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In line with international studies 22,30,31 , we also found that low self-efficacy to refrain from smoking was an important risk factor for adolescents to start smoking

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Adolescents are even more vulnerable

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Despite similar level of bronchoconstriction the degree of dyspnea sensation may be widely variable in COPD [35, 36] as well as in asthmatic patients [16, 37, 38]