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Abstract Self-inflicted disorders, or factitious diseases, can be observed in all branches of specialist medicine and represent one of the most challenging problems in clinical medicine

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of the sulphate, but because lime sulphate dissolves in 400 times its weight of water, and may rapidly wash out of the porous tobacco lands, and especially because the solution of lime sulphate in the soil is a very effective agent in rendering soluble and accessible to crops the potash and magnesia, which too often exist in close-locked combinations

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About the Author Rachael Joyner, DNP, FNP-BC, APRN, is a family nurse practitioner with the Duke Smoking Cessation Program