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It looks really primitive

University students, especially those studying abroad, represent a population in transition, often exposed to new social environments, cultural norms, and stressors that may encourage experimentation with tobacco products and affect their coping mechanisms and emotional regulation 5

And as Christian and Oleg point out, pack years is a measure of cumulative damage versus cigarettes per day which is current usage

My grandmother Rosemary, was forever grateful to the charity for returning her husband's belongings after so much time had passed with no news

But writing it down creates a paper trail that can help if questions come up later

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