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Similarly, a cool ashtray with intricate designs or additional features may have more nooks and crannies that can trap residue, necessitating more detailed cleaning

Grading of recommendations Recommendations are graded according to the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system.21 Whether a recommendation is strong or conditional will depend on considerations such as certainty in estimated effects of an intervention, including magnitude, as well as estimates of how patients value and prioritize outcomes, variability of these estimates, and wise use of resources

It's important to note that smoking can have adverse effects on overall health in many individuals, including reproductive health, and these findings should not be interpreted as an endorsement of smoking

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