Update on the approach to smoking in patients with respiratory diseases.

Smoking is the leading cause of respiratory disease (RD). The harmful effects of smoking on the respiratory system begin in utero and influence immune responses throughout childhood and adult life. In comparison with ?healthy? smokers, smokers with RD have peculiarities that can impede smoking cessation, such as a higher level of nicotine dependence; nicotine withdrawal; higher levels of exhaled carbon monoxide; low motivation and low self-efficacy; greater concern about weight gain; and a high prevalence of anxiety and depression. In addition, they require more intensive, prolonged treatment. It is always necessary to educate such individuals about the fact that quitting smoking is the only measure that will reduce the progression of RD and improve their quality of life, regardless of the duration and severity of the disease. Physicians should always offer smoking cessation treatment. Outpatient or inpatient smoking cessation treatment should be multidisciplinary, based on behavioral interventions and pharmacotherapy. It will thus be more effective and cost-effective, doubling the chances of success

Survival of atraumatic restorative treatment (ART) sealants and restorations: a meta-analysis

The purpose of this study is to perform a systematic investigation plus meta-analysis into survival of atraumatic restorative treatment (ART) sealants and restorations using high-viscosity glass ionomers and to compare the results with those from the 2005 ART meta-analysis. Until February 2010, four databases were searched. Two hundred four publications were found, and 66 reported on ART restorations or sealant survival. Based on five exclusion criteria, two independent reviewers selected the 29 publications that accounted for the meta-analysis. Confidence intervals (CI) and or standard errors were calculated and the heterogeneity variance of the survival rates was estimated. Location (school/clinic) was an independent variable. The survival rates of single-surface and multiple-surface ART restorations in primary teeth over the first 2 years were 93% (CI, 91–94%) and 62% (CI, 51–73%), respectively; for single-surface ART restorations in permanent teeth over the first 3 and 5 years it was 85% (CI, 77–91%) and 80% (CI, 76–83%), respectively and for multiple-surface ART restorations in permanent teeth over 1 year it was 86% (CI, 59–98%). The mean annual dentine lesion incidence rate, in pits and fissures previously sealed using ART, over the first 3 years was 1%. No location effect and no differences between the 2005 and 2010 survival rates of ART restorations and sealants were observed. The short-term survival rates of single-surface ART restorations in primary and permanent teeth, and the caries-preventive effect of ART sealants were high. Clinical relevance: ART can safely be used in single-surface cavities in both primary and permanent teeth. ART sealants have a high caries preventive effect

Search for heavy Majorana neutrinos in e+-e+-+ jets and e+-μ+-+ jets events in proton-proton collisions at s = 8 s√=8 TeV

A search is performed for heavy Majorana neutrinos (N) decaying into a W boson and a lepton using the CMS detector at the Large Hadron Collider. A signature of two jets and either two same sign electrons or a same sign electron-muon pair is searched for using 19.7 fb−1 of data collected during 2012 in proton-proton collisions at a centre-of-mass energy of 8 TeV. The data are found to be consistent with the expected standard model (SM) background and, in the context of a Type-1 seesaw mechanism, upper limits are set on the cross section times branching fraction for production of heavy Majorana neutrinos in the mass range between 40 and 500 GeV. The results are additionally interpreted as limits on the mixing between the heavy Majorana neutrinos and the SM neutrinos. In the mass range considered, the upper limits range between 0.00015–0.72 for |VeN|2 and 6.6 × 10−5−0.47 for |VeNVμN∗|2/(|VeN|2 + |VμN|2), where VℓN is the mixing element describing the mixing of the heavy neutrino with the SM neutrino of flavour ℓ. These limits are the most restrictive direct limits for heavy Majorana neutrino masses above 200 GeV

Charged-particle nuclear modification factors in PbPb and pPb collisions at √sNN=5.02 TeV

The spectra of charged particles produced within the pseudorapidity window |η| 20 GeV, RpA exhibits weak momentum dependence and shows a moderate enhancement above unity