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Beyond its primary pulmonary manifestations, COPD is increasingly recognized as a systemic disease associated with a spectrum of extrapulmonary comorbidities, including ischemic heart disease, hypertension, and metabolic syndrome

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Social norms play a role whether smoker is discouraged (smoke free messages) or encouraged (high prevalence/social norm) Smoking to deal with stress Many smokers report they feel calmer and have improved concentration after a cigarette although more likely the cigarette has alleviated the symptoms of withdrawal

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Sony Pictures Classics More information: This image could have imperfections as its either historical or reportage.