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(2023.) Smoking is the leading cause of chronic obstructive pulmonary disease. American Lung Association

These findings align with national estimates in Saudi Arabia, where the prevalence of tobacco use has been reported to be between 17% and 24% in similar age groups, reflecting the persistent burden of smoking in the region 3

The limits of detection for Zn in blood plasma ranged between 4.22 and 17.34 mol l 1 and were 300 enzymes, including alcohol dehydrogenase, alkaline phosphatase, carbonic anhydrase, leucine aminopeptidase, superoxide dismutase and DNA and RNA polymerase

Girondi, G.D., Marvila, M.M., de Azevedo, A.R.G., de Souza, C.C., Souza, D., de Brito, J., Vieira, C.M.F.: Recycling potential of powdered cigarette waste in the development of ceramic materials