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Key points from the SCIMITAR+ ( Smoking cessation for people with severe mental illness (SCIMITAR+): a pragmatic randomised controlled trial , Gilbody, Simon et al.The Lancet Psychiatry, Volume 6, Issue 5, 379 390) In the SCIMITAR+ trial, quitting was defined as biologically verified abstinence from smoking (paraphrased) at the six-month and twelve-month follow-up points

But the subtext to this apparent paean to smoking is the point that, like it or not, cigarettes have had a big influence on our culture and society

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The bottom hand should move outward as the person fills their lungs with air and move inward as you exhale