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This is in mismatch with [18] who found that number of smokers at home did not have significant effects on cotinine level.Regard the level of cotinine among studied patients groups there was a highly statistically increase in patients group when compared to control group mean level was: 6.20 2.59 (0.13 9.94), 1.11 0.69 (0.13 2.24) ng/ml respectively (table 5) and by using Tukey's test, there was highly statistically significant decrease in patients group with LRTI when compared to patients with URTI and control group (table 6)

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Workplace environments vary greatly and there is no one-size-fits-all approach

The researchers noted that this effect on blood clots is important because we know that in the long-term this can lead to clogged-up and narrower blood vessels, and that of course puts people at risk of heart attacks and strokes