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duration should be considered more important than intensity or the composite pack-years in determining risk of developing smoking-related diseases, such as lung cancer (13) and coronary artery disease (4), as well as affecting disease severity in chronic obstructive pulmonary disease (COPD) (5)

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It was small, almost circular, and the edges were a little smudged, like the person who left it had hesitated

These figures include generalist physicians and specialists