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Comprehensive Evidence (comprehensive + evidence)
Selected AbstractsReflections on 30 + years of smoking cessation research: from the individual to the worldDRUG AND ALCOHOL REVIEW, Issue 1 2006HARRY A. LANDO PhD Abstract This is a personal retrospective in which I describe my career as a smoking cessation researcher and place cessation into an overall perspective of tobacco reduction. I spent approximately the first 15 years focusing primarily upon small group approaches to cessation emphasising relatively intensive behavioural interventions. It became apparent, however, that these types of approaches in isolation, even if broadly disseminated, would have relatively minimal impact on overall tobacco use. In part because I became discouraged with the potential of group programmes to reduce overall smoking prevalence, I began to focus more on population-based studies, especially in the context of ,teachable moments' including pregnancy, hospitalisation, forced abstinence in the military and existing smoking-related disease. I became concerned especially with the fact that there has been relatively little work with hard-core medically compromised smokers. It also became apparent that promoting cessation would be most likely to be effective with a comprehensive evidence-based tobacco reduction strategy including school and community-based prevention programmes, enforcement of ordinances restricting minors' access to tobacco, restrictions on tobacco advertising and promotion, counter advertising and strong smoke-free policies. In recent years I have become very concerned about the overall global tobacco epidemic and the projections of dramatically increasing tobacco morbidity and mortality in developing countries. I am now devoting my primary career emphasis to global tobacco reduction initiatives, including cessation research in India and Indonesia, cessation as part of broader tobacco reduction strategies and networking to increase resources and emphasis devoted to global tobacco reduction. [source] A survey of tobacco dependence treatment guidelines in 31 countriesADDICTION, Issue 7 2009Martin Raw ABSTRACT Aims The Framework Convention on Tobacco Control (FCTC) asks countries to develop and disseminate comprehensive evidence-based guidelines and promote adequate treatment for tobacco dependence, yet to date no summary of the content of existing guidelines exists. This paper describes the national tobacco dependence treatment guidelines of 31 countries. Design, setting, participants A questionnaire on tobacco dependence treatment guidelines was sent by e-mail to a convenience sample of contacts working in tobacco control in 31 countries in 2007. Completed questionnaires were received from respondents in all 31 countries. During the course of these enquiries we also made contact with people in 14 countries that did not have treatment guidelines and sent them a short questionnaire asking about their plans to produce guidelines. Measurements The survey instrument was a 17-item questionnaire asking the following key questions: do the guidelines recommend brief interventions, intensive behavioural support, medications; which medications; do the guidelines apply to the whole health-care system and all professionals; do they refer explicitly to the Cochrane database; are they based on another country's guidelines; are they national or more local; are they endorsed formally by government; did they undergo peer review; who funded them; where were they published; do they include evidence on cost effectiveness of treatment? Findings According to respondents, all their countries' guidelines recommended brief advice, intensive behavioural support and nicotine replacement therapy (NRT); 84% recommended bupropion; 19% recommended varenicline; and 35% recommended telephone quitlines. Nearly half (48%) included cost-effectiveness evidence. Seventy-one per cent were supported formally by their government and 65% were supported financially by the government. Most (84%) used the Cochrane reviews as a source of evidence, 84% underwent a peer review process and 55% were based on the guidelines of other countries, most often the United States and England. Conclusion Overall, the guidelines reviewed followed the evidence base closely, recommending brief interventions, intensive behavioural support and NRT, and most recommended bupropion. Varenicline was not on the market in most of the countries in this survey when their guidelines were written, illustrating the need for guidelines to be updated periodically. None recommended interventions not proven to be effective, and some recommended explicitly against specific interventions (for lack of evidence). Most were peer-reviewed, many through lengthy and rigorous procedures, and most were endorsed or supported formally by their governments. Some countries that did not have guidelines expressed a need for technical support, emphasizing the need for countries to share experience, something the FCTC process is well placed to support. [source] Reviewing the definition of "elderly"GERIATRICS & GERONTOLOGY INTERNATIONAL, Issue 3 2006Hajime Orimo Conventionally, "elderly" has been defined as a chronological age of 65 years old or older, while those from 65 through 74 years old are referred to as "early elderly" and those over 75 years old as "late elderly." However, the evidence on which this definition is based is unknown. We have attempted to review the definition of elderly by analyzing data from long-term longitudinal epidemiological studies, and clinical and pathological studies that have been accumulated at the Tokyo Metropolitan Geriatric Hospital and the Tokyo Metropolitan Institute of Gerontology. Our recommendation might be a starting point in developing a strategy for a successful society by reviewing the definition of elderly based on comprehensive evidence in all aspects of social, cultural and medical sciences. [source] Meta-analysis of transmitter effects on avian behaviour and ecologyMETHODS IN ECOLOGY AND EVOLUTION, Issue 2 2010Douglas G. Barron Summary 1. Researchers often attach transmitters and other devices to free-living birds without a clear understanding of potential deleterious consequences to their study organisms, and thus to their data. Studies investigating this topic have generally been limited to a single species or type of device. 2. To achieve a broader understanding we used a meta-analysis of 84 studies to ask: (1) Do devices have an overall effect on birds? (2) Which aspects of avian behaviour and ecology are affected? (3) What attributes of birds influence transmitter effects? (4) What attributes of devices influence their effects? (5) Are effects partially a consequence of capture and restraint? 3. We found a significant negative effect of devices on birds, both overall and for 8 of the 12 specific aspects analysed. The most substantial effects were that birds with devices had markedly increased energy expenditure and were much less likely to nest. 4. Effects were independent of attributes of the birds (sex, age, primary method of locomotion and body mass). We also found no evidence that proportionally heavier devices had greater effects, although researchers generally avoided using heavy devices. Breast-mounted and harness attachments increased device-induced behaviours such as preening, however, and the risk of device-induced mortality differed between attachment methods. 5. Other than foraging behaviours, no effects were a consequence of capture or restraint. 6.Synthesis and applications. We provide the first comprehensive evidence that transmitters and other devices negatively affect birds and may bias resulting data. Researchers should balance the benefits of using these techniques against potential costs to the birds and reliability of the data obtained. [source] Brief communication: The London atlas of human tooth development and eruptionAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 3 2010S.J. AlQahtani Abstract The aim of this study was to develop a comprehensive evidence-based atlas to estimate age using both tooth development and alveolar eruption for human individuals between 28 weeks in utero and 23 years. This was a cross-sectional, retrospective study of archived material with the sample aged 2 years and older having a uniform age and sex distribution. Developing teeth from 72 prenatal and 104 postnatal skeletal remains of known age-at-death were examined from collections held at the Royal College of Surgeons of England and the Natural History Museum, London, UK (M 91, F 72, unknown sex 13). Data were also collected from dental radiographs of living individuals (M 264, F 264). Median stage for tooth development and eruption for all age categories was used to construct the atlas. Tooth development was determined according to Moorrees et al. (J Dent Res 42 (1963a) 490,502; Am J Phys Anthropol 21 (1963b) 205,213) and eruption was assessed relative to the alveolar bone level. Intraexaminer reproducibility calculated using Kappa on 150 teeth was 0.90 for 15 skeletal remains of age <2 years, and 0.81 from 605 teeth (50 radiographs). Age categories were monthly in the last trimester, 2 weeks perinatally, 3-month intervals during the first year, and at every year thereafter. Results show that tooth formation is least variable in infancy and most variable after the age of 16 years for the development of the third molar. Am J Phys Anthropol, 2010. © 2010 Wiley-Liss, Inc. [source] Enhancement of Carrier Mobilities of Organic Semiconductors on Sol,Gel Dielectrics: Investigations of Molecular Organization and Interfacial Chemistry EffectsADVANCED FUNCTIONAL MATERIALS, Issue 3 2009Tommy Cahyadi Abstract The dielectric-semiconductor interfacial interactions critically influence the morphology and molecular ordering of the organic semiconductor molecules, and hence have a profound influence on mobility, threshold voltage, and other vital device characteristics of organic field-effect transistors. In this study, p-channel small molecule/polymer (evaporated pentacene and spin-coated poly(3,3,;-didodecylquarterthiophene) , PQT) and n-channel fullerene derivative ({6}-1-(3-(2-thienylethoxycarbonyl)-propyl)-{5}-1-phenyl-[5,6]-C61 , TEPP-C61) show a significant enhancement in device mobilities ranging from ,6 to ,45 times higher for all classes of semiconductors deposited on sol,gel silica gate-dielectric than on pristine/octyltrichlorosilane (OTS)-treated thermally grown silica. Atomic force microscopy, synchrotron X-ray diffraction, photoluminescence/absorption, and Raman spectroscopy studies provide comprehensive evidences that sol,gel silica dielectrics-induced enhancement in both p- and n-channel organic semiconductors is attributable to better molecular ordering/packing, and hence reduced charge trapping centers due to lesser structural defects at the dielectric-semiconductor interface. [source] | |||||||||||||