Effect on smoking quit rate of telling patients their lung age: the Step2quit randomised controlled trial

Objective To evaluate the impact of telling patients their estimated spirometric lung age as an incentive to quit smoking.Design Randomised controlled trial.Setting Five general practices in Hertfordshire, England.Participants 561 current smokers aged over 35.Intervention All participants were offered spirometric assessment of lung function. Participants in intervention group received their results in terms of "lung age" (the age of the average healthy individual who would perform similar to them on spirometry). Those in the control group received a raw figure for forced expiratory volume at one second (FEV1). Both groups were advised to quit and offered referral to local NHS smoking cessation services.Main outcome measures The primary outcome measure was verified cessation of smoking by salivary cotinine testing 12 months after recruitment. Secondary outcomes were reported changes in daily consumption of cigarettes and identification of new diagnoses of chronic obstructive lung disease.Results Follow-up was 89%. Independently verified quit rates at 12 months in the intervention and control groups, respectively, were 13.6% and 6.4% (difference 7.2%, P=0.005, 95% confidence interval 2.2% to 12.1%; number needed to treat 14). People with worse spirometric lung age were no more likely to have quit than those with normal lung age in either group. Cost per successful quitter was estimated at 280 pound ((euro) 365, $556). A new diagnosis of obstructive lung disease was made in 17% in the intervention group and 14% in the control group; a total of 16% (89/561) of participants.Conclusion Telling smokers their lung age significantly improves the likelihood of them quitting smoking, but the mechanism by which this intervention achieves its effect is unclear.Trial registration National Research Register N0096173751

Computational Mechanism Design: A Call to Arms

Game theory has developed powerful tools for analyzing decision making in systems with multiple autonomous actors. These tools, when tailored to computational settings, provide a foundation for building multiagent software systems. This tailoring gives rise to the field of computational mechanism design, which applies economic principles to computer systems design

Isomeric effects in the gas-phase reactions of dichloroethene, C2H2Cl2, with a series of cations

A study of the reactions of a series of gas-phase cations (NH$_4^+$, H$_3$O$^+$, SF$_3^+$, CF$_3^+$, CF$^+$, SF5$^+$, SF$_2^+$, SF$^+$, CF$_2^+$, SF$_4^+$, O$_2^+$, Xe$^+$, N$_2$O$^+$, CO$_2^+$, Kr$^+$, CO$^+$, N$^+$, N$_2^+$, Ar$^+$, F$^+$ and Ne$^+$) with the three structural isomers of dichloroethene, i.e. 1,1-C$_2$H$_2$Cl$_2$, cis-1,2-C$_2$H$_2$Cl$_2$ and trans-1,2-C$_2$H$_2$Cl$_2$ is reported. The recombination energy of these ions spans the range 4.7-21.6 eV. Reaction rate coefficients and product branching ratios have been measured at 298 K in a selected ion flow tube. Collisional rate coefficients are calculated by modified average dipole orientation theory and compared with experimental data. Thermochemistry and mass balance have been used to predict the most feasible neutral products. Threshold photoelectron-photoion coincidence spectra have also been obtained for the three isomers of C$_2$H$_2$Cl$_2$ with photon energies in the range 10-23 eV. The fragment ion branching ratios have been compared with those of the flow tube study to determine the importance of long-range charge transfer. A strong influence of the isomeric structure of dichloroethene on the products of ion-molecule reactions has been observed for H$_3$O$^+$, CF$_3^+$, and CF$^+$. For 1,1-C$_2$H$_2$Cl$_2$ the reaction with H$_3$O$^+$ proceeds at the collisional rate with the only ionic product being 1,1-C$_2$H$_2$Cl$_2$H$^+$. However, the same reaction yields two more ionic products in the case of cis-1,2- and trans-1,2-C$_2$H$_2$Cl$_2$, but only proceeds with 14 % and 18 % efficiency, respectively. The CF$_3^+$ reaction proceeds with 56-80 % efficiency, the only ionic product for 1,1-C$_2$H$_2$Cl$_2$ being C$_2$H$_2$Cl$^+$ formed via Cl- abstraction, whereas the only ionic product for both 1,2-isomers is CHCl$_2^+$ corresponding to a breaking of the C=C double bond. Less profound isomeric effects, but still resulting in different products for 1,1- and 1,2-C$_2$H$_2$Cl$_2$ isomers, have been found in the reactions of SF$^+$, CO$_2^+$, CO$^+$, N$_2^+$, and Ar$^+$. Although these five ions have recombination energies above the ionization energy of any of the C$_2$H$_2$Cl$_2$ isomers and hence the threshold for long-range charge transfer, the results suggest that the formation of a collision complex at short range between these ions and C$_2$H$_2$Cl$_2$ is responsible for the observed effects

Threshold photoelectron photoion coincidence spectroscopy and selected ion flow tube reactions of CHF3: comparison of product branching ratios

The threshold photoelectron and threshold photoelectron photoion coincidence spectra of CHF$_3$ in the range 13.5 – 24.5 eV have been recorded. Ion yields and branching ratios have been determined for the three fragments CF$_3^+$, CHF2$^+$ and CF$^+$. The mean kinetic energy releases into fragment ions involving either C-H or C-F bond cleavage have been measured, and compared with statistical and impulsive models. CHF$_3^+$ behaves in a non-statistical manner characteristic of the small-molecule limit, with the ground electronic state and low-lying excited states of CHF$_3^+$ being largely repulsive along the C-H and C-F coordinates, respectively. The rate coefficients and product ion branching ratios have been measured at 298 K in a selected ion flow tube for the reactions of CHF$_3$ with a large number of gas-phase cations whose recombination energies span the range 6.3 through 21.6 eV. A comparison between the branching ratios from the two experiments, together with an analysis of the threshold photoelectron spectrum of CHF$_3$, shows that long-range charge transfer probably occurs for the Ar$^+$ and F$^+$ atomic ions whose recombination energies lie above ca. 15 eV. Below this energy, the mechanism involves a combination of short-range charge transfer and chemical reactions involving a transition state intermediate

Online mechanism design for electric vehicle charging

The rapid increase in the popularity of electric vehicles (EVs) and plug-in hybrid electric vehicles (PHEVs) is expected to place a considerable strain on the existing electricity grids, due to the high charging rates these vehicles require. In many places, the limited capacity of the local electricity distribution network will be exceeded if many such vehicles are plugged in and left to charge their batteries simultaneously. Thus, it will become increasingly important to schedule the charging of these vehicles, taking into account the vehicle owners’ preferences, and the local constraints on the network. In this paper, we address this setting using online mechanism design and develop a mechanism that incentivises agents (representing vehicle owners) to truthfully reveal their preferences, as well as when the vehicle is available for charging. Existing related online mechanisms assume that agent preferences can be described by a single parameter. However, this is not appropriate for our setting since agents are interested in acquiring multiple units of electricity and can have different preferences for these units, depending on factors such as their expected travel distance. To this end, we extend the state of the art in online mechanism design to multi-valued domains, where agents have non-increasing marginal valuations for each subsequent unit of electricity. Interestingly, we show that, in these domains, the mechanism occasionally requires leaving electricity unallocated to ensure truthfulness. We formally prove that the proposed mechanism is dominant-strategy incentive compatible, and furthermore, we empirically evaluate our mechanism using data from a real-world trial of electric vehicles in the UK. We show that our approach outperforms any fixed price mechanism in terms of allocation efficiency, while performing only slightly worse than a standard scheduling heuristic, which assumes non-strategic agents

The photoionization dynamics of the three structural isomers of dichloroethene

Using tunable vacuum-UV radiation from a synchrotron, the threshold photoelectron spectrum, threshold photoelectron photoion coincidence spectrum and ion breakdown diagram of the 1,1, cis-1,2 and trans-1,2 isomers of C$_2$H$_2$Cl$_2$ have been recorded in the range 9-23 eV. The energies of the peaks in the threshold photoelectron spectrum are in good agreement with outer-valence Greens function caculations. The major difference between the isomers, both predicted and observed experimentally is that the F and G states of C$_2$H$_2$Cl$_2^+$ are approximately degenerate for 1,1 and trans-1,2, but well separated for the cis-1,2 isomer. The ground and low-lying valence states of C$_2$H$_2$Cl$_2^+$ are bound, with higher-lying states dissociating to C$_2$H$_2$Cl$^+$ or C$_2$H$_2^+$. The translational kinetic energy release into C$_2$H$_2$Cl$^+$ + Cl is determined as a function of energy. Isolated-state behaviour for the low-lying electronic states of C$_2$H$_2$Cl$_2^+$ becomes more statistical as the energy increases

Elements of Mechanics

n/

Extinction by Miscalculation:

Species at Risk Act, Sakinaw sockeye, Cultus sockeye, fisheries management, extinction.

Heat stress in Africa under high intensity climate change.

Extreme weather events are major causes of loss of life and damage infrastructure worldwide. High temperatures cause heat stress on humans, livestock, crops and infrastructure. Heat stress exposure is projected to increase with ongoing climate change. Extremes of temperature are common in Africa and infrastructure is often incapable of providing adequate cooling. We show how easily accessible cooling technology, such as evaporative coolers, prevent heat stress in historic timescales but are unsuitable as a solution under climate change. As temperatures increase, powered cooling, such as air conditioning, is necessary to prevent overheating. This will, in turn, increase demand on already stretched infrastructure. We use high temporal resolution climate model data to estimate the demand for cooling according to two metrics, firstly the apparent temperature and secondly the discomfort index. For each grid cell we calculate the heat stress value and the amount of cooling required to turn a heat stress event into a non heat stress event. We show the increase in demand for cooling in Africa is non uniform and that equatorial countries are exposed to higher heat stress than higher latitude countries. We further show that evaporative coolers are less effective in tropical regions than in the extra tropics. Finally, we show that neither low nor high efficiency coolers are sufficient to return Africa to current levels of heat stress under climate change

Transitioning behaviourally infected HIV-positive young people into adult care: Experiences from the young person’s point of view

Background. There is limited literature on the transition of young people living with HIV/AIDS (YPLHIV) from adolescent/young adult HIV care to adult HIV care in sub-Saharan Africa.Objective. We aimed to share the experiences of HIV-seropositive young adults transitioning into adult care, to inform best practice for such transitioning.Methods. We conducted a retrospective evaluation of the transition of 30 young adults aged ≥25 years from our adolescent/young adult HIV clinic at the Infectious Diseases Institute, Makerere University, Kampala, Uganda, to adult HIV healthcare services between January 2010 and January 2012.Results. Six major themes emerged from the evaluation: (i) adjustment to adult healthcare providers, (ii) the adult clinic logistics, (iii) positive attributes of the adult clinic, (iv) transfer to other health centres, (v) perceived sense of stigma, and (vi) patient-proposed recommendations. A model for transitioning YPLHIV to adult care was proposed.Conclusion. There is a paucity of evidence to inform best practice for transitioning YPLHIV to adult care in resource-limited settings. Ensuring continuity in HIV care and treatment beyond young adult HIV programmes is essential, with provision of enhanced support beyond the transition clinic and youth-friendly approaches by adult-oriented care providers.S Afr J HIV Med 2013;14(1):20-23. DOI:10.7196/SAJHIVMED.88