Introduction: The distribution of nicotine among its free-base (fb) and protonated forms in aerosolised nicotine affects inhalability. It has been manipulated in tobacco smoke and now in electronic cigarettes by the use of acids to de-freebase nicotine and form 'nicotine salts'.
Methods: Measurements on electronic cigarette fluids (e-liquids) were carried out to determine (1) the fraction of nicotine in the free-base form () and (2) the levels of organic acid(s) and nicotine. Samples included JUUL 'pods', 'look-a-like/knock-off' pods and some bottled 'nicotine salt' and 'non-salt' e-liquids.
Results: = 0.12 ±0.01 at 40°C (≈ 37°C) for 10 JUUL products, which contain benzoic acid; nicotine protonation is extensive but incomplete.
Discussion: First-generation e-liquids have ≈ 1. At cigarette-like total nicotine concentration (Nic) values of ~60 mg/mL, e-liquid aerosol droplets with ≈ 1 are harsh upon inhalation. The design evolution for e-liquids has paralleled that for smoked tobacco, giving a 'déjà vu' trajectory for . For 17th-century 'air-cured' tobacco, in the smoke particles was likely ≥ 0.5. The product Nic in the smoke particles was high. 'Flue-curing' retains higher levels of leaf sugars, which are precursors for organic acids in tobacco smoke, resulting in ≈ 0.02 and lowered harshness. Some tobacco cigarette formulations/designs have been adjusted to restore some nicotine sensory 'kick/impact' with ≈ 0.1, as for Marlboro. Overall, for tobacco smoke, the de-freebasing trajectory was ≥ 0.5 → ~0 →~0.1, as compared with = ~1 →~0.1 for e-cigarettes. For JUUL, the result has been, perhaps, an optimised, flavoured nicotine delivery system. The design evolution for e-cigarettes has made them more effective as substitutes to get smokers off combustibles. However, this evolution has likely made e-cigarette products vastly more addictive for never-smokers.
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http://dx.doi.org/10.1136/tobaccocontrol-2019-055275 | DOI Listing |
Front Public Health
January 2025
HEOA Group, School of Public Health, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Purpose: This study explored the effect of four different smoking statuses (non-smokers, moderate smokers, heavy smokers, and former smokers) on health-related quality of life (HRQOL) among residents aged 15 years and older in Sichuan Province, China with consideration of potential differences among age groups (young, middle-aged, and older adults).
Methods: The EQ-5D-5L utility index and EQ-VAS score were used to measure HRQOL. Self-reporting and salivary cotinine test were used to determine the smoking status of respondents, and the Tobit regression model was used to explore the relationship between smoking status and HRQOL.
Front Public Health
January 2025
Faculty of Nursing, Department of Medical Nursing, Aydin Adnan Menderes University, Aydin, Türkiye.
Background: Non-communicable diseases (NCDs) are a major global concern. This study aimed to examine the prevalence and co-occurrence of lifestyle risk factors among university students.
Methods: This analytical, cross-sectional study was conducted between January and April 2022.
PEC Innov
June 2025
Kansas Infant Death and SIDS (KIDS) Network, 300 W Douglas Ave # 145, Wichita, KS 67202, USA.
Objectives: Safe Sleep Community Baby Showers (CBS) provide group education to reduce risk factors of sudden unexpected infant death (SUID). Based on CBS success, Safe Sleep Crib Clinics were developed to provide individual education. This study assessed Crib Clinic outcomes and differences in Crib Clinics compared to CBSs.
View Article and Find Full Text PDFDepress Anxiety
January 2025
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Background: Individuals with mental health disorders face major barriers in accessing smoking cessation care, often due to the stigmas associated with mental disorders and addiction. Consequently, accessible population-based smoking cessation interventions are needed for this vulnerable group.
Objective: This secondary analysis utilized data from a 12-month randomized trial to examine whether an acceptance and commitment therapy-based app (iCanQuit) demonstrated greater efficacy, engagement, and satisfaction compared to a United States (US) Clinical Practice Guidelines-based app (QuitGuide) in helping adults with mental health disorders quit smoking.
Mediators Inflamm
January 2025
Department of Blood Transfusion, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Tobacco smoke is known to contain numerous harmful chemicals, and epidemiological evidence has firmly established smoking as a potent risk factor for hypertension and myocardial infarction (MI). However, the precise mechanisms by which smoking contributes to cardiovascular disease are not fully understood. The aim of this study is to identify common molecular signatures in blood that link smoking to acute MI (AMI).
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