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November 2010

Online Updates
The Merck Manual is continually updating the online version. Updates of selected topics are posted about every two months. The following updated topics have recently been posted:

Concepts in Pharmacotherapy
Lacerations
Heat Illness
Clinical Decision Making
Complementary and Alternative Medicine
Smoking Cessation
Financial Issues in Health Care
Limb Prosthetics

View entire Table of Contents
featured_topic
Smoking Cessation

Selected excerpt from topic

Smoking Cessation


"Smoking harms nearly every organ in the body and is the leading cause of preventable mortality in the US, accounting for an estimated 435,000 deaths/yr, or about 20% of all deaths. About half of all current smokers will die prematurely of a disease directly caused by smoking, losing 10 to 14 yr of life (7 min/cigarette) on average. Sixty-five percent of smoking-attributable deaths are caused by ischemic heart disease, lung cancer, and chronic lung disease; the rest are caused by noncardiac vascular diseases (eg, stroke, aortic aneurysm), other cancers (eg, bladder, cervical, esophageal, kidney, laryngeal, oropharyngeal, pancreatic, stomach, throat), pneumonia, and perinatal conditions (eg, preterm birth, low birth weight, SIDS)."

Selected Current Literature on Featured Topic
1.Shah AM, Pfeffer MA, Hartley LH, et al: Risk of all-cause mortality, recurrent myocardial infarction, and heart failure hospitalization associated with smoking status following myocardial infarction with left ventricular dysfunction. American Journal of Cardiology Oct 1; 106(7):911–916, 2010.

2. Mackay D, Haw S, Ayres JG, et al: Smoke-free legislation and hospitalizations for childhood asthma. New England Journal of Medicine Sept 16; 363(12):1139–1145, 2010.

3. Henriksen L, Schleicher NC, Feighery EC, and Fortmann SP: A longitudinal study of exposure to retail cigarette advertising and smoking initiation. Pediatrics Aug; 126(2):232–238, 2010.

4. . May R, Tofler GH, Bartrop R, et al: Smoking cessation through a novel behavior modification technique. American Journal of Cardiology Jul 1; 106(1):44–46, 2010.


Coming-Soon
Podcasts provide reviews of patient symptoms based on topics of the same title from The Merck Manual of Patient Symptoms. Click here to listen.

Featured podcasts

  • Wheezing
  • Sore Throat

MinlQuiz
Each issue features a MinIQuiz relating to the recently updated topics. The MinIQuiz for this issue covers Smoking Cessation, Lacerations, and Heat Illness. Correctly answer the MinIQuiz questions (you can use The Merck Manual Online) to be entered in a drawing to win a print or a PDA download version of The Merck Manual.
(Click here for MinIQuiz entry rules.)

What percentage of adults in the United States smoke?

20%
25%
30%
35%

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Last month's MinIQuiz Answers & Winner

Last issue’s MinIQuiz focused on HIV Infection in Infants and Children, Falls in the Elderly, and Gait Disorders. Our winner is Mary Vanek, RN, a medical-surgical clinician in Nursing Education, St. Catherine Hospital, East Chicago, Indiana.



View last issue's MinIQuiz answers.
 
   
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