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Differences in the ways that people vape include the duration and volume of the puff, time between puffs, and the amount of time between inhalation and exhalation

It represents only an approximation, as does the calculation of the pack-years, but the ETS-score differentiates the exposure to ETS well enough, is a numerical value for statistical use, and is easy to obtain for the participants and the investigators

doi: 10.1016/j.pbi.2015.04.003 37 SarfrazM.AfzalA.KhattakS.SaddozaiU