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Psychiatric comorbidity in adolescent electronic and conventional cigarette use 2016 Department of Preventive Medicine, University of Southern California, Keck School of Medicine, USA; Department of Psychology, University of Southern California, USA. Electronic address: adam.leventhal@usc.edu.; Department of Family Medicine and Public Hea
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Journal Article
Periodical, Full
Journal of psychiatric research
Periodical, Abbrev.
J.Psychiatr.Res.
Pub Date Free Form
Feb
Volume
73
Issue
Start Page
71
Other Pages
78
Notes
LR: 20160204; CI: Copyright (c) 2015; GR: R01 DA033296/DA/NIDA NIH HHS/United States; GR: R01-DA033296/DA/NIDA NIH HHS/United States; JID: 0376331; NIHMS745006; OID: NLM: NIHMS745006 [Available on 02/01/17]; OID: NLM: PMC4738156 [Available on 02/01/17]; O
Place of Publication
England
ISSN/ISBN
1879-1379; 0022-3956
Accession Number
PMID: 26688438
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1016/j.jpsychires.2015.11.008 [doi]
Output Language
Unknown(0)
PMID
26688438
Abstract
The popularity of electronic (e-) cigarettes has greatly increased recently, particularly in adolescents. However, the extent of psychiatric comorbidity with adolescent e-cigarette use and dual use of conventional (combustible) and e-cigarettes is unknown. This study characterized psychiatric comorbidity in adolescent conventional and e-cigarette use. Ninth grade students attending high schools in Los Angeles, CA (M age = 14) completed self-report measures of conventional/e-cigarette use, emotional disorders, substance use/problems, and transdiagnostic psychiatric phenotypes consistent with the NIMH-Research Domain Criteria Initiative. Outcomes were compared by lifetime use of: (1) neither conventional nor e-cigarettes (non-use; N = 2557, 77.3%); (2) e-cigarettes only (N = 412, 12.4%); (3) conventional cigarettes only (N = 152, 4.6%); and (4) conventional and e-cigarettes (dual use; N = 189, 5.6%). In comparison to adolescents who used conventional cigarettes only, e-cigarette only users reported lower levels of internalizing syndromes (depression, generalized anxiety, panic, social phobia, and obsessive-compulsive disorder) and transdiagnostic phenotypes (i.e., distress intolerance, anxiety sensitivity, rash action during negative affect). Depression, panic disorder, and anhedonia were higher in e-cigarette only vs. non-users. For several externalizing outcomes (mania, rash action during positive affect, alcohol drug use/abuse) and anhedonia, an ordered pattern was observed, whereby comorbidity was lowest in non-users, moderate in single product users (conventional or e-cigarette), and highest in dual users. These findings: (1) raise question of whether emotionally-healthier ('lower-risk') adolescents who are not interested in conventional cigarettes are being attracted to e-cigarettes; (2) indicate that research, intervention, and policy dedicated to adolescent tobacco-psychiatric comorbidity should distinguish conventional cigarette, e-cigarette, and dual use.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ltd
Data Source
Authors
Leventhal,A.M., Strong,D.R., Sussman,S., Kirkpatrick,M.G., Unger,J.B., Barrington-Trimis,J.L., Audrain-McGovern,J.
Original/Translated Title
URL
Date of Electronic
20151122
PMCID
PMC4738156
Editors
Exploring Demographic and Substance Use Correlates of Hookah Use in a Sample of Southern California Community College Students 2015 Loma Linda University School of Public Health.; Loma Linda University School of Public Health.; Loma Linda University School of Public Health.; Loma Linda University School of Public Health.; Loma Linda University School of Public Health.; Crafton Hills C
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Californian journal of health promotion
Periodical, Abbrev.
Calif.J.Health.Promot.
Pub Date Free Form
Volume
13
Issue
1
Start Page
26
Other Pages
37
Notes
LR: 20151223; GR: P20 MD001632/MD/NIMHD NIH HHS/United States; JID: 101193278; NIHMS742933; OTO: NOTNLM; ppublish
Place of Publication
ISSN/ISBN
1545-8725; 1545-8717
Accession Number
PMID: 26688673
Language
ENG
SubFile
JOURNAL ARTICLE
DOI
Output Language
Unknown(0)
PMID
26688673
Abstract
BACKGROUND AND PURPOSE: Hookah smoking is a growing young adult phenomenon, particularly among college students. Many users feel that it is safer than other tobacco products, although its health threats are well documented. Little is known about hookah use rates in community colleges that are attended by nearly half of all US college students. This study examined hookah use in a diverse convenience sample of students attending two southern California community colleges. METHODS: In fall 2011, a cross-sectional, in-classroom survey was administered to 1,207 students. A series of fully adjusted multivariate logistic regressions were conducted to explore demographic, other substance use, and attitudinal correlates of lifetime and current hookah use. RESULTS: Lifetime hookah use (56%) was higher than lifetime cigarette use (49%). Gender and personal socioeconomic status were not related to hookah use. Current use (10.8%) was associated with current use of alcohol, cigars, and cigarettes. Compared to African-Americans, Whites were 2.9 times more likely to be current users, and students who perceive hookah to be more socially acceptable were 21 times more likely to currently use. CONCLUSION: Since hookah use rates are high, colleges should offer health education programs to inform incoming students about the health risks of hookah and cessation programs.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Montgomery,S.B., De Borba-Silva,M., Singh,P., Dos Santos,H., Job,J.S., Brink,T.L.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC4682902
Editors
Pharmacological interventions for promoting smoking cessation during pregnancy 2015 Division of Primary Care, University of Nottingham, D1411, Medical School, Queen's Medical Centre, Nottingham, UK, NG7 2UH.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Cochrane database of systematic reviews
Periodical, Abbrev.
Cochrane Database Syst.Rev.
Pub Date Free Form
22-Dec
Volume
(12):CD010078. doi
Issue
12
Start Page
CD010078
Other Pages
Notes
LR: 20160602; GR: Department of Health/United Kingdom; JID: 100909747; 0 (Nicotinic Agonists); 01ZG3TPX31 (Bupropion); W6HS99O8ZO (Varenicline); epublish
Place of Publication
England
ISSN/ISBN
1469-493X; 1361-6137
Accession Number
PMID: 26690977
Language
eng
SubFile
Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review; IM
DOI
10.1002/14651858.CD010078.pub2 [doi]
Output Language
Unknown(0)
PMID
26690977
Abstract
BACKGROUND: Smoking in pregnancy is a public health problem. When used by non-pregnant smokers, pharmacotherapies (nicotine replacement therapy (NRT), bupropion and varenicline) are effective for smoking cessation, however, their efficacy and safety in pregnancy remains unknown. Electronic Nicotine Delivery Systems (ENDS), or e-cigarettes, are becoming widely used but their efficacy and safety when used for smoking cessation in pregnancy are also unknown. OBJECTIVES: To determine the efficacy and safety of smoking cessation pharmacotherapies (including NRT, varenicline and bupropion), other medications, or ENDS when used for smoking cessation in pregnancy. SEARCH METHODS: We searched the Pregnancy and Childbirth Group's Trials Register (11 July 2015), checked references of retrieved studies, and contacted authors. SELECTION CRITERIA: Randomised controlled trials (RCTs) conducted in pregnant women with designs that permit the independent effects of any type of pharmacotherapy or ENDS on smoking cessation to be ascertained were eligible for inclusion.The following RCT designs are included.Placebo-RCTs: any form of NRT, other pharmacotherapy, or ENDS, with or without behavioural support/cognitive behaviour therapy (CBT), or brief advice, compared with an identical placebo and behavioural support of similar intensity.RCTs providing a comparison between i) any form of NRT, other pharmacotherapy, or ENDS added to behavioural support/CBT, or brief advice and ii) behavioural support of similar (ideally identical) intensity.Parallel- or cluster-randomised trials were eligible for inclusion. Quasi-randomised, cross-over and within-participant designs were not, due to the potential biases associated with these designs. DATA COLLECTION AND ANALYSIS: Two review authors independently assessed trials for inclusion and risk of bias and also independently extracted data and cross checked individual outcomes of this process to ensure accuracy. The primary efficacy outcome was smoking cessation in later pregnancy (in all but one trial, at or around delivery); safety was assessed by 11 outcomes (principally birth outcomes) that indicated neonatal and infant well-being; and we also collated data on adherence with trial treatments. MAIN RESULTS: This review includes a total of nine trials which enrolled 2210 pregnant smokers: eight trials of NRT and one trial of bupropion as adjuncts to behavioural support/CBT. The risk of bias was generally low across trials with virtually all domains of the 'Risk of bias' assessment tool being satisfied for the majority of studies. We found no trials investigating varenicline or ENDS. Compared to placebo and non-placebo controls, there was a difference in smoking rates observed in later pregnancy favouring use of NRT (risk ratio (RR) 1.41, 95% confidence interval (CI) 1.03 to 1.93, eight studies, 2199 women). However, subgroup analysis of placebo-RCTs provided a lower RR in favour of NRT (RR 1.28, 95% CI 0.99 to 1.66, five studies, 1926 women), whereas within the two non-placebo RCTs there was a strong positive effect of NRT, (RR 8.51, 95% CI 2.05 to 35.28, three studies, 273 women; P value for random-effects subgroup interaction test = 0.01). There were no differences between NRT and control groups in rates of miscarriage, stillbirth, premature birth, birthweight, low birthweight, admissions to neonatal intensive care, caesarean section, congenital abnormalities or neonatal death. Compared to placebo group infants, at two years of age, infants born to women who had been randomised to NRT had higher rates of 'survival without developmental impairment' (one trial). Generally, adherence with trial NRT regimens was low. Non-serious side effects observed with NRT included headache, nausea and local reactions (e.g. skin irritation from patches or foul taste from gum), but these data could not be pooled. AUTHORS' CONCLUSIONS: NRT used in pregnancy for smoking cessation increases smoking cessation rates measured in late
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Coleman,T., Chamberlain,C., Davey,M.A., Cooper,S.E., Leonardi-Bee,J.
Original/Translated Title
URL
Date of Electronic
20151222
PMCID
Editors
Bacaba beverage produced by Umutina Brazilian Amerindians: Microbiological and chemical characterization 2015 Departamento de Ciencia de Alimentos, Universidade Federal de Lavras, Lavras, MG, Brazil.; Departamento de Biologia, Universidade Federal de Lavras, Lavras, MG, Brazil.; Departamento de Biologia, Universidade Federal de Lavras, Lavras, MG, Brazil.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]
Periodical, Abbrev.
Braz J.Microbiol.
Pub Date Free Form
Oct-Dec
Volume
46
Issue
4
Start Page
1207
Other Pages
1216
Notes
LR: 20160115; JID: 101095924; OID: NLM: PMC4704630; 2014/11/21 [received]; 2015/03/30 [accepted]; 2015/10/27 [aheadofprint]; ppublish
Place of Publication
Brazil
ISSN/ISBN
1678-4405; 1517-8382
Accession Number
PMID: 26691483
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1590/S1517-838246420140964 [doi]
Output Language
Unknown(0)
PMID
26691483
Abstract
Bacaba chicha is a beverage prepared by the indigenous Umutina people from the bacaba fruit (Oenocarpus bacaba), a purple berry that is rich in fat and carbohydrates, as well as a source of phenolic compounds. In this study, samples of bacaba chicha beverage were collected, and the microbial community was assessed using culture-dependent and -independent techniques. The nutritional composition and metabolite profiles were analyzed, and species belonging to lactic acid bacteria (LAB) and yeasts were detected. The LAB group detected by culture-dependent analysis included Enterococcus hormaechei and Leuconostoc lactis. Polymerase chain reaction and denaturing gradient gel electrophoresis (PCR-DGGE) detected additional Propionibacterium avidum, Acetobacter spp., and uncultured bacteria. Pichia caribbica and Pichia guilliermondii were detected in a culture-dependent method, and Pichia caribbica was confirmed by PCR-DGGE analysis. The pH value of the beverage was 6.2. The nutritional composition was as follows: 16.47 +/- 0.73 g 100 mL-1 dry matter, 2.2 +/- 0.0 g 100 mL-1 fat, 3.36 +/- 0.44 g 100 mL-1 protein, and 10.87 +/- 0.26 g 100 mL-1 carbohydrate. The metabolites detected were 2.69 g L-1 succinic acid, 0.9 g L-1 acetic acid, 0.49 g L-1 citric acid, 0.52 g L-1 ethanol, and 0.4 g L-1 glycerol. This is the first study to identify microbial diversity in bacaba chicha spontaneous fermentation. This study is also the starting step in the immaterial record of this Brazilian indigenous beverage prepared from bacaba fruit.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Puerari,C., Magalhaes-Guedes,K.T., Schwan,R.F.
Original/Translated Title
URL
Date of Electronic
20151027
PMCID
PMC4704630
Editors
A qualitative assessment of the perceived risks of electronic cigarette and hookah use in pregnancy 2015 Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA. maike.sachs@bcm.edu.; Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Baylor C
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
21-Dec
Volume
15
Issue
Start Page
1273
Other Pages
015-2586-4
Notes
LR: 20151224; GR: P30ES023512/ES/NIEHS NIH HHS/United States; JID: 100968562; OID: NLM: PMC4687310; 2015/06/04 [received]; 2015/12/08 [accepted]; 2015/12/21 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 26692352
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1186/s12889-015-2586-4 [doi]
Output Language
Unknown(0)
PMID
26692352
Abstract
BACKGROUND: Studies reveal that electronic cigarette (e-cigarette) and hookah use are increasing among adolescents and young adults. However, the long-term health effects are unknown, especially with regards to pregnancy. Because of the increased use in women of reproductive age, and the unknown long-term health risks, our primary objectives were to determine the perceived risks of e-cigarette and hookah use in pregnancy, and learn common colloquial terms associated with e-cigarettes. Furthermore, we sought to determine if there is a stigma associated with e-cigarette use in pregnancy. METHODS: Eleven focus groups including 87 participants were conducted immediately following regularly scheduled CenteringPregnancy(R) prenatal care with women at three different clinics in the greater Houston area. A minimum of two facilitators led the groups, using ten lead-in prompts, with Spanish translation as necessary. Facilitators took notes which were compared immediately following each group discussion and each group was audio recorded and transcribed. Three facilitators utilized NVivo 9.0 software to organize the transcribed data into nodes to identify major themes. To increase rigor, transcripts were further analyzed by two obstetricians who were instructed to find the major themes. RESULTS: Analyses revealed contradicting themes concerning e-cigarette use. In general, e-cigarettes were perceived as safer alternatives to regular tobacco cigarettes, especially if used as smoking cessation devices. A major theme is that use in pregnancy is harmful to the fetus. However, it was perceived that use for smoking cessation in pregnancy may have fewer side effects. We found that a common term for e-cigarettes is "Blu." In our discussion of hookah use, participants perceived use as popular among teenagers and that use in pregnancy is dangerous for the fetus. CONCLUSIONS: Although a strong theme emerged against hookah use, we found contradicting themes in our discussions on e-cigarette use in pregnancy. It is possible that e-cigarette use will not carry the same stigma as regular cigarette smoking in pregnancy. In addition, the impression of e-cigarettes as a healthier alternative to smoking may influence use in pregnancy. Clinicians need to be prepared for questions of e-cigarette safety and efficacy as smoking cessation devices from their pregnant patients who smoke, and women who smoke and are planning to become pregnant.
Descriptors
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Book Title
Database
Publisher
Data Source
Authors
Kahr,M.K., Padgett,S., Shope,C.D., Griffin,E.N., Xie,S.S., Gonzalez,P.J., Levison,J., Mastrobattista,J., Abramovici,A.R., Northrup,T.F., Stotts,A.L., Aagaard,K.M., Suter,M.A.
Original/Translated Title
URL
Date of Electronic
20151221
PMCID
PMC4687310
Editors
Electronic Cigarette Trial and Use among Young Adults: Reasons for Trial and Cessation of Vaping 2015 Center for Survey Research, University of Massachusetts Boston, Boston, MA 02125, USA. lois.biener@umb.edu.; Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157, USA. esong@wak
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of environmental research and public health
Periodical, Abbrev.
Int.J.Environ.Res.Public.Health.
Pub Date Free Form
17-Dec
Volume
12
Issue
12
Start Page
16019
Other Pages
16026
Notes
LR: 20160107; GR: R01CA141643-04S2/CA/NCI NIH HHS/United States; JID: 101238455; 6M3C89ZY6R (Nicotine); OID: NLM: PMC4690975; OTO: NOTNLM; 2015/10/02 [received]; 2015/11/30 [revised]; 2015/12/10 [accepted]; epublish
Place of Publication
Switzerland
ISSN/ISBN
1660-4601; 1660-4601
Accession Number
PMID: 26694438
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.3390/ijerph121215039 [doi]
Output Language
Unknown(0)
PMID
26694438
Abstract
This paper identifies predictors of trial and current use, and reasons for trying and ceasing use of electronic cigarettes (e-cigarettes) among young adults, with particular attention to former and never smokers. Data are from a mail survey of a population-based sample of adults aged 18 to 35 (N = 4740) in three U.S. metropolitan areas. Survey items assessed trial and use of e-cigarettes, cigarette smoking status, and reasons for trial and for ceasing use of e-cigarettes. Almost 23% reported trial of e-cigarettes, and 8.4% reported using them in the past month. Current smokers were much more likely to have tried e-cigarettes (70.2%) than both former (32.3%) and never smokers (7.6%; p
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Biener,L., Song,E., Sutfin,E.L., Spangler,J., Wolfson,M.
Original/Translated Title
URL
Date of Electronic
20151217
PMCID
PMC4690975
Editors
Effectiveness of Interventions to Reduce Tobacco Smoke Pollution in Homes: A Systematic Review and Meta-Analysis 2015 School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, P.O.B. 39040, Ramat Aviv 69978, Israel. rosenl@post.tau.ac.il.; School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, P.O.B. 39040, Ramat Aviv 69978, Israel. v
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
International journal of environmental research and public health
Periodical, Abbrev.
Int.J.Environ.Res.Public.Health.
Pub Date Free Form
18-Dec
Volume
12
Issue
12
Start Page
16043
Other Pages
16059
Notes
LR: 20160107; JID: 101238455; 0 (Particulate Matter); 0 (Tobacco Smoke Pollution); 6M3C89ZY6R (Nicotine); OID: NLM: PMC4690974; OTO: NOTNLM; 2015/10/18 [received]; 2015/12/03 [revised]; 2015/12/09 [accepted]; epublish
Place of Publication
Switzerland
ISSN/ISBN
1660-4601; 1660-4601
Accession Number
PMID: 26694440
Language
eng
SubFile
Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review; IM
DOI
10.3390/ijerph121215038 [doi]
Output Language
Unknown(0)
PMID
26694440
Abstract
INTRODUCTION: Smoke-free homes can help protect children from tobacco smoke exposure (TSE). The objective of this study was to conduct a meta-analysis to quantify effects of interventions on changes in tobacco smoke pollution in the home, as measured by air nicotine and particulate matter (PM). METHODS: We searched MEDLINE, PubMed, Web of Science, PsycINFO, and Embase. We included controlled trials of interventions which aimed to help parents protect children from tobacco smoke exposure. Two reviewers identified relevant studies, and three reviewers extracted data. RESULTS: Seven studies were identified. Interventions improved tobacco smoke air pollution in homes as assessed by nicotine or PM. (6 studies, N = 681, p = 0.02). Analyses of air nicotine and PM separately also showed some benefit (Air nicotine: 4 studies, N = 421, p = 0.08; PM: 3 studies, N = 340, p = 0.02). Despite improvements, tobacco smoke pollution was present in homes in all studies at follow-up. CONCLUSIONS: Interventions designed to protect children from tobacco smoke are effective in reducing tobacco smoke pollution (as assessed by air nicotine or PM) in homes, but contamination remains. The persistence of significant pollution levels in homes after individual level intervention may signal the need for other population and regulatory measures to help reduce and eliminate childhood tobacco smoke exposure.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Rosen,L.J., Myers,V., Winickoff,J.P., Kott,J.
Original/Translated Title
URL
Date of Electronic
20151218
PMCID
PMC4690974
Editors
Knowledge About the Waterpipe (Hookah), a Qualitative Assessment Among Community Workers in a Major Urban Center in Canada 2016 Department of Anesthesiology and Pain Medicine, University of Alberta, 2-150 Clinical Sciences Building, Edmonton, AB, T6G2G3, Canada. hammal@ualberta.ca.; School of Public Health, University of Alberta, Edmonton, AB, Canada.; Department of Anesthesiology
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of community health
Periodical, Abbrev.
J.Community Health
Pub Date Free Form
Aug
Volume
41
Issue
4
Start Page
689
Other Pages
696
Notes
JID: 7600747; OTO: NOTNLM; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1573-3610; 0094-5145
Accession Number
PMID: 26704909
Language
eng
SubFile
Journal Article; IM
DOI
10.1007/s10900-015-0143-9 [doi]
Output Language
Unknown(0)
PMID
26704909
Abstract
Waterpipe (WP) use has surged in popularity since the introduction of flavoured shisha. It is now an increasingly popular form of smoking among youth in North America. Health professionals/educators knowledge about the WP may well be inadequate. This study, using qualitative methods, sought to explore the knowledge and attitude of leaders in the community toward the WP. Family physicians, pharmacists, tobacco counsellors, social workers and educators were invited to participate in a one-one interview using open-ended questions. A total of 27 interviews were conducted. Individuals from Eastern Mediterranean backgrounds raised doubt about the overemphasised cultural significance of the WP and perceived this as a marketing strategy by industry. Most felt that WP smokers believed the WP to be less harmful than cigarettes and that the use of flavoured tobacco was motivating people to smoke. Participants believed that education should be directed at the general public and healthcare professionals, suggesting school programs and the use of social media to inform young smokers. Most thought that the current practices regarding packaging and second hand smoke exposure are confusing. They identified the lack of knowledge, poor enforcement procedures, "so called cultural aspects" and the economic impact of banning the WP on small businesses as barriers to change. Despite the awareness of an increase in WP use, our participants recognized that little has been done to curb this problem. Our findings emphasize the need for further education and better legislation to regulate WP use and availability.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Hammal,F., Wild,T.C., Finegan,B.A.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Preventive malaria treatment for contacts of patients with Ebola virus disease in the context of the west Africa 2014-15 Ebola virus disease response: an economic analysis 2016 National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA; Modeling Unit, Emergency Operations Center, 2014 Ebola Response, Centers for Disease Control and Prevention, Atlanta, GA, USA; IHR
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Lancet.Infectious diseases
Periodical, Abbrev.
Lancet Infect.Dis.
Pub Date Free Form
Apr
Volume
16
Issue
4
Start Page
449
Other Pages
458
Notes
CI: Copyright (c) 2016; JID: 101130150; 0 (Antimalarials); CIN: Lancet Infect Dis. 2016 Apr;16(4):391-2. PMID: 26706715; 2015/08/07 [received]; 2015/10/24 [revised]; 2015/11/05 [accepted]; 2015/12/17 [aheadofprint]; ppublish
Place of Publication
United States
ISSN/ISBN
1474-4457; 1473-3099
Accession Number
PMID: 26706716
Language
eng
SubFile
Journal Article; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.1016/S1473-3099(15)00465-X [doi]
Output Language
Unknown(0)
PMID
26706716
Abstract
BACKGROUND: After the detection of an Ebola virus disease outbreak in west Africa in 2014, one of the elements of the response was to contact trace and isolate patients in specialised Ebola treatment units (ETUs) at onset of fever. We aimed to assess the economic feasibility of administering preventive malaria treatment to all contacts of patients with Ebola virus disease, to prevent the onset of febrile malaria and subsequent admission to ETUs. METHODS: We used a decision tree model to analyse the costs of preventive malaria treatment (artemisinin-based combination treatment [ACT]) for all contacts of patients with Ebola virus disease (in terms of administration and averted ETU-stay costs) and benefits (in terms of averted ETU admissions) in west Africa, from a health-care provider perspective. The period of analyses was 1 year, which is roughly similar to the duration of the 2014-15 west Africa Ebola outbreak response. We calculated the intervention's cost per ETU admission averted (average cost-effectiveness ratio) by season (wet and dry), country (Liberia, Sierra Leone, and Guinea), and age of contact (/=15 years). We did sensitivity analyses to assess how results varied with malaria parasite prevalence (in children aged 2-10 years), daily cost of ETU stay (for Liberian malaria incidence levels), and compliance and effectiveness of preventive malaria treatment. FINDINGS: Administration of ACTs to contacts of patients with Ebola virus disease was cost saving for contacts of all ages in Liberia, Sierra Leone, and Guinea, in both seasons, from a health-care provider perspective. In the wet season, preventive malaria treatment was estimated to reduce the probability of a contact being admitted to an ETU by a maximum of 36% (in Guinea, for contacts aged /=15 years). Assuming 85% compliance and taking into account the African population pyramid, the intervention is expected to be cost saving in contacts of all age groups in areas with malaria parasite prevalence in children aged 2-10 years as low as 10%. In Liberia during the wet season, malaria preventive treatment was cost saving even when average daily bed-stay costs were as low as US$5 for children younger than 5 years, $9 for those aged 5-14 years, and $22 for those aged 15 years or older. INTERPRETATION: Administration of preventive malaria treatment to contacts of patients with Ebola virus disease should be considered by public health officials when addressing Ebola virus disease outbreaks in countries and seasons where malaria reaches high levels of transmission. FUNDING: Centers for Disease Control and Prevention.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ltd
Data Source
Authors
Carias,C., Greening,B.,Jr, Campbell,C.G., Meltzer,M.I., Hamel,M.J.
Original/Translated Title
URL
Date of Electronic
20151217
PMCID
Editors
Regional differences on patterns of physical activity and leisure sedentary time: findings from the China Kadoorie Biobank study, including a million people from 10 regions 2015 Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China.; Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing 100191, China.; Chinese Academy of Medical
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi
Periodical, Abbrev.
Zhonghua Liu Xing Bing Xue Za Zhi
Pub Date Free Form
Aug
Volume
36
Issue
8
Start Page
779
Other Pages
785
Notes
LR: 20160322; GR: MC_U137686851/Medical Research Council/United Kingdom; JID: 8208604; ppublish
Place of Publication
China
ISSN/ISBN
0254-6450; 0254-6450
Accession Number
PMID: 26714526
Language
chi
SubFile
English Abstract; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
26714526
Abstract
OBJECTIVE: To describe the gender and regional differences in patterns of physical activity and sedentary behavior across 10 study areas through data from the China Kadoorie Biobank (CKB) that involving half a million adults. METHODS: The baseline survey of CKB took place in 5 urban and 5 rural areas across China during 2004-2008. After excluding those who had a prior history of heart disease, stroke and/or cancer, 486 514 participants (age: 30-79 y) were included in the analyses. MET-h/d was calculated for each one of the participant, based on the type, duration and intensity of self-reported physical activity, along with time spent on sedentary activity. These data were compared, after standardization for age between sex and study areas. RESULTS: The mean total physical activity was 22.9 MET-h/d among men, 20.6 MET-h/d among women, and the mean sedentary leisure time appeared 3.1 h/d in men and 2.9 h/d in women. In men, the total physical activity ranged from 13.3 MET-h/d in Haikou to 31.3 MET-h/d in Zhejiang, while in women it ranged from 14.7 MET-h/d to 30.2 MET-h/d across the 10 areas. For sedentary leisure time, it ranged from 2.0 h/d in Zhejiang to 3.8 h/d in Sichuan in men and 1.6 h/d to 3.7 h/d in women. In both men and women, occupational physical activities (77.6% and 59.8% respectively) accounted for most of the daily activities, while leisure time physical activities accounted for the least (3.1% in both men and women). Among men, the proportion of occupational physical activity ranged from 86.5% in Zhejiang to 69.4% in Haikou (69.4%), while in women it ranged from 74.8% in Zhejiang to 40.9% in Henan. Gansu (men 17.8%, women 18.1%) reported the highest proportion of transportation physical activities. Among women, areas reporting the highest proportion of physical activity at home would include Henan (54.0%) and Hunan (39.1%), whereas adults in Zhejiang (20.0%) reported the lowest proportion. Among men, Hunan (18.0%) reported the highest proportion of physical activity at home. Compared with rural areas, male and female participants from urban areas tended to have more leisure time for physical activity and less vigorous-intensity physical activity. CONCLUSION: The patterns of physical activity and sedentary behavior including the levels of physical activity, domains and intensity of physical activities. Sedentary leisure time appeared all various greatly across different regions in China.
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Fan,M., Lyu,J., Guo,Y., Bian,Z., Yu,C., Du,H., Zhou,H., Tan,Y., Chen,J., Chen,Z., Li,L.
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