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Participants were randomly assigned in a 1:1:1:1 ratio to four intervention groups: acupuncture combined with nicotine patch (ACNP), acupuncture combined with sham nicotine patch (ACSNP), sham acupuncture combined with nicotine patch (SACNP), and sham acupuncture combined with sham nicotine patch (SACSNP)

These bonds were easily strained by the constant arrival of new immigrants and by the sending of enslaved workers from one plantation to another, fracturing communities

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