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(2015), it can be said, on the whole, that the adjustments made, based on the suggestions of the expert judges, were satisfactory, and in agreement with the recommendations of the literature, which suggests the content validity of the instrument

Raised blood pressure and heart rate Constriction of skin blood vessels, resulting in a decline in skin temperature Less oxygen in the blood Stickier blood, which increases clotting risk Damage to artery linings Reduced blood flow to fingers and toes Higher risk of stroke and heart attack due to blockages of blood vessels Risk of infections such as pneumonia and influenza Severe and longer-lasting illnesses Lower levels of protective antioxidants in the blood Tightening of some muscles Reduced bone density MEN: Low sperm count Higher percentage of deformed sperm Genetic damage to sperm Impotence due to damage to the blood vessels WOMEN: Reduced fertility, menstrual cycle irregularities, or absence of menstruation Early menopause Increased risk of cervical cancer Higher risk of stroke and heart attack Irritation and inflammation of the stomach and intestines Risk of painful ulcers along the digestive tract Reduced ability to smell and taste Premature wrinkling of the skin Higher risk of blindness Gum disease or periodontitis A mothers smoking can affect an unborn baby