Background and Aims The popularity of electronic cigarette devices is growing worldwide. The health impact of e-cigarette use, however, remains unclear. E-cigarettes are marketed as a safer alternative to cigarettes. The aim of this research was the characterization and quantification of toxic metal concentrations in five, nationally popular brands of cig-a-like e-cigarettes. Methods We analyzed the cartomizer liquid in 10 cartomizer refills for each of five brands by Inductively Coupled Plasma Mass Spectrometry (ICP-MS). Results All of the tested metals (cadmium, chromium, lead, manganese and nickel) were found in the e-liquids analyzed. Across all analyzed brands, mean (SD) concentrations ranged from 3.20 (0.454) to 1960 (1540) μg/L for lead, 53.9 (6.95) to 2110 (5220) μg/L for chromium and 115 (49.4) to 22600 (24400) μg/L for nickel. Manganese concentrations ranged from 28.7 (9.79) to 6919 (12200) μg/L. We found marked variability in nickel and chromium concentration within and between brands, which may come from nichrome heating elements. Conclusion Additional research is needed to evaluate whether e-cigarettes represent a relevant exposure pathway for toxic metals in users.

E-cigarette use is increasing in populations around the world. Recent evidence has shown that the aerosol produced by e-cigarettes can contain a variety of toxicants. Published studies characterizing toxicants in e-cigarette aerosol have relied on filters, impingers or sorbent tubes, which are methods that require diluting or extracting the sample in a solution during collection. We have developed a collection system that directly condenses e-cigarette aerosol samples for chemical and toxicological analyses. The collection system consists of several cut pipette tips connected with short pieces of tubing. The pipette tip-based collection system can be connected to a peristaltic pump, a vacuum pump, or directly to an e-cigarette user for the e-cigarette aerosol to flow through the system. The pipette tip-based system condenses the aerosol produced by the e-cigarette and collects a liquid sample that is ready for analysis without the need of intermediate extraction solutions. We tested a total of 20 e-cigarettes from 5 different brands commercially available in Maryland. The pipette tip-based collection system condensed between 0.23 and 0.53 mL of post-vaped e-liquid after 150 puffs. The proposed method is highly adaptable, can be used during field work and in experimental settings, and allows collecting aerosol samples from a wide variety of e-cigarette devices, yielding a condensate of the likely exact substance that is being delivered to the lungs.

Human voice pitch is highly sexually dimorphic and eminently quantifiable, making it an ideal phenotype for studying the influence of sexual selection. In both traditional and industrial populations, lower pitch in men predicts mating success, reproductive success, and social status and shapes social perceptions, especially those related to physical formidability. Due to practical and ethical constraints however, scant evidence tests the central question of whether male voice pitch and other acoustic measures indicate actual fighting ability in humans. To address this, we examined pitch, pitch variability, and formant position of 475 mixed martial arts (MMA) fighters from an elite fighting league, with each fighter’s acoustic measures assessed from multiple voice recordings extracted from audio or video interviews available online (YouTube, Google Video, podcasts), totaling 1312 voice recording samples. In four regression models each predicting a separate measure of fighting ability (win percentages, number of fights, Elo ratings, and retirement status), no acoustic measure significantly predicted fighting ability above and beyond covariates. However, after fight statistics, fight history, height, weight, and age were used to extract underlying dimensions of fighting ability via factor analysis, pitch and formant position negatively predicted “Fighting Experience” and “Size” factor scores in a multivariate regression model, explaining 3–8% of the variance. Our findings suggest that lower male pitch and formants may be valid cues of some components of fighting ability in men.

Research suggests that Black youth are less likely to use e-cigarettes than their white counterparts, yet little is known as to why. We examined perceptions of e-cigarettes among Black young adults (ages 18–25) to explore the meanings these youth ascribe to e-cigarettes and the role that identity plays in how these devices are viewed. Analysis of in-depth interviews with 36 Black smokers and non-smokers in the San Francisco Bay Area suggests that Black youth perceive e-cigarettes as serving distinct, yet overlapping roles: a utilitarian function, in that they are recognized as legitimate smoking cessation tools, and a social function, insofar as they serve to mark social identity, specifically a social identity from which our participants disassociated. Participants described e-cigarette users in highly racialized and classed terms and generally expressed disinterest in using e-cigarettes, due in part perhaps to the fact that use of these devices would signal alignment with a middle class, hipster identity. This analysis is discussed within a highly charged political and public health debate about the benefits and harms associated with e-cigarette use.

The spectrum of pulmonary disease caused by e-cigarette use is currently emerging and appears to be multifaceted [1]. We describe a patient who developed pathologically documented giant cell interstitial pneumonia following regular use of an e-cigarette. This disorder has been termed hard metal pneumoconiosis, or cobalt lung, due to its close association with exposure to hard metal (cemented tungsten carbide with cobalt) [2]. Analysis of the device's e-liquid revealed significant levels of cobalt, supporting a diagnosis of giant cell interstitial pneumonia associated with inhaled cobalt from regular e-cigarette use.A 49-year-old previously healthy Caucasian female presented with progressive shortness of breath on exertion. She had a non-productive cough and wheezing. She denied any other symptoms. She had recently been given a diagnosis of asthma following an adverse reaction to ketorolac injection for low back pain. At that time, she was told it could be related to her environment. Home medications included daily montelukast 10 mg tablet and albuterol inhaler p.r.n. She had recently worked as a dog trainer, but stopped due to dyspnoea. She had a remote history of smoking cigarettes in her teens and twenties. She had been using a marijuana e-cigarette (ZenPen personal vaporiser) for 6 months.Physical examination showed a well-nourished woman with blood pressure 147/88 mmHg, heart rate 73 bpm, respiratory rate 18 bpm, and oxygen saturation 96% on room air. During a walk test in clinic she desaturated to 87% on room air after 2 min, with a heart rate of 114 bpm and respiratory rate of 25 bpm. Auscultation of her lungs revealed inspiratory crackles at the bases bilaterally. Pulmonary function tests showed moderately severe restriction with a severe diffusion defect: forced vital capacity (FVC) 1.58 L (51% predicted), forced expiratory volume in 1 s (FEV 1 ) 1.28 L (50% predicted), FEV 1 /FVC 81%, total lung capacity (TLC) 2.67 L (56% predicted), diffusing capacity of the lung for carbon monoxide (D LCO ) 7.7 mL•min −1 •mmHg −1 (27% predicted) and transfer coefficient of the lung for carbon monoxide (K CO ) 4.17 mL•min −1 •mmHg −1 •L −1 (99% predicted). Computed tomography (CT) scan of the chest showed bilateral ground glass opacity and ill-defined nodules predominating in the centrilobular regions with sparing of the subpleural lung (figure 1a and b). There was no reticulation, traction bronchiectasis or honeycombing. She underwent a surgical lung biopsy for diagnosis.Standard haematoxylin and eosin-stained histological sections from the surgical lung biopsy were reviewed by light microscopy.The e-liquid from the ZenPen micro-vaporiser belonging to the patient was analysed using inductively coupled plasma mass spectrometry (ICP-MS) as described previously by HESS et al. [3]. Two aliquots from the same sample were analysed, and the mean metal concentration of the two replicates was calculated. The metals analysed were aluminium, chromium, manganese, cobalt, nickel, arsenic, molybdenum, tungsten, cadmium and lead.Glas...

Introduction Existing research on youth’s adoption of alternative nicotine delivery systems (ANDS) has focused on identifying pathways of nicotine product use, specifically examining whether vaping encourages progression to smoking. Few studies have considered other pathways of initiation. Qualitative studies suggest that meanings of vaping vary significantly, suggestive of the need for a more nuanced understanding of the role of vaping for youth with different pathways into vaping and smoking. Methods We conducted in-depth qualitative interviews with 49 Californian youth between 15 and 25 years old who reported ever vaping nicotine to gain a deeper understanding of their initiation pathways of vaping and smoking, paying special attention to youth’s experiences and reasons for ANDS initiation and use. Categorizing participants into initiation pathways by self-reported use and age of initiation of ANDS and cigarettes, we then compared the meaning and role of vaping across three distinct pathways of use: (1) smoking to vaping, (2) vaping to smoking, and (3) vaping only. Results The most common pathway reported was smoking to vaping (74%), eight participants began vaping before smoking, and five participants reported only vaping but never smoking. Analysis of participants’ narratives emphasized that youth in our study, regardless of initiation pathway, were generally aware of the health consequences of smoking and negotiated their use of nicotine products considering relative risks. Conclusion Findings from this study suggest that ANDS serve as a transitional tool for youth who are keenly aware of the health consequences of smoking, thus challenging conventional discourses about ANDS as a threat to youth’s health. Implications This qualitative study queries concerns about the potential of alternative nicotine delivery systems (ANDS) to serve as a gateway into cigarette smoking for youth and young adults. Findings suggest that most of the youth participants discussed and considered relative risks in their pathways of initiation, highlighting the need to acknowledge harm reduction in constructing public health messaging and policies for smoking cessation.

Simple, ellipsoidal geometries have long been the standard for estimating radiation dose rates in non-human biota (NHB). With the introduction of a regulatory protection standard that emphasizes protection of NHB as its own end point, there has been interest in improved models for the calculation of dose rates in NHB. Here, we describe the creation of a voxelized model for a rainbow trout (Oncorhynchus mykiss), a freshwater aquatic salmonid. Absorbed fractions (AFs) for both photon and electron sources were tabulated at electron energies of 0.1, 0.2, 0.4, 0.5, 0.7, 1.0, 1.5, 2.0, and 4.0 MeV and photon energies of 0.01, 0.015, 0.02, 0.03, 0.05, 0.1, 0.2, 0.5, 1.0, 1.5, 2.0, and 4.0 MeV. A representative set of the data is made available in this publication; the entire set of absorbed fractions is available as electronic supplementary materials. These results are consistent with previous voxelized models and reinforce the well-understood relationship between the AF and the target's mass and location, as well as the energy of the incident radiation.

The surveys' findings of high levels of state children's health care quality measurement and improvement activity and interest suggest that new federal CHIPRA provisions are coming at an opportune time. To achieve significant state participation in measuring and reporting on children's access to quality care, national programs need to be guided not only by national priorities but by state goals, capacity, and practice.