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Pethidine is in Schedule II of the Controlled Substances Act 1970 of the United States as a Narcotic with ACSCN 9230 with a 6250 kilo aggregate manufacturing quota as of 2014. The free base conversion ratio for salts includes 0.87 for the hydrochloride and 0.84 for the hydrobromide. The A, B, and C intermediates in production of pethidine are also controlled, with ACSCN being 9232 for A (with a 6 gram quota) and 9233 being B (quota of 11 grams) and 9234 being C (6 gram quota).[41] It is listed under the Single Convention for the Control of Narcotic Substances 1961 and is controlled in most countries in the same fashion as is morphine.
Kaladin lays on the roof after making a temporary repair. Tien joins him and gives him a beautifully carved wooden horse. Kaladin worries because his father had to spend another sphere. Their mother comes out and joins them, trying to assuage his concerns. The only reason he spent one was to try to bluff Roshone into thinking they were growing desperate. They discuss his future prospects, including the possibility of pursuing other professions, but Kaladin is set on becoming a surgeon like his father. Lirin comes out and tells them there is a gathering in the square. When they arrive, they notice that Laral is engaged, apparently to Roshone himself. Kaladin is appalled and starts forward to \"stop it,\" but Lirin tells him to stand down. Roshone announces that Amaram is here to recruit, and several young men volunteer. The quota is not met, however, so Amaram tells Roshone to read the list of conscripts. The last name read is Tien. Amaram is familiar with the situation and asks Roshone to provide a different name, but Roshone insists. Kaladin tries to volunteer to take his place, but again Roshone insists that Tien be conscripted. So Kaladin instead volunteers in order to protect him. He is relieved, but their parents walk away devastated and crying. Kaladin swears an oath that he'll bring back Tien in four years.
Kaladin and the rest of Bridge four are walking through the chasms. Kaladin thinks about where the water goes and if it might be possible to escape to the east if his dreams were real. He is pulled out of his thoughts by Teft who questions him about his health, whether he feels surges of strength or perhaps light. Thinking about it, Kaladin notes how fast he healed and wonders if he might be cursed like someone who sought out the old Magic. He considers if maybe Syl is not the only spren following him, but maybe an evil one as well. They find themselves at a crossroads and Kaladin decides to use this spot for their training. He tells the Bridgemen that normally in military training, the sergeant will attempt to humble the soldiers at first. But they don't need that because they don't dream of glory; they just want to escape and survive. His first lesson is that a soldier should care, not be cold and emotionless. He drops the spear and tells them that the second lesson is to learn to stand before holding a spear. He tells Skar to push him over, and he can't do it, even when others come in to help. He tells Teft to pair them off to practice and to oversee the training, and Teft responds like a soldier, revealing his past military experience. When he looks at Kaladin he can see that Kaladin also noticed it. Kaladin goes a little apart with Rock, who explains why he can't fight. Kaladin sends him along with Lopen, Dabbid, and Shen to collect salvage. When Rock notes that they can't do the work of a whole Bridge crew, Kaladin has Syl make herself visible to the rest so that she can help them search more quickly. Kaladin assures Lopen that he will still receive training but that it is more important now to bring up the quota of salvage so as not to be discovered. He rejoins the crew and helps Teft. The men learn in hours what should have taken them days to learn. Kaladin realizes that the Bridgemen have been prepared for training by the physical intensity of their bridge duty.
Shallan wakes up in a private hospital room, feeling oddly healthy. A woman sees her awake and rushes out. Shallan has some trouble remembering what happened, so when she sees a guard looking in on her she asks what happened to her. Though he doesn't answer, she suddenly remembers being poisoned, and also Kabsal. Asking if he is alright, the guard only turns back, but when she tries to get up he glares at her, causing her to stay in bed. She remembers that she returned the stolen Soulcaster to Jasnah. Half an hour later Jasnah comes in and demands to know who ordered her to steal the Soulcaster. Shallan tells her that she stole it of her own volition to try to save her family from financial ruin. Jasnah tells her that Kabsal was trying to poison her all along with the bread. The jam contained the antidote so Shallan would survive. Jasnah tells Shallan how disappointed she is in her, and that she now understands that it was the guilt of the theft that drove Shallan to attempt suicide. No one will take her in as a ward now; she has thrown away a promising career. Jasnah leaves, leaving Shallan alone.
Shallan lay in her hospital bed lamenting her actions and, to her surprise, Kabsal's death. But as she recalls the events leading up to her poisoning, things do not completely add up. She wonders why the antidote did not work for Kabsal and why Jasnah was not poisoned since she too had eaten the poisoned bread. She finds her sketchpad and draws an imperfect drawing of Jasnah examining the strawberry jam, remembering that she was not repulsed by the smell. Then she draws Jasnah eating the bread. In her drawing, it looks like it is melting. Realizing something, she leaves the hospital and walks in the darkness to the Conclave wearing only her hospital robe. She tells Jasnah that she knows that Jasnah uses a fake Soulcaster. Showing her the picture Shallan had drawn of Shadesmar to a shocked Jasnah, she concludes that Jasnah never had a working Soulcaster. Jasnah disregards Shallan's statements as fatigue induced delusions. To prove her statements Shallan attempts to return to Shadesmar. Holding her partially dun garnet sphere, she speaks with the twisted symbol-headed spren. They request a truth, preferably a secret truth, to form a bond. To form the bond, Shallan admits to killing her father. She falls into the sea of beads. She begins to drown but is rescued by Jasnah who reprimands her for going to Shadesmar with only a single dim sphere. Shallan asks to be part of Jasnah's work in truth and be trained in Soulcasting. At first Jasnah objects, but Shallan apologizes and explains that she could be someone that can share Jasnah's secrets. Jasnah relents and makes Shallan promise never to lie or steal again and gives Shallan her notes on the Voidbringers.
\"In recent years, the number of programmes providing overdose emergency training and giving out the antidote naloxone to potential bystanders of opioid overdose has increased, and activities are reported from Berlin, Saarbrücken and several cities in North Rhine-Westphalia and Bavaria. Based on an on-going government-funded project, prevention and harm reduction interventions targeting migrants are being developed. To reach people in rural areas for early testing, a pilot project in Bavaria provides online access to order diagnostic tests for HIV, following an initial face-to-face counselling session.\"
\"Current data on tobacco consumption amongst adolescents and young adults is also available from the DAS (BZgA 2012a). In 2011, 70.8% of 12-17 year old adolescents in Germany have never smoked, 11.7% smoke. 4.8% smoke on a daily basis, 2.0% smoke 10 cigarettes or more per day and 0.3% smoke more than 20 cigarettes per day. 17.5% have tried smoking at least once but are currently non-smokers. In the case of young adults between the ages of 18-25, 27.6% have never smoked; the smoker quota is 36.8%. 23.1% smoke every day, 16.5% consume at least 10 cigarettes per day and 4.8% smoke at least 20 cigarettes per day. Amongst adolescents and young adults, no differences in smoking behaviour between the sexes can be seen. Smoking is declining amongst males and females between the ages of 12 and 17 as well as between 18 and 25. Amongst adolescents, the rate has more than halved over the last decade from 27.5% (2001) to 11.7% (2011). Trend analysis of the existing HBSC studies on tobacco consumption is also available. This shows that regular smoking in the period 2002 to 2010 decreased significantly overall, whereby the stronger reduction was in the period 2002 to 2006. The rate of smoking amongst 13 year olds fell from 14.1% in 2002 to 3.0% in 2010; amongst 15 year-olds from 33% to 14.9%. This decline was observed for girls as well as boys to the same extent (Richter et al. 2012).\"
\"Calculations based on figures collected from treatment, police contacts and drug-related deaths lead to an estimated figure of problem heroin users ranging between 63,000 and 185,000 persons (with the estimates of the year 2010 serving as a calculation basis). This corresponds to a quota of 1.2 to 3.4 persons per 1,000 population in the age group of 15 to 64 year olds (Table 4.1).\"In comparison to 2009, the estimate for the year 2010 is higher as a result of the multiplier 'therapy demand'. This is presumably attributable mainly to the fact that the number of therapy admissions increased in 2010 compared to 2009. For the year 2010, the methodological basis for the calculation of the estimate of the total number of outpatient facilities and thus the extrapolation was partially adjusted. The estimates since then have been undertaken on the basis of the total number of outpatient facilities, taken from the facilities register (Süss & Pfeiffer-Gerschel 2011). A more detailed presentation of the methods used can be found in the REITOX Report 2010.\"The number of heroin users who have come to the attention of the police for the first time has been on a strong decline for some years (2000: 7,914; 2011: 2,742). At the same time, the portion of drug-related deaths that had been recorded before as users who had come to the attention of the police for the first time, remained constant between 2005 and 2008 (n=40). After a slight reduction in 2009 (n=38) and an unchanged value in 2010, this value fell sharply once more (n=34). Therefore, one can say that the estimates based on this indicator have been on a continual decline.\"The estimates based on the multiplier 'drug-related deaths' are based on the mortality rate amongst clients in outpatient treatment and the number of drug-related deaths. The former remained relatively constant in comparison to the previous year (2010: 0.9%-1.5%; 2011: 1.1%-1.6%), the latter fell sharply in 2011 compared to 2010 (2010: 1,237; 2011: 986). The estimates based on the multiplier 'drug-related deaths' thus declined sharply for 2011 in comparison to 2010.\"The estimates for the multiplier 'police contacts' have been falling since 2005. The same applies for the multiplier 'drug-related deaths' for the years since 2008. The estimates based on the multiplier 'treatment demand' fell from 2008 to 2009 before rising slightly again in 2010. One can, therefore, not observe any clear tendency.\" 153554b96e
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