Over the past 20 years, the health consequences of smoking have crystallized so that, at present, smoking is considered the major preventable cause of death and disability in this country, the major preventable risk factor for coronary heart disease, and the major cause of emphysema, lung cancer, and other forms of cancer.
As a result of these dramatic statistics, health care providers, volunteer health agencies, private employers, and federal, state, and local governments have established smoking regulations aimed to protect nonsmokers from exposure to tobacco. These regulations and changes then are particularly based on evidence supporting the passive smoking argument: nonsmokers exposed to tobacco smoke absorb a variety of toxic inhalants that affect health as is articulated in the Surgeon Generals Report on “The Health Consequences of Involuntary Smoking, 1986.” buy ortho tri-cyclen online
Early in 1986, after the creation of a Smoke-Free Task Force that was directed to learn about the attitudes of all concerned about smoking and the possible promulgation of a comprehensive policy, 4,200 employees, 225 staff physicians, and 2,000 patients were invited to respond to a questionnaire designed by the Task Force to provide opinions about an institution-wide “no-smoking” policy. Six months thereafter, following analyses of these data, extensive discussions, and planning, the policy was implemented. The same individuals were invited again to respond to a nearly identical questionnaire used to evaluate the policy six and 12 months thereafter. For purposes of analyses, all physician data were collapsed into the employee response category.
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