E-Cigarettes: Prevalence and Attitudes in Great Britain

Introduction: Electronic cigarettes (e-cigarettes) are a means of recreational nicotine use that can potentially eliminate the need to smoke tobacco. Little is known about the prevalence of use or smokers' attitudes toward e-cigarettes. This study describes use of and attitudes toward e-cigarettes in Britain. Methods: Respondents from three surveys were recruited from a panel of adults in Britain. Preliminary online and face-to-face qualitative research informed the development of a smokers' survey (486 smokers who had used e-cigarettes and 894 smokers who had not). Representative samples of adults in Britain were then constructed from the panel for population surveys in 2010 (12,597 adults, including 2,297 smokers) and 2012 (12,432 adults, including 2,093 smokers), generating estimates of the prevalence of e-cigarette use and trial in Great Britain. Results: Awareness, trial, and current use increased between 2010 and 2012; for example, current use more than doubled from 2.7% of smokers in 2010 to 6.7% in 2012. The proportion of ever-users currently using e-cigarettes was around one-third in both years. In 2012, 1.1% of ex-smokers reported current e-cigarette use, and a further 2.7% reported past use. Approximately 0.5% of never-smokers reported having tried e-cigarettes. Conclusions: While we found evidence supporting the view that e-cigarette use may be a bridge to quitting, we found very little evidence of e-cigarette use among adults who had never smoked. British smokers would benefit from information about the effective use, risks, and benefits of e-cigarettes, as this might enable the use of e-cigarettes to improve public health

Modelación del efecto de escenarios de cobertura sobre la migración de nutrientes (N, P2O5) en la cuenca alta del río Magdalena (Huila, Colombia)*

The combination of deforestation due to agricultural frontier expansion and the increased use of fertilizers due to agricultural intensification has lead to an increase in the load of sediments and pollutants that negatively affect water quality in rural areas. This problem is particularly serious in the Colombian Andean region. This study applies a hydrological simulation model to compare the effect of four vegetable coverage management scenarios on nutrient migration from agricultural practices in the Upper Magdalena river basin. The simulation of water movement over hillsides and channels, which was run using the MIKE SHE and MIKE 11 models, showed an acceptable performance (S/σ =0.84, R=0.82, R2=0.67). However, pollutant migration showed a very low sensitivity to vegetable coverage in the configuration of the different model simulations (p > 0.05), with reductions in pollutant loads ranging only between 2 and 4%. Such reductions have to do with the intrinsic properties of vegetation (which act like a barrier to sediment flow,) with its ability to increase soil infiltration (therefore reducing runoff,) and with nutrient absorption by plants

Interactions between nutrition and gastrointestinal infections with parasitic nematodes in goats

Parasitic nematodes of the digestive tract remain one of the main constraints to goat production both in temperate and tropical countries. The usual mode of control of these gastrointestinal nematodes (GIN) based on the repeated use of anthelmintics is now strongly questioned because of the increasing development of resistance to these molecules. Among the alternative methods to anthelmintics currently available, the manipulation of host nutrition in order to improve the host resistance and/or resilience to parasitic infections seems to represent one of the most promising options to reduce the dependence on conventional chemotherapy and to favour the sustainable control of gastro intestinal nematode infections. This paper will review the available information on the interactions between nutrition and nematode parasitism in dairy or meat goats both in temperate and tropical conditions. It will refer to quantitative aspects of the diet (influence of the protein and/or energy parts) as well as to qualitative components (effects of plant secondary metabolites on worm biology) and will discuss the specificities of goats in regard of theses interactions

Implementing a perioperative efficiency initiative for orthopedic surgery instrumentation at an academic center: A comparative before-and-after study.

Optimizing surgical instrumentation may contribute to value-based care, particularly in commonly performed procedures. We report our experience in implementing a perioperative efficiency program in 2 types of orthopedic surgery (primary total-knee arthroplasty, TKA, and total-hip arthroplasty, THA).A comparative before-and-after study with 2 participating surgeons, each performing both THA and TKA, was conducted. Our objective was to evaluate the effect of surgical tray optimization on operating and processing time, cost, and waste associated with preparation, delivery, and staging of sterile surgical instruments. The study was designed as a prospective quality improvement initiative with pre- and postimplementation operational measures and a provider satisfaction survey.A total of 96 procedures (38 preimplementation and 58 postimplementation) were assessed using time-stamped performance endpoints. The number and weight of trays and instruments processed were reduced substantially after the optimization intervention, particularly for TKA. Setup time was reduced by 23% (6 minutes, P = .01) for TKA procedures but did not differ for THA. The number of survey respondents was small, but satisfaction was high overall among personnel involved in implementation.Optimizing instrumentation trays for orthopedic procedures yielded reduction in processing time and cost. Future research should evaluate patient outcomes and incremental/additive impact on institutional quality measures