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Expansion of the classes of psychoactive substances: The number of psychoactive substance classes has increased from 9 in ICD-10 to 14 in ICD-11, according to a 2022 article by Matone et al., published in the journal Clinical Psychology in Europe , titled Alcohol and Substance Use Disorders Diagnostic Criteria Changes and Innovations in ICD-11: An Overview . The additional substance classes include cannabis, nicotine, caffeine, synthetic cathinones, and MDMA (Methylenedioxymethamphetamine) or related drugs including MDA (3,4-Methylenedioxyamphetamine)
Of the 67 cigarette brands that have been marketed during this period, 28 and 30 belong to clubs 1 and 2, respectively, while club 3 includes 9 brands
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Stops during a tropical itinerary might include Nassau, Bimini and Freeport in the Bahamas
CDC, Behavioral Risk Factor Surveillance System, 2022
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