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Electronic medical record (EMR) systems, such as Epic or Cerner, include built-in tools for calculating pack years as part of patient evaluations

1 Rolling Paper This model has the same length as 1 but with a wider dimension, suitable for rolling big cigarettes or cigarettes with multiple thick layers

Results Among the 296 participants , traditional cigarette smokers (n=151) exhibited higher serum prolactin levels and greater sperm concentration , whereas progressive sperm motility was significantly higher among e-cigarette users (n=145)