If you've made up your mind to quit, then obviously you do not want a cigarette and you will never look back. Quit smoking is the biggest lifestyle change you can ever make. The three components of effective quit smoking are popularly used to stop that habit which is killing you – smoking.
2008 Smoking Cessation Health Promotion Power point filled with history of glamour movie stars who died from smoking, medical/military history, statistics and facts, myth/truth, perception/reality, Nurses' role, Health effects of smoking, Helps to quit: web sites, medications: Zyban, Chantix, Addiction notations. Factual/non-fiction.
14 slides plus 2 reference slides. 2008.
Global Medical Cures™ | Quit Smoking Guide for People 50 and Older
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Abstinence from smoking or tobacco abuse is not easy since those who try to quit it completely can only control themselves for a short time.
Visit: http://naturalfamilyhealth.net/smoking-addiction-counselling/
Can’t you stop drinking alcohol drinks? Although we know that alcohol is not good for our health and can bring chronic disease, some people may seem to continue drinking and strongly hooked on it. Alcohol addiction can give serious, life-threatening consequences and untreated. It will take a long period of time before you can escape to this alcoholism world.
Slides to show the factors that must be addressed when conducting Stop Smoking Sessions. Suggestion hypnosis can help many people to quit smoking but sometimes a hypnotherapist needs to address the root cause of a smoking problem. Here are just some of the major issues that people have for continuing their bad habit.
For more information on Stop Smoking Hypnosis visit our website https://www.balancehypnotherapynottingham.co.uk/stop-smoking-hypnotherapy-nottingham/
GPCS organised a short awareness programme on World No Tobacco Day on 31st May 2021. Apart from 31 NCC Cadets, more than 50 senior students were also present. The programme was concluded with Pledge taking movement.
In this reality of the shows are given and also included details about shows in world and also in the india.
also the benifits and effects on students or youngsters also given
2008 Smoking Cessation Health Promotion Power point filled with history of glamour movie stars who died from smoking, medical/military history, statistics and facts, myth/truth, perception/reality, Nurses' role, Health effects of smoking, Helps to quit: web sites, medications: Zyban, Chantix, Addiction notations. Factual/non-fiction.
14 slides plus 2 reference slides. 2008.
Global Medical Cures™ | Quit Smoking Guide for People 50 and Older
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Abstinence from smoking or tobacco abuse is not easy since those who try to quit it completely can only control themselves for a short time.
Visit: http://naturalfamilyhealth.net/smoking-addiction-counselling/
Can’t you stop drinking alcohol drinks? Although we know that alcohol is not good for our health and can bring chronic disease, some people may seem to continue drinking and strongly hooked on it. Alcohol addiction can give serious, life-threatening consequences and untreated. It will take a long period of time before you can escape to this alcoholism world.
Slides to show the factors that must be addressed when conducting Stop Smoking Sessions. Suggestion hypnosis can help many people to quit smoking but sometimes a hypnotherapist needs to address the root cause of a smoking problem. Here are just some of the major issues that people have for continuing their bad habit.
For more information on Stop Smoking Hypnosis visit our website https://www.balancehypnotherapynottingham.co.uk/stop-smoking-hypnotherapy-nottingham/
GPCS organised a short awareness programme on World No Tobacco Day on 31st May 2021. Apart from 31 NCC Cadets, more than 50 senior students were also present. The programme was concluded with Pledge taking movement.
In this reality of the shows are given and also included details about shows in world and also in the india.
also the benifits and effects on students or youngsters also given
Presented by Nikola Sudijovski at SkopjeTechMeetup 8.
Looking back at all the progress humanity has made through the last few centuries, it's perfectly natural to feel a little bit moved by the power of human ingenuity and our thrive for constant improvement. It's natural, but also (for the most part) wrong. If we really looked into the history of our technological development, we'd notice а pretty intriguing pattern, often intentionally left unmentioned. Well, that is, until now.
In reality, it is extremely hard to quit and if you've been a heavy smoker for most of your life, it may even feel like the most challenging process you ever go t
It is never too late to quit smoking. You can start living happier soon after smoking cessation. Your loved ones will be proud of you because you’ve overcome a huge obstacle
Are you ready to break free from the shackles of smoking and embrace a healthier, smoke-free life? "Quit Smoking Revolution: Life-Changing Strategies!" is your comprehensive guide to kicking the habit for good.
Written by a professional therapist, this eBook offers a unique blend of expert insights and practical advice to help you overcome nicotine addiction. Inside, you'll discover a roadmap to quitting that's tailored to your needs, backed by proven strategies to manage cravings, cope with triggers, and handle emotional challenges.
Learn about the psychology of smoking, the health consequences you face, and how to prepare mentally and emotionally for your quitting journey. Explore mindfulness techniques to stay focused and stress-free, and discover how to improve your lifestyle for a smoke-free future.
Whether you've tried to quit before or you're considering it for the first time, this eBook equips you with the knowledge and tools to succeed. It's time to celebrate milestones, rebuild relationships, and find joy in a life without tobacco. Your smoke-free future awaits—get ready for a revolution in your life!
Don't wait; start your journey toward a healthier, smoke-free you today.
Smoking is not only a bad habit, it is harmful and addictive. You can quit it. Remember that every smoker was a nonsmoker once. You could be a nonsmoker again.
If you are a lover of African art, then you should explore the Nigerian fashion and culture. You can find Aso Ebi fabrics and experience the joy at a wedding ceremony or any other social event.
If you are trying to get pregnant, here are important things to know about your ovulation day to get pregnant. You must be able to understand a woman’s menstrual cycle first
How to Fix Common Air Conditioner ProblemsNewsTipsTricks
Learn about how to fix common air conditioner problems.Many causes of improper air conditioner operations can be found by visual inspection.If you need a professional air conditioning service you must hire a certified expert.
There are techniques used by homeowners to reduce kitchen remodeling costs. One of the most important technique is having a plan and sticking to it. You must stick to your overall budget .
Clogged kitchen sink is a common problem when any food debris or hair gets stuck in the drainage system of the sink. However a few common DIY techniques can restore your kitchen. This presentation illustrates the most common techniques of your sink flow restoration.
Certified Nursing Assistant (CNA) is one of the market’s fastest-growing jobs in the recent years. This presentation will give you a brief but detail idea all about CNA.
A business card is an effective marketing tool to bring the first impression on a business or company. But you should carefully and intelligently include the key information. What should you include might vary in different business cards. This presentation will show you what you should include in a smart successful business card.
Why Portable Air Conditioner for Small RoomNewsTipsTricks
Before buying an Air Conditioner what you need to decide first is what type of unit you need. You may not need a large conventional unit for a small room or if you want to move your AC you will find it’s not feasible for conventional large unit. In this presentation you will find whether a portable Air Conditioner is suitable for your use.
Obesity is a growing problem that became a global concern. It took the shape of an epidemic in most developed countries. It is associated with major health concerns like heart disease, diabetes etc. We here depicted the top OECD countries suffering from obesity.
Ham dishes are delicious. The gorgeous look and aroma-flavor of glazed hams have been appreciated by ham lovers. Here we presented some complete and quick glazed ham recipes that you can easily cook at home.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. If you are trying to quit smoking, you should first understand what is in a cigarette, its risks,
Why it is so hard to quit smoking and the components of addiction.
What is in a cigarette
•Cigarettes contain more than 600 ingredients which produce more than 4,000 chemicals
when burned. More than 50 of these chemicals cause cancer, and many are poisonous.
•These products have warning labels and the public is warned about the effects of poisons
in these products. Although there is no such warning for the toxins in tobacco smoke, they
are so dangerous and harmful to your health. Therefore you don’t need to give in to your
cigarette addiction for the rest of your life. A lot of people quit smoking every year, and you
can be one of them. Although it may seem to be hard, you can do it!
3. Risks
•There are well established health risks with diseases such as lung cancer, other
malignancies, and cardiovascular diseases linked to smoking and causing early deaths in
smokers. It has numerous effects on health, that most smokers are aware of.
•The are stiff relationship between smoking and various diseases including lung cancer,
heart disease, stroke and other chronic lung diseases. It increases the risks of cancer of the
bladder, throat and mouth, kidneys, cervix and pancreas.
•The tobacco affects the surrounding people such as the children. It is discovered that
nonsmokers can develop heart diseases, low birth weight babies during births, respiratory
infections among others. Non smokers who have high blood pressure have greater risks of
developing heart diseases when they are exposed to second hand smoke.
4.
5. The components of addiction
Social factor – The Smokers
are persuaded to smoke
socially as they tend to
imitate others even when
they are young. After it is
repeated for long, it
becomes a habit which is
simply a bad habit that is
difficult to break.
The effects of addiction – it
contains nicotine which has
a relaxing effect on the
nervous
system
and
antidepressants. This forces
the smoker to take more
and more doses to maintain
this relaxing condition,
hence
the
addiction
continues to increase.
6. Why it is so hard to quit smoking
•There are several factors that contribute to inabilities to stop smoking. But nicotine has
both physical and psychological addictions. The psychological addictions may be one of the
most challenging to deal with.
7. 3 Key Components of
Effective Quit Smoking
Nicotine addiction does not mean
that you are unable to quit smoking.
But it is true that you can eliminate
nicotine from your body after seven to
ten days or even within three days.
If you are a smoker who is trying to
quit, it is essential know about
effective quit smoking.
There are many components used to
control cravings and overcome your
psychological addiction. But 3 major
components include mindset,
pharmaceutical and Hypnosis. With
this; quit smoking is everlasting and
less difficult to handle.
8. Mindset
Mindset is one of the most
successful components of quit
smoking. But how to achieve the
right mindset to quit smoking is the
main concern. You must reshape
your attitudes into the right
mindset. It is commonly said that if
you want to change your life,
change your mindset. Mindset
change encourages a more
complete transformation.
9. If you’ve tried several times but failed, because you were not in the right mindset, you
must be ready for this than anything else in life.
Without the right mindset, you cannot be successful. You must believe in your success
by saying:
I am determined
I am focused
I am courageous
I am victorious
I am unstoppable
Mindset component includes three steps
MINDSET
Preparation for
the decision
Doing it
Enjoying life
without cigarettes
10. PREPARATION FOR THE DECISION
Your mindset is one of the most important factors in your attempt. You can't stop if you
are not prepared.
There are a few considerations to present during your preparation for the decision.
•write on your notebook the reasons you want to quit smoking and develop a
smoking hatred. This will help you in firmly establishing your mindset to avoid
backsliding. The common reasons include:
•Smoking is Expensive
•I am facing a painful date
•It is a bad habit
•It is a risky habit to others
•I am coughing too much
•There are several reasons you can write down. If you are tempted to smoke again just
remember that you’ve set your mind to quit and remind yourself of the reasons.
•Set your goals and write them down. Prepare a good cigarette quit plans.
•Find a substitute, like drinking a lot of water, doing physical activities or chewing gum.
•Preparing doesn’t mean you expect it to just take care of itself. It takes a commitment
that requires full attention
11. DOING IT
After preparing for your quit day with a written plan and a set of goals.
You are ready to do whatever it takes to stop smoking.
Don’t let nicotine enter into your body again.
Read educational books
It is important to learn and understand what to expect from nicotine withdrawal.
Support
Get support by Joining other smoke quitters. It is important to have more support from
quit smoking experts from quit smoking Brisbane to become a permanent non smoker.
ENJOYING LIFE WITHOUT SMOKING
You will not regret for your permanent success and the efforts to beat nicotine will
make you a hero because there is no precious gift you can ever experience than quit
smoking.
12. Pharmaceutical approaches
Drug therapies are usually used alongside counseling to help smokers achieve their goals
of becoming non-smokers.
They can be provided by health authorities or may be included within medical insurance.
The pharmaceutical approaches include two main drugs, only available on prescription,
including Varenicline and Zyban.
Although you might think that pharmaceutical approaches offer a miracle cure, it is
essential to realize that there are risks associated with using drugs.
Before you set your heart on a drug based cure, make sure you talk to your doctor to help
you decide if it is the right path for you.
Nicotine Replacement Therapy (NRT) has been around for a couple of decades now and is
often used in conjunction with Zyban, to increase the chances of success of both. NRT is
available in gum, patches, lozenges, nasal sprays and inhalers and is usually as expensive
as smoking itself. As a treatment, it is thought to double your chances of success
compared to quitting cold turkey but there are many observers willing to argue against
the effectiveness of NRT.
13. Hypnosis
Hypnosis is an acknowledged method for helping people quit smoking.
It is one of the most popular forms of quitting smoking.
It is used as a means of curing different ailments that are based on psychological issues
and it is well known that there are psychological components that can contribute to a
smoking habit.
Its intensity varies from one person to another.
You can be trained on how to do self hypnosis to quit smoking. If you’ve unsuccessfully
tried to quit from smoking , you can contact quit smoking Brisbane to experience the
power of hypnosis with a certified personal coach.
14. Your body will regain quickly. All chances of getting diseases such as heart attack will
reduce and there will be no more regular coughing, shortness of breath, stuffy nose and
tiredness.
Good news
15. To Conclude
If you do not know what cigarette smoking is, it is not fun. You wont quit if you don't want
to quit. It will cause cancer, and you will die soon before your natural time.
Be the first to face the challenge and be the change in your life before it is going to be too
late for you.
The three components of effective quit smoking are well established methods to help you
to stop smoking.
•It takes both discipline and patience to successfully conquer the mental
cigarette craving.
•Every time you want to join your friends who are smoking.
•The social factor of smoking is a strong component of addiction, but it is purely
mental.
The changes of long term success are very good although there are costs of quit smoking.
However, the costs of continuing smoking are higher because there are chances of death.