Systematic review with meta-analysis of the epidemiological evidence relating smoking to COPD, chronic bronchitis and emphysema

<p>Abstract</p> <p>Background</p> <p>Smoking is a known cause of the outcomes COPD, chronic bronchitis (CB) and emphysema, but no previous systematic review exists. We summarize evidence for various smoking indices.</p> <p>Methods</p> <p>Based on MEDLINE searches and other sources we obtained papers published to 2006 describing epidemiological studies relating incidence or prevalence of these outcomes to smoking. Studies in children or adolescents, or in populations at high respiratory disease risk or with co-existing diseases were excluded. Study-specific data were extracted on design, exposures and outcomes considered, and confounder adjustment. For each outcome RRs/ORs and 95% CIs were extracted for ever, current and ex smoking and various dose response indices, and meta-analyses and meta-regressions conducted to determine how relationships were modified by various study and RR characteristics.</p> <p>Results</p> <p>Of 218 studies identified, 133 provide data for COPD, 101 for CB and 28 for emphysema. RR estimates are markedly heterogeneous. Based on random-effects meta-analyses of most-adjusted RR/ORs, estimates are elevated for ever smoking (COPD 2.89, CI 2.63-3.17, n = 129 RRs; CB 2.69, 2.50-2.90, n = 114; emphysema 4.51, 3.38-6.02, n = 28), current smoking (COPD 3.51, 3.08-3.99; CB 3.41, 3.13-3.72; emphysema 4.87, 2.83-8.41) and ex smoking (COPD 2.35, 2.11-2.63; CB 1.63, 1.50-1.78; emphysema 3.52, 2.51-4.94). For COPD, RRs are higher for males, for studies conducted in North America, for cigarette smoking rather than any product smoking, and where the unexposed base is never smoking any product, and are markedly lower when asthma is included in the COPD definition. Variations by sex, continent, smoking product and unexposed group are in the same direction for CB, but less clearly demonstrated. For all outcomes RRs are higher when based on mortality, and for COPD are markedly lower when based on lung function. For all outcomes, risk increases with amount smoked and pack-years. Limited data show risk decreases with increasing starting age for COPD and CB and with increasing quitting duration for COPD. No clear relationship is seen with duration of smoking.</p> <p>Conclusions</p> <p>The results confirm and quantify the causal relationships with smoking.</p

Evaluation of Oxygen Permeability of Polyethylene Films

The paper dealt with the evaluation of the oxygen permeability of the polyethylene films applied in the mulching and food packaging. The construction of the equipment is discussed. The design and the construction of the equipment was realized with applying of the standard EN STN 77 0333.The measurement of the permeability of the oxygen trough the polyethylene Bralen 2-63 with 9% colored concentrate Maxithen HP 533041 - violet film was realized by means of modified method. The values of the permeability Px, 1794.25 cm3*m-2*d-1. (0.1 Mpa)-1 of the oxygen trough the film of the thickness of 50 µm was evaluated. The coefficient of permeability P, 4.2560*10-16 mol*m-1*s-1*Pa-1, coefficient of diffusion D, 4.3999*10-10 m2*s-1 and solubility coefficient of the gas in the film Sp, 9.6735*10-7 mol*m-3*Pa-1 were determined

CoEvolution of Effective Observers and Observed Multi-agents System

SCOPUS: cp.kinfo:eu-repo/semantics/publishe

Characterization of the miniPlanacon XPM85112-S-R2D2 MCP-PMT with custom modified backend electronics

We report the results of the measurements of three pieces of the new Photonis miniPLANACON microchannel-plate photomultipliers (MCP-PMTs) intended for use in the demanding environment of the Large Hadron Collider (LHC) beamline as a part of the AFP Time-of-Flight detector. These photomultipliers were modified in cooperation with the manufacturer by using a custom backend and were subjected to numerous tests, with the focus on the rate capability and crosstalk behaviour. We determined that the two of them with a lower MCP resistance are able to operate without significant saturation at an anode current density of 1μA/cm2. These two are, therefore, suitable for the intended use and are currently installed as part of the AFP detector packages

Characterization of the miniPlanacon XPM85112-S-R2D2 MCP-PMT with custom modified backend electronics

We report the results of the measurements of three pieces of the new Photonis miniPLANACON microchannel-plate photomultipliers (MCP-PMTs) intended for use in the demanding environment of the Large Hadron Collider (LHC) beamline as a part of the AFP Time-of-Flight detector. These photomultipliers were modified in cooperation with the manufacturer by using a custom backend and were subjected to numerous tests, with the focus on the rate capability and crosstalk behaviour. We determined that the two of them with a lower MCP resistance are able to operate without significant saturation at an anode current density of 1μA/cm2. These two are, therefore, suitable for the intended use and are currently installed as part of the AFP detector packages