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University of Washington (n=142 consecutive admits to acute rehab, Bombardier, Rimmele & Zintel, 2003): 58% at-risk alcohol use or worse, 39% recent illicit drug use, 61% history of either

Whether because of diminished motor control, blurred vision, poor decision making or greater vulnerability to being victimized, a number of persons incur a traumatic brain injury while they are intoxicated

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Smoking cigarettes is a leading cause of serious health conditions, including cancer, heart disease, lung disease, diabetes, stroke, and chronic obstructive pulmonary disease (COPD)