CPD frameworks
These frameworks, associated with all articles, prompt drafting of personal learning, reflection and planning.
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Fillable PDF frameworks
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Word frameworks - for reflective practice
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Reflection on a journal article
Stages of reflection on a situation
Reflection of a team, practice or group
External reference on reflection
Reflective practice in health care and how to reflect effectively
Koshy K, Limb C et al. International Journal of Surgical Oncology. 2017 2:e20
Comment or question
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Case report submission
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Special interest: Smoking cessation
Clinical reviews: Smoking cessation
What factors influence uptake of smoking in children?
23 Jan 2019
Living in a smoking household and having peers who smoke are key factors associated with children smoking, a cohort study has found. The investigators analysed data on 11,577 teenagers in the Millenium Cohort Study, a birth cohort of children born between September 2000 and January 2002 in the UK.
Can nicotine preloading help smokers quit?
25 Jul 2018
The use of a nicotine patch before quitting may have a modest effect on abstinence, a large pragmatic randomised trial has found. A total of 1,792 adults were enrolled from Nottingham, Birmingham, Bristol, and London.

Quitting smoking improves survival in patients with lung cancer
22 Mar 2018
Patients with lung cancer who stop smoking have lower all cause mortality rates compared with those who continue to smoke, a UK retrospective cohort study has found.
Editorials

Risk of acute STEMI significantly increased in younger smokers
23 Jan 2017
Smoking is associated with an eight-fold increased risk of acute ST-segment elevation myocardial infarction (STEMI) in those under 50 compared with former and never smokers, a UK study has found. However, the incidence of acute STEMI in former smokers was similar to that in those who had never smoked, adding further evidence to the benefits of quitting smoking.

Abrupt smoking cessation more effective than cutting down
23 Sep 2016
A large UK trial found clear evidence that quitting smoking abruptly was superior in both the short- and longer-term to gradual cessation. The researchers concluded that in clinical practice patients should be encouraged to stop smoking abruptly and not gradually.

Active and passive smoking linked to infertility and early menopause
25 Jan 2016
Exposure to tobacco smoke through passive as well as active smoking is associated with an increased risk of infertility and menopause occurring before the age of 50, a large observational study has shown. This is the first study to assess the impact of second-hand smoking on infertility and age of menopause.

Smoking-related deaths linked to a wider range of diseases
23 Apr 2015
Taking data from five large US cohort studies, the authors of this present study posed the question: ‘Do current official estimates underestimate the deaths caused by smoking?' Overall, the excess mortality for smokers within the study population was 2.8 times that of never smokers and 17% of excess mortality was related to diseases not formally associated with smoking.

Second-hand smoke in the home more harmful than air pollution
24 Nov 2014
Pollution caused by fine particulate matter (PM2.5) is around ten times higher in homes where people smoke indoors compared with non-smoking homes, a study from Scotland has found. Furthermore, home air pollution from smoking appears to dwarf that from outdoor sources. Approximately 20% of those living in smoking homes in Scotland will inhale a lifetime mass of PM2.5 greater than the median value predicted for a non-smoker living in a heavily polluted urban setting.

Smoking cessation improves anxiety and depression
20 Mar 2014
Smokers with a history of anxiety, mood or alcohol use disorders are significantly more likely to be in remission three years later if they quit smoking, an American study has found. Smoking cessation may increase the likelihood of remission, but equally, those who recover may find it easier to quit smoking.
Weighing up the risks and benefits of smoking cessation therapies
05 Dec 2013
A prospective cohort study from the UK has found no evidence that varenicline or bupropion raise the risk of depression, self harm or suicide.
Special reports

GPs have key role in helping patients to stop smoking
23 May 2012
18% of all deaths in adults aged 35 or over in England are still attributable to smoking. Almost all these premature deaths could be avoided if smokers stopped before their mid-thirties but only a quarter of people who have ever smoked regularly manage to quit by this age. GP advice is one of the most important triggers to a smoker making an attempt to quit. Evidence shows that offering help to all smokers is easier, quicker and likely to be more effective than just advising smokers to stop or asking whether they are interested in quitting.
Current evidence and other resources
PubMed search
Smoking cessation reviews
Passive smoking cancer reviews
Passive smoking reviews
Smoking and RA
Smoking and MI
NICE- evidence search
Smoking cessation
NICE Pathways
Smoking prevention and cessation
Smokeless tobacco cessation: South Asian communities overview