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This consistent result provides strong support for the robustness of our model and significantly enhances our confidence in the effectiveness of SNPs as instrumental variables in identifying the association between smoking exposure and the onset of viral hepatitis

Systemic vascular resistance was calculated by subtracting normal central venous pressure (4 mmHg) from mean arterial pressure and dividing it by cardiac output

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Nationally, the rate was 8.8%.2 Other tobacco product use: Kentucky E-cigarette and smokeless tobacco use in Kentucky In 2017, 6.1% of adults used e-cigarettes and 7.6% used smokeless tobacco.3 In 2017, 14.1% of high school students in Kentucky used electronic vapor products on at least one day in the past 30 days

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