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The Western States Opioid Summit, held at the Westin San Diego, brought together leading experts that are working to combat drug use through substance misuse prevention, treatment, research, health, policy, law enforcement, and the justice system. 248

The U.S. Geological Survey confirmed that a preliminary 2.8-magnitude earthquake was registered nearly five miles northeast of Julian at 6:34 a.m. 146

The urban food hall will have up to 15 artisan food concepts from around San Diego and is attracting strong interest from familiar and favorite food and beverage artisans, including 3 Local Brothers Group, co-founded by Grant Tondro, a Poway native. The company’s concepts include The Barrel Room in Rancho Bernardo, several Urge Gastropubs, Brothers Provisions, Mason Ale Works and Mason Coffee Works. Similarly, Crunch Fitness is drawn to the vision of Outpost as a Poway gathering spot. The fitness center will be in a 20,000 plus-square-foot friendly, bright and fresh space, offering cardio, weights, spin classes, kids’ care and group classes. Outpost will have a wide pedestrian paseo between the buildings with outdoor seating and an expansive upstairs patio above the food hall. 787

The singer is as relevant as ever. Recently she spurred the “Dolly Parton Challenge,” which had people of all generations posting collages of appropriate profile photos for LinkedIn, Facebook, Instagram and Tinder. 216

The researchers analyzed concentrations of the mind-altering chemical THC and other compounds in the breast milk of 50 women who reported using marijuana. The women had children who ranged in age from newborns to toddlers older than 12 months.Between 2014 and 2017, the women provided 54 total breast milk samples, which were analyzed at the University of California, San Diego's Mommy's Milk lab, a human milk research biorepository. The women also reported in questionnaires whether they were exposed to marijuana, medications and other substances in the 14 days before their milk samples were collected.After analyzing the milk samples, the researchers found that THC was detectable in 34, or 63 percent, of the 54 samples. The average concentration of THC found in those samples was 9.47 nanograms per milliliter. The researchers also found five, or 9 percent, of the 54 samples had measurable concentrations of cannabidiol, another chemical in cannabis.The researchers then calculated how much THC an infant would ingest from that concentration.Taking into consideration breastfeeding frequency, quantity of milk ingested and other factors, the researchers estimated that a hypothetical 3-month-old, weighing 6.1 kilograms or 13 pounds, would ingest about 0.040 nanograms of THC per milliliter of milk."The question is, does it matter? ... Is it possible that even low levels in breast milk may have an effect on a child's neurodevelopment? And we don't know the answer to that," Chambers said.The study had some limitations, including that the researchers relied on the women to remember their marijuana use or exposure and then report that use. The researchers also did not test what levels of THC or other compounds were in the breastfed infants themselves, instead relying on their own estimates.However, Chambers said that more research is to come.The researchers are planning another study to better understand how cannabis exposure might be associated with neurobehavioral testing outcomes in children."That's a testable hypothesis and something that we want to move forward with trying to answer, because it's a critical question," Chambers said. 2159