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Smoking cigarettes is the main cause of COPD (Decramer, Janssens, & Miravitlles, 2012), with approximately 8590% of COPD cases attributable to smoking (ALA, 2013b)

Exposure to secondhand smoke can come from many locations including homes, restaurants, worksites, public places, and vehicles

[27] [4] In 2010 more than 200 000 people died from coronary heart disease due to smokeless tobacco use

If a child has signs of an ear infection, it is best to contact a doctor if they have a fever of 102.2F (39C) or above drainage or discharge from the ear, such as pus or fluid symptoms worsen or last for more than 23 days any signs of hearing loss any other severe or concerning symptoms A doctor will assess any symptoms and examine inside the ear to check for signs of infection

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and he rambles on a bit, catches himself not making sense, tells me (impatiently) that he's: "Trying to answer me in a way that [I'll] understand", has another bash, loses his track again, and suggests that I'm just: "Not going to appreciate what [he's] saying!" Then he stops short, meets my eyes, flashes the teeth