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This effect was particularly noted in participants who had smoked more than 20 pack-year of tobacco (33)

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For instance, a study in Qazvin, Iran, reported a significantly higher CBPI value in commercial areas compared to other land use types ( 4.3 The leakage of microplastics and heavy metals from CBs While CBPI can serve as an indicator of the extent of CBs pollution in the environment, it does not provide a qualitative and quantitative analysis of the pollutants leached from CBs

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