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Written informed consent was obtained from all judges prior to participation in the study and before the initiation of any study procedures, including screening assessments

Acetaldehyde, a component of cigarette smoke and metabolic product of alcohol breakdown, has epigenetic and genetic toxic effects (Shukla and Lim, 2013) and can inhibit key mitochondrial reactions and functions ( High levels of these reactive aldehydes form adducts on macromolecules present in the lungs, leading to an inflammatory response

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