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It depicts the skull and the thoracic bones with a lit cigarette between the teeth emitting smoke

About half also met criteria for another drug use disorder (in addition to alcohol), and their average Fagerstrom nicotine dependence score was 5.2 (SD = 1.9) on a 0 to 10 scale (The Fagerstrom score is a common method to measure physical dependence on nicotine, and in this sample, average score was on the border between moderate and high dependence)

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As a result, competition has become tough in the tobacco industry

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