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A clear majority 58% of Nevada voters support a potential law, while just 39% of Nevada voters are opposed to such a law. In 2006 Nevada passed the Clean Indoor Air Act, which banned indoor smoking but specifically excluded casinos

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The shift toward smoke free alternatives has created a new arena for competition where technological superiority and scientific validation play crucial roles

The participants were recruited in primary care services using different approaches such as personal invitations during routine healthcare visits and home visits, as well as outreach using patient lists and local media, between September 2016 and November 2017

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