1/8. Cancer of the oral cavity- a growing concern in the micronesia: a case report from the Marshall islands.Cancer of the oral cavity is of growing concern worldwide. In the micronesia, there has been a recent increase in use of betel nut and tobacco chewing in addition to already existing problem of smoking and alcohol drinking. These deleterious habits have further added the risk for development of oral cancers in the Marshall islands. The oral cancers have good prognosis, which is directly related to the early diagnosis and treatment. Advanced staged cancers need mutilating surgery in addition to radiotherapy and carry high mortality rate. The epidemiology, etiology and recent approaches in the management of oral cavity cancer has been discussed along with a case report of advanced cancer of the floor of the mouth from the Marshall islands.- - - - - - - - - - ranking = 1keywords = tobacco (Clic here for more details about this article) |
2/8. The perils of Pauline: visual loss in a tippler.A 31-year-old alcoholic woman who smoked had subacute visual loss. She was treated for tobacco-alcohol amblyopia with subsequent improvement in vision.- - - - - - - - - - ranking = 1keywords = tobacco (Clic here for more details about this article) |
3/8. Psychosocial aspects of head and neck cancer.The major psychosocial issues in managing the patient with a head and neck tumor are dealing with the emotional reactions to structural and functional deficits, recognizing and treating preexisting personality problems, especially those related to alcohol and tobacco abuse, which frequently complicate their treatment course. These factors influence the rehabilitation process which should begin in the preoperative period with careful attention to psychologic and social assessment and psychiatric evaluation; if an alcoholic history is elicited. Important continuity in rehabilitation can be accomplished by contact with the rehabilitative team members before surgery, preoperative chemotherapy or radiation. attention to appropriate adaptation to facial prostheses and dealing early with communication disorders requires a specialized staff and a rehabilitative team which can call on a range of skills including a psychiatric consultant. While the ordeal of the head and neck cancer patient is psychologically difficult and challenging, most patients are able, with the proper help, to resume full and productive lives.- - - - - - - - - - ranking = 1keywords = tobacco (Clic here for more details about this article) |
4/8. nicotine gum dependency: a positive addiction.Prolonged nicotine gum dependency may provide a therapeutic interlude for the compulsive or addictive patient during the transition from smoking to a tobacco-free state. We present a case report of an addicted man with asthma who successfully converted his tobacco dependency to the daily use of nicotine gum for four years. No adverse effects were seen. nicotine gum has potential as substitution therapy for prolonged treatment in a highly addictive, compulsive patient.- - - - - - - - - - ranking = 2keywords = tobacco (Clic here for more details about this article) |
5/8. Psychiatric aspects of head and neck cancer surgery.Psychiatric problems of patients with head and neck cancer include reactions to disfiguring illness and treatment; adjustment to alterations of speech, eating, and other functions, including sex; changes in body image; alcohol and tobacco addiction; pain; organic brain syndromes; and dealing with terminal illness. Although speech is often compromised, head and neck patients can communicate and psychiatric work is possible. The consultation-liaison psychiatrist can provide considerable assistance by utilizing psychodynamic, behavioral, and pharmacologic modes of treatment and by working with family members and staff.- - - - - - - - - - ranking = 1keywords = tobacco (Clic here for more details about this article) |
6/8. Four primary malignant neoplasms in a single patient.A 60-year-old Caucasian male, with a previous history of a 10-year occupational exposure to ionizing radiation, chemical carcinogens, and a long history of tobacco and alcohol abuse, developed synchronous squamous cell carcinoma of the floor of the mouth and adenocarcinoma of the lung. Four years later, squamous cell carcinoma of the larynx followed by squamous cell carcinoma of the tongue were diagnosed. In this case report, we suggest that increased exposure to multiple carcinogenic factors may result in an increased incidence of both synchronous and metachronous primary malignant neoplasms.- - - - - - - - - - ranking = 1keywords = tobacco (Clic here for more details about this article) |
7/8. Fundus changes in acute malnutritional optic neuropathy.A peculiar dilation and tortuosity of small retinal vessels within the arcuate areas of the retinal nerve fiber layer occurred in a series of patients with acute malnutritional optic neuropathy ("tobacco-alcohol amblyopia"). These evanescent vascular abnormalities may be caused by arteriovenous shunting. They seem to be specific indicators of the early phase of this disease.- - - - - - - - - - ranking = 1keywords = tobacco (Clic here for more details about this article) |
8/8. Alcohol and drug misuse in the nursing home.The misuse of alcohol or drugs is a common and frequently neglected problem among nursing home residents. The misuse of prescription medications is particularly prevalent, but tobacco, alcohol, and illicit drugs are all subject of misuse by nursing home residents. This article reviews the epidemiologic and clinical aspects of substance misuse in nursing homes, including alcohol, illicit drugs, tobacco, and pyscho-active medications. Regulations regarding the prescription of psycho-active drugs in nursing homes is also discussed.- - - - - - - - - - ranking = 2keywords = tobacco (Clic here for more details about this article) |