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Several public health initiatives are aimed at preventing teens from smoking. These include raising taxes on cigarettes, which makes them more expensive; passing laws to restrict exposure to secondhand smoke and tobacco advertising and to prevent young people from purchasing cigarettes; and launching mass media campaigns to encourage prevention. In addition, a number of school-based prevention programs are offered nationwide. These efforts seem to be having an impact. Data collected by the Centers for Disease Control and Prevention indicate that the proportion of teens who smoked in any given month fell from a high of 36 in 1997 to 23 in 2005. But that still means nearly one in four teens are smoking cigarettes. Teens may begin smoking for any number of reasons. Many are copying behavior modeled by parents or peers. Girls in particular may hope that smoking cigarettes will help them lose weight. Some evidence indicates that media exposure to smoking may also influence teens. Altho
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The most current clinical practice guideline encourages physicians, nurses, and other clinicians to ask teens about smoking behavior during office visits, and then use age-appropriate methods to help teens to quit. The guideline recommends that clinicians do the following: 1. Regularly screen adolescents and their parents to determine whether they smoke and, if so, provide encouragement and suggest interventions to stop smoking. 2. Use behavioral and counseling interventions. For some tips, see discussion below. 3. If an adolescent has become dependent on nicotine and expresses a desire to quit smoking, consider prescriptions for bupropion Zyban or nicotine replacement therapy. Be aware, however, that a review published since this recommendation was published indicates bupropion may not be effective for teens. Although more specific advice is hard to come by, case reports provide the following practical tips, which may help make a clinical intervention more effective. Ask spec
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The meta-analysis mentioned earlier concluded that school-based smoking cessation programs aimed at teens work better than clinic-based interventions. The authors concluded that the most effective programs last for at least five sessions and use motivational enhancement, cognitive behavioral techniques, or social influence approaches. Two model programs endorsed by the Substance Abuse and Mental Health Services Administration meet these criteria: the Not on Tobacco NOT program and Project EX. Though they differ in some respects, both use an approach that combines the following three elements: 1. motivational enhancement, so that teens are encouraged to quit 2. coping skills instruction, so that teens learn to deal with nicotine withdrawal, stress, and relapse triggers 3. goal setting, so that teens make a personal commitment to quitting. The NOT program involves a series of weekly group sessions held separately for teenage boys and girls on the assumption that the reasons for sm
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Clinicians, school officials, and public health leaders who want to explore other programs may find it useful to consult a guide published by the U.S. Department of Health and Human Services in 2004. Youth Tobacco Cessation: A Guide for Making Informed Decisionsprovides detailed and practical steps for evaluating programs and putting them into practice in a particular community or other setting. It also provides case studies about how one state health department and one rural school system chose and implemented a smoking cessation program for young people. The guide is available free. Additional guidelines and options are likely to become available in the future, as research on how to better target smoking cessation programs for adolescents continues. The culture may also move further towards making smoking socially unacceptable. In the meantime, the fact that smoking rates among youths have been falling since the late 1990s is something to be celebrated because the easiest way to
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SAS applications and notifications can only be submitted by certain registered health practitioners. Individual patients should discuss the suitability of using an unapproved therapeutic good with a health practitioner. Unapproved therapeutic goods have not been evaluated by us for quality, safety, efficacy or performance. Therefore, the prescribing health practitioner must consider the available evidence to support the use of the unapproved product and any potential risks for the individual patient. The responsibilities of the prescribing health practitionerinclude adhering to relevant standards of good medical practice and obtaining informed consent. The prescribing health practitioner also accepts responsibility for the use of an unapproved therapeutic good and any associated adverse reactions.
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There are three SAS pathways available to access unapproved therapeutic goods. The prescribing health practitioner is responsible for deciding which pathway is most suitable for their patient. Show more information aboutSAS category A: notification for a patient defined as seriously ill 1. Category A is a notification pathway that may be accessed by a prescribing medical practitioner or by a health practitioner on behalf of a prescribing medical practitioner. Category A patients are defined as being seriously ill if: 1.1. For medicines and biologicals, they have a condition from which death is reasonably likely to occur within a matter of months, or from which premature death is reasonably likely to occur in the absence of early treatment. 1.2. For medical devices, they have a condition that is reasonably likely to lead to the persons death within less than a year or, without early treatment, to the persons premature death.A completed Category A form must be sent to the TGA: 1.1
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