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There was a consensus among current and former smokers that nurses smoking behaviors are linked to the routines and culture of the workplace, with the most prominent matter being the relationship between work breaks and smoking, Petersen said

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For example, the rate at which the drug is eliminated from a persons body can be affected by the pH of the persons urine

Alton Ochnser and Michael DeBakey wrote that In our opinion, the increase in cigarette smoking, with the universal custom of inhaling, is probably a responsible factor, as the inhaled smoke, constantly repeated over a long period of time, undoubtedly is a source of chronic irritation to the bronchial mucosa. Even though 76 per cent of the 147 cases of lung cancer they analyzed in their 1947 article in JAMA were from individuals who had smoked, they did not believe that the history of smoking had special significance

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