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Compulsive Behavior

Hallucinogen Use Disorders

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Sedative Abuse

Tobacco Use Disorders

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CigaretteAka: Tobacco

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  1. See Also
    1. Tobacco Cessation
    2. Passive Smoke Exposure
  2. Epidemiology
    1. Smoking is the top cause of preventable death in U.S.
      1. Dwarfs Alcohol and Drug Abuse deaths and HIV combined
    2. Mortality in the United States
      1. Deaths per year: 434,000
      2. Deaths per day: >1000
    3. Prevalence of smoking in United States
      1. Overall adults: 25% (47 Million smoking)
      2. Ages 18-24 years: 33%
    4. Medical costs of tobacco abuse
      1. Direct: $50 billion
      2. Indirect: may approach additional $50 billion
  3. Risk Factors
    1. Lower socioeconomic groups
    2. Lower education Levels
    3. Adult smokers begin in adolescence (95% before age 20)
  4. Complications from Tobacco abuse in Pregnancy
    1. Low birth weight infant
    2. High carbon monoxide load for fetus
    3. High Hematocrit for fetus
  5. Labs
    1. Spirometry in 10 pack year smokers over age 40
      1. Evaluate for COPD
    2. References
      1. Zielinski (2001) Chest 119:731
  6. Adverse Effects
    1. Low tar cigarettes carry the same risk of Lung Cancer
      1. Harris (2004) 328:72
    2. College student smokers have impaired quality of life
      1. Martinez (2004) Chest 125:425
    3. Infections with increased risk related to tobacco use
      1. Upper Respiratory Infections
      2. Pneumonia
      3. Tuberculosis
      4. Influenza
      5. Legionnaire's Disease
      6. Periodontal Disease and ulcers
      7. Otitis Media (Passive Smoke Exposure)
      8. Arcavi (2004) Arch Intern Med 164:2206
  7. Management
    1. See Tobacco Cessation
  8. Resources
    1. CDC Tobacco Page
      1. http://www.cdc.gov/tobacco
    2. Targeting Tobacco Use... AT-A-GLANCE 2000
      1. http://www.cdc.gov/tobacco/oshaag.htm

Tobacco Use Disorder (C0040336)

Definition (MSH)Tobacco used to the detriment of a person's health or social functioning. Tobacco dependence is included.
Definition (CSP)tobacco used to the detriment of a person's health or social functioning; tobacco dependence is included.
ConceptsMental or Behavioral Dysfunction (T048)
ICD9305.1
MSHD014029
BasqueTABAKO ABUSUA
DanishTobakmisbrug
DutchTabaks misbruik
EnglishTobacco abuse, TOBACCO USE DIS, Tobacco Use Disorder, Tobacco Use Disorders, Tobacco-Use Disorder
FinnishTUPAKKARIIPPUVUUS
FrenchTabagisme
GermanNikotinabusus
Hungariannikotin abusus
ItalianAbuso di tabacco
NorwegianTOBAKKMISBRUK/-PROBLEM
PortugueseAbuso de tabaco
Spanishabuso de tabaco, Abuso del tabaco
SwedishTOBAKSBEROENDE
Parent Conceptssubstance abuse related disorder (C1537075), Drug abuse (C0013146), Symptoms and Complaints Component (C0497525), Psychiatric problem (C1306597), Substance-Related Disorders (C0236969), Lifestyle-related condition (C0481391), cancer-related problem/condition (C0280950)
SourcesCSP, ICD9CM, ICPC, ICPCBAQ, ICPCDAN, ICPCDUT, ICPCFIN, ICPCFRE, ICPCGER, ICPCHUN, ICPCITA, ICPCNOR, ICPCPOR, ICPCSPA, ICPCSWE, LNC, MSH, MTH, NCI, NDFRT, PDQ, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Cigarette (C0677453)

Definition (NCI)Finely cut tobacco encased in a wrapper of thin paper and rolled for smoking.
ConceptsManufactured Object (T073)
EnglishCigarette
Parent ConceptsTobacco (C0040329), Central Nervous System Stimulants (C0002763)
SourcesAOD, CSP, MTH, NCI, SPN
Derived from the NIH UMLS (Unified Medical Language System)



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