For Only in the upper class, the only restricts in the inclusion (in, as opposed to out). But no matter which you restrict, there are only two groups under discussion -- upperclass women and and female commoners.
And only one of them mentions its use in scorn or disdain. Also, so far as I can recall, whenever puff is used as a verb to describe some sort of communication, it had a negative connotation, that the speaker was somehow upset. The person who mentions the word " scoff " explains why it does not fit.
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Doctors recommend lung CT scans to look for signs of lung cancer in current and former heavy smokers. Find out what to expect during lung cancer screening.
Brain scans known as fluorodeoxyglucose PET, also called FDG PET, may be used to diagnose Alzheimer's disease. FDG PET scans show areas of the brain where nutrients aren't properly used for energy, known as metabolism. The scans in this image show a healthy brain, a brain with mild cognitive impairment and a brain with Alzheimer's disease.
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