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The toxicity of cigarette smoke increased over time, resulting in a progressive decline in photosynthetic performance, as reflected by reductions in both parameters (PI ABS and PI CS ) across the days

Moreover, while e-cigarettes were initially promoted as a smoking cessation tool, studies have revealed that dual use of e-cigarettes and traditional cigarettes is common among smokers attempting to quit, which may reduce the success rate of smoking cessation (38, 39)

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The 2019 outbreak added to the urgency to address these issues

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