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CONCLUSIONS Our participants were patients with COPD from the Mazandaran Province of Iran

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the most reported material was tobacco powder which mentioned by (46.1%) of the participants, followed by lime which known as constituent for Shamma by (17.2%) of the participants then oils and flavourings which stated by (16.7%) of the participants, cocaine and cannabis both were reported by less than fifteen percent and others [Figure 4]

Atelectasis is a common complication of surgery and can also happen from other lung or breathing problems