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This tool assigns a maximum of 9 stars across three domains: selection of participants and exposure assessment (up to 4 stars), comparability of study groups (up to 2 stars), and assessment of outcomes and adequacy of follow-up (up to 3 stars)

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( Jawad Obaidi Correspondence: Jawad Obaidi MSN,RN Email: [email protected] Introduction As in other world countries, Tobacco smoking continues to be the leading cause of preventable death in Jordan (WHO, 2011)

For example, reports generally did not adjust for age and comorbidity and records were not necessarily accurate regarding smoking status

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As levels drop, your organsespecially your heart and brainreceive more oxygen