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The findings are important given concerns raised about the long-term impact of stimulant treatment on substance abuse in general and cigarette smoking in particular, says clinical psychologist Scott Kollins, director of the Duke University Medical Center ADHD Program and senior author of the study published online today by the journal Pediatrics

Any momentary receptor activation from nicotine is overwhelmingly outweighed by the long-term systemic damage caused by smoking

While pictorials on plain packages are more visible and noticeable, we suggest using outer body images and images of internal organs with their connections to the outer body surface more frequently due to their stronger impact.

Theres no evidence that a significant number of people smoke near children in outdoor areas, nor is there evidence that smoking outside is a threat to anyone elses health. Clark added: Public parks are for the enjoyment of everyone, including smokers

References Footnotes Contributors The author conceived, wrote and edited the paper