1 / 64

SMOKING CESSATION METHODS NOT BASED ON SCIENTIFIC EVIDENCE

SMOKING CESSATION METHODS NOT BASED ON SCIENTIFIC EVIDENCE. Cengiz ÖZGE , Associate Professor . Mersin University Faculty of Medicine Department of Chest Disease. Contents. Introduction Electronic Cigarette Acupuncture and associated methods Hypnosis. Among Cigarette Smokers.

maik
Download Presentation

SMOKING CESSATION METHODS NOT BASED ON SCIENTIFIC EVIDENCE

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. SMOKING CESSATION METHODS NOT BASED ON SCIENTIFIC EVIDENCE Cengiz ÖZGE,Associate Professor. Mersin University Faculty of Medicine Department of Chest Disease

  2. Contents • Introduction • Electronic Cigarette • Acupuncture and associated methods • Hypnosis

  3. Among Cigarette Smokers • 70% wants to quit smoking. • 35% seriosly attempted to quit in the last year. • 80% previosly attempted to quit. • 3% manages to quit in a year.

  4. Quit in a single setting Success more than 90% Refund of money is guarantee

  5. What is the scientific evidence ?

  6. WHY ME ?

  7. Evidence Pyramide Meta analysis Randomised controlled trials Cohort studies Case-control studies Case-report “Editorial”, clinical opinion...etc. animal studies, in vitro studies...etc.

  8. SCIENTIFIC EVIDENCE

  9. Electronic cigarette

  10. A Commercial product of tobacco. Certified by the Ministry of Agriculture. Not designed for smoking cessation therapy. No presented scientific study. Electronic cigarette

  11. Acupuncture • Have a history of 3000 years. • Have been in Europe since 1600ths. • Chen-Chin : Needle-Heat • Acus: Needle • Punctura: Prick

  12. Acupuncture • There are almost 1000 stimulation points in the human body. • 650-700 of these points are being used. • It is beleived that there is an acapunture point for every organ in the ear.

  13. Mechanisms of the effects of Acapuncture • The body has two opposite energy called Yin and Yang working in synergy. • This energy travels in the canals called meridians. • If the balance fall off, an abnormaly ensues. • Acapuncture helps to maintain this balance.

  14. Theory of five elements • Wood,fire, earth, metal and water. • All the phenomenon in the universe structurally meets these five elements. • They are in a continuous movement and alteration. • If this balance is falls off diseases ensue. • Acapuncture maintains this balance

  15. Mechanisms of the effects of Acapuncture • Endorphine • Met-encephalin • Serotonine • Dopamine

  16. Fields of administration of acupuncture • Cure of pain • Apettite control and slimming • Reduction of Stress • Acceleration of metabolism. • Treatment of allergy. • Migrene and headache. • Treatment of Insomnia. • Cessation of smoking.

  17. Acupuncture • Auricular acupuncture • Moxibustion • Acupressure • Electro Acupuncture • LASER Akapunktur • Luxopuncture • Bioresonance • Moratherapy

  18. Moxibustion Application of heat to the acupuncture points instead of needles. Electro Acupuncture LASER Acupuncture Electric current LASER irradiation • Acupressure • Pressure application onto the acupuncture points.

  19. Luxopuncture • Developed in France • Condensed infra red light application to the acupuncture points.

  20. Bioresonance Moratherapy • Plain electrode contact on the human skin at certain sites • Electromagnetic vibration. • Depends on the claim that faint low frequency vibrations carry knowledge.

  21. R.I.S.E • Reflection Instrument Scanning Electro-pulse • I quit smoking (IQS) • Beta-endorphine

  22. Between 1963-1989 Total of 27 studies 15 of them for smoking cessation. A meta-analysis of studies into the effect of acupuncture on addiction G TER RIET, J KLEIJNEN, P KNIPSCHILDBritish Journal of General Practice, 1990, 40, 379-382.

  23. A meta-analysis of studies into the effect of acupuncture on addictionG TER RIET, J KLEIJNEN, P KNIPSCHILDBritish Journal of General Practice, 1990, 40, 379-382.

  24. A meta-analysis of studies into the effect of acupuncture on addictionG TER RIET, J KLEIJNEN, P KNIPSCHILDBritish Journal of General Practice, 1990, 40, 379-382.

  25. A meta-analysis of the effectiveness of acupuncture in smoking cessationASHENDEN R, SILAGY CA, LODGE M, FOWLER G. Drug and Alcohol Review (1997) 16, 33-40 • Have at least two therapy groups, • Randomized • No old (previous) control group is used. • 9 studies are taken into consideration • A total of 2707 patients.

  26. A meta-analysis of the effectiveness of acupuncture in smoking cessationASHENDEN R, SILAGY CA, LODGE M, FOWLER G. Drug and Alcohol Review (1997) 16, 33-40 Total (95% CI) OR: 1.48 (CI:1.13-1.48)

  27. A meta-analysis of the effectiveness of acupuncture in smoking cessationASHENDEN R, SILAGY CA, LODGE M, FOWLER G. Drug and Alcohol Review (1997) 16, 33-40 • Acupuncture seems to be better according to the control group; • *HOWEVER!! • NOT better than the Sham acupuncture. ( OR:1.16 % 95 CI: 0.90-1.49)

  28. A meta-analysis of the effectiveness of acupuncture in smoking cessationASHENDEN R, SILAGY CA, LODGE M, FOWLER G. Drug and Alcohol Review (1997) 16, 33-40

  29. A meta-analysis of the effectiveness of acupuncture in smoking cessationASHENDEN R, SILAGY CA, LODGE M, FOWLER G. Drug and Alcohol Review (1997) 16, 33-40 • All are self-reports, no CO measurements • Only 4 studies have 12 months of follow up. • 4 studies single-blind, 5 studies open. • Studies are small. • Methodological scores are low.

  30. White AR, Rampes H, Campbell J. Acupuncture and related interventions for smoking cessation.Cochrane Database of Systematic Reviews 2006, Issue 1. Art. No.: CD000009 • Randomized controlled studies • Acupuncture • Acupressure • LASER acupuncture • Electrostimulation • Sham acupuncture • 24 studies were evaluated

  31. White AR, Rampes H, Campbell J. Acupuncture and related interventions for smoking cessation.Cochrane Database of Systematic Reviews 2006, Issue 1. Art. No.: CD000009

  32. White AR, Rampes H, Campbell J. Acupuncture and related interventions for smoking cessation.Cochrane Database of Systematic Reviews 2006, Issue 1. Art. No.: CD000009 • No high quality studies about acupunture and associated applications are present • No prominent dominancy in a year’s follow up. • The effectivness that was seen in the early period was abated by the removal of a study which was conflicting with the homogenicity of the study.

  33. Alternative therapies for tobacco dependenceL.M. Villano, A.R. White / Med Clin N Am 88 (2004) 1607–1621

  34. A Randomized Controlled Clinical Trial of Auricular Acupuncture in Smoking CessationTa-Peng Wu, Fang-Pey Chen, Jui-Yao Liu, Ming-Hsien Lin, Shinn-Jang HwangJ Chin Med Assoc • August 2007 • Vol 70 • No 8

  35. ACUPUNCTURERESULT • There are no scientific evidence for the effectivess of • Acupuncture, • Acupressure, • LASER acupuncture and • Electrostimulation to be used for the cessation of smoking.

  36. HYPNOSE: The name of the God of Sleeping in Greek Mythology. This is a state of bringing someone into a deeply sleeping like situation where his/her behaviour can be kept under control by another person. HYPNOSIS

  37. HİPNOZ • A state of sleeping achieved by words, looks and suggestions. A person in this state (subject) is open to the suggestions and influences of the applying person but closed to the other stimulations from the surrounding.

  38. HypnosisHistory • Before the holy books, sorcery and medicine were used together in religious ceremonied. • In 1778 Dr.Franz Mesmer • In 1847 for quitting tobacco • In 1958 American Medical Association approved Medical hypnosis.

  39. HYPNOSISFields of Application-1 • Depression • Social phobia (zoophobia, acrophobia, hydrophobia) • Tic disorders  • Stammer  • Enuresis nocturna, • Psycological pain disorders.  • Obesity • Anorexia, Blumia  • Alcohol and tobacco addiction  • Panic attack.

  40. HYPNOSISFields of Application-2 • Conversion Disorders  • Posttraumatic Stress Disorders • Psycologic Memory losses • Sleep Disorders • Bruxism • Sexual Functional Disorders (Impotence, premature, ejaculation, vaginusmus) • Onichophagia • Obsession • Personality Disorders

  41. HYPNOSISFields of Application-3 • Psycological tremors • Dyslexia • Cure of chronic physical pain. • Painless child delivery • Trigeminal Neuralgia. • Nervous Hypertension • Asthma • Allergic Skin Disorders. • Psoriasis • Treatment of the wharts. • Migraine,  • Attenuation of pain due to cancer  • Treatment for the teeth without application of anesthesia.

  42. Hypnosis and Cessation of Smoking • Its means of effect is not clear. • Relaxation, • Extreme suggestibility • Hightened imagination proposed to act on the underlying impulses. • Inhibition of the left cerebral hemisphere

  43. Hypnosis and Smoking Cessation • 1st Session:Interview, understanding hypnosis, being hypnotized. • 2nd and 3rd Session:Administering regression hypnotherapy to eliminite obstacles to quitting smoking; uncovering unconscious reason cousing smoking.4th. Session:Direct suggestion session(Changing unconscious patterns causing smoking. Replasing with new habits.) • 5th Session:Ego strengthening hypnosis session (Strengthening positive emotions such as focusing on future, self-confidence self-esteem in the person who quitted smoking.) • 6th Session:Learnig self-hypnosis and EFT techniques (Teaching daily techniques that will be used to preserve wellness consistently)

More Related