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For an average of 10 years, they followed up on the participants by measuring levels of fine particulate matter, nitrogen oxide, black carbon and ozone outside their homes and carrying out CT scans to track the development of emphysema and lung decline

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The court also rejected Iowas argument that the challenged laws should be viewed as laws regulating the wholesale tier, suggesting that the judge might have given weight to a number of precedents that characterized the holding in Granholm as limited to laws regulating producers and products