Objective: To assess the efficacy of a financial incentive added to routine specialist pregnancy stop smoking services versus routine care to help pregnant smokers quit.Participants: 612 self reported pregnant smokers in NHS Greater Glasgow and Clyde who were English speaking, at least 16 years of age, less than 24 weeks pregnant, and had an exhaled carbon monoxide breath test result of 7 ppm or more. 306 women were randomised to incentives and 306 to control.Interventions: The control group received routine care, which was the offer of a face to face appointment to discuss smoking and cessation and, for those who attended and set a quit date, the offer of free nicotine replacement therapy for 10 weeks provided by pharmacy services, and four, weekly support phone calls. The intervention group received routine care plus the offer of up to 400 of shopping vouchers: 50 for attending a face to face appointment and setting a quit date; then another 50 if at four weeks TM post quit date exhaled carbon monoxide confirmed quitting; a further 100 was provided for continued validated abstinence of exhaled carbon monoxide after 12 weeks; a final 200 voucher was provided for validated abstinence of exhaled carbon monoxide at 34 38 weeks TM gestation..
First diagnoses of myocardial infarction, stroke or transient ischaemic attack, and arrhythmia during five years TM follow up. No significant associations were found between antidepressant class and myocardial infarction over five years TM follow up. In the first year of follow up, patients treated with selective serotonin reuptake inhibitors had a significantly reduced risk of myocardial infarction (adjusted hazard ratio 0.58, 95% confidence interval 0.42 to 0.79) compared with no use of antidepressants; among individual drugs, fluoxetine was associated with a significantly reduced risk (0.44, 0.27 to 0.72) and lofepramine with a significantly increased risk (3.07, 1.50 to 6.26).
The entire casino area was recently remodeled and clean. We attended the Jeff Foxworthy concert and enjoyed it immensely. The buffet meals were very good and the $5.99 breakfast buffet (Monday thru Friday) was great, with an omelet station where they also fixed pancakes to order..