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Quality assessment Of the 12 human studies, 6 (50%) had a low risk of bias 16,20,24,30,32,38 , 5 (41.7%) had some concerns or moderate risk 14,15,19,21,23 , and 1 (8.3%) had a very high risk of bias 17

The Role of Cilia Damage in Repeated Respiratory Infections Cilia are tiny, hair-like structures that line the airways, acting as the lungs cleaning mechanism by sweeping out mucus, dust, and pathogens

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The study, commissioned by the Department of Health, draws on the most recent data from the British Doctors Study, which began in 1951 and is considered one of the world's first major studies of the effects of smoking