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In many cases, these mechanisms can be reasonably attributed to geopolitical factors such as the dissolution of former countries, rapid privatisation of economies or events in the development of the European Union (EU).6 32 33 This would suggest that the use of country-specific composite indices of the number of adopted MPOWER policies is likely too limited in scope to capture the distal factors likely driving tobacco consumption trends in many European countries and could misdirect normative frames of causal inference towards an ontological model of cumulative layering rather than punctuated equilibrium

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Further, the shirt implicitly acknowledges the shared human experience of mortality

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Horn L, Mansfield AS, Szczesna A, Havel L, Krzakowski M, Hochmair MJ, et al