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The square root relationship in this equation can be rationalized theoretically by the paper behaving as a series of pores whose diameter is much less than the paper thickness (Baker & Crellin 1977)

And, indeed, in the 1940s and before, even purveyors in North America seemed to be satisfied with that loose description

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The most likely cause of death for people who smoke is a fatal heart attack, stroke or heart failure that occurs without any warning signs, reports a new Northwestern Medicine study