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Engaging in these practices creates an opportunity for you to focus on the healing process rather than the urge to smoke

Sample size calculations were based on preliminary Dyspnoea-12 score differences with an anticipated effect size of d=0.5, derived from preliminary data and previous literature on respiratory symptoms in young adult populations 16,17 , alpha level of 0.05, and power of 1-=0.90, accounting for a 10% attrition rate, yielding a requirement of approximately 60 participants per group

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If you skip this step, the Patient Certification sits on file but the new ID card is never issued, and your existing card eventually expires with no replacement