Cost-effectiveness of self-help smokeless tobacco cessation programs.

This study assessed the cost-effectiveness of two low-intensity programs for quitting smokeless tobacco, based on results of a randomized trial with 1,069 volunteer participants. Cost data were collected for two levels of intervention: manual only (a self-help manual) and assisted self-help (the manual plus a videotape and two supportive phone calls from tobacco cessation counselors). Incremental cost-effectiveness ratios were calculated for assisted self-help vs. quitting on one's own, using the manual-only quit rate and data from another study as alternative proxies for no intervention. A threshold analysis was conducted to determine the spontaneous quit rate at which the manual-only intervention becomes more cost-effective than assisted self-help. The cost to provide and receive the assisted self-help intervention averaged US $56 per participant vs. $20 for the manual-only intervention (societal perspective, Year 2000 dollars). Estimates for incremental cost per quit for the assisted self-help intervention ranged from $922 to $1,758, depending on the proxy used for no intervention. The manual-only intervention was more cost-effective than assisted self-help if quitting among motivated chewers who do not receive treatment does not exceed 3.4%. Support from a wife or partner added little cost to a quit attempt for male chewers ($3-$4). Providing a manual, video, and brief phone counseling to smokeless tobacco users who want to quit is a reasonable use of health care resources. The self-help quitting guide also may be a cost-effective treatment, but it remains to be demonstrated whether it is more effective than quitting on one's own.     

New chemical structural features of coal. The structure of coal products

The object of this paper is to demonstrate the usefulness of the transalkylation reaction for determining chemical structural features of products derived from coal. For example, the method is applied to derivatized coals, coals modified by thermolysis, and materials physically or chemically separated from coals. Data are presented for the pyridine soluble and insoluble parts of two coals, an O-methylated coal, a Birch reduced coal, a solvent refined coal, and a coke. Similarities and differences in chemical make-up of these materials are discussed.     

Self-help cessation programs for smokeless tobacco users: long-term follow-up of a randomized trial.

This paper presents long-term outcomes of the largest clinical trial of smokeless tobacco (SLT) cessation reported to date. SLT users in five northwestern states were recruited to call a toll-free number, and 1,069 users were randomized to one of two self-help conditions: either a manual-only condition or an assisted self-help condition, which included the manual, a targeted video, and two support phone calls. Significant between-group differences were not found for either the 12- or 18-month point-prevalence measure of abstinence from either SLT only or all tobacco products using outcomes based on either the responder or intention-to-treat outcomes. However, using a repeated point-prevalence measure across all three assessment points, we found that significantly more assisted self-help participants reported abstinence, compared with manual-only participants. Compared with manual-only participants, those in the assisted self-help condition were significantly more likely to use recommended cessation techniques. Results demonstrate that low-cost, minimal interventions delivered by mail and phone can help a sizable proportion of individuals quit using SLT.     

Assessment of the value of rivers for Otters (Lutra lutra)

The British otter Lutra lutra L. requires good water quality, an adequate supply of fish and certain types of vegetation or cavities (holts) adjacent to water bodies for resting and breeding sites. In the U.K. otters and their holts are legally protected. Trained surveyors are needed to confirm the presence of otters on a river as the animals are rarely seen, but their tracks and droppings (spraints) may be detected. To evaluate a river for otters, information is required on water quality, fish species and biomass, as well as available habitat. Pioneer evaluation work based on the River Corridor Survey techniques has been done on Welsh rivers with good otter populations. Riparian vegetation, especially trees, is shown to be particularly important. This work is now being extended to areas on the margins of otter distribution such as the lower river Wye in England and Wales. Such surveys provide important management information for water authorities and give opportunities for enhancement work to benefit this animal.     

SP预应力空心板在居住建筑中的应用和发展

分析现浇板和传统预制板的特点和弱点，提出发展SP板和SP叠合板是住宅实现大开间、灵活隔断的有效途径之一，也是建筑施工实现现代化的重要内容之一。     

Piston-driven laminar flow and heat transfer in a plane channel with a sudden expansion

 This paper presents a numerical study of piston-driven heat transfer and fluid flow in a plane channel containing a sudden expansion. The numerical method employed is based on a control-volume-based finite element method for incompressible flow with a staggered and moving grid and SIMPLER algorithm for pressure-velocity coupling. The numerical results show a good agreement with the experimental data reported in the literature. Results concerning time and space evolution of the thermal and flow fields are presented for different values of the expansion ratio, the initial clearance volume, and the piston velocity. Received: 20 April 2002 / Accepted: 23 January 2003     

市内通信电缆绝缘电阻特殊要求的实现和措施

本文对市内通信电缆的各生产过程进行分析、研究和控制 ,从而提出了解决绝缘电阻特殊要求的方法 ,以及改进的措施。