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For COPD, the strength of the association between smoking duration and COPD was greater than that between pack-years and forced expiratory volume in 1 s (FEV 1 )/forced vital capacity, emphysema, gas trapping, FEV 1 , 6 min walking distance and St Georges Respiratory Questionnaire.12 The relative contributions of smoking duration and cigarettes smoked per day to lung cancer incidence have been examined but not in terms of the incidence of driver gene alterations.21 22 Smoking duration was more strongly associated with lung cancer development than cigarettes smoked per day,23 but no comparisons were made in terms of pack-years

Buckingham Palace has stated that doctors have recommended rest following her busy schedule

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