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Thus, patient interest and clinicians willingness to play an active role in helping their patients quit smoking led these researchers to develop an intervention program that emphasized direct clinician involvement with a team-care approach and electronic health record (EHR) support. When a patient expresses interest in tobacco treatment, the next steps usually involve setting up a future appointment where that patient can take advantage of coaching and medication

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In 1665 the Royal Society issued instructions to mariners in its Philosophical Transactions To remark carefully the Ebbings and Flowings of the Sea, in as many places as they can, together with all the Accidents, Ordinary and Extraordinary, of the Tides

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