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In New York City alone, after only one year of the Tobacco 21 policy being implemented, past 30-day smoking rates among high school students fell from 8.2 percent in 2013 to 5.8 percent in 2015a reduction of nearly 30 percent

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It is possible that the hyperinflation seen in cannabis users in addition to the Valsalva maneuver often used with inhalation may be involved in the cases of spontaneous pneumothorax and/or pneumomediastinum and of the peripheral apical lung bullae [50] that have been reported in isolated cases of marijuana smokers