Cigarette package design: opportunities for disease prevention

<p>Abstract</p> <p>Objective</p> <p>To learn how cigarette packages are designed and to determine to what extent cigarette packages are designed to target children.</p> <p>Methods</p> <p>A computer search was made of all Internet websites that post tobacco industry documents using the search terms: packaging, package design, package study, box design, logo, trademark and design study. All documents were retrieved electronically and analyzed by the first author for recurrent themes.</p> <p>Data Synthesis</p> <p>Cigarette manufacturers devote a great deal of attention and expense to package design because it is central to their efforts to create brand images. Colors, graphic elements, proportioning, texture, materials and typography are tested and used in various combinations to create the desired product and user images. Designs help to create the perceived product attributes and project a personality image of the user with the intent of fulfilling the psychological needs of the targeted type of smoker. The communication of these images and attributes is conducted through conscious and subliminal processes. Extensive testing is conducted using a variety of qualitative and quantitative research techniques.</p> <p>Conclusion</p> <p>The promotion of tobacco products through appealing imagery cannot be stopped without regulating the package design. The same marketing research techniques used by the tobacco companies can be used to design generic packaging and more effective warning labels targeted at specific consumers.</p

Acute kidney injury and adverse outcomes of critical illness: correlation or causation?

Critically ill patients who develop acute kidney injury (AKI) are more than twice as likely to die in hospital. However, it is not clear to what extent AKI is the cause of excess mortality, or merely a correlate of illness severity. The Bradford Hill criteria for causality (plausibility, temporality, magnitude, specificity, analogy, experiment & coherence, biological gradient and consistency) were applied to assess the extent to which AKI may be causative in adverse short-term outcomes of critical illness. Plausible mechanisms exist to explain increased risk of death after AKI, both from direct pathophysiological effects of renal dysfunction and mechanisms of organ cross-talk in multiple-organ failure. The temporal relationship between increased mortality following AKI is consistent with its pathophysiology. AKI is associated with substantially increased mortality, an association that persists after accounting for known confounders. A biological gradient exists between increasing severity of AKI and increasing short-term mortality. This graded association shares similar features to the increased mortality observed in ARDS; an analogous condition with a multifactorial aetiology. Evidence for the outcomes of AKI from retrospective cohort studies and experimental animal models is coherent however both of these forms of evidence have intrinsic biases and shortcomings. The relationship between AKI and risk of death is maintained across a range of patient ages, comorbidities and underlying diagnoses. In conclusion many features of the relationship between AKI and short-term mortality suggest causality. Prevention and mitigation of AKI and its complications are valid targets for studies seeking to improve short-term survival in critical care

Three-dimensional hydrodynamic and sediment transport modeling to test the sediment focusing hypothesis in upland lakes

Palaeolimnological studies rely on assumptions regarding the distribution and completeness of lake deposits that are not always fully supported by observations. In particular, the assumption that “focusing” of suspended sediments leads to preferential deposition in the deepest part of a lake is not always justified, especially in upland lakes subject to energetic wind forcing. Few studies have investigated the hydrodynamic controls on lake sediment focusing, especially the importance of wind-driven currents in deep water. We combine a three-dimensional numerical hydrodynamic and suspended sediment model (FVCOM) with a semi-empirical wind wave model to investigate the potential mobility of bottom sediments in a small oligotrophic upland lake (Llyn Conwy, north Wales, UK). Exploratory simulations of wave- and current-generated bottom stress and suspended sediment dynamics confirm the expected importance of wave-generated bottom stresses in shallower waters (< 3 m depth) around the shore. Field survey shows that lake sediments are largely absent from this zone. This is consistent with peripheral wave action as a sediment focusing mechanism. In deeper water, wind-driven currents become the dominant contributor to bottom stress. Strong wind forcing events drive an energetic circulation with peak bottom stresses that intermittently exceed any realistic erosion threshold over a large proportion of the lake at depths far below those at which waves can be effective. The spatial distribution of lake sediments, and the completeness of the sediment record, is thus determined by a complex interaction between wind-driven circulation and bathymetry, rather than by bathymetry alone. Although our sediment dynamics simulations are purely exploratory, the results are consisted with survey results that show a patchy distribution of deep-water accumulation. Some implications of these results for the selection of sediment coring locations and the interpretation of sediment records are considered

Doping effects on the phase separation in perovskite La0.67-xBixCa0.33MnO3

Effects of Bi, Cr, and Fe doping on phase separation of La0.67Ca0.33MnO3 have been experimentally studied. As proved by the electron-spin resonance and neutron-diffraction studies, partial replacement of La by Bi causes the simultaneous occurrence of ferromagnetic (FM) phase and charge-ordered antiferromagnetic phase. As a consequence, two subsequent magnetic transitions at ∼120 K and ∼230 K are resulted. A strong coupling between the coexisted phases is assumed, which is responsible for the insensitivity of Tc(L), the higher Curie temperature, to Bi doping after the appearance of phase separation, and consistent with the discontinuous variation of Tc(L) with Cr doping. As expected, the substitution of Cr for Mn in this case promotes the FM order, but its effects are significantly different for the two magnetic states. Each Cr drives ∼100 neighboring unit cells, for the high-moment state, and ∼60 unit cells, for the low-moment state, into the FM state. Two definite processes can be identified for the melting of the charge-ordered phase. The FM fraction increases rapidly in the initial stage of Cr doping, and then slowly when the FM population exceeds ∼90%. This could be a common feature of the phase-separated system suffering from random-phase fluctuation according to a theoretical analysis. Exactly opposite effects on phase constituent are produced by Cr doping and Bi doping, and 1% Cr are equivalent to ∼4.6% Bi. In contrast, both Cr doping and magnetic field promote the FM order. 1% Cr correspond to a field of ∼4.5 T for the low-moment state and 6 T for the high-moment state, reducing the energy difference between the charge ordering and the FM states by ∼0.96 meV/Mn and ∼1.3 meV/Mn, respectively.published_or_final_versio

Conforming finite element methods for the clamped plate problem

Finite element methods for solving biharmonic boundary value problems are considered. The particular problem discussed is that of a clamped thin plate. This problem is reformulated in a weak, form in the Sobolev space Techniques for setting up conforming trial Functions are utilized in a Galerkin technique to produce finite element solutions. The shortcomings of various trial function formulations are discussed, and a macro—element approach to local mesh refinement using rectangular elements is given

Deserved attention for acute kidney injury after major trauma

This is a post-peer-review, pre-copyedit version of an article published in Intensive Care Medicine. The final authenticated version is available online at: https://doi.org/10.1007/s00134-019-05609-xDear Editor, The systematic review of acute kidney injury (AKI) after trauma by Søvik et al. [1] adds much-needed data on the incidence and outcomes of trauma-associated AKI. The authors reported a pooled incidence of AKI of 24%across 24 studies including over 25,000 patients. These results duplicate those of a recently published meta-analysis of AKI in trauma by Haines et al. [2]. Furthermore, data on AKI in 3111 patients from a French multicentre trauma registry has now been published by Harrois et al. [3] where an independent association between AKI and mortality persisted. When included amongst studies reporting adjusted odds ratios of death in trauma-ICU patients with AKI, the association with mortality is convincin

Framework for a Perceptive Mobile Network using Joint Communication and Radar Sensing

In this paper, we develop a framework for a novel perceptive mobile/cellular network that integrates radar sensing function into the mobile communication network. We propose a unified system platform that enables downlink and uplink sensing, sharing the same transmitted signals with communications. We aim to tackle the fundamental sensing parameter estimation problem in perceptive mobile networks, by addressing two key challenges associated with sophisticated mobile signals and rich multipath in mobile networks. To extract sensing parameters from orthogonal frequency division multiple access (OFDMA) and spatial division multiple access (SDMA) communication signals, we propose two approaches to formulate it to problems that can be solved by compressive sensing techniques. Most sensing algorithms have limits on the number of multipath signals for their inputs. To reduce the multipath signals, as well as removing unwanted clutter signals, we propose a background subtraction method based on simple recursive computation, and provide a closed-form expression for performance characterization. The effectiveness of these methods is validated in simulations.Comment: 14 pages, 12 figures, Journal pape

A case study of transport of tropical marine boundary layer and lower tropospheric air masses to the northern midlatitude upper troposphere

Low-ozone (&lt;20 ppbv) air masses were observed in the upper troposphere in northern midlatitudes over the eastern United States and the North Atlantic Ocean on several occasions in October 1997 during the NASA Subsonic Assessment, Ozone and Nitrogen Oxide Experiment (SONEX) mission. Three cases of low-ozone air masses were shown to have originated in the tropical Pacific marine boundary layer or lower troposphere and advected poleward along a warm conveyor belt during a synoptic-scale disturbance. The tropopause was elevated in the region with the low-ozone air mass. Stratospheric intrusions accompanied the disturbances. On the basis of storm track and stratospheric intrusion climatologies, such events appear to be more frequent from September through March than the rest of the year. Copyright 2000 by the American Geophysical Union

自家受精魚マングローブキリフィッシュ（Kryptolebias marmoratus）の生殖腺の形態

We conducted anatomical and histological observations of the gonads in the self-fertilizing mangrove killifish, Kryptolebias marmoratus to investigate the self-fertilizing mechanism of this species. The gonad has a bilobed structure. The elongated gonadal lumen (GL) along the dorsal surface of the gonad connects to the common genital sinus. The elongate testicular region is closely attached to the GL. Among the ovulated eggs in the GL, those in the anterior part of the GL have micropyles but no perivitelline space (are not yet fertilized), whereas those in the posterior part of the GL are fertilized. In our histological analysis, we found free sperm in the posterior area of the GL. We conclude that ovulated eggs may be self-fertilized in the posterior GL.マングローブキリフィッシュ（Kryptolebias marmoratus）の生殖腺の解剖学および組織学的な観察を行い，本種の自家受精機構を考察した。生殖腺は二葉に分かれ，生殖管は生殖腺背面を通り泌尿生殖口へ達した。精巣組織は生殖管に隣接していた。生殖管内に排卵された卵のうち，生殖管前方の卵には囲卵腔がなく卵門を有しており未受精であったが，生殖管後方の卵は受精していた。組織学的観察から，生殖管後方で排精の起こっていることが明らかとなった。排卵後に卵が生殖管を通る段階で自家受精が起こると考えられた

Seasonal differences in the photochemistry of the South Pacific: A comparison of observations and model results from PEM-Tropics A and B

A time-dependent photochemical box model is used to examine the photochemistry of the equatorial and southern subtropical Pacific troposphere with aircraft data obtained during two distinct seasons: the Pacific Exploratory Mission-Tropics A (PEM-Tropics A) field campaign in September and October of 1996 and the Pacific Exploratory Mission-Tropics B (PEM-Tropics B) campaign in March and April of 1999. Model-predicted values were compared to observations for selected species (e.g., NO2, OH, HO2) with generally good agreement. Predicted values of HO2 were larger than those observed in the upper troposphere, in contrast to previous studies which show a general underprediction of HO2 at upper altitudes. Some characteristics of the budgets of HOx, NOx, and peroxides are discussed. The integrated net tendency for O3 is negative over the remote Pacific during both seasons, with gross formation equal to no more than half of the gross destruction. This suggests that a continual supply of O3 into the Pacific region throughout the year must exist in order to maintain O3 levels. Integrated net tendencies for equatorial O3 showed a seasonality, with a net loss of 1.06×1011 molecules cm-2 s-1 during PEM-Tropics B (March) increasing by 50% to 1.60×1011 molecules cm-2 s-1 during PEM-Tropics A (September). The seasonality over the southern subtropical Pacific was somewhat lower, with losses of 1.21×1011 molecules cm-2 s-1 during PEM-Tropics B (March) increasing by 25% to 1.51×1011 molecules cm-2 s-1 during PEM-Tropics A (September). While the larger net losses during PEM-Tropics A were primarily driven by higher concentrations of O3, the ability of the subtropical atmosphere to destroy O3 was ∼30% less effective during the PEM-Tropics A (September) campaign due to a drier atmosphere and higher overhead O3 column amounts. Copyright 2001 by the American Geophysical Union