The effect of workplace smoking bans on heart rate variability and pulse wave velocity of non-smoking hospitality workers

OBJECTIVES: To investigate the effect of a change in second-hand smoke (SHS) exposure on heart rate variability (HRV) and pulse wave velocity (PWV), this study utilized a quasi-experimental setting when a smoking ban was introduced. METHODS: HRV, a quantitative marker of autonomic activity of the nervous system, and PWV, a marker of arterial stiffness, were measured in 55 non-smoking hospitality workers before and 3-12 months after a smoking ban and compared to a control group that did not experience an exposure change. SHS exposure was determined with a nicotine-specific badge and expressed as inhaled cigarette equivalents per day (CE/d). RESULTS: PWV and HRV parameters significantly changed in a dose-dependent manner in the intervention group as compared to the control group. A one CE/d decrease was associated with a 2.3 % (95 % CI 0.2-4.4; p = 0.031) higher root mean square of successive differences (RMSSD), a 5.7 % (95 % CI 0.9-10.2; p = 0.02) higher high-frequency component and a 0.72 % (95 % CI 0.40-1.05; p < 0.001) lower PWV. CONCLUSIONS: PWV and HRV significantly improved after introducing smoke-free workplaces indicating a decreased cardiovascular risk.

Tabagisme passif et santé respiratoire de l'adulte: une menace bien réelle [ETS and respiratory health in adults: a real threat]

Hazards due to active smoking are known for a long time. On the other hand, the importance of the harmful effects of passive smoking are less recognized, having been shown initially mainly in the pediatric population. However, the importance of significant increased risks on various respiratory pathologies of the adult are well known today, in a Swiss society where the number of active smokers remains high, leading to a high prevalence of passive smoking exposure On the basis of recent publications and updates of various organizations, we propose a review of the history, noxious mechanisms and effects on various respiratory pathologies of the exposure to passive smoke in adults.

Tobacco and cannabis smoking cessation can lead to intoxication with clozapine or olanzapine

Plasma levels of clozapine and olanzapine are lower in smokers than in nonsmokers, which is mainly due to induction of cytochrome P4501A2 (CYP1A2) by some smoke constituents. Smoking cessation in patients treated with antipsychotic drugs that are CYP1A2 substrates may result in increased plasma levels of the drug and, consequently, in adverse drug effects. Two cases of patients who smoked tobacco and cannabis are reported. The first patient, who was receiving clozapine treatment, developed confusion after tobacco and cannabis smoking cessation, which was related to increased clozapine plasma levels. The second patient, who was receiving olanzapine treatment, showed important extrapyramidal motor symptoms after reducing his tobacco consumption. The clinical implication of these observations is that smoking patients treated with CYP1A2 substrate antipsychotics should regularly be monitored with regard to their smoking consumption in order to adjust doses in cases of a reduction or increase in smoking.

Who is afraid of the big bad ban? An evaluation of the effects of the Spanish clean air law on expenditure at hospitality venues

Background:In January 2011 Spain modified clean air legislation in force since 2006, removing all existing exceptions applicable to hospitality venues. Although this legal reform was backed by all political parties with parliamentary representation, the government's initiative was contested by the tobacco industry and its allies in the hospitality industry. One of the most voiced arguments against the reform was its potentially disruptive effect on the revenue of hospitality venues. This paper evaluates the impact of this reform on household expenditure at restaurants and bars and cafeterias. Methods and empirical strategy:We use micro-data from the Encuesta de Presupuestos Familiares (EPF) for years 2006 to 2012 to estimate "two part" models where the probability of observing a positive expenditure and, for those who spend, the expected level of expenditure are functions of an array of explanatory variables. We apply a before-after analysis with a wide range of controls for confounding factors and a flexible modeling of time effects.Results:In line with the majority of studies that analyze the effects of smoking bans using objective data, our results suggest that the reform did not cause reductions in households' expenditures on restaurant services or on bars and cafeteria services.

Cannabis and tobacco co-consumptions: can cannabis consumers quit cigarette smoking?

Purpose: To assess the relation between cannabis and tobacco consumption among adolescents in Switzerland and whether cannabis and tobacco co-users can quit cigarette smoking. Methods: Based on individual interviews and focus groups, 22 youths aged 15-20 discussed cannabis consumption behaviours. Twenty (14 males) were cannabis consumers - of which 18 also smoked tobacco and 2 quit tobacco smoking - and 2 were former cannabis consumers (both females and daily smokers). Data were transcribed verbatim and analyzed using Atlas.ti qualitative analysis software. Results: Among the co-consumers, 9 started with tobacco, 7 with cannabis, and 2 with both. The main consumption mode among all cannabis consumers is joints, while other ways of consuming such as food preparations and water pipes are rare and experimental. Joints always mix cannabis with tobacco for 3 reasons: to burn correctly, pure cannabis is too strong, and smoking cannabis alone is too expensive. Two cannabis consumers - one former tobacco smoker and one occasional tobacco smoker - consider rolling tobacco less addictive than cigarette tobacco alone, and hence use it in their joints. Overall cannabis is considered 'natural' and less harmful to health than tobacco. Thus, many users describe their wish, in the longer term, to quit tobacco consumption without excluding occasional cannabis consumption. Nonetheless, all coconsumers declare that they smoke cigarettes as a substitute for cannabis: For example, "If I don't have a joint, I need fags; if I don't have fags, I need joints; and if I don't have anything, I go crazy!" or "About 20 minutes after smoking a joint we feel like smoking something again, because in the joint there is pure tobacco without a filter as in cigarettes, and that creates a crazy dependency!". Finally, all co-consumers state that the consumption of one of the substances increases when trying to diminish the other: "A few months ago I stopped smoking joints for a month. Well I was smoking more than a pack [of cigarettes] a day." Similarly, the 2 former cannabis consumers increased their cigarette use since quitting cannabis. Conclusions: The majority of cannabis users co-consume tobacco as a way of compensating for one substance or the other. Using tobacco within joints implies that there is a risk that even occasional joints can revive nicotine addiction. Consequently, health professionals wishing to help adolescents in substance use cessation and prevention efforts should consider both substances in a global perspective. Sources of Support: Dept. of Public Health of the canton of Vaud.

Radiological impact of phosphogypsum surface application in a no-till system in Southern Brazil

The objective of this work was to determine the impact of phosphogypsum application on 226Ra and 228Ra activities in the soil and on their accumulation in soybean grains. A field experiment was carried out in Paraná state, Brazil, on a loamy Typic Hapludox, under no-till system, with increasing phosphogypsum rates: 4, 8, and 12 Mg ha-1. GammA ray spectrometry was carried out using HPGe detectors with 45 and 10% relative efficiencies, for soybean grains and soil, respectively. No increment of 226Ra and 228Ra activities was observed due to the increase in phosphogypsum rates in the soil, and a small reduction was noticed in the grains. Average values found for 226Ra and 228Ra activities were 37 and 57 Bq kg-1 in the soil and 1.44 and 3.19 Bq kg-1 in soybean grains. The application of phosphogypsum for no-till soybean production is a safe practice regarding the risks of radiation damage to human health

Adding tobacco to cannabis: its frequency and likely implications.

INTRODUCTION: Young cannabis users are at increased risk of later cigarette initiation and progression to nicotine addiction. The present study addresses the frequency at which mulling (adding tobacco to cannabis smoked as joints) is performed and in which way this practice varies according to cigarette smoking status. METHODS: Data were issued from the Swiss 2007 European School Survey Project on Alcohol and other Drugs (ESPAD). A total of 881 past month cannabis users (mean age 15 years, boys 60.1%) were inquired on mulling using an anonymous self-administered questionnaire. Participants were further grouped according to their cigarette smoking status (daily, occasional, former, and never-smokers). RESULTS: Four of every 5 cannabis users depicted mulling as frequently performed. The highest occurrence was found among daily cigarette smokers (DSC; 90.3%), while former cigarette smokers reported the lowest (58.9%). The multinomial logistic regression showed DSC more likely reporting mulling as frequent compared with never-smokers (risk ratio = 3.56 [95% CI 1.55-8.21]). Conclusions: Mulling appears to be a very common process among young cannabis users, especially among concomitant cigarette smokers. Nevertheless, the majority of cigarette abstainers also reported frequently adding tobacco to the cannabis they smoke. Because it may represent a significant exposition to nicotine, mulling should be taken into account when assessing substance use among adolescents and in supporting their quitting attempts.

Division of Tobacco Use prevention and Control 2014-2018 Strategic Plan,

The Division of Tobacco Use Prevention and Control works to reduce tobacco use and the toll of tobacco-caused disease and death by preventing youth from starting, helping Iowans to quit, and preventing exposure to secondhand smoke. Tobacco is the leading preventable cause of death for Iowans, taking the lives of more than 4,400 adults each year. Estimated annual health care costs in Iowa directly related to tobacco use now total $1 billion.

Effect of a Noise Wall on Snow Accumulation and Air Quality, 1985

A noise wall was investigated to assess its effect on snow accumulation and air quality. Wind tunnel studies were undertaken to evaluate (a) possible snow accumulations and (b) the dispersion of particulate concentrations (dust, smoke, and lead particles) and carbon monoxide. Full-scale monitoring of particulate concentrations and carbon monoxide was performed both before and after the noise wall was constructed. The wind tunnel experiments for snow accumulation were conducted on a model wall located in a flat, unobstructed area. A separated flow zone existed upwind of the wall and snow immediately began to accumulate over most of the separated zone. Having the noise wall in an aerodynamically rough area, such as in an urban area as this one was, substantially decreased the amount of snow collected, compared with in the wind tunnel studies, because of turbulence reducing the separation zone. The snow accumulation has not been significantly greater with the noise wall in place than it was before construction and has proven to be of no concern to date. Monitoring for particulate concentrations has shown that the noise wall has had a beneficial effect because the amount of material collected was reduced. With the noise wall in place, monitoring for carbon monoxide has indicated that (a) for equivalent emissions under conditions of high atmospheric stability and low wind speeds, the carbon monoxide levels would be lower; and (b) under conditions of low atmospheric stability and high wind speeds, the carbon monoxide levels would be higher than expected without the wall in place.

¿Una imagen o mil palabras? La competencia comunicativa lingüística audiovisual encuadrada a través del cine

El documento de trabajo contiene descripción y documentación de cómo trabajar películas en el aula de lengua y literatura en la etapa de educación primaria y secundaria. El cine es la maquinaria más formidable de desplegar emociones y conectarnos con el mundo, con las personas, con la vida. Desde que nació la “pantalla fascinadora” a finales del siglo XIX, el cine ha ido evolucionando y transformándose adoptando distintas formas. Pero a pesar de ello, su fuerza comunicativa y motivadora sigue siendo fascinante, desbordante, mágica.Cada vez son más son compartidas las grandes contribuciones pedagógicas del uso del cine en clase para promover conocimientos interdisciplinarios, contextualizar contenidos de enseñanza, favorecer la identificación sujeto-objeto, recuperar el carácter documental que el cine posee desde sus inicios, ahondar en el enfoque comunicativo que proporciona para el aprendizaje de lenguas extranjeras, el acercamiento a la literatura, establecer y reconocer relaciones intertextuales con otros textos y para educar en el goce artístico-lúdico. A todas estas contribuciones pedagógicas tenemos que añadir que en la pantalla conviven varios lenguajes: el verbal, el no verbal y el audiovisual, fundamentales para el desarrollo del intelecto humano. La multimodalidad es inherente al lenguaje cinematográfico, y tenemos que saber leer e interpretar los mensajes en distintos códigos. Desde Cinescola defendemos la necesidad de desarrollar la alfabetización múltiple (Unión Europea, 2012), que tanto engloba las competencias de lectura como de escritura para la comprensión, utilización y evaluación crítica de diferentes formas de información y textos. En esta línea, presentaremos propuestas didácticas experimentadas para educación primaria y secundaria que fomentan la comprensión tanto del lenguaje verbal como el audiovisual. Sustentadas en el proceso de recepción lectora y sus distintas fases, se apoyan en dos estrategias clave para la fase de comprensión e interpretación: la estrategia de comparación de textos breves (cinematográfico, literario, narrativo, ilustrado, etc.) y la estrategia de traducción de textos (por ejemplo, explicar con imágenes un fragmento escrito, narrar de forma oral o escrita una secuencia fílmica, etc.). Con ello, contribuimos de forma clara al desarrollo de la competencia comunicativa lingüística y la audiovisual a partir del cine. En nuestra pantalla proyectaremos secuencias de las películas Smoke (Wang, 1995); Akeelah and the Bee (Doug Atchinson, 2006); El pequeño vampiro (Edel, 2000); Mis tardes con Margueritte (Becker, 2010); junto con la novela El cine de Claudia (Breu, 2014) para aprender cine a través de una novela.

¿ Una imagen o mil palabras? La competencia comunicativa lingüística audiovisual encuadrada a través del cine

El documento de trabajo contiene descripción y documentación de cómo trabajar películas en el aula de lengua y literatura en la etapa de educación primaria y secundaria. El cine es la maquinaria más formidable de desplegar emociones y conectarnos con el mundo, con las personas, con la vida. Desde que nació la “pantalla fascinadora” a finales del siglo XIX, el cine ha ido evolucionando y transformándose adoptando distintas formas. Pero a pesar de ello, su fuerza comunicativa y motivadora sigue siendo fascinante, desbordante, mágica.Cada vez son más son compartidas las grandes contribuciones pedagógicas del uso del cine en clase para promover conocimientos interdisciplinarios, contextualizar contenidos de enseñanza, favorecer la identificación sujeto-objeto, recuperar el carácter documental que el cine posee desde sus inicios, ahondar en el enfoque comunicativo que proporciona para el aprendizaje de lenguas extranjeras, el acercamiento a la literatura, establecer y reconocer relaciones intertextuales con otros textos y para educar en el goce artístico-lúdico. A todas estas contribuciones pedagógicas tenemos que añadir que en la pantalla conviven varios lenguajes: el verbal, el no verbal y el audiovisual, fundamentales para el desarrollo del intelecto humano. La multimodalidad es inherente al lenguaje cinematográfico, y tenemos que saber leer e interpretar los mensajes en distintos códigos. Desde Cinescola defendemos la necesidad de desarrollar la alfabetización múltiple (Unión Europea, 2012), que tanto engloba las competencias de lectura como de escritura para la comprensión, utilización y evaluación crítica de diferentes formas de información y textos. En esta línea, presentaremos propuestas didácticas experimentadas para educación primaria y secundaria que fomentan la comprensión tanto del lenguaje verbal como el audiovisual. Sustentadas en el proceso de recepción lectora y sus distintas fases, se apoyan en dos estrategias clave para la fase de comprensión e interpretación: la estrategia de comparación de textos breves (cinematográfico, literario, narrativo, ilustrado, etc.) y la estrategia de traducción de textos (por ejemplo, explicar con imágenes un fragmento escrito, narrar de forma oral o escrita una secuencia fílmica, etc.). Con ello, contribuimos de forma clara al desarrollo de la competencia comunicativa lingüística y la audiovisual a partir del cine. En nuestra pantalla proyectaremos secuencias de las películas Smoke (Wang, 1995); Akeelah and the Bee (Doug Atchinson, 2006); El pequeño vampiro (Edel, 2000); Mis tardes con Margueritte (Becker, 2010); junto con la novela El cine de Claudia (Breu, 2014) para aprender cine a través de una novela.

Occupational and patient exposure as well as image quality for full spine examinations with the EOS imaging system.

PURPOSE: EOS (EOS imaging S.A, Paris, France) is an x-ray imaging system that uses slot-scanning technology in order to optimize the trade-off between image quality and dose. The goal of this study was to characterize the EOS system in terms of occupational exposure, organ doses to patients as well as image quality for full spine examinations. METHODS: Occupational exposure was determined by measuring the ambient dose equivalents in the radiological room during a standard full spine examination. The patient dosimetry was performed using anthropomorphic phantoms representing an adolescent and a five-year-old child. The organ doses were measured with thermoluminescent detectors and then used to calculate effective doses. Patient exposure with EOS was then compared to dose levels reported for conventional radiological systems. Image quality was assessed in terms of spatial resolution and different noise contributions to evaluate the detector's performances of the system. The spatial-frequency signal transfer efficiency of the imaging system was quantified by the detective quantum efficiency (DQE). RESULTS: The use of a protective apron when the medical staff or parents have to stand near to the cubicle in the radiological room is recommended. The estimated effective dose to patients undergoing a full spine examination with the EOS system was 290μSv for an adult and 200 μSv for a child. MTF and NPS are nonisotropic, with higher values in the scanning direction; they are in addition energy-dependent, but scanning speed independent. The system was shown to be quantum-limited, with a maximum DQE of 13%. The relevance of the DQE for slot-scanning system has been addressed. CONCLUSIONS: As a summary, the estimated effective dose was 290μSv for an adult; the image quality remains comparable to conventional systems.

Predictors for hospitalization and outpatient visits in patients with inflammatory bowel disease: results from the Swiss Inflammatory Bowel Disease Cohort Study.

OBJECTIVES: Patients with inflammatory bowel disease (IBD) have a high resource consumption, with considerable costs for the healthcare system. In a system with sparse resources, treatment is influenced not only by clinical judgement but also by resource consumption. We aimed to determine the resource consumption of IBD patients and to identify its significant predictors. MATERIALS AND METHODS: Data from the prospective Swiss Inflammatory Bowel Disease Cohort Study were analysed for the resource consumption endpoints hospitalization and outpatient consultations at enrolment [1187 patients; 41.1% ulcerative colitis (UC), 58.9% Crohn's disease (CD)] and at 1-year follow-up (794 patients). Predictors of interest were chosen through an expert panel and a review of the relevant literature. Logistic regressions were used for binary endpoints, and negative binomial regressions and zero-inflated Poisson regressions were used for count data. RESULTS: For CD, fistula, use of biologics and disease activity were significant predictors for hospitalization days (all P-values <0.001); age, sex, steroid therapy and biologics were significant predictors for the number of outpatient visits (P=0.0368, 0.023, 0.0002, 0.0003, respectively). For UC, biologics, C-reactive protein, smoke quitters, age and sex were significantly predictive for hospitalization days (P=0.0167, 0.0003, 0.0003, 0.0076 and 0.0175 respectively); disease activity and immunosuppressive therapy predicted the number of outpatient visits (P=0.0009 and 0.0017, respectively). The results of multivariate regressions are shown in detail. CONCLUSION: Several highly significant clinical predictors for resource consumption in IBD were identified that might be considered in medical decision-making. In terms of resource consumption and its predictors, CD and UC show a different behaviour.

Pyroelectric conversion: harvesting energy from temperature fluctuations

Peer reviewed

Embedded Monitoring Server

This study investigates, designs, and implements an inexpensive application that allows local and remote monitoring of a home. The application consists of an array of sensors for monitoring different conditions in a home environment and also for accessing the devices that might be connected to the system. Only a few sensors are initially involved in this study and information about the temperature level, forced entry detection, smoke and water leakage detection can be obtained at any time from any location with an Internet connection. The application software (coded in C language) runs on an embedded system which is basically a wireless Linksys router running on a GNU/Linux based firmware for embedded systems. Interaction between the sensors and the application software is achieved through an implemented sensor interfacing circuit. The communication with the sensor interfacing unit is done through the serial port, and accessibility of the connected sensors is achieved through a telnet client. The sensors can be accessed from local and remote locations with the sensors giving reliable information. The resulting application shows that it is possible to use the router for other applications other than what it is intended for.