@Article{SalesACGPCTACSGBSVSMCORLS:2019:UpApSm,
               author = "Sales, Maria Penha Uchoa and Ara{\'u}jo, Alberto Jos{\'e} de and 
                         Chatkin, Jos{\'e} Miguel and Godoy, Irma de and Pereira, Luiz 
                         Fernando Ferreira and Castellano, Maria Vera Cruz de Oliveira and 
                         Tanni, Suzana Erico and Almeida, Adriana {\'A}vila de and 
                         Chatkin, Gustavo and Silva, Luiz Carlos C{\^o}rrea da and 
                         Gon{\c{c}}alves, Cristina Maria Cantarino and Botelho, 
                         Cl{\'o}vis and Santos, Ubiratan Paula and Viegas, Carlos Alberto 
                         de Assis and Sestelo, Maristela Rodrigues and Meireles, Ricardo 
                         Henrique Sampaio and Correa, Paulo C{\'e}sar Rodrigues Pinto and 
                         Oliveira, Maria Eunice Moraes de and Reichert, Jonatas and Lima, 
                         Mariana Silva and Silva, Celso Antonio Rodrigues da",
          affiliation = "{Hospital de Messejana Dr. Carlos Alberto Studart} and 
                         {Universidade Federal do Rio de Janeiro (UFRJ)} and 
                         {Pontif{\'{\i}}cia Universidade Cat{\'o}lica do Rio Grande do 
                         Sul (PUCRS)} and {Universidade Estadual Paulista (UNESP)} and 
                         {Universidade Federal de Minas Gerais (UFMG)} and {Hospital do 
                         Servidor P{\'u}blico Estadual de S{\~a}o Paulo} and 
                         {Universidade Estadual Paulista (UNESP)} and {Instituto Nacional 
                         de Pesquisas Espaciais (INPE)} and {Pontif{\'{\i}}cia 
                         Universidade Cat{\'o}lica do Rio Grande do Sul (PUCRS)} and 
                         {Universidade Federal do Rio Grande do Sul (UFRGS)} and {Instituto 
                         Nacional de C{\^a}ncer Jose Alencar Gomes da Silva} and 
                         {Universidade Federal de Mato Grosso (UFMT)} and {Universidade de 
                         S{\~a}o Paulo (USP)} and {Universidade de Bras{\'{\i}}lia 
                         (UnB)} and {Escola Bahiana de Medicina e Sa{\'u}de P{\'u}blica} 
                         and {Universidade Est{\'a}cio de S{\'a}} and {Universidade 
                         Federal de Ouro Preto (UFOP)} and {Hospital Concei{\c{c}}{\~a}o} 
                         and {Secretaria de Sa{\'u}de do Paran{\'a}} and {Hospital do 
                         Servidor P{\'u}blico Estadual de S{\~a}o Paulo} and {Secretaria 
                         de Sa{\'u}de do Distrito Federal}",
                title = "Update on the approach to smoking in patients with respiratory 
                         diseases",
              journal = "Jornal Brasileiro de Pneumologia",
                 year = "2019",
               volume = "45",
               number = "3",
                pages = "e20180314",
                month = "May-June",
             keywords = "Respiratory tract diseases/therapy, Respiratory tract 
                         diseases/drug therapy, Tobacco use disorder/epidemiology, Smoking 
                         cessation, Counseling, Lung neoplasms.",
             abstract = "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.",
                  doi = "10.1590/1806-3713/e20180314",
                  url = "http://dx.doi.org/10.1590/1806-3713/e20180314",
                 issn = "1806-3713",
             language = "en",
           targetfile = "sales_update.pdf",
        urlaccessdate = "21 maio 2024"
}