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Glossary

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A  
Acid A compound, usually water-soluble, that releases hydrogen ions when in solution. An acid reacts with a base to form a salt, has a pH less than 7, and turns blue litmus red. Acids are corrosive and have a sour taste.
Acupuncture

Acupuncture is a method of healing developed in China at least 5,000 years ago. Today, acupuncture describes a family of procedures involving stimulation of anatomical points on the body by a variety of techniques. American practices of acupuncture incorporate medical traditions from China, Japan, Korea, and other countries. The acupuncture technique that has been most studied scientifically involves penetrating the skin with thin, solid, metallic needles that are manipulated by the hands or by electrical stimulation.

Acute bronchitis   Acute bronchitis is an inflammation of the lining of the bronchial tubes (which connect the trachea with the lungs), often developed after a common cold.  When the bronchial tubes are inflamed and/or infected, less air is able to flow to and from the lungs and a heavy mucus or phlegm is coughed up.  Though commonly mild, bronchitis may be serious in debilitated patients and in those with chronic lung and heart disease.
Alkaline

A chemical substance that is soluble in water, neutralizes acids, and forms salts with them. An alkali has a pH above 7 and turns red litmus paper blue.

Allergens   

A substance that can cause an allergic reaction. Allergens are substances that the immune systems of some people recognize as "foreign" or "dangerous," but which cause no response for most people. 

Common allergens include certain chemicals, plants, drugs (such as antibiotics, serums), foods (such as milk, chocolate, strawberries, wheat), infectious agents (such as bacteria, viruses, animal parasites), inhalants (such as dust, pollen, perfumes, smoke), and physical agents (such as heat, light, friction, radiation).

Allergic shock An allergic shock is an acute systemic type of allergic reaction.  It occurs when a person has become sensitized (that is, the immune system has been triggered to recognize a substance as a threat to the body).  On the second or subsequent exposure to the substance, an allergic reaction occurs.  This reaction is sudden, severe, involves the whole body and, in some people, is life threatening.
Allopathic medicine Allopathic medicine is often referred to as the conventional or Western method of treating disease. Allopathic medical schools confer the M.D. on their graduates, and allopathic training is by far the most widely available and recognized type of medical training. Samuel Hahnemann, who developed homeopathic medicine in the 19th century, used the term to refer to what he saw as a system of medicine that combats disease by using remedies that produce effects in a healthy subject that are different (hence the Greek root allo meaning "different") from those of the disease to be treated.
Alveoli

A tiny, thin-walled, capillary-rich sac in the lungs where the exchange of oxygen and carbon dioxide takes place. Also called air sac.

Anecdotal Based on or consisting of reports or observations of usually unscientific observers.
Aneurysm

An aneurysm is a weakened area in the wall of a blood vessel.  It may occur as a congenital defect or may develop later in life as a consequence of other conditions, such as atherosclerosis, high blood pressure, and injury.  An aneurysm resembles a sack of blood attached to one side of the blood vessel by a narrow neck. 

A common complication with aneurysms is rupture.  Rupture creates a medical emergency, especially when the aneurysm is located in the brain or abdomen, because it results in profuse bleeding, and often, in death.  Ruptured aneurysm occurs in approximately 5 out of 10,000 people.

Angina pectoris

Angina pectoris is chest pain caused by a reduction of the blood flow through the arteries that supply blood to the heart (coronary arteries).  A person who suffers from angina pectoris has coronary arteries that are wide enough to supply blood to the heart during normal activities, but too narrow to deliver sufficient blood and oxygen when extra work is required of the heart.  Chest pain develops when the heart must work harder than normal and the muscle cells that make up the heart do not receive enough oxygen. 

Angina is typically felt as a heavy, squeezing pain in the center of the chest.  The pain may also spread to the neck, jaw, back, and left arm.  An attack of angina typically lasts for several minutes and is often brought on by physical activity, emotional stress, cold weather, or digestion of a heavy meal.  People who suffer from angina pectoris are at a high risk of a heart attack.

Antibodies An antibody is a protein produced by the immune system in response to the presence of a foreign substance or antigen.  Antibodies defend the body against substances identified by the immune system as potentially harmful.
Arrhythmia

Any disorder of heart rate or rhythm.

Atherosclerosis A form of damage to the walls of arteries by the deposition of plaques containing cholesterol and other fatty compunds.
Aortic aneurysm

An aneurysm located in the aorta, the main artery of the body, usually in the section that lies across the abdomen.  An abdominal aortic aneurysm can affect anybody, but it is most often seen in men 40 to 70 years old.  A common complication is rupture.  This is a medical emergency that results in abundant bleeding and, often, death. 

Another consequence is aortic dissection.  This condition occurs when the lining of the artery tears and blood leaks into the wall of the artery.  An aneurysm that dissects is at even greater risk of rupture.

Arizona Department of Health Services Tobacco Education and Prevention Program (ADHS-TEPP) The Arizona Department of Health Services Tobacco Education and Prevention Program (ADHS-TEPP) is funded through the Tobacco Tax and Health Care Act and administered by the state. TEPP's goals are: 1) prevention of tobacco use among Arizonans, especially children; 2) anyone who wishes to quit using tobacco should have access to affordable, state-of-the-art cessation services, and; 3) all Arizonans should be protected from exposure to environmental tobacco smoke. TEPP funds a variety of service contracts in the state to support these goals.
Arizona Smokers' Helpline (ASH) The Arizona Smokers' Helpline (ASH) provides effective, research-based tobacco use cessation services to all Arizona residents. Funded by Tobacco Tax and Health Care Act tax revenues administered through the Arizona Department of Health Services Tobacco Education and Prevention Program (ADHS-TEPP), the Helpline provides telephone counseling in English and Spanish, web-based services, printed materials, and referrals to local quit tobacco classes.

Asthma Attack

An asthma attack occurs when the bronchial tubes (bronchi and bronchioles) become inflamed, reducing the space through which air can travel through the lungs.  This causes the asthmatic to work harder to move air in and out of the lungs. 

Asthma attacks usually begin with mild chest pressure and a dry cough.  As the attack intensifies, wheezing develops and increases in pitch, breathing becomes difficult, and coughing produces thick, stringy mucus.  As the airway inflammation prevents some of the oxygen-rich air from reaching the alveoli, the cells of the body start to burn oxygen at a higher rate, actually increasing the body's demand for oxygen.  Without treatment, asthma attacks are life-threatening conditions.

Aromatherapy

Involves the use of essential oils (extracts or essences) from flowers, herbs, and trees to promote health and well-being.

Ayurveda Ayurveda is a CAM alternative medical system that has been practiced primarily in the Indian subcontinent for 5,000 years. Ayurveda includes diet and herbal remedies and emphasizes the use of body, mind, and spirit in disease prevention and treatment.
 
B
Beta-blockers A drug, such as propanolol, that opposes the excitatory effects of norepinephrine released from sympathetic nerve endings at beta-receptors and is used for the treatment of angina, hypertension, arrhythmia, and migraine; also called beta-adrenergic blocking agent.
Benign tumor A tumor or growth in a part of the body that is not malignant, recurrent, invasive, or progressive.  A tumor that is noncancerous.
Bronchospasm A contraction of the smooth muscle of the bronchial tube; occurs in asthma attacks; not common, but can be life threatening.
Bidis Leaf-rolled, flavored cigarettes imported from India; marketed in ways attractive to youth.  For example, they are often sold individually with advertising emphasis placed on the flavors rather than the tobacco.
Botanical medicine (Also Known As: Herbal Medicine, Phytotherapy, Phytomedicine)  A plant or plant part (leaves, roots, stems, etc.) valued for its medicinal or therapeutic properties, flavor, and/or scent. Herbs are a subset of botanicals. Products made from botanicals that are used to maintain or improve health may also be called herbal products, botanical products, or phytomedicines.
Brief intervention In the context of tobacco cessation, contact with a tobacco user that lasts a few minutes, intended to cause the tobacco user to consider quitting the use of tobacco; includes asking the user about tobacco use, advising the user about the benefits of quitting, assessing the user’s readiness and motivation to quit, assisting the user with quitting through referral, and arranging a follow-up when the user takes action toward quitting.
Bronchi (Bronchus = Singular)

Either of two main branches of the trachea, leading directly to the lungs.

Bronchioles

Any of the fine, thin-walled, tubular extensions of a bronchus.

Bronchitis

Chronic or acute inflammation of the mucous membrane of the bronchial tubes.

Bupropion SR The generic name of Wellbutrin and Zyban; a drug that is used to control depression (under the name Wellbutrin) and to combat nicotine cravings (under the name Zyban); available by prescription only.
 
C
Carcinogenic An agent (chemical substance, virus, etc.) that is capable of initiating the development of a malignant tumor or cancer.
Cessation provider or Cessation facilitator An individual who teaches and supports clients, through personal counseling or group instruction, to quit tobacco use.
Chew A type of commercial tobacco made from thick grades of tobacco leaves to which binders and flavorings are added.  Pressing this treated tobacco into blocks, known as “plugs,” forms chewing tobacco.  The nicotine contained in this type of smokeless tobacco is absorbed through the lining of the mouth.
Chiropractic

Chiropractic is a CAM alternative medical system. It focuses on the relationship between bodily structure (primarily that of the spine) and function, and how that relationship affects the preservation and restoration of health. Chiropractors use manipulative therapy as an integral treatment tool.

Cholesterol

A fatlike steroid alcohol found in animal fats and oils, in bile, blood, brain tissue, milk, yolk of egg, liver, and other body organs.  It constitutes a large part of the most frequently occurring type of gallstones.  It is also the main constituent of the greasy deposits located in arteries of the body called plaque. 

Plaque is the main lesion found in atherosclerosis, the most important cause of death in the United States.  Most of the body's cholesterol is produced in the liver, but some is absorbed from the diet.

Chronic Persisting over a long period of time.  Some diseases like diabetes or arthritis are considered chronic.
Community Health Representatives (CHRs) Health workers in Native American communities who provide services focused on particular health conditions. CHRs make visits to the homebound, dispense medications, and serve as a source for community health education.
Coronary arteries Arteries that transport oxygen and nutrients to the heart muscle.
Corpus cavernosum Two chambers (or spaces) in the penis, which run the length of the organ and are filled with spongy tissue.  Blood flows in and fills the open spaces in the spongy tissue to create an erection.
Clonidine An alpha-2-adrenergic agonist typically used as an antihypertensive agent, but also used as a pharmacotherapy for smoking cessation; the Food and Drug Administration has not approved clonidine as a smoking cessation aid.
Complementary and Alternative Medicine (CAM)

The term “Complementary and Alternative Medicine” (CAM) includes a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional, western or allopathic medicine.

Cotinine A metabolite of nicotine used to determine exposure to tobacco products and tobacco smoke; it can be tested in serum, saliva, or urine; the levels are highest in urine.
 
D
Demographic A measure of a distinguishing population characteristic(s) of a group of people, such as gender, ethnic heritage, age, socioeconomic status, educational attainment, etc.
Deoxyribonucleic acid (DNA) A part of each living cell that carries the genetic information  for reproduction and cell growth. DNA consists of two long chains of nucleotides twisted into a double helix and joined by hydrogen bonds between the complementary bases adenine and thymine or cytosine and guanine. The sequence of nucleotides determines individual hereditary characteristics.

Developmental and reproductive toxicants

A harmful substance or agent, identified by the United States Environmental Protection Agency, that may injure an exposed organism resulting in adverse effects such as inability to reproduce or altered growth, structural abnormality, functional deficiency or death observed in a developing organism.

Dietary supplements

Congress defined the term "dietary supplement" in the Dietary Supplement Health and Education Act (DSHEA) of 1994. A dietary supplement is a product (other than tobacco) taken by mouth that contains a "dietary ingredient" intended to supplement the diet. Dietary ingredients may include vitamins, minerals, herbs or other botanicals, amino acids, and substances such as enzymes, organ tissues, and metabolites. Dietary supplements come in many forms, including extracts, concentrates, tablets, capsules, gel caps, liquids, and powders. They have special requirements for labeling. Under DSHEA, dietary supplements are considered foods, not drugs.

Dopamine One of a series of neurotransmitters; released by the brain when nicotine is ingested causing a feeling of pleasure.
 
E
Eating disorder Any of several psychological disorders relating to the consumption of food, such as anorexia nervosa and bulimia; anorexia nervosa and bulimia are characterized by an abnormal fear of obesity, distorted body image, and subsequent abnormal eating patterns.
Electromagnetic fields

Electromagnetic fields (EMFs, also called electric and magnetic fields) are invisible lines of force that surround all electrical devices. The Earth also produces EMFs; electric fields are produced when there is thunderstorm activity, and magnetic fields are believed to be produced by electric currents flowing at the Earth's core.

Embolism A blood clot or a foreign material, which has been brought to its site of lodgment by the blood current and which suddenly blocks an artery.  Embolism is an important mechanism in the genesis of fatal conditions, like heart attack and stroke.
Endothelial cells The cells covering the walls of all blood vessels in the bodyThe cells covering the walls of all blood vessels in the body.
Endorphins Sedative or opiate-like substances carried by neurotransmitters; naturally produced in the body (e.g., via sex and exercise), artificially produced by cigarette smoking, drug use, etc.; those who are born with low endorphin capacity may have a genetic propensity for chemical addiction.
Emphysema

A pathological condition of the lungs marked by an abnormal increase in the size of the air spaces, resulting in labored breathing and an increased susceptibility to infection. It can be caused by irreversible expansion of the alveoli or by the destruction of alveolar walls.

Environmental Tobacco Smoke (ETS) A complex mixture of chemical constituents and particles released into the atmosphere from the burning tip of a cigarette, pipe, or cigar or from smoke exhaled by the smoker.
Eustachian tube A tube that connects the pharynx to the middle ear space and which allows for equalization of the pressure across the eardrum.
Extra-treatment social support Support from treatment providers, such as clinicians, therapists, etc.
 
F
Follow-up Activity designed to gather information about how an individual has progressed since initial contact, intended to measure quit status over varying lengths of time; usually done by telephone but can be completed through personal contact or mails.
Freebase nicotine Unprotonated nicotine;  when ammonia is added to protonated nicotine, the nicotine becomes chemically unbound, allowing for rapid absorption by the body.
 
H
Half-life The time required for half the amount of a substance taken in by the body to dissolve by natural means.
Heart disease or Coronary heart disease

Coronary heart disease is a chronic illness in which the vessels that supply oxygen-carrying blood to the heart (coronary arteries) become narrowed and unable to carry a normal amount of blood.  When its blood supply is reduced, the heart does not receive sufficient oxygen and nutrients. 

Lack of oxygen has two main consequences: chest pain known as angina pectoris, and heart attack.  In a heart attack, part of the heart dies due to oxygen deprivation.

Heart failure A condition in which there is ineffective pumping of the heart leading to an accumulation of fluid in the lungs.  Typical symptoms include shortness of breath with exercise, difficulty breathing when lying flat and leg or ankle swelling.  Causes include chronic high blood pressure, myocardial infarction, emphysema, and others.
Homeopathic medicine

Homeopathic medicine is a CAM alternative medical system. In homeopathic medicine, there is a belief that "like cures like," meaning that small, highly diluted quantities of medicinal substances are given to cure symptoms, when the same substances given at higher or more concentrated doses would actually cause those symptoms.

Humectants Combination of ingredients serving to preserve moisture.
 
I
Immune systems A body system, made up of many organs (spleen, bone marrow, lymphatic system, etc.) and cells (lymphocytes, macrophages, etc.) that defends the body against infection, disease, and foreign substances.  The immune system is often stimulated to fight cancer cells.
Impact The number of people in your community who are served by your program that will have quit using tobacco at a given point in time (such as 3-months, 6-months, or 12-months) after completing your program.
Impact goal Total population served by your program based on TEPP Local Project goals, the Arizona Tobacco Use Needs Assessment, and the target population.
Infection

The invasion and multiplication of microorganisms in the body tissues, which may produce no symptoms or result in local cellular injury.  An infection may remain localized and be temporary if the body's defensive mechanisms are effective. 

A local infection may persist and spread by extension to become a symptomatic infection or disease.  A local infection may also become systemic when the microorganism gains access to the vascular (blood) or lymphatic system.

Inflammation

A localized protective response of the body caused by injury or destruction of tissues, which serves to destroy, dilute or wall off both the agent causing the injury (bacteria, virus, fungus, etc.) and the injured tissue.  The following signs characterize inflammation in the acute state: pain, heat, redness, swelling, and loss of function.

In-group A group with which one feels a sense of solidarity or community of interests.
Insulin

A hormone secreted by the pancreas and functioning to help regulate the body’s breakdown of carbohydrates and fats, especially the regulation of  blood sugar level.

Intensive service As currently defined by the U.S. Public Health Service Guideline, instruction or counseling by a cessation provider to a client about quitting tobacco that includes at least one of the following:  10 minutes of contact; 4 separate instances of contact; total contact time of 30 minutes.
Intra-treatment social support Support of significant persons in a tobacco user’s life.
Instrumental therapy A type of therapy or counseling in which the therapist/counselor assumes the lead as to content and direction of each session; the counselor is the “leader,” and the client, the “follower”.
 
K
Kidney disorders Conditions associated with the kidneys’ inability to adequately remove wastes from the bloodstream.
Kidney failure A severe metabolic imbalance, resulting in the kidneys being unable to adequately remove wastes from the bloodstream.
 
L
Level of access The degree to which an individual can access information about tobacco cessation programs and providers contained in the online Tobacco Resource Directory; an individual with high level of access can view detailed information about providers’ backgrounds; a low level of access will provide basic information of program times, locations, and content.
Lipid Any of a group of organic compounds, including the fats, oils, waxes, sterols, and triglycerides, that are insoluble in water but soluble in nonpolar organic solvents, are oily to the touch, and together with carbohydrates and proteins constitute the principal structural material of living cells.
Leukoplakia

A lesion of the soft tissue that consists of a white patch or plaque that cannot be scraped off.

Lymphatic system The tissues and organs (including the bone marrow, spleen, thymus, and lymph nodes) that produce and store cells that fight infection, and the network of vessels that carry lymph (a colorless fluid that carries lymphocytes that have entered the lymph nodes from the blood).
 
M
Macrophages Mononuclear cells found in the alveoli of the lungs; responsible for ingesting small, inhaled particles.
Mainstream cigarette smoke Smoke that is produced when air is drawn through a lit cigarette.
Malignant tumor Cancer.  A tumor characterized by uncontrolled, abnormal growth of cells.
Massage

Massage therapists manipulate muscle and connective tissue to enhance function of those tissues and promote relaxation and well-being.

Meridian A traditional Chinese medicine term for each of the 20 pathways throughout the body for the flow of qi, or vital energy, accessed through acupuncture points.
Metastasis The transfer of disease from one organ or part of the body to another not directly connected with it; may be due either to the transfer of pathogenic microorganisms (for example, tubercle bacilli --the agent that causes tuberculosis) or to the transfer of cells, as in cancer.  The capacity to metastasize is a characteristic of all malignant tumors.
Monoamine Oxidase (MAO) Inhibitor Any of a class of antidepressant drugs that block the action of the enzyme monoamine oxidase in the brain, thereby allowing the accumulation of monoamines such as norepinephrine and affecting mood.
mm Hg Millimeters of mercury.  The metric system used to calculate blood pressure.
 
N
Naturopathic medicine Naturopathic medicine, or naturopathy, is founded upon a holistic philosophy; naturopathic medicine combines traditional therapies with current advances in modern medicine. Naturopathic physicians (N.D.s) are practitioners trained in a broad scope of complementary and alternative medicine (CAM) modalities. In addition to the basic medical sciences and conventional diagnostics, naturopathic education includes therapeutic nutrition, botanical medicine, homeopathy, natural childbirth, classical Chinese medicine, hydrotherapy, naturopathic manipulative therapy, pharmacology and minor surgery, and treatments from traditional Chinese medicine.
Neurotransmitter Chemicals that convey nerve messages (impulses) across synaptic clefts, that is, from one neuron to another, allowing nerves to communicate (e.g., dopamine, endorphin, enkephalin, seratonin, epinephrine, acetylcholine, etc.).
Nicotine The principal alkaloid present in the many strains of tobacco leaf cultivated to produce tobacco products; psychoactive drug in tobacco products that causes addiction.
Nicotine Replacement Therapy (NRT) Therapies used as an alternative to tobacco by nicotine dependent individuals who are attempting to quit tobacco use; usually containing a small amount of nicotine.  Current therapies include gum, the patch, nicotine spray, and nicotine inhaler. Distinguished from pharmaceutical medications, such as Zyban®, Wellbutrin, and Bupropion.
Nicotine withdrawal symptoms Predictable signs and symptoms caused by altered central nervous system activity, and appearing after a routinely received drug dosage is discontinued or rapidly decreased; for example, the DSM-IV includes the following predictable signs and symptoms of tobacco craving: depressed mood, insomnia, irritability, frustration and anger, anxiety, difficulty concentrating, restlessness, decreased heart rate, and increased appetite or weight gain.
Non-volatile Not readily evaporated at low temperatures.
Norepinephrine A neurotransmitter involved in feelings of arousal and alertness, released upon the ingestion of nicotine
Nortriptyline Medication typically used in the treatment of depression, but also used as a pharmacotherapy for smoking cessation; not approved by the Food and Drug Administration nortriptyline as a smoking cessation aid.
 
O
Osteopathic medicine

Osteopathic medicine is a form of conventional medicine that, in part, emphasizes diseases arising in the musculoskeletal system. There is an underlying belief that all of the body's systems work together, and disturbances in one system may affect function elsewhere in the body. Some osteopathic physicians practice osteopathic manipulation, a full-body system of hands-on techniques to alleviate pain, restore function, and promote health and well-being.

Outcome data The data resulting from the application a specific treatment protocol; data that indicates the effects of a program or intervention.
 
P
Pancreas A gland located behind the stomach that secretes insulin and other hormones into the bloodstream, as well as digestive juices into the small intestine.
Paradoxical A statement seemingly contradictory or opposed to common sense, yet perhaps is true.
Paraphrasing A restatement; providing a different meaning to something written or said.
Particulate-phase Substance in its most minuet phase producing a greater threat to human health.
Peer-reviewed An article reviewed by a group of individuals who have similar experience and/or credentials to the author’s as a means of ensuring the quality of the article’s information prior to publication.
Peripheral vascular disease A term used to describe progressive occlusive disease of the arteries that supply oxygen and nutrients to the legs and arms; common among people suffering from atherosclerosis and diabetes, and often results in amputation.
Permission to contact As part of the Client Intake Form (CIF) questionnaire, the client’s permission, granted by signature, to be contacted after the end of a cessation program.
pH

A measure of the acidity or alkalinity of a solution, such as vinegar, or a damp substance, such as soil.

Pharmacopoeia

Pharmacopoeia is a book containing an official list of medicinal drugs together with articles on their preparation and use.

Plaque A build up of cholesterol and fatty material within a blood vessel due to the effects of atherosclerosis.
Proactive recruitment Method of recruiting in which one reaches out to interact with all potential participants to offer and provide services.
Promotoras Health educators who provide home health promotion services in Spanish-speaking communities.
Protonated nicotine A chemical state of nicotine in which nicotine is bound to other chemicals, slowing its absorption by the body.
Psychoactive Drug Drug affecting the mind or mood, or other mental processes.
 
Q
Qi gong

Qi gong is a component of traditional Chinese medicine that combines movement, meditation, and regulation of breathing to enhance the flow of qi (an ancient term given to what is believed to be vital energy) in the body, improve blood circulation, and enhance immune function.

Quit date A designated cessation attempt, during which a client abstains totally from tobacco.  A point in time at which an individual commits to quit use of tobacco, measured for at least 24 hours.
 
R
Raynaud’s Disease Bluish discoloration and coldness of the extremities (hands and feet) due to a circulatory disorder generally brought about by exposure to cold or by emotional stress.
Read-only A designation for a document, indicating that no modification can be made to the document, but it can be viewed or “read”.
Reactive recruitment Method of recruiting in which one reacts to client’s requests for services.
Readiness to Change Model A model developed by James Prochaska and Carlo DiClemente which describes how people move along a continuum from resisting change to taking action; using this model can enable a counselor or clinician to tailor advice or a treatment plan to the needs of that individual; it is important to remember not to take these stages too literally-- an individual may skip phases or move backward instead of forward.
Recruiting strategies Using both proactive and reactive strategies to meet your recruitment rate.
Reiki

Reiki is a Japanese word representing Universal Life Energy. Reiki is based on the belief that when spiritual energy is channeled through a Reiki practitioner, the patient's spirit is healed, which in turn heals the physical body.

Relative risk

Relative risk is a statistical comparison between two groups of people in a well-defined population.  It's used to determine if a specific risk factor or disease is associated with an increase, decrease, or no change in the disease rate in those populations. 

For example, one group includes those who have been exposed to a disease or risk factor (smokers, for example), including those who acquire the disease (such as cardiovascular disease) over a specified time period and those who don't. This group is compared to a second group, those who haven't been exposed to the disease or risk factor (nonsmokers), including those who acquire the disease (CVD) in the same time period and those who don't.

Retention strategies Using both relapse prevention and dropout prevention strategies to maintain clients in services through the entire therapeutic treatment.
Risk factors An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiological evidence, is known to be associated with a health-related condition considered important to prevent.  For example, cigarette smoking and obesity are risk factors for coronary heart disease.
 
S
Second-hand-smoke A complex mixture of chemical constituents and particles released into the atmosphere from the burning tip of a cigarette, pipe, or cigar or from smoke exhaled by the smoker.
Self-report The client or patient reports information about him or herself; data is not gathered from any other source.
Sidestream smoke Smoke produced from the lit end of a cigarette, as well as smoke exhaled by a tobacco user.
Slow-acetylators

People who have genetic mutations of the enzyme N-acetyltransferase (NAT2).  This enzyme is known to play a role in the detoxification of aromatic amines, one class of mutagens (chemical substances that increase the risk of genetic mutation) found in tobacco smoke. 

People who are slow-acetylators have a weakened form of the enzyme, which expose them for longer periods of time to the aromatic amines.  Aromatic amines are a well-known cause of cancer.  Women who are slow-acetylators and smoke cigarettes have a higher risk of developing breast cancer.

Smokeless tobacco Commercial tobacco products, also known as chew and snuff.  See chew and snuff.
Snuff A type of commercial tobacco made by grinding tobacco leaves into fine powder, which is then allowed to ferment for a long period of time. Frequently, snuff is scented with spices, such as jasmine or cloves.  People use snuff either inhaled through the nose, or dissolved with saliva through the lining of the mouth.
Social Marketing A process that attempts to create voluntary exchange between a marketing organization and the members of a target market based on mutual fulfillment of self-interest; success is primarily defined in terms of its contribution to the well-being of target market members, or to society as a whole.
Spreadsheet A document designed to record, organize, and calculate data that is entered into it.
Stage-matched interventions Interventions matched to the tobacco users’ Readiness to Change stage.
stage-matched proactive recruitment Recruitment strategies that enroll tobacco users into programs that match their readiness to change stage, including recruitment from the 20% in the ready to quit stage and identifying the high-risk, hard to reach clients in the 40% thinking about quitting stage.
Stage-specific tobacco users Percent of tobacco users likely to be in a specific Readiness to Change stage at any given point in time.
Stroke

A sudden loss of brain function caused by a blockage or rupture of a blood vessel to the brain, characterized by loss of muscular control, diminution or loss of sensation or consciousness, dizziness, slurred speech, or other symptoms that vary with the extent and severity of the damage to the brain. Also called cerebral accident or cerebrovascular accident.

Survey questionnaire

A form designed to collect information through a series of closed or open-ended questions.  Administered by survey interview, in person, by mail or phone, or by the interviewee.

Superordinate Superior in rank, class or status.
Systemic Lupus Erythematosus A chronic disease of the connective tissue, characterized by fever, skin eruptions, pain in the muscles and joints, and anemia, and often affecting the kidneys, spleen, and various other organs.
 
T
Tar A thick, black, viscous liquid obtained from the distillation of several components of tobacco smoke, many of which are carcinogenic or otherwise toxic.
Therapeutic Touch Therapeutic Touch is derived from an ancient technique called laying-on of hands. It is based on the premise that it is the healing force of the therapist that affects the patient's recovery; healing is promoted when the body's energies are in balance; and, by passing their hands over the patient, healers can identify energy imbalances.
Thrombosis The formation, development, or presence of a thrombus (an aggregation of platelets, fibrin, and other blood factors that frequently cause vascular obstruction at the point of its formation).
Traditional Chinese medicine

Traditional Chinese medicine (TCM) is the current name for an ancient system of health care from China. TCM is based on a concept of balanced qi (pronounced "chee"), or vital energy, that is believed to flow throughout the body. Qi is proposed to regulate a person's spiritual, emotional, mental, and physical balance and to be influenced by the opposing forces of yin (negative energy) and yang (positive energy). Disease is proposed to result from the flow of qi being disrupted and yin and yang becoming imbalanced. Among the components of TCM are herbal and nutritional therapy, restorative physical exercises, meditation, acupuncture, and remedial massage.

Tricyclic antidepressants Antidepressant medications having or being a molecular structure that contains three closed rings (a tricyclic molecule).
Tumor An abnormal mass of tissue that results from excessive cell division that is uncontrolled and progressive, also called neoplasm.  Tumors perform no useful body function.  They may be either benign (not cancerous) or malignant (cancer).
 
U
Unprotonated nicotine When ammonia is added to protonated nicotine, the nicotine becomes chemically unbound, allowing for rapid absorption by the body.
 
V
Vascular

Characterized by blood vessels including veins, arteries, and capillaries.

Volatile Evaporates at low temperatures.
 
W

Wellbutrin

Brand name for bupropion; see bupropion.
Wellbutrin SR Brand name for bupropion; see bupropion.
 
Z  
Zyban ® Brand name for bupropion; see bupropion.
 

 

 

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