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Moreover, in contrast to single cigarette smoking, nicotine-free dry particulate matter (TAR) from a single 45 min hookah session reached a level of 802 mg, which represents 36.5 folds higher than that in a cigarette

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After the abstracts were retrieved and screened, we evaluated the full text of the articles that related to SHS exposure and childrens growth

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Within the lungs, smoking triggers a cascade of inflammatory agents in which macrophages lead to tissue destruction and further release of inflammatory agents that lead to persistent chronic inflammatory syndrome