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Viewing: Blog Posts Tagged with: e-cigarettes, Most Recent at Top [Help]
Results 1 - 5 of 5
1. E-cigarettes may lead to youth tobacco use

This past summer, the Atlanta suburb of Roswell, Georgia, banned use of e-cigarettes and vapor pens in public parks. Officials enacted the restriction not because of rampant use of the devices in the city but, as mayor Jere Wood said, to “get ahead of the curve. Smokeless device use is soaring. To fulfill demand, vapor shops are popping up all over.

The post E-cigarettes may lead to youth tobacco use appeared first on OUPblog.

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2. Vaping and the data on e-cigarettes

Oxford Dictionaries has selected vape as Word of the Year 2014, so we asked several experts to comment on the growth of electronic cigarettes and the vaping phenomenon.

Vaping is the term for using an electronic cigarette (e-cigarette). Since e-cigarettes involve inhaling vapour rather than smoke, it is distinct from smoking. The vapour looks a somewhat like cigarette smoke but dissipates much more quickly and has very little odour since it mostly consist of water droplets.

E-cigarettes started to become popular around 2010 and it is estimated they are currently being used by more than 2 million people in the United Kingdom and more than 5 million in the United States. Their sale is banned in many countries, including Australia and Canada, although surveys show that use in these is widespread since they can easily be obtained via the Internet.

E-cigarettes are devices in which a battery-powered heating element vaporises an ‘e-liquid’ usually containing propylene glycol or glycerol, nicotine, and flavourings. They are designed to provide much of the experience of smoking but with much lower risk, less annoyance to bystanders, and usually much more cheaply. Because they do not involve burning of tobacco, the concentrations of toxins in the vapour are typically a tiny fraction of those in cigarette smoke. The precise risk from using them is not known, but based on the vapour constituents it would be expected to be between 1% and 5% that of smoking.

Data on e-cigarette use are not available for most countries. By far the most complete data come from England where the ‘Smoking Toolkit Study’ (STS) collects data on usage from nationally representative samples of adults every month enabling this to be tracked closely over time. This study was established to track ‘key performance indicators’ relating to smoking and smoking cessation and has been going since 2007. Action on Smoking and Health also conduct large national surveys of adults and young people each year. Large scale surveys are also being conducted in the United States and some other countries. The data show that most people use e-cigarettes in an effort to protect their health either by stopping smoking altogether or cutting down. Despite misleading claims by some anti- e-cigarette advocates, use by never-smokers and long-term ex-smokers is extremely rare in the UK and US at present, and in England its prevalence in never-smokers and long-term ex-smokers is similar to the use of ‘licensed nicotine products’ (LNPs) such as nicotine patches, gum, or lozenges.

E-cigarettes come in many different forms. In England, the most commonly used ones at present are known as ‘cigalikes’ because they look something like a cigarette and often have a tip that glows when the user takes a puff. Becoming more popular are devices that involve a refillable ‘tank’. There are also more sophisticated ‘mod’ systems which are highly customised. These are often the choice of aficionados.

Most e-cigarette users probably obtain less nicotine from these devices than people typically do from cigarettes, but experienced vapers using tank systems or mods can obtain at least as much nicotine from their devices as do smokers.

When used in a quit attempt, on average e-cigarettes seem to improve the chances of successful quitting by about 50%, similar to licensed nicotine products when used as directed. The main difference appears to be that these devices are much more popular, and they seem to be effective when people use them without any support from a health professional. Currently the evidence still indicates that use of the drug varenicline or a licensed nicotine product with specialist behavioural support provides the best chance of quitting for those smokers who are willing to use this support and where such support is available.

Electronic Cigarettes by George Hodan via PublicDomainPictures.net.
Electronic Cigarettes by George Hodan via PublicDomainPictures.net.

When used for cutting down, daily (but not non-daily) use of e-cigarettes seems to be associated with a modest reduction in cigarette consumption on average. Use of licensed nicotine products for cutting down has been found to be associated with an increased likelihood of later smoking cessation. This has not yet been demonstrated for e-cigarettes, although smokers who use e-cigarettes daily do try to quit smoking more often than those who are not ‘dual users’.

Despite claims from some anti- e-cigarette advocates, in England and the United States, e-cigarettes are currently not acting as a ‘gateway’ to smoking in adolescents or ‘renormalising’ smoking. Youth and adult smoking have continued to decline steadily as e-cigarette use has grown and in England adult smoking cessation rates are somewhat higher than they were before e-cigarettes started to become popular. E-cigarette use in indoor public areas has not led to any increase in smoking in these areas in the UK and compliance with smoke-free legislation remains extremely high.

Some e-cigarette advertising seeks to glamorise vaping and in some countries appears to blur the boundaries between smoking and vaping. This has led to concern that it might make vaping attractive to non-smokers and countries such as the UK have regulated to prevent this.

There is some controversy over vaping. A number of high-profile public health advocates have engaged in what appears to be a propaganda campaign against them, creating an impression in the public consciousness that they are more dangerous than they are and that they are undermining tobacco control efforts when the evidence does not support this. It is reasonable to be concerned about what may happen in the future with tobacco companies dominating the e-cigarette market and being incentivised to maximise tobacco sales, but much of the anti- e-cigarette propaganda appears to be motivated more by a puritanical ethic than a dispassionate assessment of the evidence. Maximising the public heath opportunity presented by e-cigarettes, while minimising the potential threat, requires collecting good data, using this information to construct an appropriate regulatory strategy, and monitoring the situation closely to adjust the strategy as required. England appears to be leading the way in this approach designed to encourage smokers to use e-cigarettes to stop smoking, while not undermining use of potentially more effective quitting methods, and preventing e-cigarettes becoming a gateway into smoking. The Smoking Toolkit Study, the ASH surveys, and other research will continue to provide essential information needed to inform this strategy.

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3. How did we get from snuff to vaping?

Vaping is having an interesting cultural moment. Use of the word is increasing rapidly, as the Oxford Dictionaries editors note, although many people are still unfamiliar with it. (In a totally scientific survey of ten 40-year-old parents on the playground of my son’s school, none had heard the word before. In my husband’s university department, some of the graduate students used the word, but the consensus among the faculty was that to vape meant to live life as a Visiting Assistant Professor.) This increased use comes as people attempt to define boundaries for the activity, to figure out where it is socially acceptable, and where it is not. Is vaping like smoking, and thus offensive and possibly dangerous to non-vapers? Or is it more like chewing gum — not polite, exactly, but something you might do surreptitiously at work or in a movie theater? Would you vape in a childcare center? In a hospital? These are not just questions of etiquette, but also of law — will vapers, like smokers, be required to keep a distance of 15 to 25 feet from any doors or windows?

The word vaping has already caused devotees of juice (the liquid used in e-cigarettes) to lose the first battle in the propaganda war. Vaping carries overtones of illicit drug use — vaporizers provided a cleaner high for marijuana-smokers for years before they were used in e-cigarettes — and sounds, as was reported in The Guardian last year, “worryingly like a form of sexual assault, or a bewilderingly ill-advised 1980s dance craze.” Let’s look now at some words from smoking’s history, to see how earlier battles over tobacco use played out, and how current questions about vaping might be resolved.

765px-Innokin_SVD
Innokin SVD by FergusM1970. CC BY-SA 3.0 via Wikimedia Commons.

Like many of our other good stimulants, tobacco was brought to Europe from the Americas, first imported by the Spanish in the early 16th century. Tobacco (first English use, 1577) comes from Native American words for a pipe or a sort of cigar, which the Spanish assumed referred to the leaves of the plant itself. Columbus’s conscience, Friar Bartolomé de las Casas, described how when their expedition landed in Cuba, they found the Taino smoking these cigar-like “tabacos,” “by which they become benumbed and almost drunk, and so it is said they do not feel fatigue.” It was not a forgone conclusion that tobacco would be the English name for this miraculous plant — other candidates at the time were petum (1568), possibly derived from another Native American word, and nicotian (1577), from Jean Nicot, who brought the plant to France for the first time. (Nicot eventually gave his name to the tobacco genus, Nicotiana, as well as to its chemical of interest, nicotine (1817)).

Growing more and more popular with every passing year, tobacco seemed to be doing just fine with its common name, but others were coined for it to better advertise what were seen as its incredible health benefits — the holy herb, the queen mother herb, God’s remedy, and panacea (all 16th century). A panacea is a medicine reputed to cure all diseases, a tall order, but one that it was more than capable of fulfilling, according to proponents such as Anthony Chute, author of Tabaco (1595). The green leaves of the plant could cure any sort of laceration or skin ulcer, from a finger nigh severed by a giant chopping knife to the King’s Evil (Scrofula), the Canker, the Wolfe, and noli me tangere (“don’t touch me”), increasingly awful skin diseases. The smoke was thought to be even more efficacious, because of the humoral theory of medicine that held sway at the time. A healthy body had the proper balance of four humors, blood, yellow bile, black bile, and phlegm, which gave it the proper temperature and moisture. Tobacco smoke was very hot and dry, and so could cure diseases in which the patient was excessively cold and moist — all kinds of coughs, rheums, bowel problems, and, the epitome of cold and wet, drowning.

The “native English” way of getting smoke into the body was the clyster (1398), or glyster — a tobacco enema. It was superseded by the pipe, a Native American invention and a more social way to smoke, but the original practice survived until the mid-19th century as the best way to revive drowning victims, and is still around in the expression to blow smoke up your ass, meaning “to give insincere compliments.” (Though wonderful, this derivation of the idiom is possibly apocryphal. There is a long and independent association between “empty words” and wind, smoke, or vapor.)

Like vaping today, there were questions about the social acceptability of “drinking tobacco,” as smoking was called. Was it genteel for women to smoke, for example? On one hand, smoking was good for women, who were constitutionally a little bit too cold and damp. On the other hand, smoking involved sucking on something in public, generally a no-no. Early tobacco pipes also tended to produce quite a lot of brown, sticky saliva, which stained clothing, created a funk (a strong stink, 1623), and needed to be spit somewhere, often on the floor, until the development of the spittoon (1840). Tobacco use gained its widest social acceptance with the rise of snuff (1683), finely ground tobacco snorted through the nose, which neatly avoided all these problems.

Schnupfer_corrected (1)
Painting of a man taking snuff using the thumb & forefinger method. Public domain via Wikimedia Commons.

Taking snuff has many similarities with vaping. It required lots of accoutrements, all of which could show off one’s individuality, relative wealth, and taste. Vapers today can buy standard, preassembled e-cigs and tobacco-flavored juice, but many people prefer to customize their equipment, especially if they drip. Dripping involves putting a few drops of juice directly on the coil of an e-cig atomizer (the heating element) instead of using a cartridge with a reservoir of liquid and a wick, which according to drippers (?)…drips (?)…advocates of dripping, provides a purer taste and the option of changing flavors more frequently. It requires vapers to assemble their e-cigs themselves, choosing an atomizer, a drip tip (the part you put in your mouth), possibly a drip shield, and a variety juice flavors, from the hundreds available — “Mother’s Milk” (“a creamy custard with a sweet strawberry exhale”), for example, or “Boba’s Bounty” (“tobacco, honey, and marshmallow”). Snuff-takers needed a snuff-box — some devotees had hundreds, beautifully decorated — a rasp, to grind the tobacco leaves, a tiny spoon if they preferred not to dirty their fingers, and a dark-patterned handkerchief to catch their sneezes and clean their nostrils. Like juice, snuff could be colored and flavored in hundreds of combinations, including orange flower, rose, bergamot, musk, and tonka bean (a flavor like vanilla, now banned by the FDA for containing coumarin, which in high doses can damage the liver).

Two_snuff_boxes_shaped_like_a_pair_of_lady's_boots,_England,_Wellcome_L0057138
Two snuff boxes shaped like a pair of lady’s boots, England. Science Museum, London, Wellcome Images. CC-BY-4.0 via Wikimedia Commons.

Vaping has many of the same things going for it that snuff did — it appeals to a knowledgeable, somewhat moneyed, consumer and offers a way to display individuality and discernment. Now all it needs is a better name…any ideas?

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4. Scholarly reflections on ‘vape’

Electronic cigarettes are growing in popularity around the world. With the announcement of vape as our Word of the Year, we asked a number of scholars for their thoughts on this new word and emerging phenomenon.

*   *   *   *   *

“Electronic cigarettes (ECIGs) are a rapidly evolving group of products that are designed to deliver aerosolized nicotine to the user. If ECIGs are used in the short-term to help smokers quit tobacco use completely and then eliminate all nicotine intake, they have some potential to reduce the health risks that smokers face. However, ECIGs also present a potential public health challenge because of uncertainty regarding the long-term health effects of inhalation of an aerosol that contains, in addition to the dependence-producing drug nicotine, propylene glycol, vegetable glycerin, flavorants, and a variety of other chemicals. Very recent data demonstrate that ECIGs can be as effective as tobacco cigarettes in terms of the amount of nicotine delivered, raising the possibility that they also may be equally addictive. If ECIGs are as addictive as tobacco cigarettes, quitting them may be difficult for smokers who used them to stop smoking and for non-smokers, young and old, who began using them because ECIGs are marketed aggressively and flavored attractively. The rapid evolution of the product, coupled with the unknown effects of long-term inhalation of the aerosol highlight the need for ongoing, objective, empirical evaluation of these products with the goal of minimizing risk to individual and public health.”
Thomas Eissenberg, Ph.D., Professor of Psychology and Co-director, Center for the Study of Tobacco Products, at Virginia Commonwealth University

Electronic_Cigarette_Smoking
Electronic Cigarette Smoking by . CC-BY-SA-2.0 via Wikimedia Commons.

Vape is a practical solution to a recently-arisen lexical gap that points up the genius of English lexical expansion. It supplies a simple verb with predictable inflections (vaping, vaped), built on an already familiar pattern of consonant-vowel-consonant-silent e (as in bake, file, poke, rule, and hundreds of others). Vape also conforms to the one-syllable pattern of many verbs, standard and informal, denoting ingestion: eat, drink, chug, quaff, smoke, snarf, snort, whiff. Although the root vapor is from Latin, speakers have effortlessly nativized it by removing the unneeded second syllable.”

Orin Hargraves, lexicographer, researcher of the computational use of language at the University of Colorado at Boulder, and author of many books, including It’s Been Said Before: A Guide to the Use and Abuse of Cliches.

Vape is a great choice for Word of the Year, not just because 2014 was the Year of Vaping, but because it is aesthetically perfect for marketing vaporizing paraphernalia and taking over the eroding market for traditional smoking products. Think about it: smoking. It’s really an unattractive word related to other unattractive words, like choking and hacking. Hold that /o/ long enough and you’ll cough by the time you hit the /k/. Vape is hip — new vowels, new consonants, new look, same old addiction. It’s a stunning verbal makeover.”

Michael Adams, Indiana University at Bloomington, author of Slayer Slang: A Buffy the Vampire Slayer Lexicon, Slang: The People’s Poetry, editor of From Elvish to Klingon: Exploring Invented Languages.

*   *   *   *   *

Headline image credit: Electronic Cigarettes by George Hodan via Public Domain Images.

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5. The Oxford Dictionaries Word of the Year is…vape

As 2014 draws to a close, it’s time to look back and see which words have been significant throughout the past twelve months, and to announce the Oxford Dictionaries Word of the Year. Without further ado, we can exclusively reveal that the Oxford Dictionaries Word of the Year 2014 is…

vape

Although there is a shortlist of strong contenders, as you’ll see below, it was vape that emerged victorious as Word of the Year.

What does vape mean?

So, what does vape mean? It originated as an abbreviation of vapour or vaporize. The OxfordDictionaries.com definition was added in August 2014: the verb means ‘to inhale and exhale the vapour produced by an electronic cigarette or similar device’, while both the device and the action can also be known as a vape. The associated noun vaping is also listed.

Why was vape chosen?

As e-cigarettes (or e-cigs) have become much more common, so vape has grown significantly in popularity. You are thirty times more likely to come across the word vape than you were two years ago, and usage has more than doubled in the past year.

Usage of vape peaked in April 2014 — as the graph below indicates — around the time that the UK’s first ‘vape café’ (The Vape Lab in Shoreditch, London) opened its doors, and protests were held in response to New York City banning indoor vaping. In the same month, the issue of vaping was debated by The Washington Post, the BBC, and the British newspaper The Telegraph, amongst others.

The language of vaping

Vape is also the modifier for other nouns, creating new compound nouns which are growing in popularity. The most common of these are vape pen and vape shop, and there is also recent evidence for vape lounge, vape fluid, vape juice, and others. Related coinages include e-juice, cartos, and vaporium — as well as the retronym tobacco cigarette for traditional cigarettes. (A retronym is a new term created from an existing word in order to distinguish the original word from a later development — for example, acoustic guitar developing after the advent of the electric guitar.)

Vape before vaping

You may be surprised to learn that the word vaping existed before the phenomenon. Although e-cigarettes weren’t commercially available until the 21st century, a 1983 article in New Society entitled ‘Why do People Smoke?’ contains the first known usage of the term. The author, Rob Stepney, described what was then a hypothetical device:

“an inhaler or ‘non-combustible’ cigarette, looking much like the real thing, but…delivering a metered dose of nicotine vapour. (The new habit, if it catches on, would be known as vaping.)”

However, despite these early beginnings, Oxford Dictionaries research shows that it wasn’t until 2009 that this sense of vape (and vaping) started to appear regularly in mainstream sources.

closeup of woman smoking electronic cigarette outdoor
© diego_cervo via iStockphoto.

The shortlist

Here are the words that came close, but didn’t quite make it as Word of the Year:

bae n. used as a term of endearment for one’s romantic partner.

budtender n. a person whose job is to serve customers in a cannabis dispensary or shop.

contactless adj. relating to or involving technologies that allow a smart card, mobile phone, etc. to contact wirelessly to an electronic reader, typically in order to make a payment.

indyref, n. an abbreviation of ‘independence referendum’, in reference to the referendum on Scottish independence, held in Scotland on 18 September 2014, in which voters were asked to answer yes or no to the question ‘Should Scotland be an independent country?’

normcore n. a trend in which ordinary, unfashionable clothing is worn as a deliberate fashion statement.

slacktivism, n., informal actions performed via the Internet in support of a political or social cause but regarded as requiring little time or involvement, e.g. signing an online petition or joining a campaign group on a social media website; a blend of slacker and activism.

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