PSU Receives $3.5 Million Grant for Cutting-Edge Research on E-Cigarettes
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Wednesday, September 16, 2015
Researchers at
Portland State University will get to continue their cutting-edge work on the hazards of e-cigarette use thanks to a $3.5-million grant from the National Institute of Health.
Earlier this year, Professor Robert Strongin and his team of researchers published a study in the New England Journal of Medicine, outlining their findings that that vaping devices can provide a previously unknown reaction pathway to deliver high levels of formaldehyde, a known carcinogen.
This new grant will allow Strongin, along with fellow researchers James F. Pankow, and David Peyton, to launch a large-scale investigation into the mostly unknown public health effects of e-cigarettes. The team is particularly interested in how e-cigarettes differ from conventional cigarettes.
“What makes us a unique team is that we’ve been able to conclusively identify potentially hazardous compounds that were previously overlooked,” Strongin told GoLocal. “We are also able to explain when and why these chemical reactions are likely to occur.”
E-cigarette use has been on the rise as of late. According to the 2014 National Youth Tobacco Survey, published by the Centers for Disease Control and Prevention, 13.4 percent of teenagers used e-cigarettes at least once a month in 2014, up from just 4.5 percent the year before.
Professor Robert Strongin; Courtesy pdx.edu
New Study
In Strongin's initial research on “vaping”, as e-cigarette use is sometimes called, it was revealed that the devices can release formaldehyde, a known carcinogen.
Further research conducted by the PSU team found that certain flavor chemicals recognized by toxicologists to be “primary irritants” of the respiratory tract are present in some e-cigarette fluids at high enough concentrations to expose daily users to twice the recommended occupational limits for those chemicals.
In this new study, the team plans to more closely examine the makeup of e-cigarette liquid and the health effects of the chemicals held inside the vapor. They also hope to find what creates the harmful irritants in vapor smoke, and find ways to reduce them.
“We will be employing more researchers and studying the vast array of e-cigarette devices and liquids available on today’s unregulated market,” Strongin said. “Our first study gave us a reliable method for identifying toxic chemicals in e-cigarettes—now our goal is to better understand the processes that may create them during vaping and find ways to minimize them.”
More Knowledge Vital
Research like this is vital, according to Kari McFarlan, tobacco program manager with Multnomah County, because little is known about e-cigarettes.
“We don't know what's in them,” she said. “Its totally unregulated and our ability to communicate with the public about them is limited because we just don't know much about them.”
McFarlan said little is known about e-cigarettes because the products exploded in popularity in recent years, not allowing researchers much time to study their effects. She also said that because many of the products are imported from China or other countries, the industry is essentially unregulated.
Each manufacturer has different safety standards and different components for use. E-cigarettes also have no standard labeling, which makes it more difficult for consumers to distinguish the effects between different brands.
McFarlan said that research initiatives such as the PSU study allow public health advocates to better communicate with people who have real questions regarding the safety of e-cigarettes.
“What we need to figure out is, can these really help people with nicotine addictions or not,” McFarlan said. “Are they a harm reduction? Because people really want to know if these are better than other forms of nicotine, such as regular cigarettes.”
Related Slideshow: #50 to #1: Doctors in Oregon with the Most Medicare Prescription Claims
The following information was found on ProPublica, which performs investigative journalism for the sake of the public interest.
The doctors listed here self-identified internal medicine as their primary specialty, and are sorted from the lowest amount of Medicare prescription claims filled to the highest amount of Medicare prescription claims filled.
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#50
Prescriber: Aruna Jayaram M.D.
City: Roseburg
Claims Filled: 12,359
Total Cost: $649K
# of Medicare D Patients: 465
Claims for Brand Name Drugs: 17%
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#49
Prescriber: Deborah Wolfson M.D.
City: Newberg
Claims Filled: 12,379
Total Cost: $600K
# of Medicare D Patients: 711
Claims for Brand Name Drugs: 22%
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#48
Prescriber: Stanley Graham M.D.
City: La Grande
Claims Filled: 12,495
Total Cost: $870K
# of Medicare D Patients: 631
Claims for Brand Name Drugs: 22%
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#47
Prescriber: Richard Segal MD PC
City: Salem
Claims Filled: 12,530
Total Cost: $595K
# of Medicare D Patients: 847
Claims for Brand Name Drugs: 19%
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#46
Prescriber: Douglas Crane M.D.
City: Coos Bay
Claims Filled: 12,535
Total Cost: $642K
# of Medicare D Patients: 557
Claims for Brand Name Drugs: 20%
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#45
Prescriber: Robert Davies DO
City: Salem
Claims Filled: 12,642
Total Cost: $749K
# of Medicare D Patients: 676
Claims for Brand Name Drugs: 19%
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#44
Prescriber: Mark Fischl M.D.
City: Salem
Claims Filled: 12,670
Total Cost: $567K
# of Medicare D Patients: 572
Claims for Brand Name Drugs: 18%
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#43
Prescriber: Kai Li MD
City: Oregon City
Claims Filled: 12,690
Total Cost: $467K
# of Medicare D Patients: 730
Claims for Brand Name Drugs: 17%
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#42
Prescriber: George Edwards MD
City: Oregon City
Claims Filled: 12,808
Total Cost: $553K
# of Medicare D Patients: 667
Claims for Brand Name Drugs: 20%
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#41
Prescriber: George Schultz DO
City: Medford
Claims Filled: 12,859
Total Cost: $1.1M
# of Medicare D Patients: 538
Claims for Brand Name Drugs: 19%
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#40
Prescriber: Anita Kolisch MD
City: Bend
Claims Filled: 12,861
Total Cost: $615K
# of Medicare D Patients: 822
Claims for Brand Name Drugs: 17%
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#39
Prescriber: Donald Stoddard MD
City: Roseburg
Claims Filled: 12,893
Total Cost: $579K
# of Medicare D Patients: 484
Claims for Brand Name Drugs: 19%
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#38
Prescriber: Emma Lee Junior M.D.
City: Eugene
Claims Filled: 12,942
Total Cost: $732K
# of Medicare D Patients: 632
Claims for Brand Name Drugs: 18%
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#37
Prescriber: Cosimo Storniolo M.D.
City: Corvallis
Claims Filled: 12,970
Total Cost: $620K
# of Medicare D Patients: 557
Claims for Brand Name Drugs: 19%
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#36
Prescriber: Shugang Ge MD
City: Portland
Claims Filled: 12,996
Total Cost: $596K
# of Medicare D Patients: 650
Claims for Brand Name Drugs: 18%
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#35
Prescriber: Randy McCoy M.D.
City: Lebanon
Claims Filled: 13,235
Total Cost: $527K
# of Medicare D Patients: 543
Claims for Brand Name Drugs: 19%
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#34
Prescriber: Robin Chandler M.D.
City: Keizer
Claims Filled: 13,417
Total Cost: $642K
# of Medicare D Patients: 718
Claims for Brand Name Drugs: 18%
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#33
Prescriber: Michelle John M.D.
City: Gresham
Claims Filled: 13,547
Total Cost: $626K
# of Medicare D Patients: 623
Claims for Brand Name Drugs: 19%
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#32
Prescriber: Robert Bergstrom MD
City: Gresham
Claims Filled: 13,551
Total Cost: $589K
# of Medicare D Patients: 614
Claims for Brand Name Drugs: 18%
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#31
Prescriber: Michael Carnevale D.O.
City: Eugene
Claims Filled: 13,553
Total Cost: $746K
# of Medicare D Patients: 890
Claims for Brand Name Drugs: 18%
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#30
Prescriber: Michael Carroll MD
City: Portland
Claims Filled: 14,205
Total Cost: $674K
# of Medicare D Patients: 727
Claims for Brand Name Drugs: 20%
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#29
Prescriber: Sedrick Salisbury M.D.
City: Lebanon
Claims Filled: 14,330
Total Cost: $694K
# of Medicare D Patients: 537
Claims for Brand Name Drugs: 20%
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#28
Prescriber: Christopher Muller MD
City: Coos Bay
Claims Filled: 14,360
Total Cost: $630K
# of Medicare D Patients: 551
Claims for Brand Name Drugs: 18%
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#27
Prescriber: Masuma Chowdhury M.D.
City: Hillsboro
Claims Filled: 14,439
Total Cost: $719K
# of Medicare D Patients: 693
Claims for Brand Name Drugs: 20%
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#26
Prescriber: Kurt Brickner DO
City: Roseburg
Claims Filled: 14,761
Total Cost: $1.04M
# of Medicare D Patients: 619
Claims for Brand Name Drugs: 21%
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#25
Prescriber: John Oppenheimer MD
City: Portland
Claims Filled: 14,995
Total Cost: $777K
# of Medicare D Patients: 664
Claims for Brand Name Drugs: 20%
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#24
Prescriber: Michael Bower MD
City: Portland
Claims Filled: 15,204
Total Cost: $614K
# of Medicare D Patients: 825
Claims for Brand Name Drugs: 17%
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#23
Prescriber: Molly Tveite M.D.
City: Eugene
Claims Filled: 15,294
Total Cost: $870K
# of Medicare D Patients: 846
Claims for Brand Name Drugs: 17%
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#22
Prescriber: Doru Totoian MD
City: Roseburg
Claims Filled: $15,409
Total Cost: $899K
# of Medicare D Patients: 457
Claims for Brand Name Drugs: 20%
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#21
Prescriber: Harold Palmer MD
City: Redmond
Claims Filled: 15,532
Total Cost: $877K
# of Medicare D Patients: 688
Claims for Brand Name Drugs: 17%
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#20
Prescriber: Celso Gangan M.D.
City: Redmond
Claims Filled: 15,602
Total Cost: $748K
# of Medicare D Patients: 630
Claims for Brand Name Drugs: 17%
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#19
Prescriber: Daniel Brandenburg MD
City: Medford
Claims Filled: 15,717
Total Cost: $634K
# of Medicare D Patients: 747
Claims for Brand Name Drugs: 15%
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#18
Prescriber: Michael Laurie M.D.
City: Eugene
Claims Filled: 15,914
Total Cost: $869K
# of Medicare D Patients: 695
Claims for Brand Name Drugs: 19%
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#17
Prescriber: Michael Sherman M.D.
City: Albany
Claims Filled: 15,982
Total Cost: $747K
# of Medicare D Patients: 456
Claims for Brand Name Drugs: 19%
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#16
Prescriber: William Gillespie M.D.
City: Salem
Claims Filled: 16,007
Total Cost: $827K
# of Medicare D Patients: 699
Claims for Brand Name Drugs: 19%
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#15
Prescriber: Kirk Jacobson M.D.
City: Eugene
Claims Filled: 16,177
Total Cost: $1.23M
# of Medicare D Patients: 1,054
Claims for Brand Name Drugs: 22%
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#14
Prescriber: Vuong Tran MD
City: Portland
Claims Filled: 16,401
Total Cost: $535K
# of Medicare D Patients: 557
Claims for Brand Name Drugs: 18%
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#13
Prescriber: Magha Dissanayake MD
City: Eugene
Claims Filled: 16,467
Total Cost: $890K
# of Medicare D Patients: 351
Claims for Brand Name Drugs: 23%
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#12
Prescriber: Richard Craft MD
City: Gresham
Claims Filled: 16,511
Total Cost: $937K
# of Medicare D Patients: 539
Claims for Brand Name Drugs: 22%
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#11
Prescriber: Jason Phillips M.D.
City: Corvallis
Claims Filled: 16,543
Total Cost: $1.06M
# of Medicare D Patients: 590
Claims for Brand Name Drugs: 18%
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#10
Prescriber: Andrew Kim MD
City: Medford
Claims Filled: 16,760
Total Cost: $873K
# of Medicare D Patients: 683
Claims for Brand Name Drugs: 19%
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#9
Prescriber: Elizabeth Neeley M.D.
City: La Grande
Claims Filled: 17,145
Total Cost: $848K
# of Medicare D Patients: 835
Claims for Brand Name Drugs: 19%
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#8
Prescriber: Edward Wolf M.D.
City: Corvallis
Claims Filled: 17,147
Total Cost: $816K
# of Medicare D Patients: 850
Claims for Brand Name Drugs: 17%
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#7
Prescriber: Patrick McGowan MD
City: Gresham
Claims Filled: 17,226
Total Cost: $930K
# of Medicare D Patients: 405
Claims for Brand Name Drugs: 25%
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#6
Prescriber: Sean Stadtlander MD
City: Newberg
Claims Filled: 17,715
Total Cost: $769K
# of Medicare D Patients: 828
Claims for Brand Name Drugs: 19%
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#5
Prescriber: Paul Huun M.D.
City: Salem
Claims Filled: 18,893
Total Cost: $732K
# of Medicare D Patients: 751
Claims for Brand Name Drugs: 19%
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#4
Prescriber: Gregory Lackides M.D.
City: Salem
Claims Filled: 19,792
Total Cost: $899K
# of Medicare D Patients: 816
Claims for Brand Name Drugs: 18%
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#3
Prescriber: Hsiang-Sen Yeh M.D.
City: Eugene
Claims Filled: 20,051
Total Cost: $986K
# of Medicare D Patients: 749
Claims for Brand Name Drugs: 18%
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#2
Prescriber: Steven Athay M.D.
City: Corvallis
Claims Filled: 22,337
Total Cost: $917K
# of Medicare D Patients: 943
Claims for Brand Name Drugs: 17%
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#1
Prescriber: Richard Kimani M.D.
City: McMinnville
Claims Filled: 26,755
Total Cost: $1.4M
# of Medicare D Patients: 1,077
Claims for Brand Name Drugs: 22%
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