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The Government Accountability Office study, which will be the focus of a congressional hearing on Tuesday, found that Childrens Health Insurance Program Reauthorization Act (CHIPRA) drove manufacturers and price-conscious consumers to gravitate to pipe tobacco and so-called large cigars because it taxed them at lower rates than cigarettes, small cigars and roll-your-own tobacco

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Moreover, it has also been demonstrated that a continuous rise in intimal-medial carotid artery thickness, as measured by carotid ultrasonography, is caused by both active and passive smoking (24)

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