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A reasonable alternative standard for obtaining the full reward must be available to participants who dont meet the initial health standard (or a waiver of the initial standard must be available)

JAMA 2009

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Moreover, one of the tribes largest casinos went smoke-free in August 2015making it the only such casino in the state to do so

3.6.4 Dupuytren's contracture Dupuytren's contracture is a contracture of some muscle membranes of the palm of the hand that causes the little finger and ring finger to be drawn into the palm from where they cannot be extended

Pediatrics 133 (6), 983991 (2014)