Journal ArticlePrev Med · December 2024
OBJECTIVE: Experts recommend structured shared decision making when discussing lung cancer screening (LCS) and reporting low-dose computed tomography (LDCT) results. We examined patients' reactions to pre- and post-LDCT results communication processes at t ...
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Journal ArticleNicotine Tob Res · September 23, 2024
INTRODUCTION: This study aimed to assess the role of the rs16969968 variant of nicotinic receptor alpha-5 subunit in regulating smoking behavior and nicotine intake in response to nicotine manipulations among dependent smokers in a naturalistic environment ...
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Journal ArticlemBio · August 14, 2024
Dissemination from one organ system to another is common to many pathogens and often the key process separating simple illness from fatal infection. The pathogenic Cryptococcus species offer a prime example. Cryptococcal infection is thought to begin in th ...
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Journal ArticleMDM Policy and Practice · July 1, 2024
Introduction. The Centers for Medicare and Medicaid Services mandate that clinicians use a shared decision-making interaction to provide information about the harms and benefits of lung cancer screening (LCS). Methods. We enrolled patients from 3 geographi ...
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Journal ArticlemSphere · January 30, 2024
Cryptococcus is a ubiquitous environmental fungus and frequent colonizer of human lungs. Colonization can lead to diverse outcomes, from clearance to long-term colonization to life-threatening meningoencephalitis. Regardless of the outcome, the process sta ...
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Journal ArticleChest · January 1, 2024
Background: Many organizations recommend clinicians use structured communication processes, referred to as shared decision-making, to improve patient-reported outcomes for patients considering lung cancer screening (LCS). Research Question: Which component ...
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Journal ArticlePublic Health in Practice · December 1, 2023
Objectives: Compare financial barriers to the most effective smoking cessation medications - varenicline and combination nicotine replacement therapy (CNRT) across major insurance categories and determine whether these financial barriers impact smoking ces ...
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Journal ArticleTelehealth and Medicine Today · November 3, 2023
Purpose: There is limited research comparing virtual and in-person tobacco treatment specialist (TTS) training. As a result of COVID-19, the Duke-UNC (University of North Carolina) Tobacco Treatment Specialist Training Program (Duke-UNC TTS) transitioned f ...
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Journal ArticleJAMA Netw Open · September 5, 2023
IMPORTANCE: Adaptive pharmacotherapy, ie, starting a medication regimen and then modifying that regimen based on patient response, is common in many medical domains but is not common in smoking cessation. Recently, studies have found that adaptive treatmen ...
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Journal ArticlePsychopharmacology (Berl) · September 2023
RATIONALE: Electronic nicotine delivery systems (ENDS) are used by smokers seeking to reduce combustible cigarette (CC) use, but the role of nicotine replacement vs. behavioral and sensory factors is still poorly understood. We hypothesized that providing ...
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Journal ArticleNicotine Tob Res · May 22, 2023
INTRODUCTION: Available evidence is mixed concerning associations between smoking status and COVID-19 clinical outcomes. Effects of nicotine replacement therapy (NRT) and vaccination status on COVID-19 outcomes in smokers are unknown. METHODS: Electronic h ...
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Journal ArticleJ Natl Compr Canc Netw · March 2023
Although the harmful effects of smoking after a cancer diagnosis have been clearly demonstrated, many patients continue to smoke cigarettes during treatment and beyond. The NCCN Guidelines for Smoking Cessation emphasize the importance of smoking cessation ...
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Journal ArticleCancer Epidemiol Biomarkers Prev · January 9, 2023
BACKGROUND: There is mixed evidence about the relations of current versus past cancer with severe COVID-19 outcomes and how they vary by patient and cancer characteristics. METHODS: Electronic health record data of 104,590 adult hospitalized patients with ...
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Journal ArticlePrev Med Rep · December 2022
Few studies exist showing that involvement in lung cancer screening (LCS) leads to a change in rates of cigarette smoking. We investigated LCS longitudinally to determine whether teachable moments for smoking cessation occur downstream from the initial pro ...
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Journal ArticleFront Public Health · 2022
BACKGROUND: Implementation mapping (IM) is a promising five-step method for guiding planning, execution, and maintenance of an innovation. Case examples are valuable for implementation practitioners to understand considerations for applying IM. This pilot ...
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Journal ArticlePLoS One · 2022
MAIN OBJECTIVE: There is limited information on how patient outcomes have changed during the COVID-19 pandemic. This study characterizes changes in mortality, intubation, and ICU admission rates during the first 20 months of the pandemic. STUDY DESIGN AND ...
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Journal ArticleAIDS Educ Prev · April 2021
Cigarette smoking remains disproportionately prevalent and is increasingly a cause of death and disability among people with HIV (PWH). Many PWH are interested in quitting, but interest in and uptake of first-line smoking cessation pharmacotherapies are va ...
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Journal ArticleJ Assoc Nurses AIDS Care · March 2021
Smoking is disproportionately prevalent among people living with HIV (PLWH) compared with the general population. We conducted five focus groups (n = 24) using semi-structured interview guides to explore perceptions and experiences of smoking and cessation ...
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Journal ArticleAddict Behav · March 2021
INTRODUCTION: Light smoking (smoking ≤ 10 cigarettes per day or on some days) has become increasingly prevalent in the US and increases morbidity and mortality. Many light smokers do not experience significant nicotine withdrawal but instead smoke in respo ...
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Journal ArticleChest · September 2020
BACKGROUND: Lung cancer screening (LCS) is now recommended for people at high risk of dying of lung cancer. RESEARCH QUESTION: The purpose of this study was to use the LCS decision discussion as a case study to understand possible underlying components of ...
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Journal ArticleNicotine Tob Res · August 24, 2020
INTRODUCTION: This study explored the efficacy of combination lorcaserin and nicotine patch for smoking cessation treatment and prevention of postsmoking cessation weight gain. METHODS: We conducted a trial in which 61 adult daily smokers were asked to qui ...
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Journal ArticleInt J Environ Res Public Health · August 21, 2020
Most people who smoke and develop cancer are unable to quit smoking. To address this, many cancer centers have now opened smoking cessation programs specifically designed to help cancer patients to quit. An important question has now emerged-what is the mo ...
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Journal ArticleJ Comp Eff Res · August 2020
Rational, aims & objectives: The goal of this observational study was to compare three referral methods and determine which led to the highest utilization of the Duke Smoking Cessation Program (DSCP). Materials & methods: We conducted two assessments withi ...
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Journal ArticleJ Comp Eff Res · August 2020
Rationale, aim & objective: The goal of this study was to examine the health and economic impacts related to increased utilization of the Duke Smoking Cessation Program resulting from the addition of two relatively new referral methods - Best Practice Advi ...
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Journal ArticlePharmacol Biochem Behav · June 2020
Opiate addiction has risen substantially during the past decade. New treatments to combat opiate addiction are sorely needed. The current study was conducted to determine the acute individual and interactive effects of bupropion and dextromethorphan in a r ...
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Journal ArticleJournal of Smoking Cessation · March 2020
AbstractIntroductionLight and intermittent smokers (LITS) represent almost 50% of all current smokers. Research is needed to understand smoki ...
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Journal ArticleTechniques in Orthopaedics · January 1, 2020
Background:There is compelling evidence that smoking leads to poor postoperative outcomes including increased incidence of wound infection, respiratory infection, sepsis, cardiac arrest, and mortality. There is also compelling evidence that smoking cessati ...
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Journal ArticleMindfulness (N Y) · November 2019
OBJECTIVES: Many individuals who smoke relapse due to weight gain. Mindfulness training has been shown to help smokers quit smoking, and, in other populations, has been used to help people lose weight. This study was designed to assess the effect of one we ...
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Journal ArticleClin Case Rep · September 2019
Standard pharmacotherapy approaches to treat tobacco use may be ineffective in people with high nicotine dependence. Individuals with high nicotine dependence may be good candidates for a new treatment approach-combination of varenicline and nicotine patch ...
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Journal ArticleMindfulness · December 1, 2017
Mindfulness is a skill of intentionally directing one’s attention to emotions, thoughts, or physical sensations with an open-minded, non-judgmental attitude. Mindfulness can enable a person to experience challenging feelings or situations without reacting ...
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Journal ArticleAnn Am Thorac Soc · October 2017
Screening for lung cancer using low-dose computed tomography has been demonstrated to reduce lung cancer-related mortality and is being widely implemented. Further research in this area is needed to assess the impact of screening on patient-centered outcom ...
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Journal ArticleJ Natl Compr Canc Netw · November 2016
Cigarette smoking has been implicated in causing many cancers and cancer deaths. There is mounting evidence indicating that smoking negatively impacts cancer treatment efficacy and overall survival. The NCCN Guidelines for Smoking Cessation have been creat ...
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Journal ArticleBMC complementary and alternative medicine · March 2015
BackgroundMany smokers are unable to access effective behavioral smoking cessation therapies due to location, financial limitations, schedule, transportation issues or other reasons. We report results from a prospective observational study in whic ...
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Journal ArticleJ Subst Abuse Treat · September 2014
Smoking continues to take an enormous toll on society, and although most smokers would like to quit, most are unsuccessful using existing therapies. These findings call on researchers to develop and test therapies that provide higher rates of long-term smo ...
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Journal ArticleJ Altern Complement Med · August 2014
OBJECTIVES: Stress is a well-known predictor of smoking relapse, and cortisol is a primary biomarker of stress. The current pilot study examined changes in levels of cortisol in hair within the context of two time-intensity matched behavioral smoking cessa ...
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Journal ArticleJ Couns Psychol · July 2014
As mindfulness-based interventions become increasingly widespread, interest has grown in better understanding which features of these treatments produce beneficial effects. The present study examined the relative contribution of mindfulness practice time a ...
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Journal ArticleSubst Use Misuse · April 2014
We report the results of a randomized trial comparing a novel smoking cessation treatment Mindfulness Training for Smokers (MTS) to a usual care therapy (Controls), which included the availability of a tobacco quit line and nicotine patches. Data were coll ...
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Journal ArticleAppl Clin Trials · 2014
INTRODUCTION: Clinical trials often fail to reach desired goals due to poor recruitment outcomes, including low participant turnout, high recruitment cost, or poor representation of minorities. At present, there is limited literature available to guide rec ...
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Journal ArticleWMJ · October 2013
Undergraduate premedical students face a formidable decision as they work to determine whether to pursue a profession in medicine. Exposure to clinical medicine and research is essential to inform students what it might be like to be a physician. Undergrad ...
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Journal ArticleBMC Complement Altern Med · September 3, 2013
BACKGROUND: We report results of a pilot study designed to test a novel smoking cessation intervention, Mindfulness Training for Smokers (MTS), in smokers age 18-29 years with regular episodes of binge drinking. Mindfulness is a cognitive skill of applying ...
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Journal ArticleJ Clin Psychol · September 2013
OBJECTIVE: Mindfulness-based interventions have enjoyed a marked increase in support within biomedical and psychological research and practice in the past two decades. Despite the widespread application of these treatments for a range of psychological and ...
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Journal ArticlePsychophysiology · July 2009
Previous research indicates that drug motivational systems are instantiated in structures that process information related to incentive, motivational drive, memorial, motor/habit, craving, and cognitive control processing. The present research tests the hy ...
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Journal ArticlePain Med · November 2008
BACKGROUND: The aim of this report is to determine the frequency of aberrant drug behaviors and their relationship to substance abuse disorders in a large primary sample of patients receiving opioids for chronic pain. METHODS: The data utilized for this re ...
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Journal ArticlePLoS Biol · June 2007
The information processing capacity of the human mind is limited, as is evidenced by the so-called "attentional-blink" deficit: When two targets (T1 and T2) embedded in a rapid stream of events are presented in close temporal proximity, the second target i ...
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Journal ArticleBMC Complement Altern Med · January 25, 2007
BACKGROUND: Mindfulness means paying attention in the present moment, non-judgmentally, without commentary or decision-making. We report results of a pilot study designed to test the feasibility of using Mindfulness Based Stress Reduction (MBSR) (with mino ...
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