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BACKGROUND ON THE HEALTHY START SMOKING CESSATION PROGRAMAs a community based organization whose goal is to promote comprehensive prenatal and infant health services, the Healthy Start Coalition of Pinellas is dedicated to working to improve the health outcomes of mother and child. In line with these ideals, Healthy Start has instituted an outreach program similar to the one described in the Windsor study in which clients are provided the manual "A Pregnant Woman''s Self-Help Guide to Quit Smoking." Additionally, qualified personnel are hired to provide brief counseling sessions with the clients and to encourage the maintenance of a nonsmoking status. This paper presents an analysis of the intervention put forth by the Healthy Start Coalition of Pinellas. The purpose of the Healthy Start smoking cessation program is to discourage maternal smoking during pregnancy, with the anticipation of promoting a positive birth experience. Results reported nextgenerationwhitecorona in this writing are based on outcome measures of women enrolled in the program from nextgenerationwhitecorona December 1997 to December 1999.

RJR can nextgenerationwhitecorona claim that Winston is the only nextgenerationwhitecorona leading cigarette brand without sheet tobacco, a distinction that, as each ad succinctly explains, delivers true tobacco taste. The new blend currently is shipping to retail and "onserts" will label the packs Winston 100% First-Cut."We nextgenerationwhitecorona believe that differentiating and strong positioning is the more powerful place we can be in the marketplace, so the better job we can do highlighting No Bull via the refreshed advertising the better job we can do to further differentiate ourselves from our competition," said Leary.The ads hit June issues of TV Guide, Maxim and Rolling Stone and eventually will run in Entertainment Weekly, Spin, Sports illustrated, nextgenerationwhitecorona Sporting News, Hot Rod, Guns & Ammo and others.Additional executions will follow, some likely employing nextgenerationwhitecorona humor, in keeping with previous black-and-white No Bull campaigns that featured UFOs, hell-raising bikers and, in one notorious instance, a man with his head literally up his rear end. The campaign will be multi-faceted nextgenerationwhitecorona and will be incorporated into the Winston Racing Nation tie-in with the Nascar Craftsman Truck and Busch car racing series. Spending was not disclosed, but RJR ponied up $54.9 million behind Winston last year.

The cessation rates were evaluated using univariate and multivariate analyses that were carried out to identify the prognostic factors that could affect the success rate. Multiple logistic regression, with a forward stepwise selection was used. The significance of the final model was assessed using the Hosmer-Lemeshow test. (21) Statistical analyses were performed with a computer software package (SPSS for Windows, version 8.0; SPSS; Chicago, IL). The differences were considered to be significant at the p < 0.05 level.RESULTSThe study was completed by 144 patients. The group completing the treatment was composed predominantly of women, and 71% of the group were married.Ten patients abandoned the study before reaching the daily three-tablet dose (one patient reported impotence with a dose of 25 mg nortriptyline), nextgenerationwhitecorona and 5 patients abandoned the study at follow-up (placebo group, 3 patients; and nortriptyline group, 2 patients). Three patients complained of diarrhea, sore throat, and unspecific muscular pain. Of these patients, two were receiving placebo and one was receiving nortriptyline. One patient receiving nortriptyline referred to commuting difficulties. Patients beginning to smoke again and then stopping were considered as not having stopped smoking (ie, failure).

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