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Adolescents in this stage are likely impervious to the effects of social pressures for smoking or do not view smoking in a positive light

Anesthesia was performed with isoflurane and an aperture was created in the right parietal bone using a high-speed dental drill (CellPoint Scientific, Gaithersburg, MD)

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This causes less damage than cigarette smoking, although such smokers are still harmed by smoking

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