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Because of wide-spread smoking bans, there is more outdoor smoking

Next, titles and, if available, abstracts of the remaining references were screened by two researchers (PK and BM) to verify they were related to tobacco

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Rarely, there may be cyanosis, altered level of consciousness, a hyperresonant percussion note on examination of the affected side with reduced expansion and decreased movement, pain in the epigastrium (upper abdomen), displacement of the apex beat (heart impulse), and resonant sound when tapping the sternum