Step by step: the new Chinese securities regulations

published_or_final_versio

Smoking Mull: a grounded theory model on the dynamics of combined tobacco and cannabis use among men

Issue addressed: Australians’ use of cannabis has been increasing. Over a third of Australians (35.4%) have used cannabis at some time in their lives and 10.3% are recent users. Almost two-thirds of cannabis users combine cannabis with tobacco. The aim of this study was to understand the process of mulling – smoking tobacco and cannabis together – using a grounded theory approach. Methods: Twenty-one in-depth semi structured interviews were conducted with men aged 25–34 and living on the North Coast of New South Wales. Interviews explored participants’ smoking practices, histories and cessation attempts. Results: A model describing mulling behaviour and the dynamics of smoking cannabis and tobacco was developed. It provides an explanatory framework that demonstrates the flexibility in smoking practices, including substance substitution – participants changed the type of cannabis they smoked, the amount of tobacco they mixed with it and the devices they used to smoke according to the situations they were in and the effects sought. Conclusion: Understanding these dynamic smoking practices and the importance of situations and effects, as well as the specific role of tobacco in mulling, may allow health workers to design more relevant and appropriate interventions. So what?: Combining tobacco with cannabis is the most common way of smoking cannabis in Australia. However, tobacco cessation programmes rarely address cannabis use. Further research to develop evidence-based approaches for mull use would improve cessation outcomes. Keywords: concomitant use, marijuana, mulling, nicotineNHMR

Feasibility randomised controlled trial of online group Acceptance and Commitment Therapy for Functional Cognitive Disorder (ACT4FCD)

INTRODUCTION: Functional cognitive disorder (FCD) is seen increasingly in clinics commissioned to assess cognitive disorders. Patients report frequent cognitive, especially memory, failures. The diagnosis can be made clinically, and unnecessary investigations avoided. While there is some evidence that psychological treatments can be helpful, they are not routinely available. Therefore, we have developed a brief psychological intervention using the principles of acceptance and commitment therapy (ACT) that can be delivered in groups and online. We are conducting a feasibility study to assess whether the intervention can be delivered within a randomised controlled trial. We aim to study the feasibility of recruitment, willingness to be randomised to intervention or control condition, adherence to the intervention, completion of outcome measures and acceptability of treatment. METHODS AND ANALYSIS: We aim to recruit 48 participants randomised 50:50 to either the ACT intervention and treatment as usual (TAU), or TAU alone. ACT will be provided to participants in the treatment arm following completion of baseline outcome measures. Completion of these outcome measures will be repeated at 8, 16 and 26 weeks. The measures will assess several domains including psychological flexibility, subjective cognitive symptoms, mood and anxiety, health-related quality of life and functioning, healthcare utilisation, and satisfaction with care and participant-rated improvement. Fifteen participants will be selected for in-depth qualitative interviews about their experiences of living with FCD and of the ACT intervention. ETHICS AND DISSEMINATION: The study received a favourable opinion from the South East Scotland Research Ethics Committee 02 on 30 September 2022 (REC reference: 22/SS/0059). HRA approval was received on 1 November 2022 (IRAS 313730). The results will be published in full in an open-access journal. TRIAL REGISTRATION NUMBER: ISRCTN12939037

Surviving through story: Experiences of people with learning disabilities in the covid19 pandemic 2020–2021

Background: History starts from where we are now ‐ it is not just things that happened a long time ago. The global pandemic began in 2019. It has changed the lives of people with learning disabilities. We began our project during the first lockdown in April 2020. We came together to set up a website to collect stories and support and learn from each other about how to survive and keep strong. Storytelling is very important because it helps us understand what is going on. It is also a way to capture the history of people with learning disabilities at a very difficult time. We know that thousands of people with learning disabilities became ill and died in the flu epidemic of 1918. But nobody recorded their stories in their own words. We want to make sure this does not happen again, so we created an archive to help us remember. Methods: The project was managed with an advisory group of people with and without learning disabilities who met monthly to monitor the collection and analysis of stories on the site. A site audit was performed regularly to determine the themes in the stories and who had submitted. The article describes the progress of the project, the stories we have shared, and the challenges we have faced. Conclusions: We discuss how people with learning disabilities have been presented in the media and our views about the way we are not heard, or always shown as vulnerable victims. We have found many sad stories, but also positive ones about people being creative and supportive. We look forward to the future and share our ideas about how society could be different and more inclusive. Being part of this project has given us confidence to know we are not alone, and shown us how we can help with the recovery

Joanna Tokley

Joanna Tokley speaks about the University of South Florida\u27s outreach to the black community, emphasizing the Tampa-Hillsborough Urban League. Tokley also discusses various organizations at USF, such as the Institute on Black Life and the African American Advisory Committee

I'm just a girl : madness, male domination, and female imprisonment in Jane Eyre, The yellow wallpaper, Wide Sargasso Sea, and Faces in the water : a thesis presented in partial fulfillment of the requirements for the degree of Master of Arts in English at Massey University

Female madness is not always caused by the domination of women. In the texts Jane Eyre, "The Yellow Wallpaper", Wide Sargasso Sea, and Faces in the Water, however, male domination, and female imprisonment do have a relationship to madness. Medical discourse rose to a position of great power in the nineteenth century, as science and reason really began to take over. Suddenly there was a scientific and biological theory behind female inferiority, greatly influencing doctors' perspective of their female patients, and contributing to the enforcement of traditionally female roles. Whilst madness is a real and greatly misunderstood illness, these four texts illustrate that the internalisation and socialisation of medical discourse locked women into roles that, it was believed, they were not capable of escaping

Joanna Tokley

Joanna Tokley speaks about the University of South Florida\u27s outreach to the black community, emphasizing the Tampa-Hillsborough Urban League. Tokley also discusses various organizations at USF, such as the Institute on Black Life and the African American Advisory Committee

Sleep inertia and alcohol impairment in young adults: neurocognitive effects and interactions

This study investigated the combined decrements of alcohol consumption and sleep inertia in young adults. Cognitions investigated included those required in emergency situations; mental tracking, visual scanning, working memory, and sustained, selective, and divided attention