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), on illness severity, and on the rate of hospitalization and mortality. Despite the fact that the male gender is reported in many articles as a predictor of a poor outcome, we suggest that further research is needed to confirm or deny these relationships. Moreover, studies focusing specifically on women in these study populations are required.
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Affiliation(s)
| | - Armand-Gabriel Rajnoveanu
- Occupational Medicine Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania
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Mishra V, Seyedzenouzi G, Almohtadi A, Chowdhury T, Khashkhusha A, Axiaq A, Wong WYE, Harky A. Health Inequalities During COVID-19 and Their Effects on Morbidity and Mortality. J Healthc Leadersh 2021; 13:19-26. [PMID: 33500676 PMCID: PMC7826045 DOI: 10.2147/jhl.s270175] [Citation(s) in RCA: 80] [Impact Index Per Article: 26.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 01/10/2021] [Indexed: 12/29/2022] Open
Abstract
Inequalities in health have existed for many decades and have led to unjust consequences in morbidity and mortality. These have become even more apparent during the COVID-19 pandemic with individuals from black and minority ethnic groups, poorer socioeconomic backgrounds, urban and rurally deprived locations, and vulnerable groups of society suffering the full force of its effects. This review is highlighting the current disparities that exist within different societies, that subsequently demonstrate COVID-19, does in fact, discriminate against disadvantaged individuals. Also explored in detail are the measures that can and should be taken to improve equality and provide equitable distribution of healthcare resources amongst underprivileged communities.
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Affiliation(s)
- Vaibhav Mishra
- School of Medicine, Faculty of Life Sciences, St. George's, University of London, Cranmer Terrace, London, SW17 0RE, UK
| | - Golnoush Seyedzenouzi
- School of Medicine, Faculty of Life Sciences, St. George's, University of London, Cranmer Terrace, London, SW17 0RE, UK
| | - Ahmad Almohtadi
- School of Medicine, Faculty of Life Sciences, St. George's, University of London, Cranmer Terrace, London, SW17 0RE, UK
| | - Tasnim Chowdhury
- School of Medicine, Faculty of Life Sciences, St. George's, University of London, Cranmer Terrace, London, SW17 0RE, UK
| | - Arwa Khashkhusha
- School of Medicine, Faculty of Life Sciences, University of Liverpool, Foundation Building, Brownlow Hill, Liverpool, L69 7ZX, UK
| | - Ariana Axiaq
- School of Medicine, Faculty of Life Sciences, Queen's University Belfast, Belfast, UK
| | - Wing Yan Elizabeth Wong
- Brighton and Sussex Medical School, Faculty of Life Sciences, University of Sussex, Falmer, BN1 9PX, UK
| | - Amer Harky
- Department of Cardiac Surgery, Alder Hey Children Hospital, Liverpool, UK.,Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, UK.,Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart and Chest Hospital, Liverpool, UK.,Department of Integrative Biology, Faculty of Health Sciences, University of Liverpool, Liverpool, UK
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Joob B, Wiwanitkit V. COVID-19 and smoking: A comment. JOURNAL OF RESEARCH IN MEDICAL SCIENCES 2021; 26:66. [PMID: 34729074 PMCID: PMC8506253 DOI: 10.4103/jrms.jrms_363_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 06/20/2020] [Accepted: 07/29/2020] [Indexed: 11/04/2022]
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Sujatha S, Shwetha V, Vaishnavi P, Sreekanth P, Nagi R. Tobacco consumption patterns and coping behavior during the COVID-19 Lockdown. JOURNAL OF HEAD & NECK PHYSICIANS AND SURGEONS 2021. [DOI: 10.4103/jhnps.jhnps_61_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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13
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Braillon A. Tobacco and e-cigarette shops awarded 'essential business' labels in France during COVID-19. Tob Induc Dis 2020; 18:90. [PMID: 33177969 PMCID: PMC7646513 DOI: 10.18332/tid/129269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Accepted: 10/29/2020] [Indexed: 11/24/2022] Open
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