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Tobacco smoking in childhood associated with premature cardiac damage, heart failure and sudden death Smokeless Tobacco: A Comprehensive Review of Molecular Effects, Societal Perception, and Cessation Strategies ppd, means pack per day. It indicates the smoking intensity of a person. It is better measure than pack years or smoking status for modeling cardiovascular disease outcomes. There are 20 cigarettes in Personalized and adaptive interventions for smoking cessation: Emerging trends and determinants of efficacy ScienceDirect
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