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Samantha McCandless, a nursing supervisor at Louisville's University Hospital ED, knows the risks but smokes in the hospital's designated area: "I like smoking...I don't have a desire to quit." Nurse Jennifer Ford, from the nearby Kosair Children's Hospital, says that parents' "children are in here for a crisis and we're supposed to tell them you can't go smoke?" But Kosair nursing supervisor Cynthia Robinson counters: "We have children in here with asthma and breathing problems...Smoke shouldn't be anywhere near here." Another University Hospital ED supervisor, Anna Smith, does not "have a lot of sympathy" for smoking

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This case underscores the rarity of CRP, the challenges involved in establishing an accurate diagnosis, and the need to consider endocrine and metabolic factors in refractory presentations

R-rated films continued to include the most number of tobacco incidents