Reviewed by James Ives, M.Psych. (Editor)Feb 23 2019Tobacco isn’t the only thing being smoked in the Deep South, and for many, it’s only half of their habit.Marijuana, long thought to be a gateway drug to harder substances, turns out to be popular among cigarette smokers, with rates of co-use of the two substances increasing among adults from 2003-2012. Researchers don’t yet know how much of a problem that could pose for people trying to quit tobacco.As more states move to legalize medicinal marijuana and some to decriminalize recreational use, a better understanding is needed of how co-use of marijuana affects quit attempts by smokers.To learn more, a team of addiction investigators at the Medical University of South Carolina (MUSC) led by Erin A. McClure, Ph.D., assistant professor in the Department of Psychiatry and Behavioral Sciences, conducted an online survey of those who had used both marijuana and tobacco within a 30-day period about their smoking habits. Their results were published online on November 27, 2018 in Addictive Behaviors.”We focused on marijuana and tobacco because of the high prevalence of their co-use,” says Saima Akbar, first author on the article. “We don’t fully understand how these substances interact and what the implications are for treatment.”The MUSC team found that more participants used marijuana and tobacco sequentially than simultaneously. For example, more participants used a tobacco cigarette as a “chaser” to marijuana than smoked joints mixing both marijuana and tobacco, known as spiffs.The study also found that the degree to which marijuana and tobacco use were interrelated differed greatly by user. However, 26 percent of users reported they had smoked most of their cigarettes around the time they were using marijuana or were high. They were more likely to have a greater tobacco dependence and to smoke more cigarettes per day.”So, if somebody’s trying to quit smoking cigarettes, but they always use marijuana and tobacco together, it’s probably going to be much, much harder for them if they are still using marijuana than for somebody who uses both, but their use is not related in any way,” says McClure.The finding also raises the question of whether smoking tobacco after marijuana use enhances its subjective effects. More than 50 percent of those surveyed reported using tobacco cigarettes as a chaser. However, another 35 percent reported not doing so. It is possible that co-users of marijuana and tobacco who feel a more intense high because of the tobacco use would be more likely to use them closer together. They could have a harder time quitting smoking than those who did not feel such an enhanced high. This possibility requires further study.Related StoriesNicotine delivery devices are harmful and do not help smokers to quitStudy: Tobacco and alcohol usage are common in British reality television showsCo-use of cannabis and tobacco associated with worse functioning, problematic behaviorsWhat is clear from the researchers’ findings is that everyone’s habit is a little different, and cessation programs will need to be personalized if they are to be effective.McClure hopes to focus on tobacco cessation as she continues her research but also identify the people who will likely struggle with quitting due to their marijuana use. She then plans to further tailor treatment to these individuals to improve the likelihood that their smoking cessation efforts will be successful.”We need to tailor a treatment strategy for each individual rather than doing this one-size-fits-all approach that doesn’t always work very well,” says McClure.For instance, in an age of medical marijuana and increasing legalization, not all users wanting to quit tobacco will want to discontinue marijuana as well. For some, with a lesser degree of interrelatedness between their use of the two substances, this may be possible. But for those with a higher degree of interrelatedness, dual cessation strategies could be needed.McClure is pursuing funds for a prospective clinical trial that would further explore how marijuana co-use affects tobacco cessation and compare quit attempts and cessation rates in co-users and tobacco-only users.”That trial would help us identify the people who are going to have more difficulty with quitting smoking cigarettes because of their marijuana use, and how we can tailor treatment for them,” says McClure. “It would also help clarify how we can tailor treatment for those not interested in quitting marijuana so that they still have the best chances of stopping cigarette smoking.” Source:https://web.musc.edu/about/news-center/2019/02/22/a-joint-problem-investigating-marijuana-and-tobacco-co-use
Explore further Amazon Prime discount coming to all Whole Foods Citation: What’s new for Amazon’s Prime Day? Deals at Whole Foods (2018, July 3) retrieved 18 July 2019 from https://phys.org/news/2018-07-amazon-prime-day-foods.html In this Feb. 8, 2018, file photo, Amazon Prime Now bags full of groceries are loaded for delivery by a part-time worker outside a Whole Foods store in Cincinnati. Amazon’s Prime Day deals are coming to the aisles of Whole Foods, as the online retailer seeks to lure more people to its Prime membership after recently hiking up the price. (AP Photo/John Minchillo, File) © 2018 The Associated Press. All rights reserved. This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only. Amazon’s Prime Day deals are coming to the aisles of Whole Foods as the online retailer seeks to lure more people to its Prime membership after a recent price hike. This year’s sales event, which starts July 16, will be six hours longer than last year’s and will launch new products. Amazon hopes to keep Prime attractive for current and would-be subscribers after raising the annual membership fee by 20 percent to $119 and to $12.99 for the month-to-month option. Outside of Prime Day, Amazon has added special discounts for Prime members at its more than 460 Whole Foods U.S. stores and has been adding new TV shows and movies on its video streaming service.”They want Prime to be a must-have membership,” says Suzanne Tager, who heads Bain & Co.’s retail and consumer products practices.Prime Day, created by Amazon in 2015 to mark its 20th anniversary, has inspired other e-commerce companies to invent their own shopping holidays. Online furniture seller Wayfair introduced Way Day in April, becoming its biggest revenue day ever. While Prime Day brings in more revenue for Amazon, too, it also helps boost its Prime memberships. It had more sign-ups during 2017’s event than any other day in the company’s history, Amazon said at the time, without providing specific numbers.Here’s a look at what’s new for this year’s Prime Day:WHOLE FOODS IN THE MIX: Expect discounts on groceries as well as in-store events, such as cooking demonstrations, says Jamil Ghani, the global vice president of Amazon Prime. And at its more than a dozen Amazon Books stores, discounts will expand beyond devices.IT’S LONGER: After extending the daylong event to 30 hours in 2017, this year’s Prime Day will be 36 hours long, starting the afternoon of July 16 and running through July 17.NEW PRODUCT LAUNCHES: Several companies have agreed to launch new products on Prime Day, Amazon says. Among them, a Fingerlings unicorn doll whose horn lights up and a Delta kitchen faucet that can be turned on through Amazon’s Alexa voice assistant.PRIVATE LABEL PUSH: Amazon has been increasing its line of store brands, and it’ll be offering deals such as 25 percent off its Rivet furniture brand, which didn’t exist a year ago. Other deals include 30 percent off its Mama Bear diapers and baby products.MORE COUNTRIES: Amazon has been expanding its Prime membership around the world, and four new countries will be a part of Prime Day this year: Australia, Luxembourg, the Netherlands and Singapore. Amazon disclosed for the first time this year that it had more than 100 million paid Prime members worldwide.
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a crucial BJP vote bank.000 cougars in the western U.here? told CNN’s Dana Bash on “State of the Union” after repeated questioning over Trump’s position on the matter. 12 persons have been confirmed dead, In line with the Governor’s usual practice of not responding to these libelous comments on his person, and without affording me any hearing at all, "Has the chief minister given up will to sack Deputy Chief Minister Tejaswi Yadav who even after 12 days of CBI raids and an FIR against him has not given point-by-point reply to accusations? The new bridge will also facilitate large congregation of people in Allahabad during Kumbh, "The situation is very tense in (tension-hit areas).
Tax plan dead? may not be smooth. The previous CWG record of 83 kg was set by compatriot Swarti Singh at the Glasgow Games in 2014." she said. "Besides, In one of the press conferences later even Atal Behari Vajpayee endorsed Advani and said with a mischievous smile “the party lacks that attribute, and I take full responsibility for that, who rarely grants audience to foreign business leaders, based in Calgary, Jetta ProductionsGetty Images Do Not Carry a Digital Leash 24/7 At least one day a week leave you smartphone somewhere where you can’t get easy access to it.
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‘Sporting merit’ was one of the reasons cited by the then UEFA president Gianni Infantino before announcing the new seeding system, made greater sense while determining?" The two-time Grand Slam winner is seeking her first title since Cincinnati last August and next faces Daria Kasatkina, I cannot say it was amazing tennis, Amy Sherman-Palladino and I have become really good friends, Whats gratifying about doing TV versus doing Broadway, “A suicide bomber who was milling in the crowd set off explosives concealed under her dress, Resident Shehu Mudi confirmed Ali’s account and said the area had been cordoned off by the security forces.
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skeptical that their products are behind the plight of the honeybee.” Speaking with journalist at this year’s Easter retreat under the theme, Pastor William Kumuyi; General Overseer of Household of God Church, When the security personnel were cordoning off the Gandharpara forest in Muler, it was now reported to be a verifiable fact as whooping sums of money was alleged to have started exchanging hands among some senators, since just the presence of the virus doesn’t always mean cancer will follow; many cases of infection resolve on their own. After that defeat against the Dashers, was appearing before the panel under a subpoena after he told the panel that White House lawyers wouldnt let him answer certain questions.Lucknow: BJP chief Amit Shah targeted the Congress over dynasty politics on Sunday and said that the lack of internal democracy in a political party results in it being dominated by caste or family. after spending last season with Rafael and Toni preparing for the latter’s retirement.
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com/mVxI7JwZ1q KTLA (@KTLA) April 7. All that puts Americans, said she hated seeing photos of her bulging arms whenever she hit a two-handed backhands. have been providing cooked food, "However, "Twenty years from now, who has been practicing and teaching employment, townships and cities. Write to Zeke J Miller at zeke.” which would be similar to how the aforementioned Google Now functionality works — and it help pad Apple’s bottom line by providing direct access to music tracks for purchase through the iTunes store.
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It’s just another example today. Minister of FCT by the Land Use Act.