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Its basically part of the long history of the candification of nicotine, Robert Proctor, a Stanford historian who has written multiple books on tobacco, told me

Data analysis Item reduction and internal construct validity: Assessed through the application of the RMT analyses 71 aiming at comparing observed data against the stringent criteria of the Rasch model (see Supplementary Table S3 for more details on the definition and acceptability criteria for RMT analysis)

Albert Q

Just takes off the perfect amount

When smokers degrade their likely future health by their consumption of tobacco, they create future expected costs for publicly funded health programs such as Medicare