The Wall Street Journal - 07.10.2019

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age and expenses for reimburse-
ment and tax deductions, and
offers a free plan. Users of Ameri-
can Express business or corporate
cards can access a free mobile app

called Spend Manager that stores
receipt images and notes.

Writeto Sue Shellenbarger at
[email protected].

Q


Thanksfor your column on
the hazards of hiring for
cultural fit. What are your
thoughts on using written
assessments to figure out whether
an applicant has the personality
and motivation for the job? For
example, wouldn’t you want a
salesperson who is outgoing?—P.L.

A:Pre-hiring assessments can be
helpful if they go beyond analyzing
applicants’ personality to size up
whether their motivations, values
and preferred ways of working
would be a good fit. Personality
alone isn’t a good indicator of suc-
cess in a particular job. Not all
successful salespeople are outgo-
ing, for example. Some introverts
do very well in sales by listening
well, empathizing with customers
and understanding their needs.
Some pre-hiring assessments
for cultural fit force applicants to
choose between alternative moti-
vations, values and working styles.
They might explore whether a can-

didate prefers working alone or
collaborating on teams. They can
explore motivation as well, such as
whether candidates would be fired
up or intimidated by intense inter-
nal competition.
Employers have to define their
culture before they can use such
assessments. This also improves
their odds of hiring people who
will be a good fit. Finding recruits
who sync with a company’s values,
goals and preferred ways of work-
ing doesn’t harm efforts to in-
crease diversity.
People who share the same val-
ues and motivations can still think
differently and bring diverse expe-
riences and skills to bear on their
work—adding to the culture,
rather than just fitting in.

Q


Isaw your column on all the
ways people procrastinate
when filing expense reports
or avoid them altogether.
What are some apps people use to
make the process easier?—A.B.

ThePros and Cons of Written


Assessments for Job Prospects


A:More employ-
ers are using
cloud-based apps
that enable em-
ployees to scan
and store re-
ceipts and track
credit-card trans-
actions from
anywhere. SAP
Concur is a
widely used cor-
porate platform.
Abacus is
another app
gaining favor,
especially among
smaller employ-
ers, for expense
tracking, report-
ing and reim-
bursement.
Expensify is
used by both individuals and com-
panies for managing expenses and
scanning receipts, and offers a
free plan for individuals. Ever-
lance enables users to report mile-

duces users’ exposure to numer-
ous toxic substances present in
combustible tobacco cigarettes.
But other research has raised
questions about the relative safety
of vaping—even beyond the deaths
making headlines. One recent study
that exposed rats to 10 cycles of
two-second aerosol inhalation from
e-cigarettes and regular cigarettes
showed that blood vessel function
was similarly impaired. (The study
isn’t yet published, says principal
investigator Matthew Springer, a
professor in the cardiology division
at UCSF, but has been accepted by
the American Heart Association for
presentation).

Should I go back to cigarettes?
While research is still emerging
on e-cigarettes, the evidence on
smoking spans decades and is
clear: It is the leading cause of
preventable death in the U.S.
Adults who use e-cigarettes be-
cause they have quit smoking
should not return to smoking com-
bustible cigarettes, the CDC says.

OK, so then what?
For people trying to quit smok-
ing, Dr. Gotts says FDA-approved
cessation treatments such as the
patch or gum are better bets than
vaping. But he acknowledged that
those cessation products don’t
provide the same nicotine high.
That is why some doctors worry
that, if the problems turn out to be
largely limited to cannabis, ban-
ning all vaping could shut down a
valuable off-ramp for smokers. “I’m
concerned we will throw the baby
out with the bathwater,” says
Nancy Rigotti, a professor of medi-
cine at Harvard Medical School and
director of the tobacco research
and treatment center at Massachu-
setts General Hospital.

the line is blurring as counterfeit
products make their way into the
market and it becomes harder to
distinguish real from fake. Neal
Benowitz, a medical professor at
the University of California, San
Francisco, has been telling pa-
tients who vape to only buy from
licensed retailers or a manufac-
turer’s website. “But now I’m
even a little nervous about that,”

he says, with new reports from
Oregon Health Authority that the
state’s two vape-related deaths—
both involving cannabis—involved
products purchased from a li-
censed retail store. The state
agency recommends a stop on all
vaping products.
(A Juul spokesman says: “We ap-
preciate the work of the CDC, FDA,
and other public health authorities,
and are confident that they will get
to the bottom of this issue.”)

Is vaping still safer than cigarettes?
Before the recent surge in vap-
ing-related illnesses and deaths, e-
cigarettes were perceived as safer
than regular cigarettes, and a
good option for people who
wanted to quit. There was re-
search to back that up: A 2018 re-
port from the National Academies
of Sciences, Engineering, and
Medicine said that there was “con-
clusive evidence” that completely
substituting e-cigarettes for com-
bustible tobacco cigarettes re-

care at the University of Califor-
nia, San Francisco.

Is it just THC vaping that is the
problem or is it nicotine too?
The CDC cautions that THC-
containing or nicotine-containing
vaping products purchased legally
could contain harmful substances.
It is difficult for consumers to
know what is in these products,
and full ingredient lists are typi-
cally not available.
Electronic cigarettes, also called
vapes, produce an aerosol by heat-
ing a liquid typically containing
nicotine, flavorings and other ad-
ditives. In cannabis vapes, that
liquid often contains THC. It’s un-

A


svaping-related ill-
nesses and deaths
mount, adults who
vape are asking:
What should I do
now?
The question is especially diffi-
cult for people who switched to
vaping as a way to quit smoking.
Once widely seen as safer than
regular cigarettes, vaping is now
spurring new worries. The num-
ber of confirmed and probable
cases of vaping-associated illness
has risen to 1,080 across 48 states
and one U.S. territory, according
to the CDC. Nineteen people
have died.
“It’s been freaking people out,
customers coming in asking, ‘Is it
going to make me sick?’ ” says
Alex Terc, a 25-year-old employee
at The Noon vape shop in Silver
Spring, Md. Mr. Terc says he uses
a Juul e-cigarette regularly. Now,
he says, he wants to get checked
by a doctor.
States, stores and college cam-
puses have set new limits. Massa-
chusetts has implemented a four-
month statewide ban on sales of
all vaping products. Other states
including Rhode Island and Michi-
gan have moved to institute their
own temporary vaping bans on
flavored products. Walmart says
it will no longer sell vaping prod-
ucts. The Texas A&M University
system is instituting its own
broad ban on vaping.
We talked with doctors and reg-
ulators about what adults should
consider.

Is all vaping dangerous?
Doctors still aren’t certain what
is causing vaping-related deaths
and illnesses, so it’s impossible to
know for sure whether any vaping
is safe—even when done with a le-
gally purchased, nicotine-only de-
vice. Many doctors are cautioning
patients to quit vaping or find
other ways of getting off ciga-
rettes. “There is no long-term
safety data for any of these
things,” says Jeffrey Gotts, a pro-
fessor of pulmonary and critical

Asillnesses and deaths mount, people who vape—especially those trying to quit cigarettes—are wondering what to do


BYANNEMARIECHAKER

clearthe precise chemical that is
causing the mystery illness: Most
of the reported cases involved
THC vapes, but there were also
some that reported nicotine.
“People have vaped cannabis oil
for more than 10 years, so the
question is what is new that is
causing this,” says Jeffrey Chen, di-
rector of the UCLA Cannabis Re-
search Initiative. “The difficulty is
that when you don’t know what
you’re looking for, chemical analy-
sis becomes very difficult,” he says.

I thought the problem was vitamin
E additives. What if I just avoid
those?
Initially, doctors suspected vita-
min E oil and other
thickeners might
be the cause of
vaping-related ill-
nesses, but re-
searchers at the
Mayo Clinic have
raised doubts
about that theory.
They suspect dam-
age may be coming
from inhaling a
caustic chemical
fume. They exam-
ined lung-biopsy
tissue from a
group of patients
diagnosed with
vaping-associated
lung injuries. Most
of the patients had
vaped using car-
tridges containing
marijuana or can-
nabis oils.

Are there problems
with the legitimate
store-bought
products?
Experts say that

Doctors still aren’t certain what is causing vaping-related deaths and illnesses. States, stores
and college campuses are setting new limits on vaping.

SEL

CUK DEMIREL

WORK & FAMILY MAIL| SUE SHELLENBARGER


1, 080
Numberofconfirmedandprobable
casesofvaping-associatedillnesses

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What Adult Vapers Should Do Now

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