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According to institutional guidelines, formal ethical approval was not required for this type of minimalrisk study involving voluntary participation and anonymous data collection among adult students

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But on learning that Mr Curtis' image was being used in Australia, Ms Landry said: ''I think Bryan's mother would feel wonderful knowing that her son's dying wish has come true I am sure she feels gratified that at least his message spread so far and has most likely saved lives.'' Ms Sharkie says that for the first time calls to the Quitline have increased in December