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Jonathan Foulds, a professor of public health sciences and psychiatry at Penn State Universitys college of medicine, tweeted his disdain for the decision

There was high certainty that quit rates were higher in people randomized to nicotine e-cigarettes than in those randomized to nicotine replacement therapy (risk ratio [RR]1.63, 95% confidence interval [CI] 1.30 to 2.04) and moderate-certainty evidence, limited by imprecision, that quit rates were higher in people randomized to nicotine e-cigarettes than to e-cigarettes without nicotine (RR 1.94, 95% CI 1.21 to 3.13)

We also found support for the hypothesis that indicators of attention to labels would mediate the effects of labeling

Environmental accountability also emerged as a key area of concern, with students highlighting the ecological impact of cigarette waste and calling for shared responsibility in maintaining clean and health-promoting campus spaces