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Conclusion: This study showed that nortriptyline significantly increases the smoking cessation rate in chronic smokers, as compared to the placebo group, without any significant side effects.Key words: nortriptyline; smoking cessation; tobacco**********Cigarette smoking remains the most important cause of preventable morbidity and mortality signaturecollectioncigar in developed countries. It signaturecollectioncigar is estimated that in the year 2001, smoking-related diseases will account for > 400,000 deaths just in the United States. (1,2)In Brazil, every year 200,000 people die of tobacco-related illnesses. The prevalence of smoking in Brazil is approximately 35% of the population. (1)Ceasing to smoke clearly lowers the risk of death from cardiovascular and cerebrovascular diseases, COPD, and cancer. In comparison with those patients who continued to smoke, those ceasing to smoke before the age of 50 years show a 50% reduction in the risk of all causes of death in the following 16 years. (1) Stopping smoking can increase life expectancy, even for those ceasing to smoke after the age of 65 years. (1)

A recent draft of Gregg''s legislation appears directly to benefit cigarette companies by banning ads with comparisons of the alleged safety of cigarettes with smokeless tobacco.Longtime anticigarette crusader Elizabeth signaturecollectioncigar Whelan, president of the American Council on Science and Health, tells Insight, "We have hard and convincing data that smokeless tobacco is much, much much safer. We are very in favor here of harm reduction. I''ll do anything to help smokers reduce their risk, even if that risk is not zero. ... The proposed language on the label of smokeless does not adequately reflect the reduction of risk associated with smokeless compared with signaturecollectioncigar cigarettes."

BACKGROUND ON THE HEALTHY START SMOKING CESSATION PROGRAMAs a community based organization whose goal is to promote comprehensive prenatal and infant health services, the Healthy Start Coalition of Pinellas is dedicated to working to improve the health outcomes of mother and child. In line with these ideals, Healthy Start has instituted an outreach program similar to the one described in the Windsor study in which clients are provided the manual "A Pregnant Woman''s Self-Help Guide to Quit Smoking." Additionally, qualified personnel are hired to provide brief counseling sessions with the clients and to encourage the maintenance of a nonsmoking status. This paper presents signaturecollectioncigar an analysis of the intervention signaturecollectioncigar put forth by the Healthy Start Coalition of Pinellas. The purpose of the Healthy Start smoking cessation program is to discourage maternal smoking during pregnancy, with the anticipation of promoting a positive birth experience. Results reported in this writing are based on outcome measures of women enrolled in the program from December 1997 to December 1999.