Gold standard program for heavy smokers in a real-life setting

Background: High-intensity smoking cessation programs generally lead to more continuous abstinence, however, lower rates of success have been reported among heavy smokers. The aim was to evaluate continuous abstinence among heavy smokers during the intensive 6-week Gold Standard Program (GSP) and to identify modifiable factors associated with continuous abstinence. Methods: In this nationwide clinical study based on 36,550 smokers attending an intensive cessation program in Denmark. Heavy smoking was defined as ≥7 points in the Fagerström Nicotine Dependency Test, smoking ≥20 cigarettes daily or ≥20 pack-years. Results: Overall, 28% had a Fagerström score ≥7 points, 58% smoked ≥20 cigarettes daily and 68% smoked ≥20 pack-years. Continuous abstinence was 33% in responders (6-months response rate: 78%); however, abstinence was approximately 1–6% lower in the heavy smokers than the overall population. Attending GSP with an individual format (vs. group/other, OR 1.23–1.44); in a hospital setting (vs. pharmacy/municipality services, OR 1.05–1.11); and being compliant (attending the planned meetings OR 4.36–4.89) were associated with abstinence. Abstinence decreased in a dose-dependent manner with increasing smoking severity. Conclusions: Abstinence after GSP was 1–6% lower in the heavy smokers than in the overall study population. Modifiable factors may be used for small improvements in continued abstinence. However attempts to improve compliance seemed especially promising

Properties of the mechanosensitive channel MscS pore revealed by tryptophan scanning mutagenesis

Funding This work was supported by a Wellcome Trust Programme grant [092552/A/10/Z awarded to I.R.B., S.M., J. H. Naismith (University of St Andrews, St Andrews, U.K.), and S. J. Conway (University of Oxford, Oxford, U.K.)] (T.R. and M.D.E.), by a BBSRC grant (A.R.) [BB/H017917/1 awarded to I.R.B., J. H. Naismith, and O. Schiemann (University of St Andrews)], by a Leverhulme Emeritus Fellowship (EM-2012-060\2), and by a CEMI grant to I.R.B. from the California Institute of Technology. The research leading to these results has received funding from the European Union Seventh Framework Programme (FP7/2007-2013 FP7/2007-2011) under Grant PITN-GA-2011-289384 (FP7-PEOPLE-2011-ITN NICHE) (H.G.) (awarded to S.M.).Peer reviewedPublisher PD

Flexible alarm calling in meerkats: the role of the social environment and predation urgency

Flexible vocal production has been demonstrated in several vertebrate species, with much work focusing on the role of the social "audience” in explaining variation in call production. It is, however, likely that the decision to call is an emergent property of both external and internal factors, and the extent to which these factors are integrated has been little investigated. We addressed this question by examining the production of alarm calls in wild male meerkats (Suricata suricatta) in different social environments and different predator-encounter contexts. Males searching for reproductive opportunities (rovers) were followed 1) in their home group and when prospecting either 2) solitarily or 3) in a coalition with other males. Results showed that conspecific presence influenced the production of flee-alarm and recruitment calls. Solitary rovers were less likely to produce flee-alarm calls compared with when they are with conspecifics, whether coalitionary rovers or the rover's home group. Experimentally elicited recruitment calls were also produced less when males were solitary than when in their home group. Bark vocalizations, emitted when meerkats were safe, were always produced irrespective of conspecific presence, indicating that these calls function to address predators. The probability of producing flee alarms also increased with the urgency of the predation event. Our results indicate that variation in alarm call production depends on whom the call is addressed to and also on the motivational state of the caller. We argue that neglecting to integrate internal and external factors when elucidating mechanisms underlying vocal production can potentially lead to misguided, parsimonious conclusions regarding vocal flexibility in animal

Modeling all alternative solutions for highly renewable energy systems

As the world is transitioning towards highly renewable energy systems, advanced tools are needed to analyze such complex networks. Energy system design is, however, challenged by real-world objective functions consisting of a blurry mix of technical and socioeconomic agendas, with limitations that cannot always be clearly stated. As a result, it is highly likely that solutions which are techno-economically suboptimal will be preferable. Here, we present a method capable of determining the continuum containing all techno-economically near-optimal solutions, moving the field of energy system modeling from discrete solutions to a new era where continuous solution ranges are available. The presented method is applied to study a range of technical and socioeconomic metrics on a model of the European electricity system. The near-optimal region is found to be relatively flat allowing for solutions that are slightly more expensive than the optimum but better in terms of equality, land use, and implementation time.Comment: 25 pages, 7 figures, also available as preprint at: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=368204

Patterns of cetacean sighting distribution in the Pacific Exclusive Economic Zone of Costa Rica based on data collected from 1979-2001

Nineteen species of cetaceans (families Balaenopteridae, Kogiidae, Physeteridae, Ziphiidae and Delphinidae) occur in the Costa Rican Pacific Exclusive Economic Zone (EEZ). Based on data recorded from the EEZ by the Southwest Fisheries Service Center, Cascadia Research Collective, and CIMAR between 1979- 2001, we mapped the distribution of 18 cetacean species. Our results suggest that the majority of the cetacean species use primarily oceanic waters, particularly those species within the families Balaenopteridae, Kogiidae, Physeteridae and Ziphiidae. Members of the family Delphinidae showed a wide variety of distribution patterns: seven species are widespread throughout the EEZ, four appear to be exclusively pelagic, and two are primarily coastal. Overall, three cetacean species appear to have populations concentrated in coastal waters: Stenella attenuata graffmani, Tursiops truncatus, and Megaptera novaeangliae. These three may be more susceptible to human activities due to the overlap of their ranges with fishery areas (tuna and artisanal fisheries), and an uncontrolled increase of touristic whale watching activities in several parts of their range. The distribution maps represent the first comprehensive representation of cetacean species that inhabit Costa Rican Pacific waters. They provide essential base-line information that may be used to initiate conservation and management efforts of the habitats where these animals reproduce and forage

The photochemical thiol-ene reaction as a versatile method for the synthesis of glutathione S-conjugates targeting the bacterial potassium efflux system Kef

Acknowledgements This work was funded by The Wellcome Trust (WT092552MA) and the Oxford University Press John Fell fund (093/380). SJC thanks St Hugh’s College, Oxford, for research support.Peer reviewedPublisher PD

The Gold Standard Programme: smoking cessation interventions for disadvantaged smokers are effective in a real-life setting

Objectives To evaluate the real-life effect of an evidence-based Gold Standard Programme (GSP) for smoking cessation interventions in disadvantaged patients and to identify modifiable factors that consistently produce the highest abstinence rates. Design Observational prospective cohort study. Setting GSPs in pharmacies, hospitals and communities in Denmark, reporting to the national Smoking Cessation Database. Participants Disadvantaged patients, defined as patients with a lower level of education and those receiving unemployment benefits. Interventions 6-week manualised GSP smoking cessation interventions performed by certified staff. Main outcome measures 6months of continuous abstinence, response rate: 80%. Results Continuous abstinence of the 16?377 responders was 34% (of all 20?588 smokers: 27%). Continuous abstinence was lower in 5738 smokers with a lower educational level (30% of responders and 23% of all) and in 840 unemployed (27% of responders and 19% of all). In respect to modifiable factors, continuous abstinence was found more often after programmes in one-on-one formats (vs group formats) among patients with a lower educational level, 34% (vs 25%, p=0.037), or among unemployed, 35% (vs 24%, p=0.099). The variable format' stayed in the final model of multivariable analyses in patients with a lower educational level, OR=1.31 (95% CI 1.05 to 1.63). Conclusions Although continuous abstinence was lower among disadvantaged smokers, the absolute difference was small. If the programme had been as effective in disadvantaged as in non-disadvantaged groups, there would have been an extra 46 or 8 quitters annually, respectively. Promoting individual interventions among those with a low education may increase the effectiveness of GSP