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Smoking exposure was assessed through family tobacco usage, peer cigarette smoking, and exposure to second-hand smoke

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In particular, prenatal tobacco exposure is known to alter airway structure: in a study of 32 infants that died of sudden infant death syndrome (SIDS), the distance between alveolar attachments in the intraparenchymal airways was larger in children whose mothers smoked during pregnancy than in the 8 children whose mothers did not smoke, which suggests that airways may have been narrower in the children exposed to maternal smoking, (Elliot, et al., 2003)

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Eric Donny, a psychologist at Wake Forest School of Medicine in Winston-Salem, N.C., who published a nicotine-reduction study in the New England Journal of Medicine in 2015, said that that when it comes to reducing a committed smokers nicotine, faster is better