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24 janvier 2012

La newsletter de stop-tabac: les sujets clés de l?actualité mondiale sur le tabagisme

Sélection réalisée par Jean-François Etter

Le 24 janvier 2012

- Arrêter de fumer est rentable
- Poivre de Cayenne et appétit: mangez moins de calories
- Great Recession: How America turned poverty into a crime
- Chattez avec un médecin tabacologue

Arrêter de fumer est rentable

Encore une étude qui montre l'efficacité et la rentabilité des traitements de sevrage du Tabac. Elle a été conduite chez des patients atteints de BPCO. Les auteurs ont distingué 4 groupes selon qu'ils recevaient une thérapie normale, un conseil minimal, un suivi intensif et un suivi avec pharmacothérapie du sevrage.

Le taux d'abstinence continue (validé par CO expiré) à un an est de 1,4% pour la thérapie normale, 2,6% pour le conseil minimal, 6% pour le suivi intensif et 12,3% pour le suivi pharmaceutique.

Les auteurs ont modélisé la population adaptée à la BPCO et évalué les coûts à long terme, comparé à la thérapie normale, le coût par année de vie ajusté par sa qualité (QALY) projeté à 25 ans est de 16900 pour la thérapie normale, et tombe à 8200 (plus de la moitié) pour le suivi intensif et chute à 2400 pour le suivi intensif avec pharmacothérapie.

Sources: Lettre de Tabac & Liberté
Hoogendoorn M et al. : Long-term effectiveness and cost-effectiveness of smoking cessation interventions in patients with COPD. Thorax. 2010 Aug;65(8):711-8. (21 10 2011)
(24 01 2012)

Poivre de Cayenne et appétit: mangez moins de calories

Eating more foods like cayenne pepper and pureed vegetables can suppress appetite and lead to the consumption of fewer calories.

http://nyti.ms/lyNy1y (15 12 2011)
(24 01 2012)

Great Recession: How America turned poverty into a crime

This piece originally appeared on TomDispatch. It is excerpted from Barbara Ehrenreich's new afterward to the 10th anniversary edition of her bestselling book "Nickel and Dimed: On (Not) Getting By in America."

I completed the manuscript for "Nickel and Dimed" in a time of seemingly boundless prosperity. Technology innovators and venture capitalists were acquiring sudden fortunes, buying up McMansions like the ones I had cleaned in Maine and much larger. Even secretaries in some hi-tech firms were striking it rich with their stock options. There was loose talk about a permanent conquest of the business cycle, and a sassy new spirit infecting American capitalism. In San Francisco, a billboard for an e-trading firm proclaimed, "Make love not war," and then -- down at the bottom -- "Screw it, just make money."

When "Nickel and Dimed" was published in May 2001, cracks were appearing in the dot-com bubble and the stock market had begun to falter, but the book still evidently came as a surprise, even a revelation, to many. Again and again, in that first year or two after publication, people came up to me and opened with the words, "I never thought..." or "I hadn't realized..."

To my own amazement, "Nickel and Dimed" quickly ascended to the bestseller list and began winning awards. Criticisms, too, have accumulated over the years. But for the most part, the book has been far better received than I could have imagined it would be, with an impact extending well into the more comfortable classes. A Florida woman wrote to tell me that, before reading it, she'd always been annoyed at the poor for what she saw as their self-inflicted obesity. Now she understood that a healthy diet wasn't always an option. And if I had a quarter for every person who's told me he or she now tipped more generously, I would be able to start my own foundation.

Continue reading:

http://www.salon.com/news/great_recession/index.html?story=%2Fpolitics%2Fwar_room%2F2011%2F08%2F09%2Famerica_crime_poverty (10 08 2011)
(24 01 2012)

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