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Amy Erb, an intensive care unit RN and National Nurses United vice president who also took the CE class, has a more nuanced view of choice. For me I think that, yes, of course personal choices matter, but those choices are not made within a vacuum they are made within a society that has a certain set of constraints: within institutions, within a certain health care system, in a country that already doesnt have paid leave, and strong social supports

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Serum ALT activity and creatinine content were significantly higher ( P 0.05) in urea content for light smokers (Fig 2B) nor in creatinine content (Fig 2C) for light and moderate smokers were found when compared to the non-smokers