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Originally marketed as smoking cessation devices, electronic nicotine delivery systems (ENDS) have gained increasing notoriety for allegedly hooking young people onto nicotine at earlier ages

Cigars, chewing tobacco, snuff and unprocessed tobacco leaves (used as cigar wrappers) contain tiny abrasive particles that erode tooth enamel over time

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The compound mimics the endogenous neurotransmitter acetylcholine and exhibits agonistic effects on most nicotinic acetylcholine receptors

Evaluation (Evaluate Outcomes) During the evaluation phase, the nurse compares actual client outcomes with the previously established SMART outcomes to determine the effectiveness of the interventions