was read the article
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"documento" => "simple-article" "crossmark" => 0 "subdocumento" => "cor" "cita" => "Reumatol Clin. 2012;8:159" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3049 "formatos" => array:3 [ "EPUB" => 56 "HTML" => 2041 "PDF" => 952 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letters to the Editor</span>" "titulo" => "Carpal Arthritis as the Initial Manifestation of Gitelman's Syndrome" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "159" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Artritis de carpos como debut en un síndrome de Gitelman" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Agustí Martínez Tomàs, Amalia Rueda Cid, Cristina Campos Fernández, Javier Calvo Catalá" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Agustí" "apellidos" => "Martínez Tomàs" ] 1 => array:2 [ "nombre" => "Amalia" "apellidos" => "Rueda Cid" ] 2 => array:2 [ "nombre" => "Cristina" "apellidos" => "Campos Fernández" ] 3 => array:2 [ "nombre" => "Javier" "apellidos" => "Calvo Catalá" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1699258X11003469" "doi" => "10.1016/j.reuma.2011.11.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X11003469?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574312000342?idApp=UINPBA00004M" "url" => "/21735743/0000000800000003/v1_201305061639/S2173574312000342/v1_201305061639/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Advice by the Rheumatologist on Quitting Smoking: Are We Doing Well With Smokers?" "tieneTextoCompleto" => true "saludo" => "To the Editor:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "160" "paginaFinal" => "161" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Antonio Naranjo, Ana Bilbao, César García de Llanos" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Antonio" "apellidos" => "Naranjo" "email" => array:1 [ 0 => "anarher@gobiernodecanarias.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Ana" "apellidos" => "Bilbao" ] 2 => array:2 [ "nombre" => "César" "apellidos" => "García de Llanos" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Reumatología, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Consejo del reumatólogo sobre deshabituación tabáquica: ¿estamos actuando adecuadamente con los pacientes fumadores?" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Smoking is one of the main environmental factors involved in the pathogenesis of rheumatoid arthritis (RA) and is also associated with an increased incidence of rheumatoid nodules<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> and, in general, a greater need for conventional and biologic treatment.<a class="elsevierStyleCrossRefs" href="#bib0010"><span class="elsevierStyleSup">2,3</span></a> To this we must add the extra risk of cardiovascular events in RA.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4,5</span></a> We conducted a survey of Spanish rheumatology departments to evaluate the approach to smoking cessation advice by rheumatologists. The survey was completed by department heads and consisted of the following components: (a) number of physicians, (b) number of nurses involved in patient education, (c) cessation of smoking advice given to patients by the physician (most physicians, only some of the physicians, none of them), (d) counseling by the nurse (to the majority of smokers, some smokers, none), (e) the manner in which smoking cessation counseling is given by physicians and nurses (simple display, structured information for at least 3<span class="elsevierStyleHsp" style=""></span>min), (f) existence of consensus in the department on how to give verbal and written information to patients, and (g) the existence of addiction clinics in the hospital. The survey was sent to 30 centers and was completed by 28. The geographic distribution covered 17 provinces and 11 Spanish regions. In one third of the centers only some physicians advised smoking cessation and, in the rest, most of the physicians did (<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>). In two thirds of the services patient education nurses were available, and advised most patients on smoking cessation. The way that doctors and nurses advised smoking cessation was simply stating the fact in most centers. The nurses dedicated to patient education on tobacco addiction had specific office areas in 2 centers (13%). 22 cases (78%) provided a specific clinic for smokers in the hospital or other related areas. It is known that with an explicit verbal and written message from the physician up to 5%–10% of smokers ceased smoking in the months following the visit,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> and spontaneous dropouts were estimated around 2%–3%.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Medical advice is the best cost/effectiveness intervention, although it has been observed that when the indication of quitting smoking is simple advice, the efficiency is low.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Keep in mind that most of the patient records, but not all, pick up smoking habits. Moreover, if the physician is a smoker he may not give medical advice or do a less effective job than the doctor who is a non-smoker.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> Our results show that, although there is information about the harmful effect of tobacco in patients with arthritis, the way it used is not optimal. Departments need to be aware of how cheap and easy it is to give structured advice by physicians and nurses to all smokers, and that when several healthcare professionals deliver the message, efficiency is greater than when given by a single person.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a><a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> summarizes the generic standard advise for the cessation of smoking by patients.<a class="elsevierStyleCrossRefs" href="#bib0040"><span class="elsevierStyleSup">8,9</span></a> In conclusion, we must insist the rheumatologists advise patients of the need for smoking cessation, especially those with arthritis, connective tissue disease, and osteoporosis.</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle">Thank You</span><p id="par0010" class="elsevierStylePara elsevierViewall">To doctors José J. Pérez-Venegas (Hospital de Jerez), Patricia E. Carreira (Hospital 12 de Octubre), Carlos Marras (Hospital Arrixaca), Santiago Muñoz (Hospital Infanta Sofía), Pilar Ahijado (Hospital Infanta Elena), Antonio Fernández-Nebro (Hospital Carlos Haya), Víctor Martínez-Taboada (Hospital Valdecilla), Javier de Toro (Hospital A Coruña), José Luis Andreu (Hospital Puerta de Hierro-Majadahonda), Federico Navarro (Hospital Virgen Macarena), Rafael Cáliz (Hospital Virgen de las Nieves), Joan M. Nolla (Hospital de Bellvitge), Javier Ballina (Hospital Central de Asturias), Raimon Sanmarti (Hospital Clínic), Indalecio Monteagudo (Hospital Gregorio Marañón), Sagrario Bustabad (Hospital Universitario de Canarias), José Rosas (Hospital de Villajoyosa), Jesús Tornero (Hospital de Guadalajara), José Luis Alvarez (Hospital Infanta Cristina), Julio Medina (Hospital de Palencia), Isidoro González Alvaro (Hospital La Princesa), Pere Benito (Hospital del Mar), Julio García Feito (Hospital Torrecárdenas), Juan J. Alegre (Hospital Dr. Peset), Eugenio de Miguel (Hospital La Paz) and José Luis Marenco (Hospital de Valme).</p><p id="par0015" class="elsevierStylePara elsevierViewall">To nurses Amelia Carbonell (Hospital San Juan-Alicante), Isabel Padró (Hospital del Mar) and Encarnación Roncal (Hospital La Paz).</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Thank You" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Naranjo A, et al. Consejo del reumatólogo sobre deshabituación tabáquica: ¿estamos actuando adecuadamente con los pacientes fumadores? Reumatol Clin. 2012;<span class="elsevierStyleBold">8</span>:158–61.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">No. \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-head\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t" style="border-bottom: 2px solid black">% \t\t\t\t\t\t\n \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Number of participating rheumatology departments</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">28 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">100 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Physicians</span></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments in which most doctors counseled the cessation of smoking \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">64 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments with a verbal information protocol \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments with a structured verbal advice protocol<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">*</span></a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">2 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">7 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments that have written rules and advice \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">0 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " colspan="3" align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleItalic">Nurses</span></td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments with nurses for patient education \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">15 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">53 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments in which the nurse counsels for cessation of smoking \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">66 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Departments in which the nurse gives structured advice<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">*</span></a> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="char" valign="\n \t\t\t\t\ttop\n \t\t\t\t">20 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab212265.png" ] ] ] "notaPie" => array:1 [ 0 => array:3 [ "identificador" => "tblfn0005" "etiqueta" => "*" "nota" => "<p class="elsevierStyleNotepara">Structured advice assumes that arguments in favor of the cessation of smoking are given for some minutes.</p>" ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Results of the survey.</p>" ] ] 1 => array:7 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Based on Pérez Trullén and Marrón<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> and Raw et al.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a></p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><tbody title="tbody"><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Should be given by both the rheumatologist and the nurse \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(2) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">General rules: \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(<span class="elsevierStyleItalic">a</span>) Simple advice in inefficacious \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(<span class="elsevierStyleItalic">b</span>) Verbal and written advice must be given \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(<span class="elsevierStyleItalic">c</span>) Should not be mixed with other health habit advice \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(<span class="elsevierStyleItalic">d</span>) Emphasize beneficial aspects of smoking cessation instead of negative ones \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="" valign="\n \t\t\t\t\ttop\n \t\t\t\t"> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(<span class="elsevierStyleItalic">e</span>) Ideal moment is at the end of a visit \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Verbal information should be serious, simple, clear and short, 3–5<span class="elsevierStyleHsp" style=""></span>min being enough time. It should be personalized and systematic, in other words, with a minimum of structured content for all patients \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(4) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Reading material should be given for consultation at any given moment \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">A programmed future follow up may be performed \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(6) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">It is optional to determine the degree of tobacco dependency (Fageström test) and the degree of motivation to stop smoking (Richmond test) \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">(7) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="\n \t\t\t\t\ttable-entry\n \t\t\t\t " align="left" valign="\n \t\t\t\t\ttop\n \t\t\t\t">Refractory cases may be sent to a specialized clinic \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab212266.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">General rules for advising patients to stop smoking.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Smokers and non smokers with rheumatoid arthritis have similar clinical status: data from the multinational QUEST-RA database" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. 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Year/Month | Html | Total | |
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2024 November | 9 | 13 | 22 |
2024 October | 26 | 30 | 56 |
2024 September | 44 | 16 | 60 |
2024 August | 53 | 39 | 92 |
2024 July | 33 | 26 | 59 |
2024 June | 55 | 36 | 91 |
2024 May | 49 | 28 | 77 |
2024 April | 35 | 27 | 62 |
2024 March | 42 | 33 | 75 |
2024 February | 27 | 29 | 56 |
2024 January | 31 | 19 | 50 |
2023 December | 34 | 30 | 64 |
2023 November | 34 | 22 | 56 |
2023 October | 30 | 25 | 55 |
2023 September | 61 | 34 | 95 |
2023 August | 34 | 25 | 59 |
2023 July | 29 | 21 | 50 |
2023 June | 20 | 25 | 45 |
2023 May | 44 | 23 | 67 |
2023 April | 19 | 7 | 26 |
2023 March | 38 | 31 | 69 |
2023 February | 34 | 27 | 61 |
2023 January | 18 | 21 | 39 |
2022 December | 42 | 38 | 80 |
2022 November | 50 | 23 | 73 |
2022 October | 27 | 23 | 50 |
2022 September | 30 | 38 | 68 |
2022 August | 28 | 33 | 61 |
2022 July | 26 | 42 | 68 |
2022 June | 34 | 30 | 64 |
2022 May | 31 | 40 | 71 |
2022 April | 32 | 40 | 72 |
2022 March | 34 | 47 | 81 |
2022 February | 35 | 35 | 70 |
2022 January | 39 | 43 | 82 |
2021 December | 27 | 33 | 60 |
2021 November | 27 | 53 | 80 |
2021 October | 43 | 48 | 91 |
2021 September | 32 | 48 | 80 |
2021 August | 24 | 48 | 72 |
2021 July | 33 | 33 | 66 |
2021 June | 23 | 42 | 65 |
2021 May | 38 | 33 | 71 |
2021 April | 75 | 81 | 156 |
2021 March | 40 | 35 | 75 |
2021 February | 36 | 19 | 55 |
2021 January | 28 | 21 | 49 |
2020 December | 33 | 25 | 58 |
2020 November | 26 | 15 | 41 |
2020 October | 13 | 11 | 24 |
2020 September | 30 | 23 | 53 |
2020 August | 16 | 19 | 35 |
2020 July | 24 | 24 | 48 |
2020 June | 28 | 28 | 56 |
2020 May | 24 | 31 | 55 |
2020 April | 36 | 11 | 47 |
2020 March | 16 | 4 | 20 |
2020 February | 1 | 0 | 1 |
2019 January | 1 | 0 | 1 |
2018 May | 5 | 0 | 5 |
2018 April | 45 | 10 | 55 |
2018 March | 53 | 6 | 59 |
2018 February | 63 | 4 | 67 |
2018 January | 18 | 3 | 21 |
2017 December | 61 | 5 | 66 |
2017 November | 36 | 3 | 39 |
2017 October | 26 | 3 | 29 |
2017 September | 36 | 4 | 40 |
2017 August | 44 | 3 | 47 |
2017 July | 35 | 4 | 39 |
2017 June | 48 | 18 | 66 |
2017 May | 50 | 4 | 54 |
2017 April | 33 | 3 | 36 |
2017 March | 34 | 1 | 35 |
2017 February | 27 | 6 | 33 |
2017 January | 22 | 3 | 25 |
2016 December | 55 | 8 | 63 |
2016 November | 36 | 6 | 42 |
2016 October | 68 | 8 | 76 |
2016 September | 62 | 9 | 71 |
2016 August | 51 | 3 | 54 |
2016 July | 25 | 5 | 30 |
2016 February | 1 | 0 | 1 |
2016 January | 1 | 0 | 1 |
2015 December | 1 | 0 | 1 |
2015 August | 2 | 0 | 2 |
2015 July | 19 | 4 | 23 |
2015 June | 21 | 5 | 26 |
2015 May | 34 | 9 | 43 |
2015 April | 32 | 7 | 39 |
2015 March | 36 | 4 | 40 |
2015 February | 42 | 5 | 47 |
2015 January | 31 | 3 | 34 |
2014 December | 30 | 9 | 39 |
2014 November | 18 | 10 | 28 |
2014 October | 24 | 12 | 36 |
2014 September | 17 | 10 | 27 |
2014 August | 17 | 9 | 26 |
2014 July | 25 | 10 | 35 |
2014 June | 48 | 11 | 59 |
2014 May | 26 | 10 | 36 |
2014 April | 31 | 10 | 41 |
2014 March | 35 | 11 | 46 |
2014 February | 20 | 8 | 28 |
2014 January | 24 | 10 | 34 |
2013 December | 23 | 8 | 31 |
2013 November | 21 | 14 | 35 |
2013 October | 34 | 11 | 45 |
2013 September | 30 | 8 | 38 |
2013 August | 38 | 17 | 55 |
2013 July | 44 | 6 | 50 |
2013 June | 32 | 9 | 41 |
2013 May | 28 | 12 | 40 |
2013 April | 27 | 8 | 35 |
2013 March | 32 | 9 | 41 |
2013 February | 24 | 6 | 30 |
2013 January | 16 | 5 | 21 |
2012 December | 52 | 12 | 64 |
2012 November | 21 | 8 | 29 |
2012 October | 16 | 7 | 23 |
2012 September | 12 | 3 | 15 |
2012 July | 2 | 0 | 2 |
2012 June | 7 | 0 | 7 |