This study asks young adult cigarillo users to categorize their preferred flavor in order to examine user consensus and potential methodological and regulatory implications of flavor name-based categorization systems. Young adult (21–28 years) cigarillo users (n = 426) named and categorized their favorite cigarillo flavor into one of seven categories: Fruit, Sweet and Candy, Mint, Alcohol, Menthol, Tobacco, and Other. Flavor responses were coded as characterizing (ex: Grape, Wine) or concept (ex: Jazz, Diamond) flavors. Variation within and between categories was assessed, including the presence of concept flavors and the placement of flavors in multiple categories. Of the 66 unique flavor names provided, participants placed 20 (30.1%) in more than one flavor category. Most of the Tobacco (76.9%) and Other (69.2%) flavor names appeared in multiple categories. The majority of flavor names in the Tobacco (69.2%) and Other (61.5%) categories were concept flavors. Concept flavors were placed in multiple categories (45.0%) twice as often as characterizing flavors (23.9%). This study has identified dissonance among cigarillo users’ flavor categorizations, particularly for concept flavored and unflavored products. Flavor names may obscure how and whether a product is flavored. Research on and regulation of flavored tobacco products should classify products by flavor additives rather than by name alone.

1. The acceleration-deceleration energy transferred to the cervical spine during a motor vehicle collision leads to whiplash injury, followed by a wide variety of clinical manifestations, grouped u...

Background: Mobile health (mHealth) apps are increasingly integrated into clinical workflows to support decision-making and adherence to best practices. Usability is a critical determinant of adoption, engagement, and long-term use. Objective: This study aimed to evaluate the usability of the C8 Health platform deployed in the Department of Anesthesiology at MetroHealth in 2024. Methods: A quality improvement initiative was conducted using the mHealth App Usability Questionnaire (MAUQ). A total of 142 anesthesiology clinicians participated by completing the questionnaire. This study was reported in accordance with the SQUIRE (Standards for Quality Improvement Reporting Excellence) guidelines for quality improvement reporting. Results: The overall MAUQ scores indicated high usability, with mean scores greater than 5.5 across core items (overall mean MAUQ score 5.73, SD 0.81). These findings suggest strong user satisfaction and positive engagement with the C8 Health platform among anesthesiology clinicians. Conclusions: The C8 Health platform demonstrated high usability in an anesthesiology setting. These results support its integration as a clinical decision support tool to enhance workflow efficiency and adherence to best practices.

Obesity and sleep apnea contribute to significant challenges in ambulatory surgical centers which include airway management and perioperative recovery. This narrative review was written following a literature review of articles available on ScienceDirect, PubMed, and Google Scholar from 2009 to 2024. This article highlights that obesity-related anatomical changes, such as increased neck circumference (NC) and reduced cervical extension, may complicate airway management. Successful ambulatory surgery for these high-risk patients depends on detailed attention throughout the perioperative period. Advanced airway techniques, along with continuous pulse oximetry and capnography, are vital for safe care. The use of continuous positive airway pressure or bilevel positive airway pressure in the perioperative phase is particularly beneficial in preventing respiratory complications. A systematic, multidisciplinary approach emphasizing preoperative screening, risk stratification, and standardized protocols is crucial for optimizing results.

BACKGROUND Mobile health (mHealth) applications are increasingly integrated into clinical workflows to support decision-making and adherence to best practices. Usability is a critical determinant of adoption, engagement, and long-term use. OBJECTIVE This study aimed to evaluate the usability of the C8-Health platform deployed in the Department of Anesthesiology at MetroHealth in 2024. METHODS A quality improvement initiative was conducted using the Modified Application Usability Questionnaire (MAUQ). A total of 142 anesthesiology clinicians participated by completing the survey. Data were analyzed according to the SQUIRE guidelines for quality reporting, with mean scores calculated for core usability domains. RESULTS The overall MAUQ scores indicated high usability, with mean scores greater than 5.5 across core items (Mean MAUQ score: 5.73 ± 0.81). These findings suggest strong user satisfaction and positive engagement with the C8-Health platform among anesthesiology clinicians. CONCLUSIONS The C8-Health platform demonstrated high usability in an anesthesiology setting. These results support its integration as a clinical decision support tool to enhance workflow efficiency and adherence to best practices.